Dr. Leo Lapuerta
Dr. Leo Lapuerta

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Breast Augmentation in Houston, Pearland and Katy TX*

38 Procedures ( View All )


Dr. Lapuerta is a Houston breast augmentation surgeon who has provided countless women, in the greater Houston, Katy and Pearland areas, with fuller, shapelier breasts. Augmentation mammaplasty surgery which ranks as the most common and most popular cosmetic surgery procedure in the U.S., uses saline or silicone implants to increase the size and shape of the breasts. Dr. Lapuerta will provide a thorough assessment and determine the best surgical technique to use to garner the best results. This includes whether to use saline or silicone, where to place the implant, and the best incision approach to take. He will also determine if a lift will be necessary in order to create the best outcome.

Saline VS. Silicone

Saline Breast Implants

Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.

Silicone Breast Implants

Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue.  They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.

Other Implant Information


  • Saline: MENTOR® or Allergan (branded as Natrelle®)
  • Silicone:  Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants


An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.


Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts.


Breast implants are made with a smooth or textured surface.  Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.  

Implant Placement

  • Submammary (Retromammary):  Under the mammary gland, over the muscle (sometimes called 'subglandular')
  • Subfascial (Retrofacial):  Under the fascia of the muscle       
  • Dual Plane:  Along two planes/layers
  • Submuscular (Retromuscular):  Partially under the muscle
  • Complete Submuscular (Full retromuscular):   All the way under the muscle

Incision Type

  • Inframammary:  The incision is made in the breast crease where the breast meets the torso
  • Periareolar:  The incision is made just under and along the areola
  • Transaxillary:  The incision is made in the armpit (Not Recommended)
  • Transumbilical:  The incision is made in the belly button (Not Recommended)

During/After Surgery

Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.

Expected Cost

The cost for breast augmentation surgery will vary depending on whether saline implants or silicone implants are used. The average cost for breast augmentation using saline implants is about $5,500-$6,500. Silicone implants generally run about $1,000 more.

Plan Your Procedure

Average Cost  
$5,500 - $6,500
Recovery Time  
1-2 Weeks
Average Procedure Time  
1-2 Hours
Post-op Follow-up  
1 Week
Procedure Recovery Location  
Contact Us

Breast Augmentation FAQs

Saline or Silicone?

Both saline and silicone implants are popular choices among surgeons and patients. In general, patients with a decent amount of breast tissue are good candidates for saline implants, while those with limited tissue and thin chest walls will benefit from silicone.

Is Silicone Safe?

Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.

Breast Aug or Lift?

Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.

Risk of Rupture?

Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect.

How Long do They Last?

Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.

Breast Augmentation Best Age?

Patients frequently ask about what ages are best for a breast augmentation surgery. There is a good amount we feel patients asking this question would want to know. Please read our article on this topic here: Best Age for Breast Augmentation.

Related Procedures

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.