Dr. James Anthony

450 Sutter Street Suite 2630, San Francisco, CA 94108

Dr. James Anthony Plastic Surgery
Dr. James Anthony

Breast Augmentation Surgery (Saline/Silicone Implants or Fat Transfer) – San Francisco, CA

36 Procedures ( View All )

About Breast Augmentation

Breast augmentation surgery is a procedure that adds volume to breasts to result in a fuller look. It is generally known to be one of the most common cosmetic surgeries, providing women who dislike their breast size effective opportunities for improvement. With the help of implants or fat from the patient's body, this enhancement surgery improves breast shape and size, and results in a gorgeous and youthful outcome. San Francisco, CA board-certified plastic surgeon Dr. James Anthony is experienced in implementing this treatment and performs numerous breast augmentations every year. When you have your consultation at our practice, Dr. Anthony will assess your aesthetic desires and concerns and inform you of all of the choices available, while also customizing a treatment plan to exceed your personal goals.

Implant Options

During your initial consult with Dr. Anthony, the appropriate implant will be selected based on your body size and shape, as well as your desired outcome. Implants for augmentation are made in an assortment of shapes, sizes, textures, and profiles — each of which are considered carefully in order to reach the wanted outcome. Still, the most commonly used implant types are silicone or saline, both widely popular and approved by The Food and Drug Administration (FDA). An important fact is that women considering implants made with saline must be 18 years old, while patients must be a minimum of 22 years old in order to undergo treatment with silicone. Other considerations include a form-stable implant known as a gummy bear implant and fat grafting (known as a fat transfer). In addition to the type of implant used, there are other distinct factors to decide.


Breast implant size is distinguished based on the cubic centimeters (CCs) of saline or silicone used. To choose the right volume, Dr. Anthony will measure how much native breast tissue exists and the size you hope to achieve. In the operating room, it is normal for Dr. Anthony to temporarily switch out various implants to get a better idea on a suitable fit.


Implants come in either a teardrop or round shape. Both of these shapes are widely used; however, most of our patients choose a round implant. It generally looks and feels more natural while adding a fullness to the top of the breast that many patients look for.


Implant profile equates to how far out the implant looks (projection). In other words, this is what is visible from the side angle. Most projections include low to extra high ranges.

Making Your Choices

We understand all of the considerations may be overwhelming, but choosing the appropriate implant is somewhat easy once the patient's desires are understood during the consultation. These considerations, coupled with the skill of Dr. Anthony, help to ensure the anticipated outcome is met.

Ideal Candidates

The decision to go through with breast augmentation surgery is a personal one for women. If you are thinking about having this procedure, it is essential you do it for yourself and nobody else. Ideal candidates should be healthy with breasts that are fully developed, and be the proper age to have implants. Individuals who are unhappy with the aesthetics of their chest because they seem flat could benefit from this cosmetic breast treatment. Moreover, if your breasts have changed due to aging, nursing, or weight loss, this surgery can give them life with increased shape and fullness. It is a welcomed option for those who work out with weights or have little to no original breast mass.

Surgical Technique

Incision placement as well as implant location are factors that are generally made ahead of surgery. During breast augmentation, the chosen incision is created and then the appropriate breast implant will be placed into its position. There are two techniques that may be chosen for implant placement. These are either under the pectoral muscle, or behind the breast tissue but over the pectoral muscle. Where to insert the breast implant depends on varying factors including the overall type and size of implant, along with the expertise of Dr. Anthony. No matter where the incision is placed, scarring is usually minimal. Placement and location is based upon your implant size, activity level, and body type.

What to Expect

Breast augmentation is an outpatient procedure with the patient under general anesthesia. Following the incision, the chosen implant will be moved through the incision opening and deposited into a surgically created pocket, and then secured into its correct position. Once the implant is in position, the incision is carefully secured with skin adhesives or sutures. Each patient will be taken to a private recovery space and monitored prior to being released. You will be instructed to continue wearing a recovery compression bra to help reduce swelling. Several days after surgery, the bruising and swelling will begin to slowly go away, and the breasts will start to look and feel normal as they fall into their new position. Most patients can engage in everyday activities within a few days; however, physical exertion such as exercise should be delayed for approximately a couple of months. Breast augmentation surgery results in gorgeous outcomes that feel and appear both normal and natural. This procedure oftentimes can be a life changer for many women, offering them the opportunity to feel more comfortable in their own skin.

Frequently Asked Questions

How much does breast augmentation cost?
Your cost for breast augmentation will vary depending on your choices and whether you are getting any other surgeries. As soon as your treatment plan is made, Dr. Anthony will go over estimated costs as well as financing. To make sure you are happy with your results and they last a long time, it is better to focus on quality over low costs.

Do I need a breast lift or augmentation?
Your plan might include implants, a lift, or both. Breast lift surgery removes loose skin and raises the breasts, while implants enhance the shape and size. In your consultation with Dr. Anthony, he will listen to your concerns and goals before discussing your treatment options. An augmentation and lift are usually included in a mommy makeover to revitalize the breasts after breastfeeding and pregnancy.

Can I breastfeed with implants?
If you might want to breastfeed after augmentation surgery, talk to Dr. Anthony during your consultation. It's usually possible to breastfeed after augmentation surgery, with the right placement and technique. Breastfeeding and pregnancy can affect your results, which is why it is better to wait until your family is complete to get breast surgery.

Can I have my implants removed?
You might decide that you would like to remove or replace your implants. Should this happen, breast revision surgery is an option. In revision surgery, your old implants will be either replaced with different implants or removed. If you want to have your implants removed, you might need to have a breast lift because larger implants may stretch your skin. For any concerns or questions after your augmentation surgery, schedule a consultation at our practice to learn more about your options.

Do implants cause breast cancer?
The FDA (Food and Drug Administration) is investigating a link between implants and ALCL (anaplastic large cell lymphoma). This isn't breast cancer; it is a cancer of the immune system. According to WHO (the World Health Organization), implant-related ALCL is very rare and if caught early, it's highly treatable. Dr. Anthony encourages all patients with implants to get frequent screenings for breast cancer. You should also contact our office if you see any concerns, like swelling.

Get the Look You Want

Breast enhancement surgery with implants is well sought out for many excellent reasons. This surgery is considered safe, and creates outstanding aesthetic results. With numerous available considerations, you can achieve the bustline you have always wanted. Our practice is pleased to offer this proven surgery and we welcome you to learn more. Contact us in San Francisco, CA to make your initial consultation with Dr. Anthony.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.