Back to top

Breast Augmentation and Implants in Houston

Dr. Leo Lapuerta is a Houston breast augmentation surgeon who has provided countless women in the greater Houston, Katy, and Pearland areas with fuller, shapelier breasts. Breast augmentation surgery, which ranks as the most common and most popular cosmetic surgery procedure in the U.S., uses saline or silicone breast implants to increase the size and shape of the breasts.

  • Review from G.V.
  • Source: Rate MDs
  • Jan 28, 2021
I went to Dr. Lapuerta for a breast augmentation, I was very nervous and excited. Dr. Lapuerta and his staff made me feel extremely comfortable and confident through the entire process. My confidence is through the roof! I’ve been back for skin care products which I love, I received top guidance on how to use them and they really work! I feel like part of the family and I will trust Dr. Lapuerta and staff with all of my beauty and cosmetic needs.

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 implants, where to place the implant, and the best incision approach to take. He will also determine if a breast lift will be necessary in order to create the best outcome.

Breast Augmentation Surgery Houston

Breast implants are an excellent option for any woman who wants to alter the size or shape of her breasts. Breast augmentation can increase breast size, restore any volume lost after losing weight or pregnancy, and improve the symmetry between the left and right breast. This popular outpatient procedure can pay immediate dividends and improve the patient’s appearance, as well as provide a boost in self-confidence and self-esteem.

Should I Get Breast Implants?

While the benefits of breast augmentation are undeniable, it is not for everyone. It is important to take the time to consider whether breast implants are right for you. Good candidates for breast augmentation in Houston, TX, with Dr. Lapuerta will be women who match these criteria:

  • – Your breasts are fully developed with no possibility of growing further.
  • – You feel that your breasts are too small for your body, which makes you feel self-conscious about your appearance.
  • – Your clothing fits perfectly around the hips but is too large and flowing around the chest.
  • – After pregnancy or losing a lot of weight, you find that your breasts have lost their natural shape and volume.
  • – As you age you find that your breasts are sagging or misshapen.
  • – Your breasts are noticeably asymmetrical, with one breast clearly smaller or shaped differently than the other.
  • – You have realistic expectations about what breast augmentation surgery can provide for you.

How to Choose the Right Breast Implant

Patients have a variety of options when it comes to breast implants. As breast augmentation procedures have continued to develop, breast implants have come to look and feel more realistic. Before undergoing breast augmentation in Houston, Dr. Lapuerta will work with you to determine whether saline implants or silicone implants will best achieve your cosmetic goals. In terms of which type of breast implant is best, it all depends on your personal medical history, goals for breast augmentation, body type and weight, breast tissue size and structure, and personal preferences.

Saline vs. Silicone Implants

There are two distinct types of breast implants that you can choose from. You can choose either silicone breast implants or saline breast implants, but for most patients, it is best to trust Dr. Lapuerta to help you make this decision. Silicone and saline implants have distinct differences and characteristics. Below, you can learn more about the difference between silicone and saline implants, as well as the situations best suited for both types of breast implants.

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 can deflate. Patients must be at least 22 years of age to receive silicone implants.

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.

Breast Augmentation Options and Implant Information

Beyond the broad categories of saline and silicone implants, there is other implant information to consider before undergoing breast augmentation surgery. Learn more about the different breast implant manufacturers, shapes, and other important information below:


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

For the majority of his breast augmentation patients, Dr. Lapuerta uses saline or silicone breast implants from Mentor. For some patients, their particular goals are better achieved with silicone gel breast implants from Sientra. Only surgeons who are Board Certified by the American Board of Plastic Surgery are eligible to offer their patients implants from Sientra.


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. Dr. Lapuerta prefers round implants and finds that more naturally-shaped implants can be problematic for some patients while not offering any benefit over a round implant.


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. Dr. Lapuerta’s preference is to use smooth surface breast implants.

Implant Placement

During breast augmentation surgery, if an implant is needed the plastic surgeon has several implant placement options. For the best outcome from breast augmentation surgery, Dr. Lapuerta takes into consideration many factors when deciding where the implant should be placed, including the patient’s desired implant size, the amount of natural breast tissue, the patient’s weight and chest muscle anatomy. After an in-depth consultation with the patient, Dr. Lapuerta will determine which of the following implant placement options will give the patient the results they desire:

Submammary (Retromammary): Under the mammary gland (breast tissue), 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

Along with implant placement, Dr. Lapuerta must also determine the best type of incision to use during surgery to get optimal results. Dr. Lapuerta will take into account the patient’s preferences, implant size, and the degree of breast ptosis (breast “sagging”) when choosing the incision site. He performs both inframammary and periareolar incisions at the outpatient surgery facility, The Plastic Surgery Institute of Southeast Texas (PSI). Below, you can learn more about the most common breast implant incision types:

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). Patients who are appropriate candidates and desire transaxillary breast augmentation will have their surgery done in a hospital setting. 

Transumbilical: The incision is made in the belly button (Not Recommended). Dr. Lapuerta does not offer the transumbilical incision.

How to Choose Implant Size

There are a number of factors to consider when choosing the size of your breast implant. First, you should consider your lifestyle. Are you someone who loves to be active, exercise, and take part in physical activities? If so, you will not want oversized implants, as they can limit your ability to comfortably exercise, and can result in future back problems or other health issues.

Next, you should consider the goals of your breast implant procedure. Are you merely trying to alter the size and shape of your breasts so that they are proportional to the rest of your body, or do you want breasts that will catch the eye of every person you walk by? If you are looking to attract more attention from potential partners, then you might want to opt for larger implants. If you are more low key, you likely will want to focus on changing the shape of your breasts over adding considerable size.

Regardless, the key to choosing the ideal implant size is having an open line of communication with your plastic surgeon. Dr. Lapuerta is renowned for his ability to clearly communicate with patients, helping them understand every step of the procedure. He aims to partner with the patient to help them achieve their aesthetic goals, and part of that partnership is helping you decide what implant size best suits your needs.

Breast Augmentation Surgery Procedure Information

Breast augmentation surgery is performed under general anesthesia, which allows the patient to feel no pain or discomfort during surgery. For safety, convenience, and privacy reasons, most of Dr. Lapuerta’s patients choose to have their surgery in the accredited outpatient facility, PSI. Regardless of location, breast augmentation surgery is considered an outpatient procedure. Dr. Lapuerta will make a small incision near the breasts, creating a pocket to house the implant. Then, the saline or silicone breast implant will be carefully positioned in the pocket, either underneath the pectoral muscle or on top of the pectoral muscle, but beneath the breast tissue. Where the breast implant is positioned will ultimately be determined by Dr. Lapuerta depending on a variety of factors.

How Long Is Breast Augmentation Surgery?

Breast augmentation doctors in Houston typically complete breast augmentation surgery in one to two hours. Based on the surgical approach and the type of breast implants used, the length of the surgery can vary. Oftentimes, plastic surgeons will combine breast augmentation surgery with a breast lift, and if that is the case, the procedure will likely take longer than two hours. During a consultation, Dr. Lapuerta will provide you with a custom treatment plan that includes an estimate for how long the surgery will likely take.

Breast Augmentation Recovery

During a pre-operative appointment with Dr. Lapuerta’s nurse, patients will be given clear and detailed instructions regarding exactly what they need to do after surgery in order for breast augmentation recovery to go as well as possible. Patients will need to rest for a couple of days after receiving breast implants in Houston, as it is normal to feel some discomfort in the first one to two days. However, in order to promote circulation and avoid blood clots, patients will be encouraged to move around. As the skin adjusts to the new breast size, it is normal to feel tightness, a sense of pressure, sensitivity, and itchiness in the chest area. There may also be some initial swelling and discoloration, but it should fade away rather quickly.

How Long Does It Take to Recover from Breast Augmentation?

After about one week of recovery, patients should be able to return to work. However, patients should hold off on resuming their normal exercise routines for at least four to six weeks, and during this time patients should avoid any strenuous physical activity or heavy lifting. It typically takes around six months for the breasts to fall into their final position. The result is a softer, more natural-looking breast appearance.

How Painful Is Breast Augmentation Recovery?

There will be some bruising and discomfort, but there should be only a minimal amount of pain during breast augmentation recovery. If you find yourself in significant pain during the recovery period, then Dr. Lapuerta can prescribe pain management medication in order to make your recovery more comfortable.

How Much Does Breast Augmentation Cost in Houston?

It can be difficult to estimate the cost of breast augmentation in Houston since each patient brings about a unique set of circumstances. However, breast implants from Dr. Lapuerta generally cost somewhere between $5,500 and $7,500. 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 $6,000. Silicone implants generally run about $1,000 more. In order to get an accurate estimate for the cost of breast implants, contact Dr. Lapuerta’s office to schedule a consultation today.


  • Recovery Time
  • 1-2 Weeks
  • Average Procedure Time
  • 1-2 Hours
  • Post-op Follow-up
  • 1 Week
  • Procedure Recovery Location
  • Outpatient


Which Is Best: Saline or Silicone Implants?
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.
Are Breast Implants 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 breast reconstruction cases, patients choose silicone breast implants three times more often than saline implants.
Breast Augmentation vs. Implants
While breast augmentation and breast implants are two terms that are often used interchangeably, they actually refer to two separate things. Breast augmentation is the name given to the surgical procedure itself, in which a plastic surgeon alters the size, shape, or positioning of the breasts. Breast implants are the name of the actual silicone or saline prosthetic that is surgically inserted into the breasts. Not all breast augmentation surgeries will require breast implants.
Can Breast Implants Rupture?
Modern engineering creates strong and durable implants. With proper care and check-ups, the risk of rupture is very low. If a saline implant ruptures, the solution will be absorbed by the body and the implant will noticeably deflate. 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 Breast Implants 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.
Can You Finance Breast Implants?
Dr. Lapuerta offers several different breast implant financing options. In order to learn more about the different types of breast implant financing options, contact a Patient Coordinator by calling (832) 481-4428. We will work with you to find the best financing plan for your unique needs.
Can You Breastfeed with Breast Implants?
Most women are able to breastfeed with breast implants. However, most plastic surgeons suggest that you should wait until after you are done having children to undergo breast augmentation surgery, as the shape of your breasts can change during pregnancy and while breastfeeding. If you have breast implants and become pregnant, you may need to schedule a second breast augmentation procedure after you are done breastfeeding.
Leo Lapuerta Plastic Surgery