Breast Augmentation in Portland, OR
Restore confidence. Enhance your natural proportions. Reconnect with your body.
Quick Links
What Is Breast Augmentation?
Breast augmentation is a cosmetic surgical procedure that increases breast volume and enhances shape using breast implants, fat grafting, or a combination of both. This is not a one-size-fits-all surgery but a highly customizable procedure designed to meet your unique body type, proportions, and vision.
Dr. Fichadia offers a variety of implant types, including cohesive silicone gel implants like Motiva, Sientra, Natrelle and Mentor as well as saline implants when appropriate. She also performs fat transfer breast augmentation for women seeking subtle, natural volume without the use of implants. In some cases, she combines both in a hybrid augmentation to achieve optimal shape, projection, and softness.
To explore the full range of options available, including implant materials, sizes, and profiles, visit our page on Types of Breast Implants.
Why Choose Dr. Hetal Fichadia?
Choosing the right surgeon is just as important as choosing the right procedure. Dr. Hetal Fichadia is a double board-certified plastic surgeon with over a decade in private practice. Her philosophy is rooted in respect, patient education, and individualized care. With Dr. Fichadia, you’ll feel seen, heard, and safe—every step of the way.
Here’s what sets her apart:
- A surgeon who listens: Dr. Fichadia takes time to understand your story, your body, and your goals. She is your guide—not just your surgeon—through every step of the process. With a patient-first philosophy rooted in honesty, education, and genuine care, Dr. Fichadia has been consistently selected by her peers as a Portland Monthly Top Doctor every year since 2018.
- Woman-to-woman care: As one of the few female plastic surgeons in Portland, Dr. Fichadia offers a rare level of empathy and understanding, particularly for women navigating changes from pregnancy, aging, or weight fluctuations.
- Natural aesthetic: Her results are elegant and timeless. Patients appreciate her nuanced- approach—enhancing your shape without sacrificing authenticity.
- Advanced surgical techniques: From subfascial implant placement to using internal bra when appropriate and rapid recovery protocols, she uses the most refined methods to minimize downtime and maximize safety.
- Holistic support: Surgical care doesn’t end when the sutures are placed. Dr. Fichadia and her team offer extensive pre-op education, nutritional guidance, and long-term follow-up care.
The Benefits of Breast Augmentation
Breast augmentation is about more than physical appearance. For many women, it’s about restoring a sense of self and comfort in their bodies. Whether the goal is to reclaim your pre-pregnancy figure or finally feel confident in fitted clothing, this procedure offers meaningful and lasting benefits.
Benefits include:
- Restoration of breast volume lost after breastfeeding, weight loss, or aging
- Improved breast symmetry and proportion
- Better balance between the upper and lower body
- Enhanced confidence in swimwear, clothing, and lingerie
- Customized results that reflect your personal aesthetic
In Dr. Fichadia’s hands, the procedure is both safe and artistically refined, with results that honor your individuality.
Am I a Good Candidate for Breast Augmentation?
During your consultation, Dr. Fichadia will discuss your health history, lifestyle, and goals to determine the safest, most effective plan. You may be a great candidate if:
- You are in good overall health and a non-smoker
- You have completed breastfeeding (if applicable)
- You feel dissatisfied with breast size, shape, or symmetry
- You have realistic expectations about your results
- You’re ready to invest in your confidence and self-care
Breast Augmentation Considerations
Breast augmentation comes with a few important choices that shape your surgical plan and your final results. These include the type of breast implant, the incision location, and the implant placement.
Breast Implants
Dr. Fichadia offers a range of FDA-approved implants:
- Saline implants: Filled after placement with sterile saltwater. Allow for smaller incisions and are easier to detect in case of rupture.
- Silicone implants: Pre-filled with gel for a softer, more natural feel. Ruptures require imaging to detect.
- Gummy bear implants: Highly cohesive silicone gel that maintains shape and mimics natural tissue.
- Fat transfer: Uses your own body fat for subtle, implant-free enhancement.
Implants also vary by shape (round or teardrop), projection, profile, and texture. Dr. Fichadia will guide you in selecting the ideal combination for your anatomy and goals.
Implant Placement Options
- Subglandular (above the muscle): Offers more pronounced projection and easier recovery. Ideal for patients with sufficient tissue coverage.
- Submuscular (under the muscle (partially (dual plane) or completely): Provides a more natural look and reduces rippling in thinner patients. Often preferred for those with less breast tissue.
- Subfascial (beneath the fascia, above the muscle): A hybrid approach offering the benefits of both with less distortion and smooth recovery. Dr Fichadia is well-versed in subfascial implant placement.
Incision Types
Dr. Fichadia offers two commonly used incision options. The best choice depends on your anatomy, implant type, and aesthetic goals. Dr. Fichadia will help you determine the most appropriate option during your consultation.
- Periareolar incision: Traces the edge of the areola. Camouflages well within natural pigmentation.
- Inframammary incision: Follows the breast fold. Offers discreet scarring and wide access.
Hetal Fichadia MD, FACS
Double Board-Certified Plastic Surgeon in Portland, OR
Breast Augmentation Options and Techniques
Subfascial Breast Augmentation
Dr. Fichadia specializes in subfascial implant placement, where the implant is placed beneath the fascia—a thin, natural layer that covers the chest muscle. This technique offers the softness and stability of subglandular placement with fewer animation issues than traditional submuscular placement. It’s ideal for patients with sufficient tissue coverage who want a natural, balanced result with a smoother recovery.
Fat Transfer Breast Augmentation
For women seeking a more subtle enhancement or a completely implant-free approach, fat transfer breast augmentation uses liposuction to harvest fat from areas like the abdomen or thighs. The purified fat is then carefully injected into the breasts to enhance volume and contour. This method can also correct minor asymmetries and is ideal for those looking for a modest, organic change and addressing another area of the body.
Hybrid Breast Augmentation
Sometimes the best results come from blending techniques. A hybrid breast augmentation combines a smaller implant for structure and projection with fat grafting to soften the contours and improve cleavage or side fullness. This method provides a very natural look and feel and is perfect for patients seeking more refined, tailored results.
Small Breast Augmentation / Ballerina Breast Augmentation
Not every patient wants a dramatic change. Some women—especially athletes or those with petite frames—prefer a minimal, graceful enhancement. This is often referred to as a ballerina breast augmentation: soft volume, delicate projection, and natural movement. Using either low-profile implants or fat transfer, Dr. Fichadia sculpts a subtle enhancement that blends beautifully with your natural proportions.
Galaflex Mesh Support (As Needed)
In some cases—such as revisions, mild ptosis, or patients with thin tissue—Dr. Fichadia may use Galaflex mesh to reinforce internal support. This biocompatible material integrates with your tissue to create a soft, natural “internal bra” that helps support implant position and improve long-term outcomes.
Alternatives to Breast Augmentation
Breast augmentation is popular for enhancing breast size and shape, but it’s not the only option available. Alternatives to breast augmentation might be more suitable depending on your goals and body type:
Breast Lift (Mastopexy)
A breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue. While it doesn’t significantly change the size of the breasts, it can enhance their shape and position.
Breast lift with autoaugmentation
For patients who are mostly happy with their size in a bra, but would like a better shape, Dr Fichadia can use your own breast tissue for adding volume to the upper pole of the breast. This is an especially great option for patients who have had significant weight loss.
What To Expect During The Consultation
During this initial meeting, Dr. Fichadia will ask about your desired breast size and shape, any concerns you have, and what you hope to achieve with the procedure. Please make sure to let her know whether you would like a natural aesthetic or fuller look with more upper pole enhancement and lifestyle preferences for exercising, recreational activities. She will then perform a physical examination to assess your breast anatomy, skin quality, and body type, taking measurements to help plan the surgery.
You will learn about the different types of implants and their various shapes and textures; Dr. Fichadia will help you choose the best option for your body and aesthetic goals. This is also your opportunity to ask any questions you may have about the procedure, recovery, and potential risks. Dr. Fichadia will provide clear, thorough answers to ensure you feel confident moving forward.
What to Expect on the Day Of Your Surgery
Your surgical experience is designed to feel calm, clear, and fully supported. Dr. Fichadia performs all breast augmentations at accredited surgery centers like East Pavilion, ensuring the highest standards of safety and comfort.
On the day of your procedure:
- You’ll meet with Dr. Fichadia to review markings and confirm the plan
- You’ll speak with your anesthesia and nursing team for reassurance and questions
- Surgery typically takes 1 to 2 hours
- Most patients return home the same day with detailed instructions and medications
Dr. Fichadia is involved every step of the way, and her team is available for questions or concerns post-op. You’ll never feel rushed or left in the dark.
Recovery After Breast Augmentation
Recovery is often easier than patients expect, especially with Dr. Fichadia’s use of rapid recovery techniques and her commitment to pain management. Most women can return to desk work and light activities within 3-5 and resume full physical activity within 4 to 6 weeks.
What to expect:
- Temporary swelling, soreness, or tightness for the first few days
- Supportive garments or bras to help healing
- Gradual softening and settling of implants over several weeks
- Follow-up visits at 1 week, 6 weeks, 3 months, and beyond. More frequent check-ins are scheduled if needed on an individual basis
Every patient receives customized guidance on what to avoid, how to sleep, and how to ease back into movement. If you need extra support, Dr. Fichadia and her team are just a phone call away.
Breast Augmentation Cost in Portland
The cost of breast augmentation can vary based on the type of implant, whether fat transfer is included, and whether additional support like Galaflex mesh is needed. At your consultation, you’ll receive a detailed, personalized quote based on your goals and surgical plan.
We’re happy to discuss financing options for qualified patients. For a ballpark estimate please visit our pricing page.
Take the First Step Toward Feeling Like Yourself Again
Whether you’re considering breast augmentation for the first time or exploring revision or enhancement, you deserve expert care that centers your voice, your body, and your goals.
Dr. Hetal Fichadia is honored to be a part of that journey. Serving patients from Portland, Lake Oswego, Tigard, Beaverton, Hillsboro, and beyond, she offers natural results in a setting built on trust, compassion, and excellence. Call (503) 488-2344 or contact us through our online form to schedule your consultation today.
Portland Breast Augmentation - FAQs
Are Breast Implants Under Warranty?
Yes. Most manufacturers cover their implants under warranty. These warranties differ in duration, coverage, and any extra fees. Each manufacturer’s warranty is very strong. All of them provide a level of coverage and protection that is unusual for any product, particularly one that receives as much wear and tear as a breast implant. We do not recommend choosing an implant brand based on warranty alone. The breast implant brand used for your surgery should be discussed in detail with Dr. Fichadia and should be based on a variety of factors.
How long is breast augmentation recovery?
Dr. Fichadia uses innovative techniques to make breast augmentation a rapid recovery procedure. The patients should be able to go out the same evening. The soreness in the muscle feels more like it does after an intense workout. Patients can expect to take up to three days off work or school. Any physical or strenuous activity should be avoided for two weeks post-op, at which point all activities can be resumed. The optimal results from breast augmentation will still not be apparent for a few months as the tissues heal.
What happens if you do not massage your breast implants?
Some patients have heard that massaging their breasts after breast augmentation is good for preventing capsular contracture, but this is unproven in the literature. In the initial healing period, massaging the breasts can do more harm than good. After surgery, you will be fitted with a surgical bra or compression garment to aid in healing and ensure the implants settle into the desired position. Once the healing process is over, implant massage can be done, but there is no clear-cut evidence that this helps prevent capsular contracture.
What causes breast implants to rupture?
What is a gummy bear implant?
Do breasts sag after breast augmentation?
Breast implants can sag over time, especially if they are large. The augmentation surgery does not stop the skin from aging, so the natural strength and skin elasticity of the breasts can change, causing the implants to sag.
Can breast implants cause pain years later?
Yes. Breast implants can cause pain either due to capsular contracture (where the shell around the implant gets thickened and tight) or leakage (which may or may not always be painful).
Can breast implants last 30 years?
Yes, they can, but it is more an exception than the rule. Breast implants can have weakness in their outer shell 10-20 years after placement, causing leakage. It may not always be visually apparent through breast shape. For patients, it is important to understand that breast implants will likely need additional surgeries in the future for replacement or removal, or revision.
Can fat be transferred to breasts?
Will Cigna cover breast augmentation?
How long do breast implants last?
Most modern implants last 10 to 20 years, though many patients choose to replace them sooner for size or shape changes. Dr. Fichadia will monitor your implants during routine follow-ups. FDA recommends that silicone implants be monitored by imaging starting 5-6 years after placement and every 2-3 years after that. We are happy to facilitate this as the time comes.
Will I have visible scars?
Incisions are typically placed in the inframammary fold (under the breast), or around the areola, where they’re well-hidden. Scars generally fade well over time, and Dr. Fichadia will go over post-op scar care options to support healing.
Can I combine augmentation with a breast lift?
Will I lose nipple sensitivity?
Can I breastfeed after implants?
What’s the difference between saline and silicone implants?
What is "rippling" and how can I avoid it?
Rippling refers to visible or palpable folds in the implant, usually more common with saline implants or in very thin patients. Using highly cohesive implants, proper selection of the implant plane, and selective fat grafting can significantly reduce this risk.