Main Content
Introduction
Breast augmentation—also called augmentation mammoplasty—is a personalized surgical procedure that uses implants to increase breast size, restore lost volume, correct asymmetry, and optimize body proportions. Whether your breasts never reached your desired fullness, have deflated after pregnancy or weight loss, or developed unevenly, breast augmentation in Sandy Springs, Buckhead, and Atlanta can help you achieve balanced, natural-looking results. At Monarch Plastic Surgery & Skin Renewal Center, Dr. Carmen Kavali combines advanced implant options, three-dimensional planning, and gentle surgical techniques to deliver outcomes tailored to your anatomy, lifestyle, and aesthetic goals.
Who Is Right for Breast Augmentation?
Breast augmentation may be the right option if you:
- Feel your breasts are smaller than you’d like—for reasons such as genetics, childbearing, breastfeeding, or weight loss.
- Have noticeable breast asymmetry (one breast smaller than the other).
- Desire improved balance between your bust, waist, and hips.
- Are in good overall health, maintain a stable weight, and hold realistic expectations.
- Are at least 18 years old for saline implants or 22 years old for silicone implants.
- Can cease smoking four weeks before and after surgery to optimize healing.
During your consultation, we’ll confirm your candidacy by reviewing your medical history, breast anatomy, and personal goals for shape and size.
What to Expect During Your Consultation
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EMMI® Educational Program
You’ll receive access to a complimentary, at-home EMMI® online module covering breast implant surgery fundamentals. Completing this before your visit ensures an informed consultation.
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Meeting the Physician Assistant
A Physician Assistant reviews your medical history, discusses aesthetic goals, and takes standardized photographs for your record.
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Discussion with Dr. Kavali
Topics include:
- Desired breast size and shape
- Concerns about sagging (ptosis)—a lift may be recommended
- Future pregnancy plans and their impact
- Mammogram considerations if you’re at higher cancer risk
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Physical Examination
Measurements of breast base width, nipple-to-fold distance, skin quality, and chest wall anatomy guide implant selection and pocket placement.
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Decision-Making
You’ll try on implant sizers in a bra to preview volume. Dr. Kavali will help you choose the implant type, size, incision, and pocket plane best suited to your anatomy and goals.
Our goal is a comfortable, educational visit so you feel empowered to make the best decision for yourself.
Common Questions & Concerns
Do implants increase breast cancer risk?
No studies link implants to higher cancer risk. However, implants—especially above the muscle—can obscure mammogram views. We’ll coordinate with your radiologist and may recommend additional ultrasound or MRI imaging for thorough screening.
Should I lose weight first?
If you plan significant weight loss, it’s best to stabilize your weight before surgery. Fluctuations can alter breast size and shape, affecting long-term results.
What about future pregnancy & breastfeeding?
Pregnancy and breastfeeding can change breast volume and skin elasticity. While implants don’t prevent breastfeeding, shape and size may shift postpartum. Timing your procedure can help minimize these effects.
Four Key Decisions for Your Surgery
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Implant Type
- Silicone Gel: Soft, natural feel; cohesive (“gummy bear”) options retain shape if the shell ruptures.
- Saline: Filled at surgery; adjustable volume with a slightly firmer feel.
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Implant Placement
- Submuscular (Under the Muscle): Less rippling, lower contracture risk, more natural slope over time.
- Subglandular (Above the Muscle): Easier recovery, less implant movement during chest exercise, better for mild sag without a lift.
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Incision Location
- Inframammary (Breast Fold): Precise pocket control; well-hidden under the breast.
- Periareolar (Around Areola): Minimal visible scar; may affect nipple sensation and breastfeeding.
- Transaxillary (Armpit): No breast scar; technically more demanding.
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Implant Size & Profile
- Cup Size Goals: We use sizers and 3D imaging to preview one to several cup-size increases.
- Profile (Low to Ultra-High): Controls forward projection versus base width.
Bring an unpadded bra you wish to fill; we’ll help you find the ideal volume for your frame and goals.
Implant Options: Types, Shapes, Textures & Profiles
Implant Fill Material
- Silicone Gel: Soft, natural feel; cohesive (“gummy bear”) variations maintain shape if the shell ruptures.
- Saline: Filled at surgery; adjustable volume though slightly firmer.
Implant Shape
- Round: Adds upper-pole fullness, creating a classic silhouette.
- Anatomical (Teardrop): Provides a gradual slope, mimicking natural breast contour.
Shell Texture
- Smooth: Allows slight implant movement for dynamic, natural ptosis.
- Textured: Adheres to tissue to reduce rotation risk, especially with teardrop shapes.
Profile (Projection)
- Low Profile: Wider base, minimal forward projection.
- Moderate Profile: Balanced width and projection—ideal for most patients.
- High & Ultra-High Profile: Narrower base with greater projection, offering dramatic fullness or fitting narrow chest walls.
Dr. Kavali assesses your chest width, tissue coverage, and aesthetic desires to recommend the optimal implant combination.
Fat Grafting Alternative
For women with sufficient donor fat (abdomen, flanks, thighs), autologous fat transfer can augment breasts without implants:
- Harvesting: Micro-cannula liposuction preserves fat cell integrity.
- Processing: Centrifugation or filtration isolates healthy adipocytes.
- Injection: Layered fat grafting restores volume, smooths contours, and offers dual-benefit body contouring.
Benefits: No implant-related risks, natural feel, and simultaneous body sculpting.
Limitations: Modest volume gain (≈ one cup size per session), variable fat survival, and possible need for multiple treatments.
The Surgical Procedure: Step by Step
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Anesthesia
General anesthesia by a board-certified anesthesiologist ensures comfort.
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Incision & Pocket Creation
Dr. Kavali creates a precise pocket—subglandular or submuscular—via your chosen incision (inframammary, periareolar, or transaxillary).
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Implant Insertion & Positioning
- Silicone: “No-touch” insertion to minimize contamination.
- Saline: Placed empty and filled to exact volume for symmetry.
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Symmetry Check
Implants are positioned to ensure equal volume, alignment, and a natural lower-pole slope.
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Closure
Multi-layer, dissolvable sutures secure tissue and skin. A supportive surgical bra is fitted.
Immediate Post-Operative Care
- Pain Management: Oral pain relievers for comfort.
- Support Garments: Continuous wear of your surgical bra for 4–6 weeks.
- Activity Restrictions: Upper-body elevation and avoidance of lifting, pushing, or pulling for two weeks.
Recovery Timeline & Aftercare
Weeks 1–2
- Swelling & Bruising: Peak around days 3–5, then begin to subside.
- Follow-Up: One-week visit for healing assessment and garment adjustments.
- Work: Desk jobs can typically resume in 3–7 days.
Weeks 3–6
- “Drop & Fluff”: Breasts settle into their pockets; shape softens.
- Exercise: Light walking encouraged; chest-targeted workouts deferred until week 6.
- Scar Care: Silicone sheets or gels may be recommended.
Months 2–6
- Final Appearance: Implants fully integrate; final shape and symmetry finalize by month 6.
- Exercise Clearance: Full chest routines at six weeks; heavy lifting as tolerated.
Strict adherence to Dr. Kavali’s aftercare plan ensures a comfortable recovery and optimal aesthetic outcome.
Potential Risks & Considerations
Breast augmentation is safe but carries potential complications:
- Capsular Contracture: Scar tightening around implants; minimized by pocket choice and sterile technique.
- Rupture/Deflation: Saline leaks are obvious immediately; silicone requires periodic MRI screening.
- Infection: Rare; may require antibiotics or implant removal.
- Asymmetry: Minor differences can be refined with secondary adjustments.
- Sensation Changes: Usually temporary numbness or hypersensitivity around the nipple or breast.
- Mammography Impact: Additional imaging views or ultrasound may be necessary.
Dr. Kavali reviews all risks during consultation, ensuring you make an informed decision.
Combining With Other Procedures
For comprehensive rejuvenation, breast augmentation can be combined with:
- Breast Lift (Mastopexy): Corrects sag while adding volume.
- Mommy Makeover: Tummy tuck and liposuction with implants for pre-pregnancy restoration.
- Fat Transfer Refinements: Smooth implant edges or enhance cleavage for seamless transitions.
Bundling procedures under one anesthesia event reduces total downtime and enhances overall harmony.
Choosing the Right Surgeon & Facility
When selecting breast augmentation in Sandy Springs, Buckhead, or Atlanta, look for:
- Board Certification: American Board of Plastic Surgery.
- Fellowship Training: Specialized aesthetic breast surgery expertise.
- Accredited Facility: AAAASF or Joint Commission accreditation.
- Before-and-After Photos: Real patient results demonstrating natural proportions.
- Patient Reviews: Consistent praise for skill, communication, and support.
Dr. Carmen Kavali meets and exceeds these standards, providing safe, personalized care in our state-of-the-art Sandy Springs suite.
Lifestyle Impact & Long-Term Maintenance
- Longevity: Modern implants last 10–15 years; periodic monitoring is advised.
- Breast Health: Continue annual self-exams and mammograms according to guidelines.
- Weight Stability: Avoid significant fluctuations to maintain shape.
- Supportive Bras: Proper-fitting bras sustain lift, especially during activity.
- Sun & Skin Care: Apply SPF on décolletage to preserve skin quality.
Regular follow-ups allow early detection and management of any late-onset changes
Cost & Financing Options
Breast augmentation is an investment in confidence. We offer:
- Transparent Pricing: Detailed quotes covering surgeon, anesthesia, and facility fees.
- Flexible Financing: Custom payment plans to fit your budget.
- No-Pressure Scheduling: Take the time you need before committing.
Our Patient Coordinator will discuss financial options after your consultation.
Next Steps: Scheduling Your Consultation
Ready to explore breast augmentation in Sandy Springs, Buckhead, or Atlanta? Contact Monarch Plastic Surgery & Skin Renewal Center:
- Call: 404.250.3333
- Email: info(at)drkavali(dotted)com
- Visit: 6045 Barfield Rd, Suite 100, Atlanta, GA 30328
- Online: Request a Consultation
Your tailored consultation will include an exam, implant sizing session, and detailed planning—launching your journey to enhanced curves and renewed confidence.