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Dr. Narasimhan appreciates the transformative power of breast augmentation in his practice, enabling both a physical and emotional transformation.
Breast augmentation is the most popular breast enhancement procedure Dr. Narasimhan performs. To discover how we can help you look and feel your best, request a consultation using our online form or call our office at (727) 289-7119.


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Breast augmentation (augmentation mammaplasty) is a cosmetic surgery procedure that enhances breast volume, corrects asymmetry, or restores shape.
You can undergo breast augmentation using saline breast implants, silicone implants (including silicone gel breast implants and cohesive silicone options), or autologous fat transfer—a technique that uses your own fat tissue for a more natural result. Popular for restoring cleavage after weight loss or pregnancy, breast augmentation helps restore your contours and confidence.
Your breast augmentation surgery is a completely personalized experience tailored to your unique proportions and aesthetic goals. Dr. Narasimhan will help you select the right breast implants for you, including the most suitable breast implant size, material, and shape. He will also review exactly what to expect at every step of the breast augmentation procedure and recovery period.
The breast augmentation surgery itself is performed under general anesthesia and typically takes 1-2 hours to perform. Dr. Narasimhan makes precise incisions, typically in the inframammary fold or around the areola, then creates a pocket either under the chest muscles (pectoral muscle placement) or over them. Your selected breast implants are inserted and carefully positioned for balanced, natural contours. If you’re opting for fat transfer to the breasts, a refined fat graft harvested from another area with liposuction is injected into strategic areas to enhance your breast shape.
Dr. Narasimhan minimizes scar tissue through meticulous incision closure techniques. The incisions are then dressed, and a surgical bra is applied to support smooth healing. Patients return home the same day as their breast implant surgery after a short monitoring period while the anesthesia wears off.

Breast augmentation offers more than an increase in breast size. It can help correct sagging breasts, improve volume lost after weight changes or breastfeeding, and re-establish balance between your breast tissue and your body shape. With choices like saline or silicone breast implants, anatomical or round implants, or the option of fat transfer, patients gain control over their silhouette. Following their breast augmentation procedure, many women report improved self-esteem and comfort in clothing, swimwear, and everyday life.
Depending on the surgical plan, breast augmentation may:
An implant can fill out mildly deflated breast tissue, but it cannot reliably raise a breast that has significant sagging. If the skin has stretched or the nipples have descended, adding a lift may create a better result.
Here are just a few reasons you might choose breast augmentation at Narasimhan Plastic Surgery:
No matter your reason, during your consultation for breast augmentation Tampa plastic surgeon, Dr. Narasimhan, is happy to share information about the breast augmentation surgery and breast implant options when you meet with him. For answers to common questions, see his Breast Augmentation FAQ.
No two breast augmentations are planned exactly alike. Each woman brings her own proportions, breast tissue, skin quality, natural asymmetry, and goals to the procedure. An implant that creates a beautiful result for one patient may look or behave very differently for someone else.
Dr. Narasimhan considers how each part of the surgical plan will work together. Implant size, material, width, profile, placement, and incision location all influence the final shape. During your consultation, he’ll explain your options and recommend a combination suited to your body and the result you want.
Saline implants have a silicone outer shell filled with sterile saltwater. Because the shell can be inserted before it is filled, saline implants may allow for a smaller incision. The amount of saline can also be adjusted within the manufacturer’s approved range to help address minor differences between the breasts.
Silicone implants come prefilled with silicone gel. Many patients feel that silicone gel more closely resembles natural breast tissue, particularly when there isn’t much existing tissue covering the implant. Silicone implants may also have less visible rippling than saline implants.
The term “gummy bear” refers to a silicone implant filled with a more cohesive gel. It isn’t a separate fill material. The gel holds together more firmly than less cohesive silicone and can provide stable shape and controlled projection. Different levels of cohesiveness produce different feels and shapes.
Breast implants are measured in cubic centimeters, commonly written as cc. Cup size isn’t a reliable planning tool because sizing varies between bra manufacturers. Two patients can also receive the same implant volume and end up with very different results based on their chest width, existing breast tissue, skin elasticity, and overall proportions. During your consultation, Dr. Narasimhan will take measurements and help you compare implant sizes that fit your frame.
Implant width determines how much of the chest the implant covers. Profile describes how far the implant projects forward relative to its base width. A lower-profile implant is generally wider and projects less, while a higher-profile implant places more volume forward through a narrower base. Dr. Narasimhan uses breast and chest measurements to identify options that match your frame.
Round implants distribute volume evenly and can create different degrees of upper breast fullness depending on their profile and placement. Shaped implants have more volume toward the lower portion of the implant and are designed to create a tapered contour.
Breast implants may be positioned beneath the chest muscle or above it, directly behind the breast tissue. Some procedures use a dual-plane approach in which the upper portion of the implant has muscle coverage while the lower portion sits beneath the breast tissue. Placement below the muscle can provide more soft-tissue coverage and make implant edges less visible in a patient with thin tissue. Placement above the muscle can avoid disruption to the pectoral muscle and may suit selected patients with enough natural coverage.
Dr. Narasimhan most often uses an inframammary incision in the fold beneath the breast or a periareolar incision along the border of the areola. The inframammary approach gives the surgeon direct access to the implant pocket and places the scar in the natural breast crease. A periareolar scar can blend with the color transition around the areola, although it isn’t appropriate for every patient or implant. The implant type, implant size, breast anatomy, and future breastfeeding plans can all affect incision selection. Every surgical incision leaves a scar, but thoughtful placement and careful closure help make it less conspicuous as it matures.

A breast augmentation with lift is a surgical procedure that combines placing breast implants with a breast lift to improve both volume and position. It’s ideal for women who have experienced loss of fullness and sagging, often due to aging, pregnancy, or major weight changes.
The augmentation restores volume using an implant, while the breast lift repositions the nipple and tightens the surrounding tissue for a more youthful, elevated appearance. Together, these techniques offer a comprehensive solution for fuller, firmer breasts.
Dr. Narasimhan believes cosmetic surgery has pleasing results and a positive effect on your life and appearance when the procedure is tailored to your individual needs. Breast lift-augmentation procedures require a high level of skill because they both tighten and expand the breast tissues at the same time, so Dr. Narasimhan evaluates your needs carefully and reviews his suggestions with you in detail.
Breast augmentation is an outpatient surgical procedure, so you will return home on the day of surgery in the care of an adult friend or family member.
While experiences vary between patients and with the specifics of each surgery, here is a general timeline of significant recovery milestones following breast implant surgery::
You will be provided with specific recovery instructions after your breast augmentation surgery. Feel free to call us if you have any questions or concerns. After your initial recovery, Dr. Narasimhan will follow up with you at 3 months, 6 months, and 12 months to assess your progress.

Immediate fullness is noticeable following breast augmentation surgery, but your final look emerges over the next 3–6 months, revealing a soft, full, naturally settled breast shape.
Silicone and saline breast implants typically last 10–15 years or longer. The results of fat transfer breast augmentation are permanent, but depend on maintaining a stable weight. With expert care, your breast implant results are long-lasting, allowing you to enjoy your new contours—and the confidence that comes with them—for years to come.
All surgeries, especially those that require general anesthesia, carry some degree of risk. These risks can include scarring, bleeding, blood clots, and infection. Though breast augmentation surgery is very safe, some complications specific to it include:
The risk of these complications can be minimized by choosing an experienced, board-certified plastic surgeon and closely following your post-op instructions. Before your surgery, Dr. Narasimhan will discuss your particular risk of complications. He will not perform breast augmentation or any other surgery if he feels it would significantly endanger the patient. If you’ve undergone a previous breast augmentation procedure and are unhappy with your results, Dr. Narasimhan offers breast augmentation revision to help improve your results.
Thinking about breast augmentation? Whether you're considering silicone breast implants, saline breast implants, cohesive silicone (gummy bear implants), or fat transfer breast augmentation, Dr. Narasimhan offers tailored surgical procedures designed to enhance your body in a way that looks and feels natural to you.
As a double board‑certified plastic surgeon experienced in both cosmetic and reconstructive breast surgery, he ensures the results of your breast augmentation procedure reflect your goals and anatomy.

Dr. Narasimhan’s passion for plastic surgery is evident in his impressive credentials, which include:
American Board of Plastic Surgery and American Board of Otolaryngology (Head & Neck Surgery)
Guest faculty at internationally renowned cosmetic surgery meetings, such as the Dallas Cosmetic Symposium
The physician fees for breast augmentation at our St. Petersburg practice typically ranges from $4,000 to $6,000. Several factors determine the final cost, including the type of implant and the complexity of the procedure. To receive your personalized quote, schedule an in-person consultation with Dr. Narasimhan to discuss your breast enhancement procedure.
Dr. Narasimhan performs revision surgery to exchange implants or correct unsatisfactory results from previous breast surgery. These procedures may accomplish one or more of the following goals:
The “best” incision for each breast augmentation patient depends on a number of factors, including the type and size of implants, breast anatomy, and personal preference. Dr. Narasimhan typically uses the breast crease (inframammary) incision or an incision around the areola (periareolar).
Many women combine breast augmentation with a tummy tuck and liposuction to attain multiple improvements with a single surgery and recovery period. These combination procedures, called mommy makeovers, are personalized to each patient’s unique needs and cosmetic goals.
Breast augmentation increases the size of the breasts and enhances their shape and contour. A breast lift reduces sagging by removing excess skin; it does not increase the size of the breasts. Many women need a combined breast augmentation and lift to attain the breast size and shape they desire.
Yes, most women can still breastfeed with breast implants, especially when inframammary incisions are used, and the implants are placed under the muscle.
Silicone gel and cohesive gummy bear implants offer a softer, more natural feel. Saline implants allow precise sizing and are absorbed safely if ruptured.
After breast augmentation, the scar tissue is usually prominent, firm, and pink for at least 6 to 8 weeks after surgery. In most cases, the scars shrink, flatten, and fade, but this process can take up to a year.
The surgical procedure usually takes between one and two hours, with most patients going home the same day.
After breast augmentation, it’s common for breast implants to sit higher on the chest than desired because of swelling and tightness of the breast skin and chest muscles. Within a few months, swelling fades, tissues relax, and the implants “drop and fluff” into a natural position.
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