Breast Augmentation Options & Considerations

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Asymmetrical

Asymmetrical

Breast asymmetry correction addresses differences in size, shape, or position between the breasts. This procedure uses tailored techniques to create improved balance and proportion, resulting in a more symmetrical and natural appearance.

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Choosing The Right Implant

Choosing The Right Implant

Choosing the right implant is an important part of achieving your desired outcome. We guide patients through options in size, shape, and material to ensure a personalized approach that aligns with your goals and body proportions.

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Implant Replacement

Implant Replacement

Implant replacement is performed to update or exchange existing breast implants due to changes in preference or medical needs. This procedure can refresh appearance, improve comfort, and maintain long-term results.

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Preparation

Preparation

Proper preparation is essential for a safe and successful surgical experience. We provide detailed guidance before your procedure to help you feel informed, confident, and ready for surgery and recovery.

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Incision Line Management

Incision Line Management

Incision line management focuses on supporting proper healing and minimizing the appearance of scars after surgery. With appropriate care and treatment, incision lines can heal smoothly for more refined, natural-looking results.

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Options For Lifts Reductions

Options For Lifts Reductions

Breast lift and reduction options are customized to address concerns such as sagging, excess volume, or discomfort. These procedures reshape and reposition the breasts to improve contour, balance, and overall appearance.

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Dr. Chalekson is amazing! He made me feel very confident and comfortable making my decision for my breast augmentation… his staff is all so kind, informative, and flexible! And really made me feel like I was in good hands. I couldn’t be happier with choosing Dr. Chalekson and my end results!

S.L.

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Breast Augmentation Benefits

Breast augmentation is one of the most popular plastic surgery procedures in the nation, helping hundreds of thousands of women attain their ideal figures every year. The reasons for undergoing breast augmentation differ widely among patients, but the procedure offers several common benefits to women in San Luis Obispo County, such as:

  • Restored breast volume lost due to weight loss, pregnancy, or the natural aging process
  • Increased wardrobe options that complement your new figure
  • Balanced appearance to breasts that may have been previously asymmetrical
  • Improved self-confidence that comes with loving the way you look

The decision to have breast augmentation is a personal one, and the benefits can be as unique as each woman Dr. Chalekson sees. During your initial consultation with our board-certified plastic surgeon, your concerns will be heard, and the breast augmentation options best suited to meet your individual needs will be determined and explained.

Am I A Good Breast Augmentation Candidate?

Barring any pre-existing medical conditions, if you are unhappy with the appearance of your breasts, you are likely a good candidate for breast enhancement surgery. Generally speaking, you may be a good candidate if:

  • Your breasts are fully developed
  • You are in generally good physical condition
  • You do not smoke, or are willing to quit before your procedure and remain smoke-free throughout the duration of your recovery
  • You are not currently pregnant or breastfeeding
  • You have realistic expectations
  • You are able to take time away for a healthy recovery and are willing to closely adhere to Dr. Chalekson’s preoperative and postoperative instructions

The FDA has approved the use of saline implants for women aged 18 years and older and silicone implants for women at least 22 years old. Patients who are concerned with issues such as breast asymmetry may be eligible during late adolescence. Dr. Chalekson will evaluate your physical condition, review your medical history, and determine if you are a good candidate for a breast augmentation surgery in San Luis Obispo County.

Breast Augmentation Customized Specifically for You

With so many breast augmentation options available, you may feel overwhelmed with choices. Fortunately, Dr. Chalekson is here to demystify the process and guide you through each step of your transformative journey with honesty and experience-based recommendations. During your comprehensive initial consultation, he will discuss your desired outcome, assess your physique and explain all of your treatment options. Through honest dialogue and collaboration, you and Dr. Chalekson will develop a treatment plan that is completely customized to achieve your unique goals. When designing your personalized breast surgery, Dr. Chalekson will discuss several elements of your procedure, including:

  • The type of breast implants that will be used
  • The size of your breast implants
  • The location of your incisions
  • Your breast implant placement

Breast augmentation in San Luis Obispo County can be performed on its own or in conjunction with other procedures. For example, while this surgery can provide a slight lift to the breasts, women with moderate to severe sagging issues may elect to combine their procedure with a breast lift [mastopexy] to elevate their breasts to a perkier and more youthful position.

Also, many women undergo breast augmentation along with a tummy tuck or liposuction as part of a comprehensive mommy makeover. During your initial consultation, Dr. Chalekson will thoroughly discuss all of your concerns and possible treatment options to help you achieve the look you desire.

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Types of Breast Implants

There is no “right” breast implant, only breast implants that are right for you. Dr. Chalekson will work closely with you to determine which breast implant best suits your particular goals, lifestyle, and budget. All breast implants we offer are FDA-approved medical devices with unique advantages to consider. Our implant options include:

Saline Breast Implants

This type of breast implant consists of an outer silicone shell filled with a completely safe saline solution. Saline implants are filled with saline after they have been placed, a distinction that offers a number of benefits. These can also include newer styles of saline implants, such as the IDEAL IMPLANT®, to help provide some of the beneficial qualities seen with a silicone implant.

Silicone Breast Implants

Available in a variety of shapes and sizes, silicone implants are made of an outer silicone shell that is filled with silicone gel.

Gummy Bear Breast Implants

These types of implants are made of a more cohesive silicone gel that retains its shape, even when cut in half (thus the “gummy bear” namesake).

Fat Grafting

Also referred to as lipoaugmentation, natural fat grafting can create a soft, subtle increase in breast size. The fat grafting process begins with the removal of fat from another area of your body, typically the buttocks, thighs, or abdomen, with a gentle liposuction procedure. The harvested fat cells are then processed and purified before being injected into the breasts. This incorporates the harvested fat into the existing fatty tissue to create a natural, refined increase in breast size.

Breast Augmentation With Lift

For some patients, adding volume alone does not fully address concerns about breast shape or position. If the breasts have descended due to aging, pregnancy, or weight changes, combining augmentation with a lift can create a more youthful silhouette. This approach allows both volume and position to be corrected at the same time, often producing a more harmonious result than either procedure alone.

During consultation, Dr. Chalekson will help you decide if a lift should be considered. The decision will depend on skin elasticity, nipple position, and overall breast proportions, as well as your aesthetic vision. Many patients appreciate addressing everything in a single surgery, with one recovery period and a result that feels more complete.

Gender-Affirming Breast Augmentation

Breast augmentation can play an important role in gender-affirming care for transgender women and nonbinary patients seeking a more feminine chest contour.

If this is something you are considering, know that our treatment planning is highly individualized, taking into account chest anatomy, skin characteristics, and personal goals to create results that feel authentic and proportionate.

The process is approached with respect, collaboration, and clear communication at every stage. Surgical decisions are made together, with attention to both aesthetic outcomes and your long-term comfort.

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Breast Implant Sizing

Everyone has unique needs and a specific aesthetic they want to achieve. Some women want a subtle enhancement while others seek a bold transformation. Dr. Chalekson respects the individual preferences of every patient and works to create results that achieve your desired outcome. The size and profile of your breast implants will play a tremendous role in attaining the results you seek.

Whatever breast size you hope to attain from undergoing breast enhancement in San Luis Obispo County, Dr. Chalekson will help you find the ideal solution. During your initial consultation, he will discuss implant sizes with you and answer any questions you have. Together, you will determine which size is best for you.

How Do I Choose the Right Implant Size for Me?

Selecting implant size is less about cup size and more about proportion. Factors such as body frame, existing breast tissue, skin elasticity, lifestyle, and personal preferences all play a role in determining what will look and feel most natural. Here are a few lesser-known facts regarding implant selection that may help you during your consultation with the plastic surgeon.

Cup Size Is Not a Reliable Measurement

Many patients come in saying they want to be a “C” or “D” cup, but bra sizing is not standardized. A C cup in one brand can be a D in another. Experienced plastic surgeons like Dr. Chalekson do not plan implants based on cup size; they plan based on:

  • Chest width
  • Breast base diameter
  • Skin elasticity
  • Existing breast tissue
  • Body proportions

The same implant can look very different on two people. Implants are measured in cubic centimeters (cc). For example, a 300cc on a petite frame may look full and dramatic, while the same implant on a broader chest may look subtle and natural.

Your anatomy determines the visual result more than the number itself. Dr. Chalekson will take this into account during your consultation.

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Lifestyle and Personality Should Guide Size

The “right” size is not just anatomy; it is also your life. Things to consider when choosing your future bust size include:

  • Athletic activity level
  • Professional environment
  • Clothing preferences
  • Desired level of attention
  • Comfort during exercise and sleep

Some patients want subtle enhancement. Others want dramatic curves. Your goals should match your lifestyle.

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Communication With Your Plastic Surgeon Is Key

The best consultations focus on giving your surgeon the perfect understanding of your aesthetic vision. You want to bring about a “duplication” of your ideal image in the mind of the skilled plastic surgeon performing your procedure. Dr. Chalekson can then take this image and translate it into scientific measurements, cc numbers, and placement calculations to achieve your desired result.

Photos of desired outcomes are a great start. Find models with a similar physical build and the breast look that you would like, and bring these photos to your meetings. Consider what you want using descriptive words like “natural,” “full,” “athletic,” or “dramatic.” Show and share what you want to see, both in and out of clothing. When your vision is clear and well communicated, this helps your surgeon translate your goals into a safe surgical plan.

Choosing Between Saline, Silicone, and Fat Transfer

One of the most important decisions in breast enhancement, whether primary or revision, is selecting the type of volume enhancement that best aligns with your goals. Each option offers distinct advantages, and the right choice depends on anatomy, lifestyle, and desired results.

Saline Implants

Saline implants are filled with sterile saltwater after placement. Advantages include:

  • Smaller incision in some cases
  • Adjustable fill volume during surgery
  • Immediate detection if rupture occurs (implant deflates)

They may be a good option for patients who prefer a simpler device or who have sufficient natural tissue coverage. Saline implants can sometimes feel firmer or show more visible rippling in thinner patients.

Silicone Gel Implants

Silicone implants are filled with cohesive gel designed to mimic the feel of natural breast tissue. Benefits include:

  • Softer, more natural feel
  • Less visible rippling of the chest-wall skin in many patients
  • More natural movement and contour

Modern cohesive silicone implants are highly durable and remain the most chosen option for patients seeking the most natural aesthetic result.

Fat Transfer Breast Augmentation

Fat grafting uses your own body fat, harvested through gentle liposuction, to enhance breast volume. This option may appeal to patients who:

  • Prefer a completely natural approach with no implants
  • Want modest size enhancement (usually about ½–1 cup size)
  • Desire simultaneous body contouring from liposuction

Fat transfer can also be used to refine implant results, improve contour irregularities, or enhance cleavage during revision procedures.

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Our Top Priority Is You

Dr. Chalekson believes in the beauty of individuality. He tailors every procedure to provide the precise look you want. He will listen closely to your needs to deliver an implant size that helps you look and feel your best. As always, your safety, comfort, and satisfaction are our top priorities.

Testimonials

“I feel free for the first time in so long, and the relief has been incredible. I always felt like I was in the best possible hands.”

– H.S.

“I am healing, I am HAPPY, and I know I can reach out to them for anything. They have taken such good care of me.”

– K.D.

“I am so completely happy with my body transformation. My life has already been transformed and it was completely worth it.”

– L.K.

“Great surgeon and office! Special shoutout to Angela that really advocated for me by arguing with my insurance to get coverage. Not only are the MAs and front desk nice but Dr. Cha...”

Great surgeon and office! Special shoutout to Angela that really advocated for me by arguing with my insurance to get coverage. Not only are the MAs and front desk nice but Dr. Chalekson also truly cares for his patients. I've gotten multiple compliments on the work he has done from close friends and my partner. Thank you guys for everything you have done for me. You gave me the experience of being comfortable in my body for the first time in my life.

– S.

“As a mom of three little boys, I just wanted to feel like me again, like I did before years of nursing and pregnancy. Thanks to Dr. Chalekson and his amazing team, I now do. The re...”

As a mom of three little boys, I just wanted to feel like me again, like I did before years of nursing and pregnancy. Thanks to Dr. Chalekson and his amazing team, I now do. The results of my BA are absolutely beautiful and so natural, which was important to me. The staff were incredibly kind, and the level of individual care in the operating room was exceptional. Dr. Chalekson is honest and down to earth, I felt comfortable talking to him each time we met and always felt he was giving me honest feedback that was never rushed. I couldn’t be happier with my experience and the confidence I’ve regained. Can’t recommend enough!

– S.L.

“The whole experience from my first visit to today has been amazing. DR Chalekson and his staff are amazing. I highly recommend this surgical office. I am so impressed with the staf...”

The whole experience from my first visit to today has been amazing. DR Chalekson and his staff are amazing. I highly recommend this surgical office. I am so impressed with the staff and outcome of my procedure.

– C.S.

“From the very beginning, at the initial consultation, I was greeted and treated with the upmost professionalism, and attentiveness. The beautiful, elegant, and private office made ...”

From the very beginning, at the initial consultation, I was greeted and treated with the upmost professionalism, and attentiveness. The beautiful, elegant, and private office made the experience perfect. The staff and doctor were available to answer any of my questions and worked with extremely busy schedule. Dr. Chalekson has raised the bar and set the new standard that all practitioners in his field should mirror.

– M.S.

“I had the best experience with Chalekson Plastic Surgery. I was a bundle of nerves and Dr. Chalekson and staff made me feel at ease. I am 4 days post op and I’m already amaze...”

I had the best experience with Chalekson Plastic Surgery. I was a bundle of nerves and Dr. Chalekson and staff made me feel at ease. I am 4 days post op and I’m already amazed by the results. I feel so grateful to have been treated by Dr. Chalekson and staff. A special thanks to Stephanie (surgical nurse), Christine (nurse manager) and Danielle (pre & post op nurse).

– A.C.

“The first time I walked into the office, it was like coming home to family. Everyone said hi and the nurse was fabulous. Kind and professional. Then the Doctor came in and made me ...”

The first time I walked into the office, it was like coming home to family. Everyone said hi and the nurse was fabulous. Kind and professional. Then the Doctor came in and made me feel comfortable with the procedure. He is kind, professional and funny. I left there feeling like my procedure would be smooth and in very good hands.

– P.M.

“I had a great experience! Dr. Chalekson and his staff are kind, helpful and professional. My surgery and recovery went well, and I was delighted with the outcome. His office staff ...”

I had a great experience! Dr. Chalekson and his staff are kind, helpful and professional. My surgery and recovery went well, and I was delighted with the outcome. His office staff worked with my insurance company and made the process so easy and stress free. I fully recommend Dr Chalekson and would not hesitate to visit him again for any future needs.

– D.M.
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Incision Options for Breast Augmentation

Dr. Chalekson will recommend the incision option that is best suited for your specific needs and anatomy. Depending on your particular situation, Dr. Chalekson may recommend one of the following incision techniques:

Inframammary Crease (Breast Crease) Incision

This is a popular choice and is unlikely to cause difficulty with breastfeeding. It is a good option for patients who do not require a breast lift. The scar is very discreet, hidden in the crease under the breast.

Peri-Areolar Incision

Also a popular incision choice, this type is a small semi-circle shape on the lower edge of the areola, camouflaged along the border of the areola’s coloration and texture.

When determining which incision option is best for your breast augmentation procedure, it is essential to discuss the pros and cons of each technique with Dr. Chalekson at his practice in San Luis Obispo County. He will take all the time necessary to understand your goals to identify the best option for your particular circumstances.

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Breast Implant Placement Options

Another important decision that must be made for your customized breast augmentation is that of breast implant placement. Depending on your unique anatomy and goals, Dr. Chalekson may recommend:

  • Subglandular placement: The breast implant is placed behind the breast tissue and over the chest muscle.
  • Submuscular placement: The breast implant is placed underneath the majority of your pectoral chest muscle.
  • Dual plane placement: The upper portion of the breast implant is placed beneath the chest muscle, and the lower portion of the implant is placed below the breast tissue.

Each implant placement option carries its own pros and cons. What is right for one patient may not be ideal for you. During your initial consultation, Dr. Chalekson will discuss the advantages and considerations of each of your options. He will help you make an informed decision that will accomplish your unique goals.

Breast Implant Keller Funnel

Due to its ability to provide an exceptional level of control and safety, Dr. Chalekson frequently uses the Keller Funnel to place certain breast implants. Keller Funnels are used to:

  • Leave patients with shorter incisions
  • Minimize the chances of implant tearing or gel fractures
  • Reduce contact with the breast implant
  • Diminish the risk of infection
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Breast Implant Removal and Breast Augmentation Revision

Breast implants are medical devices, and over time, they may potentially break down or wear out. While you should expect your breast implants to last for a long time, you should also understand that at some point, a revision procedure may be needed. Common reasons to undergo breast augmentation revision surgery include:

  • To replace a ruptured breast implant
  • To switch to a different style of breast implant (saline, silicone, cohesive gel “gummy bear”)
  • To correct changes in your breast enhancement results that occur over time (such as further droopiness of the breast with time)
  • To change the size of your breast implants
  • To correct a complication associated with your initial breast augmentation procedure
  • To improve the appearance of your breasts, if you are not happy with your initial results
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Advanced Breast Augmentation Revision Techniques

Breast augmentation revision is not simply about replacing implants; it often involves correcting structural or positional issues to restore comfort, symmetry, and natural movement. With nearly two decades of experience, Dr. Charles Chalekson uses a range of advanced techniques tailored to each patient’s anatomy and concerns. Some of his most common correction approaches include:

Correction of Pectoralis Animation Deformity

In some patients with implants placed under the muscle, contraction of the chest muscles can cause visible movement or distortion of the breast. Revision may involve adjusting the implant pocket, converting to a different plane of placement, or selectively releasing muscle attachments to restore a more natural appearance.

Correction of Implant Lateralization (Implants Drifting Outward)

Over time, implants can shift toward the sides of the chest, particularly in patients with thinner tissues or wider pockets. Techniques such as pocket repair, internal suturing, or reinforcement with supportive materials can reposition the implant and improve cleavage and symmetry.

Subglandular Revision

In some cases, moving the implant above the muscle can reduce animation issues or discomfort while maintaining a natural contour when adequate tissue coverage exists.

Subfascial Placement

This technique positions the implant beneath the thin connective tissue (fascia) over the muscle. It can provide additional coverage compared to subglandular placement while avoiding some muscular distortion.

Dual Plane Revision

Frequently used in both primary and revision surgery, this technique places the upper implant beneath the muscle while allowing the lower portion to sit under the breast tissue. It offers a balance of coverage, natural slope, and lower pole fullness.

Partial Submuscular Techniques

Adjustments to the degree of muscle coverage may be performed to optimize implant position, reduce animation, or improve shape depending on the patient’s anatomy and goals.

Dr. Charles Chalekson Your Go-To for Revision Plastic Surgery

Over the course of his nearly 20-year career, board-certified plastic surgeon Dr. Charles Chalekson routinely performs numerous breast augmentation revision procedures in San Luis Obispo County. He has extensive experience performing breast surgery and has likely seen any type of complication you may experience. Whether you want to improve an unsatisfactory initial result or simply need to replace an implant that has worn out over time, he can deliver the results you desire.

When undergoing breast augmentation revision, it is crucial to work with the right plastic surgeon. These procedures are often more complicated than the initial surgery, and your surgeon must understand the unique issues associated with revision procedures. Dr. Chalekson will address all of the problems that exist during your revision procedure, and he will design a treatment plan that offers you the highest chances of success with the lowest possible risk. This is the best way to achieve the highest quality of results.

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Recovery From Breast Augmentation Surgery

In order to achieve the best possible results, it is important to follow Dr. Chalekson’s postoperative instructions carefully. This will ensure a smooth recovery and reduce the risk of complications.

  • Prior to your San Luis Obispo County breast enhancement surgery, Dr. Chalekson will provide you with detailed written instructions and review these with you in person to ensure you understand what you need to do. In general, it is important to keep the following points in mind:
  • Make sure you arrange for someone to drive you home after your procedure, since it will be unsafe for you to drive due to the anesthesia. You should also make sure someone is with you at home for the rest of the day to assist you.
  • It is common to experience some swelling, bruising, and mild discomfort during the first week of recovery. Dr. Chalekson will prescribe medication to help you manage any discomfort you may experience.
  • You will need to take it easy during the first few days of your recovery. Light walking is encouraged as soon as you feel up to it, but make sure you refrain from strenuous exercise. Dr. Chalekson will let you know when it is safe to resume normal activities.
  • In most instances, you should be able to return to work after about a week. However, the exact timeframe will be determined by Dr. Chalekson based on how your recovery is progressing.
  • It may take up to six weeks before you can resume strenuous activities. Make sure you consult with Dr. Chalekson prior to adding any activities back into your regimen.

Why Patients Choose Chalekson Plastic Surgery | MedSpa in San Luis Obispo

Choosing the right aesthetic provider is about more than credentials; it’s about feeling confident, heard, and cared for at every step. Patients appreciate the thoughtful, individualized approach, direct access to their surgeon, and the calm professionalism that defines the experience at Chalekson Plastic Surgery | MedSpa.

With advanced technology, a private accredited surgery center, and decades of expertise guiding each decision, care is designed to be both reassuring and results-focused, delivering natural outcomes you can feel proud of.

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Consider Booking a Consultation in San Luis Obispo County for a Breast Augmentation

To learn more about breast augmentation in San Luis Obispo County or to determine if you are a candidate, please contact us to schedule a personalized consultation with Dr. Chalekson. Our practice serves Templeton, Paso Robles, Atascadero, and the surrounding areas of California, and we look forward to meeting you! Call (805) 386-7164 to get started.

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If you are considering plastic surgery in San Luis Obispo County, our team can help you understand your options and move toward the outcome that feels right for you. We welcome patients from across California and the United States, including Paso Robles, Atascadero, Templeton, Arroyo Grande, Pismo Beach, Cambria, Santa Barbara, and Santa Maria.

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