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.

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.

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
View Stunning transformations
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.

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.

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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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.



