Nayak Plastic Surgery offers St. Louis breast augmentation services performed by a fellowship-trained plastic surgeon to your specifications. Find the right fit and form for your curves with a consultation at Nayak Plastic Surgery today.
In St. Louis, the way we talk about breast surgery is changing. It's no longer just about making breasts larger; it's about enhancing their natural shape and structure.
The focus in the industry was just on numbers like cup sizes and the amount of silicone in implants. At Nayak Plastic Surgery, we take a different approach. We aim to restore your body's natural look, whether you've lost volume after having children or just want to create a more balanced silhouette. Our goal isn’t simply to add an implant; it’s to support and enhance what you already have, making sure the results look natural and can gracefully age over time. We want you to feel like you still look like yourself, just a more proportional version.
When people start looking into breast augmentation, it usually comes from a feeling of frustration. It could be from pregnancy, weight changes, or the effects of time, but eventually, many women notice that their breasts don’t match the rest of their body anymore. This can lead to clothes not fitting right, bras becoming uncomfortable, and swimsuits feeling less flattering.
For most women in St. Louis, considering breast surgery isn't a spur-of-the-moment decision; it’s something they've thought about for a long time. You might have spent hours researching online, looking at countless before-and-after photos, trying to find the right inspiration. Ultimately, what you want is straightforward: a solution that feels right for you.
At A Glance | Procedure Details |
|---|---|
| Anesthesia | General Anesthesia (1–2 hours). |
| Downtime | 5–7 days for social/desk work; 4–6 weeks for full exercise. |
| Pain Level | Moderate pressure/tightness (3–4/10) for the first 72 hours. |
| Longevity | Implants are durable, but routine monitoring is required. |
| Cost | All inclusive prices start at $7,500 - $10,000 (financing available) depending on complexity and patient goals. |
Breast augmentation is a surgical procedure that enhances breast volume and improves symmetry using silicone or saline implants. It is designed to restore fullness lost due to weight changes or pregnancy, or to create balance for patients with naturally smaller breast tissue.
When I plan a breast augmentation procedure, I am not looking at the breast in isolation. I am looking at the "footprint" of the breast on your chest wall. This is where the math meets the art.
Most women obsess over the implant brand or the profile. In reality, the critical factor is the pocket I create. The pocket is the space inside your chest where the device lives. It dictates everything.
When you wake up, it doesn't feel like sharp, cutting pain. It feels like you did 500 pushups yesterday. That pressure is the chest muscle stretching to accommodate the new volume. We use a multi-modal pain protocol, combining nerve blocks with prescribed medication, so most patients rate their discomfort as a manageable dull ache (around a 3 or 4 out of 10) rather than acute pain.
The Pre-Pregnancy Perspective: Establishing Your Foundation
While a significant portion of our work involves restorative surgery, many of our patients are younger women looking to enhance their natural proportions before they ever consider children or major lifestyle shifts. For this demographic, the goal isn't usually restoration; it’s about establishing a silhouette that fits their frame and scales naturally with their active lives.
In the age of social media, it’s easy to get caught up in fleeting aesthetic trends. However, choosing a breast implant size is a long-term anatomical commitment. We guide our pre-pregnancy patients toward "balanced enhancement"—selecting a volume that complements the width of the chest wall and the natural elasticity of the breast skin.
Selecting the right breast implant size now ensures that the results remain sustainable as your body matures. If an implant is too large for the existing breast tissue, it can lead to premature thinning of the tissue or "palpability," where the edges of the implant become noticeable to the touch.
A common concern for women in their 20s is how breast augmentation surgery will impact their ability to nurse later in life.
Pregnancy often leaves the upper pole of the breast looking "deflated" while the bottom remains heavy or saggy. It’s a loss of volume and a loss of elasticity simultaneously. In this scenario, simply adding a heavy implant can cause more sagging later—like putting a heavy rock in a loose sock.
We often recommend a mommy makeover approach, where we might pair a breast lift with a smaller implant. The lift tightens the skin envelope, acting like a shrink-wrap, while the implant restores the "perkiness" of your pre-pregnancy body without overburdening the skin.
We are seeing many patients who have lost weight rapidly. This leaves loose skin that lacks the elasticity to hold an implant firmly. The structural integrity of the skin is compromised. Here, we shift our strategy to "biostructural support." We might select a specialized textured implant that grips the tissue better, or we might combine the procedure with fat grafting (using your own fat cells) to thicken the skin envelope, ensuring the implant isn't visible through the thin skin.
We don't guess; we test. During your consultation, we let you feel the difference. There is a lot of opinions online about materials, so let's simplify it based on physics and feel.
About 90% of our patients choose silicone implants. Why? Because they feel like natural breasts. Modern silicone options use cohesive gel—sometimes called "gummy bear" implants. This means the gel is thick and stable. If you were to cut one in half, it holds its shape rather than leaking like a liquid. This structural stability mimics the density of real breast tissue and significantly reduces visible rippling at the edges.
Saline implants are essentially high-tech water balloons. They are silicone shells filled with sterile saline solution after they are inserted into the body.
Patients often arrive with a specific "cup size" in mind. But cup sizes are inconsistent. A C-cup at Victoria’s Secret is different from a C-cup at a department store. We don't use bra shopping logic; we use biometric planning.
Dr. Kachare uses detailed measurements to dial in the right breast implant size for you.
Choosing a breast implant size is less about the volume (CCs) and more about the dimensions (width and projection). Oversized implants accelerate gravity. They might look impressive for a year, but they will drag the breast down faster over a decade. Conservative sizing tends to age gracefully and feels more natural during everyday movement.
The decision of where to position the implant is a matter of biomechanics. It’s about how the weight of the device interacts with your muscle and skin over the next decade. While surgeons traditionally debated between two extremes, the modern approach at Nayak Plastic Surgery incorporates a more refined third option to ensure the implant remains imperceptible.
This remains a staple for many breast augmentation patients in St. Louis. By placing the implant partially under the pectoralis muscle, the muscle acts as a structural "blanket" that softens the transition from the collarbone to the breast.
As surgical techniques evolve, we are increasingly utilizing subfascial placement. In this approach, the implant is tucked beneath the thin, tough lining of the muscle (the fascia) but remains on top of the actual muscle fibers.
For patients with a thinner frame or very little natural breast volume, any implant—no matter where it’s placed—can sometimes show visible edges or "rippling." To solve this, we often perform a hybrid procedure. We use fat grafting to harvest your own fat cells and strategically "soften" the borders of the implant. This bio-sculpting allows us to blend the implant into your anatomy, ensuring the transition looks like a natural curve rather than a surgical addition.
In this method, the implant sits directly under the breast gland. While this was the industry standard for years, we now reserve it primarily for specific cases, such as competitive athletes who require zero interference with their chest muscle function or patients with significant existing tissue who don't require the coverage of a muscle or fascia layer.
We plan breast implant incisions to balance surgical access with aesthetic invisibility. We want the scar to be the last thing anyone notices.
Real talk about the downtime. You can do this, but don't expect it to be effortless immediately.
You will wake up in a surgical bra or a supportive bra. Your chest will feel tight. If you have submuscular placement, you might feel muscle spasms. Pain medication helps, and muscle relaxers are often key here. You are up and walking around the house, but you aren't doing laundry or lifting kids.
Most Louis patients are back to desk work, driving, and short social outings. The acute pain is gone, replaced by soreness. You are off the strong stuff and managing with Tylenol or Motrin.
This is the hardest part for active patients. You feel good, but your body is still healing internally. We restrict heavy lifting and bouncing (running, HIIT) for about 4 to 6 weeks to ensure optimal healing of the pocket.
Initially, your breasts will look high—like they are sitting near your collarbone. This is expected. Over a few months, the muscle relaxes, and the implants settle into their natural position. The skin softens. This is the "drop and fluff." By the six-month mark, they move and jiggle like natural breasts.
Sometimes, an implant alone isn't the answer. Breast procedures often need to address the skin envelope, not just the volume.
If your nipple sits below the breast fold (ptosis), an implant won't fix the droop. It might actually make your breast look like a "Snoopy nose." In these cases, a breast lift is essential. We remove the excess skin, reshape the internal tissue, and place the nipple in a higher, more youthful position. Combining a lift with breast implants is complex but delivers the most transformative results for sagging breasts.
We can use fat transfer to fine-tune the result. We harvest fat from the abdomen or thighs via liposuction, purify the fat cells, and inject them around the edges of the implant. This is amazing for cleavage. It softens the "gap" between the breasts and hides any rippling. It’s the ultimate finishing touch for a truly natural look.
Many patients combine breast surgery with a tummy tuck or liposuction as part of a mommy makeover. By addressing the breast and abdomen in one surgical procedure, you deal with one recovery period and get a complete restoration of your torso.
We believe in radical transparency. While breast augmentation surgery is common, it is a significant medical decision that requires an honest look at the biological reality of healing.
Infection is rare but taken seriously. To mitigate this, we employ a strict "no-touch" technique using a Keller Funnel, which allows the implant to slide into the pocket without ever touching the patient's skin. We also use triple-antibiotic irrigation to cleanse the surgical site. These protocols are designed to prevent biofilm formation, which is the primary cause of early-stage complications.
The body naturally forms a capsule of scar tissue around any foreign object. In most people, this remains soft and undetectable. In a small percentage of cases, that tissue tightens and squeezes the implant, causing firmness or visible distortion. Our use of submuscular or subfascial placement and sterile handling techniques are our primary defense against this response.
Malposition occurs when an implant shifts from its intended pocket, leading to "bottoming out" or lateral displacement. This is often the result of poor pocket construction or choosing an implant size that is too heavy for the patient’s breast skin to support. Dr. Nayak’s precise measurements during the planning phase ensure the pocket is tight and anatomically correct, keeping the implant centered and stable.
Modern devices are incredibly durable, but they are not lifetime devices.
Some patients report systemic symptoms, such as fatigue or joint pain, which they attribute to their implants. While current scientific data has not established a direct causal link for the majority of patients, we listen to every concern. If you feel your implants are negatively affecting your health, we support your decision for explantation (removal). We are your partners in long-term health, not just your initial aesthetic.
The cost of breast augmentation in St. Louis varies. It’s not a commodity like a gallon of milk; it’s a service dependent on surgical complexity, operating room time, and implant choice (silicone is generally more expensive than saline).
At Nayak Plastic Surgery, we provide transparent, all-inclusive pricing after your consultation. This quote includes the plastic surgeon's fee, the anesthesia, the facility fee, and all follow-up visits. We never want you to worry about a surprise bill. Financing options are available for patients who prefer to spread the investment over time.
Board Certified Plastic Surgeon status is the baseline, but extensive training in aesthetic breast surgery is the differentiator. Breast augmentation specialists understand the nuances of the "high-risk" chest—the asymmetric chest, the constricted breast, the tuberous breast.
Dr. Kachare and the team approach every case with an obsession for detail. We don't just "put implants in." We engineer a result. We prioritize safety protocols to reduce risks. We use the best technology available. And we tell you the truth—even if that means telling you that you need a lift when you only wanted an implant, or that the size you want isn't safe for your anatomy.
Breast enhancement is a personal choice. It is about aligning your physical form with your mental image. Whether you are looking to regain volume lost after kids, balance out asymmetry, or simply finally fill out that dress the way you’ve always wanted, we are here to guide the process.
Breast augmentation results that feel natural come from restraint, not excess. They come from listening to the patient and respecting the anatomy. They come from a surgeon who views themselves as a partner in your confidence.
If you are looking for breast augmentation in St. Louis, and you want a team that prioritizes safety, structure, and long-term results, we invite you to start the conversation.
Ready to optimize your framework?
A consultation at Nayak Plastic Surgery is designed to answer practical questions and address real concerns. Patients receive guidance based on anatomy, goals, and long-term support—not pressure. If breast augmentation has been on your radar for a while, a focused conversation can help clarify whether it’s the right step and how to approach it thoughtfully.
They are not lifetime devices. While many patients keep them for 10 to 20 years without issue, you should expect that you might need a revision or exchange at some point in your life.
Most women can successfully breastfeed after augmentation. We take care to preserve the milk ducts, especially with inframammary incisions.
Eventually, yes. Once the healing is complete (usually after 3-6 months), you can return to stomach sleeping, though many patients find it feels different than before.
A Louis med spa offers many things, but significant breast enhancement isn't one of them. Non-surgical solutions cannot generate projection or structure. Creams and pills do not work.
Frontenac
Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 7:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 7:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: 8:00 AM – 12:00 PM
Sunday: Closed
Des Peres
Monday: Closed
Tuesday: 8:00 AM – 7:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 7:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: Closed
Sunday: Closed
Chesterfield
Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 5:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 5:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: Closed
Sunday: Closed
