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Breast Augmentation

Augmentation Mammoplasty

Introduction to Breast Augmentation

Breast augmentation is a popular cosmetic procedure that can enhance the size and shape of the breasts, giving women a more proportionate and confident appearance. Whether you are looking to increase your breast size, improve symmetry, restore volume lost after pregnancy or weight loss, or simply enhance your curves, breast augmentation can be a life-changing procedure that helps you achieve your desired look. With modern surgical techniques and a wide range of implant options, breast augmentation is a safe and effective procedure that can be tailored to meet your unique needs and goals.
Expert Level Care

Breast Augmentation from Board-Certified Plastic Surgeon Dr. Cristina Keusch

Dr. Cristina Keusch will provide you with the care, attention, and results you deserve. She’s a highly skilled surgeon that takes her time to completely assess your desires and determine the best way to achieve the results you want. Dr. Keusch has been practicing since 1990 and is extremely committed to providing the highest standards in patient care.

  • Castle Connolly Top Doctor Since 2004
  • Board-Certified Plastic Surgeon Who Has Been Practicing Since 1990
  • One of Boca Raton’s Most Experienced & Respected Surgeons

With or Without Breast Lift

Breast augmentation is a transformative procedure that can increase the size and reshape your breasts, but it doesn’t address the issue of sagging breasts. For this reason, many patients opt for a breast lift procedure in conjunction with an augmentation. A breast lift, also known as mastopexy, can tighten the skin and give a more youthful, perky appearance. Combining a breast lift with saline or silicone implants not only enhances the size and shape of the breasts but also effectively lifts sagging breasts to create a more aesthetically pleasing silhouette. If you’re looking for a comprehensive solution to both breast volume and sagging issues, a breast lift with augmentation is an ideal choice to achieve your desired results.

With or Without Reduction

Breast augmentation with breast reduction is a combination procedure that can address both issues of inadequate breast volume and excessive breast tissue. This procedure requires highly specialized skills and experience, and Dr. Keusch has a strong track record of successful breast surgeries. During this procedure, she will first remove excess breast tissue and skin to reduce the size of the breasts. Then, breast implants will be inserted to add volume and achieve the desired breast size and shape. This dual approach results in a more proportionate and aesthetically pleasing breast contour while also alleviating discomfort associated with large breasts.

With or Without Internal Bra

Breast augmentation with an internal bra is an advanced surgical technique that involves using a supportive mesh or sling material to provide additional support to breast implants. This technique can be particularly beneficial for women with thin or weak breast tissue, or those who have previously experienced implant displacement or sagging. The internal bra creates a structure that can support the implants and maintain their position, reducing the risk of implant malposition or bottoming out. The procedure is usually performed in conjunction with traditional breast augmentation surgery and can improve the longevity and overall appearance of the implants. The internal bra technique demands a high level of skill and proficiency from a board-certified plastic surgeon, so it’s important to choose one with expertise and mastery of cosmetic breast procedures. If you’re considering breast augmentation, contact us today to schedule a consultation with Dr. Cristina Keusch.

Silicone vs Saline

Dr. Cristina Keusch recommends Natrelle implants by Allergan, available in saline and silicone.

Saline implants may feel firmer than human breast tissue, while silicone implants may look and feel more natural. Because saline implants are inserted empty, the incision line may be smaller than with silicone implants.

Silicone Breast Implants

Silicone implants feature a silicone case and filling, made with material that feels remarkably similar to human fat. Natrelle implants come in five profiles ranging from low to ultra-full projection. Dr. Keusch will guide patients in choosing the best implant based on their body structure and aesthetic goals.

natrelle saline implant

Saline Breast Implants

Saline implants have an outer shell made of silicone but are filled with a salt water solution. The empty silicone shell is inserted through an incision and then filled with saline after being moved into the desired position. Saline-filled breast implants offer you fullness that ranges from low to moderate to high.

Consultation with Dr. Cristina Keusch

What to Expect During Your Breast Augmentation Consultation

When preparing for your breast augmentation consultation, there are several important topics that you should be ready to discuss. Dr. Keusch will want to know the reasons behind wanting breast augmentation and what your expectations and desired outcomes are. She will also ask and evaluate your medical history, including any pre-existing conditions, drug allergies, and previous medical treatments.

During your consultation, Dr. Keusch will discuss your breast augmentation options with you and recommend the right procedure to give you the results you desire. She will also explain surgical techniques, how to prepare, and the recovery timeline. You’ll leave the consultation knowing you’ve chosen a highly skilled surgeon who takes the time to answer all of your important questions. Her goal is to ensure you receive the best patient care possible at all times, while delivering results that exceed your expectations.

Breast Augmentation Sizes

Choosing the Right Size

Breast implants typically range in size from about 150cc to 600cc. Many patients have asymmetrical breasts and benefit from a different sized implant for each breast. Before your procedure, Dr. Keusch will take measurements of your chest and breast tissue and consider your body type, personal preferences, and lifestyle factors. She will also show you sample implants to give you a clear idea of how the final result will look and feel. It’s crucial to communicate your desired outcome and expectations and take the time to have all of your important questions answered. During your consultation, Dr. Keusch will carefully consider all factors and provide a recommendation that will provide the most natural and balanced look for your body.

For additional information regarding your breast augmentation decisions, please see our patient discussion aid for breast augmentation.
Natural looking results from Boca Raton’s top surgeon

Take the first step and schedule a consultation

Get your questions answered by meeting in-person for a breast lift consultation with Dr. Keusch. Contact us by submitting your information online or click below to call us directly and one of our experienced team members will schedule your consultation.
Breast Augmentation Incisions

Breast Augmentation Incision Locations

Dr. Keusch only performs the periareolar incision, as this technique provides the best results in achieving natural looking breast augmentation. An incision will be made near the outer edge of the areola, which is the ring of pigmented skin near the nipple. The natural progression of pigmentation between the areola and the rest of the breast conceals the incision, so there is no visible scarring on the breast. A pocket is created for the implant, which can be positioned above or under the chest muscle.

The other two types, inframammary and transaxillary, leave scarring that is more visible and harder to cover up. Inframammary incisions are created at the base of the breast, where the breast tissue folds and meets with the torso. This approach will leave a scar that will be visible upon inspection. However, it may be less visible for women who have larger breasts and deeper folds of their breast tissue. Transaxillary incisions are made through a skin crease in the underarm. The breast implant is then inserted through the incision and a channel that is made to reach the breast tissue. WIth this approach, you can expect to have scarring in the underarm.

While there is no additional risk or impact to sensory abilities with any given incision type, it’s important to understand and evaluate your options when consulting with a plastic surgeon.

Recovery After Surgery

Breast Augmentation Recovery

Every woman’s body is unique, so there is no exact timeline for breast augmentation recovery. The typical breast augmentation recovery time is six weeks on average. The first three to five days are typically the most uncomfortable, but the discomfort is manageable. Immediately following surgery, patients may feel groggy and disoriented due to the effects of anesthesia. They’ll need someone to drive them home. Our care team will also provide you with a post-surgical comfortable soft support bra that will need to be worn following your surgery.

For the first few days after surgery, patients will need to rest and avoid any strenuous activity. Patients are advised to avoid lifting heavy objects and performing any activities that may strain the chest muscles.

After about a week, patients will have a follow-up appointment with Dr. Keusch to monitor progress and remove any sutures or drains if needed. At this point, most patients can resume light activities but should continue to avoid any strenuous exercise such as running or heavy lifting.

It may take several weeks to a few months for the swelling to fully subside, and for the implants to settle into their final position. However, most patients are able to resume normal activities about two months after breast implant surgery.



“I had lived with terrible scars from treatment for skin cancer. My friend recommended that I go see Dr. Keusch, I am so thankful that I took her advice.”*

“Dr. Keusch took the time to answer all of my questions concerning the procedure that I want to have, she explained to me and my husband the realistic results that I should expect, what a difference.”*

“After having my breasts removed I made an appointment with Dr. Keusch. She took the time to explain all of the options that were available and recommended the procedure that would give me the best possible results for my situation. That has been several years ago. Now she is going to do my eyes!”*


Frequently Asked Questions

Please feel free to contact our office directly if you have additional questions on breast augmentation.

Anyone who is unhappy with the size or shape of their breasts, or wants their breasts to look fuller, may benefit from breast augmentation. A good candidate is healthy, with no history of high blood pressure, bleeding disorders, or other health issues that could put them at risk for any type of surgery.

The best way to determine if someone is a good candidate for breast augmentation is to consult with a cosmetic surgeon. During the consultation, the patient and plastic surgeon will discuss the patient’s expectations and options, including filling type, shape, profile, and size.

The U.S. Food and Drug Administration (FDA) protects public health by ensuring the safety of medical devices, such as breast implants. The FDA has approved two types of implants – saline-filled (salt water solution) and silicone gel-filled – for breast enhancement.

The average cost of breast augmentation surgery is $4,516, according to the most recent statistics from the American Society of Plastic Surgeons. Fees for anesthesia, operating room, implants will be in addition to the surgeon’s fee. A surgeon’s fee for breast augmentation will be based on his or her experience, reputation, quality of care they provide, and the type of procedure that is elected.

No, Dr. Keusch does not perform fat transfer augmentations, which involve injecting fat removed from the patient’s own body via liposuction. Downsides to this type of augmentation include size limitations, possible reabsorption of the fat, and breast calcification issues.

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