Breast Plastic Surgery
Breast Augmentation
Patients come in for different reasons. Some have always been unhappy with the size and shape of their breasts, while others notice changes after pregnancy, weight loss, or time that leave their breasts feeling flatter, uneven, or no longer reflective of how they see themselves. What they’re usually looking for is a breast shape that fits their body and feels natural to them.
In the past there was a trend to go with larger implants, but more recently, patients have opted for a more natural appearance, choosing a smaller implant. Modern implants allow for a high degree of customization. Size, base width (diameter), projection, and implant placement are chosen based on anatomy, proportions, and personal goals. Implant placement and incision options matter because the same implant can look very different from one person to the next.
May Be Worth Discussing If You Notice:
-Breasts that feel smaller or less full than you’d like
-Changes in shape or symmetry after pregnancy or weight loss
-A desire for improved breast shape or balance
-Candidates should be in good overall health and have realistic expectations.
At The Consult:
We talk through implant size, shape, and placement in the context of your body. Patients whose primary concern is sagging rather than volume may benefit more from a breast lift, with or without implants. The goal is to choose the approach that actually addresses what you’re noticing.
Recovery:
Most patients return to light daily activities within a few days, with more normal routines by one to two weeks. The first three to five days are typically the most uncomfortable. Early on, implants often sit high on the chest and can feel larger than expected. This is normal. Swelling gradually improves, the implants settle, and shape continues to refine over the following weeks and months.
Breast Augmentation - A Note From Dr. Schimpf
Breast augmentation should enhance your figure—not overwhelm it. When well planned with the patient’s goals well understood by the surgeon, results look balanced, natural, and proportional. More natural results are the goal of most patients these days. When picking a size, remember the end result is your natural breast plus the implant. Fit, proportion, and planning are what lead to results patients are comfortable with long term.
Breast Lift
May Be Worth Discussing If You Notice:
-Loss of shape or upper fullness
-Nipples that point downward or sit lower on the breast
-A sense that bras are doing all the work
Patients looking to add fullness rather than reposition alone may benefit from combining a lift with implants.
At The Consult:
Recovery:
Breast Lift - A Note From Dr. Schimpf
A breast lift restores position and shape. When done thoughtfully, the breasts look natural, proportional, and well supported. In my experience, combining a small implant with a lift often creates the most balanced result. Even patients who want to stay the same size — or be slightly smaller — can benefit from a small implant to help create shape and structure. It can feel counterintuitive to think about using an implant and ending up with smaller but better-shaped breasts, but that is often exactly what happens.
Breast Reduction
Most often patients seek a breast reduction for relief from daily physical strain.
For many, the size of their breasts affect daily life in constant, practical ways. Neck, back, and shoulder pain become normal. Posture changes. Exercise is uncomfortable or avoided. Clothing never fits the way it should. Over time, managing these issues takes energy and attention that wears people down.
This procedure is often referred to as having the highest patient satisfaction, despite being associated with scarring of the breast. It addresses the source of that strain. By reducing weight and reshaping the breasts, patients often experience meaningful relief — physically and functionally — along with a breast shape that feels more manageable and proportionate to their body.
May Be Worth Discussing If You Notice:
-Chronic neck, back, or shoulder pain related to breast weight
-Rashes or irritation beneath the breasts
-Posture issues or discomfort with physical activity
-Ongoing frustration with clothing fit or daily limitations
Insurance may cover breast reduction in some cases, but coverage requires meeting specific criteria, including removal of a minimum amount of tissue. For some patients, those requirements don’t align with their aesthetic goals, and they choose to proceed outside of insurance.
At The Consult:
We talk through symptoms, goals, and expectations — including size reduction and scarring. Understanding the tradeoffs involved is important, and clarity around scarring is essential to long-term satisfaction. Patients should be medically stable and have realistic expectations about outcomes.
Recovery:
Initial recovery typically lasts 1–2 weeks, with most patients returning to normal activities within that time. Swelling improves gradually, and final breast shape continues to refine over several months. Final results take about 4 months to be achieved.
Breast Reduction - A Note From Dr. Schimpf
Breast reduction is both functional and aesthetic, and is one of the most satisfying procedures I perform because the relief is real and immediate. Patients often tell me they didn’t realize how much energy they were spending managing discomfort until it was gone. The improvement isn’t just physical — it affects posture, activity, and overall quality of life. The most common thing we hear after surgery is, “I wish I had done this years ago.”
Mommy Makeover
Pregnancy changes the body in ways that don’t always resolve with time.
For many women, the most noticeable changes remain in the abdomen and breasts — areas that stretch, shift, and lose support in ways exercise and weight stability can’t fully correct. Over time, these changes can begin to feel permanent, not because something went wrong, but because the body adapted to pregnancy and didn’t completely return.
A mommy makeover is a customized combination of procedures designed to address those specific, lasting changes. The exact plan varies from person to person, based on anatomy, goals, and what feels most disruptive in daily life. Most commonly, it involves procedures focused on the abdomen and breasts, performed together in a single surgical setting.
May Be Worth Discussing If You Notice:
-Typically finished with childbearing and at a stable weight.
-Abdominal changes that haven’t improved despite time or exercise
-Breast changes in shape, position, or volume following pregnancy
-Wanting to address more than one area at the same time typically
At The Consult:
Recovery:
Mommy Makeover - A Note From Dr. Schimpf
A mommy makeover is highly individualized. When planned carefully, it restores confidence while respecting your natural anatomy and long-term goals. There are advantages to doing multiple procedures in one setting such as one anesthesia and one recovery period, but it can make the initial recovery challenging. Rest, good nutrition, and support are crucial to a safe recovery. Moms make tremendous sacrifices for their kids, they deserve the confidence and satisfaction that comes from restoring their body and feeling good about their appearance again.