Breast Augmentation Answers You Can Trust

What is breast augmentation?

Breast augmentation is a surgical procedure that enhances breast size, shape, and symmetry. It’s typically performed using breast implants (silicone gel or saline) or, in select patients, with autologous fat transfer (your own purified fat moved from one area of the body to the breasts). The goal is to achieve a natural-looking result that fits your proportions and aesthetic goals.

Common reasons patients choose augmentation include restoring volume after pregnancy or weight loss, improving breast symmetry, and refining overall body balance. According to the American Society of Plastic Surgeons (ASPS), breast augmentation remains one of the most popular cosmetic surgeries in the United States with high satisfaction rates when performed by qualified surgeons.

Dr. Climov creates a customized plan for every patient, considering anatomy, lifestyle, and desired outcome. You can preview potential results by reviewing our before & after photos and discussing sizing strategies during your consultation in Spring near The Woodlands and Houston.

What is the difference between breast implants and breast augmentation?

The terms are related but not identical:

• Breast augmentation is the procedure performed to enhance breast size, shape, and/or symmetry. It describes the surgery as a whole—consultation, sizing, incision choice, pocket creation, and recovery.
• Breast implants are the devices (silicone gel or saline) commonly used during an augmentation procedure to create the desired volume and contour. Implants come in different fills, cohesivities, shapes, and profiles.

Think of it this way: augmentation is the goal and operation; implants are one of the tools Dr. Climov may use to achieve that goal. In select cases, augmentation can also be performed with fat transfer (your own fat), which uses no implant at all.

When patients say “implants vs. augmentation,” what they usually mean

Most people are really asking whether they’re better candidates for augmentation with implants or a breast lift (mastopexy)—or a combined lift with implants. The right choice depends on your anatomy and goals:

• Good skin quality, minimal sagging, mainly want more volume: Augmentation with implants alone may be ideal.
• Noticeable sagging (nipples sit low or point downward): You likely need a breast lift to reposition tissue and nipples; implants can be added for volume and upper-pole fullness if desired.
• Desire a modest increase and ultra-soft, implant-free feel: Consider fat transfer if you have adequate donor fat and understand its limits.

Devices used in breast augmentation

Breast implants are rigorously regulated medical devices. For an overview of saline vs. silicone and safety considerations, see the U.S. FDA’s breast implant page and the ASPS patient guide. During your consultation in Spring (serving Houston and The Woodlands), Dr. Climov will review implant styles, profiles, and pocket placement (submuscular vs. subglandular) to match your goals and lifestyle.

Explore our Breast Augmentation Before & After results to see how implants are used within an augmentation plan tailored to the individual.

How long will breast augmentation last?

Breast augmentation can deliver long-lasting results, but it isn’t considered a lifelong, “set it and forget it” procedure. Breast implants are not lifetime devices. Many patients enjoy their results for well over a decade, but at some point—due to normal aging, changes in skin or breast tissue, or device-related issues—you may choose or need a revision.

Typical longevity

• 10–15+ years is a common window during which many patients maintain results without needing a change. Some implants last longer without problems; others require attention sooner depending on anatomy, lifestyle, pregnancy/weight changes, and the specific implant.
• The American Society of Plastic Surgeons (ASPS) and the U.S. FDA emphasize that implants may eventually need to be replaced or removed.

Why a revision might be recommended

• Natural changes: Aging, gravity, pregnancy, breastfeeding, or weight fluctuations can alter breast shape and skin elasticity.
• Capsular contracture: Tightening of scar tissue around the implant that can change the look or feel.
• Rupture or leak: Saline ruptures are usually noticeable (volume deflates), while silicone ruptures (“silent ruptures”) can be subtle.
• Aesthetic updates: Desire to adjust size, profile, or switch from saline to silicone (or vice versa), or combine with a lift later for perkier shape.

Recommended surveillance for silicone gel implants

The FDA recommends imaging to screen for silent rupture with MRI or ultrasound starting 5–6 years after silicone implant placement, then every 2–3 years thereafter. See the FDA’s guidance here: FDA: Breast Implants. Dr. Climov will personalize a follow-up plan and help you decide whether ultrasound or MRI best fits your situation.

How to help your results last

• Choose the right size and profile: Implants that respect your tissue limits tend to age more gracefully. This is a key part of your consultation with Dr. Climov in Spring, serving Houston & The Woodlands.
• Maintain a stable weight: Weight fluctuations can stretch or shrink breast tissue over time.
• Supportive bras & sun care: Good support and UV protection help preserve skin quality.
• Keep routine follow-ups: Schedule periodic check-ins. If anything changes in look or feel, contact us promptly.

Explore real patient timelines and outcomes on our Breast Augmentation Before & After page, and learn about related options on our Breast Surgery Options hub.

Ready to talk through longevity and maintenance based on your goals? Request a consultation.

Is a breast lift cheaper than augmentation?

In most cases, a breast lift (mastopexy) is more expensive than breast augmentation alone — but the cost difference depends heavily on your goals, anatomy, and whether you combine procedures.

Why a lift can cost more

• More surgical time and complexity: A breast lift involves reshaping existing tissue, repositioning the nipple-areola complex, and removing excess skin. This can require more operative time than placing implants alone.
• Scarring patterns: Lifts typically involve more incisions, which adds to surgical precision and closure time.
• Customization: Every lift is unique — a minor “crescent lift” may cost less than a full “anchor” lift, but still often exceeds the price of a straightforward augmentation.

When augmentation alone costs more

• Premium implant choice: Highly cohesive (“gummy bear”) silicone implants or special-order devices can increase implant-related costs.
• Additional imaging or safety measures: Pre-op 3D imaging, extended implant warranties, or additional monitoring can raise the total.

Combination procedures

If you have both augmentation and a lift in the same surgery, the cost is higher than either procedure alone — but usually less than doing them separately on different dates. Many women in Houston, The Woodlands, and Spring choose the combined approach for a more dramatic transformation with one recovery period.

Why cost should not be the only factor

While it’s natural to compare pricing, surgical skill, safety, and long-term results should be the priority. A poorly executed lift or augmentation can cost much more to revise than investing in the right surgeon the first time. Dr. Climov’s approach prioritizes surgical precision, natural aesthetics, and patient safety, ensuring your investment yields lasting confidence.

For an overview of the procedures, see our Breast Surgery Options page or book a consultation to receive a personalized cost estimate based on your needs.

Can you get pregnant after a breast augmentation?

Yes — having a breast augmentation does not prevent you from getting pregnant or carrying a pregnancy to term. The procedure only changes the breast tissue and underlying structure; it does not affect your reproductive system or hormonal cycles.

Key considerations if you plan to have children after augmentation

• Breast changes during pregnancy: Hormonal shifts, weight gain, and milk production can alter the size and shape of your breasts. This can affect the appearance of your implants, sometimes leading to sagging or changes in symmetry.
• Breastfeeding: Many women can successfully breastfeed after augmentation, especially if the incisions are made in the inframammary fold (beneath the breast) or through the armpit. Incisions around the areola have a slightly higher risk of affecting milk ducts. During your consultation, Dr. Climov will review incision options with this in mind.
• Potential for revision: Some patients opt for a touch-up or lift after completing their family to restore a more youthful breast shape.

Timing your augmentation around pregnancy plans

If you are actively trying to conceive in the near future, many surgeons — including Dr. Climov — may recommend postponing augmentation until after childbirth and breastfeeding are complete. This allows you to achieve results that are less likely to change dramatically soon after surgery.

Maintaining results long-term

While implants themselves are not harmed by pregnancy, the surrounding tissue can stretch, and skin elasticity can diminish. Good support (e.g., wearing well-fitted bras during pregnancy and nursing) and maintaining a stable weight after delivery can help preserve results.

To discuss your specific timeline and goals, visit our consultation page or explore our Breast Surgery Options to learn about timing procedures before or after pregnancy.

How much does a breast augmentation cost?

The cost of a breast augmentation in Houston, The Woodlands, and Spring, TX varies based on several factors, including implant type, surgical technique, anesthesia, and facility fees. While it’s important to have a personalized consultation for an exact quote, understanding the components of pricing can help set realistic expectations.

Typical cost range

• Saline implants: Generally less expensive than silicone, but still high-quality and FDA-approved.
• Silicone gel implants: Often more expensive due to their natural feel and manufacturing process.
• Highly cohesive silicone (“gummy bear”) implants: Typically the most expensive implant option because of their advanced design and durability.

Across the U.S., breast augmentation costs typically range from $6,000 to $10,000+ depending on the specifics of the procedure. This includes surgeon’s fees, anesthesia, facility charges, and the implants themselves.

What’s included in Dr. Climov’s fees

• Surgeon’s expertise: Top care with a personalized surgical plan.
• Implants: FDA-approved devices selected for your anatomy and goals.
• Accredited surgical facility: Ensuring safety and comfort throughout your procedure.
• Anesthesia by a qualified provider for optimal safety.
• Post-op visits and follow-up care to monitor healing and results.

Financing options

Many patients choose to finance their procedure using services such as CareCredit. This allows you to split the cost into manageable monthly payments while still enjoying your results sooner. Dr. Climov’s office can review financing plans during your consultation.

Why cheapest isn’t always best

Bargain pricing may come at the expense of safety, implant quality, or long-term results. Choosing a top plastic surgeon with proven results ensures you’re investing in your appearance, health, and satisfaction for years to come.

To get a personalized cost breakdown, schedule a consultation today. You can also view real outcomes on our Before & After gallery.

Which type of breast augmentation is best?

The “best” type of breast augmentation depends on your unique anatomy, goals, and lifestyle. There’s no one-size-fits-all answer — what’s right for one patient in Houston may not be ideal for someone else in The Woodlands or Spring, TX. Dr. Mihail Climov customizes every surgical plan to deliver natural, long-lasting results while prioritizing safety and patient satisfaction.

Main options for breast augmentation

• Silicone gel implants: Favored for their natural feel and realistic texture, especially in patients with less natural breast tissue. FDA-approved for patients 22 and older.
• Saline implants: Filled with sterile salt water, these can be adjusted in volume during surgery and are FDA-approved for patients 18 and older.
• Highly cohesive silicone (“gummy bear”) implants: Shaped or smooth round implants made of a firmer gel that maintains its shape even if cut. These are often chosen for durability and a teardrop contour.
• Fat transfer breast augmentation: Uses your own purified fat (usually from the abdomen, thighs, or flanks) for a modest volume increase with a very soft, natural feel. No implant is used, but results are limited to smaller size increases.

Factors that influence the “best” choice

• Desired look and feel: Silicone often feels more like natural breast tissue; saline offers adjustability and requires a smaller incision.
• Body type and existing tissue: Thinner patients may benefit more from silicone to avoid visible rippling; patients with more natural tissue may do well with either option.
• Lifestyle and activity level: Athletes may prefer smaller implants or certain placement options (submuscular vs. subglandular) to maintain mobility and comfort.
• Budget and maintenance considerations: Implant type can affect upfront cost, warranty coverage, and potential revision needs over time.

Placement options

• Submuscular (under the muscle): Provides more soft-tissue coverage, reducing the risk of visible edges or rippling, and often yields a more natural slope.
• Subglandular (above the muscle): May offer a faster recovery for some patients but is best suited to those with adequate natural breast tissue for coverage.

During your consultation, Dr. Climov will use his surgical expertise and understanding of your goals to recommend the best implant type, size, shape, and placement for you. View real results on our Breast Augmentation Before & After gallery or learn more about options on our Breast Surgery Options page.

How much does a good boob job cost?

The phrase “good boob job” usually means a breast augmentation performed by a top plastic surgeon, using high-quality implants, in an accredited facility, with results that look natural and last for years. In Houston, The Woodlands, and Spring, TX, this typically places you at the mid-to-upper end of the national cost range — but the investment reflects expertise, safety, and long-term satisfaction.

Average cost for high-quality breast augmentation

For top-tier care, most patients can expect a range of approximately $7,000–$10,000+, depending on:

• Surgeon’s experience: Board certification, years of practice, and a proven track record with before-and-after results.
• Implant choice: Highly cohesive silicone or “gummy bear” implants typically cost more than traditional silicone or saline.
• Customization: Specialized techniques, such as internal bra support or fat grafting, can increase cost.
• Facility and anesthesia: Accredited surgical centers and experienced anesthesia providers ensure safety but add to the total fee.

Why “good” isn’t the same as “expensive”

While higher pricing often correlates with quality, it’s not the only factor. A “good” breast augmentation balances aesthetic artistry with surgical precision, individualized planning, and long-term patient support. Cutting costs by choosing an unqualified provider can result in complications, poor aesthetics, and costly revisions later.

Financing a high-quality breast augmentation

Many patients use financing plans, such as CareCredit, to spread payments over time. This allows you to choose the surgeon you truly trust without compromising on quality for budget reasons.

To see examples of what a “good boob job” looks like, browse our Before & After gallery and read about our Breast Surgery Options. Ready for a personalized cost breakdown? Schedule a consultation today.

How long do boob jobs last?

The results of a breast augmentation — often referred to as a “boob job” — can last for many years, but they are not considered permanent. While modern breast implants are durable and rigorously tested, factors such as aging, lifestyle changes, and implant-related issues can influence longevity.

Average lifespan of breast implants

• 10–15 years: Many women maintain their results without issues for well over a decade.
• Some last longer: It’s not uncommon for implants to remain problem-free for 20 years or more, especially with routine monitoring.
• Earlier revisions: Some patients require updates sooner due to changes in aesthetic preferences, weight fluctuation, pregnancy, or implant-related concerns.

Signs it may be time for a revision

• Noticeable changes in breast shape, size, or symmetry
• Implant rupture or leak (saline deflation or silent silicone rupture)
• Capsular contracture (hardening of tissue around the implant)
• Desire to change implant size, profile, or type

Maintaining long-term results

Choosing the right implant type and size for your body, following post-operative instructions, and maintaining a stable weight all help prolong results. Dr. Climov also recommends periodic check-ups to monitor implant integrity and breast health. For silicone implants, the FDA advises imaging (MRI or ultrasound) beginning 5–6 years after surgery, then every 2–3 years.

View our Breast Augmentation Before & After gallery to see examples of long-term results and learn more about potential timelines on our Breast Surgery Options page. To discuss your specific needs and maintenance plan, schedule a consultation.

What size implants will look best?

The “best” breast implant size is highly individual and depends on your body proportions, lifestyle, and personal aesthetic goals. Dr. Mihail Climov’s philosophy is to create results that look natural, complement your figure, and feel comfortable for your daily activities — whether you’re at the gym, in professional attire, or enjoying a night out in Houston.

Factors that determine the ideal implant size

• Your body frame: Height, weight, shoulder width, and chest width all influence which implant sizes will look balanced and proportionate.
• Existing breast tissue: The amount of natural tissue affects how the implant sits and how much it will project from your chest.
• Lifestyle: Athletes or highly active patients often prefer slightly smaller sizes for ease of movement.
• Desired look: Some patients want a subtle enhancement; others want a more dramatic, fuller look.
• Skin elasticity: Tighter skin may limit how large you can safely go without risking stretch marks or long-term sagging.

How Dr. Climov helps you choose

During your consultation, Dr. Climov uses precise measurements, 3D imaging, and sample implant “sizers” to help you visualize how different volumes and profiles will look on your body. This approach takes the guesswork out of sizing and ensures you’re confident in your choice before surgery.

Profiles and projection

• Low profile: Wider base, subtle projection — often for broader chests seeking a natural slope.
• Moderate profile: Balanced width and projection — a popular choice for most patients.
• High profile: Narrower base, more projection — for a fuller, rounder look without increasing base width.

See real patient outcomes with different sizes on our Breast Augmentation Before & After gallery. You can also explore implant details and combination procedures on our Breast Surgery Options page. To determine your perfect size, book a consultation in Spring, TX.

Is a boob job covered by insurance?

In most cases, a cosmetic breast augmentation — often referred to as a “boob job” — is not covered by health insurance. Insurance providers typically only cover procedures deemed medically necessary, and breast augmentation performed for cosmetic enhancement does not fall into that category.

When breast surgery might be covered

• Breast reconstruction after mastectomy: Federal law requires most insurance plans to cover breast reconstruction, which can include implants, symmetry procedures, and revisions.
• Congenital deformities: In rare cases, severe developmental abnormalities may be considered reconstructive and eligible for coverage.
• Implant removal due to complications: If an existing implant causes significant medical issues such as rupture, capsular contracture, or infection, removal may be covered — but replacement for cosmetic purposes usually is not.

Why cosmetic augmentation isn’t covered

Insurance companies classify cosmetic breast augmentation as elective, meaning it’s a personal choice rather than a treatment for a diagnosed medical condition. This applies regardless of implant type, size, or placement method.

Financing options instead of insurance

Since insurance rarely covers cosmetic breast augmentation, many patients choose financing plans such as CareCredit to make the procedure more affordable. These plans allow you to spread the cost into manageable monthly payments.

If you have questions about whether your situation may qualify for partial coverage, bring your insurance policy details to your consultation with Dr. Climov. For purely cosmetic goals, you can also explore your options on our Breast Surgery Options page and view transformations in our Before & After gallery.

Can your body reject breast implants years later?

The term “rejection” is not medically accurate for breast implants the way it is for organ transplants, since implants are not living tissue. However, your body can respond to implants over time in ways that may require attention or revision surgery.

Possible late-onset issues

• Capsular contracture: The most common implant-related complication, where scar tissue around the implant becomes unusually thick or tight, sometimes changing the breast’s shape or causing discomfort.
• Implant rupture or leak: Saline ruptures cause noticeable deflation, while silicone gel ruptures can be “silent” and require imaging to detect.
• Late seroma or swelling: Rarely, fluid may accumulate around the implant years after surgery.
• BIA-ALCL: Breast implant–associated anaplastic large cell lymphoma is an extremely rare cancer linked mainly to certain textured implants. The FDA provides updated guidance on monitoring and treatment.

Why these changes can occur years later

Your body naturally forms a capsule of scar tissue around an implant as part of the healing process. Over time, factors like infection, trauma, or unknown triggers can cause this capsule to thicken, tighten, or change — even many years after your augmentation.

Prevention and monitoring

• Follow your surgeon’s recommendations for regular check-ups.
• For silicone implants, follow the FDA’s imaging guidelines (MRI or ultrasound at 5–6 years, then every 2–3 years).
• Report any swelling, pain, or changes in breast shape promptly.

While “rejection” isn’t the right term, implant-related complications can occur years later and are generally treatable. To learn more about long-term safety, visit our Breast Surgery Options page or schedule an evaluation with Dr. Climov in Spring, TX serving Houston and The Woodlands.

Are breast implants worth it?

For many women, breast implants are absolutely worth it — not only for the physical enhancement but also for the confidence and satisfaction they bring. According to the American Society of Plastic Surgeons (ASPS), breast augmentation consistently ranks among the highest for patient satisfaction rates in cosmetic surgery.

Benefits that make implants “worth it” for many patients

• Enhanced body proportions: Implants can create a balanced silhouette that improves clothing fit and overall aesthetics.
• Restored volume: Pregnancy, breastfeeding, or weight loss can deflate the breasts; implants restore fullness.
• Improved symmetry: Corrects natural unevenness in size or shape.
• Boosted self-confidence: Many patients feel more confident in social, personal, and professional settings.

Considerations before deciding

• Maintenance: Implants are not lifetime devices and may need to be replaced or revised in the future.
• Potential complications: Risks include capsular contracture, rupture, or changes in sensation.
• Lifestyle impact: Recovery time and activity limitations should be factored into your decision.

Patient experiences

“Dr. Climov was attentive, compassionate, and listened to exactly what I wanted. My results look natural and I finally feel like my body matches how I feel on the inside.” — Sarah M.

This real testimonial reflects the life-changing results many patients experience when choosing an experienced, top surgeon like Dr. Climov.

If you’re wondering whether implants are right for you, browse our Before & After gallery and learn more about your options on our Breast Surgery Options page. You can also schedule a consultation to discuss your goals in detail.

What type of boob job looks most natural?

The most natural-looking breast augmentation — or “boob job” — is one that matches your body’s proportions, complements your chest wall anatomy, and uses techniques and implant types that blend seamlessly with your natural tissue. Dr. Mihail Climov specializes in creating results that enhance without appearing overdone, ensuring your breasts look and feel like they belong to your body.

Factors that create a natural look

• Implant type: Silicone gel implants, particularly highly cohesive silicone (“gummy bear”) implants, often provide the most natural texture and movement.
• Implant size: Staying within the limits of your skin and tissue support prevents an overly stretched or artificial appearance.
• Implant profile: Moderate or moderate-plus profiles typically create a gentle slope and natural projection rather than a round, high-riding look.
• Placement: Submuscular (under the muscle) placement offers more soft-tissue coverage, making implants less visible or palpable.
• Surgical technique: Precise pocket creation and implant positioning reduce rippling and asymmetry for a smoother contour.

When fat transfer is the most natural

For patients seeking a subtle size increase and a soft, implant-free feel, fat transfer breast augmentation can produce highly natural results. However, it offers less dramatic volume enhancement than implants.

Examples of natural results

Natural-looking augmentations often feature:

• Breasts with a gentle upper-pole slope
• Proportionate size to hip and shoulder width
• Soft movement that mimics natural breast tissue

To see examples of natural breast augmentation, visit our Before & After gallery. You can also learn about implant selection and customization on our Breast Surgery Options page, or schedule a consultation with Dr. Climov in Spring, TX.

What are the downsides of breast implants?

While breast implants are safe and provide high satisfaction rates, they are not without potential downsides. Understanding the risks and limitations helps you make an informed choice and sets realistic expectations for your long-term results.

1. Implants are not lifetime devices

Breast implants will likely need to be replaced or removed at some point in your life. While many last 10–15+ years without issue, aging, changes in your body, or implant-related concerns can lead to revision surgery.

2. Potential complications

• Capsular contracture: Scar tissue tightening around the implant that can cause firmness, shape distortion, or discomfort.
• Implant rupture or leak: Saline ruptures are immediately noticeable; silicone ruptures may require imaging (MRI or ultrasound) to detect.
• Rippling or wrinkling: More common with saline implants or in patients with thin breast tissue.
• Changes in nipple or breast sensation: May be temporary or, in some cases, permanent.
• Infection or bleeding: Rare but possible after surgery.

3. Additional maintenance and monitoring

For silicone gel implants, the FDA recommends imaging starting 5–6 years post-surgery and every 2–3 years after that to monitor for silent rupture.

4. Possible aesthetic changes over time

• Weight changes, pregnancy, or natural aging can cause breasts to sag or lose firmness, even with implants.
• Skin elasticity may decrease, sometimes requiring a breast lift later on.

5. Rare but notable risks

Breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) is a very rare cancer linked mostly to certain textured implants. Dr. Climov uses only FDA-approved devices and will review all safety data during your consultation.

How Dr. Climov minimizes risks

• Careful patient selection and customized surgical planning
• Meticulous surgical technique in an accredited facility
• Postoperative care and long-term follow-up for ongoing safety

To learn more about implant risks and how to reduce them, visit our Breast Surgery Options page or schedule a private consultation in Spring, TX.

Making the Right Choice for Your Breast Augmentation

Breast augmentation is a deeply personal decision that can enhance your confidence, restore lost volume, and create a more balanced silhouette. By addressing the most frequently asked questions — from implant types and longevity to cost, risks, and natural-looking results — you now have a clearer understanding of what to expect before, during, and after surgery.

The key to a safe, satisfying outcome is choosing a top plastic surgeon with the skill, experience, and aesthetic vision to tailor the procedure to your unique anatomy and goals. In Houston, The Woodlands, and Spring, TX, Dr. Mihail Climov offers individualized surgical planning, meticulous technique, and comprehensive aftercare to ensure results that look and feel like you.

Whether you’re just starting your research or you’re ready to schedule surgery, the next step is a private consultation. You can also explore our Breast Surgery Options and view our Before & After gallery for real patient results.

Your journey to a more confident you begins with expert guidance — and Dr. Climov is here to help you take that first step.