Breast
Breast Augmentation in Austin, TX | Implants & Fat Transfer
Get natural-looking breast augmentation results in Austin. Silicone, saline, or fat transfer options. Board-certified surgeon, 4.8-star rating. Book your consultation today.
Recovery Time
Discussed at consultation
Surgeon
Dr. Rocco Piazza II, ABPS
Location
Austin, TX
Financing
Cherry, CareCredit & PatientFi →Overview
Breast Augmentation: Tailored Excellence With Dr. Piazza
Women consider breast augmentation for many different reasons. Changes from pregnancy, breastfeeding, weight loss, fitness, or simply time can alter the shape and volume of the breasts. For others, the goal is subtle enhancement, improved symmetry, or restoration rather than dramatic change.
Dr. Rocco Piazza understands that every woman’s journey is personal. That’s why he specializes in modern breast augmentation using Breast Tissue Preservation techniques — an approach designed to enhance the breast while protecting its native anatomy, sensation, and long-term support structures. Rather than relying on older, more invasive methods, Dr. Piazza uses a preservation-first philosophy that minimizes tissue disruption, respects natural ligamentous support, and integrates advanced implant technology to create results that look natural, feel soft, and age gracefully with the body.
Breast augmentation is the most commonly requested procedure at The Piazza Center. Patients seek out Dr. Piazza not only for his technical expertise, but for his thoughtful, individualized approach and consistent ability to deliver refined, personalized results.
Book Your Personalized ConsultationAt a Glance
Breast Augmentation at a Glance
Goal & Procedure
Increase breast size and enhance shape with Motiva® Ergonomix Smoothsilk® progressive gel or Natrelle INSPIRA® SoftTouch smooth, round, silicone gel implants. A small incision is placed within the inframammary fold, preserving surrounding tissue planes for optimal healing and scar concealment.
Implants are placed using a sterile no-touch insertion method, reducing tissue trauma and bacterial exposure — central to Dr. Piazza’s preservation-first approach.
Anesthesia & Length
General anesthesia is applied via a laryngeal mask airway (LMA) for a smooth surgical experience.
Procedure Length
Less than 1 hour
Setting
Outpatient
Timeline
- Day 3–4: Return to work and social activities
- Day 5–7: Dressing removal
- 2–3 weeks: Return to gym, slowly increasing weight lifting
- 6 weeks: ~80% healed, no restrictions
- 3 months: Fully healed
Recovery & Aftercare
- Chest pressure or tightness managed with acetaminophen and ibuprofen
- Incisions closed in dissolvable sutures, covered with Steri-Strip™ and Tegaderm™ dressing
- Showering typically allowed the day after surgery
- Most patients return to work the next day; bruising is uncommon
The Piazza Center Difference
Why patients choose
Dr. Piazza.
Dr. Piazza has been named the Top Breast Augmentation Provider in Austin and San Antonio — recognized for a preservation-first surgical philosophy that consistently delivers natural, comfortable results.
- 01
Tissue Preservation
Early adopter of Breast Tissue Preservation (BTP) and the Preservé Motiva Technique, protecting native anatomy and sensation.
- 02
Less Invasive
A less invasive surgical approach means shorter downtime and faster recovery.
- 03
Minimal Discomfort
Discomfort is typically mild and easily managed with Tylenol or ibuprofen as needed.
- 04
Little to No Bruising
Breast augmentation patients experience little to no bruising after surgery.
- 05
Quick Recovery
Patients can return to work the next day thanks to a less invasive technique.
- 06
Top-Rated Provider
Named the Top Breast Augmentation Provider in Austin and San Antonio.
Motiva
Ergonomix®.
Standard implants stay round whether you are standing or lying down. Dr. Piazza utilizes Motiva Ergonomix® because they are designed to mimic the movement of natural breast tissue. Using advanced “ProgressiveGel,” these implants shift their center of gravity based on your position — providing a full look when lying down and a natural teardrop shape when standing. Dr. Piazza is one of three plastic surgeons leading the Austin thought-leadership pilot program for Motiva Implants, manufactured by Establishment Labs. In 2024, Motiva Smoothsilk® Round and Ergonomix® Silicone Gel Breast Implants received FDA approval for aesthetic use.
- FDA-Approved 2024
- ProgressiveGel Technology
- Austin Pilot Program
Motiva Round vs. Ergonomix
Two Motiva SmoothSilk® Options
Motiva SmoothSilk® Round maintains fullness of the upper breast while standing or lying down, with a stable, soft feel.
Motiva SmoothSilk® Ergonomix adapts shape as the body changes position — round while lying down, a natural teardrop shape while standing.
Your Breast Augmentation
Consultation.
Dr. Piazza believes that exceptional breast augmentation results begin with thoughtful, data-driven planning and a deep understanding of each patient’s anatomy and goals. During your private consultation, you’ll discuss what has led you to consider breast augmentation and how you want your results to look, feel, and integrate with your lifestyle.
A key part of this process is Crisalix 3D imaging technology. This advanced system allows Dr. Piazza to evaluate your breast volume, chest wall shape, rib cage, and overall torso proportions in three dimensions — rather than relying on cup sizes or estimates — to see how different implant options may interact with your unique anatomy.
Using this information, Dr. Piazza develops a customized treatment plan that aligns implant selection, placement, and modern tissue-preserving technique with your body’s natural structure — supporting more predictable, natural-looking results and faster recovery.
Schedule a Consultation
Augmentation, lift,
or fat transfer?
Surgery Day
An Exceptional Anesthesia Experience
Breast augmentation is performed as an outpatient procedure in a fully accredited ambulatory surgery center near The Piazza Center, typically using twilight anesthesia (IV sedation) rather than full general anesthesia — supporting a faster, more comfortable recovery. Since 2013, Dr. Piazza has worked exclusively with the same board-certified anesthesiologists, Dr. Melissa Cady and Dr. Holly Helms, ensuring consistency and safety throughout your care. Your anesthesiologist meets with you before surgery to review your medical history and build a personalized anesthesia plan.
Active Augmentation
Dr. Piazza designed a specialized breast augmentation procedure called the Active Augmentation for women who are very active and want to reduce the downtime required by traditional breast augmentation surgery.
Galaflex & Strattice
Strattice is an FDA-approved regenerative tissue matrix that supports implants and helps reduce the recurrence of capsular contracture. Galaflex acts as an “internal bra,” strengthening weak tissue and correcting implant malposition. Dr. Piazza is one of the top surgeons using Galaflex in the Austin and San Antonio area.
Investment
Cost & financing.
Every breast augmentation at The Piazza Center is personalized, with individualized treatment plans based on your anatomy, aesthetic goals, and modern Breast Tissue Preservation technique. Because this approach preserves native tissue and avoids unnecessary muscle disruption, recovery time is significantly shorter than traditional breast augmentation. After your consultation, you’ll receive a clear, detailed cost breakdown for your customized plan. Dr. Piazza follows his breast augmentation patients for the lifetime of their implants. Flexible financing is available through CareCredit®, PatientFi, and Cherry.
What to Expect
Your recovery,
milestone by milestone.
- 01
Day 6
Incision dressings are removed and Dr. Piazza answers your initial questions.
- 02
3 Weeks
Incision healing is assessed and Dr. Piazza’s scar protocol begins.
- 03
3 Months
Comfort and progress are evaluated, with release for full activities assessed.
- 04
6 Months & Beyond
Celebrate your results with photos. Dr. Piazza invites all breast implant patients back for a yearly follow-up exam at no cost, for life.
Good to Know
Nipple Sensitivity After Breast Augmentation
It’s common to experience changes in nipple sensitivity following breast augmentation. Some patients notice increased sensitivity, while others experience temporary numbness or tingling. These changes are typically due to nerve adjustments during surgery and are often temporary, with sensation gradually returning over the weeks and months that follow.
Dr. Piazza uses advanced surgical techniques and a careful, personalized approach to minimize nerve disruption whenever possible. During your consultation, he’ll talk through what to expect based on your unique anatomy, implant placement, and incision type.
Results
Your Breast Augmentation Results
Dr. Piazza creates detailed surgical guides to ensure minimal trauma and procedure time, so patients can enjoy their results almost immediately. Typically, patients report minor soreness and are able to return to daily activities within a few days. Minimal bruising rarely occurs, and the vast majority of patients take only over-the-counter pain medication.
We’re confident that your beautiful results will be what you remember most. After your breast augmentation in Austin, Dr. Piazza will be with you through every step of recovery and will celebrate with you as your body fully heals.
I wish I could give 10 stars, because Dr. P is that amazing. He is a perfectionist and his expertise is superior. … His entire staff is kind, caring, warm, respectful and knowledgeable.
Jean T., Yelp Review
Rocco C.
Piazza II
Dr. Rocco Piazza is a board-certified plastic surgeon in Austin, TX, and the Top Breast Augmentation Provider in Austin and San Antonio — an early adopter of Breast Tissue Preservation and the Preservé Motiva Technique. With a lifelong passion for aesthetic surgery, he is dedicated to helping each patient achieve their ideal look while promoting a holistic approach to overall health and wellness.
At The Piazza Center, Dr. Piazza prioritizes exceptional patient care and results, creating lasting relationships with his clients — including a lifetime of annual breast health exams for his implant patients.
- Board Certified in Plastic Surgery by the American Board of Plastic Surgery
- M.D., Alpha Omega Alpha, University of Texas Medical Branch, Galveston, Texas
- Recognized as a Top Doctor on RealSelf
- Recipient of the Doctor’s Choice Award for Plastic Surgery
- Published author with significant contributions to the field of plastic surgery literature
Rocco C. Piazza II — MD, FACS · Founder, The Piazza Center
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FAQ
Frequently Asked Questions.
Still have questions specific to your body and goals? Dr. Piazza addresses them one-on-one during your private consultation.
Schedule a Consultation →Yes, breast augmentation can affect nipple sensitivity. Some women experience increased sensitivity, while others may have decreased or even lost sensation. Most patients regain normal sensation within a few months.
Yes, many women can still breastfeed after breast augmentation. However, it depends on factors like the surgical technique used, the location of the incision, and whether milk ducts or nerves were affected.
Breast implants are placed within the breasts during breast augmentation surgery. Many people incorrectly use these terms interchangeably.
While breast implants are not meant to last a lifetime, they do not have a specific expiration date. In the past, the FDA recommended replacing implants every 10 years; today, many women have had their implants for more than 20 years.
Women who want a modest increase in breast volume without breast implants might consider fat transfer breast augmentation, using liposuction and the REVOLVE fat transfer system to inject purified fat into the breasts.
Yes. Dr. Piazza frequently combines techniques to correct asymmetry or reduce excess skin while creating fuller, shapelier breasts with implants, often pairing a breast lift with augmentation.
Yes. Dr. Piazza often enhances final results by performing nipple correction surgery to reshape stretched, enlarged, or inverted nipples.
Yes. Combining breast augmentation with liposuction and tummy tuck surgery — commonly known as a mommy makeover — is a popular option for women addressing multiple cosmetic concerns at once.
Breast
Real Results,
Real Patients.
Every photo in our gallery is shown with documented patient consent — see the transformations Dr. Piazza's patients have achieved before scheduling your own consultation.
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This gallery contains nudity. Click OK to confirm you are at least 18 years of age and are not offended by this material.
Photos shown with documented patient consent. Individual results vary.
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Schedule Your Consultation
with Dr. Piazza
Every patient deserves individualized care. Meet with Dr. Piazza to discuss your specific goals and develop a plan tailored to you.