Breast Augmentation in Newport Beach

Yes. Garrett Wirth, MD, MS, FACS is a board-certified plastic surgeon and Diplomate of the American Board of Plastic Surgery (ABPS), the certifying body recognized by the American Board of Medical Specialties for plastic surgery. He holds a Master's degree in Physiology and Cell Biology, earned his MD from Albany Medical College, and completed his plastic surgery training at UC Irvine Medical Center, where he now serves as a Professor of Plastic Surgery. He is a member of ASPS, ASAPS, and ISAPS, and has published peer-reviewed research on breast surgery outcomes.

Silicone implants are pre-filled with a soft, cohesive gel that feels and moves like natural breast tissue and require a slightly larger incision. Gummy bear implants are a firmer, more cohesive type of silicone implant that hold a natural teardrop shape with a lower risk of rupture or wrinkling. Saline implants are inserted empty through a smaller incision and filled with sterile saltwater; they're more affordable and FDA-approved from age 18, versus 21 for silicone, but feel firmer and less natural. If a saline implant ruptures it's immediately noticeable as it deflates, while a silicone rupture can be silent and may require an MRI to detect.

During your consultation, Dr. Wirth takes three key measurements — chest width, breast base width, and your existing breast tissue volume — to narrow down an appropriate size and profile range for your frame. You'll then try on implant sizers to see and feel different volumes on your own body before deciding. As a general guide, 150–200cc typically produces a half-to-full cup size increase, 250–350cc a full-to-one-and-a-half cup size increase, and 350cc or more can add two or more cup sizes, though results vary by body frame and starting tissue.

It depends on where your nipple sits relative to your breast crease. If your breasts have lost fullness but haven't started to sag, augmentation alone (implants or fat transfer) can restore volume without changing the breast's position. If your nipple sits at or below the breast crease when unsupported, a lift is typically recommended alongside augmentation, since added volume alone cannot correct stretched, sagging skin — only a lift repositions the tissue.

Pricing depends on your implant choice, technique, and treatment plan, so an exact quote is provided during your private consultation. The estimate covers the surgeon's fee, facility and anesthesia costs, and follow-up care. For patients who want to spread out payments, Wirth Plastic Surgery works with CareCredit and ALPHAEON Credit, both of which offer monthly payment plans, and our coordinators can help you apply and choose the option that fits your budget.

Most breast implants last 10 years or longer, but they are not considered lifetime devices. Some patients keep the same implants for well over a decade with no issues, while others choose to replace or exchange them sooner due to changes in their body, a rupture, or a desire for a different size or type. Dr. Wirth recommends ongoing follow-up so any changes in shape, firmness, or symmetry can be evaluated early.

Yes to both. Breast implants do not prevent mammograms, though you'll want to tell your imaging center you have implants so they can use techniques suited to detecting issues around them. Breastfeeding is also possible for most patients after augmentation, particularly with certain incision and placement choices; if breastfeeding is a priority for you, discuss it with Dr. Wirth during your consultation so your surgical plan can be tailored accordingly.