Breast Enhancement

Breast EnhancementOne of the most popular procedures performed by Dr. Fred Aguilar in Houston Texas is cosmetic breast surgery. Some women feel that their breasts are not porportionate for their bodies. Others want to restore lost breast volume due to aging, pregnancy, or weight loss. Breast enhancement surgery may also be used to correct breast asymmetries, to improve breast sagging, or to reconstruct a breast.


Breast enhancements allow women to repair breast and nipple damage or to have the breast shape, size, and contour that they desire through breast augmentation, breast reduction, and breast lift procedures. Men can also choose to reduce and shape their chests with male breast reduction procedures.

Cosmetic Breast Procedures Include:

Breast Augmentation (Augmentation Mammaplasty)

Breast Lift (Mastopexy)

Breast Reduction (Reduction Mammaplasty)

Breast Reduction for Men (Gynecomastia)

Breast Augmentation (Augmentation Mammaplasty)

Cosmetic breast surgery through the insertion of breast implants can improve the overall look of a woman’s figure by enhancing breast size and and position providing a body contour that is shapelier. Breast augmentation or breast enhancement can also bring back the fullness of breasts that have lost volume and lift due to pregnancy or aging. Read more about breast augmentation and breast implants.

“The commitment to detail and patient satisfaction, the caring, and the information we dispense are the things that make my practice unique.”

-E. Fred Aguilar, M.D., F.A.C.S.

If you want to achieve a more enhanced breast size and shape, you may want to consider breast enlargement surgery. E. Fred Aguilar, M.D., F.A.C.S., is a Houston breast enlargement surgeon who provides skill, compassion, and concern for patients seeking plastic surgery in The Woodlands and Sugar Land area. For more than 35 years, breast enlargement surgeon Dr. Aguilar has helped several women achieve their desired results. Providing personalized care, he and his staff strive to meet your aesthetic goals by tailoring every procedure to your individual needs.

Learn more about Breast Augmentation Here. 

Breast Enlargement Information

Technically referred to as “augmentation mammaplasty,” breast augmentation involves the insertion of saline or silicone gel implants in an anatomic or round shape. Patients will also need to choose between a smooth or textured quality. Depending on the type of implant being used, incision locations include: the crease under the breasts, under the armpit, or around the areola, and placement behind the breast tissue or under the pectoral muscle. Depending on the individual’s expectations and goals, Dr. Aguilar will help the patient choose between the different breast surgery choices.

Oftentimes, post-pregnancy and weight loss patients choose to undergo breast surgery to restore loss of volume and gain natural-looking breast enlargement results. Complementary procedures, such as tummy tuck surgery (“abdominoplasty”) and liposuction (“lipoplasty”) are also performed by Dr. Aguilar. Women who want to undergo breast augmentation in Houston may combine these procedures for optimal body reshaping results.

To see some of Dr. Aguilar’s patient results, you may view breast enlargement before and after photos. During the consultation, he will use computer imaging to show your predicted results, while explaining the risks versus the gains of breast augmentation.

Learn more about Breast Augmentation Sizing Here. 

Houston Breast Enhancement Surgeon

Dr. Aguilar is board certified by the American Board of Plastic Surgery (ABPS), the American Board of Otolaryngology (ABOto), and American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). He often attracts women throughout Houston, Sugar Land, and The Woodlands for breast enlargement surgery.

To schedule a consultation with Dr. Aguilar, please call (713) 521-4777 or fill out our contact form.

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Breast Lift (Mastopexy)

A Houston breast lift, also called Mastopexy, raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. A woman’s breasts commonly change over time losing their firmness and youthful shape. These changes along with loss of skin elasticity can result from pregnancy and breastfeeding, aging, gravity, weight fluctuations, and heredity.

Learn More about a Breast Lift Here. 

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Breast Reduction (Reduction Mammaplasty)

Breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size more proportionate with your body. A breast reduction also helps to alleviate the discomfort associated with overly large breasts. Patients who undergo breast reduction surgery generally are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction usually can alleviate these discomforts as well as improve the shape and size of your breasts.

Excessively large, sagging breasts can be uncomfortable, unhealthy and distracting from a woman s appearance. Large breasts can also restrict certain activities. Breast reduction surgery reduces overdeveloped breasts and can alleviate back pain, shoulder strap furrows, hand numbness and breathing difficulty.

What about getting pregnant and nursing?

If you are considering having children, you should discuss this with your surgeon during your consultation. The ability to nurse after you have had the size of your breasts reduced is unpredictable. Should you decide to nurse after your surgery, you probably will experience some temporary engorgement.

What about mammograms?

The risk of developing breast cancer seems to remain unchanged following a breast reduction, as do our recommendations for cancer screenings. Self-breast examination should be performed monthly. A new baseline mammogram should be performed one year after your surgery. Your doctor will make further recommendations during your consultation.

Who are the best candidates for breast reduction?

The best candidates are women with very large breasts who require physical relief. Other candidates for breast reduction include those patients with one breast significantly larger than the other. Those with indentations in their shoulders from tight bra straps and those who are self-conscious or dissatisfied with their oversized breasts are also excellent candidates.

How will I feel after surgery?

The recovery from a traditional breast reduction procedure can be extensive. Following your surgery, it is a good idea to sleep on your back to avoid undo pressure on your breasts. Sexual activity should be avoided for one to two weeks following surgery, and you should avoid strenuous activity for several weeks. It may be possible to return to work in one or two weeks. The stitches will be removed over the next few weeks. Bruising and swelling may take up to six weeks to disappear, and it may take up to a year or two for the scars to flatten and fade.

In contrast, patients undergoing breast liposuction are encouraged to resume normal activities as soon as they feel up to it. The scar is small and hidden, out of sight under the breast fold. The results of breast reduction surgery are permanent, but breast size may change due to weight gain or pregnancy.

A breast reduction can make a dramatic change in your appearance and your outlook. A breast reduction can make your breasts smaller and firmer. Many patients find a new enjoyment in sports, exercise, dancing or even just walking.

To find out if you are a good candidate for this procedure or another cosmetic procedure, please schedule a consultation with our Dr. Aguilar today (713) 521-4777

How is the procedure performed?

Traditional breast reduction surgery is an outpatient procedure, but is sometimes performed as an inpatient procedure under general anesthesia, and takes between two to four hours. There are many variations to the procedure. The most common procedure involves an incision that circles the areola and extends downward following the curve of the crease beneath the breast. Your surgeon removes the excess glandular and fatty tissue. Then the nipple and areola are moved to their new position. The skin is then drawn together and down around the areola, providing a new shape to your breast. Unless your breasts are very large and pendulous, the nipples will likely remain attached. All incisions are closed with stitches.

Breast liposuction is a safe alternative to traditional breast reduction surgery. It may be performed with twilight sleep anesthesia combined with local anesthesia. Since the female breast is about 50% fat, a 1 – 3 cup reduction in size can be obtained using liposuction alone. Liposuction of the breast enables the surgeon to remove fatty tissue, but not glandular tissue. With this procedure, most patients experience a quicker recovery time with minimal scarring as compared to a traditional breast reduction. Depending on your breast size, breast liposuction might be an option to consider.

Breast Reduction Procedural Steps

Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

Step 1 – Anesthesia

Medications are administered for your comfort during breast reduction surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

Incision options include:

A circular pattern around the areola
Circular Incision Image
The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.
Breast Reduction Incision Keyhole
A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease
Breast Reduction Incision Inverted T
An inverted T or anchor-shaped incision pattern

Step 3 – Removing tissue and repositioning

After the incision is made, the nipple-which remains tethered to its original blood and nerve supply-is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary.

Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Step 4 – Closing the incisions

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Step 5 – See the results

The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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Breast Reduction for Men (Gynecomastia)

Gynecomastia, or enlarged male breast, can be treated by surgically removing fat and/or glandular tissue. In extreme cases, skin is removed as well. The more masculine-looking chest that results can enhance your self-image and self-confidence.

Learn More About Gynecomastia Here. 

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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