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Breast implant surgery, also known as augmentation mammoplasty, is a cosmetic procedure that is done to enhance the size and shape of a woman’s breasts.

When to consider breast augmentation

Our breast augmentation patients choose Dr. Wiener for this procedure for a variety of reasons. The most common ones include to:

  • Enlarge a naturally small chest
  • Correct asymmetrical breasts
  • Restore lost volume due to weight fluctuations
  • Address aesthetic changes following pregnancy and breastfeeding
Dr. Wiener is an amazing plastic surgeon!! I had breast augmentation and the natural outcome is beyond expectation. I highly recommend him and his office staff. I already scheduled my next procedure and will continue to refer friends and family to Dr Wiener.

Planning your Breast Surgery With Dr. Wiener

Breast surgery is a highly customizable procedure. Dr. Wiener will walk you through selecting your implants, incision location, size and more to ensure that your new figure is precisely what you’ve been envisioning.

Breast Augmentation Houston Dr. Wiener discusses Breast Augmentation

Your Breast Implant Options

When undergoing a breast augmentation, you have two options: saline and silicone. In both cases, Dr. Wiener uses round, smooth, moderate-plus profile implants to ensure a full, feminine and natural-looking chest.

Saline: Mentor Implants

Saline implants are composed of sterile salt water. They are inserted into the body empty and then filled to your desired size.

Dr. Wiener uses Mentor moderate plus saline implants. They feel slightly firmer than silicone but still provide a full profile that looks natural. In addition, the volume can be adjusted during surgery, offering maximum flexibility and customization.

Silicone: Sientra Implants

Silicone implants are softer than saline and feel more like natural breast tissue.

If you opt for Silicone, Dr. Wiener will recommend Sientra round, smooth, cohesive gel implants. They are his preference because they maintain their shape against gravity and retain volume in the upper portion of the chest. As such, they are ideal for Houston women who desire a very rounded appearance.

Determining The Right Breast Size For Your Body

During your initial consultation at our Clear Lake, TX office, you will try on breast implants in a bra to determine your ideal shape and size. Once you’ve found an implant that you like visually, Dr. Wiener will make sure that its diameter is not excessively large or small in comparison to the diameter of your natural breast to ensure an ideal aesthetic outcome.

Your incision options

There are several incision options available for breast implants. However, there are only two that Dr. Wiener consistently recommends to our Houston, TX patients: the inframammary and the periareolar.


The inframammary incision is placed along the breast crease. This approach is recommended because it’s associated with a decreased risk of capsular contracture -- a serious complication that involves the abnormal hardening of scar tissue around breast implants.


This incision is placed along the lower border of the areola. The periareolar breast augmentation is preferred by many women because the scars are virtually imperceptible. The tradeoffs are a potential loss of nipple sensitivity and breastfeeding challenges in the future.

Best Breast Augmentation Surgeon Houston
Dr. Wiener & his staff are great...I had a breast augmentation 2 months ago and i am very happy with with the results
- Breast Augmentation, 28 Years Old, 2 Children

Recovery Time

Plan on taking one to two weeks off work to recover. Your body needs to heal so you must not push yourself or engage in vigorous physical motions. No lifting, no stretching, and exercise is limited to the lower body. Full recovery is expected in about a month to six weeks.

What Are the Risks of Breast Augmentation Surgery?

Complications are rare if your breast augmentation is performed by a highly-skilled surgeon who uses the latest techniques. Risks include standard surgical risks such as reactions to anesthesia, infections, or excessive bleeding. Most patients find recovery to be easier than expected, with no problems.

What is the Cost of Breast Augmentation in Houston?

Breast augmentation surgery is a customized surgery and varies in cost. An average is in the range of $6,750, but can reach up to at least $15,000. The final cost depends upon what is needed in your case. It is important to keep in mind that the issue with breast augmentation is not cost, but the skill and artistry of your plastic surgeon.

The Main EventsWhat to expect during surgery

Your breast augmentation will be performed in Dr. Wiener’s AAAASF accredited in-office operating room, where a board-certified anesthesiologist will administer intravenous anesthesia. Dr. Wiener will then place local anesthetic nerve blocks around your ribs to ensure robust postoperative pain relief.

The entire surgery should take about one hour. To begin, Dr. Wiener will create an incision either in your breast crease or along the edge of your areola. Through that opening, he will form a small pocket and place a sizer to ensure that the area can accommodate your implant.

From there, he will place your breast implant and assess its size, symmetry and appearance. If you’re having a breast augmentation with lift, he will also remove excess tissue and elevate your drooping chest to a more youthful position.

Once your beautiful new chest has been created, Dr. Wiener will carefully close the incisions with absorbable sutures.

Breast Augmentation Before & After

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An unprecedented commitment to your comfort

One of our patients’ biggest concerns before undergoing cosmetic surgery is the pain they will experience. As such, Dr. Wiener goes above and beyond to maximize your comfort before, during, and after your procedure.

Prior to surgery, we take the unique step of placing local anesthetic nerve blocks around your ribs. Not only does this reduce the amount of general anesthesia that you require – but it also ensures a virtually pain-free 24 hours after surgery so that you can focus exclusively on healing and resting. This is just one of the many reasons Dr. Wiener is known for providing among the best breast augmentation surgery Houston, TX and its surrounding cities have to offer.

Dr. Wiener: Leading the way in breast surgery innovations

Dr. Wiener is known as one of the best breast augmentation surgeons in Houston. As such, he has published a number of important scientific articles in the journals Plastic and Reconstructive Surgery, Aesthetic Plastic Surgery, and Aesthetic Surgery Journal focusing on improved outcomes for breast augmentation.

These articles include “The role of betadine irrigation in breast augmentation” and “Relationship of incision choice to capsular contracture.” These two papers have become worldwide highly referenced and landmark articles in the plastic surgery literature regarding capsular contracture.

When you wake upWhat to expect after surgery

Once your procedure is complete, you will awaken in the recovery room where our team will monitor you closely to ensure your safety. You will be free to return home shortly to begin the recovery period. In general, most of our Houston patients are able to resume sedentary work within a few days.

Frequently Asked QUESTIONS

Q: Are Breast Implants Safe?

When placed by a top breast augmentation surgeon in Houston, like Dr. Wiener, breast implants are very safe. To minimize the risks and potential complications, it’s important to disclose your full medical history to Dr. Wiener prior to your procedure. Additionally, breast implants can make it difficult to read mammograms. As such, you may need to have additional examinations or special tests to screen for breast cancer moving forward.

Q: How Long After Breast Augmentation Will I Have to Wait to Work Out?

Although it varies patient to patient, a general rule is that vigorous physical activity cannot be performed for about six weeks.

Q: When Can I Take Off the Surgical Bra and Wear a Regular Bra?

A: In most cases, you can expect to wear the surgical bra for about four weeks, although some patients may need to wear it longer. After that, you are free to wear any bra you like.

Q: How Long Will it Take for My Breasts to Look Normal?

It requires time for your new breasts to settle into place. In the early stages of healing, they may appear slightly uneven, but don’t worry. As time passes, they drop into place in the surgical pocket, the muscles relax, and they should be looking normal at about the three-month mark.

Q: How Long Do I Have to Wait to Have Sex?

As you will have to restrict your activities, you must avoid any activities that could shake, jar, or affect your breasts, so they heal as they should. Any sexual activity must very gentle during the first six weeks after surgery and should not be attempted in the first two to three weeks.

Q: Can I Breastfeed With Implants?

You should be able to breastfeed after augmentation, depending upon how the implants are placed. Inform your plastic surgeon if you plan to breastfeed in the future.

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Dr. Thomas Wiener, MD, FACS is a board-certified plastic surgeon specializing in Breast Augmentation, Breast Revision, Liposuction,
and Mommy Makeover.Dr. Wiener serves the Houston, Clear Lake, and Pearland, Texas areas.

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