Breast Augmentation

Deciding whether breast augmentation surgery is right for you is an important personal journey and board-certified plastic surgeon Dr. David Kaufman understands that you have much to consider before moving forward. For that reason, Dr. Kaufman works closely with you using advanced VECTRA® 3-D technology to help you envision your potential outcome before you make any decisions.

Dr. Kaufman wants you to make the choices that are best for you and he will take the time to help you become as educated as possible. If you’re dissatisfied with the size and shape of your breasts, you will be assured to know that breast augmentation is the perfect solution for many Sacramento-area women looking to enhance their breasts.  Even more, Dr. Kaufman is known for the natural-looking results he produces and the kind, genuine care he provides.

It’s time to find out how breast enhancement surgery can improve your look and help you feel more confident. Please request a consultation or call us at (916) 983-9895 to schedule an appointment and visit our Folsom, CA plastic surgery office in person.

Breast Augmentation Before and After Photos

before and after breast implants


This 40-year-old woman came to our practice for breast augmentation surgery. Dr. Kaufman performed her surgery using an inframammary incision to place silicone, textured implants in a subglandular plane. For more patient photos, visit our breast augmentation photo gallery.

Eliminate the Guessing Game With VECTRA 3-D Imaging

Kaufman Plastic Surgery offers patients the use of VECTRA 3-D technology to “eliminate the guessing game” and help you feel more comfortable and confident about your breast enhancement surgery. This technology allows for better communication between you and Dr. Kaufman and provides the ability to better visualize your results at the time of the consultation.

The Technology of 3-D Imaging

The process of using the 3-D technology is simple. To begin, we take a photo of your body with the VECTRA camera, and in a matter of seconds, that picture is translated into a 3-dimensional image that appears on our computer screen — showing your body from neck to hip. Then, with VECTRA technology, Dr. Kaufman is able to manipulate the 3-D image of your body to show a visual representation of what your breasts could look like after breast augmentation surgery. For instance, he can adjust the image to demonstrate what your breasts would look like with 285 cc implants compared to 450 cc — both nude and in a swim top.

Learn more about our VECTRA imaging services.

Why Choose Breast Augmentation?

Often, women admit to feeling dissatisfied with their figures for years before choosing breast augmentation surgery. Therefore, many women report that they are “very pleased,” and “extremely happy” with their results.

An Experienced Breast Augmentation Surgeon

Although many doctors offer breast augmentation surgery as part of their expertise, choosing the right one is not simple. Dr. Kaufman is a board-certified plastic surgeon who performs hundreds of breast augmentation procedures each year.

Dr. Kaufman understands that the top priority for any woman who is considering a breast augmentation is to make sure she is happy with her results. At the same time, knowing which size is needed to achieve the desired look can be intimidating. Rest assured, Dr. Kaufman will evaluate your physique thoroughly, listen to your goals, and communicate with you clearly the different implant choices available and help you choose the right combination for your body type.

Dr. Kaufman knows the breast implant choices inside and out and can help you choose exactly what’s right for you.

He is experienced in addressing a variety of special considerations, such as a petite frame or widely spaced cleavage, so he is able to consistently provide beautiful, natural-looking results.

“I found Dr. Kaufman from a referral from a friend. He and his staff are awesome. They listened to what I wanted and delivered exactly that. I just wanted to have what I had before kids… I didn’t want to be ‘that’ mom. I had my breast procedure in January and just completed my final follow up visit. The entire experience was the best. I chose silicone implants, below the muscle. Thrilled!!!”
— SusF1984 on

How Much Does Breast Augmentation Cost?

Breast augmentation prices vary widely from patient to patient depending on factors such as choice of breast implants and whether other procedures are performed at the same time. The table below lists particular breast augmentation procedures and the estimated cost for common combinations.

Procedure & ImplantsEstimated Cost*
Breast augmentation with saline implants$6,000
Breast augmentation with silicone implants$7000
Breast augmentation and lift with implants$9,500 to $12,500
Breast augmentation revision$6,000 to $10,000 depending on complexity

*All prices are estimates and vary based on the6,0ient’s condition and time required for surgery.

At Kaufman Plastic Surgery, we strive to keep our prices competitive within our area and also, offer financing options to help patients attain the improvements they desire when the time is right. Patients are welcome to apply for financing through ALPHAEON™ Credit or CareCredit®, two healthcare lending agencies that offer special terms for qualifying patients. Financing terms and interest rates offered are customized, and our practice subscribes to only a select few. Call our office for details.

Incision Options

For many women considering breast augmentation, scars are a significant concern. Be assured that most women find their scars heal very well and are quite inconspicuous after a few months. Our practice offers a couple of choices as to where the incisions can be placed in order address each patient’s preferences. breast augmentation incision placement optionsThe options for incision placement include:

  1. Periareolar: at the junction of breast and areolar skin
  2. Inframammary fold: where the bottom of the breast meets the chest
Dr. Kaufman finds that for most women, breast enhancement is best accomplished through the inframammary or periareolar approach. Thus, although Dr. Kaufman is trained in transumbilical augmentation (belly button incision) and transaxillary augmentation (armpit incision), he does not feel that either is a good option for a variety of reasons, and therefore they are not performed in our office.

Placement of Implants

If you’re considering breast augmentation surgery, you have a choice when it comes to the placement of your breast implants, which can be above or below the chest muscle. Dr. Kaufman understands there is no one choice for everyone. As with other decisions you’ll need to make regarding your cosmetic surgery procedure, everything is customized per the individual patient and Dr. Kaufman will make sure you feel confident about your decision so that you end up with your desired results.

Above the Muscle

Breast implants can be placed behind the breast tissue and on top of the chest muscle. This placement, called subglandular placement, can be a good choice for patients with a fair amount of natural breast tissue or those choosing silicone implants, because implants placed above the muscle are more able to be felt. Activities are in no way affected by placement above the muscle.

Below the Muscle

Most breast augmentation patients choose to have their breast implants placed below the chest muscle, called submuscular placement. Advantages include:

  1. Implant camouflage and softening of the upper portion of the breast
  2. A more natural look and feel, especially for saline implants
  3. Better visualization during mammography

Breast Implant Placement Options

Below the MuscleAbove the Muscle

A few disadvantages to sub-muscular placement are that they can commonly become slightly deformed when the muscle is contracted and return to their normal shape when the muscle is relaxed. This is a potential issue for women who are very thin and for body builders. Also, placement under the chest muscle involves a slightly more painful recovery, but not markedly so.

About the Surgery

Dr. Kaufman performs breast augmentation in our private, on-site, fully accredited surgical center, and board-certified M.D. anesthesiologists from Mercy Folsom Hospital provide anesthetic care. Dr. Kaufman will make the incisions discussed at your preoperative appointment, create pockets for the breast implants (above or below the muscle), place the implants inside the pockets, and close the incisions.

You’ll spend about 45 minutes in our recovery room after surgery. We’ll monitor you carefully, and when you’re ready, you’ll go home to begin the healing process.

Recovery after Breast Augmentation

When you leave our surgery center, you will be wearing a soft bra for support and, sometimes but not often, a breast band to secure the placement of the implants and minimize swelling. You will return to our office for post-operative appointments the morning after surgery, as well as at 1 week, 6 weeks and 6 months.

Right after breast augmentation surgery, breast implants usually look high and feel hard. After about 4 weeks, swelling will have decreased and your breasts will most likely be looking really good. By the 6-month mark, final swelling will have resolved and your breasts will have reached their ultimate shape and position.

Related Blog Articles

  1. 3 Reasons Older Women Shouldn’t Discount Getting Breast Implants
  2. 4 Recovery Tips to Follow After Getting Breast Implants
  3. How 3D Imaging Takes the Guesswork Out of Breast Augmentation