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Breast Augmentation

Breast Augmentation

Dr. Paul Vitenas is a leading breast augmentation specialist in Houston, Texas, who tailors his approach to each woman’s unique aesthetic goals. With over 35 years of experience and more than 500 breast augmentation procedures performed annually, he is renowned for achieving natural-looking results.

35+ Years of Experience
3k+ Real Patient Reviews
10,000+ Breast Surgeries Performed
Texas Super Doctor

Breast Augmentation in Houston: What You Need to Know

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that enhances the shape, size and appearance of the breasts. While saline or silicone implants are most commonly used, the breasts can also be enhanced by taking unwanted fat from one area of the body (usually the abdomen, flanks or thighs) and injecting it into the breasts, a procedure known as fat transfer. Breast augmentation remains one of the most popular cosmetic surgeries in the United States, with 304,234 procedures, including implant revisions, reported by ASPS in 2025.

For many women, the decision to undergo breast augmentation is a highly personal decision that is about more than just increasing bust size. This transformative procedure can restore lost volume, improve your proportions, achieve better symmetry, or simply help you achieve the silhouette you’ve always wanted. No matter your reason for choosing breast augmentation, the goal is to help you feel more confident and comfortable in your own body.

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Before & Afters

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These Before & After images depict actual surgical results and may be graphic. Viewer discretion is advised. You must be 18 or older to view.

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Benefits of Breast Augmentation with Dr. Vitenas

Breast augmentation does so much more than increase the size of your breasts. Your results can greatly improve your proportions and positively affect your sense of femininity. Some of the benefits of choosing breast augmentation with Houston’s leading plastic surgeon include:

Enhanced Size & Curves

Many women opt for implants to increase the size of naturally small breasts, adding fullness for a curvier, more proportionate figure.

Restored Breast Volume

Pregnancy, weight loss, and aging can cause a loss of breast volume. Augmentation can restore a fuller, more youthful look.

Asymmetry Correction

Breast augmentation can balance uneven breast sizes for a more symmetrical appearance.

Improved Body Proportions

Enhancing the breasts with implants can create a more balanced silhouette that complements your overall body shape.

More Clothing Options

Many women find they can fill out and wear a wider variety of clothing styles after getting breast implants.

Gender Affirmation

Transgender women may opt for implants to achieve a more feminine look.

Boosted Confidence

Feeling more comfortable with breast size and shape can help women feel more confident and at ease in their bodies.

Long-Lasting Results

You can expect your implants to last a decade or more, letting you enjoy the cosmetic enhancements of this procedure for many years.

Dr. Vitenas has heard from countless patients how their breast augmentation has boosted their self-esteem, helping them feel more comfortable and satisfied with their appearance. Whether you’re seeking a curvier, more voluptuous figure or you’re addressing specific concerns caused by aging, pregnancy or weight loss, Dr. Vitenas takes the time to truly understand your needs and goals. Every aspect of the procedure, from the implants you choose to how they’re placed, is personalized, ensuring results that are balanced, proportional and made for you.

Am I a Candidate for Breast Augmentation?

Women consider breast augmentation for reasons as varied as they are. This personalized procedure can address numerous concerns related to breast size or shape, making it suitable for most patients who want to enhance their curves or address age or pregnancy-related changes. If you’re considering breast augmentation, ideal candidates include women who:

  • Are physically healthy
  • Have breasts that are fully developed
  • Have realistic goals for enhancement
  • Do not smoke or are willing to quit smoking
  • Are not currently pregnant or breastfeeding

Women hoping to get pregnant or breastfeed in the future can still be good candidates. Be sure to address these topics with Dr. Vitenas during your consultation. The minimum age requirement for breast implants varies depending on the type of implant chosen: 18 years of age for saline-filled implants, and 22 years of age for silicone implants.

The best way to determine if you are a candidate for breast augmentation is to schedule a consultation with Dr. Vitenas, a board-certified plastic surgeon who will evaluate your needs, goals and anatomy to determine if this procedure is right for you. He’ll also review the pros and cons of breast augmentation and walk you through the various decisions you’ll make as you work together to build your personalized surgical plan, such as implant shape and type.

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What Are My Breast Implant Options?

When choosing breast augmentation, you have several options for the type of material used to enhance your breasts. Each offers unique advantages that may align with your specific goals.

Saline Breast Implants

Saline implants comprise an empty silicone shell that is filled with a sterile saltwater solution after insertion. Saline implants can be inflated to a specific size and adjusted individually, making them ideal for correcting breast asymmetry. They can also be placed using smaller incisions. Saline implants are approved for women over 18 years of age and are appreciated for their safety in the event of a rupture, as the saline is harmlessly absorbed by the body.

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Silicone Breast Implants

Silicone breast implants are pre-filled with a cohesive gel and come in a variety of shapes, sizes and profiles to accommodate each patient’s unique anatomy and goals. Since receiving FDA approval in 2006, silicone implants have remained popular among patients and surgeons alike, thanks to their natural look and feel. According to the American Society of Plastic Surgeons (ASPS), the silicone gel feels more like natural breast tissue.

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Implant Size

Breast implant sizes are measured in cubic centimeters (cc) rather than the cup sizes (A, B, C, D, etc.) you might be more familiar with. Generally speaking, 150cc to 200cc equals about one cup size, but this can vary depending on certain factors, such as chest width, implant profile, and how much natural breast tissue you have. That being said, cup sizes are not standardized and are irrelevant when determining implant size. During your consultation, Dr. Vitenas will evaluate your unique proportions and aesthetic goals to help you choose the right implant for your body.

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Implant Profile

Implant profile refers to how far the implant projects from the chest. Higher profile implants create a more dramatic look, while moderate and low profile implants provide more subtle, balanced results. Implants are typically available in low, moderate or high profiles:

  • Low Profile: Low-profile implants have a wider base and lower projection, providing subtle enhancement and a more athletic look.
  • Moderate Profile: Moderate-profile implants offer a more balanced option with moderate-low projection for noticeable yet natural results.
  • High Profile: High-profile implants have a narrower base and the highest projection, creating a fuller and more rounded appearance.
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Implant Shape

Implants are available in two different shapes: anatomical (teardrop) and round. After many years of debate about which implant produces a more natural result, we now know that there is little to no difference. A 2017 study showed that no one could tell the difference between round or teardrop implants once placed and healed. For this reason, very few surgeons continue to use teardrop (anatomical) implants. Dr. Vitenas uses only round implants for his patients.

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Implant Placement

Women also have two options when it comes to implant placement: behind the breast tissue but above the chest muscle (subfascial placement), or below the chest muscle (submuscular placement). Most implants are placed submuscularly, as this provides more support and coverage. Submuscular placement is also associated with a significantly lower risk of capsular contracture. While subfascial placement involves an easier recovery, it can lead to visible implant edges and rippling, particularly in women with little breast tissue.

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What Is the Best Implant Option for Me?

The right type of implant for you depends on the following factors:

  • Your current breast size and amount of natural tissue
  • The dimensions of your chest and width of the implant base
  • The volume enhancement desired
  • The look and feel you hope to attain
  • Your lifestyle (active, athletic, etc.)
  • Your body type and frame size

While Dr. Vitenas highly recommends Natrelle, he also offers other top breast implant brands. He is recognized as one of the leading providers of Natrelle implants in the country. Rest assured, you’re in highly skilled and experienced hands. The final decision will always be a collaboration between you and Dr. Vitenas, ensuring the best choice for your needs and goals.

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What to Expect from Start to Finish

Your Consultation: Every Journey Starts Here

The first step of any breast augmentation is a consultation with Dr. Vitenas, where you’ll have the opportunity to learn more about the procedure, ask questions and discuss your options. While you can find a lot of useful information online about breast augmentation, a consultation with a board-certified plastic surgeon like Dr. Vitenas is worth 1,000 Google searches. At your consultation, Dr. Vitenas will:

Discuss Your Goals

Be prepared to talk about what you like or don’t like about your breasts and share your goals. It can be helpful to bring in inspiration photos. Every patient is unique, so while you may not get the exact same results as in these photos, they can provide valuable information about the kind of look you prefer.

Evaluate Your Health

Dr. Vitenas will evaluate your overall health, medical history and any medications you’re currently taking to determine if you’re a good candidate for breast augmentation. He’ll also explain what tests are needed to gain medical clearance for your procedure, such as a physical exam, blood tests and other diagnostics.

Perform an Exam

Dr. Vitenas will examine your breasts, take measurements, and recommend implant size, shape, and placement options tailored to your goals.

Provide a Procedure Overview

Dr. Vitenas will explain the entire breast augmentation process, from preparation through recovery, and answer all your questions.

Create a Customized Surgical Plan

You’ll review implant suggestions, incision placement, and the possibility of using fat transfer for more subtle enhancements.

Discuss Next Steps

You’ll receive information about costs, financing options, and the scheduling process, along with before-and-after photos to visualize potential results.

Vitenas Cosmetic Surgery is located near River Oaks in Houston, within the 610 loop between downtown and uptown. Our modern office is equipped with the latest technology and has everything you need all in one place, which means your consultation, surgery and follow-ups will all be done in the same building. You’ll see the same friendly faces and have the same luxury experience at each step of your journey, making it as smooth and seamless as possible.

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Pre-Op: How Should I Prepare for My Breast Augmentation?

Like any other surgical procedure, preparing for breast augmentation generally involves avoiding certain medications, stopping smoking, and following specific pre-op instructions provided by Dr. Vitenas. You may also need to undergo an exam, lab tests and other diagnostics with your primary care physician to gain medical clearance. During your initial consultation, Dr. Vitenas will guide you through these steps to ensure you are fully prepared.

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Surgery Day: What Happens During Surgery?

When surgery day finally arrives, it’s an exciting moment. Our goal is to make sure things go as smoothly as possible for you! Before heading into the OR, you’ll meet the surgical team and review your plan with Dr. Vitenas. Once you’re settled in, your procedure begins. Here’s a step-by-step look at what happens during your breast augmentation surgery:

Step 1: Administer Anesthesia

You’ll be given general anesthesia, ensuring that you’re completely comfortable and asleep throughout the procedure. Dr. Vitenas also administers a long-acting local anesthetic to reduce post-op pain.

Step 2: Make Incisions

Small incisions are made, usually in the breast crease. Incision locations are chosen to keep scars as hidden as possible. If you’re also having a breast lift, additional incisions will be made.

Step 3: Create the Breast Pocket

A breast pocket is created either above or below the chest muscle (chest wall), based on your anatomy and the desired result.

Step 4: Insert and Position the Implants

The implant (silicone or saline) is inserted into the breast pocket and carefully positioned to achieve a balanced and natural look.

Step 5: Close the Incisions

Once the implants are in place, the incisions are closed using sutures and surgical tape.

The entire surgery typically takes less than an hour to complete. Afterward, you’ll spend a short time (usually 20-30 minutes) in our recovery area before heading home the same day with your post-op instructions. The effects of general anesthesia can impair your ability to drive for up to 24 hours, so you’ll have to arrange for a friend or family member to take you home and stay with you the day of surgery.

Breast Augmentation Recovery Timeline

Your recovery begins as soon as your breast augmentation is complete. Every woman heals differently, but there are general milestones you can expect over the next several weeks.

0 Weeks

Immediately after surgery, you’ll experience some pressure, swelling and tightness in the chest, which can vary depending on the size of the implants you have chosen and your anatomy. These side effects are normal and gradually subside after about 48 hours. Dr. Vitenas uses a long-acting local anesthetic to keep pain to a minimum during the early recovery period. For the best outcome, refrain from wearing a bra as directed. Dr. Vitenas does not use post-op bras to ensure a natural-looking result.

1-4 Weeks

Swelling, bruising and discomfort begin to subside. Most patients can return to desk work within a few days, but strenuous activities should be avoided until cleared by Dr. Vitenas. Initially, your breasts may look “high” and feel firm or tight due to swelling and compression of the tissues. With time, they will settle into their final position.

4-6 Weeks

Strenuous activities can typically be resumed at this time. Some shifting and continued settling of the implants is normal, and sensation should begin to return.

6-12 Weeks

Sensation continues to gradually improve as the nerves repair themselves. By this point, you’ll get glimpses of your final results as the implants settle further, but ongoing refinement of your breast contours can be expected for six to 12 months.

3+ Months

As healing progresses and your final results emerge, your breasts will look fuller and more youthful. Incision lines will start to mature in the months after your procedure, fading into thin, white scars. Strategic placement by Dr. Vitenas means that with proper care, your incision lines will be barely noticeable once they’ve fully healed.

Throughout your recovery, you’ll have regular follow-up appointments with Dr. Vitenas to ensure everything is healing properly. If you have any questions or concerns between your appointments, don’t hesitate to call our office. Our team is here to provide you all the support and guidance you need, from your very first consultation to your final post-op visit.

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“I chose Dr. Vitenas because of his great reputation and referrals from some of my friends who had work done by him. I had a breast augmentation along with liposuction and I am very happy with the results. He listened to what I wanted and the outcome is beautiful.”

- Rhiannon P.

Why Dr. Vitenas Is Houston’s Leading Breast Surgeon

Dr. Vitenas has been recognized as one of America’s Top Plastic Surgeons, a Texas Super Doctor, a RealSelf Top Doctor for Breast Implants, and a Castle Connolly Top Doctor several years in a row. He was awarded the coveted Top Doctor honor for Plastic Surgeons in Houstonia Magazine, and nearly two dozen plastic surgeons with highly skilled ratings in the field have also endorsed Dr. Vitenas’ expertise as a plastic surgeon.

Dr. Vitenas is renowned for his artistic vision and advanced surgical skills. He has completed multiple maxillofacial, craniofacial, and cosmetic surgery fellowships with world-famous plastic surgeons, enabling him to deliver truly life-changing outcomes for his patients.

Breast Augmentation Expertise

Dr. Vitenas is a board-certified plastic surgeon with over 35 years of experience in breast augmentation and other cosmetic surgeries. Throughout his career, he has performed more than 10,000 successful procedures.

Extensive Implant Selection

Dr. Vitenas offers over 250 implant types, sizes and profiles for patients, ensuring personalized options for everyone.

Comfortable Recovery

The breast augmentation procedure typically takes 40 to 50 minutes, with minimal pain afterward thanks to long-acting local anesthesia.

Minimal Downtime

Many patients can return to office-based work by Monday if surgery is performed on Friday.

State-of-the-Art Facility

Equipped with the latest technology, Dr. Vitenas operates in a 15,000 sq ft accredited surgical center located at 4208 Richmond Ave in Houston with easy access from the Southwest Freeway and I-610.

Innovative Techniques

Dr. Vitenas uses advanced techniques to ensure natural-looking breasts and minimize the risk of complications like infection or capsular contracture.

Patient Testimonials

Dr. Paul Vitenas has garnered over 900 five-star reviews from Houston patients on Google. These heartfelt testimonials have been a driving force behind his daily dedication to cosmetic breast surgery for more than 35 years.

“Throughout my training, I’ve seen it all, and I’ve learned how to create the best result for my patients. My goal has always been to enhance each patient’s natural beauty, ensuring they look their best today and for decades to come.”

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Planning to Visit from Outside Houston?

No need to worry! Our friendly and experienced patient coordinators are here to help. Whether you need assistance with travel plans or local reservations, we’ve got you covered. Let us make your experience as stress-free as possible!

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Combining Breast Implants With Fat Transfer for Natural Results

Dr. Vitenas often uses fat transfer, also known as fat grafting, in combination with saline or silicone implants to enhance the shape and volume of the breasts. On its own, fat lacks the structural stability of implants, so while it can add volume, it isn’t a replacement for breast implants. Very few people rely on fat transfer alone for their breast augmentation. However, fat transfer does excel at smoothing out irregularities, improving cleavage and creating a natural look when used to enhance the medial (inner) part of the breasts or the upper pole. Fat grafting and a breast lift can also help maintain youthful, shapely breast contours after implant removal.

Ready to Take the Next Step?

Breast augmentation is never a one-size-fits-all procedure. Whether you want a subtle change or more noticeable curves, your consultation is where everything starts coming together. Contact us to book your consultation today with board-certified plastic surgeon Dr. Vitenas to discover what’s possible for you and get a plan tailored to your unique anatomy and goals.

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Frequently Asked Questions

Do breast implants affect nipple sensitivity?

Changes in nipple sensitivity after breast augmentation are common but are usually temporary. Patients may experience increased or decreased sensation, which often returns to normal within six to 12 weeks. Loss of sensation, though rare, is more likely with larger implants due to nerve stretching or unique anatomy. Expert surgeons like Dr. Vitenas aim to minimize long-term sensitivity issues, helping sensation return to normal as healing progresses.

How long do breast implants take to heal?

It takes about six to eight weeks for breast implants to fully heal and settle into place. Swelling gradually resolves over the first two to three weeks. Incision sites continue to mature for twelve months after surgery, with the scar gradually softening and becoming flatter and lighter in color.

How long do the results of breast augmentation last?

The longevity of breast augmentation can vary, but implants typically last 10 to 20 years. However, factors such as age, lifestyle, and changes in weight can influence the duration of your results. Breast augmentation should not be considered a “one-and-done” procedure.

Should I choose silicone gel implants or saline-filled breast implants?

Silicone gel implants are popular for their softer, more natural feel. Saline implants are often chosen by those who want a fuller look. Saline implants are about 30% heavier than silicone ones of the same size. Because saline is noncompressible (water), the implants tend to feel firmer when squeezed, making them feel less natural during physical contact, like hugging. While most patients choose silicone, the right implant for you depends on your needs, goals and preferences.

What are the risks of breast augmentation?

Breast augmentation is considered a safe procedure, but like with any surgery, there are some inherent risks involved. These may include:

  • Infection
  • Poor wound healing
  • Nerve damage
  • The risks associated with general anesthesia
  • Breast pain
  • Capsular contracture
  • Asymmetry
  • The need for future surgery

Call the office promptly about severe pain, excessive swelling, discharge, fever or other concerns. The risk of hematoma after breast augmentation, though rare, is a potential complication you might encounter.

Who is the best breast surgeon in Texas?

Dr. Paul Vitenas, with over 35 years of experience and more than 10,000 surgeries performed, is highly regarded as one of the top board-certified plastic surgeons in Texas. His extensive expertise and dedication to achieving aesthetically pleasing, natural results make him a premier choice for breast surgery in Texas and throughout the United States.

How much does breast augmentation cost in Houston?

The starting cost of breast augmentation with Dr. Vitenas in Houston is $7,000, but the amount you pay can vary depending on several factors, including:

  • The type of implants you choose
  • Your unique surgical plan
  • Combination procedures, such as breast augmentation with a lift
  • Whether you’re traveling from out of town for your surgery
  • The need for childcare during your initial recovery

Dr. Vitenas is a highly skilled breast surgeon who employs safe and effective techniques to achieve stunning, natural-looking results. He offers each patient the personalized attention they deserve, and his pricing reflects his advanced expertise and dedication to excellence. During your consultation, Dr. Vitenas will address your specific needs and offer a detailed quote.

Do you offer financing options?

At Vitenas Cosmetic Surgery, we offer a variety of payment and financing options to meet each individual’s unique needs, including cash, all major credit cards, and cashier’s checks. For your convenience, we also provide healthcare financing through reputable companies such as CareCredit, Cherry, and Alphaeon Credit. Medical financing allows patients the freedom to choose the procedure they want today without delay. Applying is easy, approval is fast, and the low-interest payments are designed to be affordable for everyone.

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