San Antonio plastic surgeon, Dr. Michael Decherd, has earned a reputation as a surgeon that produces beautiful outcomes for women seeking fuller, shapelier breasts. Breast augmentation continues to be one of the top cosmetic procedures, and more than 300,000 women undergo this surgery each year in the U.S. With Dr. Decherd's skill and the latest innovations in breast implants, San Antonio women can enjoy beautiful, natural-looking results.
Breast Augmentation Reviews
"A Brand New Me! - Dr. Decherd is amazing! He and his staff are true professionals. My surgery was 11/21/13. The entire experience was excellent, from the first appointment to the last post op follow up. (Actually sad to be finished with follow ups) I had breast augmentation and a tummy tuck. Dr. Decherd transformed this 50 year old body into a much younger version! He is an artist with a flare for sculpting the female form. I would highly recommend his services!"- Anonymous / Vitals / Feb 19, 2014
"Dr. Decherd and all his staff made my decision to get a breast augmentation an easy one. I had visited another doctor who had recommended I do a lift along with my augmentation which I thought was ridiculous and Dr. Decherd agreed. He did not try to get me to do more. He explained things thoroughly and answered all my questions. I felt comfortable always and I LOVE my new look! I would highly recommend him."- Anonymous / Vitals / Sep 19, 2013
"Dr. Decherd did a FANTASTIC job on my breast augmentation. The staff was very friendly and helpful, and Dr. Decherd answered all my questions and was more than happy letting me try on as many sizes as I wanted to to make sure I'd be happy with the end result. The surgery itself was quick, easy, and the recovery pain was very minimal (this was my first surgery). I had surgery on a Thursday and was back to work the following Monday. One of my implants did drop slightly lower than the other one, and Dr. Decherd did an in-office procedure to fix the problem. I didn't have to pay, which was really nice. Overall, my experience was great. I will say that Dr. Decherd is a very busy man, so his bedside manner might not be what everyone is looking for. He didn't sit there with me for 20 minutes chatting about what my weekend plans were. He's there to do his job and do it right, and that's what he did. Don't mistake his professional demeanor for rudeness. You won't be sorry!! :)"- Anonymous / Vitals / Oct 31, 2013
"He is awesome!! - Dr. Decherd spent a lot of time listening to what is important to me. It's been a year since my breast lift, breast augmentation, and tummy tuck and I had a scar I wasn't happy with (it was a little larger than the other one on my breast) and he was glad to fix it! I would recommend him to all those mommies out there who want to feel good about there body again!! He did an excellent job and his staff is absolutely amazing! Pick him!"- Anonymous / Vitals / Jun 23, 2013
"I recently visited this office in hopes of finding a Dr. and staff i felt comfortable with.I was so pleased from the time I called for the appt till the time I paid and left.The Dr. had a great personality,asked lots of questions about me and what im looking for and answered lots of my questions.I am very modest person and I felt very at ease in the Dr. and staffs hands.(Breast Augmentation)I will visit this site post surgery and tell you the rest of my experience.."- A. / Vitals / Aug 13, 2013
Choosing the Right Implant
Not all women are created equal, and therefore, there are countless options when it comes to choosing the right breast implant. Dr. Decherd uses the Vectra 3D Imaging Technology to allow patients to see the countless options of implants available.
Picking an Implant Size
Volume, Width, & Native Tissue
To achieve the perfect appearing breast, there is more that goes into the decision making process than simply choosing volume (CCs). Just because one woman looks great with 450CCs, does not mean her best friend will have the same results. The width of the breast is also critically important; a wider breast needs more volume than a narrower breast to achieve the same look. This is why measuring the chest wall is a crucial part of the examination process. It's important to match the width of the implant to the width of the breast. Choosing an implant that is too narrow will create too much space between the breasts while choosing an implant that is too wide will extend the implant into the armpit. Native breast tissue must also be taken into consideration. A woman with more native breast tissue probably needs less implant than a woman with less tissue to achieve a similar look.
For a given width of the breast, a woman generally has 3 basic choices with respect to the implant profile. A profile simply refers to the projection. While profiles sometimes go by different names, they are generally known as low, medium, and high profile. Women may have preconceived notions about the implant profile. During the consultation, determining the desired breast size is the first step in the process. From there, this helps determine the profile. Sometimes, what would be high profile in silicone ends up being medium in saline.
Saline VS. Silicone
Both saline and silicone implants are good products for breast augmentation. There are pros and cons to each. The biggest difference is that silicone feels softer and a bit more natural. Visually, both saline and silicone implants look similar as long as the saline implant is filled within the manufacturer's fill range. Saline implants are filled during surgery, whereas silicone implants are pre-filled from the manufacturer. Usually, if a person has implants that look disproportionately large, it is likely a saline implant that has been overfilled. It is believed by many surgeons that silicone has less "rippling" than saline. Silicone implants are also a little bit more expensive than saline implants. Saline implants are FDA approved for women 18 and older. Silicone implants are FDA approved for women 22 and older. The FDA recommends MRIs 3 years after surgery for women who have silicone implants, and then every 2 years after that to ensure a rupture has not occurred.
Questions About Safety
Questions about the safety of silicone implants have been resolved by science. Silicone implants before 1992 were runnier (an oil). Now, silicone implants are made of a cohesive gel that binds to itself and doesn't ooze or seep if a rupture were to occur. Even on a saline implant, the shell is made of silicone elastomer. Silicone elastomer is used, by the way, in multiple different types of medical devices, such as catheters, lines, tubes, etc. If a saline implant fails, the saltwater is absorbed by the body and excreted in the urine. It is not a medical emergency but it may be a cosmetic emergency. Think of a flat tire. If this happens, new implants would be needed.
Breast Augmentation Video
Plan Your Procedure
- Recovery Time
- 1-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Breast Augmentation FAQs
Where Would My Incision Be?
Options include beneath the breast, around the areola (nipple), or in the armpit. Most of the time, especially for silicone implants, we need to go beneath the breast in the inframammary fold (where the bottom of the breast meets the chest). This allows for a longer incision for these pre-filled implants. In most cases, especially if the breast has any degree of sag, the patient almost never sees this incision.
What About Implant Shells?
Implants are made with either a smooth or a textured shell. It is the belief of some surgeons that textured implants fail more often than smooth implants. Therefore, smooth implants are usually a more common choice. However, this isn’t always the case. Some women will benefit from a textured shell. This can be discussed in greater detail during the initial consultation.
What Are The Shape Options?
Implants come round or shaped (such as a tear shape). While some women think that a shaped implant will be better, Dr. Decherd prefers a round shape. First, the implant has to be textured to prevent rotation after surgery (a problem a round implant does not have). Also, they seem not to give enough fullness to the bottom half of the breast. By contrast, a round implant under the muscle essentially assumes a teardrop shape, but can rotate without causing a problem.
Under or Over Muscle?
The implant pocket can be created either under the muscle or on top of the muscle. Even under the muscle there are some areas inferolaterally where the implant is not covered by the pec (think about the pec's shape), but the muscle helps fill in the upper pole of the breast. An under the muscle placement also helps prevent capsular contracture. It is a common approach to almost always go under the muscle on a first-time breast augmentation.
What Is Recovery Like?
Breast augmentation surgery generally has a 24-hour recovery period. What this means is that patients should take it easy for the first day once they are released and resting at home. Most patients feel pretty good but will be tired, sore and feel as though they just had a vigorous workout. Patients should get up and moving soon to help with circulation. Exercise will need to be avoided for several weeks or longer to prevent any possible bleeding.
What Are The Results Like?
It is common for many women to panic or feel anxious right after surgery. This is because there is swelling, and the implants ride high at first, so they appear larger and higher than they will once they assume their final position. It takes about 3-4 months for the implants to settle and take on a natural look. Women love their new breasts once this occurs. The results for most women are long lasting. Today’s implants are manufactured well. The average implant can last between 10-15 years or longer.