Breast Augmentation

Breast augmentation by Dr. David Hill MD using saline, silicone, or Motiva implants. $5,400–$9,500. One to two hour procedure under general anaesthesia. Multiple incision sites and implant positions available. Recovery: light activity in one week, full exercise at six weeks. Natural-looking, long-lasting results with implant warranties.

Fulcrum Aesthetics offers breast augmentation performed by Dr. David Hill MD, with Motiva implants available alongside traditional saline and silicone options. Breast augmentation is one of the most performed plastic surgery procedures in the United States, and the results are highly dependent on the surgeon's ability to create a precise pocket, select the appropriate implant, and achieve symmetry — all areas where fellowship training and surgical volume make a significant difference. Dr. Hill performs comprehensive preoperative consultations including 3D imaging to visualise potential outcomes before the surgical plan is finalised. Implant selection covers three material options: saline implants (filled with sterile saline at the time of surgery, adjustable volume, easy rupture detection); traditional silicone gel implants (more natural feel than saline, available in round and shaped profiles); and Motiva implants (Establishment Labs, Costa Rica) — a premium implant line with a nano-textured surface and SmoothSilk technology that aims to reduce capsular contracture risk, available in the MotivaImagine round and ERGONOMIX anatomically adaptive profiles. Incision sites offered include inframammary fold (under the breast crease, most common and provides the most direct pocket control), periareolar (around the lower edge of the areola), and transaxillary (through the armpit). Implant placement options include subglandular (above the pectoral muscle), subfascial, and subpectoral (under the pectoral muscle). Surgery takes one to two hours under general anaesthesia. Recovery includes light activity at one week, return to work for desk jobs at one to two weeks, and full exercise and upper-body lifting at six weeks. Pricing ranges from $5,400 to $9,500.