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Elevating Confidence Through Surgical Expertise

Feeling confident in your body is a transformative experience. While Dr. Bryant is renowned for facial surgery, he works alongside Dr. Kyle S. Gabrick to offer breast implant procedures that reflect the same high-touch, boutique approach patients have come to expect. With access to cutting-edge implant technology and a focus on natural proportions, we help our patients achieve their desired silhouette safely, beautifully, and authentically.

Breast Augmentation Basics

Nashville

Breast augmentation with implants is a surgical procedure that enhances the size, shape, and symmetry of the breasts using silicone or saline implants.

During the procedure, Dr. Gabrick makes an incision—usually under the breast fold, around the areola, or in the armpit—and then creates a pocket either above or beneath the pectoral muscle to insert the implant.

Implant type, size, and placement are all tailored to complement your body’s proportions and personal goals. The result is a fuller, more harmonious figure.

Average Cost: Starting at $8,000
Discomfort Level: 4
Typical Recovery Period: 7 days
Anesthesia Options: IV sedation, general anesthesia.

Implant Selection

Selecting the ideal implants for your breast augmentation involves a detailed, personalized process designed around your unique body structure, lifestyle, and aesthetic aspirations. Dr. Gabrick meticulously assesses the dimensions of your chest, including your breast base diameter and tissue elasticity, ensuring implants align naturally with your proportions and achieve beautifully balanced results.

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Key considerations for your implant selection include:

Diameter

  • Your implant's diameter is carefully tailored to your chest width, ensuring a natural fit that complements your frame
  • This measurement helps determine how the implant will sit across your chest, maintaining balance between your neckline, shoulders, and waistline
  • A properly chosen diameter enhances symmetry, supports a natural silhouette, and minimizes the risk of implant visibility or side spillage

Projection

  • Projection refers to how far an implant extends outward from the chest wall, impacting both your side profile and the overall shape of your breasts
  • Low-profile implants provide a softer, more subtle enhancement with a wider base
  • High-profile implants create a rounder, more prominent look with greater forward projection
  • Moderate-profile implants offer a balanced appearance, making them ideal for many patients who desire a natural-looking volume

Volume

  • Implant volume is carefully determined based on your desired look, anatomy, and personal goals
  • Dr. Gabrick ensures your implant volume enhances your figure gracefully, maintaining optimal body harmony and proportion

Gel Cohesivity

  • Choose from softer or firmer “gummy bear” silicone gel options, each offering distinct benefits
  • Softer gels provide a more natural feel and movement
  • Firmer gels can deliver enhanced shape retention and structure, making them ideal for achieving specific aesthetic outcomes
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Incision and Implant Placement

Dr. Gabrick utilizes incision techniques designed to provide beautifully discreet, minimal scarring, explicitly tailored to your anatomy and aesthetic preferences:

  • Transaxillary: Expertly hidden within the natural crease of your underarm, this incision avoids any visible scarring on your breast, ideal if you desire maximum discretion and seamless healing.
  • Inframammary: Carefully positioned in the natural fold beneath your breast, this incision allows precise implant placement, offers exceptional camouflage, and ensures long-lasting, elegant results.
  • Periareolar (Sub-Areolar): Thoughtfully made along the lower border of your areola, this incision blends seamlessly with your natural pigmentation, providing a subtle, nearly invisible scar.

Next, your implants will be placed in one of two planes:

  • Subfascial: Positioned above the chest muscle but beneath the supportive fascia of your breast tissue, this placement offers natural shape and movement, ideal if you have sufficient breast tissue and prefer minimal postoperative recovery.
  • Submuscular (Dual Plane): Situated partially beneath the pectoralis muscle, this method enhances implant coverage, reduces risks such as rippling, and provides natural-looking contours, making it optimal for people with thinner tissue or an active lifestyle.

During your consultation, Dr. Gabrick will thoughtfully evaluate your tissue characteristics, lifestyle, and personal goals to determine the best incision and placement method to deliver refined, lasting beauty tailored uniquely to you.

Internal Bra Support for Long-Lasting Beauty

At Refine Surgery, we offer the Internal Bra, a sophisticated technique designed to reinforce and support the breast from the inside out. This advanced method uses a soft, biocompatible mesh that gradually dissolves as your body replaces it with its own collagen, creating a natural internal scaffold.

The Internal Bra is ideal for patients seeking lasting shape and support, especially those:

  • Undergoing revision surgery
  • Addressing laxity from pregnancy or weight loss
  • Wanting a longer-lasting result from augmentation or lift

This technique supports the lower pole of the breast and helps preserve upper fullness, minimizing the risk of bottoming out. The result? A beautiful, enduring shape—achieved with surgical precision and artistic intention.

Benefits of Breast Augmentation with Implants

  • Enhanced self-confidence and body image
  • Restored shape following weight loss, aging, or pregnancy
  • Customizable outcomes through implant type, size, and shape
  • Long-lasting results when performed by a qualified surgeon
  • Can be combined with a breast lift for comprehensive rejuvenation

Patient Testimonial

"I am overwhelmed with gratitude for Dr. Gabrick!! He's not only the most skilled plastic surgeon I've encountered, but also the most trustworthy, genuine, dedicated, and safety-conscious doctor I've ever come across. After a six-year journey in search of a plastic surgeon I could truly rely on for my breast augmentation, I finally found Dr. Gabrick. I would recommend him to absolutely everyone and anyone because he is truly the best of the best. Thank you SO SO much, Dr. Gabrick!!"

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Are You a Good Candidate?

You may be a good candidate for breast augmentation if you:

  • Are in good physical health and have fully developed breasts
  • Feel that your breasts are too small or lack volume
  • Have lost breast shape
  • Desire better symmetry or correction of congenital shape differences
  • Are not currently pregnant or breastfeeding
  • Do not smoke, or are willing to quit for a period before and after surgery to support healing
  • Have adequate skin elasticity and tissue support for implant placement

Why Choose Refine Facial Plastic Surgery and Aesthetics?

Choosing Refine means choosing safety, artistry, and boutique-level care. Our surgical approach is centered on honesty, personalization, and surgical mastery. We partner only with board-eligible breast specialists who share our integrity, innovation, and compassionate care standards. From your first consultation to your final results, we’re with you every step of the way.

How Much Does Breast Augmentation With Implants Cost?

This varies based on the type of implant, surgical complexity, and whether additional procedures, such as a breast lift, are performed simultaneously. During your consultation, we will provide a personalized quote and discuss which financing options may be available to you.

Pre-Operative Instructions

  • Avoid Aspirin, ibuprofen (Advil/Motrin), Aleve, Vitamin E, fish oil, turmeric, ginseng, garlic, and other blood-thinning supplements for 10 days before surgery
  • Fill prescriptions and follow instructions for pre-operative medications
  • Shower and bathe with Hibiclens the night before surgery (avoid face and eyes)
  • Prepare your home with meals (a protein smoothie with Greek yogurt, frozen berries, and protein powder is ideal), clean linens, and a recovery space
  • Plan your ride and review directions to the surgery center in advance

Procedure: What to Expect

On the day of surgery, you’ll arrive at our surgical facility prepared and confident, knowing every detail has been thoughtfully planned. Keep the following in mind:

  • Please wear loose-fitting, front-opening clothing, and bring your provided surgical garment
  • Be sure to leave all jewelry, contact lenses, and valuables at home
  • Unless instructed otherwise, do not eat or drink anything after midnight the night before surgery
  • Arrive at the designated time, calm and ready to begin your transformation

Once you’re comfortably under anesthesia, Dr. Gabrick will make a carefully chosen incision based on the personalized plan developed during your consultation. A precise pocket is created to accommodate your selected implant—either above or partially beneath the chest muscle—ensuring ideal placement for symmetry, projection, and natural-looking contours.

After the implants are positioned, your incisions are meticulously closed in layers using advanced suturing techniques that promote healing and reduce visible scarring. Surgical dressings and a supportive post-operative bra are then applied to help minimize swelling and protect your refined results.

You’ll be closely monitored in our recovery suite before being discharged the same day to rest and begin healing comfortably at home, with clear aftercare instructions and our full support every step of the way.

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Recovery and Results Timeline

First 48 Hours

  • Prioritize rest—your body is beginning the healing process
  • Wear your compression bra and breast band continuously, as directed
  • Take medications exactly as prescribed to manage discomfort and support recovery

Post-Op Days 3–7

  • Begin gentle implant massage and shoulder range-of-motion exercises. These are essential for maintaining mobility and promoting ideal implant positioning. By Day 7, our goal is for you to regain full range of motion.
  • Walking is encouraged to support circulation. Light cardio is permitted after Day 7, but avoid lifting anything over 10 pounds.

After 2 Weeks

  • Most daily activities can safely resume
  • You may begin gentle stretching or lower body workouts, based on how your body feels and Dr. Gabrick’s recommendations

After 2 Months

  • You can return to upper body workouts and lifting without restrictions
  • This is also an ideal time to schedule your follow-up appointment for surgical photos and an implant check-in to ensure optimal healing and symmetry

Long-Term Results

  • Over the course of the next few months, swelling will continue to subside, and your implants will gradually settle into their final shape, position, and softness
  • By three months and beyond, you’ll begin to appreciate the full beauty of your results—elegant, natural-looking contours that reflect your vision and enhance your confidence
  • Most patients report a meaningful boost in body confidence within weeks, with their final outcome continuing to refine over time

Other Procedures

  • Breast Lift (Mastopexy): Elevates sagging tissue for perkier breasts.
  • Fat Transfer Breast Augmentation: Uses your own fat for modest volume enhancement.
  • Breast Reduction: Ideal for those seeking smaller, lighter breasts.
  • Mommy Makeover: Combines breast surgery with tummy tuck or liposuction.
  • Revision Breast Surgery: Corrects or updates previous augmentations.

Breast Augmentation with Implants FAQ

How long do breast implants last?

Are breast implants safe?

What are the scars like?

Do implants affect mammograms?

Can implants rupture?

Is there an ideal age for breast implants?

What are the risks of breast augmentation?

What kind of anesthesia is used for breast augmentation?

Will I have visible scars?

Can I still breastfeed after breast augmentation?

Will my implants look and feel natural?

How long do breast implants last?

While breast implants are long-lasting, they are not permanent devices. Most remain in excellent condition for 15–20 years or more. Dr. Gabrick will monitor your results over time and guide you on any future care, such as an implant exchange if needed due to rupture, rippling, or capsular contracture.

Are breast implants safe?

Yes. Modern implants are FDA-approved and rigorously tested. Our team uses only the safest, most advanced options available.

What are the scars like?

Scars are typically small and fade over time. Incisions are placed discreetly for minimal visibility.

Do implants affect mammograms?

You can still get mammograms, but you’ll need to inform your technician so they can adjust the technique.

Can implants rupture?

Yes, but it’s rare. Silicone ruptures are often “silent,” so routine monitoring is advised.

Is there an ideal age for breast implants?

There’s no perfect age, but candidates must be fully developed and emotionally mature.

What are the risks of breast augmentation?

As with any surgery, risks include infection, bleeding, capsular contracture, asymmetry, or implant rupture. Choosing a skilled, credentialed surgeon like Dr. Gabrick significantly minimizes these risks.

What kind of anesthesia is used for breast augmentation?

Your comfort and safety are always our top priorities. Breast augmentation can be performed under either IV sedation or general anesthesia, depending on your unique medical history, preferences, and surgical plan. Dr. Gabrick will guide you through the best option to ensure a smooth, restful experience.

Will I have visible scars?

Dr. Gabrick places incisions with precision and care to ensure they are as discreet as possible—typically concealed in natural folds or transitions of the skin. With time and proper care, these scars fade significantly and are rarely noticeable, blending beautifully with your natural skin tone.

Can I still breastfeed after breast augmentation?

Yes—many women are able to breastfeed successfully after breast augmentation. Dr. Gabrick uses techniques that preserve the integrity of the milk ducts and nerves, helping to maintain your ability to nurse in the future if that is part of your journey.

Will my implants look and feel natural?

Today’s advanced silicone gel implants—especially when paired with Dr. Gabrick’s refined surgical technique—offer remarkably natural-looking and feeling results. Your outcome is further enhanced by thoughtful implant selection and placement that aligns with your unique tissue characteristics and aesthetic goals.

Ready to Learn More?

We’re here to help you feel empowered, confident, and beautifully you. Schedule your consultation with our Nashville surgical team today and discover what refined breast enhancement can look like for you.

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Sources

U.S. Food & Drug Administration. (2023). Breast Implants Risks and Complications
American Society of Plastic Surgeons. (2024). Breast Augmentation Procedure Overview
Mayo Clinic. (2023). Breast augmentation: What you can expect
Cleveland Clinic. (2021). Breast Implants: Risks, Recovery & Results 
National Library of Medicine. (2022). New Breast Implant Safety Concerns - PubMed

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