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Breast Augmentation in Carmel & Indianapolis, IN

Enhance breast volume and proportion with personalized implant selection and surgical options, including an endoscopic approach that avoids placing an incision on the breast.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure. 

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Why Choose MPSG for Your Breast Augmentation in India?

“One of the first questions I ask during a breast augmentation consultation is what the patient hopes to achieve. We discuss their goals for size, shape, proportion, and overall appearance. Many patients bring photos of results they find attractive, which can be very helpful in understanding their vision and expectations. Those images allow us to have a more detailed conversation about what is realistic for their body frame and anatomy. My goal is not simply to choose an implant size, but to create a result that looks balanced, natural and fits their lifestyle.”

- Dr. John Aker

Patients considering breast augmentation in Indianapolis and Carmel choose My Plastic Surgery Group for personalized care and natural-looking results.

At MPSG, breast augmentation procedures are performed by Dr. Aker and Dr. Beckman:

  • Dr. John Aker - Dr. Aker is board-certified by the American Board of Plastic Surgery and introduced endoscopic breast augmentation to Indianapolis and Carmel. He has been recognized as an Indianapolis Monthly “Top Doc” in body and facial plastic surgery for more than 19 years.
  • Dr. Di Beckman - Dr. Beckman completed six years of integrated plastic surgery residency at Rutgers, where she trained in aesthetic and reconstructive surgery and served as Chief Resident. She went on to complete an aesthetic plastic surgery fellowship at H/K/B Cosmetic Surgery.
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“One of my favorite parts of a breast augmentation consultation is helping patients navigate their options. From implant size to incision placement, every decision plays a role in creating a result that feels right for you. My approach is centered on education, communication, and developing a surgical plan that aligns with your anatomy.”

- Dr. Di Beckman

Our plastic surgeons have performed thousands of breast augmentation procedures in Indianapolis and Carmel in the past 20+ years, and we would like to be a part of this journey with you. We take the time to understand your aesthetic ideals and what you want to achieve, so we can tailor your procedure to you, and we prioritize your safety and clear communication at every step of the treatment journey.

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Combination Procedures

Breast Augmentation Before & After Results

Browse breast augmentation before-and-after photos showing individualized differences in implant size, profile, projection, breast volume, symmetry, and overall balance with each patient's frame.

Questions & Answers with Dr. Aker

The Specifics

Breast Augmentation Options for Indianapolis and Carmel Patients

Breast augmentation involves several decisions, including the type, profile, and size of your implants, where the surgical incision will be made, and whether the implants are placed over or under the pectoral muscle. Your surgeon will explain these choices during your consultation and provide personalized recommendations.

Types of Breast Implants

Patients considering breast implants in Indianapolis, Carmel, and throughout Central Indiana can choose between saline and silicone gel implants. Both can increase breast volume and improve proportion, but they differ in several ways.

Saline Implants

Saline implants are filled with sterile salt water and are FDA-approved for cosmetic breast augmentation in women age 18 and older. Because saline has a fluid consistency, these implants provide a uniform shape and firmness. If the implant shell breaks, the implant typically deflates, and the saline is safely absorbed by the body, resulting in a visible change in breast volume. 

Silicone Implants

Silicone gel implants are FDA-approved for cosmetic breast augmentation in women age 22 and older. They contain cohesive silicone gel, which tends to feel more like natural breast tissue. 

Silicone implants are available in different levels of cohesiveness, from softer gels to firmer, more form-stable options that better maintain their shape. Depending on the implant, they may be round or anatomically shaped. Because a rupture may not cause an obvious change in the breast, your surgeon may recommend periodic imaging to evaluate implant integrity.

Implant Size and Profile

Implants come in different sizes and low-, moderate-, and high-profile options. Choosing the right implants for you is less about selecting a particular cup size and more about finding dimensions that complement your frame. Your surgeon will help you understand how implant size and profile can influence your final result.

Incision and Implant Placement

My Plastic Surgery Group offers two breast augmentation approaches: endoscopic transaxillary breast augmentation, sometimes called Hidden Scar Breast Augmentation, and the inframammary fold (IMF) approach. 

Implants can be placed over or under the pectoral muscle. Your surgeon will determine which option is best for you to achieve the most natural-looking breasts possible.

Hidden Scar Breast Augmentation

Dr. Aker brought this endoscopic breast augmentation technique to Indiana and the Indianapolis-Carmel area in 1996. My Plastic Surgery Group has since performed thousands of endoscopic breast augmentation procedures. Although practiced frequently on the east and west coasts, we have the most experience with this technique in the Midwest.

Endoscopic breast augmentation is performed under general anesthesia. 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 the tissue, so the pocket can be created precisely.  

Once the pocket is created, the implant can be inserted and positioned. Because the incision is located in the armpit, there is no surgical scar on the breast itself. As the armpit incision heals and fades, it is typically difficult to see.

Inframammary Breast Augmentation

The inframammary fold (IMF) technique is one of the most common and trusted approaches for breast augmentation. With this method, the implant is placed through a small incision made in the crease beneath the breast called the inframammary fold.

This technique allows for excellent control over implant placement and symmetry, supporting natural-looking results. It’s suitable for both saline and silicone implants and provides the surgeon direct access to the breast pocket, minimizing trauma to surrounding tissues.

The IMF incision generally heals well and is easily concealed beneath the breast, even in swimwear or lingerie. Many patients appreciate the balance of a discreet scar with smooth, elegant contours.

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What Is Recovery Like After Breast Augmentation Surgery?

Most patients return to light activity within a few days and normal routines after one to two weeks. You may be directed to wear a support garment for several weeks to protect the treatment area and reduce swelling.

We provide a structured recovery plan to help ensure a smooth healing process. Your healing progress will be assessed during your follow-up visits, so we can advise you when it is safe to resume exercise, lifting, and other strenuous activity.

Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created. 

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

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. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

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.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

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”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.