Breast Augmentation

Breast augmentation at Pacific Plastic Surgery Group in San Francisco offers silicone cohesive gel, saline, and Ideal implants in anatomic or round shapes. Dr. Edward P. Miranda (MD, FACS, ASPS member) tailors the implant selection and incision placement — periareolar, inframammary, transaxillary, or transumbilical — to each patient's anatomy and goals. Procedures take approximately two to three hours. Incisions heal in one to two weeks; full recovery takes approximately two months.

Breast augmentation at Pacific Plastic Surgery Group is performed by Dr. Edward P. Miranda, a board-certified plastic surgeon who is a member of both the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) — the two national credentialing bodies for aesthetic breast surgery in the United States. The clinic offers the full range of implant options: silicone cohesive gel implants, which produce a natural feel and hold their shape if the implant shell is compromised; saline implants, which are filled during placement and can be fine-tuned for volume and are the easiest to detect if they deflate; and Ideal implants, a structured saline device designed to feel more natural than traditional saline while being detectable on simple mammography without MRI. Implant shape options include round implants (which provide upper pole fullness particularly when the patient is upright) and anatomic (teardrop) implants, which distribute volume in a more naturally sloping pattern. Dr. Miranda offers four incision locations: periareolar (around the areola border), inframammary (in the natural crease under the breast, providing direct access and the most common approach), transaxillary (through the armpit, leaving no scar on the breast itself), and transumbilical (through the navel, used only with saline implants). Implant placement may be subglandular (above the muscle) or subpectoral (beneath the pectoralis major muscle, providing additional soft tissue coverage for slimmer patients). The procedure takes approximately two to three hours and is performed as same-day surgery. Incisions heal within one to two weeks; most patients return to non-strenuous work in approximately one week. Strenuous activity and heavy lifting are restricted for approximately two months. Long-term implant monitoring follows ASPS guidelines.