Breast Augmentation in Atlanta


When they want breast implants, Atlanta & Marietta residents trust the skilled and experienced professionals at Georgia Plastic & Reconstructive Surgery.


Breast enhancement, also known as breast augmentation or augmentation mammoplasty, is an operation performed to enhance the size of a woman’s breasts through the use of silicone or saline implants. This procedure is frequently used to restore volume changes after pregnancy or weight loss, but women chose breast enhancement due to other reasons.

Breast augmentation may be a good option for you if
  • You have realistic expectations
  • You have fully matured or developed breast
  • You are bothered by the feeling that your breasts are too small
  • You have different sized or shaped breast
  • You have undeveloped breast
  • You want to increase fullness and projection of your breasts
  • You want to improve the balance of your figure
  • You want to enhance your self-image and self-confidence

In cases where significant breast sagging also exists, a simultaneous breast lift is usually required; and this combined procedure is termed a mastopexy-augmentation.


Actual Breast Augmentation Patient

Breast enhancement surgery is one of the most popular cosmetic procedures in the country. While Dr. Okoro has extensive experience with all aspects of breast augmentation, his unique expertise concerns selecting the right implant for the right patient. Since today’s implants come in a variety of different shapes and sizes, patients must decide between saline or silicone, smooth or textured, round or anatomic, and a host of varying implant projections. Dr. Okoro, a thoughtful surgeon, works with the patient to select the best implant for years to come. Gone are the days when most patients received the same inappropriate implants, followed by expensive revision work. During your breast augmentation consultation with Dr. Okoro, appropriate measurements, soft tissue characteristics, and chest wall anatomy will dictate the most optimal implants for the most durable result. Dr Okoro does not believe in “bigger is better” when it comes to breast augmentation. He believes in listening to the patient and obtaining a natural enhanced look. Dr. Okoro always approaches breast augmentation surgery with the utmost attention to detail.

Top Doc Breast 2010
Top Doc Breast 2011

To determine if you are a good candidate for breast augmentation surgery, Dr. Okoro will review your health history and perform an examination during your consultation. You will be given the opportunity to ask questions and select from various implant sizes to help understand the volume changes and implant dimensions. He will also take preoperative photos during your visit. You may be required to have a mammogram and other lab test before your surgery, depending on your age and last study. During the consultation, Dr. Okoro will understand your goals and desires, and he will review available techniques and incision sites.


Surgery location
Dr. Okoro is currently on staff at Northside Hospital, WellStar Kennestone Hospital, WellStar Cobb Hospital, and WellStar Windy Hill Hospital. Breast augmentation surgery is usually performed as an outpatient procedure. It should be performed in an accredited office-based surgical center, outpatient ambulatory surgical center or a hospital. Dr. Okoro performs surgery in the hospital to ensure your safety.


Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Dr Okoro will recommend the best choice for you.

The incision
Incisions are made in inconspicuous areas to minimize visible scarring. You and Dr Okoro will discuss which incision options are appropriate for your desired outcome. Dr. Okoro will make every effort to minimize the size of your scar. Incision options include:

  • Inframammary incision
  • Transaxillary incision
  • Periareolar incision

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

Inframammary Incision Transaxillary Incision Periareolar Incision
inframammary1 transaxillary1 periareolar1

Implant type

Breast size and shape are important, so be honest and open about your expectations when talking with your surgeon.
Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.


Options for Breast Implants

Saline and silicone implants are the two options available to you, and each has relative advantages and disadvantages. It is important to carefully weigh your options and discuss this with Dr. Okoro before making your final decision.

Saline implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness, and feel of the breast. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body.

Silicone implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell or may escape into the breast implant pocket.

A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of breast implants.
Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.

Currently saline implants are FDA-approved for augmentation in women 18 years of age and older, and silicone implants are FDA-approved for augmentation in women 22 years of age and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

Placement of the implant

After the incision is made, a breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue, over the pectoral muscle (a submammary/subglandular placement).

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, and your body type.

Closing the incisions

Dr Okoro will use sutures that will dissolve, and over time, the incision lines will fade.

Immediately after breast augmentation surgery, most patients experience mild swelling and some discomfort. Dr. Okoro will prescribe a pain medication to alleviate any pain or discomfort and will have you wear a support bra for a few weeks.

Many patients are able to resume work in as little as three days after breast augmentation. It is important to remember that the full results may not be evident for several months as your body adjusts and heals.

The results
The results of breast augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for fuller breasts. We instruct all breast enhancement patients to wear surgical or sports bras and to avoid strenuous upper body activity for several weeks. Patients may drive and return to work once they discontinue narcotic pain medicine.


How Long Does Breast Augmentation Surgery Take?
The breast augmentation surgery will take about 1 to 1 1/2 hours. You will spend time in the care of the recovery room nurses and will be discharged home when you have met all health and safety criteria. Postoperative instructions will be provided to you.


And Follow Up?
You will be seen in our office within 3-5 days after the breast augmentation surgery. Pain is usually well controlled with the medication provided to you. Plan to take about a week off from work, although you can drive a car about 4-5 days after surgery. All your routine follow-up care is included in the original surgical fee and covers one year of routine visits.

Will my ability to breast feed be affected?
It is very unlikely that you will not be able to breast feed following any breast augmentation surgery. Most of our patients with breast implants have been successful in nursing their babies.

Do breast implants increase my risk of getting or detecting cancer?
There is no evidence linking implants and breast cancer. Recent studies have shown that the stage of breast cancer detection in women with implants appears to be identical to the overall population.

Will augmentation surgery make asymmetrical breasts more symmetrical?
If your breasts have slightly different shapes before surgery, they may remain slightly different after surgery; however every attempt is made to make you as symmetrical as possible as concerns breast volume. Breast shape asymmetry may require an additional procedure.

Will I lose any sensation in my nipples or skin?
Nerves that supply skin or nipple sensation may be cut or bruised during breast augmentation surgery. Although it doesn’t happen routinely, nerve damage can occur no matter how carefully the surgery is performed. If sensory loss occurs, the nerves can take up to 2 years to recover. In rare situations the sensation can be lost permanently.

How soon can I return to normal activity?
It is recommended that you take off work for about 1 week. You are allowed to shower the next day after breast augmentation surgery and drive a car within 3 – 5 days if you are not taking pain medications.

How will implants affect a mammogram?
You should alert the mammography technician to the fact that you have implants. Special techniques will be used and extra views of the breast may be required to see as much of the breast tissue as possible.

Can mammography cause implants to burst?
Because the breast is compressed during mammography, it is possible for an implant to rupture. However, this is rare.

What will it cost?
The cost of breast augmentation varies based on the type of implant used and the cost of any additional surgery. We offer patient financing plans, so be sure to ask. The cost may include the following:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Implant cost
  • Medication and lab test
  • Post-surgery garments

For breast implants, Marietta area clinic Georgia Plastic & Reconstructive Surgery is the right place to call. We will consult with you on all aspects of the procedure, including cost. Most health insurance plans will not cover cosmetic breast augmentation surgery, related complications, or another surgery to revise the appearance of your breasts. Some carriers even exclude breast diseases in patients who have breast implants. You must carefully review your health insurance policy. Your satisfaction involves more than a fee. When choosing a plastic surgeon for breast augmentation, remember that the surgeon’s experience with breast implants and your comfort with him or her are just as important as the final cost of the surgery. Dr Okoro takes his time to understand your goals and desire for the best long term outcome.

Call us to schedule a confidential consultation today by calling or emailing us today!


All data and information provided within this website and related blog is for informational purposes only and should not be construed as medical advice. Georgia Plastic & Reconstructive Surgery, PC makes no representations as to accuracy, completeness, correctness, suitability, or validity of any information on this site and will not be liable for any errors, omissions, or delays in this information or any losses, injuries, or damages arising from its display or use. Treatment information and medical recommendations must be made on a case-by-case basis; it is recommended that you seek personalized care from a board certified medical doctor for any medical questions or health issues you may have. Some photos in this website feature models for illustrative purposes. Photos of actual patients can be found in the before and after photo gallery.