Commonwealth Plastic Surgery: Jared Nimtz, MD
715 Shaker Dr., Suite 100
Lexington, KY 40504
Phone: (859) 277-9435
Monday–Friday: 9 a.m.–5 p.m.

Commonwealth Plastic Surgery: Jared Nimtz, MD
100 Professional Dr.
London, KY 40741
Phone: (859) 277-8615
Monday–Friday: 9 a.m.–5 p.m.

Breast Augmentation


Women visit Dr. Jared Nimtz for breast augmentation in Lexington and London, KY, to enhance the size and shape of their breasts. He is known for providing results that look naturally beautiful using the latest breast implants, advanced surgical techniques, and an aesthetic eye for beauty and proportion. That’s why women considering breast augmentation travel from Louisville and throughout Kentucky to Commonwealth Plastic Surgery for their procedures.

Who Is a Candidate for Breast Augmentation?

There are many personal reasons women visit Dr. Nimtz for breast augmentation from Louisville, Georgetown, and greater Lexington, KY, including:

  • Increasing the size of naturally small breasts
  • Replacing breast volume lost to weight changes, pregnancy, or the aging process
  • Improving breast symmetry

Women who have multiple areas on the body they’d like to improve often choose mommy makeover surgery. Dr. Nimtz performs a personalized combination of procedures that often includes a tummy tuck, liposuction, and a breast enhancement procedure such as breast augmentation.

Choices for a Personalized Procedure

When considering a breast augmentation procedure, several factors are important to consider for natural-looking results:

  • Size of the implant
  • Type of implant
  • Projection/style of the implant
  • Position of the implant
  • Position of the incision

Dr. Nimtz outlines several important factors regarding breast augmentation, including a day-by-day photo gallery of a patient’s results following her breast augmentation procedure in his blog: Beauty, Art, and Medicine.

Implant Size

Women often come into our office with a particular cup size in mind; however, breast implants are measured in volume (cubic centimeters or cc), not in cup size. A standard rule of thumb we tell patients is that every cup size increase is approximately 150 to 200 cc. That means patients considering going from an A cup to a C cup, might desire a 300 to 400 cc implant, depending on their desired result as well as their own anatomy.

Projection/Style of Implant

Different breast implant manufacturers may use different descriptions for implant profile options. Some use moderate, moderate plus, high profile, and even ultra-high profiles. Others use moderate, full, and extra full profiles. Whatever phrases are used to describe profiles, the concept remains the same: for any given breast diameter, some people want more volume, and some want less. The more volume a patient wants for her diameter, the more projection she needs. For less volume, the less projection the patient needs.

One of the main objectives of a consultation is to measure the breast diameter. Dr. Nimtz tries to stay within the patient’s diameter when selecting an implant because the more he goes over that diameter, the more side projection the patient will get, which many women do not want.

Type of Implant

Saline versus silicone has been the standard option in breast implants for years, and this is still an important consideration. With the newer types of implants on the market, though, patients may find they want to do a look-and-feel test to determine which implant they might like best. Dr. Nimtz offers a variety of implant types to meet each patient’s unique needs and preferences. Options include:

  • Saline: filled with sterile salt water after they are placed within the breast pocket. This is the least expensive type of implant that women typically choose when they have concerns about silicone.
  • Silicone gel: contain soft silicone gel that stays together even when cut or punctured so leaks are not a concern. This type feels and moves like natural breast tissue.
  • IDEAL IMPLANT®: filled with harmless saline. Instead of having a single outer shell, these implants contain multiple shells nested within each other to provide a more natural look and feel than saline implants.
  • INSPIRA® SoftTouch: sometimes called “gummy bear implants,” these silicone gel implants are firmer than standard silicone implants to maintain fullness in the upper breast, while still giving a very natural look and feel.

We have a range of breast implants for patients to try out in different sizes, types, and projections.

Breast Augmentation Incision Options

The 2 most common incision placements performed by Dr. Nimtz are along the inframammary fold (at the base of the breast) or around the nipple. He does offer transaxillary (near the underarm) incisions, but only for patients who choose saline implants. This is because the implant incision is farther away from the implant placement. The benefit of an inframammary incision is that it’s hidden in the natural fold of the breast. Some patients do not prefer the nipple incision because they worry about the risk of affecting the nipples’ sensation. For patients getting a nipple lift or a breast lift procedure that requires an incision on or around the nipple, however, it makes sense to use that same incision for the implant as well.

Breast Implant Placement Options

The main placement options for the implant are over the muscle (subglandular), under the muscle (submuscular), and dual-plane placement. Placing implants under the chest muscle helps disguise them, giving the breasts a nice natural appearance. Some women, such as bodybuilders, want to avoid having their muscles stretched so we might put the implant over top of the muscle. For very thin women, however, the implants will be visible.

I often use what is called a dual-plane placement, so the upper part of the implant is covered by muscle, and the lower part of the implant is not. We do this to give more fullness to the lower portion of the breast. It works particularly well on women who are small breasted to begin with. We use this approach also to decrease the risk of animation deformity (the implant moves anytime a patient flexes her pectoral muscles). The least risk of any animation deformity is placing that implant subglandularly, or on top of the muscle, but a woman with little breast tissue will get the circular-shaped breast and not a natural breast shape.

Dr. Jared Nimtz

Dr. Nimtz is a Lexington board-certified plastic surgeon who is highly skilled, experienced, and truly cares about his patients. Through a conservative, classic approach to surgery he provides natural-looking results that are attractive and proportionate.

Meet Dr. Nimtz

How Much Does Breast Augmentation Cost?

At our practice in Lexington and London, KY, the price of breast augmentation typically ranges from $5,500 to $6,500, depending on your choice of breast implants. General costs for breast augmentation procedures at our practice are as follows:

  • Saline: $5,500
  • Standard silicone: $6,200
  • IDEAL IMPLANT: $6,200
  • SoftTouch: $6,500

After you meet with Dr. Nimtz, we will identify exactly what your breast augmentation procedure will cost, at which time we will give you an all-inclusive quote. We do offer CareCredit® as a financing option. We also accept Visa, MasterCard, American Express, and Discover as well as cash or personal checks.

Fat Transfer Breast Augmentation

In addition to increasing breast size with implants, patients who desire a small increase in breast size might consider fat transfer. With this procedure, the patient undergoes liposuction to remove fat, which is then purified and grafted into the breast. The patient can see a subtle, more natural effect with fat transfer and receives the benefit of enhancing contours with liposuction as well.

Breast Augmentation With Lift

Breast augmentation alone will not correct breasts that sag or droop due to a significant loss of breast volume. Dr. Nimtz often combines breast lift, technically called mastopexy, with breast implants to correct significantly drooping breasts. He assesses the position of the breasts on the chest wall to determine whether patients need a breast lift.

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Is Breast Augmentation Safe?

Implants are inserted in sterile conditions, and inflammation is rare. If a saline implant ruptures, the fluid drains immediately, and it’s clear that it needs to be replaced. A ruptured silicone implant, on the other hand, can be difficult to detect because it maintains its shape. Implant manufacturers recommend women with silicone gel implants get an MRI done every couple of years to check the status of the implants. Many women skip these tests because they can be costly, and they are not covered by health insurance. It’s important to know that these exams are recommended by the FDA and implant manufacturers, and patients should factor the recommendations into their decision to get silicone gel implants.

Achieve feminine curves that enhance your sensuality and confidence. If you are a woman living in greater Lexington or Louisville, as well as the surrounding communities of Kentucky, choose Commonwealth Plastic Surgery for outstanding breast augmentation results. Request a free consultation today using our online form or call (859) 277-9435 to schedule an appointment.