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Sieber Plastic Surgery San Francisco

Guide to Breast Augmentation: No matter your reason for undergoing breast augmentation, one thing is for sure: You want to be happy with your results. 

The good news is, you’re already on the right track. Studies show that patients who research their treatments beforehand achieve more of their goals than patients who go into surgery without much knowledge about the procedure or how to prepare. 

Breast augmentation, like any other surgery, does come with some risks and possible complications. These are certainly important to know about. But perhaps more than that, it’s important that you understand the procedure itself, including what it entails, how to know if you’re a good candidate, and what to expect during recovery.

In this guide, we’ll be touching on all of these points. We’ll also discuss how to choose the best implants for you and how to prepare for your consultation appointment with Dr. Sieber. 

Let’s start with the basics: What is breast augmentation?

Guide to Breast Augmentation

What Is Breast Augmentation?

You may have heard of breast augmentation surgery referred to as a “boob job”. In essence, the surgery is a procedure that places implants into the breasts in order to ultimately augment their size. If you’re hoping to get bigger, fuller breasts, breast augmentation is likely the procedure you’re looking for.

Unlike breast lift surgery, breast augmentation primarily increases the overall size of the breasts. It does not necessarily change how the breasts sit on the chest wall or how they hang. For patients who have drooping and sagging breasts (when the nipple hangs below the breast crease line), a breast lift may be a better surgery. Dr. Sieber will discuss all of this with you at your consultation.

Who Is a Good Candidate for Breast Augmentation?

You may be a good candidate for breast augmentation surgery if you meet the following requirements:

  • You have breasts that are fully developed.
  • You are unhappy with the size and/or fullness of your breasts, or you have an asymmetry issue that you would like to resolve.
  • You are healthy and take care of your body.
  • You have healthy, realistic expectations about breast augmentation surgery and your body.

It is important that breast augmentation patients not have any active infections or medical conditions that may complicate their surgery or recovery. Be sure to mention any past surgeries or medical conditions, including any cancer diagnoses, with Dr. Sieber at your consultation appointment.

You should also not be currently breastfeeding or pregnant. If you plan on getting pregnant and breastfeeding at some point in the future, be sure to mention this to Dr. Sieber. Most patients with breast implants can breastfeed without problems, but this is certainly a consideration to keep in mind as you move toward surgery.

How to Prepare for Breast Implants

Your consultation appointment is one of the most important appointments you’ll have before your breast augmentation surgery. This is when you will first get to meet Dr. Sieber and take a look at your augmentation options. 

You will discuss what it is you hope to achieve with breast augmentation surgery, and you can also feel free to discuss your fears, concerns, and questions. Dr. Sieber has been performing this surgery for a long time and is happy to answer all of your questions and address all of your concerns.

Reviewing Your Medical History

Another important part of your consultation is a review of your medical history. To ensure that you are a good candidate for breast augmentation, Dr. Sieber will want to discuss any medical conditions you have had in the past, any previous surgeries, and what, if any, medications and dietary supplements you are taking. Be sure to have this information ready to go.

You may also want to have your personal calendar ready at your consultation. In some cases, if Dr. Sieber okays you for surgery, you can schedule the date and start looking forward to your new figure right away.

Combining Breast Augmentation With Other Procedures

Breast augmentation is often combined with other plastic surgeries. For example, some patients who want to increase breast fullness and lift the breast tissue and nipple up higher on the chest wall may be interested in getting a breast augmentation-breast lift combination surgery, also known as breast augmentation mastopexy (BAM).

Mommy makeovers are another ultra-popular procedure. Mommy makeovers are combination procedures that include more than one plastic surgery. The ultimate goal of a mommy makeover is to reverse some of the physical effects of bearing children. Mothers who have gone through pregnancy, childbirth, and breastfeeding have seen their bodies change in numerous ways — several of which are undesirable. For example, loss of volume in the breasts is quite common after breastfeeding for an extended period of time. For this reason, mommy makeovers often include a breast augmentation and/or breast lift along with other procedures such as liposuction and a tummy tuck.

Breast Augmentation Options

The number one thing patients want to discuss at their breast augmentation consultation appointment is the type of implant that’s best for them. Naturally, breast implant sizes range from very small to quite large. There is also the question of the implant’s profile, which refers to the projection of the implant away from the chest wall. A higher profile implant will project further out and usually have a smaller base. There are also different types of implants, each of which has a different internal substance. 

Ultimately, deciding on the right breast implants for you will be a collaboration between you and Dr. Sieber. If you can accurately describe the end goal you’re hoping to achieve with your breast augmentation surgery, Dr. Sieber can help you pick the perfect implants.

Fat Transfer Breast Augmentation

Fat transfer breast augmentation is a newer way to augment the size of the breasts. First, using liposuction, excess fat is taken from the abdomen, flanks, and other parts of the body where the fat is unwanted. These fat cells are then processed and reinjected into the chest area to increase the breast size.

Breast Implant Materials

Guide to Breast AugmentationThere are three main types of breast implants. Each one is made with a different material and comes with different benefits and drawbacks. 

Saline Implants

Saline implants have a more liquid composition to them (when compared to silicone implants and gummy bear implants). In the event of a breast implant leak, saline implants tend to be better because the saline will simply leak into the body and be absorbed. You will notice right away if you have a leak with a saline implant because your chest will begin to appear deflated on one side.

Silicone Implants

Silicone implants are made up of a thicker silicone substance, which often appears more natural. Silicone implants tend to be slightly more expensive than saline implants. If you get silicone implants, you need to have a regular scan every four or five years to make sure that they have not leaked. Although it is rare, this can be dangerous to your health. Leaks generally necessitate immediate removal of the implant, and it may or may not be able to be replaced.

Gummy Bear Implants

Gummy bear implants contain a gel filling and have a silicone shell. This cohesive makeup makes them slightly safer than other types of silicone implants because the inner material is not liquid enough to leak into the body. Gummy bear implants tend to hold their shape very well as well. Please feel free to ask to see gummy bear breast implants before and after pictures.

What Happens During Breast Augmentation?

Most of the time, general anesthesia is used for breast augmentation surgery. Occasionally, the procedure may be performed using local anesthesia and numbing of the breast area, but this is rare. Breast augmentation surgeries usually take about one hour to perform.

During the procedure, there are several different types of incisions that may be used as the insertion point for the implant. Most of the time, Dr. Sieber will use an inframammary fold incision, which is an incision placed beneath the breast where the crease is. There is also a transaxillary incision and a periareolar incision. These two options are not used as often.

After the incisions are made, the pockets will be irrigated with an antibiotic solution, and the implants will be placed. The incisions will then be closed with absorbable sutures.

What to Expect After Breast Augmentation

With most breast augmentations, the patient can go home on the same day. You should have a relative or trusted friend there to drive you. It can also be useful to have a spouse, family member, or someone else at home to give you some assistance for the first few days of your recovery.

Dr. Sieber employs the rapid recovery breast augmentation vs conventional technique with all of his breast augmentation surgeries. This technique is not one single thing. Instead, it’s a process used to drastically reduce the risk of complications and improve the postoperative experience for the patient. It can even reduce bruising and swelling. 

Some of Dr. Sieber’s breast augmentation patients have gone shopping or out to dinner within 24 hours of getting surgery — though keep in mind this is not the case for everyone. Even when patients do experience bruising, swelling, and discomfort after surgery, Dr. Sieber will have a comprehensive recovery guide to help you reduce your symptoms and encourage healing.

FAQ: Guide to Breast augmentation 

How much does a breast augmentation cost?

In the end, the breast implant price you pay will depend on several factors, including whether you have other surgeries performed alongside your breast augmentation (such as mastopexy), the size and type of your breast implants, and what type of incisions you require. Most breast augmentation surgeries cost somewhere between $5,000 and $10,000, though they may cost more in some cases. 

How long after BBL can I get breast augmentation?

In most cases, breast augmentation surgery needs to be performed separately from a Brazilian butt lift (BBL) surgery. How long you’ll need to wait in between surgeries depends on several factors, but it will probably be at least a few months. Speak with Dr. Sieber directly to find out how best to schedule these two procedures.

Will I have breast implant scars?

Yes, there will be some scarring after your breast implant surgery because incisions need to be made. The good news is that Dr. Sieber can place these incisions in places where they are extremely difficult to discern. 

For example, most breast augmentation incisions are made along the crease line below the breast. This is hardly noticeable at all, especially because of the fact that these scars will fade considerably over time.

How long after breast augmentation can I swim?

This depends. Most women can return to swimming around one month after surgery, but this timeframe may vary. Speak with your surgeon about swimming after breast augmentation, and make sure you get the go-ahead before getting back in the water. 

When can I sleep on my side after breast augmentation?

After breast augmentation surgery, you will need to refrain from sleeping on your side. Most patients can return to side sleeping after around two weeks. However, this may vary, so always speak with Dr. Sieber directly to know when it’s safe to adjust your sleeping position. When it comes to BBL and breast augmentation how to sleep is a different question to ask Dr. Sieber. 

How long is recovery for breast implants?

Most of your healing and recovery will be complete after four to six weeks. You may not see your full results for several months, however.

When can I  swim after breast augmentation?

Women can get back in the water around 3 weeks after surgery. After this waiting period, the skin tissues have had time to heal and become more water-resistant. Also, make sure to dry your incisions immediately after swimming.


Schedule Your Breast Augmentation Consultation Today

Dr. David SieberHave you been considering breast augmentation but haven’t had a chance to book your consultation yet?

Take a moment to look at some of Dr. Sieber’s breast implant before and after pictures, and find a few “after” pictures that are similar to what you’re hoping to achieve. Then, contact us to schedule your appointment. 

A consultation is not a commitment to surgery, but it is a chance for you to discuss your options directly with Dr. Sieber. Show him the photos you chose, and see if you’d be a good candidate for this surgery. You never know, you could be enjoying your brand-new breasts by this time next year — or sooner! Schedule your consultation today by reading .




Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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