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Breast Augmentation

Women with small breasts who desire more breast fullness and improved breast shape often consider breast augmentation surgery. Breast augmentation uses implants to improve the size, shape, and symmetry of poorly proportioned breasts. Some women have naturally small breasts, while others are dissatisfied about volume loss as a result of pregnancy or aging.
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Who Can Benefit From Breast Augmentation?


Naturally Small Breasts

Breasts that are disproportionately small to your frame are the result of genetics and may prevent you from having the attractive, feminine curves you desire. Women with naturally small breasts are typically between 18 and 30 years of age.


Post-Pregnancy Breasts

Volume loss post-pregnancy is common for many women. Women being treated for poor volume following pregnancy are usually between 30 and 40 years old. Post-pregnancy breasts can appear deflated or empty. Breast enhancement can restore the look and feel of your pre-baby breasts.


Age-Related Volume Loss

Women with age-related volume loss are usually over 40 years old. These women are most likely to have skin laxity associated with their volume loss and may require a breast lift with their augmentation. Women with aging breasts benefit by having the firmness and perkiness restored to their breasts for a youthful look.

Considering a breast augmentation?
Dr. Karp customizes each breast augmentation to the patient to achieve beautiful aesthetic results.
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Design Your Breast Augmentation

Implant Material

Silicone Implants

FDA approved for breast augmentation in women 22 years or older:

  • A silicone shell filled with a cohesive silicone gel
  • Provides the most natural looking and feeling breasts
  • Less visible rippling in patients with thin breast tissue
  • Lower rate of rupture than saline implants
Saline Implants

FDA approved for breast augmentation in women 18 years or older:

  • A silicone shell filled with a saltwater solution
  • Size can be adjusted during surgery to best fit your needs
  • Implant ruptures are more noticeable

Incision Location


Incision Location

  1. Inframammary: Along the lower crease below the breast tissue
  2. Periareolar: Along the outer border of the areola
  3. Transaxillary: In the armpit
  4. Transumbilical (TUBA): Through the belly button

Implant Placement



The implants are placed under the breast tissue but over the pectoral muscles:

  • Movement of the pectoral muscles doesn’t distort your breast appearance
  • More likely to develop visible implant edging


The implants are placed under both the breast tissue and the pectoral muscles:

  • Flexing of the pectoral muscles may cause implant distortion in some women
  • Creates a more natural breast slope and masks the edges of implants
  • Provides better visibility for mammograms
  • Has a lower rate of capsular contracture

Combining Procedures


Combining Procedures

Women with ptosis (sagging) of the breasts should consider combining a breast lift with their augmentation. While breast ptosis is most common in older women, some women have minor cases of sagging following pregnancy. It is important to address breast sagging during an augmentation to ensure the best results possible. Untreated tissue laxity can lead to double-bubble deformity or implants that bottom out.


Following your surgery, you will wear a surgical bra over the breast bandeau to help control postoperative contouring. Bruising and swelling of the breasts is to be expected. You will need to rest for several days following your procedure and should avoid bending or lifting objects. Most patients return to work one week after their procedure. You can resume your regular exercise routine after six weeks. At this time, most major swelling should have subsided. However, minor swelling can last several months and can impact the appearance of your breasts.
Dr. Karp carefully places all incisions to mask the appearance of scarring. The extent of scarring will vary depending on the incision required for your procedure and your body’s natural healing process. Scarring that may develop is generally mild and is likely to fade over time.
The cost of your breast augmentation will vary depending on implant choice. Other factors such as surgical fees, facility fees, and anesthesia fees can affect the cost of your procedure. A detailed quote will be provided during your consultation.
As your body becomes accustomed to the new implants, you may experience some discomfort. This can be controlled using an oral pain medication and muscle relaxants prescribed by your surgeon.

Before & After Examples

ba-1 “I cannot say enough good things about Dr. Karp and his medical team. Dr. Karp went out of his way to make me feel comfortable in my decision. From the 1st consult to the actual surgery I had complete trust in Dr. Karp. His knowledge and expertise in breast augmentation is phenomenal. His nurse, surgery tech and anesthesiologist were kind and caring during this whole process.”
ba-2 “Dr. Karp was completely professional and answered all my questions. Definitely very caring at follow up visits and right after surgery. And has a great sense of humor.”
ba-3 "Thus far Dr. Karp and his staff have exemplified patient care. Dr. Karp consulted with me for over an hour at my initial complimentary exam. His staff have always been more than helpful and patient answering my multitude of questions over the phone in the last 6 months."
ba-4 "He was kind and very professional! He listened to me and walked me through the entire procedure and took all my fears away. He really did a great job with my surgery and have been very happy with the way they look and feel!"

Frequently Asked Questions

  • Am I a candidate for breast augmentation?

    Ideal candidates for breast augmentation are in good health and have realistic expectations about their results. You shouldn’t smoke for six weeks prior to your procedure. If you have breast tissue laxity, you should consider combining a breast lift with your procedure.

  • How do I decide which implant type is right for me?

    You will undergo a thorough consultation with Dr. Karp prior to your procedure. During your meeting, Dr. Karp will evaluate your body type and suggest the best options to meet your goals while providing the most natural-looking results possible. Every breast augmentation is designed to fit the needs of the individual patient.

  • How long will my results last?

    Breast augmentation is designed to provide years of improvement to the size and shape of your breasts. However, breast implants may need to be replaced after 10 to 15 years in some cases. Factors relating to change of implants are weight gain or loss, pregnancy, normal aging, and a patient’s desire for a change in breast size. Stretching or tightening (contracture) of the capsule and skin around the implant are all important considerations.

  • What complications can occur?

    Common complications such as bleeding and infection are easily treated. While rare, there is a risk of developing capsular contracture. Other complications that may require correction include implant rupture, symmastia, double-bubble deformity, asymmetry, and visible rippling.