Breast Augmentation and Enlargement

Breast augmentation or breast enlargement increases the size or volume of the breast giving it a more full, attractive, and perkier shape. It is sometimes called a “boob job” or just a “breast aug” for short. It is one of the most commonly performed cosmetic operations each year as recorded by the American Society of Plastic Surgery with about a third of a million women getting augmentation each year. It has extremely high success rates, safety, and overall satisfaction. I specialize in breast surgery, and this procedure is one of my favorite that I have worked long, hard, and extensively to help women achieve the breasts they have often just dreamed about.

I strive to give thorough and comprehensive consultations for breast surgery. They are meant to be complete and very educational. This is also a goal of my web page too. For the women interested, please go to my educational writings section. This is where you will find additional and extremely valuable material on breast augmentation and other topics. The writings will review topics and concepts that I feel are critical for understanding and learning important topics about this wonderful and fantastic operation.


Breast augmentation is an outpatient cosmetic procedure that takes about an hour. Implants are placed through small incisions to enlarge and enhance the breast. The operation typically requires general anesthesia. Recovery can be surprisingly quick with many people getting back to work or light activity in under a week. Risks are considered very low, and the operation is extremely safe. Satisfaction typically is very high with many women feeling it is “one of the best things they have done in their life!”

Breast Augmentation – Before & After

View More Before & After Photos

Book Your Appointment Today

How is it done?

Most commonly breast implants are placed beneath the chest muscle called the pectoralis major muscle. This muscle gives added soft tissue coverage on top of the implant that leads to a softer and more natural appearance with lower complications. All sutures are absorbable, and the small incision is closed with delicate and meticulously placed stitches.


I use both saline and silicone breast implants. The vast majority of patients choose the new silicone implants that are also called cohesive, gummy bear, and gel implants. The research studies on silicone implants are comprehensive and vast; and the extreme safety is widely published. I was the principle investigator of the Silicone research study at Christiana Care Hospital System. This FDA study was nation wide and involved millions of patients and was over a decade in length. The conclusions proved the safety and high success rates with silicone implants. For those interested in saline implants instead of silicone, these are available for you as well.

Picking Breast Size:

This is a very important part of the entire process and operation. I call it “homework” as it requires significant effort from the patient and the doctor to get the best satisfaction and success. The homework involves watching my video, doing the rice test, and finding pictures of the result and size you want. I ask that the patient put a lot of thought and effort into picking her size. If she does this, we maximize our chances of getting the best results.


I believe the Pain Buster has made a huge improvement in the recovery of this operation by decreasing pain. The pain buster is filled with Lidocaine which is a local anesthetic. It is completely safe and lasts 72 hours. It is not filled with narcotics which could be unsafe. The pain buster has made one of the most substantial improvements in the recovery of this operation that I have ever seen. I also use it for my tummy tucks or abdominoplasty cases.

Book Your Appointment Today


Breast augmentation is extremely safe. No surgery is without risks or complications. The consultation will review these problems in detail. Risks are very low, but it is important to have a very good understanding of the operation and what can go wrong.


Please take a moment to look at some real results and pictures in the photo gallery. Many patients have extremely high satisfaction after breast augmentation. It is important to understand and have realistic expectations however. Surgery doesn’t transform someone into a movie star.

“You are a gifted surgeon. A clear communicator. A caring man
I am so appreciative of how you worked extra hard…Your quick responses, clear answers, and caring nature were greatly appreciated… You helped make my care seem special….”

Click here to read more reviews.


All my surgery is performed in my state of the art surgery center located in Chadds Ford, PA.

I have presented my breast augmentation research at two national/international meetings in Montreal and Los Angeles. My research focused on breast augmentation results, safety, and surgical methods.

I have also authored two books. There names are A Woman’s Guide to the “Real-Reality” of Cosmetic Surgery and The Tricky Fountain of Youth – Understanding Cosmetic Surgery.
In these books, I cover many topics in cosmetic and plastic surgery. They focus on learning about realistic options, realistic recovery, and realistic results. I believe they are must reads for those considering cosmetic surgery.

Schedule Your Consultation