Enhancing breast shape or fullness can help many women feel more confident and comfortable in their bodies. Board-certified plastic surgeon Dr. Dax Guenther uses leading-edge techniques to achieve beautiful, natural-looking breast augmentation results for Boston-area patients at his Hingham and Nantucket practice locations. Women seeking breast implant surgery in the Boston area consistently choose Dr. Dax for his expertise.
Breast Augmentation Before & After Photos
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Woman in 30s requested fuller breasts. Shown after breast augmentation with moderate plus profile 305 cc silicone gel "gummy bear" implants. The implants were placed under the muscle via inframammary incisions.
Woman in 30s requested breast augmenation and "natural" look. Shown after submuscular augmentation with teardrop shaped "gummy bear" implants peformed through inframammary incisions. Scars shown shortly after procedure. Read More
Woman in her 20s requested breast augmentation and correction of asymmetry. Submuscular augmentation with saline implants and asymmetry correction performed through circumareolar incisions. Scars shown shortly after procedure. Read More
Woman in 20s with long-standing desire for fuller breasts. Shown after submuscular augmentation with "gummy bear" silicone gel implants. Patient requested circumareolar incisions which could be hidden by bikini tops. Scars shown shortly after procedure. Read More
Woman in 20s desired fuller breasts without visible scarring on breasts. Shown after transaxillary endoscopic breast augmentation with silicone breast implants.
Because Dr. Dax personalizes each breast augmentation procedure, the price varies with several factors, including the type of breast implants you choose, the surgeon’s fee, the operating room fee, and other related costs. While you have many options when choosing a breast augmentation surgeon in Boston, it’s important not to base your decision on who offers the least expensive surgery. For optimal safety and results, choose a board-certified plastic surgeon who specializes in breast enhancement surgery like Dr. Dax.
At Coastal Plastic Surgery, we’ve partnered with CareCredit®, a financing company that specializes in providing cosmetic surgery loans with attractive payment plans for qualified patients. Learn more.
Am I a Candidate for Breast Augmentation?
Good candidates for breast augmentation want to enlarge one or both breasts and meet the following criteria:
Are at least age 18 (or at least age 22 for silicone implants)
Are in good health physically and emotionally
Do not smoke or are willing to stop smoking before and after surgery
Have realistic expectations about your results
Are willing to follow the doctor’s post-op instructions
What Are the Benefits of Breast Augmentation?
Dr. Dax knows the importance of personalizing procedures to match each patient’s body type and cosmetic goals. His advanced training and dedication to using the latest procedural techniques are two components of his approach to creating natural-looking breast augmentation results:
Enhance the size and shape of small breasts
Restore volume that has diminished with age, pregnancy, or weight loss
Create symmetry when breasts are differently sized
Improve overall body proportions
Each patient has unique needs and therefore requires a custom solution to meet those needs. A woman seeking a revision procedure (to enhance or repair results from breast augmentation elsewhere) may have very different goals than a woman who wants to improve the look of her breasts after having children.
Breast Augmentation vs. Breast Lift Surgery
Many women are unsure of whether they need breast augmentation or a breast lift. While both are breast enhancement procedures, they provide different benefits, which include:
Breast augmentation makes the breasts fuller and shapelier. It can also fill out mild sagging.
Breast lift surgery tightens mild to significantly lax skin to restore a youthful breast shape and position. It can also reshape the areolas.
Women who have lost a significant amount of weight or had one or more babies often benefit from a combination breast augmentation and lift procedure. Learn more in this blog post.
Meet 'Dr. Dax'
Board-Certified Plastic Surgeon
With impeccable credentials and a personable bedside manner, Dr. Dax gives his patients confidence and peace of mind from their initial consultations through follow-up appointments. He established his boutique private practice in 2012 and is among the best plastic surgeons in the Boston area.
What Can I Expect at My Breast Augmentation Consultation?
During your private consultation, Dr. Dax will talk with you about your cosmetic goals and perform a physical exam, which will help him provide natural-looking results that enhance your unique beauty. He will review the types of implants and breast augmentation surgical techniques, including options for incision and implant placement. Dr. Dax offers a range of surgical methods that provide options for tailoring your results, no matter your goals.
Choosing the Best Breast Augmentation Options for You
Breast augmentation is highly customizable, and the right choices depend on your anatomy, goals, and lifestyle. During your consultation, Dr. Dax will walk you through each of the decisions involved—from incision placement to implant type and position—so you feel informed and confident moving forward. Understanding the options available is the first step in creating a result that feels natural and aligned with your vision.
Which Breast Augmentation Incision Is Best?
The best incision pattern for you depends on your personal preference and other considerations. Options include:
Transaxillary technique, performed with an endoscope, involves a small incision under the armpit for minimal visible scarring.
Inframammary technique conceals the incision under the natural breast crease.
Periareolar technique follows the edge of the areola.
Each incision option has its benefits and drawbacks, so Dr. Dax will work with you to determine the best method for your needs.
‘Everything went perfectly’
“I researched doctors for a while before I picked Dr. Guenther. I picked him because of several factors. He has a perfect record with the medical board. He had a good length of experience. He also had before/ after photos I liked and solid reviews. I made a good choice. Everything went smoothly and as I wanted it to. I will not end up with any visible scars.”
5-Star RealSelf review
Simulate Your Results
Using state-of-the-art 3D imaging technology, Crisalix gives you the opportunity to preview potential results and feel confident about your cosmetic choices.
Dr. Dax discusses the following implant placement options during your consultation and reviews the benefits and limitations of each:
Over the muscle (subglandular placement): The implant is positioned behind your natural breast tissue but on top of the chest muscle. This approach can be a good option for women who already have enough breast tissue to provide soft, natural coverage.
Under the muscle (submuscular placement): The implant is placed beneath the chest muscle, which can offer a more natural look for women with less existing breast tissue and may reduce certain risks such as visible edges or rippling.
The amount of natural breast tissue you have, and your lifestyle, play key roles in determining the best placement for your goals. Recovery after under-the-muscle augmentation typically involves more discomfort than over-the-muscle placement because the chest muscle is partially released during surgery.
What Types of Breast Implants Are Available?
Choosing the right breast implant is an important part of achieving natural, long-lasting results. Dr. Dax walks you through each option during your consultation, explaining how the materials, feel, and structure of different implants can affect your outcome.
Silicone Gel Implants
Silicone gel implants are pre-filled and designed to feel soft, smooth, and natural, similar to real breast tissue. Many patients prefer them for their realistic look and texture. These implants are available to women who are at least 22 years old.
Gummy Bear Implants (Form-Stable Silicone)
Gummy bear implants are a type of silicone implant made with a thicker, more cohesive gel that helps them maintain their shape. Their firm structure provides added stability and can be a good option for patients seeking a more defined breast shape.
Saline Implants
Saline implants are filled with a sterile saltwater solution after placement. Dr. Dax often recommends saline implants for younger patients seeking primary augmentation, as they are available to women 18 and older and allow easy detection of any leak or deflation.
Each implant type offers unique advantages, and the best choice depends on your anatomy, cosmetic goals, and personal preferences. Your consultation is the ideal time to explore these options and determine which implant best aligns with the results you hope to achieve.
What Is the Most Common Breast Implant Shape?
Silicone and saline breast implants are available in the following shapes:
Round implants are the most popular because they increase overall fullness, including in the upper breast and cleavage area between the breasts.
Teardrop implants are popular with breast augmentation patients who want to enhance the natural sloping breast shape that has less projection at the top of the breast and is fuller at the bottom.
Your ideal implant shape will depend on your anatomy, preferences, and the results you hope to achieve. Dr. Dax will review both options with you to ensure the final choice aligns with your goals.
How Do I Choose the Right Breast Implant Size?
It’s important to know that breast implants are measured by volume (cc), not cup size. An implant that looks good on a friend may not be the right size for you. Dr. Dax will work with you to determine the best breast implant size for your frame, lifestyle, and cosmetic goals.
With so many details to consider, having an experienced surgeon guide you through each option makes all the difference. Dr. Dax will help you weigh the benefits of each approach so your final plan feels personalized and aligned with the look you want to achieve.
A Reputation Built on Results
Dr. Dax repaired my diastasis recti during a tummy tuck and my only regret is not doing it sooner. My...
10/10 experience with Dr. Guenther and all staff involved. Incredibly professional, knowledgeable, and...
I absolutely loved my experience here. Dr. Dax and his team made me feel extremely comfortable and taken...
Never could I have imagined the level of tightening and structural renewal my face has gained since...
Women interested in a modest increase in breast size (about 1 to 1.5 cup sizes) may consider breast augmentation with fat transfer, also called natural breast augmentation. Dr. Dax uses liposuction to gently harvest fat from the belly, thighs, or another area it’s not wanted. He then purifies the fat and injects it into the breasts. Fat transfer can also be combined with implants, called hybrid or composite breast augmentation, to enhance specific areas, such as the upper breast or cleavage. Learn more in this blog post.
Combining Procedures
Dr. Dax often performs breast augmentation at the same time as other body contouring procedures. Women who have had children, for example, may choose to get a tummy tuck and liposuction as part of a mommy makeover. In some cases, a patient who wants to add volume to her breasts and create a perkier appearance combines breast implants with a breast lift.
How Long Is Recovery After Breast Augmentation?
Most patients return to light, everyday activities the day after surgery, and final results typically become visible within about 3 months. Dr. Dax uses delicate surgical techniques to make recovery as smooth and comfortable as possible.
After your procedure, you’ll wear a surgical bra to support your breasts during the healing process. Dr. Dax and his team stay closely involved in your recovery, offering guidance on minimizing scars and keeping breast tissue soft as it heals.
Frequently Asked Questions
Is the surgery risky?
While all surgeries involve risks, choosing an experienced board-certified plastic surgeon like Dr. Dax for breast augmentation can optimize your safety.
Is it safe to have surgery if I am sick?
It depends on your symptoms and when you develop them. We encourage patients to contact our office if they have any possible health concerns within a few weeks of their scheduled surgery. Learn more in this blog post.
Do implants feel real?
The breasts can look and feel natural with either silicone or saline implants; however, most patients say silicone gel implants feel the closest to the real thing. Learn more in this blog post.
Which kind of breast implants do patients in Boston usually choose?
Patients prefer silicone gel breast implants in Boston and beyond because they look and feel like breast tissue, move with the body naturally, and have a proven safety record.
Gummy bear vs silicone breast implants: Is there a difference?
The cohesiveness of silicone gel implants varies. The most cohesive silicone gel implants are nicknamed gummy bear implants because they maintain their shape even when cut in half, much like gummy bear candies.
How noticeable will the scars be following breast enlargement surgery?
When the incisions are placed in the armpit or along the breast crease, the short, fine scars are generally out of sight. Periareolar incisions typically are barely noticeable once healed because they are placed at the transition between the lighter breast skin and the darker areola.
How strong are breast implants?
Today’s breast implants are extremely durable and can withstand tremendous amounts of pressure before rupturing: about 175 pounds for saline and up to 300 or so pounds for silicone gel.
How long do breast implants last?
The life span of breast implants can vary quite a bit. Even though implants aren’t designed to last forever, some women keep the same implants for 15 to 20 years. If you don’t experience complications, there is no reason to replace implants as long as you’re happy with your appearance.
What if I want to remove my implants someday?
If your preferences change in the future, your breast implants can be removed with explant surgery and not replaced. You can also have breast augmentation revision surgery, often called elective implant exchange, to replace your implants with a different size and/or fill material.
What’s the difference between breast augmentation and breast implants?
Breast augmentation is the surgical procedure during which breast implants are placed to enlarge the breasts.
Are you ready to learn how Dr. Dax can give you your ideal breasts through customized breast augmentation? Request a consultation online or call us at
(781) 740-7840
to speak with one of our team members today.