Breast Augmentation Options

When you’ve chosen to undergo breast augmentation, you have to decide on more than just implants. At St. Louis Cosmetic Surgery, our surgeons discuss all of your choices, including implant shapes, styles, and sizes, as well as incision type and implant placement. After a thorough physical examination that includes assessing your skin tone and body frame, your surgeon recommends surgical choices that are best suited to your specific needs and cosmetic goals. During this consultation, we think you’ll understand why breast augmentation patients from Missouri, Illinois, and other areas throughout the region trust us to deliver excellent results.

Breast Augmentation
 Before & After Photos

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Breast Augmentation
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 58
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Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 1 of 57

Case #131

7 Weeks Post Augmentation mammoplasty with right ellipse mastopexyThis 27-year-old patient came to Dr. Prada for a breast augmentation. She wanted to be proportionate and ideally go from a "C cup" to around a "DD cup". She is very happy with her results.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 2 of 57

Case #110

-3 Years Post Breast Augmentation-This patient was unhappy with the size of her breasts and decided to upgrade. She had a breast augmentation with 485cc silicone gel implants. Dr. Prada gave her exactly what she wanted. She couldn’t be happier with her decision!  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 3 of 57

Case #115

-7 month post operation-This patient came in for a breast augmentation after having a child. She desired more perkiness and fullness in her breasts. Dr. Huffaker delivered. This patient is very happy with the results. 
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 4 of 57

Case #125

-1 Year Post Breast Augmentation- This is a 28-year-old patient who came to Dr. Prada looking for a breast augmentation. She desired bigger breasts. She wanted to be a larger cup size. 
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 5 of 57

Case #116

-1 Year Post Breast AugmentationAfter having two children, this 37-year-old patient desired fuller breasts. She wanted to go from an A cup size to a full C or small D cup. Dr. Prada used 405cc Soft Touch Implants to give this patient their desired look. Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 6 of 57

Case #142

- 4 Months Post Breast AugmentationThis 24-year-old female came into our office desiring bigger breasts. She wanted to go from an "A Cup" to around "C Cup" in bra sizes. This patient had slight asymmetry of her breasts. The left breast sitting higher than the right.To give this patient what she wanted, Dr. Prada used 450cc silicone... Read More
Breast Lift Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 7 of 57

Case #140

- 3 Months Post bilateral vertical augmentation mastopexy-This is a 27-year old patient who desired bigger breasts. She was unhappy with the drooping and small appearance of her breasts. 👎Dr. Nathan performed a bilateral vertical augmentation mastopexy. He used 445cc silicone-gel filled implants to achieve this patient’s desired look.... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 8 of 57

Case #141

1 Year Post Operation This 35-year-old patient came in interested in a breast augmentation. She desired bigger breasts, she wanted to go from an "A-cup" to in the moderate "C-cup" range. Dr. Nathan performed a breast augmentation using 405cc breast implants. This patient is extremely pleased with her results.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 9 of 57

Case #136

-Two Months post bilateral breast augmentationThis 23-year old female came in desiring bigger breasts. She wanted to go from a “B cup” to a “D cup”. Dr. Lund used 525cc silicone gel-filled breast implants to achieve her desired look. This patient is extremely happy with her results and loves her new breasts Read More
Mommy Makeover Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 10 of 57

Case #112

-Two Years Post full mastopexy, bilateral breast augmentation, extended abdominoplasty, and liposuction-This 47 year old patient came in desiring fullness and her nipple placement higher. She wanted her breasts to be more perky and not be hanging. After having five children, this patient wanted her abdomen area tightened and to raise, lift... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 11 of 57

Case #123

This 40-year-old patient was interested in a breast reaugmentation. After the deflation of her original implants, she decided she was happy with the size and decided on an anchor mastopexy instead of the reaugmentation. This procedure gave her the lift and youthful appearance she was looking for. She is extremely happy with her results.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 12 of 57

Case #130

-One Month Post Breast Augmentation- This 22-year-old patient came in desiring bigger breasts. Before her breast augmentation surgery, she was a "B-cup" bra and she desired to be in the "D-cup" range. Dr. Prada gave her exactly what she was looking for.  Read More
Mommy Makeover Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 13 of 57

Case #133

This 37-year-old patient came in unhappy with the loose skin on her abdomen and her small breasts. She desried a conservative augmentation. She wanted to be a moderate 'C cup', and before surgery, she was an 'A cup'.Dr. Nathan performed an extended abdominoplasty and a breast augmentation for this patient. She is very pleased with her results.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 14 of 57

Case #132

This 65-year old patient came in for a re-augmentation. During her first augmentation, saline implants were used. Over time, she noticed that her left breast seemed to be getting smaller in size and her right breast was also changing. There was a small leak in her implant so this patient came in for a re-augmentation.  For... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 15 of 57

Case #127

This 33-year old patient came in looking to have a breast augmentation. After having two children, she felt her breasts had decreased in volume and she desired a fuller bust. She wanted to increase her cup size from a small B cup to a full C. Dr. Lund gave her exactly what she was looking for and she is extremely pleased.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 16 of 57

Case #111

- 4 months post breast augmentation -After having children, this 32 year old patient was unhappy with her breasts. She came in desiring less sagging and more volume. Dr. Huffaker worked his magic and performed exactly what she was wanting.  She went from a small D cup, to a full D cup. Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 17 of 57

Case #137

5 Months Post Breast AugmentationThis 30-year-old female patient came in desiring bigger breasts. Before her breast augmentation she was a 'B cup" and she wanted to be a small C. After having a child, she noticed a decrease in upper fullness of her breasts and also wanted that improved.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 18 of 57

Case #138

1 Month Post OperationThis 38-year-old patient in came into our office desiring bigger breasts. She wore an "A-cup" bra and wanted to be closer to a "C-cup". Dr. Prada used a 415cc silicone gel-filled breast implant in her left breast, and a 450cc silicone gel-filled breast implant in her right breast to create symmetry and give this... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 19 of 57

Case #143

5 Months Post Bilateral Submuscular Breast AugmentationThis is a 34-year-old patient who came to our office desiring a breast augmentation. She was unhappy with the deflated appearance of her breasts. She was an "B Cup" before surgery and wanted to a proportionate "D- Cup". She also desired some cleavage but wanted a natural look.Dr. Nathan... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 20 of 57

Case #124

This 40-year-old patient was interested in having a re-augmentation. She was concerned with the way her breast appeared. In her previous surgery that she had elsewhere, she had saline implants placed. Dr. Prada replaced her saline implants for cohesive gel implants. To achieve this look, he used 650cc Cohesive Breast implants. She is... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 21 of 57

Case #4

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 22 of 57

Case #64

Saline breast augmentation.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 23 of 57

Case #26

This 42-year-old patient chose a Mommy Makeover that included an extended tummy tuck, liposuction around her hips, vertical breast lift, and breast augmentation with silicone implants here at St. Louis Cosmetic Surgery. In her after photos, you can appreciate that her entire body appears lifted and youthful looking.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 24 of 57

Case #23

25 year old woman with cohesive gel implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 25 of 57

Case #48

This patient in her 30s visited Dr. Herluf Lund with concerns about the size of her breasts. They worked together at St. Louis Cosmetic Surgery and decided on textured, shaped silicone gel breast implants placed beneath her chest muscle. Her results enhance her natural curves and make her feel much more confident.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 26 of 57

Case #24

At 29 years old, this St. Louis-area patient felt ready for breast implants. She consulted with Dr. Herluf Lund and together they decided on shaped, textured, cohesive silicone gel implants. Her scars are extremely discreet in her after photos.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 27 of 57

Case #90

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 28 of 57

Case #62

Round silicone implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 29 of 57

Case #13

Silicone breast augmentation, under the muscle implants. 
Mommy Makeover Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 30 of 57

Case #121

Part One Reveal of this mommy makeover.This 41-year-old patient came in desiring some change in her appearance. This patient is a mother of three and after losing 20 lbs., this patient was left with excess skin around her abdomen, hips and thighs. She also wanted her sagging breasts to be addressed. This patient had an extended... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 31 of 57

Breast Augmentation Case #105

This 30-year-old woman was about an A to B cup and was interested in becoming a moderate C cup.  Dr. Nathan performed a sub muscular breast augmentation with Allergan Natrelle Inspira SoftTouch implants 415 cc.  Patients after pictures are 3 months post surgery. Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 32 of 57

Case #91

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 33 of 57

Case #36

37 year old woman with silicone implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 34 of 57

Case #7

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 35 of 57

Case #89

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 36 of 57

Case #56

This 36-year-old patient was bothered by her relatively small and asymmetrical breasts, so she chose round, liquid silicone implants as well as a lift to help create volume and symmetry. Dr. Christian Prada performed a circumareolar lift on her right breast and a vertical lift on her left, which needed more improvement. Her results are voluptuous... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 37 of 57

Case #101

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 38 of 57

Case #58

Saline breast augmentation.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 39 of 57

Case #59

This woman chose Dr. Charles Nathan to perform her breast augmentation at St. Louis Cosmetic Surgery. She decided on silicone breast implants combined with a lift for a voluminous, age-defying look.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 40 of 57

Case #85

Breast augmentation surgery by Dr. Charles Nathan
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 41 of 57

Case #39

21 year old woman with saline implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 42 of 57

Case #37

43 year old woman with silicone implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 43 of 57

Case #96

Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 44 of 57

Case #40

33 year old woman with silicone breast implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 45 of 57

Case #35

35 year old woman with silicone breast implants.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 46 of 57

Case #68

35 year old female with silicone implants, under the muscle.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 47 of 57

Case #113

-3 Months Post Operation- This 21-year-old patient had tuberous breast deformities. That is an abnormality of the breasts during which the breasts fail to develop normally and fully throughout puberty. The goal of this breast augmentation was to fill and shape the bottom of the breast and correct the nipple malposition... Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 48 of 57

Case #83

Breast augmentation in St. Louis MO by Dr. Charles Nathan. 
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 49 of 57

Case #32

26 year old patient with cohesive gel implants under the muscle.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 50 of 57

Case #50

32 year old woman with silicone breast augmentation under the muscle.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 51 of 57

Case #79

This 44-year-old woman came to St. Louis Cosmetic Surgery for a breast augmentation. With her small frame, she wanted a breast enhancement that would give her natural-looking results. She had a breast augmentation with 255cc shaped, cohesive gel implants.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 52 of 57

Case #21

This 44-year-old woman desired fuller, larger breasts, so she underwent a breast augmentation at St. Louis Cosmetic Surgery. She and her surgeon decided on anatomically shaped, semi-solid silicone gel implants. In her after photos, her resulting scars are virtually invisible.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
Before & After
Case: 53 of 57

Case #29

This 35-year-old woman worked with Dr. Charles Nathan to plan her procedure. She ultimately chose breast augmentation here at St. Louis Cosmetic Surgery. Together she and Dr. Nathan selected textured, anatomically shaped, cohesive silicone gel implants placed beneath her chest muscle.  Read More
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 54 of 57

Case #84

Breast augmentation surgery by Dr. Charles Nathan
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 55 of 57

Case #46

66 year old woman with vertical breast lift and silicone breast augmentation.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 56 of 57

Case #63

Shaped silicone implants under the muscle.
Breast Augmentation Before & After Photo | St. Louis, MO | St. Louis Cosmetic Surgery
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Case: 57 of 57

Case #12

This patient underwent breast augmentation at St. Louis Cosmetic Surgery with Dr. William Huffaker. Her final results look quite natural with virtually invisible scars. 

Keep in mind that each patient is unique and your results may vary.

Implant Options

Breast augmentation patients can choose from saline or silicone gel breast implants, both of which are perfectly safe and FDA-approved medical devices. Choosing the right implant for you begins with a good understanding of the advantages unique to each material.

  • Saline: With saline implants, the solution is added after inserting the implants. This enables the surgeon to perform the procedure with shorter scars. Saline can be a good choice for women with a good amount of existing breast tissue.
  • Silicone gel: Patients often report that silicone gel implants have a very natural feel to them. We offer the widely used round silicone gel implants, which are softer and more viscous, as well as the newer, highly cohesive shaped silicone implants, which are firmer and hold their shape even when cut.

You can learn all about the different implant types on our implant options page.

We strongly encourage you to “try on” our implant sizers, which are similar to padded bras and act as a preview of how your new breasts will look. It’s also important to think about the shape, profile, and texture of your implants. Vectra 3D imaging is another extremely helpful tool which helps you envision different outcomes.

Vectra 3D Logo

We're delighted to offer Vectra 3D Imaging, which we use to create visual simulations of the various options available. Together, we'll evaluate every angle to find a look that makes you smile.

Learn More

Incision Placement

Your choice of breast implants is one of the factors at issue when it comes to choosing the location of your incisions, in addition to your anatomy and personal preference. Our surgeons explain the advantages of each location and help guide your decision. The 3 most common incision options are:

  • Inframammary incision: This is the most common incision for breast augmentation. The horizontal incision is made in the fold beneath the breast where it meets your chest. That location helps minimize the appearance of any scar.
  • Periareolar incision: An incision is made around the areola, the darker skin surrounding the nipple.
  • Axillary incision: Placed in the natural crease of the armpit, the axillary incision is an acceptable option for some patients that leaves no scar on the breast.

incision location graph

Implant Placement

Breast augmentation requires your surgeon to create a pocket in the breasts where the implants will be placed. Your choices for implant placement are:

Subglandular: When implants are placed directly behind your breast tissue but above your pectoral muscles, this is called a subglandular placement. Patients with plenty of existing breast tissue are good candidates for the subglandular, or over-the-muscle, placement because their tissue will soften the edges of the implants so they won’t be visible.

Submuscular: Women with little existing breast tissue often choose to have their implants placed beneath their pectoral muscles to help disguise the edges of the implants. By adding a layer of tissue over the implants, your breasts may also feel more natural.

implant placement graph

Learn more about these breast augmentation options.
Our surgeons are happy to help you find the right options for you.

Watch Behind-the-Scenes Footage of Amanda’s Breast Augmentation

Complementary Procedures

Women often combine breast augmentation with procedures that help enhance their results. Combining a breast lift with augmentation, for example, will give you more youthful-looking breasts while also enhancing their size. Women who have had children and want to regain their pre-pregnancy bodies often choose to get a mommy makeover at St. Louis Cosmetic Surgery, which typically includes a tummy tuck and liposuction to tighten abdominal muscles and trim fat from their waists.

Our surgeons are experienced at performing combination procedures that incorporate multiple components and often find this to be a very satisfying choice for many patients. They will discuss these options at your consultation and set a surgical plan that addresses each of your concerns.

Customized Results

For a better sense of how your choice of breast implants translates into results, take a look at our photo gallery. For example, you can compare the results of the 2 patients shown below: They are both in their early 20s and have similar body types, but one chose silicone implants and the other chose saline.

This 26-year-old patient elected to have shaped, cohesive silicone gel implants inserted under the muscle. As you can see, her breasts have a teardrop shape with more fullness in the lower portion of the breasts.*

Breast augmentation before image Breast augmentation after image
Before After

This 21-year-old patient chose round, saline implants, also placed under the muscle. Her breasts have more fullness in the upper pole and have less of a teardrop shape than the above patient.*

Breast augmentation before image Breast augmentation after image
Before After

*Keep in mind each patient is unique and your results may vary.

There is no “ideal” breast, and every patient has their unique cosmetic goals. Our surgeons are dedicated to helping you make those goals a reality.

Getting the results you want begins with meeting your surgeon at our office about 25 minutes from downtown St. Louis. Request a consultation online to discuss breast augmentation, or call us at (636) 530-6161 and a member of our staff will schedule your consultation.

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