Conveniently located to serve St. Louis
Whether you have lost breast volume after pregnancy, have always wanted a fuller shape, or simply want your figure to feel more balanced, breast augmentation at Chesterfield Plastic Surgery can help enhance your breast size, shape, and overall appearance.
At our practice in Chesterfield, MO, Dr. Scott Geiger and Dr. John Hulsen provide personalized breast augmentation surgery, focusing on patient education, safety, natural-appearing results, and a positive surgical experience.
During your consultation, your surgeon will review your goals, assess your anatomy, discuss any significant changes to your breasts, and walk you through implant shapes, styles, sizes, projections, and placement options. You will have the opportunity to examine and feel current implant options and use our silicone implant sizing system to help decide what looks best for your body.
Breast augmentation, sometimes called breast enlargement or breast enhancement, is a surgical procedure designed to increase breast volume and improve breast shape, fullness, and proportion.
Most procedures are performed with saline or silicone breast implants. Some patients who want a more modest volume enhancement may also ask about breast fat grafting.
Breast augmentation is different from a breast lift. Implants add volume, while a lift improves breast position and sagging. Patients who want both added volume and a lifted breast shape may be candidates for augmentation mastopexy.
Breast augmentation may help patients who want to:
Choosing the right breast augmentation surgeon is one of the most important decisions you will make. At Chesterfield Plastic Surgery, patients are cared for by experienced plastic surgeons who are known in the St. Louis area for thoughtful planning, patient education, safety, and natural-appearing results.
Dr. Scott Geiger is a board-certified plastic surgeon in St. Louis and Chief of the Division of Plastic Surgery at St. Luke’s Hospital. He emphasizes aesthetic and reconstructive breast surgery, body contouring, facial aesthetic surgery, and cancer reconstruction.
Dr. John Hulsen is a Harvard fellowship-trained plastic surgeon specializing in aesthetic and reconstructive surgery of the face, breast, and body, with a strong passion for breast surgery and body contouring.
All surgeries are performed at St. Luke’s in fully accredited operating rooms. This allows Chesterfield Plastic Surgery to provide a safe, comfortable, and highly personalized surgical experience from consultation through recovery.
Breast augmentation is typically an outpatient procedure with a relatively short surgical time and a guided recovery.
Before-and-after photos are an important part of the breast augmentation decision process. They can help you understand your surgeon’s aesthetic style, see how different implant sizes and shapes may look, and compare results on patients with body types similar to yours.
During your consultation, your surgeon can review examples with you and explain how factors such as breast width, tissue quality, implant projection, incision choice, and implant placement affect the final result.
View Breast Augmentation Before-and-After Photos
Good candidates for breast augmentation are typically healthy adults who want to improve breast volume, shape, or symmetry and have realistic expectations about what breast implants can achieve.
You may be a candidate if you:
Breast augmentation may not be the right procedure on its own if significant sagging is present. In that case, your surgeon may discuss whether breast augmentation with a lift would better match your goals.
Choosing breast implants is an important part of the breast augmentation process. The goal is not simply to choose a cup size, but to select an implant that fits your anatomy, breast tissue, lifestyle, and desired appearance.
At Chesterfield Plastic Surgery, your surgeon will take measurements, assess your breast tissues, and help narrow a range of implant options that may work well for your body. You will also have the opportunity to try on implant sizers in the office using a special silicone sizing system.
Breast implants vary in fill material, shape, style, and projection. Saline implants are filled with sterile saltwater, while silicone implants are pre-filled with cohesive silicone gel and are often chosen by patients who want a softer, more natural feel. Projection refers to how far the implant extends forward from the chest, which can affect overall fullness.
Your surgeon will explain which implant options best fit your goals and anatomy, then guide the final decision based on your measurements, tissue characteristics, and desired result.
Breast augmentation planning includes both the placement of the implant and the incision site. These choices affect the final look, scar location, implant support, and recovery.
Implants may be placed above or below the chest muscle, depending on your anatomy, existing breast tissue, goals, and the surgeon’s recommendation. Patients with less natural breast tissue may benefit from additional coverage, while other patients may have different needs based on their proportions and desired results.
Our surgeons typically prefer a small incision hidden within the fold beneath the breast. This allows direct access underneath the breast tissue while minimizing or avoiding contact between the implant and the breast ducts, which can harbor bacteria.
In some cases, an incision may be placed below or around the areola, especially if a small lift or reduction in areola size is being performed at the same time.
Your surgeon will explain which placement and incision approach is most appropriate for your body during the consultation.
Preparation helps support a smoother surgery and recovery. Smoking and all forms of nicotine should be stopped 2–4 weeks before breast surgery. This includes e-cigarettes, nicotine patches, and nicotine gum.
Medications and supplements that increase bleeding risk should be stopped 2 weeks before major surgery. Please review our list of medications and supplements to avoid, and always check with your doctor before stopping any prescribed medication.
Breast augmentation is performed under general anesthesia and usually takes about 1 hour. Your surgeon will make a small incision, most often in the fold beneath the breast, then create a precise pocket for the implant using a meticulous technique designed to minimize tissue trauma.
A temporary sizer can be placed to confirm that the selected implant matches your desired look and helps create the best possible symmetry. Once the size and shape are confirmed, the pocket is irrigated with a special antibiotic solution as part of our standard process.
Our surgeons then use a Keller Funnel to gently insert the implant into the surgical pocket. This allows smaller incisions and helps ensure the implant never touches the skin. Once the result looks balanced, your surgeon closes the incision in several layers of absorbable sutures and applies a special skin glue to help protect the area during healing.
Our surgeons believe breast augmentation should be as comfortable as possible, with a smooth and efficient recovery. That is why they use a Rapid Recovery Breast Augmentation process.
Every step of this meticulous technique is designed to minimize trauma to the breast tissue and chest wall, helping reduce pain and bruising. Many patients return to most normal light daily activities within 24 hours.
Patients may also have the option of a pain pump catheter placed within the breast pocket. This bathes the surgical site with numbing medication for up to 3 days, which can help reduce postoperative nausea and decrease the need for pain medication.
Breast augmentation patients return home the same day as surgery. Most women feel sore for a few days but can still eat, shower, bathe, and move around without much difficulty.
As the breast tissue and nerves stretch during augmentation, temporary nipple sensitivity, hypersensitivity, or numbness can occur. Your surgeon may prescribe a muscle relaxant to help you stay comfortable during the early healing period.
Plan to wear your postoperative support bra and/or band at all times except during bathing for the first few weeks, so the implants can heal in the right position.
The cost of breast augmentation varies because the procedure is customized for each patient. Your total price may include the surgeon’s fee, anesthesia, operating room facilities, breast implants, surgical supplies, and other related expenses. Additional testing or imaging may also affect the total.
Factors that can influence breast augmentation cost include:
The best way to understand your breast augmentation cost in St. Louis or Missouri is to schedule a consultation. After your surgeon evaluates your goals and anatomy, our team can provide personalized pricing information and explain the next steps for your procedure estimate.
When choosing a breast augmentation surgeon, look for board certification, breast surgery experience, before-and-after results, safety standards, communication style, and a personalized approach to planning.
Breast augmentation is both a technical procedure and an aesthetic one. Your surgeon should understand implant selection, tissue support, body proportions, incision planning, long-term breast health, and how to achieve a natural result for your frame.
Dr. Scott Geiger and Dr. John Hulsen take time to listen carefully, explain your options, and develop a surgical plan tailored to your anatomy, goals, and safety needs.
Breast augmentation with implants can be performed alone, but some patients may benefit from a different or combined approach. During your consultation at Chesterfield Plastic Surgery, Dr. Scott Geiger or Dr. John Hulsen can help determine whether implants, fat transfer, or breast augmentation with a lift best fits your anatomy and goals.
Breast fat grafting may be an option for patients who want a modest, natural-looking increase in breast volume using their own fat instead of implants. It may also help refine shape or improve small areas of asymmetry.
Augmentation mastopexy combines breast augmentation with a breast lift. This may be recommended when a patient wants more volume but also has sagging, low nipple position, or stretched skin that implants alone may not correct.
Dr. Geiger is the best medical doctor I have met
“Dr. Geiger is the best medical doctor I have met. He exceeded my expectations. Dr. Geiger went above and beyond. My family was so impressed that he gave me his undivided attention. I consider myself and any of his patients blessed to have him as his physician”
Our surgeons prefer to use a small incision hidden within the fold of your breast. This allows direct access underneath the breast tissue while minimizing or avoiding contact between the implant and breast ducts, which can harbor bacteria.
This scar often becomes difficult to see after a few months. Occasionally, an incision may be placed below or around the areola if a small lift or reduction in areola size is performed at the same time.
Implants vary in shell texture, shape, profile, and fill material. Smooth implants are commonly used and move naturally within the breast pocket. Textured or shaped implants may be considered in select cases, but your surgeon will recommend only the options appropriate for your anatomy and goals.
During consultation, your surgeon will explain the pros and cons of each option and help you understand how implant shape and style affect the final result.
Saline implants are filled with sterile saltwater, while silicone implants are filled with cohesive silicone gel. Many patients choose silicone implants because they often feel softer and more natural, especially in patients with less natural breast tissue.
Your surgeon will help you compare the feel, look, incision considerations, and long-term monitoring needs of each option before you decide.
Implant longevity depends on many factors. Generally, the average saline-filled implant lasts 8–13 years, though many last longer. Our surgeons routinely use the latest fifth-generation silicone implants, which are highly cohesive, maintain their shape well, and are anticipated to last 20–30 years.
Breast implants are not lifetime devices, and they may need to be replaced at some point. Your surgeon will continue to see you throughout the life of your implants to evaluate breast health and implant integrity.
Breast implants do not need to be replaced on a fixed schedule if they are intact and you are happy with your results. Replacement may be recommended if an implant ruptures, if capsular contracture develops, if your cosmetic goals change, or if aging, pregnancy, or weight changes alter your results.
Routine follow-up helps monitor your implants over time.
Breast implants do not prevent routine breast cancer screening, but it is important to tell your imaging provider that you have implants before a mammogram. They may use specialized views to evaluate the breast tissue.
Your surgeon can discuss implant safety, screening considerations, and any personal risk factors during your consultation.
Many patients take 3–5 days off work, depending on their job and comfort level. Light daily activity often resumes quickly, but lifting is limited during the first week. Light exercise may resume around 2 weeks, while full activity is usually closer to 6 weeks.
Your surgeon will give you personalized instructions based on your procedure and healing progress.
If you are considering breast augmentation in St. Louis, Chesterfield, or surrounding Missouri communities, Chesterfield Plastic Surgery will take the time to guide you through the entire process.
Your surgeon will help you understand your options, compare implant sizes and styles, review before-and-after results, plan for recovery, and choose an approach that supports your aesthetic goals.
Patients interested in breast augmentation may also want to learn more about:
