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Enhance the volume and symmetry of your breasts

Breast augmentation is the enhancement of breast size and shape, most commonly achieved by placing implants. This procedure can also help increase the fullness and projection of breasts that have decreased volume due to pregnancy, weight loss, or aging. Breast augmentation can also be done with the transfer of fat from one area, such as the abdomen or thighs, to the breasts, with more subtle increases in volume than is achieved with implants.

Why choose us for breast augmentation?

If you have decided to undergo breast augmentation in San Antonio, you want the results to be beautiful, plump, soft, resilient, and balanced, and above all, to look and feel natural. While breast augmentation is one of the most performed plastic surgeries, you want the results to be right for you, and to avoid the many common complications. The experience, quality, and surgical techniques used by your plastic surgeon could not be more important. As plastic surgeons who are often called upon to correct poor results from other practices, we believe you deserve your surgery to be done right, the first time.

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Personalized care is our watchword.

At Hill Country Plastic Surgery, we are proud to have achieved a reputation for delivering highly-personalized, meticulously performed breast augmentations, setting us apart from other practices. You can expect to be treated with warmth, like a member of our family. Our joy in our work comes from the relationships we establish with our patients. Collaborating closely with you, our philosophy of care is different from many practices – we focus on quality, not volume, and spend all the time needed to achieve results that are above and beyond the usual. 

Advanced breast augmentation for superior outcomes.

We offer subfascial breast augmentations in San Antonio in addition to dual plane, which are not done by all surgeons. We use Enhanced Recovery after Surgery (ERAS) protocols to make recovery easier and faster. This also decreases the need for narcotic medications after surgery and decreases nausea. If a lift is needed, we can usually do them at the same time as the augmentation.


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Before & AfterBreast Augmentation

Candidates for breast augmentation

Breast augmentation is best for people that would like fuller and larger breasts and do not have a lot of drooping of the breasts. Over time, the breast may droop, and the top of the breast becomes less full. It can also help fill out the top of the breast, also called the “superior pole.”

Breast augmentation with lift

Drooping of the breasts is treated with a breast lift, also known as a mastopexy. A mastopexy (breast lift) can be combined to achieve fuller and lifted breasts. During your consultation, we will develop a plan that is customized to your body shape and desired look.

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Post-op care for a smooth, successful recovery.

The first post-op appointment will occur one week after surgery, and follow-ups at intervals of 5 weeks, 3 months, 6 months, 12 months. You should plan for 3-5 days off work. Immediately after breast augmentation surgery, it is normal to experience swelling. At the three week mark, the true shape and size starts to appear. There will be relaxation of the breast tissue over the next three months and that is when the final shape and beauty is fully revealed.

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Patient safety You are in good hands.

Our surgeons use only smooth implants since textured implants have been implicated in Anaplastic Large Cell Lymphoma (ALCL). All our procedures are done in an accredited facility, and we only use board-certified anesthesiologists. We do not take shortcuts regarding the best practices and safety of your breast implant surgery in San Antonio.  

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Test drive your new look at Hill Country Plastic Surgery

You may be concerned about the look and size of your breasts with implants. We do a 3D simulation prior to surgery, with the Vectra imaging system, as well as sizers that are placed in the bra to simulate the look of different sizes. 

CosmetAssure insurance is included with all our procedures. This is cosmetic insurance that covers the cost of any complications that may occur after surgery. Complications are rare with this operation, but if something does happen, you are not at risk.

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What our patients tells us…

Many patients are excited to see the changes in the figure when they wake up and tell us they are surprised at how easy the recovery process was. We love to see their smiles and the satisfaction they experience after a custom breast augmentation in San Antonio

Read Our Patients' Testimonials

Types of implants

The choice of saline versus silicone implants is usually left up to the patient unless there are specific reasons, we recommend one over another. Silicone implants are used more frequently since being re-approved by the FDA in 2006 for patients older than 22 years old. There is no association found between silicone and rheumatologic disorders. Silicone implants are softer, lighter, and have less tissue rippling issues than saline implants.

The largest size of silicone implant available is 800 mL at this time, whereas saline implants can be larger. Leak detection is more difficult with silicone implants. The FDA recommends monitoring of silicone implants with MRI 3 years after implantation and every 2 years thereafter. The MRI is usually not covered by insurance. Another consideration is the price of implants, as saline implants are typically less than silicone implants.

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Your custom breast augmentation at Hill Country Plastic Surgery

Shell: Smooth or textured?

The outer shell of all silicone and saline implants is made of silicone. Implants used to be offered in smooth or textured surfaces, but the textured implants have been taken off the market due to association with Anaplastic Large Cell Lymphoma (ALCL). We do not use any textured implants.

Shape: Round or anatomic?

The shape of the implant that is most commonly used is the round implant. When laying on a table, it looks like a circle, but when upright against the chest wall, the implant has a more natural shape with the lower aspect of the implant being larger than the top. Historically, there are also shaped silicone implants, also known as the “gummy bear,” or anatomic implants. The shape is designed to mimic the natural breast, so the area of highest projection is in the lower pole.

Profile: Low, medium, or high?

This is based on the patient’s desired outcome. First, the width of the breast is measured. This is known as the “base diameter” Next, the amount of augmentation desired by the patient and the patient’s breast tissue and shape are evaluated. The amount of projection is more dependent on the measurements of the implant than the overall fill. For example, an implant with a smaller base and 300 cc fill will have more projection than an implant with a wider base and 300 cc fill. If using an anatomic implant, the patient’s breast height must be evaluated since the implants also come in different heights.

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What are anatomic implants?

Anatomic implants are good for ptotic breasts and patients where we need to “create” a shape such as for tuberous breast deformities. The pocket must be precise since the implant has to be implanted in a specific orientation and there cannot be a lot of movement of the implant. The pocket is usually subpectoral since the edges of the implant can be palpable, especially in thin patients.

Texturing was used to help keep the implant in place, but due to the concerns of ALCL, we do not use these implants. If a patient wants a more “augmented” look with high and round medial upper aspects of the breast with lots of cleavage, a round implant should be used. In our experience, most patients have been happier with round implants since it makes the breasts appear fuller. There is also less risk of rotation of the implant since they are round.

Where are the incisions?

The choices for incisions are Inframammary (IMF), Periareolar (around the areola), Transaxillary (incision in the axilla), and Transumbilical (through a belly button incision). At HCPS we perform the IMF or Periareolar incisions.

  • Silicone implants: can use IMF, periareolar, and transaxillary approaches. Because the implants cannot be deflated prior to insertion like a saline implant can, the incisions for silicone implants are larger than that for saline.
  • Saline implants: can use IMF, periareolar, transaxillary, and transumbilical


Advantages: can hide the scar in the breast fold, less risk of infection and capsular contracture, and the surgeon can do all pocket approaches. Disadvantages: not a good choice for patients with a poorly defined inframammary fold (such as tuberous breast deformity) since the scar can be seen due to the lack of droop of the breast.


Advantages: can perform subglandular and subpectoral pockets through this incision, can lower the fold, good for tuberous breast deformities and poor inframammary folds, can hide scar around (not in) the areola. Disadvantages: increased risk of capsular contracture, distortion or widening of the nipple-areolar complex.

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Implant placement options – what’s right for you?

The options for pockets are subglandular, subpectoral, subfascial, and dual plane 1, 2, or 3.


The implant goes under the breast tissue and over the muscle; Advantages: good for patients who are also getting their breasts lifted, no animation movement of implant, recovery is easier. Disadvantages: not good for patients with thin or little breast tissue on the top due to visible implant and superior pole hollowing.


Implant goes under the pectoral muscle; Advantages: lower capsular contracture rate, good for patients with poor overlying tissue, less rippling, easier for mammograms to visualize breast tissue; Disadvantages – displacement of the implant to the side of the chest, animation movement of the implant (implant moves with activation of pectoralis muscle), higher risk of snoopy deformity (breast tissue hang below implant).

Dual Plane

Pocket is dissected under the muscle and the breast gland. This approach is good for poor overlying tissue on the top, narrow breasts, and droopy breasts.

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Why should you choose the surgeons at Hill Country Plastic Surgery?

Both Dr. Farber and Dr. Shah were fellowship-trained at the most prestigious institutions and their techniques for delivering patient results and satisfaction set the standard for plastic surgeons in the field. They use the most advanced techniques and consistently achieve superior results. Their warm demeanor, genuine care, and dedication to their patients are second to none. Ultimately, however, patients choose San Antonio breast augmentation doctors, Dr. Farber and Dr. Shah for the results. Their patients look and feel their best, and so can you. Discover the difference here in San Antonio!

What to expect during your consultation? Your custom-tailored breast augmentation surgical plan.

During the initial breast augmentation consultation with your surgeon at Hill Country Plastic Surgery, we will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs. Prior to your consultation, we recommend that you review the procedures like tummy tuck, liposuction and mommy makeover on our website so you are familiar with the terms we will be using during our discussion.

Once we identify your concerns and surgical goals, we will discuss all the treatment options that are available to you. Every patient is unique, and we will develop a tailored surgical plan that addresses your specific goals. In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details. It is very important that we obtain accurate information in all these areas as it may impact the outcome of your surgery.

While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. Pre-operative (before surgery) photos will be taken either at your initial consultation or during your pre-operative visit.

Welcome to our easy-access client portal.

After your San Antonio breast augmentation consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.

Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.

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Breast augmentation FAQs

Do breast implants have to be changed after 10 years?

How do I know if my implants leak?

What is capsular contracture?

How do I know what type of breast augmentation is right for me?

How big should I go?

Will insurance cover my breast augmentation?

How much does a breast augmentation cost?

Do breast implants have to be changed after 10 years?

Breast implants do not have to be changed out if they are in good condition. They are only removed because of leakage, improper positioning, or patient request.

How do I know if my implants leak?

If you have a leak in a saline implant, you will be able to tell since there will be visible deflation of the implants. Silicone implant rupture is more difficult to detect, and imaging is needed to determine if you have a leak. MRI and Ultrasounds are the usual imaging techniques used.

What is capsular contracture?

Capsular contracture is thickened scar tissue around the implant. This scar tissue can cause changes in shape and position of the implant, pain, and cause the implants to become hard. If this happens, the implant and scar tissue need to be removed and replaced with a new implant.

How do I know what type of breast augmentation is right for me?

During your consultation, your surgeon will discuss your goals, lifestyle, medical history and evaluate your body to determine the best type for you.

How big should I go?

It’s up to you. Limitations on size will be determined by your body shape and tissue quality. Your surgeon will give you recommendations for sizing to achieve the best result over a long period of time.

Will insurance cover my breast augmentation?

Breast augmentation is typically not covered by insurance until it is part of a breast reconstruction or reconstruction matching procedure.

How much does a breast augmentation cost?

The cost of a breast augmentation varies from patient to patient and depends on size and material of the implant. Coming in for a consultation with one of our surgeons will give you a better idea about pricing.


Are you interested in learning more about this procedure? To schedule a consultation, please contact us. Hill Country Plastic Surgery is the premier plastic surgery center in the San Antonio and Austin area, and our friendly team members are here to help you and will reach out promptly.

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Begin your journey.

Your journey to a happier, more confident life starts with a private, in-depth consultation with your surgeon, where we learn about you and your vision and goals. Discover San Antonio’s premier clinic for plastic surgery.

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