Breast Augmentation

In Austin and throughout Texas, women have many different reasons for considering breast augmentation with implants. There are countless life events that can set this exciting new chapter in motion. There are countless life events that can set this exciting new chapter in motion. Top board-certified plastic surgeon Dr. Rocco Piazza recognizes the importance of each woman’s distinct journey, and he truly shares in their excitement and desire for the best possible outcomes. He dedicates himself to consistently creating personalized results, and his patients feel confident that they are choosing a surgeon who is able to address their exact needs.

Women considering cosmetic surgery from New Braunfels, Laredo, Wimberley, Dripping Springs, Kyle, and cities in the Austin area come to see Dr. Piazza for breast augmentation more than any other procedure because they know that his custom approach means that this next step will be one of their best.

We invite you to discover how Dr. Piazza’s passion translates to beautiful, natural-looking results. To learn about your breast augmentation options, request an in-person or virtual consultation online or call The Piazza Center at (512) 288-8200 to speak with a member of our team.

Breast Augmentation
 Before & After Photos


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Your Personal Consultation

Dr. Piazza believes the first step in creating a successful result is getting to know his patient on a personal level. During your private consultation, you’ll have the opportunity to share what motivated you to request information about breast augmentation, as well as explain how you hope the procedure will help you achieve your cosmetic goals.

After this initial discussion, Dr. Piazza will begin to develop a custom plan for your breast enlargement procedure. From a description of the most advanced gummy bear breast implants available, to an explanation of how surgical technique can significantly reduce recovery time, Dr. Piazza empowers patients by openly discussing all relevant aspects of the treatment process.

At The Piazza Center, breast augmentation patients set their own treatment timelines to ensure they feel confident and excited about each choice before moving forward. Your consultation will provide you with the necessary information to make the right decisions for your body, and you can feel assured in trusting a surgeon who places your needs first as you decide upon each factor together.

black and white photo of woman in bra

The Piazza Center Breast Augmentation Difference:

top breast augmentation provide award

Dr. Piazza performs more breast augmentations with gummy bear implants than any other single doctor in the Austin and San Antonio, TX area.*

Dr. Piazza uses more gummy bear breast implants than anyone else in the Austin and San Antonio, TX region.*

Pain is minimal and easily managed. Some plastic surgeons prescribe opioids, but Dr. Piazza prescribes Tylenol or ibuprofen to help manage pain after surgery.

Breast augmentation patients experience no bruising.

There’s no swelling after breast augmentation surgery.

Recovery is quick. Patients can return to work in 3 days.

*Based on data provided by Allergan

Breast Augmentation Cost in Austin

Because Dr. Piazza creates custom treatment plans that incorporate specific choices from a range of breast implants and surgical techniques, the cost of any breast augmentation will vary to reflect the corresponding plan. The price of your highly personalized procedure will depend on the options that best fit your cosmetic goals, and a detailed breakdown of your procedure will be provided and fully explained during your consultation. It’s important for Dr. Piazza to make sure that you’re happy with your result before he can describe it as an excellent outcome. Because of this, he checks in with his breast augmentation patients for 4 years to ensure they have a predictable, long-term result.

The Piazza Center offers financing options, including CareCredit®, and is pleased to work with patients to create flexible payment plans.

“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

*Your results may vary.

Read Additional Patient Testimonials and Reviews

Why Choose Dr. Piazza for Your Breast Enhancement Surgery

Dr. Piazza and his highly trained team of experts share the goal of making every person who walks through the door a “patient for life.” This commitment to providing the best plastic surgery experience possible requires meticulous attention to detail and an unparalleled dedication to patients’ health and well-being. Dr. Piazza finds this challenge fulfilling and sees each breast augmentation procedure as an opportunity to create a positive, lasting change in a patient’s life.

Your Custom Breast Augmentation Procedure

Dr. Piazza plans every detail of the procedure prior to the day of surgery to create predictable, natural-looking results. His experienced surgical team members work seamlessly with Dr. Piazza to implement his comprehensive treatment plans, minimizing the duration of each procedure.

Dr. Piazza performs breast augmentation as an outpatient procedure in a fully accredited ambulatory surgery center near his practice. In general, the procedure takes 1 to 2 hours and uses general anesthesia.

Breast Implant Options

Although most women choose cohesive silicone breast implants, Dr. Piazza offers his breast augmentation patients a full spectrum of breast implants in both silicone and saline. Implant selection and the shape of a patient’s natural breasts affect the preferred surgical technique, but minimizing any signs of surgery is always a top priority.


Popular implant material options include:

  • Cohesive silicone (or “gummy bear” implants): Our most popular selection, these implants have a natural look and feel and hold their shape even when damaged.
  • Silicone gel: These implants are approved by the FDA for women ages 22 and up. They more closely mimic the look and feel of natural breast tissue than saline implants.
  • Saline: These implants consist of a silicone shell containing sterile saltwater. The FDA-approved implants are for women ages 18 and up.


For accuracy, implant sizes are measured by volume in cubic centimeters (cc) rather than cup sizes. The ideal implant size is one that gives you attractive curves while maintaining balance with your frame and proportions. You can choose a more dramatic increase or a subtle enhancement.


Choose between round or anatomically shaped (“teardrop”) implants. Shaped implants are typically best for women with little natural breast tissue.


Profile affects how far your breast projects from your chest. A low-profile implant features a wider base with less projection, while a high-profile implant features a narrower base with more dramatic projection.


Implants may be placed either under the pectoralis muscle (submuscular), above the muscle (subglandular), or a blend of both, wherein the top part of the implant is placed below the muscle while the lower part is placed below the breast tissue (partial submuscular).

Incision Placement

Options for breast augmentation incisions include:

  • Periareolar: A semi-circle around the bottom of the areola
  • Inframammary: A line hidden along the crease under the breast
  • Transaxillary: An incision hidden in the underarm

Real Patients. Real Stories

Helping Our Patients to Live Confidently

Find out what it's like to be a patient of The Piazza Center. Review the stories and "after" photos of some of the plastic surgery patients who've shared their experiences with us.

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The Active Augmentation

Dr. Piazza has designed a special 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. Read more about the Active Augmentation.

Breast Augmentation vs. Breast Lift

Breast augmentation makes the breasts fuller. It also enhances their shape and corrects minimal sagging. A breast lift makes the breasts look more youthful by raising them on the chest, tightening any degree of lax skin, and reshaping the nipples if necessary. For women with significant sagging in their breasts who want to enhance the size and appearance of their breasts, Dr. Piazza often combines breast augmentation with a breast lift. Read more about breast augmentation & lift surgery on our blog.

Ready to Start Planning Your Breast Augmentation?

Use our breast implant options chart to find the perfect pair for your cosmetic needs.

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Strattice™ Reconstructive Tissue Matrix

Dr. Piazza offers innovative techniques and products to effectively address patients’ needs. For certain cases, he uses Strattice, an FDA-approved, regenerative tissue matrix that supports implants. This “internal bra” strengthens weaker tissue, reduces the appearance of irregular contours, and prevents postoperative complications such as capsular contracture. Dr. Piazza most commonly uses Strattice for thinner patients and revision cases, but an in-person consultation is the best way to determine candidacy for this and other considerations.

During certain procedures, Dr. Piazza uses the KELLER FUNNEL™2. To learn how this device enables experienced surgeons to prevent complications and improve outcomes by inserting implants without handling them directly, watch this video from Dr. Piazza’s blog.

Meet Dr. Piazza

Board-certified plastic surgeon Dr. Rocco C. Piazza looks forward to meeting with you to help you discover how you can achieve your cosmetic goals and desires.

About Dr. Piazza
Dr. Piazzas credentials Dr. Piazzas credentials

Your Breast Augmentation Recovery & Results

Your recovery plan begins long before you enter the operating room. Dr. Piazza creates highly detailed surgical guides to ensure minimal trauma and procedure time. Due to this innovative and highly specialized approach, patients can begin to enjoy their results almost immediately.

Typically, patients report minor soreness, and they are able to return to their daily activities within a few days. Minimal bruising rarely occurs, and the vast majority of patients take only over-the-counter pain medication.

This short and relatively comfortable recovery period is a significant benefit of choosing Dr. Piazza as your breast augmentation surgeon, but we’re confident that your beautiful results will be what you remember most. After your surgery, Dr. Piazza and his team will be with you through every step of the recovery process, and they want to celebrate with you as your body fully heals.

You’ll have the opportunity to meet with Dr. Piazza at the following post-op milestones:

  • 6 Days: Remove incision dressings and answer initial questions.
  • 3 Weeks: Assess incision healing and initiate Dr. Piazza’s scar protocol.
  • 3 Months: Ensure patient comfort and evaluate progress. Assess for release for full activities.
  • 6 Months: Celebrate results with photos.
  • 1 to 4 Years: Check in annually to document results.

You’ll have the opportunity to share feedback and ask questions during all stages of the recovery period. We’ll provide you with detailed post-op instructions, and you’ll have convenient access to the resources you that best meet your needs.

Breast Augmentation at a Glance

Goal: To increase the size and refine the shape of the breasts with Natrelle INSPIRA® SoftTouch smooth, round, silicone gel breast implants.

Procedure: Incisions are hidden underneath the breast in the fold. The incisions typically heal extremely well and over time become nearly invisible. Dr. Piazza adheres to the “No-Touch” technique utilizing a Keller Funnel™ to place the implant in the breast.

Anesthesia: General anesthesia using laryngeal mask airway (LMA) to provide a smooth surgical experience.

Procedure length: Less than 1 hour.

Aftercare: The incisions are closed in multiple layers of dissolvable sutures. We will clip one suture in the office approximately 6 days following the procedure. The incision will also be covered with a Steri-Strip™ and a clear plastic dressing called a Tegaderm™. This will stay in place until your first follow-up visit. This will also allow you to shower the day of surgery.

Recovery: During the first few days after surgery, the patient will experience some chest pressure or tightness in the breasts. Most patients recover very well with acetaminophen and ibuprofen, which are 2 over-the-counter medications. Most patients will return to work within 3 to 4 days and are back to full activities without restrictions at 6 weeks. Bruising is uncommon with this procedure but can sometimes be visible on the sides of the breasts where Dr. Piazza has injected anesthetic medication.


  • Surgery
  • Day 3 to 4: Return to work and social activities
  • Day 5 to 7: Suture and dressing removal
  • 6 weeks: 80% healed
  • 3 months: 100% healed

Dr. Piazza Answers Common Questions

What’s the difference between breast augmentation and breast implants?

Breast implants are placed within the breasts during breast augmentation surgery. Many people incorrectly use these terms interchangeably.

Will my implants need to be replaced?

While breast implants are not meant to last a lifetime, they don’t 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. I perform elective implant exchange for patients who want to change the aesthetics of their implants. I also perform revision surgery if an implant ruptures or there are complications from the original surgery.

What is an alternative to breast implants?

Women who want a modest increase in breast volume (about a cup size) without breast implants might consider fat transfer breast augmentation. I remove fat from an area where it’s unwanted (such as the belly or thighs) using liposuction, process it with the REVOLVE™ fat transfer system, and then inject the purified fat into the breasts. I also combine breast implants with fat transfer to enhance the cleavage and to smooth out the transition between the implant and the upper chest, as well as other areas.

Can breast augmentation correct asymmetry or reduce the appearance of sagging skin?

Absolutely! I welcome cases that may appear more challenging, and I frequently combine techniques to correct asymmetry or reduce the amount of excess skin while creating fuller, shapelier breasts with implants. I also often perform breast lift with augmentation for women who have excess skin due to weight loss or aging.

Can a breast augmentation be combined with nipple correction surgery?

Yes. I often enhance the final results of breast augmentation procedures by performing nipple correction surgery to reshape stretched, enlarged nipples or fix inverted nipples. I discuss my techniques for performing these procedures on my blog.

Can I combine breast augmentation with other procedures?

Yes. Combining breast augmentation with complementary procedures such as liposuction and tummy tuck surgery is a popular and effective solution for women who want to address multiple cosmetic concerns all at once. This combination procedure is commonly known as a mommy makeover. Whether you’re focused on improving the appearance of your breasts or you’re looking for a complete rejuvenation, there are a number of effective surgical procedures that can be combined to exceed your cosmetic goals.

There are also a number of nonsurgical skin rejuvenation options that may suit your needs. During your consultation, our team will be available to answer any questions you may have regarding your best options for creating a comprehensive result.

A Patient for Life™

When you get plastic surgery at The Piazza Center, we make a long-term commitment to your recovery, your beauty, and your well-being. Learn about the dedication you receive when you become a patient for life.

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Melissa Cady, Anesthesiologist

Delivering an Exceptional Anesthesia Experience for Our Patients

At The Piazza Center, our patients come first. We have listened to our patients and in an effort to reduce the uncertainty with the anesthesia experience, The Piazza Center has developed a collaborative relationship with Dr. Cady to deliver an exceptional anesthesia experience for patients like you.

“By far the best anesthesia experience I've ever had. Thank you!!”

Learn more about Dr. Cady, D.O. and The Piazza Center’s approach to taking the fear and stress out of anesthesia.

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