Breast Augmentation

Conveniently located to serve Carmel, Indianapolis, and Zionsville.

About Breast Augmentation Surgery

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Breast Augmentation and Breast Implants in Carmel and Indianapolis

One of the most popular cosmetic procedures we offer is breast augmentation in Carmel and Indianapolis. It never ceases to amaze us how much confidence women gain after having breast implants. Finally, your bathing suits and tank tops fit the way they’re supposed to and you may even feel more feminine than you ever have. Regardless of your reasons for considering breast augmentation, we are certain it will be a positive experience for you.

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Breast Augmentation Procedure Information

Dr Aker is your Indianapolis breast augmentation specialist. We offer our Hidden Scar breast augmentation procedure that leaves absolutely no scar on your breasts! Aker Aesthetics has done over 3,000 breast augmentation procedures in Indianapolis and Carmel in the past 16 years and we would like to be a part of this journey with you.
More and more each year, women, both in Indiana and elsewhere, choose breast enlargement surgery. Annually, over 400,000 breast surgeries are performed nationally. At Aker Aesthetics we know that choosing to give yourself the curves you desire is not always about vanity. Often, it is about fulfilling a reasonable, logical desire to be satisfied with the way you look. It is not uncommon to want to look as good as you feel and it is also not impossible thanks to breast augmentation surgery.

Breast Implant Options

Patients have a number of options when it comes to getting the best breast implants for their aesthetic goals. In terms of type, patients can choose between saline breast implants and silicone gel breast implants. Each filler material provides its own benefits and drawbacks in terms of feel, safety, and several other factors.

Implant size is a common concern. It’s less about choosing large breast implants or small breast implants and more about choosing the best option to fit your frame. This helps in creating a natural look. Low, moderate, or high profile breast implants are available, and these also affect the overall appearance of the results.

Smooth and textured implants are available, as are round and teardrop-shaped implants. These implant qualities will all be discussed during your consultation.

There are several choices in breast augmentation procedures to enhance your breast shape and size.

Hidden Scar Breast Augmentation or Endoscopic Breast Augmentation (endo aug)

Hidden Scar Breast Augmentation, also known as Endoscopic Breast Augmentation, surgery is a brief surgical procedure done under general anesthesia. During this breast augmentation procedure, a small incision is made in a fold in the armpit area. Then, an endoscope, which is a lighted tube that has a video camera attached, is used to create a pocket for the implant underneath the chest muscles. The endoscope allows our surgeons to see better so that the pocket is created more accurately. This pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker all prefers to place the implant behind the pectoral muscle to give you the most natural look possible. The upper breast will then have a more natural slope and graceful appearance. What you are left with is a round breast that looks very natural . Most of the time it is extremely difficult to see the armpit scar after it is healed and has faded. Because the implant was inserted through the armpit there is no scar left on the breasts at all. This procedure was brought to Indiana and the Indianapolis and Carmel region by Dr. Aker in 1996. Our practice has performed over 2,000 endoscopic breast augmentations. Although practiced frequently on the east and west coasts, we have the most experience with this technique in the Midwest.

Peri-areolar and Inframammary Breast Augmentation

In Indiana, the most common incision sites for breast augmentation are around the lower edge of the areola (peri-areolar) and in the fold below the breast (infra-mammary fold). These locations work well for most surgeons, allowing direct access to the breast tissue and muscle. These techniques also place the implants directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Again, the surgeons at Aker Aesthetics prefer to place the implant behind the pectoral muscle to give the most natural looking breasts possible.

Quick Recovery Breast Augmentation

We also offer a quick recovery program for breast augmentation. Local anesthesia (numbing medicine) is injected into the breast immediately before surgery to prevent discomfort from the beginning of the procedure. After the pocket is developed, a long lasting numbing medicine is placed into the pocket to provide pain relief in the early recovery period. Very strong Motrin-like medicine is used instead of narcotics so you are able to be more alert and active the day of your surgery.

There is a lot of buzz in the media these days about things such as “super quickbreast augmentation procedure. “Have breast augmentation surgery in the morning and go out dancing that night”, “no recovery time breast augmentation“, etc. are some examples of this buzz. As a general rule, the larger the breast implant, the more painful and longer the recovery will be. In general, when a smaller implant is placed in a pocket above the muscle, the recovery will be very quick and discomfort will be minimal, but remember that the above-muscle positioning of an implant may compromise mammography. Feel free to discuss this option with Dr. Aker at your personal consultation appointment. They will be happy to address any of your concerns regarding recovery time and more.

All of the above mentioned breast augmentation surgeries will take about an hour and a half. After surgery you will be watched carefully by nurses until a decision is made as to when you are capable of going home. Stitches will be internal and will not need to be removed. You will be wearing an elastic band that goes above the breasts and under the arms to help hold the implant in position in the early recovery period. Patients are often surprised by how little discomfort they experience after surgery. You’ll be able to quickly resume your normal activities and can resume light exercise within a few days.

TUBA-Trans-umbilical breast augmentation is a breast augmentation procedure where the incision is placed in the belly button. And, although this is a safe and controlled procedure, we don’t feel it is as controlled because it is a blind blunt procedure so we do not offer this technique as an option at Aker Aesthetics. We have seen several women with track marks on their tummy from this technique and noticeable scars around the belly button.

We invite you to view our before and after breast augmentation pictures on our website.

Your procedure will be performed in Dr. Aker‘s surgery center located in Carmel, IN.

Get the Breast Augmentation you have always wanted with Patient Fi!

 Special financing offered if surgery is scheduled by the end of 2022.  No money down.
24 months no interest (average payment of $300-$350 per month)


Choose a longer term at a reduced interest rate (average payment $225-$250 per month)
36 months, 48 months, 60 month terms available.

Patient Fi financing terms: Must be approved and use financing for $500 deposit to hold surgery. (Patient can pay out of pocket for surgical deposit if they choose)

Apply online and get pre-approved in a matter of minutes!

Breast Augmentation Before & After

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Real Results

View before-and-after pictures of real patients of Dr. John Aker.

Frequently Asked Questions

Is it possible to combine breast augmentation with other procedures?

Absolutely. Depending on absence of significant medical problems, breast augmentation surgery is frequently combined with tummy tuck surgery or a breast lift surgery for a “mommy makeover”. A breast lift and implants can be combined for a procedure called a breast augmentation with lift. This results in greater size and reduced sag. In cases where additional volume is not desired, a breast lift without implants is the most ideal choice.

How soon will I be able to return to work?

For less physical job requirements, 3-5 days, and for more physical job requirements, 5-7 days.

Do saline implants last longer than gel implants?

Failure rate over time is about the same.

Will my breast implants interfere with a mammogram?

It has never been shown that having implants delays the diagnosis of breast cancer. However, a mammographer can lose the ability to see a small amount of breast tissue more often when the implant is on top of the muscle. It may require additional views to be taken.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. Over time, the armpit scar fades and is typically not very noticeable. With standard breast augmentation, there would be scars visible on the breast but these would fade over time.

If I gain weight, will my implants look different?

This varies from woman to woman. Some have significant change in breast size with weight fluctuations while others have very little change.

Can I breast feed after I have breast augmentation surgery?

Yes, it is safe to breast feed. Having surgery does not prevent or reduce the ability to breast feed. However, if you’ve never nursed before surgery, we are unable to know if you are biologically endowed to breast feed.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax allowing the implant to descend into a more natural position. This process is called “settling”.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women there may be visible wrinkling on the skin surface, more commonly observed with saline than with gel implants, and variable in location.

Do you only perform breast augmentations on people in Indiana?

Actually we frequently have patients come see us from our sister states of Illinois, Ohio, Kentucky and Michigan as well as states that are further away.

I have saggy boobs. Will breast augmentation fix that?

Limited breast sagging is frequently corrected by breast augmentation. A breast lift may be required for greater degrees of sagging.

Does it matter if I have a Board Certified Plastic Surgeon do my implants?

A Board Certified Plastic Surgeon has completed 6-7 or more years of surgical training after medical school. This is one of the longest and most rigorous training programs of any medical or surgical specialty. Board Certification ensures patients that the training is of the highest quality.

What is the most common problem I might have after breast augmentation surgery?

Common short term problems include temporary changes in nipple sensation. A very temporary tight sensation in the armpit sometimes occurs when the endoscopic technique is performed. The most common long-term problem is failure, or rupture, of the implant with an average device lifespan ranging from 10-15 years. This occurrence is not in any way painful or harmful to a woman´s health.

How much does breast enlargement cost?

The price of breast augmentation varies based on the specifics of the procedure. When determining total cost, we factor in the cost of breast implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery.

Arrange Your Breast Augmentation Consultation

Schedule your informative consultation for breast augmentation in Carmel – contact our office today to get started. Our skilled board-certified plastic surgeons have the years of experience needed to get you the results you deserve.

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Meet the Doctor

Dr. Aker, an Indianapolis plastic surgeon affiliated with several area hospitals, has lectured and is published widely on a variety of plastic surgery topics. Dr. Aker brought several new techniques in cosmetic surgery to Indianapolis and Carmel including the endoscopic breast augmentation (“endo aug”) and Asian eyelid surgery.

Dr. John Aker