If you want to enhance your breast size, shape, or overall proportion, breast augmentation can help you feel more confident in your appearance. Many patients choose breast augmentation to restore volume lost after pregnancy or weight changes, correct asymmetry, or achieve a fuller, more balanced silhouette.

At San Antonio Plastic Surgery Institute, Dr. Michael E. Decherd and Dr. Matthew Isakson, board-certified plastic surgeons, personalize every breast augmentation procedure to match your anatomy, goals, and lifestyle.

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What Is Breast Augmentation?

Breast augmentation is a surgical procedure that enhances breast volume through the placement of breast implants. Implants are carefully selected and positioned to create natural-looking results that complement your body.

Breast augmentation may be performed on its own or combined with a breast lift to improve breast position and shape when sagging is also a concern. Your surgeon will help you determine the best approach based on your anatomy and desired outcome.


Meet San Antonio’s Prominent Plastic Surgeons

Our board-certified plastic surgeons are among San Antonio’s most trusted providers of breast augmentation. We are known for our patient-first approach, always ensuring personalized treatment plans that promote comfort, safety, and optimal aesthetic outcomes. Our state-of-the-art surgical center is AAAASF-accredited, reflecting our commitment to the highest standards of care.

Dr. Decherd Named Best in Breast Augmentation

Recognized by Newsweek as one of America’s Best Plastic Surgeons for Breast Augmentation, Dr. Decherd is honored to be celebrated for his expertise in creating natural, beautiful outcomes that enhance confidence while prioritizing patient goals and well-being.

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Benefits of Breast Augmentation

Breast augmentation can improve both appearance and confidence by addressing changes in size, shape, and symmetry. Common benefits include:

  • Enhancing breasts that feel undersized or deflated
  • Restoring volume lost after pregnancy or weight changes
  • Improving symmetry between the breasts
  • Achieving a better fit in clothing, bras, and swimwear
  • Creating more balanced, natural-looking proportions
  • Increasing confidence in your appearance

Am I a Good Candidate for Breast Augmentation?

You may be a good candidate for breast augmentation if you are in good overall health, have a stable body weight, and want to improve breast size, shape, or symmetry.

During your consultation, your surgeon will review your medical history, discuss your goals, and determine whether breast augmentation is the right option for you.

How Old Do You Have to Be for Breast Augmentation?

Breast augmentation may be an option for women 18 years and older. Your surgeon will help you decide whether the timing and procedure are appropriate based on your anatomy, goals, and overall health.


Before & Afters

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Be inspired by the remarkable transformations in our before and after gallery, where artistry and surgical experience converge. Each result is a testament to our commitment to natural-looking enhancements and personalized care. Your transformation awaits – schedule your consultation today.
BREAST AUGMENTATION RESULTS
BREAST AUGMENTATION RESULTS

Your Breast Augmentation Experience

Your breast augmentation experience is designed to be personalized, informative, and supportive from start to finish. Every step is planned around your anatomy, goals, and comfort.

The Consultation

Your consultation is the first step in planning a breast augmentation that feels right for you. During this visit, you’ll discuss your aesthetic goals, review your medical history, and explore implant options. Digital imaging may be used to help you visualize potential outcomes and guide decision-making. This is also your opportunity to ask questions and understand what to expect before, during, and after surgery.

Choosing the Right Breast Implant

Selecting the right implant is an important part of creating results that look and feel natural for your body. Your surgeon will help you compare options based on your anatomy, goals, and preferences.

At San Antonio Plastic Surgery Institute, commonly used implant options include Natrelle® and Motiva® breast implants.

Natrelle Breast Implants

Natrelle breast implants are a long-established option known for their wide range of sizes, profiles, and styles. These implants offer flexibility in surgical planning and can be customized to achieve subtle or more dramatic results depending on your goals.

Natrelle implants are often chosen for their reliability, versatility, and ability to accommodate a variety of body types and aesthetic preferences.

Motiva Breast Implants

Motiva breast implants are designed with advanced technology to provide a soft, natural feel and adaptive movement that responds to your body’s position. These implants are known for their smooth surface and modern design, which may contribute to a more natural-looking result.

Motiva implants are often selected by patients seeking a softer feel, natural contour, and innovative implant design.

Combining Breast Augmentation With Other Procedures

Some patients choose to combine breast augmentation with additional procedures to address multiple concerns at once. Common combinations include a breast lift, liposuction, or procedures performed as part of a mommy makeover. Combining surgeries may streamline recovery and help you achieve balanced results in a single surgical experience.

Your surgeon will help you determine whether combining procedures is appropriate based on your anatomy, goals, and recovery preferences.

What to Expect on Surgery Day

Understanding what happens on surgery day can help you feel more prepared and confident going into your procedure. Breast augmentation is performed under anesthesia in our fully accredited, on-site surgical facility. When you arrive, our patient care team will guide you through each step to ensure a smooth and comfortable experience.

Once you are safely under anesthesia, your surgeon will place the implants using the approach discussed during your consultation. Incisions are carefully planned to allow precise implant positioning while supporting natural-looking results.

Internal Bra Support With GalaFLEX Mesh

In some cases, your plastic surgeon may recommend additional internal support during breast augmentation using GalaFLEX® mesh, sometimes referred to as an internal bra. This absorbable mesh is designed to provide added support to the breast tissue as it heals.

When used, GalaFLEX mesh is placed internally during surgery to help reinforce the breast’s natural support structures. Over time, the mesh is gradually absorbed by the body while encouraging your own tissue to strengthen in its place. This approach may be considered if you desire additional support, have thinner tissue, or are combining breast augmentation with a breast lift.

Your doctor will discuss whether internal bra support is appropriate for you based on your anatomy, implant selection, and long-term goals.

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Board Certified, MD

Dr. Decherd

Dr. Decherd is a fourth-generation doctor who chose plastic surgery because he enjoys helping people look and feel their best.

04 – Meet The Doctors

Meet Your Experienced surgeons

Michael E. Decherd, MD, and Matthew H. Isakson, MD, our board-certified plastic surgeons at San Antonio Plastic Surgery Institute, prioritize your comfort and safety throughout your surgical journey. Their extensive training and experience promote personalized attention and the highest standard of care possible.

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Dr. Decherd Has Been Named One Of America’s Best Plastic Surgeons By Newsweek

| san antonio plastic surgery institute

Board Certified, MD

Dr. Isakson

Dr. Isakson is a board-certified plastic surgeon with specialized fellowship training and extensive experience in aesthetic surgery.


Breast Augmentation Recovery & Aftercare

Recovery plays an important role in achieving the best possible results and varies slightly from patient to patient. Most patients return to light daily activities within several days, while full healing continues over the following weeks.

What to Expect During Recovery

1. The First Few Days

During the first several days, it’s normal to experience soreness, swelling, tightness, and fatigue. You’ll be encouraged to rest, limit arm movement, and wear a supportive compression garment. Over-the-counter medication is often sufficient to manage discomfort.

2. The First Week

As swelling begins to improve, you’ll start to feel more comfortable moving around. Many patients are able to return to desk work or light daily activities during this time, while continuing to avoid lifting, stretching, or strenuous movement.

3. Weeks Two to Four

Energy levels continue to improve, and swelling gradually subsides. Light exercise may be introduced depending on your healing progress, though upper-body workouts and high-impact activity remain restricted.

4. Long-Term Healing

Over the following months, the breasts continue to soften and settle into their final position. Scars mature and fade gradually, and results become more natural-looking over time. Your surgeon will monitor your progress and guide you through each stage of healing.

Your recovery plan will be personalized based on your procedure and progress, with ongoing support from your surgical team.


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Breast Augmentation FAQs

Breast augmentation surgery typically takes one to two hours, depending on implant type, placement, and whether it is combined with another procedure.

Breast implants are long-lasting but not considered lifetime devices. Many patients keep their implants for 10 to 20 years or longer, though future replacement or revision may be recommended based on changes over time.

When properly selected and placed, breast implants can look and feel very natural. Factors such as implant type, size, placement, and your natural anatomy all play a role in the final result.

Many women are able to breastfeed after breast augmentation. However, breastfeeding ability can vary based on surgical technique, implant placement, and individual anatomy. Your plastic surgeon can discuss this during your consultation.

Incisions are a necessary part of breast augmentation, but they are planned with long-term appearance in mind. Your plastic surgeon chooses incision locations carefully to support healing and minimize visibility. As your body recovers, scars typically become lighter and less noticeable over time. You’ll receive clear guidance on how to care for your incisions so healing progresses as smoothly as possible. For most patients, scars become a small and manageable part of an otherwise positive transformation.

Most patients describe discomfort rather than pain following breast augmentation. Soreness, tightness, and pressure are common early on and usually improve within the first week.

Yes. Breast implants can be removed or replaced if your preferences change or if revision is medically necessary. Your plastic surgeon can discuss future options if needed.

Choosing implant size is a collaborative process based on your body frame, breast anatomy, lifestyle, and personal goals. Your surgeon may use sizing tools or digital imaging to help guide the decision.

You will be advised to sleep on your back initially. Side or stomach sleeping is usually resumed after several weeks, once healing has progressed and your plastic surgeon clears you.

Breast augmentation results are long-lasting, but it’s helpful to understand how they may change over time. Breast implants are not considered lifetime devices, though many patients enjoy their results for years when they follow post-operative care guidelines and maintain a stable weight. Over time, factors such as aging, pregnancy, or lifestyle changes may affect breast appearance, and future revision surgery may be considered if needed.


Beautiful Results Begin with a Conversation

At San Antonio Plastic Surgery Institute, we are dedicated to providing our patients with the highest quality care and natural-looking results. Our board-certified plastic surgeons have extensive experience and are committed to helping you achieve your aesthetic goals. If you are considering a breast augmentation in San Antonio, contact our practice today to schedule a consultation.