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Small Breasts
(Mammary Hypoplasia) San Antonio

Fellow American College of Surgeons logo American Society of Plastic Surgeons logo American Board of Plastic Surgeons logo American Society for Aesthetic Plastic Surgery logo Texas Medical Association logo Texas Society of Plastic Surgeons logo Bexar County Medical Society logo
Fellow American College of Surgeons logo American Society of Plastic Surgeons logo American Board of Plastic Surgeons logo American Society for Aesthetic Plastic Surgery logo Texas Medical Association logo Texas Society of Plastic Surgeons logo Bexar County Medical Society logo Fellow American College of Surgeons logo American Society of Plastic Surgeons logo American Board of Plastic Surgeons logo American Society for Aesthetic Plastic Surgery logo Texas Medical Association logo Texas Society of Plastic Surgeons logo Bexar County Medical Society logo Fellow American College of Surgeons logo American Society of Plastic Surgeons logo American Board of Plastic Surgeons logo American Society for Aesthetic Plastic Surgery logo Texas Medical Association logo Texas Society of Plastic Surgeons logo Bexar County Medical Society logo

Confidence comes from feeling like yourself.

For many women, having small breasts isn't a medical issue, but it can be a personal challenge. It's frustrating when your clothes don't fit the way you want, or when you feel disproportionate compared to the rest of your body. Whether this is due to genetics or the natural volume loss that happens after pregnancy or weight loss, your feelings are valid. At San Antonio Cosmetic Surgery, our goal is to help you feel at home in your skin. We don't believe in a "standard" look. We believe in creating a silhouette that looks natural, feels balanced, and gives you the freedom to wear what you love without second-guessing your reflection.

What are Small Breasts (Mammary Hypoplasia)?

Small breasts (mammary hypoplasia) is the medical term for under-developed breast tissue, often caused by genetics or hormonal factors that limit breast development relative to the body frame. A woman’s breasts are a unique mix of glandular tissue and fatty tissue. Several factors can influence this, including a hormonal imbalance during puberty or significant weight loss later in life.

For most women, having a small chest or small boobs is simply a variation of normal anatomy. However, as women age or experience weight fluctuation, the breasts can lose volume and change shape. We are here to help you navigate the options to increase breast size or restore the fullness you may have lost. At A Glance:

  • Cost: Technique Dependent
  • Downtime: 5–7 Days
  • Pain Level: 4/10 (Pressure)
  • Duration: 1–2 Hours

Benefits of Correcting Small Breasts

When we address small breasts or breast asymmetry, the goal is not just "size"—it is about how you feel in your skin.

Restored Confidence

We can replace the volume lost in the breasts after breastfeeding, helping you reclaim your pre-baby figure.

Balanced Proportions

Increasing the volume of the breasts creates a harmonious curve that balances the hips and defines the waist.

Clothing Freedom

Women opt for surgery so they can wear tops and swimwear confidently without relying on padded bras to create a specific bra size.

Symmetry

We can correct uneven breasts, ensuring both sides of the chest look balanced and tailored.

Am I a Candidate for Breast Enhancement?

We believe that any woman in good health who wants to feel more confident with more proportional breasts is a potential candidate. Determining if you are a good candidate starts with an honest, private consultation.

You may be a candidate if:

  • You feel your small breasts are disproportionate to the rest of your body.
  • You have noticed a loss of volume in the breasts due to pregnancy or weight loss.
  • You have breast asymmetry (one breast is different from the other).
  • Your breasts are fully developed (usually after age 18).

You are NOT a candidate if:

  • You have uncontrolled medical conditions.
  • You are currently breastfeeding or pregnant.
  • You are primarily looking for breast reduction surgery for overly large breasts (unless this is part of correcting asymmetry).
San Antonio Large Breasts (Breast Hypertrophy) model in blue top

How Can We Address Small Breasts?

We offer tailored methods to enhance small breasts because no two bodies are alike. Many surgeons offer a standard approach, but we prefer to customize the procedure to fit your unique anatomy and comfort level.

Breast Augmentation with Implants

Breast augmentation involves placing breast implants gently behind the breast tissue or the chest muscle. This allows us to achieve a beautiful, reliable increase in breast size, such as moving from an A cup to a C cup. We offer options from trusted breast implant manufacturers:

  • Silicone Implants: These are the most popular choice for most patients because they mimic the soft feel of natural breast tissue.
  • Saline Implants: These allow for precise volume adjustments and require slightly smaller incisions.

Fat Transfer Breast Augmentation

For patients who prefer a strictly natural approach, fat transfer breast augmentation is a wonderful option. We use liposuction to gently remove fat from areas like the abdomen or thighs and transfer it to the breasts. This provides a soft, subtle enhancement, usually limited to one cup size.

Hybrid Breast Augmentation

In rare cases, we can combine implants with fat transfer. This allows us to increase breast size with an implant while using your own fat to soften the breast crease and edges, ensuring the result looks incredibly natural.

Correcting Asymmetry (Augmentation vs. Breast Reduction)

It's very common for women to have uneven breasts. We approach this with great care. In some cases, we place an implant in the smaller breast. In others, the larger side may technically be an oversized breast requiring adjustment. While this page focuses on small breasts, achieving symmetry might involve a breast reduction on the larger side to match the implanted smaller side. Breast reduction surgery removes excess breast tissue and excess skin. By combining breast augmentation and breast reduction, we create a balanced, symmetric look for the breasts.

Your Consultation & Preparation

During your breast augmentation consultation, we take the time to listen to your goals. We will measure the breasts, the areola, and the chest wall to recommend the best profile for you. We will discuss breast size openly. If a patient wants bigger breasts that might compromise their skin health, we will gently explain the risks of future breast reduction issues. We also review your family history to ensure your safety. Most women find that trying on sizers helps them feel excited and confident about their choice of cup sizes.

San Antonio Large Breasts (Breast Hypertrophy) model with curly hair

The Procedure

We perform breast augmentation surgery and fat transfer under general anesthesia to ensure your complete comfort.

  • Incisions: We make every effort to conceal incisions in the inframammary fold (the natural breast crease) or along the edge of the areola.
  • Placement: We create a precise space for the implants within the breasts to ensure they sit naturally.
  • Duration: The breast augmentation procedure usually takes 1 to 2 hours. If we are performing a breast reduction for symmetry, it may take a little longer.

Recovery & Aftercare

We are here to support you through your recovery from breast surgery. Breast augmentation is generally well-tolerated, often easier than a breast reduction surgery.

  • Comfort: Pain is typically mild to moderate and felt as pressure on the breasts. Medication helps manage this for 3 to 5 days.
  • Support: Patients wear a support bra to help the breasts settle into their new position.
  • Activity: We ask that you avoid heavy lifting for 4 to 6 weeks to let your body heal.
  • Sensation: You may feel temporary numbness in the breasts or areola, which is normal.

Results

Breast enhancement creates beautiful, permanent changes to your figure. Implants provide more fullness and a lovely shape. While swelling may hide the final result for a few weeks, most patients feel an immediate boost in confidence. Please remember that breasts evolve. Future pregnancy, breastfeeding, or weight loss can change the shape of the breasts over time, even with implants.

Breast Augmentation Cost

The breast augmentation cost depends on your unique plan, whether you choose saline implants or silicone implants, and if we are combining procedures like fat transfer. We provide a transparent, full quote during your private consultation so there are no surprises. We can go over your insurance coverage and financing options to help you achieve your goals without breaking the bank.

San Antonio Large Breasts (Breast Hypertrophy) model in white top

Why Choose San Antonio Cosmetic Surgery?

Patients often look for a board-certified plastic surgeon, but they choose our practice because of how we treat them. A plastic surgeon can perform the technical steps, but Dr. Ortegon focuses on the artistry and the relationship. We understand that breast surgery is a deeply personal decision. Whether you desire more volume via breast augmentation or symmetry via breast reduction, we view the breasts as part of your whole self. San Antonio women trust us because we are honest, supportive, and dedicated to results that look and feel like you.

Love Your Reflection

You don't have to settle for small breasts or uneven breasts that make you feel self-conscious. Breast augmentation is a safe, effective way to enhance appearance and bring balance to your body. Schedule your consultation with Dr. Ortegon today and gain the level of comfort and confidence you've been looking for.

San Antonio Large Breasts (Breast Hypertrophy) model smiling

Small Breasts
(Mammary Hypoplasia)
FAQs

Not here. We use silicone implants and precise placement to ensure the breasts move and feel natural. The "fake" look usually comes from implants that are too large for the existing breast tissue.

Most women can successfully breastfeed after breast augmentation surgery. We place incisions carefully to protect the milk ducts in the breasts. Please note that breast reduction surgery has a slightly higher risk of affecting breastfeeding.

Breast augmentation adds volume to small breasts using implants. Breast reduction removes excess breast tissue and fat from larger breasts. We sometimes perform both at the same time to fix asymmetry.

Breast implant manufacturers' warranty devices for 10-20 years. However, implants do not expire. As long as the breasts remain soft and the device is intact, you do not need to replace them.

Yes, fat transfer is a great option for women who want more fullness naturally. It requires enough body fat to harvest and move to the breasts.

Contact us today to schedule your consultation with the renowned San Antonio plastic surgeon and breast & body specialist Dr. Delio Ortegon. Take your first steps to a more beautiful you.

4910 Golden Quail Suite 140, San Antonio, TX 78240

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