Breast Augmentation

Breast augmentation, also known as augmentation mammaplasty, enhances the size and shape of the breasts for a more proportioned, attractive figure. The insertion of implants can increase the size of naturally small breasts, correct breast asymmetry, or improve breasts that have lost volume due to pregnancy, weight loss, or aging.

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Dr. David E. Marcus combines his technical skills with an artistic approach, producing results completely customized according to the needs, goals, and body type of the patient.

Thinking about having breast augmentation?


Breast augmentation comes with a variety of options to produce the shape, size, projection, and cleavage you desire. You won’t have to go to great lengths and wear bras with extra “push up” and tight shirts anymore to get the cleavage you’ve always wanted. Your customized breast augmentation procedure will give you the cleavage you desire or breasts that can easily attain that cleavage when you want it.


After breast augmentation, you won’t have to worry about finding the right bra to go with every dress; you can even go without a bra if you want to! And, you’ll look better in a variety of clothing, so you’ll have more options when it comes to shopping. No more going through outfit after outfit to find something to wear; your figure will look great in just about everything.


Pregnancy and breastfeeding can take a major toll on the volume and firmness of the breasts. Breast augmentation with implants can restore their fullness while improving their shape and feel.


Dr. Marcus has found that the single most common side effect of breast augmentation is increased self-confidence. Small, asymmetrical, or deflated breasts may cause you to have a negative self-image that detracts from a sense of confidence. Breast augmentation can give you breasts that help you feel sexy and confident, which can improve more aspects of your life than you’d believe.

Your Breast Augmentation Options

Dr. Marcus will evaluate your natural body type and breast shape to discuss the best options to achieve your breast enhancement goals. Dr. Marcus and his experienced staff will assist you in finding just the right implants for your desired look.


  • Round implants create more evident, voluminous breasts with a firmer feel.
  • Higher profile implants - whether saline or silicone - have a smaller diameter and create more projection.
  • This breast implant type is more obviously augmented with greater projection.
  • Ideal for patients who want accentuated cleavage and less breast movement when not wearing a bra.


  • Anatomically-shaped implants more closely resemble the look of natural breast tissue.
  • The profile of the implant is chosen to suit the patient’s frame.
  • This breast type has a pleasing shape and size but looks and feels as if it could be natural.
  • Ideal for patients who want enhancement but without everyone knowing they have undergone breast augmentation.

Now Offering

  • Youthful shape and natural feel
  • Filled with saline, that is safely absorbed by the body if ruptured
  • No sticky silicone gel from ruptured implants in surrounding tissues
  • No silent rupture—you will always know that your implants are intact
  • Lower rupture rate and higher rupture strength
  • Requires a smaller incision than silicone gel implants
  • No costly MRIs needed to detect silicone gel rupture

After Your Augmentation

After your breast augmentation surgery, it is important to follow your surgeon’s postoperative instructions to ensure the safest and most efficient recovery possible. In addition to the guidelines below, Dr. Marcus will give you specific aftercare directions to follow.

Immediately After

Your breasts will be wrapped in a bandage and compression garment. Swelling and bruising will be present. You should arrange for someone to drive you home after surgery and stay with you for at least the first night. Medication will be prescribed to control any pain or discomfort that should subside in a day or two.

1 Week After

You can return to work as long as you are healing well. Avoid strenuous activities and exercise.

2 Weeks After

Continue to avoid strenuous activities, such as heavy lifting, pushing, and pulling. Sutures will dissolve and do not require removal.

3 Weeks After

You can resume most normal activities with your surgeon’s approval. Scarring is minimal and will be barely noticeable over time.

Breast Augmentation Patients

  • This 22 year old Santa Rosa Breast Augmentation patient was unhappy with her small breasts. She is 5' 2" - 104lbs and wore a 32A bra. She was looking for a quick, more pain-free surgery so we placed her saline implants over her muscle, just under the breast tissue itself. We used periareolar incisions to place 300cc textured style 468 saline implants filled to 315cc bilaterally. She is thrilled with her new shape and now wears a 34C bra.

  • This 34 year old mother of two presented to our office in Santa Rosa, Ca with an interest in returning volume to her breasts. She was hoping for a full C. At the time she was 5’3″ – 133 lbs. and wore a 34B bra. 400cc high profile textured silicone gel implants were placed under her pectoralis muscle. This patient was very pleased with her new size and shape. She is now a full C or small D depending on the bra.

  • This 26 year old woman of Southeast Asian decent presented to our Santa Rosa Plastic Surgery office and Surgery Center for breast enlargement. She is 5′ 0″ and 100 lbs. She wore a 32A bra. She felt that she “looked like a boy” and was very self- conscious of her small breasts. This patient was very concerned about a breast scar. We chose to do her breast enlargement surgery through the belly button, a transumbillical approach. 270cc smooth round saline implants were chosen and filled to 300cc. She is obviously very pleased with her new 32C breast size and has referred many of her friends.

  • This 44 year old woman from Kenwood, CA presented to our Sonoma County Cosmetic Surgery Center looking to enhance the fullness in her breasts. She had outpatient surgery in our private operating suite where we used periareolar incisions to place textured, anatomic shaped saline implants under her pectoralis muscle. We used 300cc style 468 implants filled to 315cc. She is very pleased with her new breasts and now wears a 36C bra.

Frequently Asked Questions

Local anesthesia with sedation or general anesthesia can be used for breast augmentation at our cosmetic surgery center.

The length of a breast augmentation procedure varies depending on the technique used and a variety of other factors, but it generally takes anywhere from one to one and a half hours to complete.

You will need one week of downtime for recovery, although most patients can resume driving after four days.

The total cost of breast augmentation will vary widely based on many factors, including the surgeon’s fee, anesthesia fee, facility cost, and prescribed medications. The standard fee for the total cost of a breast augmentation with silicone implants is $7,100.

We Want To Hear From You!

While our ancillary providers are still accepting patients for consults and treatments, please note that Dr. Marcus is no longer taking consult requests.
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