Breast Augmentation

Breast augmentation with saline or silicone implants by Dr. James M. Nachbar, MD, FACS at Scottsdale Plastic Surgery. All-inclusive published prices: $7,700 for saline, $8,900 for silicone. Combined breast lift with augmentation available at $14,300 (saline) or $15,500 (silicone). Dr. Nachbar was the first surgeon in Arizona to offer 3-D breast surgery simulation. Performed in a certified facility in Scottsdale, AZ.

Breast augmentation at Scottsdale Plastic Surgery is performed by Dr. James M. Nachbar, a double board-certified plastic surgeon who in June 2008 became the first surgeon in Arizona to introduce 3-D Breast Surgery Simulation — an imaging technology that allows patients to visualise projected outcomes across different implant sizes, profiles, and shapes before making their implant selection in consultation. This pre-operative simulation tool is still offered at the practice and represents a significant aid to shared decision-making in a procedure where implant choice is highly individualized and subjective. Dr. Nachbar offers both saline-filled and silicone gel-filled implants. Saline implants are filled with sterile salt water after placement and offer an adjustable fill volume that can fine-tune symmetry; silicone implants are pre-filled with cohesive gel that mimics the feel of natural breast tissue more closely and are the most widely selected option. Implant placement (subglandular or submuscular) and incision approach (inframammary fold, periareolar, or transaxillary) are selected in consultation based on the patient's existing anatomy, breast tissue coverage, lifestyle, and goals. For patients with concurrent ptosis (sagging) alongside volume loss, the combined breast lift with augmentation (augmentation mastopexy) is available — a more complex procedure that simultaneously restores volume and elevates the breast mound. The practice's all-inclusive published prices provide clear pre-consultation reference points: saline augmentation at $7,700, silicone augmentation at $8,900, lift with saline at $14,300, and lift with silicone at $15,500 — each covering surgeon's fee, anaesthesia, and facility costs. Recovery from augmentation alone typically involves restricted upper-body activity for two to three weeks with most patients returning to desk work within one week.