What are your breasts saying to him?


    2015 Breast Plastic Surgery Volume in The United States


    Breast Augmentations


    Breast Lift Surgeries



    Breast Reduction Surgeries


    Breast Implant Removal Surgeries

  • Cosmetic Breast Surgery Remains at the Top of Plastic Surgery Volumes but Trends are Changing

    In 2015, U.S. women underwent an estimated 443,409 cosmetic breast procedures. That's about .4% of women between the ages of 20-49 who get breast surgery each year.

    Cosmetic breast surgery is the most popular cosmetic surgery in the United States. For years, breast augmentation has been the leading type of breast plastic surgery in both volume and growth. But trends are changing. Although breast implants still lead by nearly 3 to 1 over any other breast procedure, the growth trend is changing. In fact, breast augmentation procedures actually declined in volume by 2% between 2014 and 2015. So what are women wanting?


    Trends suggest that more women are seeking a natural yet perky and young look for their breasts from their 20s well into their 60s and beyond. This means there are more lifts, an increase in fat transfer over implants, and even a new trend toward implant removal surgeries so that patients can achieve the perfect balance of fullness and lift. Gone are the days of excessively large breasts. Further, less invasive, more advanced techniques have made cosmetic breast surgery not only safer, but also less expensive and thus more accessible to the general population. And several plastic surgeons are now highly adept at multiple types of breast procedures, so they are able to really work closely with each patient to design a completely unique surgical solution for each patient.

    What types of customized cosmetic breast surgeries are women seeking?

    1. Breast augmentation with a twist. Although women still seek breast implants of all shapes and sizes, we see a lot of women who would prefer fat transfer from another part of their body for a truly natural breast. Further, they may want some minor contouring or liposuction in the buttocks or thighs when we remove the tissue for transfer to the breast. 
    2. Breast lifts. An even bigger trend is the growth in breast lift surgeries. Both childbirth and natural aging reduce skin suppleness, elasticity, and internal breast tissue - causing breasts to hang lower. Breast lift surgery is often the perfect option for a woman to restore the look of her youthful breasts. In fact, breast lift surgeries are growing in popularity at a faster rate than any other cosmetic surgery. Many women also combine a lift with an augmentation in one or both breasts to even out breast size or restore fullness from lost tissue.
    3. Areola surgeries. Negative self-image from large areolas is also exceedingly common. Women are often ashamed to discuss it because they are embarrassed and most plastic surgeons don't talk about it because it's not something they commonly perform. Unfortunately, many women don't know that surgeons specializing in breast reconstruction have been performing this surgery with precision for years. Why? Because most women who get reconstruction after having a mastectomy from breast cancer need their entire breast rebuilt, which includes their breast tissue, areola, and nipple. 
    4. Nipple surgeries. Advanced surgical techniques have allowed reconstructive surgeons to cosmetically change a woman's nipples. So many women are self-conscious of their nipples, but many traditional plastic surgeons don't specialize in this surgery because of its complexity and increased risk of feeling loss if the surgeon is unexperienced. We see many women who seek correction of inverted nipples, large nipples, or nipples that point a little too far in a specific direction.
    5. Implant removal. Nearly 24,000 women had their breast implants removed in 2014, according to recent data from the American Society of Plastic Surgeons, With estimates suggesting that nearly 4% of American women have breast implants, this trend is certain to grow with time. The reasons for implant removal vary, but early indications from our patients suggest that many women are simply maintaining a healthier, more active lifestyle. Excessively large breasts get in the way of staying physically fit and can cause back and neck problems over time.  Many other patients who come in are simply desiring a more natural look.
    6. Implant reduction or replacement surgery. From desires for a more natural look to medically-necessary procedures from prior implant deflation or leakage, reduction and replacement surgeries are increasing every year. Rupture or deflation occurs in 10-25% of silicone gel and saline implants over 10 years. With an estimated 5 1/2 million implants (or 11 million implants if you could each breast implant as a single unit), that's 1.1-2.75 million individual implants that may need to be removed or replaced.
    7. Combined cosmetic breast surgeries. Overwhelmingly, we are seeing more patients who want to combine surgeries but can't find a way through a traditional plastic surgeon. Further, they are often scared that a combined procedure will cost an exorbitant amount of money. The reality is, most women don't need something extreme, so combining a few procedures to really create the perfect breast for the patient is often not any more expensive than the cost of the average augmentation. The key is finding the right doctor if you do desire a customized or combined cosmetic breast surgery. It's important to understand all of your options and the cost of each option in a completely no-pressure environment. The process should be about you and not about what the doctor or anyone else wants you to do.
  • Contact Us

    Cosmetic breast surgery can be both exciting and scary. Dr. Bindewald is an expert in complex plastic surgeries and has extensive experience working with patients to determine whether one specific surgery or a more customized, combined breast operation may be more suited to their needs. His kind, quiet, clinical demeanor puts patients at ease to ask the questions they may be afraid to ask somewhere else.


    We would love to answer your questions in a one-on-one consultation or via email if you live out of town or are just beginning your research into whether or not you want cosmetic breast surgery. Dr. Bindewald answers all patient questions directly and maintains a HIPAA-compliant website and email to ensure your utmost discretion and privacy. Feel free to contact us at any time.


    You can contact us at the phone number or email address listed below, through this web form, or schedule your own appointment via our online request form, which can be accessed here.

    7950 Floyd Curl Drive, Ste. 1009
    San Antonio, TX 78229
    Mon-Thurs, 8am-5pm
    Fri, 8am-12pm