Breast Augmentation with ImplantsPerformed by Dr. Wooten of Beleza Plastic Surgery
For women of all ages – and most body types – who are seeking an enhanced bust, breast augmentation can be an effective solution. When performed by a highly experienced, board-certified plastic surgeon such as Dr. Anna I. Wooten, it is also a safe procedure, with a rapid recovery. Here at Beleza, Dr. Wooten’s protocols and expertise deliver a smooth experience and beautiful results to our Pittsburgh-area patients.
Listen as Stephanie, a breast augmentation patient of Dr. Wooten’s, describes her Beleza experience. Remember, each patient’s experience is different, and this patient’s story may not be the same as yours.
Before & After Gallery of Dr. Wooten's Patients
Breast Augmentation Photo Gallery *
This breast augmentation patient is a slender woman who was in her early thirties when she came to consult with Dr. Wooten. During her surgery, Natrelle silicone gel implants – 339 ccs were placed in her left breast. 371 ccs were placed in her right (to correct her existing asymmetry). Her procedure and recovery went smoothly, and the beautiful result is pictured on the right at eight months after surgery.
This individual was in her mid-thirties when she came in to Beleza. After having two children, she had lost her volume in her breasts. She consulted with Dr. Wooten about regaining her previous fullness. She and Dr. Wooten decided on 286 cc Natrelle silicone gel implants. Her breast procedure and recovery went smoothly, and she is very pleased with her result, pictured on the right one year after augmentation.
This patient stands at 5’3″ and was 27 years old and 115 pounds at the time of her breast augmentation procedure. She came to Beleza Plastic Surgery wanting her breasts to look fuller. She also wanted them to remain natural. She selected 265 cc midrange profile implants. They were placed into a submuscular position through inframammary incisions.
This breast augmentation patient was 27 years old, 5’4″, and 108 pounds when she came in for a consultation. She was dissatisfied with the appearance of her upper body. She and Dr. Wooten discussed her options for breast enlargement. They decided to place high-profile saline implants in a submuscular position through periareolar incisions. To account for the patient’s slight asymmetry, a 365 cc implant was placed in the right breast and a 355 cc implant was placed in the left breast. The after images here were taken 5 months after the procedure.
This 24 year-old Pittsburgh breast enlargement patient was looking for improvement in her chest contour. She is very petite (5’2″ tall and weighed 108 pounds). She was an A cup prior to the procedure. She selected 234cc midrange profile implants which were placed by Dr. Wooten in a submuscular position, placed through inframammary incisions. She is thrilled with the enhanced yet natural appearance of her breasts.
Feeling ready for a fuller physique, this patient came to see Dr. Wooten when she was 38 years old. During her consultation, she and Dr. Wooten decided together that the best implants for the results she desired would be 339 cc silicone implants. The procedure went smoothly. She is happy with her proportions. In the ‘After’ images, the patient is pictured only four months after the procedure.
This patient, a 27 year old woman, decided to make an appointment for a consultation regarding breast enhancement with Dr. Wooten after being unhappy with the appearance of her breasts for a while. After having children, she was very unhappy with the deflation she experienced following breast-feeding. During her consultation, she asked Dr. Wooten about how best to lift and enhance her bust. She asked about whether or not she needed a lift. They discussed her options, and decided that the best one would be a bilateral breast augmentation. 330 cc saline implants were placed in a submuscular position via inframammary fold incisions. Her surgery went smoothly and successfully, as evidenced by her “after” pictures.
Featured here is a 32 year old woman who came to us seeking an enhanced bust line. She stands at 5’5″, weighed 132 pounds. She wore an A cup prior to her procedure. After the consultation, she and Dr. Wooten decided on silicone implants to bring her up to a C cup – 339 ccs’ for the left breast, and 304 cc’s for the right to correct her existing asymmetry. The procedure itself was completed uneventfully. The patient is now very happy with her new curves.
This 27 year old came back to Beleza following other treatments. She was looking to increase the volume of her breasts. It was decided during her breast enhancement consultation that a bilateral breast augmentation with saline implants in a sub-muscular position would be performed. The procedure went smoothly, and the patient is very happy – she says, “I can’t stop looking at myself!”
In her ‘after’ pictures, she is shown two years and one baby after her breast augmentation.
This woman was in her mid-twenties when she came to Dr. Wooten for a consultation regarding enlarging her bust. During her consultation, she and Dr. Wooten decided that the best course of action would be to proceed with a breast augmentation with Natrelle silicone implants. During the procedure, Dr. Wooten placed 339 cc implants. The patient is shown here on the right at one and a half years after her procedure.
This woman saw Dr. Wooten regarding a breast augmentation. On the right she is shown after her procedure, during which Dr. Wooten placed Natrelle silicone implants – 234 ccs on her right side, and 265 ccs on her left to help correct for her existing asymmetry.
Following the births of her children, this patient found her breasts had become deflated due to breast-feeding. At her consultation with Dr. Wooten, many options were discussed, and finally they decided on 375 cc implants – coupled with bilateral fat grafting to the breasts. Here, the patient is shown one year after her procedure. She loves her result so much, that she is now coming back to Dr. Wooten for a Tummy Tuck.
Dissatisfied with the appearance of her upper body, this 35 year old patient came to Dr. Wooten for breast augmentation. During the consultation, she and Dr. Wooten came to the conclusion that silicone implants in a submuscular position would the best way to achieve her desired results. The patient recovered well following surgery and is very pleased with the new appearance of her chest.
This was one of Dr. Wooten’s patients from her time training in Brazil. Dr. Wooten spent her time there perfecting her technique for various types of breast surgery, including breast augmentation with implants. This patient’s result is pictured on the right, about two months after her procedure.
This is another one of Dr. Wooten’s patients from her time training in Brazil. This patient’s result is pictured on the right, about two months after her procedure. The very short amount of time allowed for her “after” picture to be taken means that her result is still very fresh, a little swollen, and will soften into a more natural appearance.
Following two pregnancies, this 33 year old patient wanted to augment her breasts, and scheduled a consultation with Dr. Wooten. She is 5’2″ tall, and weighed about 120 lbs. She and Dr. Wooten decided on a bilateral breast augmentation with 339 cc silicone implants. The procedure went smoothly and the patient is pleased with her fuller result.
At 68 years old, this patient decided that she wanted a younger, fuller, and more pert look. During her consultation, she and Dr. Wooten discussed her options. She did not need a full lift, but because of asymmetrical sagging, one side did need to have a small lift. This, combined with implants, created a great result.
This patient, a mother who wanted to look her best following her pregnancies and weight loss, desired fuller breasts while wanting to maintain a natural look and feel. During an in-office sizing session, she decided on silicone implants. Dr. Wooten placed the 410 cc gel implants in a submuscular position through inframammary fold incisions. Following surgery, the patient’s aesthetic goals had been achieved. Her breasts looked voluminous again, and the incisions were undetectable. She is very pleased.
This patient, a petite 31 year old woman seeking a fuller bust, came to Dr. Wooten for a bilateral breast augmentation. During the consultation, Dr. Wooten assessed the patient’s desires, and decided that 300 cc silicone gel implants would be appropriate for her frame and her desired goals. The implants were placed in a submuscular position via inframammary incisions. The procedure went smoothly and the patient is very pleased with her result, shown right.
This 28 year-old patient decided on 339 cc silicone gel implants during her consultation with Dr. Wooten. The implants were placed in a submuscular position through inframammary fold incisions. Following surgery, the patient’s aesthetic goals had been achieved. Her breasts were fuller and the incisions were undetectable. Her ‘after’ picture was taken only one month after surgery, so there is still swelling and tightness in the chest area that will decrease over time.
This patient, a petite 30 year old woman who stands at 5’0″ and weighs about 115 lbs, decided on 350 cc silicone gel implants during her consultation with Dr. Wooten. The implants were placed in a submuscular position through inframammary fold incisions. Following surgery, the patient’s aesthetic goals had been achieved, and she was pleased with the plumper appearance of her breasts along with the incisions, which are unnoticeable. Her ‘after’ picture was taken six months after surgery and she is happy with her results.
This patient, a 40 year old woman, stands at 5′ 5″ and weighed 122 pounds prior to the surgery. She came to Dr. Wooten wanting fuller-looking breasts. Together she and Dr. Wooten decided on 371 cc silicone implants. The implants were placed in a submuscular position, and the procedure went very smoothly. Post-operatively, the patient was very pleased with the new way she filled out her clothes.
This breast augmentation patient was a 25 year old professional who wanted her body to be more proportional. She had 286cc bilateral silicone gel implants placed. The patient is very pleased with her result and feels that it makes her look more evenly distributed in her clothing.
This patient, a 26 year old referred by her friend, another patient of Dr Wooten’s, desired fuller breasts while wanting to maintain a natural look and feel. She is 5′ 2″ feet tall, weighed 118 pounds and wore a 32 AA bra. During an in-office sizing session, she decided on midrange shaped implants. Dr. Wooten placed the 286 cc gel implants in a submuscular position through inframammary fold incisions. Following surgery, the patient’s aesthetic goals had been achieved. Her cup increased from A to full B cup size and the incisions were undetectable. She was very pleased.
This mid-twenties woman came to the office unhappy with the shape and volume of her breasts. After consulting with Dr. Wooten, a surgery date was set. She had 350 cc silicone implants placed bilaterally, resulting in a very elegant shape and volume that suited her frame. On the right, she is pictured one year after surgery.
This 33 year old patient was tired of being displeased with the appearance of her breasts when she came to see Dr. Wooten for a breast augmentation consultation. She stands at 5’5″ and weighed 151 lbs. During her consultation, she and Dr. Wooten decided upon a bilateral breast augmentation with 397 cc silicone implants. The procedure was uneventful and a clear success, as the patient was very happy with her results. She was able to return to her normal activities within a short period of time.
This patient, a 31 year old mother, had been bothered by her small breasts for years, especially after the birth of her children. She is 5’5″ tall and weighed 132 pounds prior to surgery. During her consultation with Dr. Wooten, she expressed a desire to move from an A cup to a C cup. Dr. Wooten placed moderate profile silicone implants in a submuscular position through an inframammary incision. Due to the patient’s slight breast asymmetry, Dr. Wooten placed a 339 cc implant in the left breast and a 304 cc implant in the right breast. She is very happy with her fuller yet natural-looking results.
This 24 year old patient was referred to Dr. Wooten for a consultation regarding breast augmentation. She stands at 5’2″ and weighed 105 lbs prior to the surgery. She and Dr. Wooten discussed her goals, and they decided that a bilateral breast augmentation with silicone implants would be the best course of action. To account for the patient’s slight asymmetry, Dr. Wooten a 260 cc implant on the left side and a 280 cc implant on the right side. The day of surgery was uneventful and the patient is very pleased with her new look.
This 44 year old patient was dissatisfied with the appearance of her upper body and came to Dr. Wooten to discuss her surgical options. Together, they decided that the best route to her desired results was a breast augmentation with silicone implants. To correct her existing asymmetry, Dr. Wooten inserted her implants in a submuscular position – 457cc in the left breast, and a 492cc implant in the right breast. Following an uneventful recovery, the patient is pleased with her more youthful and pert looking breasts.
This patient had thought about breast enhancement for a long time before coming to consult with Dr. Wooten. She ended up choosing to go ahead with her breast augmentation procedure. On the right, she is shown six months after her surgery with Dr. Wooten.
This patient, an athletic 53 year old female, walked into our office seeking a breast augmentation for a fuller-looking, but still natural figure. She and Dr. Wooten decided on a bilateral breast augmentation procedure with 213 cc silicone implants. Her surgery went smoothly, she returned to her normal activities shortly after the procedure, and she was ecstatic with her new size and shape.
This 28 year old patient came to Dr. Wooten following two pregnancies. The patient stands at 5’4″, weighed about 130 pounds, and wore an A cup prior to the procedure. She was displeased with the small size of her breasts. She and Dr. Wooten discussed her options, and they decided that a bilateral breast augmentation with 330 cc saline implants would be the best choice to achieve her desired results. The procedure itself went smoothly and the patient is thrilled with her newfound curves.
This patient, a 24 year old, was referred to Dr. Wooten by another patient. She wanted her breasts to look fuller, younger, and more pert. To achieve this look, Dr. Wooten recommended bilateral breast augmentation with 339 cc silicone implants. The procedure went smoothly, and the patient is very excited with her fuller, but still soft and natural look.
This patient was in her early 50’s when she came to Dr. Wooten for a breast augmentation. In consultation, she and Dr. Wooten decided to go with 378 cc silicone gel textured implants. The procedure went smoothly and she is pleased with her result, pictured to the right at only three months after her procedure.
At 18, this patient came to Dr. Wooten seeking to augment her breasts. She sought to enhance the volume and shapeliness of her breasts. In consultation, Dr. Wooten and she discussed her various options. She decided to go ahead with surgery, and had 304 cc silicone Natrelle gel implants placed. Her result, pictured right, was taken two months following surgery.
In her late thirties, this patient came to Beleza Plastic Surgery seeking to augment her breasts. She stands at 5’5″ and weighed about 120 lbs. In consultation with Dr. Wooten, 371 cc Natrelle silicone implants were decided upon. The patient healed well, and is pleased with her results. In her fuller post-op picture on the right, she is pictured one year after her procedure.
This patient was in her early thirties when she came to see Dr. Wooten. She wanted fuller, more pronounced breasts. During an in-office sizing session, she and Dr. Wooten decided on Natrelle silicone implants. They were different sizes (304 cc’s and 339 cc’s) to account for the patient’s slight asymmetry. Dr. Wooten placed the implants in a submuscular position through the inframammary folds. Following surgery, the patient’s aesthetic goals had been achieved. She is happy with her result, pictured on the right at one year after her surgery.
This patient was 26 years old, 5’2″, and 120 pounds when she came to see Dr. Wooten because of her dissatisfaction with the appearance of her upper body. She and Dr. Wooten discussed her options for breast enhancement, and they decided on 350 cc silicone implants placed in a submuscular position. The after images here were taken 3 months after the procedure, and the patient was very pleased with her fuller contours.
This patient is an athletic woman who was in her mid-forties when she came to Dr. Wooten seeking breast enlargement surgery. In consultation, the patient and Dr. Wooten decided to go with 325cc Mentor MemoryGel silicone implants. Her recovery went well, and she is pictured in her after pictures on the right approximately four and a half months after surgery.
This 27 year old patient made an appointment for a consultation with Dr. Wooten because she was seeking to rejuvenate her bust.This patient stands at 5’5″ and weighed 125 lbs at the time. She and the Dr. Wooten discussed her goals and options. They decided that the best procedure for her would be a bilateral breast augmentation with saline implants. To account for her slight asymmetry, a 360 cc implant was used on her right side, and a 330 cc implant was used on her left. The day of surgery went smoothly and uneventfully, and the patient (pictured here 1 1/2 months after surgery) was thoroughly pleased with her results.
In her late thirties when she cam in for her appointment with Dr. Wooten, this patient had been considering breast augmentation for quite some time. She had a breast augmentation procedure done by Dr. Wooten, during which she had silicone implants placed. She had a slight asymmetry prior to surgery, so a 339 cc implant was placed on her right side, and 286 cc implant was placed on her left. Her result shows her three months following her surgery.
*Please note, while all ‘before & after’s shown on our website are real Beleza patients, this does not imply that your result will look exactly like any of them. Outcomes are highly individual, and depend greatly on your procedure and your anatomy, as well as your post-operative compliance.
Breast Augmentation Considerations
During your breast augmentation consultation, you’ll encounter a number of options. With Dr. Wooten’s guidance, you will select the type and size of your breast implant.
Types of Breast Implants
All breast implants consist of silicone shells filled with either a saltwater solution known as saline or a silicone gel. Beleza Plastic Surgery uses only implants from Allergan, Mentor, or Sientra, the three breast implant manufacturers approved by the FDA.
Saline implants are a popular option for women undergoing breast augmentation. So, what is saline? Saline refers to a sterile salt water solution which goes inside of silicone shells (elastomers). Essentially, the size of your breasts will depend on the amount of saline inside the implant. Because saline is a liquid filler, Dr. Wooten can insert your implant shells first. She then fills them, after they have already been positioned. Ultimately, this method will result in a smaller scar. We should also note that your body is able to absorb saline solution harmlessly in the event of a leak or rupture.
Silicone is widely used and deemed completely safe. In fact, breast augmentation patients with a smaller bust often prefer silicone implants. This is because silicone can seem softer and more natural to touch. Unlike saline implants, silicone gel implants come pre-filled by the manufacturer.
Anatomical implants fall under the category of silicone implants. Because anatomical, or “teardrop,” implants mimic the natural slope of a woman’s breast, breast augmentation candidates who have small breasts may be interested in anatomical shaped breast implants. The shape of the anatomical breast implant allows women without much existing breast tissue to achieve a natural and tapered breast slope.
In consultation we will decide on implant placement. Both silicone and saline implants can be placed in a pocket either above or below the pectoral muscle. Placing them above the muscle, in a subglandular position, typically results in less discomfort following the procedure. This is because only a small amount of surface tissue is displaced.
Many patients and surgeons feel that placement below the muscle achieves a more aesthetically pleasing result. This is also known as submuscular placement. Submuscular placement hides tiny imperfections like ripples or exposed edges. However, this method does cause more discomfort during breast augmentation recovery.
The split-muscle technique combines the advantages of both subglandular and submuscular placements. When the split-muscle technique is used, the upper pole of the breast implant is placed beneath the pectoral muscle, while the bottom part of the implant is placed above the muscle, but under the mammary gland. The split-muscle placement technique is especially appropriate for patients who are very athletic because it helps to conceal any animation deformity, as well as prevent undesirable results, such as a “double bubble.”
A Note About Insertion With the Keller® Funnel
Dr. Wooten inserts silicone implants with an instrument known as the Keller® Funnel. The Keller® Funnel provides a completely sterile method for breast implant insertion. Keeping the implant sterile is crucial to a safe and successful breast augmentation. In surgery, Dr. Wooten transports the implant from its sterile packaging, through the sterile Keller® Funnel, and into the patient, eliminating any chance of contamination en route.
Breast implants placed through an inframammary incision are inserted through the fold below the breast. This allows direct access for future replacement or modification of the implant. Scarring caused by inframammary incisions is hidden under the breast fold, which is one of the reasons why this is Dr. Wooten’s preferred method of insertion.
Dr. Wooten makes the peri-areolar incision along the border of the areola. In time, this incision becomes practically invisible since it’s placed at the junction of two different skin tones (where the darker nipple meets the lighter skin). It’s also the optimal option when correcting nipple asymmetry or performing a simultaneous breast lift.
A transaxillary incision enters underneath the armpit. It is one way to achieve a “scarless” breast augmentation. However, revision surgeries most likely will require additional incisions.
Dr. Wooten performs a transumbilical breast augmentation by placing an opening in the navel and tunneling towards the breast. This involves the use of a micro camera to ensure correct placement of the implant. It is important to note that this technique is only used for the placement of saline implants.
Breast Augmentation Recovery
Following breast augmentation, it can take up to 6-7 months before your breasts look their best. Your implants may initially ride high on your chest. Also, they may feel very firm. This is completely normal. Generally speaking, a feeling of tightness will occur after surgery.
Be patient. Allow the swelling to recede and the implants to settle. Over time, they will drop into a more natural position. Your breasts will also soften. While it could take half of the year before you look and feel your best, you should be able to wear a bikini comfortably anywhere from 6 to 12 weeks after your breast augmentation.
Ideally, most bruising, pain, swelling and discomfort will abate after 2-3 weeks. However, it may take longer before you can comfortably sleep in any position but flat on your back. Allow several weeks before undertaking serious physical activity. Overexertion will only impede your healing and your end result.
Scheduling your Breast Augmentation
It is essential that you permit yourself enough time to recover properly. Your recovery time will depend largely on specifics dealing with your breast augmentation and also your body. Our patient coordinator, Andrea, will help you schedule your ideal surgery date during your consultation.
Breast Augmentation FAQs
How much does breast augmentation cost?
Every patient is different. Costs can vary from patient to patient. Your total breast augmentation cost will depend on the specifics of your procedure. The type of implants you select in consultation with Dr. Wooten and where your breast surgery is performed both affect cost. Because of these factors, our patient coordinator will be unable to give you an exact quote until the time of your appointment. We do collect a 75$ consultation fee in advance for your appointment. If you decide to proceed with your procedure, we apply the cost of your consultation to your surgery.
How long does it take to recover?
Depending on activity and fitness levels, patients usually only need the weekend to recover from breast augmentation surgery. We maintain close contact with our patients and usually plan an office visit one week following surgery.
Dr. Wooten’s post-operative plan emphasizes quick recovery. She recommends specific stretches and movements very soon after surgery. Exercises like arm raises will help to decrease swelling and stiffness. A lot can be achieved by stretching the muscles under which the implant was placed. Following your surgeon’s post-surgery advice will allow for a swift recovery time.
Exercise and strenuous physical activity are to be avoided for about six weeks. After breast augmentation surgery, it is normal for the breast implants to sit high on the chest wall. This is due to tightness and normal post-operative swelling. They will settle down over the course of the following weeks. The patient can expect to enjoy their final result 1-3 months after surgery.
What about the non-surgical alternatives to breast augmentation?
There are limited options for women who want an enhanced look. Surgery is clearly the most effective one. Patients should be cautious. Non-surgical options, such as pills and creams which are supposed to “naturally” augment breasts, are largely ineffective. These products make claims that are often based on little or no clinical evidence. These products by no means offer a guaranteed result.
Breast enlargement pills are typically sold as herbal supplements. This means they are regulated by the FDA as foods, as opposed to pharmaceuticals. As “foods,” herbal supplements are not required to meet the same strict standards as drugs & over-the counter medications for effectiveness, safety, or proper manufacturing practices.
Just because an herbal supplement claims to be “natural” doesn’t mean it has no harmful effects. Some products’ active ingredients can be dangerous if combined with other medications and may cause liver damage. Interference with prescribed drugs like birth control pills or diabetes treatments is also a risk.
Supplements that produce estrogen-like effects on the body can raise further health concerns, especially for those who have been previously diagnosed with breast cancer. Be sure to consult your doctor before engaging in any supplement regimen.
How can I enlarge my breasts without implants?
For women who don’t want implants, Dr. Wooten performs breast augmentation with fat grafting – a procedure that results in a more natural look and feel.
I've heard that silicone can be dangerous; is this true?
Simply put – no. The FDA has approved silicone as a safe way to enhance breast size. It was in the 1990s that two main pillars of misinformation led to the idea that silicone was unsafe. One was that silicone implants could be rejected by the body in an allergic reaction. Patients should be aware that Silicone is an “inert material” and will not cause an allergic reaction. Another false claim was that silicone causes cancer. Again, this has been proven false. Silicone implants have been back on the market for well over a decade and have been continually rising in popularity.
The presence of a silicone implant versus a saline implant should not in any way negatively impact your health, and the risk of rupture is minimal, as long as you keep up with Dr. Wooten’s instructed maintenance. In the unlikely event that an implant does rupture, it must be removed, whether it is saline or silicone.
Do breast implants need to be replaced?
Breast implants are not lifetime devices. They will eventually require replacement. The length of time before a replacement is necessary varies from patient to patient. In general, Dr. Wooten recommends replacing them every 10-12 years.