Breast Enhancement

Breast Augmentation

Women choose to have breast enhancement for many different reasons. Some may want larger breasts. Others want to restore the breast shape they had before pregnancy. One of the most popular areas of plastic surgery today, breast enhancement can improve not only your appearance but also your self-confidence. This is the perfect procedure for any woman desiring an improvement in her self-esteem and her ability to wear clothes without feeling self-conscious or having ill-fitting garments.


Before making a decision to have surgery, your expectations and goals must be carefully discussed with Dr. Maggi to assure a predictable and satisfying outcome. The best candidates are women who are looking for an improvement in their appearance, are physically healthy, and have realistic expectations.

The procedure involves an implant being inserted into a pocket either:

  • Under the pectoral muscle (submuscular), or
  • Directly behind the breast tissue, over the pectoral muscle (submammary/subglandular)


The positioning of the implants will depend on the type of implant, degree of augmentation desired, your body type, and Dr. Maggi’s recommendations. Also based on current body and breast shape, incisions are made in one of three locations: under the breast, under the nipple, or in the underarm region.

Know that each of these choices will be addressed in great detail during your consultation with Dr. Maggi and the staff at Austin Plastic Surgery Center. You can also expect that you may need to go over them again for a second or third time. Making the choices that are right for you is a process, and we encourage patience, lots of consideration, and asking lots of questions. As Dr. Maggi often says to his patients, “Good planning gets good results.”

What To Expect

On the day of your consultation you will meet with Dr. Maggi and his staff, as well as tour our state-of-the-art, fully accredited Surgery Center. Your medical history will be taken, a review of your expectations, and an examination will be performed by Dr. Maggi. Dr. Maggi will review the type of breast implants and the surgical techniques available for the best individualized outcome. Additional visits, which are easily available and encouraged, with either Dr. Maggi or his staff may be required for a thorough understanding before undergoing surgery.

Each year Dr. Maggi performs several hundred breast augmentations and lifts. With years of experience, knowledge, and the latest techniques in breast enhancements, we are confident that we strengthen your confidence on the inside by giving you a new look on the outside.


Performed as an outpatient in our own AAAASF surgery center. The surgery typically takes one hour. Anesthesia is either intravenous sedation or general. Although many factors are involved with your actual recovery time for breast augmentation, you will likely experience a post-surgical recovery period of 24 to 48 hours. After surgery, temporary soreness at the operative site, swelling, and some bruising may occur. Breasts may remain sensitive to stimulation for a few weeks.  In most cases, you should be able to be back at work in a few days.

Breast Lift

As women age, their breasts usually begin to sag or droop, and this can be exacerbated by pregnancy or nursing. A breast lift or mastopexy can provide many women with beneficial results by raising the breasts, removing excess skin, and tightening the surrounding tissue to reshape and support the new breast contour. This procedure restores a more youthful shape, position, and firmness.

A breast lift can also reduce an enlarged areola if necessary. A breast implant may often be placed as part of this procedure to replace lost volume. Incisions are usually made around the nipple and sometimes extend down to the underside of the breast. There are several options in breast lift surgery, so Dr. Maggi will work with you in consultation to decide on the best approach to meet the desired results.


Your surgery will be performed as an outpatient procedure in our own AAAASF-certified surgery center. After your breast lift is completed, bandages will be applied to the incisions, and you will be provided with a support bra you will need to wear to minimize swelling and support your breasts as they heal. A small, thin tube may be placed under the skin to drain any excess fluid that may collect after surgery. After surgery, temporary soreness at the operative site, swelling, and some bruising may occur. In most cases, you should be able return to work in a couple of days.


Balance Procedure

The Lift Augmentation Balance

Do you find yourself looking at your body and seeing what is out of balance? Although bodies are naturally slightly asymmetrical, sometimes Mother Nature really makes it obvious. If you find that one breast is very different from the other or if age and childbirth or breast feeding have altered your décolletage beyond what you would like, Dr. Maggi offers the balance procedure. Perhaps you like the shape or placement of your breasts when you are lying down but find that when you stand you lose curvature and fullness.

We hear this from our patients regularly.

Dr. Maggi offers his Balance Procedure which combines a lift and an implant to correct breast shape from a ptotic or droopy state to a perky, more youthful-appearing breast. When changing the breast shape and enhancing size with a small to moderate implant, one can expect a dramatic improvement in upper pole fullness. We have seen transformational results with the balance procedure.The incisions to achieve this improvement are either around the nipple (peri-areolar) or lollipop (vertical and peri-areolar) or a traditional inverted “T” incision.

The surgery and recovery experience with the Balance Procedure will be like the breast augmentation and breast lift procedures.

For more information please visit our Breast Augmentation and Breast Lift pages.

Dr. Maggi specializes in the Breast Lift Augmentation/Balance Procedure. Which option is best for the individual patient will be determined at consultation. At that time, you will know what technique is necessary, and you will have a clear understanding of risks, recovery and expected results. The Balance Procedure is performed in our private AAAASF surgery center under general anesthesia in an outpatient setting.

Breast Reduction

Breast Reduction or reduction mammaplasty, removes excess breast fat, glandular tissue and skin to achieve a breast size that is more in proportion with your body. In addition to self-image issues caused from having overly large breasts, some women also experience physical pain and discomfort. We realize that the decision to have a breast reduction surgery is a very personal one.

In consultation, Dr. Maggi will provide you with the information you need to help you decide if the benefits of the surgery will achieve your goals and if the risks of the procedure are acceptable to you.


The most common technique for breast reduction involves an anchor-shaped incision around the areola (the darker ring around the nipple) and extends downward to follow the natural curve of the crease beneath the breast.

You can expect minimal pain for the first couple of days and some discomfort with movement for a week or more. Dr. Maggi will prescribe oral medication to lessen the pain. You should avoid heavy lifting or pushing for three to four weeks. Most patients are able to go back to work after a couple of days.

Breast Revision

At Austin Plastic Surgery Center, Dr. Maggi sees many women seeking a Breast Revision.

Most common needs for a breast revision

  • Implant Deflation or rupture
  • Desire to change implant type or size
  • Adjustment of Implant position or pocket adjustment also known as Internal Bra Technique
  • Capsule contracture
  • Double-bubble deformity
  • Implant rippling and/or visiability
  • Breast asymmetry
  • Correct changes in shape or volume from skin stretching from weight loss/gain and childbirth
During your consultation, Dr. Maggi will ask about your desired appearance and anything else related to your breasts that you feel important and would like to see changed. It is very helpful in the evaluation and planning of your breast revision surgery if you are able to provide information from your previous surgery such as implant size, location of implant and any other information available to you from your previous surgery.

Implant deflation or rupture, desire to change implant type or size, tightening of the scar also known as capsule contracture, implant malposition, double-bubble deformity, implant rippling and/or visibility, breast asymmetry, and many times women experience changes in shape or volume from skin stretching from weight loss/gain and childbirth.

Dr. Maggi and staff at Austin Plastic Surgery Center are committed to providing each of our patients the attention to detail and a commitment to achieve an outcome that we can be proud of.

Dr. Maggi performs several hundred cosmetic surgery procedures of the breast each year, and we are continually growing; it is our intent to offer you experience and a proven track record of very satisfied patients.