Breast Augmentation

Serving Phoenix, Scottsdale, Tempe, Gilbert, Chandler, Glendale, Mesa And Surrounding Areas In Arizona

Breast Augmentation

Breast enlargement is one of our most popular procedures. You can finally have the size and shape you have always wanted or restore your pre-childbirth breast size. The results can be dramatic, but they do not have to be dramatic. Breast augmentation can be a subtle change in some cases. Most women who choose breast enlargement choose implants that will give them a C cup. At Gawley Plastic Surgery, it is our goal for breast augmentation patients to achieve a size that is natural and proportionate to their body.

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We want you to get the most out of your consultation. If at all possible, it is best to make arrangements for small children to stay home rather than having them join us for your appointments.

Benefits Of Breast Augmentation

Any woman 18 or older may choose to have breast augmentation using saline implants. If you would like to have silicone gel implants, you must be at least 22 years of age.

A breast augmentation can:

  • Improve appearance
  • Boost self-esteem
  • Balance and improve body proportions
  • Improve job opportunities
  • Improve social opportunities
  • Correct asymmetrical breasts
  • Restore shape and tone lost to age or pregnancy
  • Achieve the look and body shape that you have always wanted

Breast augmentation may be performed alone, in combination with a breast lift, or as part of a mommy makeover.

Breast Augmentation Options

You will have many choices to make about the look, shape, and feel of your breasts:

Incision Options

All of your incision options will leave minimal visible scarring. Our surgeons will go over each incision choice and the advantages and disadvantages of each. Traditional breast augmentation is open surgery with the incision in the inframammary crease (under the breast where it meets the chest wall) or around the areola.

Gawley Plastic Surgery specializes in transaxillary endoscopic breast augmentation with a transaxillary incision (in the armpit), so scarring is less visible. While many surgeons are not familiar with this procedure, our surgeons at Gawley Plastic Surgery perform this surgery routinely and find that patients are tremendously happy with the natural shape and lack of scarring on the breast.

“I was fortunate enough to attend their Breast Event in which they covered a vast amount of information on breast augmentation. Dr. Gawley met with me after the event to discuss getting a lift as well. His demeanor and genuine care for my situation solidified my choice in using him as my surgeon. - Verified Patient”

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Breast Enlargement Candidates

Breast enlargement may be right for you if you:

  • Are 18 years old or older (for silicone gel implants, 22 years or older)
  • Are not pregnant or nursing
  • Are of stable weight
  • Are not planning a major weight change such as massive weight loss or pregnancy
  • Are in good physical and psychological health
  • Have realistic expectations
  • Have little or no sagging
  • Have enough breast tissue to cover the implant
  • Want to improve your appearance

Women who are not good candidates for breast augmentation usually have other options. If your breasts sag, a breast lift may achieve your desired results. If you are expecting to lose a great deal of weight or if you are planning to get pregnant, it is best to wait until after the major body-changing event.

Breast Augmentation Frequently Asked Questions

Are breast implants under warranty?

Absolutely! We use almost exclusively Allergan smooth implants as they have the best warranty. Enrollment is free and automatic. Silicone implants are covered against rupture (for the lifetime of both implants) and capsular contracture (for the first 10 years) While rare, these complications can happen and we want to be sure that you are covered. Saline implants are also covered against rupture for the lifetime of the implants. Warranties vary by implant company and implant type, so be sure to ask your surgeon for full details.

Can breast implants cause pain years later?

Rarely, implants can cause pain years after surgery. The most common reason is a capsular contracture where your body produces excessive scar tissue around the implant. This is covered by the warranty in the first 10 years after surgery and occurs in less than 1% of cosmetic breast augmentations.

Can breast implants last 30 years?

Implants do not actually expire, however, they will not likely last you a lifetime. The current gummy bear implants have a rupture rate that is less than 10% at 10 years. By thirty years, that number is likely much higher. The best way to ensure your implants longevity is to work with one of our surgeons and follow all of the postoperative instructions.

Can fat be transferred to breasts?

Fat transfer for breast augmentation essentially uses fat from one part of the body where you don’t want it and inject it into your breasts. This option is best for women looking for a relatively small increase in breast size and prefer a natural result. It can also be combined with implants to create even more volume while still maintaining a natural result.

Do you have to replace breast implants every 10 years?

This is a common myth. Implants only need to be replaced if there is a problem with them. At 10 years, over 90% of implants are intact.

Does getting breast implants make you gain weight?

Obviously, the weight of the implants will add slightly to the number on your scales. After that, there is some temporary weight gain immediately after surgery from swelling and fluid retention. Don’t fret, and in fact, don’t weight yourself for a few weeks after surgery as this will quickly resolve.

Does insurance cover breast implants?

Insurance will not cover the cost of cosmetic breast enhancement surgery (augmentation, lift, or a combination of the two). It will cover breast surgery in the setting of previous breast cancer. By law, all insurance companies have to cover both the breast that had cancer and surgery needed on the other breast to make them more symmetric (matching surgery).

How dangerous is breast augmentation surgery?

Breast augmentation remains the most popular cosmetic surgery in the United States. For some women, breast augmentation is a way to feel more confident, while for others it is part of restoring the breast after a cancer diagnosis. While it is relatively safe, if your surgeon answers with “everything will be fine” you should consider that a red flag. There can be complications and it is important to make an informed decision.

Can you breast feed after breast augmentation

While breast augmentation can affect breastfeeding, it is usually still possible to breastfeed after surgery. Be sure to discuss your desire to breastfeed with us before surgery as there are options that help to ensure you can breastfeed after implants. For example, using an incision underneath the breast (IMF incision as opposed to at the nipple or areola).

Can I move my arms after breast augmentation?

We pride ourselves on minimizing discomfort after surgery. The problem with that is that without some pain, there is very little to stop you from being active. We typically advise patients to do no lifting over 5-10 pounds for six weeks and to keep their arms below the shoulder for at least two weeks.

Do breast implants cause autoimmune disease?

As Plastic Surgeons, it is our responsibility to continually monitor the long-term safety of breast implants to make sure that we can educate our patients on the possible adverse outcomes. While there is still no evidence that implants cause autoimmune diseases, there are some rare disorders that are more common in women with breast implants than in those that do not have them. It is all part of the risk to benefit discussion we have with every patient.

Do breasts sag after breast augmentation?

Following a breast augmentation, you may notice that your implants fall slightly as they settle into place. This is completely normal. Eventually, the downward force of the implant and cause some sagging. This takes years to happen and even longer when you work with us choose the implant that fits your breast and chest for a beautiful, natural, long-lasting result.

How do I know if my breast implant is leaking?

With saline implants, the change is usually very noticeable as the breast can deflate over a few days to weeks. Signs that your silicone implants are ruptured can include changes in breast shape, swelling over a period of weeks or even pain. Capsular contracture, where the scar tissue around the implant hardens can happen. Silicone implants can also rupture and not cause any symptoms at all “silent rupture.” In those cases, you would only know if you got an MRI to check.

How do I prepare for breast implants?

First, you should be at or close to your ideal weight. One of the most common reasons for revision is size change and partly that reflects patients own weight change leading to the implants being too large or too small. Second, you should be at least 6 months to a year out from breast feeding. And finally don’t use any tobacco or nicotine products or take aspirin / drugs / supplements that increase the risk of bleeding

How do you know if you have capsular contracture?

The formation of a capsule or scar tissue around the implant is a normal part of healing and helps to keep the implants in place. In some patients however, the scar tissue becomes usually thick. The most common sign you have capsular contracture is that your breast gets hard, or hard and painful. More subtle capsular contracture can also cause your breast implants to shift or change shape.

How long do breast implants last?

Implants do not actually expire, however, they will not likely last you a lifetime. The current gummy bear implants have a rupture rate that is less than 10% at 10 years. By thirty years, that number is likely much higher. The best way to ensure your implants longevity is to work with one of our surgeons and follow all of the postoperative instructions.

How long are breast augmentation incisions sore?

Our surgeons perform nerve blocks that limit most of the discomfort after surgery. You may experience some temporary soreness, tightness and swelling as well as some discomfort in the incision area. Your breasts may be sensitive to stimulation for a few weeks and we ask that you refrain from breast play for 4-6 weeks.

how much does breast augmentation cost?

Offering price ranges on our website would be an injustice to you. Each patient is unique as is each surgery performed. Please call us or click here to contact us regarding a private consultation with one of our board certified plastic surgeons. We pride ourselves on a patient-centric approach to serving you and look forward to meeting you soon.

What is the average cost of a breast augmentation?

Offering price ranges on our website would be an injustice to you. Each patient is unique as is each surgery performed. Please call us or click here to contact us regarding a private consultation with one of our board certified plastic surgeons. We pride ourselves on a patient-centric approach to serving you and look forward to meeting you soon.

What is the difference between a breast augmentation and breast implants?

Breast augmentation is essentially making the breast larger. Breast implant surgery involves placing silicone or saline implants into the breast in order to enhance size, shape and volume. Breasts can also be augmented using your own fat, but this option is less common.

Will Cigna cover breast augmentation?

Insurance will not cover the cost of cosmetic breast enhancement surgery (augmentation, lift, or a combination of the two). It will cover breast surgery in the setting of previous breast cancer. By law, all insurance companies have to cover both the breast that had cancer and surgery needed on the other breast to make them more symmetric (matching surgery).

Is getting a breast augmentation worth it?

Absolutely! This is the most common cosmetic surgery in the United States with over 300,000 women having it done in 2018. Fully 98% of these women say it was worth it.

Is there an alternative to breast implants?

As an alternative to breast implants, breast augmentation can also be done with fat grafting or transfer. Excess fat is removed from one area via liposuction, an area where you do not want it like the belly or thighs, and then transferred into the breasts. The fat is transferred in very small drops so that it can re-establish blood supply from the surrounding tissues. And, because it uses your body’s own fat, the extra volume is permanent and risks are low.

How painful is breast augmentation recovery?

With our enhanced recovery protocols, you will be pleasantly surprised how little discomfort there is after a breast augmentation. Most people describe a sensation of pressure and not much after that. You will be up and walking the same day and, depending on your job, you may be back to work in a week or two. Bruising and swelling may persist for up to 2 weeks. While light walking and lifting may be resumed fairly quickly after surgery, you cannot return to a regular workout routine for 6 weeks.

What are cohesive breast implants?

One of the most exciting new developments in breast augmentation is the cohesive breast implant also known as the gummy bear implant. Previous generation implants were filled with liquid silicone. In cohesive implants, the silicone has more connections (chemical cross-links) between the silicone molecules so the gel firm enough to retain its shape over time, yet soft enough to still feel natural.

Is breast enlargement possible without surgery?

From breast enlargement creams to pectoral exercises and supplements, there have been hundreds of products that promises larger breasts without surgery. However, short of a padded bra, there are no proven ways to increase the size of your breasts without surgery. Sorry.

What are gummy bear implant?

One of the most exciting new developments in breast augmentation is the cohesive breast implant also known as the gummy bear implant. Previous generation implants were filled with liquid silicone. In cohesive implants, the silicone has more connections (chemical cross-links) between the silicone molecules so the gel firm enough to retain its shape over time, yet soft enough to still feel natural.

What are Natrelle breast implants?

Natrelle breast implants are the full line of smooth, round implants from Allergan. We use mostly Allergan implants in our practice because it is the only company that has three different gummy gels five different projections to allow us to find the ideal implant for you. They also have the best implant lifetime rupture warranty: replacement of both implants and up to $3500 to cover the cost of surgery.

What is the most common breast implant size?

The most common sizes range from 300-400cc with most patients looking for a “C-Cup” breast. Implants come in a variety of sizes (100-1000cc), types (saline and silicone), projections (low, moderate, high, full) and gumminess (responsive, soft, cohesive). With so many choices, it may seem tricky to find the right one but trust our expert surgeons to help you find the perfect implant.

Whats the safest breast implant?

The current generation of both saline and silicone smooth, round implants are the safest implants. The FDA, World Health Organization and the Institute of Medicine have all reviewed extensive testing of implants and concluded that they are safe and effective. Textured breast implants, we do not offer these in our practice, have been linked to a cancer of the immune system (BIA-ALCL breast implant associated anaplastic large cell lymphoma).

When can you exercise after breast augmentation?

It is important that you begin light walking right after your breast augmentation surgery. This should not be strenuous but just short walks around your home every hour to enhance circulation and avoid blood clots. Within 2 weeks, you can begin cardio including walking uphill or walking on the treadmill. In 4 weeks from your surgery, most women are able to resume their exercise routine, but heavy lifting must still be avoided. Especially when your implants are placed under the pectoral muscle, strenuous exercises like push-ups must be avoided. By the end of 6 weeks, most patients have completely healed and can resume all exercises. However, you must always listen to your body in case it requires more time and follow your surgeon’s instructions to ensure the best healing and expected results.

How does the doctor determine the incision for breast augmentation placement?

When you choose to undergo the breast augmentation procedure, the first decision is where to hide the scar used to insert the breast implants. There are technically four options for incisions – the peri-umbilical (at your belly button), the axillary incision (in your armpit), the peri-areolar (at the junction of the dark skin of the areola and the lighter skin of your breast) and the inframammary fold incision (in the crease under your breast.nnThe armpit or belly button incisions do not give similar access and control to the surgeon and are believed to carry a higher risk of malposition. Plus, the belly button incision voids the warranty on silicone implants and the armpit incision can be visible with recent clothing trends. Our surgeons prefer the inframammary fold incision as it has the lowest complications and allows for precise placement with the least risk of scarring. The peri-areolar incision is also a good option but it does have slightly higher complication rates including infection, changes in nipple sensitivity and future breast feeding.

What is the difference between breast lift and breast augmentation?

There are several procedures designed to address the various medical and cosmetic issues surrounding the breasts. The main difference between a breast lift and breast augmentation is that while the breast lift helps lift the breasts restoring their perkiness, the breast augmentation increases their volume by adding saline or silicone implants. In other words, when you are dissatisfied with how your breasts appear due to sagging and lost volume caused by breastfeeding or aging, then you will benefit from a breast lift procedure. However, if you are unhappy with the size of your breasts or there is apparent asymmetry in your breasts, then the breast augmentation procedure will be most beneficial. When you book your consultation with a surgeon, let them know about the changes your breasts have undergone and your cosmetic goals so that they can help you choose the best procedure in your individual case or a combination of both for enhanced results.

How long is recovery for breast augmentation?

The recovery from breast augmentation varies from one patient to another. Other factors that determine how long your recovery includes the size of your implants, the placement of your implants and your surgeon’s experience and technique. Typically, most women recover from the augmentation surgery within 4 to 6 weeks and are able to resume their normal routine. When the implants are placed under the pectoral muscles, the recovery might take longer. Your breasts will remain sore and there will be swelling for about 6 to 8 weeks. You will be advised not to engage in any strenuous activities or raise your hands above the shoulders for the first 3 weeks. This helps prevent any bleeding, hematoma, or tearing. You must also wear compression garments that help keep the swelling in check and bring the implants down to their intended position. You may also be instructed to wear a sports bra for about a month. It is best to follow your surgeon’s aftercare instructions carefully during the recovery to achieve the best results.

Do breast implants sag under the muscle?

There are many myths regarding the breast augmentation procedure and one such myth is that placement of the implant under the muscle will “hold it up” and there will be less sagging. The muscle tends to push the implant downward and out if the muscle border has been divided. When the muscle fibers are not divided, the movement of the implant with muscle contraction can be extreme which could displace the implants towards the armpit. Usually, your body naturally forms a capsule around the implants, and this keeps them in place. Any sagging in the future is related to your skin’s natural elasticity and capacity to stretch in addition to the implant size rather than the placement of the implant pocket. This is why breast augmentation is a customized procedure suitable to the individual anatomy of a woman.

Learn more by reading :

What to Expect After Breast Augmentation

Choosing a Breast Surgeon in Phoenix

Breast Implant Manufacturers

Visualization Techniques for Planning Breast Implant Size

Breast Augmentation Risks

Schedule a Consultation

About 50% of the surgeries that are performed at Gawley Plastic Surgery are breast enlargements. If you are in Scottsdale or Phoenix, Arizona or the surrounding area, please contact us today to schedule your initial consultation. We also welcome patients from around the country and can recommend the best hotels for your visit. Wherever you are, if you are interested in breast augmentation or any type of breast surgery, we would love to hear from you.

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Board Certified Plastic Surgeon at

Dr. Gawley is one of the premiere plastic surgeons in the Scottsdale and Phoenix area. He specializes in cosmetic and reconstructive surgery of the breast, body, and face. Dr. Gawley combines his extensive training and state-of-the-art technology to provide his patients with personalized care and natural results.

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Help us help you!

We want you to get the most out of your consultation. If at all possible, it is best to make arrangements for small children to stay home rather than having them join us for your appointments.