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Breast Augmentation

Board-certified plastic surgeon Garrett Wirth, MD, MS, FACS has extensive experience with the breast augmentation procedure, having performed breast enlargements using state-of-the-art surgical techniques that provide excellent, predictable results, for years and years. 

His innovative techniques and his proprietary “24-hour breast augmentation recovery program” make this procedure one of our most popular, with a decreased utilization of pain medications, earlier mobilization, and higher degree of patient satisfaction. Reach out and set up your consultation today, and learn more about how a breast augmentation in Newport Beach with Dr. Wirth can change your life for the better!

Wirth Aesthetic Plastic Surgery

Am I a Good Candidate for Breast Augmentation?

There are very few contraindications that would completely restrict an individual from receiving breast implants, and Dr. Wirth will work closely with you to determine if breast augmentation is the right treatment for you. You’re more than likely a great candidate for this procedure if you:

  • Are in good health
  • Aren’t pregnant or breastfeeding
  • Have breasts that have been fully developed
  • Have realistic expectations of the result
  • Would like larger breasts
  • Have breasts that do not match in size, shape, or volume
  • Have breasts that are not in proportion to the body
  • Have lost breast volume following weight loss or pregnancy

Breast Augmentation FAQ

How much does breast augmentation cost?

The cost of breast augmentation at Wirth Plastic Surgery can vary, but generally stays in the range of $8,500 - $10,000.

How do I choose the best implant size?

Breast implants are measured in cc’s (cubic centimeters), rather than in bra cup size. Generally, you can increase your breasts one cup size with every 175 to 200 ccs. To select the breast implants that will look the most natural on your frame, it is necessary to measure the width of your natural breast, the size of your ribcage, and the amount of natural breast tissue you have. Dr. Wirth will listen closely to your goals, and design your procedure around them.

What are breast implant profiles?

Breast implants come in three profiles, which indicate the level of projection of the breast when standing: low, moderate, and high profile. Choosing the right level of projection is an important point in how happy you will be with your results. All these issues will be fully discussed with you in planning your enhancement. Dr. Wirth never rushes the process – his goal is to bring you greater confidence and happiness after your augmentation.

What are my options for breast implant placement?

There are two primary options for implant placement: submuscular and subglandular. Subglandular placement involves placing the implants beneath your natural breast tissue, above the pectoral muscle, and is often associated with shorter recovery times and more lift. For further lift, a breast augmentation with lift might be desired.

Submuscular incisions involve placing the implant beneath the pectoral muscle. This reduces the risk of capsular contracture and can appear more natural, as the muscle tissue conceals the shape of the implant. The disruption of the muscle tissue leads to a slightly longer recovery time but is often appropriate for women with limited natural breast tissue.

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How Does the Breast Augmentation Procedure Work?

When your breast augmentation begins, you’ll be given anesthesia to help reduce pain and discomfort. Dr. Wirth will then make the necessary incisions, with the exact locations depending largely on your body type and your unique needs. Dr. Wirth always makes incisions strategically and makes every effort at reducing the visibility of post-operative scars.

The implants will be placed into a pocket created either on top of or partially beneath the pectoral muscle. Breast implants are usually either silicone or saline, and this is an important choice that you and Dr. Wirth will make. After the implants are surgically placed, all incisions are sutured.

Types of Implants: What Are My Choices?

There are more sizes, shapes, and levels of projection than ever. During your consultation, Garrett Wirth, MD, MS, FACS will help you pick from the following standard implant types.


Saline implants are a silicone shell filled with saline solution. They require a smaller incision as they are filled after being placed. The drawback is that they feel slightly less natural than silicone. In some cases, they can be placed through an incision in the armpit (transaxillary) to avoid visible scars.


The most popular type of implants are silicone, as the silicone gel within the implant closely mimics the weight, bounce, and feel of natural breast tissue. These implants are pre-filled, and the most common incision is in the breast crease. The scar will be hidden by the breast once healed, and fades to being almost invisible over time.

Gummy Bear

Also called “form stable” or “anatomical implants,” these implants were developed to be similar in shape to natural breasts, in a teardrop shape. The gel within is form stable so the implants keep their shape. They have less volume at the top of the implant. Similar results can often be produced with round implants.


Textured implants have recently been recalled by the FDA, so they are not available. It has been discovered that there is a slightly higher risk of developing BIA-ACLC (breast implant-associated anaplastic large cell lymphoma). If you have textured implants and want them removed and replaced, Dr. Wirth can help. If you have no symptoms, there is no reason to remove textured implants, unless you choose to for your own peace of mind.

What are the Different Incision Types for Breast Augmentation?

Smaller incisions are needed for many styles of saline implants, as these implants can be filled with the saline fluid after it is placed in the surgical “pocket.”

Dr. Wirth will help you evaluate your options for incisions based on the size and type of breast implant to achieve your vision for your breasts.

Several types of incisions are possible in a breast augmentation procedure. They include:

  • Inframammary, an incision is placed in the breast fold
  • Peri-areolar, a circular incision around the areola
  • Axillary, in the armpit – used only for saline implants

Why Should I See Dr. Wirth?

Breast augmentation is a procedure that requires the skilled touch of an experienced surgeon who understands the balance between implant size, type, and placement. Striking the optimal balance will allow your breasts to look and feel natural, flattering your figure.

Garrett Wirth, MD, MS, FACS is a knowledgeable, skilled surgeon who utilizes industry-leading techniques and brings a keen artistic eye to each and every procedure. You can rely on Wirth Plastic Surgery for arguably the best breast augmentation Newport Beach has to offer.

Wirth Aesthetic Plastic Surgery

Breast Augmentation Recovery

Upon successful completion of the breast augmentation operation, and as the anesthesia begins to wane, you will likely experience light to moderate drowsiness and soreness in the treatment area. You’ll want to have a friend or family member there to drive you home. In the days following the procedure, postoperative pain and soreness are easily managed with pain medication, but you’ll need to avoid strenuous or rapid motions, exercise of any kind, and any bending or leaning over. You’ll likely be able to return to work within seven to 10 days of the procedure, however many will find this possible in two to three days, with Dr. Wirth’s suggested recovery plan and techniques.

What is the 24-Hour Breast Augmentation Recovery Program?

The “24-Hour Breast Augmentation Recovery Plan” has been a successful option for Dr. Wirth’s patients over the past several years. It is based on core, scientifically proven principles that help to make the procedure safer and improve surgical quality.

This, combined with our meticulous attention to detail, mean that we are able to reduce narcotic pain medications, improve your post-operative recovery and lifestyle, and help you to achieve your goals more quickly.

Dr. Wirth’s 24-Hour Breast Augmentation Recovery Plan focuses on the following points:

  • Reduce narcotic pain medications
  • Recovery- back to work in 2-3 days
  • Ability to shower and go out to dinner the same night of surgery
  • No confining post-operative bras

This is done first and foremost through a comprehensive and detailed consultation and discussion. It is about understanding your goals first in providing verbal and written educational materials to make sure you and Dr. Wirth are aligned as a high-quality team going forward in the process. The consultation will involve a series of measurements and preoperative planning as well. With his extensive experience in surgical care, Dr. Wirth is then able to balance safety, comfort, and care to maximize results while minimizing the need for drugs during and after the procedure.

During the surgery, Garrett Wirth, MD, MS, FACS will utilize his precise surgical skill in a technique called “prospective hemostasis” to create a breast implant pocket. This technique has been demonstrated to prevent a great deal of the bleeding that would have normally occurred with older methods, potentially decreasing your rate of complications such as hematoma or capsular contracture. It also decreases the post-operative swelling of the tissues due to minimized trauma and reduces discomfort or the need for medications during recovery.

Specialized Postoperative Care

We also continue our specialized care after your breast surgery. The very dramatic improvements in recovery and high-quality patient outcomes have been demonstrated time and again over the past several years with Dr. Wirth and his “24-Hour Breast Augmentation Recovery Plan.”

You will be provided and expected to follow the plan during your recovery process, but this should allow you to shower and even go out to dinner the night of your breast augmentation! You will be expected to wear a bandeau (a small elastic strap around the top of your breasts) all the time except for showers for the first three weeks, but no confining post-operative bras are generally utilized by Garrett Wirth, MD, MS, FACS after his Newport Beach breast augmentation.

When Can I Enjoy My Results?

In terms of shape, size, and volume, you will see the results of your breast enlargement immediately after the procedure. As the swelling and redness associated with the incisions subside, your breasts will return to their usual color and skin tone. You will then realize the results: a larger and more voluptuous breast size. If you’re in Newport Beach or the surrounding areas, and you think breast augmentation might be the right choice for you, reach out and set up your consultation today!

What Our Patients Are Saying

Dr. Wirth is a great doctor. He answered all my questions and concerns. He has a good bedside manner which made me feel safe under his care. He followed up with me after my procedure to make sure everything was going good and made sure I was happy with my results. His staff is amazing as well. They are very caring and they helped me throughout the whole process. I recommend Dr. Wirth to anyone looking to have any cosmetic procedures done. He will make you feel amazing when he's done with you.


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