Breast Augmentation at a Glance

1-1.5 hour surgery

Back to Work: 3-5 days

Our board-certified plastic surgeons have earned international recognition for advancing the art and science of breast augmentation. As innovators involved in developing technologies and techniques such as Motiva® breast implants and TruBreast® breast augmentation, they integrate the latest advances to elevate results while minimizing downtime.

The Center for Cosmetic Surgery is known throughout the Denver metro area for breast augmentation results that are beautiful, natural, and harmonious.

Trust Your Breast Augmentation to the Experts

Surgical team

Learn why The Center for Cosmetic Surgery is a top destination for breast augmentation patients from throughout the Denver metro area:

  • Our team has performed thousands of breast augmentation surgeries
  • We specialize in customized results and the natural-looking Colorado aesthetic
  • Our relationships with all 3 U.S. implant manufacturers mean more options for you
  • Selected for participation in several breast implant clinical trials
  • We take the time to learn about your lifestyle and your goals to ensure your best outcome

Our breast augmentation surgeons would be happy to meet with you in person and answer all your questions. Simply request your consultation or call our office at (303) 278-2600.

What Is Breast Augmentation Surgery?

Breast augmentation, often called a “boob job,” is a surgical procedure that increases the size of one or both breasts using breast implants or fat transfer to add volume and enhance shape and symmetry. The procedure typically uses cohesive silicone gel implants, preferred for their durability and natural look and feel. Saline implants, approved for patients 18 and over, are an option that some women prefer.

Breast Implant

Breast Augmentation
Before & After Photos

This gallery contains images intended for adult audiences.

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breast incision diagraming

Benefits of Breast Augmentation

Breast augmentation offers emotional and aesthetic benefits by enhancing breast volume and shape. Women choose this procedure for the numerous benefits it offers, including:

  • Increased self-confidence and alleviation of insecurity
  • Restored sense of femininity and self-image after pregnancy or weight loss
  • More balanced body proportions
  • Correction of asymmetry or congenital breast deformities
  • Improved range of clothing options

Breast augmentation’s broad appeal has made it a top cosmetic surgery procedure in the United States.

Are You a Good Candidate for Breast Augmentation?

If you are unhappy with your natural breast size, shape, or asymmetry, you are probably a good candidate for breast augmentation. Ideal candidates should:

  • Be nonsmokers who are in good overall health
  • Be at a stable, healthy weight
  • Be prepared to take time out from work, school, and other responsibilities for recovery
  • Have realistic expectations about their results

Our experienced surgeons carefully evaluate your health and lifestyle factors to ensure you are a good candidate.

female model torso

Choosing
Breast Implants

At The Center for Cosmetic Surgery, our surgeons use the latest saline and silicone gel breast implants. Each option is safe and FDA approved, offering unique advantages and drawbacks. Review the table for a comparison and visit our Motiva® Breast Implants and Breast Implant Options pages for details.

Comparison: Types of Breast Implants

ConsiderationSalineSiliconeMotiva®
Implant
Construction
Silicone shell is filled with sterile salt water after placementCohesive “gummy” silicone gel inside a silicone shellAdvanced silicone gel inside a biocompatible silicone shell
ProsHarmless fill material

Volume can be adjusted after placement

Easy rupture detection

Require small incision

Lower rates of capsular contracture
Natural look and feel

Less expensive than Motiva

Variety of shapes and sizes
Very natural look and feel

Biocompatible shell for reduced complications

Require smaller incision than other silicone implants

Low rates of rupture and capsular contracture
ConsMay feel less natural

More noticeable

Higher rupture rates
More expensive than saline

Risk of undetected rupture
More expensive than standard silicone gel
Best forAge 18 and up

Submuscular placement

Patients with adequate breast tissue
At least age 22

Patients without much natural breast tissue
At least age 22

Subglandular placement
Motiva logo

Motiva: Welcome to the Future of Breast Implants

The excitement surrounding Motiva breast implants is real. These silicone implants are groundbreaking from the inside out. They are filled with an advanced silicone gel and have a biocompatible outer shell, leading to results that look and feel like your own breasts. Backed by the involvement of our own Dr. Andrew Wolfe as a lead investigator and author, our team has the most experience with Motiva implants in the entire Mountain West region.

Discover Motiva Implants Review Other Implant Options

Implant Size

Our surgeons conduct a personalized evaluation of each patient’s anatomy and explore their preferred breast size and shape during the consultation. We offer both in-bra sizers and Vectra® 3D imaging to help patients choose their implants.

Read more about selecting your best implant size in our blog.

Vectra 3D Imaging

Preview Your Projected Results
Vectra imaing example Vectra imaging example

Implant Profile

The breast implant’s profile specifies how much it projects from the body and the width of its base. Low-profile implants have a broader base, and high-profile implants are narrower at the base. The implant should be the same width at the base as the patient’s breast for natural results.

Read more about selecting implant profile in our blog.

Breast implants

Incision Options

While scars are necessary with every surgery, the most experienced breast augmentation surgeons make them unnoticeable. Our surgeons use the following incision options for breast implant insertion:

  • Inframammary (breast crease)
  • Periareolar (along the border of the areola)

Although the inframammary approach is the best fit for most patients, we can thoroughly discuss your options.

Benefits of the Inframammary Incision

While every surgical approach has its advantages and limitations, data gathered over the last 10 to 15 years strongly support the use of the inframammary incision. Benefits of this small incision (2.5 to 4 cm, depending on implant size and type) hidden in the breast crease include:

  • Creates a tiny scar that is typically only visible as a faint line when the breast is lifted.
  • Associated with a significantly lower risk of capsular contracture (a thickening of the scar tissue the body forms around the implant) because it completely avoids the breast gland, reducing exposure to the normal bacteria that live in the breast ducts. Implant colonization with these bacteria is thought to be a primary cause of capsular contracture.
  • Preserves nipple sensation by avoiding the nerves to the nipple-areola complex.
  • Protects the ability to breastfeed because there is less trauma to the breast gland.
Inframammary Incision diagram
Breast augmentation periareolar incision diagram

Implant Placement Plane

During breast augmentation, the surgeon creates a space, called a pocket, under the existing breast tissue to insert the breast implant. The choice of plane–above or beneath the pectoralis (chest muscle)–is complex. However, each of these options has nuances that merit further discussion.

Above the Muscle (Pre-Pectoral Placement)

Our surgeons offer the following above-the-muscle placement options:

Subglandular placement has a short recovery time because the muscle remains intact, and the implants are not affected by the activity of the chest muscles. Drawbacks include the risk for capsular contracture (thickening of the scar tissue capsule around the implant) and noticeable rippling and other visibility challenges in thin patients.

Subfascial placement involves placing implants above the muscle, but beneath the fibrous fascial covering. Some surgeons began using this approach in the early 2000s to add soft tissue coverage over the implant, potentially decreasing capsular contracture and improving soft tissue coverage.

Motiva breast implants can be placed above the muscle without increasing the risk of capsular contracture or sacrificing aesthetics. This placement option, offered with the TruBreast™ augmentation, reduces complications like animation deformity and preserves pectoral muscle strength, making Motiva implants an ideal option for active women.

Pre-pectoral breast implant placement diagram

Under the Muscle (Submuscular Placement)

Submuscular placement involves placing implants beneath the chest muscle. This option became a common way to avoid the drawbacks of placing them in front of the muscle, but it led to various distortions of the breast.

Dual-plane placement releases the muscle along its lower margin and onto the sternum to varying degrees, allowing the implants to sit in a more natural position in the breast.

Advantages

With submuscular placement, the chest muscle provides soft tissue coverage, resulting in:

  • Results that look and feel more natural with saline implants and in thin patients.
  • Reduced risk of capsular contracture with standard saline and silicone breast implants. (Motiva implants have the same low risk of capsular contracture in any tissue plane.)
Breast augmentation submuscular implant placement diagram

Disadvantages

The downsides to placing implants under the muscle include:

  • Postoperative discomfort that typically requires narcotic pain medication for a few days.
  • Some decreased strength in the chest muscles.
  • Animation deformity (distortion of breast shape) can occur when contracting the chest muscle.
  • Possibility of bottoming out or lateralization of the implants due to a constant downward push of the muscle over time.

Historically, the dual-plane location has been the most popular technique in the United States. With the availability of Motiva implants, however, our practice has largely shifted to pre-pectoral placement for all the reasons listed above. A detailed consultation with one of our experienced surgeons can help you choose the right procedure.

Learn more in our blog post about breast implant placement options.

Fat Transfer Breast Augmentation

Women who want a modest increase of ½ to 1 cup size and have enough excess fat may be candidates for natural breast augmentation using fat transfer. This procedure involves using liposuction to harvest fat from other parts of the body, such as the thighs or abdomen, purifying it, and then injecting it into the breasts.

Our surgeons also combine implants with fat transfer for a hybrid approach. This technique uses implants to fill out the breast and fat transfer to add targeted fullness to areas like the cleavage or upper breast, or for soft tissue enhancement to conceal implant edges.

It is important to recognize that fat grafting results can be unpredictable due to variability in the survival of transplanted fat, and some patients may require repeat grafting procedures to achieve their desired outcome

Brunette female model in pool
consultant showing breast implant

Your Breast Augmentation Consultation

At your initial consultation, your surgeon will discuss your surgical and implant options based on your medical history, anatomy, and unique aesthetic goals. Our clinical expertise is essential in helping patients determine the optimal implant volume, set realistic goals, select the most suitable incision and implant plane, and address other factors that influence long-term aesthetic and functional success.

Review Our Consultation Process Request A Consultation

Implant Sizing

After your physical exam, your surgeon will perform a detailed and highly accurate sizing process utilizing both in-bra sizing implants and Vectra 3D imaging. Vectra can also simulate a breast lift if indicated.

Two breast implants
Doctor shows patient binder contents

Pre-op Appointment

About 2 weeks before your scheduled surgery, you will meet with one of our highly trained RNs for a medical history review and physical exam. They’ll explain consent forms that require your signature. We’ll take photos and electronically submit prescriptions to your chosen pharmacy. We’ll draw your blood if lab work is needed.

The Procedure

Our surgeons perform surgery at Apex Surgical Facility, our AAAHC-accredited surgical location. On the day of surgery, a nurse inserts an IV, and your surgeon will meet with you and mark the breasts. You will meet with one of our board-certified anesthesiologists, who will explain the anesthesia process.

In the OR, a doctor will place you under general anesthesia so you’re completely asleep. The surgery itself takes approximately 1 hour, while augmentation with breast lift takes around 2 1/2 hours. 

Note that Preservé™ breast augmentation can be performed under lighter sedation (“twilight”) or under general anesthesia.

A nurse places sterile dressings and a surgical bra over your breasts after the surgery. You’ll then be taken to a recovery room. After an hour or so, once you’re feeling ready, your ride can pick you up and take you home.

medical equipment

Meet Your Board-Certified Plastic Surgeons

logos for the American Society of Plastic Surgeons, The Aesthetic Societ, American Board of Plastic Surgery, & Accreditation Association for Ambulatory Health Care, Inc. logos for the American Society of Plastic Surgeons, The Aesthetic Societ, American Board of Plastic Surgery, & Accreditation Association for Ambulatory Health Care, Inc.

The Aesthetic Society membership applies to select physicians within the practice.

How Painful Is It To Get Breast Implants?

Some discomfort is to be expected after the procedure, although many patients are surprised to find that they feel fairly “normal” within a day or two. Experiences vary with implant placement and individual factors as follows:

  • Under the muscle: Initial pain typically requires narcotic medication for 1 to 4 days. Muscle-relaxing medications can help with muscle spasms.
  • Above the muscle: Some patients require nothing more than Tylenol to control the mild discomfort, while others require stronger medication for a few days.

What Is Breast Augmentation Recovery Like?

Recovery is typically straightforward, and most patients are ready to return to work, school, and nonstrenuous activities in about 5 days to a week. You’ll need a trusted adult friend or family member to drive you home the day of surgery and stay with you for at least 24 hours post-op. We’ll send you home wearing a surgical compression bra that reduces swelling and helps results take shape.

Female model drinking coffee

Breast Augmentation Recovery Timeline

Even though healing after a boob job is different for everyone, here is a typical postoperative timeline:

  • First 24 hours post-op: Patients are typically fatigued from surgery and anesthesia. Some experience nausea, which can be treated with medications and tends to resolve fairly quickly. The chest can feel tight, especially if the procedure involves submuscular placement. It is common to have sensory changes after surgery, and some parts of the breast may be numb or oversensitive. The implants start high and will settle with time. This can be pronounced during the first week. Bruising is typically mild. If a breast lift was performed, the longer incisions and more involved surgery may lead to more significant bruising.
  • 5 to 7 days post-op: By the end of the first week of recovery, most patients are back to non-strenuous work. If you’ve stopped taking narcotics or muscle relaxants, you can resume driving. Many people start taking walks; however, avoid elevating your heart rate and blood pressure for 2 weeks after surgery.
  • 2 to 4 weeks post-op: The acute discomfort after surgery is typically gone by this point, though the breasts can remain tender for weeks. Patients should continue wearing a supportive bra for the first month. You can engage in light exercise that doesn’t involve the upper body.
  • 4 to 6 weeks post-op: You can resume more vigorous activities after the first month. The breast implants will have started settling, although the final shape can take months to evolve. You can apply scar creams to healing incisions as soon as the surgical tape falls off. You can start more aggressive scar therapies like microneedling or fractional laser treatments at 6 weeks.

Patients are encouraged to contact our office at any point after surgery if they have questions or concerns.

Postoperative Considerations

There are a few issues to plan for after surgery. Attention to these considerations can enhance recovery and avoid postoperative setbacks.

 The Best Sleeping Positions

It is important to get a lot of sleep after any surgical procedure. For most patients, sleeping on the back with the torso slightly elevated works best. This can be in an adjustable bed, a recliner, or simply propped up on a few pillows. As the breasts heal, patients can transition to side sleeping if preferred, as long as it does not apply undue pressure to the breasts.

Bathing and Swimming

Depending on the type of dressings applied after surgery, you can either shower immediately or wait 24 to 48 hours. We’ll provide these instructions during the preoperative history and physical, but patients can always contact the office with any questions. Swimming is typically fine once incisions are well healed, with no open areas of delayed healing. This can take a few weeks.

The Right Bra

It’s important for the breasts to be supported properly in the weeks following breast augmentation. For the first 6 weeks, we recommend avoiding any underwire bras, as they can irritate healing incisions. We also discourage pushup bras since they can affect implant placement during the healing process. A medical-grade bra that supports the breasts as they heal is generally the best choice. These bras generally close in the front, allowing for easier access while patients are stiff, sore, and healing.

Exercise After Surgery

Mild, non-strenuous activities that don’t involve the upper body (such as a relaxed walk or a gentle spin on an exercise cycle) are fine during the first few weeks after surgery. Heart rate and blood pressure should remain normal for the first 2 weeks to avoid stressing healing blood vessels, which can result in postoperative bleeding that might need urgent surgical intervention.

You can begin mild cardio workouts after 2 weeks; you should pay attention to your body and not overdo it too soon. More strenuous upper body activities can begin at 6 weeks, with a gradual increase in intensity as the body gets back to normal. It may be months before the upper body feels normal, so don’t be discouraged if you remain stiff or feel a bit weak for quite some time. Recovery is typically quicker with above-the-muscle placement, but these general guidelines apply to all surgical approaches

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Brunette woman in athletic bra smiling in mirror

When Will You See Your Final Results?

It takes months for the breasts to evolve into their final form after surgery, and a variety of factors affect this process. Smooth implants tend to drop a fair bit after surgery, so they will begin in an elevated position and settle over 3 to 6 months. The tighter the breast, the longer this “drop and fluff” may take. Additional procedures like a breast lift or the addition of mesh support can alter this timeline.

About Breast Augmentation Scars

Scars are a necessary component of any breast surgery. Our surgeons place incisions in the most inconspicuous locations and perform precise, meticulous closure with long-lasting but dissolvable sutures to support healing. Incisions are typically covered with surgical tape for 3 to 6 weeks, and scar creams can be applied once the tape falls off. For most people, incisions start as fine, pink lines that may take 18 to 24 months to fully fade. Read more about the incision healing process and how to minimize scars in our blog post.

Combining Breast Augmentation With Other Procedures

Many women choose to have multiple procedures at once to save time, money, and recovery intervals. Virtually any other procedure can be combined with breast augmentation under the same anesthetic. There is a limit to how much can be done at one time, however, based on a variety of factors. Our knowledgeable staff can guide you should you wish to add additional procedures. Popular combinations include:

Breast Augmentation in Mommy Makeover Surgery

A Mommy Makeover is a personalized combination of procedures that addresses the effects of pregnancy and breastfeeding. Many women combine breast augmentation with liposuction and a tummy tuck to rejuvenate their breasts and abdominal area and remove areas of stubborn fat.

Combining a Breast Lift With Augmentation 

Breast implants can create beautiful, full breasts, but they will not correct sagging. Many women need a combined breast lift with implants to attain the following improvements:

  • Increase breast volume
  • Reshape and reposition the breasts
  • Resize enlarged areolas (if desired)

When expertly performed, breast lift with implants results can be transformative, but this can be a challenging combination with compromised results in the hands of a less talented surgeon. Our skilled breast enhancement surgeons will guide you through all the decisions involved in creating your ideal results.

Mom and toddler walking on beach

Breast Augmentation Revision Surgery

Most patients who get breast implants are happy with their results. Unfortunately, a significant number will need some sort of revision. Even if everything goes perfectly, implants don’t last forever and will need to be replaced at some point. Revision breast augmentation is generally more complex and challenging than primary cases and requires special expertise. Our surgeons have broad experience with all aspects of revisionary breast surgery.

Real Patient Ratings

  • My experience with The Center for Cosmetic Surgery has been nothing short of amazing. I saw Dr. Freeman for a breast augmentation and he was incredible. He is extremely knowledgeable in his craft and was able to answer any questions I had, even if they seemed silly. He also made sure I knew as much as possible about the surgery itself. The day of surgery went so smooth, and the staff set me up for success making sure I knew what to expect during my pre-op, post-op, and healing process. I would recommend The Center for Cosmetic Surgery and Dr. Freeman to anyone considering getting any type of plastic surgery!"

    ~5-star patient review on Google
  • I had breast augmentation and a lift with Dr. Vath. I am very happy with the results! The recovery, it's been so easy, and I got exactly what I wanted. Everybody was very professional and very nice. … When I'm ready for my second surgery I will definitely go to Dr. Vath. I wouldn't look around; I totally recommend him!"

    ~5-star patient review on Google
  • I had breast augmentation with Dr. Steinwald today and all I can say is WOW! He is a perfectionist when it comes to his work. The placement already looks amazing and I'm obviously swollen. I cannot wait to see the final product. He truly cares about his patients, and it shows. … Overall 10/10 experience. So thankful for Dr. Steinwald and the entire team."

    ~5-star patient review on Google
  • I had a wonderful experience with Dr. Wolfe and The Center for Cosmetic Surgery. From the initial consultation, surgery and follow-up I felt heard, supported and taken care of. Dr. Wolfe was extremely professional, and I felt safe and confident throughout the entire process. My breast augmentation looks and feels extremely natural and gave me back the confidence I was seeking after having two children. I will recommend Dr. Wolfe and his wonderful nurses and the rest of his team to anyone seeking cosmetic surgery."

    ~5-star patient review on RealSelf
  • Dr. Cunningham & team made me feel so comfortable from the initial phone call to get my consult set up, all through surgery and recovery.  … I'm about a week post-op and I couldn't be happier with my results! Of course, the girls will be a little swollen for a few months before they "drop and fluff" but I feel so at home in my body in a way I've never experienced before. I'm so thankful for Dr. Cunningham and team for making every step of this process as compassionate as possible. If I had to do it all over again, I would choose Dr. Cunningham, and The Center for Cosmetic Surgery again, no question."

    ~5-star patient review on RealSelf
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Breast Augmentation FAQ

How Much Does Breast Augmentation Surgery Cost in Denver, Colorado?

The cost for breast augmentation at our Denver practice depends on a variety of factors, including:

  • Choice of breast implants
  • Duration of surgery
  • Whether it is combined with other procedures

At your consultation, detailed pricing options will be explained so there are no surprises. We partner with a variety of financing companies that can help patients spread payments over time.


Will My Breasts Need Massaging After Augmentation?

It depends. We advise some of our patients to begin gentle massage a week after their surgery to help soften the pocket and facilitate implant settling. In other cases, however, it is not recommended. Patients should wait for their one-week appointment to get instructions from their surgeon.


How Long Does a Boob Job Last?

The results of a boob job last as long as the breasts’ appearance is satisfactory and the implants remain intact. Practically speaking, they typically last 10 to 25 years, although newer technology may extend this time frame. The FDA and implant manufacturers recommend ultrasound or MRI screening of breast implants to check their integrity at 6 years and every 2 years thereafter.


Can Patients Go Braless After Breast Augmentation Surgery?

We advise our patients to wear a good, supportive bra full-time for 4 to 6 weeks after surgery. Gentle compression is typically helpful to reduce discomfort, and the support can improve the predictability of the result. After that, it is up to the patient whether she wants to wear a bra or not. Certainly, adequate support would be indicated during exercise, especially in women with larger breasts.


What’s the Best Time of Year To Get a Boob Job?

The best time to get breast implants depends on your personal goals and recovery timeline. Others are more active in winter with winter sports, so avoid surgery that time if it applies to you.


Do Breast Implants Sag As You Age?

Most sagging occurs as surrounding breast tissue and skin lose elasticity due to aging, gravity, and weight fluctuations.


What Size Implants Are Most Popular?

Most patients want natural-looking results, which means choosing an implant size that’s in proportion to their bodies. That may be 150 cc implants or 450 cc.


What Are Gummy Bear Implants?

Gummy bear is a nickname for highly cohesive silicone gel implants that are filled with a semi-solid silicone. They hold their shape better than standard implants and may last longer.


Is 40 Too Old To Get a Boob Job?

Not at all. We see many women in their 40s for breast augmentation, especially those who have lost breast volume after having children. Many revision breast surgery patients are significantly older. As long as the patient’s health is good then surgery is an option.

Surgical Team

Are You Ready for a Consultation?

Our breast augmentation specialists attract patients from the Denver metro area and beyond. Our reputation for impeccable results and outstanding patient care extends throughout the Mountain West region. See for yourself what sets us apart. Request a consultation using our online form or call (303) 278-2600 for an appointment.

Request A Consultation

A Reputation Built on Results

I am four months post-op from my facelift, platysmaplasty, and lip lift performed by Dr. Andrew Wolfe. The process was seamless, from the initial consult through my follow-up appointments. I admire Dr....
Dr Vath is truly a one of a kind surgeon! My Mommy Makeover results have been life changing. I finally feel like myself again which is such a gift. My entire experience from the initial consultation to...
I honestly have no words for how happy I am with my entire experience with The Center for Cosmetic Surgery. Dr. Wolfe has exceptional attention to detail and because of that, my results are flawless.I...
Great experience! The staff are very caring and friendly. Dr. Freeman did an excellent job. I’m very happy with my results. Highly recommend!

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