If you’re considering breast augmentation, you’ve probably spent hours Googling — looking at before-and-after photos, reading reviews, comparing implant types, and trying to figure out who to trust. It’s exciting… and a little overwhelming.
You want results that look natural. You want to feel confident in your decision. And you want a surgeon who listens, understands your goals, and doesn’t treat you like just another case number.
That’s why many women — and gender-affirming patients — across Richmond turn to Dr. Matthew Stanwix, a board-certified plastic surgeon known for precision, artistry, and one-on-one attention.
This guide was written for you — to help you cut through the noise, understand what breast augmentation really involves, what it costs here in Richmond, and how to choose the right surgeon for you.
Let’s break it all down clearly, so you can make a decision you’ll feel good about for years to come.
What Is Breast Augmentation (and How to Know If It’s Right for You)
At its core, breast augmentation is about more than just size — it’s about balance, confidence, and restoring or reshaping the body in a way that feels right for you.
The procedure typically involves placing silicone or saline implants (or in some cases, using your own fat) to enhance the shape, volume, and symmetry of the breasts. It’s one of the most common cosmetic surgeries in the U.S., and when performed by a skilled surgeon, the results can look incredibly natural — often even undetectable.
But breast augmentation isn’t one-size-fits-all. Some patients come in wanting dramatic volume. Others are simply looking to restore what was lost after pregnancy, breastfeeding, or weight changes. Some are seeking gender-affirming surgery. And others want correction after a previous surgery or injury.
So how do you know if it’s right for you?
Ask yourself:
- Do I feel like my current breast size or shape doesn’t match how I see myself?
- Have I lost volume or fullness over time?
- Do I feel self-conscious in clothing — swimsuits, bras, or fitted tops?
- Am I looking for a more proportional, balanced figure?
If you answered yes to any of the above, breast augmentation might be a good fit. But the real answer comes during a personalized consultation — where your goals, anatomy, and options are all considered together.
Coming up, we’ll cover the different implant types, how the procedure works, and what to expect from recovery — so you can start forming a clear picture of what this journey looks like.
Types of Breast Implants & Techniques
One of the biggest decisions you’ll make during your breast augmentation journey is which type of implant or technique is right for your body and your goals. Fortunately, you don’t have to make that decision alone — but it’s helpful to understand the options before your consultation.
Silicone vs. Saline Implants
Both saline and silicone implants are FDA-approved, safe, and widely used — but they offer different experiences in terms of feel, appearance, and incision technique.
- Silicone Implants
These come pre-filled with a cohesive silicone gel that closely mimics the natural feel of breast tissue. They’re a popular choice for women who want a soft, natural look and feel. They do require a slightly longer incision, and routine monitoring (like MRIs) is recommended over time to check for silent rupture. - Saline Implants
These are inserted empty and then filled with sterile saltwater once in place. This allows for smaller incisions and easy volume adjustments. They’re firm to the touch and more prone to visible rippling, especially in patients with thinner tissue.
“Gummy Bear” Implants (Form-Stable Silicone)
Also known as form-stable implants, these hold their shape even when cut. They’re slightly firmer but less likely to wrinkle or fold. Many patients prefer them for their tear-drop shape, which can offer a more natural slope.
Fat Transfer Breast Augmentation
If you’re looking for a more natural approach, fat transfer may be an option. This technique involves using liposuction to gently harvest fat from another part of your body — like the abdomen or thighs — and strategically injecting it into the breasts.
It’s ideal for patients who want a subtle enhancement (typically ½ to 1 cup size increase), with no foreign implants involved. It also doubles as body contouring — a win-win for the right candidate.
Not everyone is a candidate for fat transfer. You’ll need enough donor fat and realistic expectations about volume.
Implant Placement: Above vs. Below the Muscle
Another key decision is where the implant is placed:
- Submuscular (under the pectoral muscle): More natural look, especially in thinner patients; less risk of visible rippling.
- Subglandular (above the muscle): Shorter recovery time; sometimes preferred for patients with more existing breast tissue.
Your body shape, activity level, and goals will help determine the best fit.
Each of these options comes with trade-offs — and during your consult with Dr. Stanwix, you’ll walk through sizing, profiles, shapes, and placement using real-world examples and imaging to visualize your outcome.
Who Is a Good Candidate for Breast Augmentation?
Not everyone who walks through the door wants the same thing — and that’s exactly why the best breast augmentation results start with the right candidate.
This isn’t about chasing trends or cookie-cutter proportions. It’s about understanding what you want, what’s possible based on your anatomy, and whether now is the right time for surgery.
Here are a few signs you may be a strong candidate:
You’re generally healthy
Breast augmentation is a surgical procedure — and your body needs to be in good shape to heal properly. That means no uncontrolled medical conditions, no active infections, and ideally, no smoking (which slows down healing and increases risks).
Your weight is stable
Fluctuations in weight — especially large losses or gains — can affect breast size and shape. Patients who are near their ideal body weight tend to get the most predictable and lasting results.
You’re not currently pregnant or breastfeeding
If you’ve recently had a baby or are still nursing, it’s best to wait at least 6 months after breastfeeding ends. This allows breast tissue to stabilize, making your surgical plan more accurate.
You have realistic expectations
Breast augmentation can dramatically enhance your figure, but it won’t fix unrelated concerns like sagging (which may require a lift), or completely redefine your body type. The goal is enhancement, not perfection.
You’re doing this for you
This one’s big. The most satisfied patients are the ones who made the choice on their own terms — not because of pressure from a partner, friend, or social media trend.
What About Gender-Affirming Patients?
Breast augmentation is a key part of the transition journey for many trans women and non-binary individuals. Dr. Stanwix has experience with gender-affirming top surgery, and takes a respectful, individualized approach to every case — always prioritizing natural-looking results and patient comfort.
In short: If you’re healthy, informed, and motivated by your own goals, you’re already starting from a strong position.
The Breast Augmentation Procedure, Step-by-Step
Knowing what to expect from start to finish can take a lot of anxiety out of the equation. Here’s how the breast augmentation journey typically unfolds when you work with Dr. Stanwix.
Step 1: The Consultation
This is where it all begins.
During your one-on-one consultation, Dr. Stanwix will:
- Review your medical history
- Discuss your goals in detail
- Perform an exam to evaluate skin tone, existing breast tissue, and symmetry
- Go over implant types, sizes, and surgical techniques
- Use imaging and real-world examples to help you visualize results
- Answer all your questions — no rush, no pressure
You’ll leave with a clear idea of what’s possible and what’s recommended for your body.
Step 2: Sizing & Surgical Planning
This step is all about customization. Dr. Stanwix doesn’t use a templated “small, medium, large” approach. Instead, he’ll help you find a size and shape that fits your frame, lifestyle, and long-term vision.
You’ll also decide:
- Implant material (saline vs silicone vs fat transfer)
- Placement (under vs over the muscle)
- Incision type (inframammary fold, periareolar, etc.)
Step 3: Surgery Day
The procedure itself typically takes 1 to 1.5 hours, performed under general anesthesia at an accredited surgical facility in Richmond.
After you’re comfortably asleep, Dr. Stanwix will:
- Make the chosen incision
- Create a pocket for the implant
- Place and position the implant or injected fat
- Carefully close with layered sutures for a clean, minimal scar
You’ll be monitored in recovery and discharged the same day with detailed aftercare instructions.
Step 4: Recovery
Most patients return home within a few hours of surgery. Here’s a rough recovery timeline:
- First 3–5 days: Soreness, tightness, and swelling. Prescription meds help with discomfort. Most patients take 3–7 days off work.
- Week 1–2: Light movement is encouraged. You’ll wear a surgical bra to support healing. No heavy lifting or workouts yet.
- Weeks 4–6: Gradual return to normal activity. Swelling continues to go down, and breasts begin to soften and settle.
- 3–6 months: Final results become visible. Scars fade over time with proper care.
Dr. Stanwix provides close follow-up throughout this process, and you’ll have access to your care team anytime you have questions or concerns.
Next, we’ll dive into how much breast augmentation actually costs in Richmond, and what affects that number.
Cost of Breast Augmentation in Richmond, VA
One of the most common — and most confusing — questions patients have is:
“How much does breast augmentation cost?”
The answer? It depends.
Here in Richmond, VA, the average cost of breast augmentation typically ranges from $6,500 to $9,500, depending on a variety of factors. But it’s important to understand what that number actually includes — and what it doesn’t.
What’s Included in the Price?
At Stanwix Plastic Surgery, your surgical quote is fully transparent and may include:
- Surgeon’s fee
- Anesthesia and operating room costs
- Breast implants (silicone, saline, or gummy bear)
- Pre- and post-operative appointments
- Post-surgical garments and supplies
There are no hidden fees or surprise add-ons. You’ll know exactly what to expect before committing.
Factors That Influence Cost
Every patient is unique, which means pricing can vary based on:
- Type of implant (Silicone generally costs more than saline)
- Use of fat transfer (adds liposuction and processing)
- Whether you need a lift in addition to implants
- Operating facility and anesthesia costs
- Experience and reputation of the surgeon (board-certified, in-demand surgeons may charge more — and often for good reason)
Reminder: The cheapest option isn’t always the safest. You’re trusting someone with your body and long-term results — experience, credentials, and safety protocols matter.
Financing & Payment Options
Stanwix Plastic Surgery offers financing options through trusted medical lenders, so you can move forward with the procedure without paying everything upfront. Monthly plans are available to fit a variety of budgets.
During your consultation, you’ll get a personalized quote based on your goals and anatomy — no guesswork, no pressure.
Coming up next: how to choose a surgeon you can actually trust, and what to look for here in Richmond.
Choosing the Best Breast Augmentation Surgeon in Richmond
It’s easy to get overwhelmed when searching “breast augmentation near me.” The truth is, not all surgeons — or results — are created equal.
This is your body. Your investment. Your long-term confidence. And choosing the right surgeon is the single most important decision you’ll make.
So how do you know who to trust?
Look for Board Certification (And Know What It Actually Means)
Not all “cosmetic surgeons” are plastic surgeons — and not all plastic surgeons are board-certified. That title means your doctor has:
- Completed rigorous training in plastic surgery (not just a weekend course)
- Passed national exams
- Maintains continuing education and ethical standards
- Operates only in accredited surgical facilities
Dr. Matthew Stanwix is a board-certified plastic surgeon, trained at The Johns Hopkins Hospital, and known throughout Richmond for his meticulous technique and honest, patient-first approach.
Review Real Before & After Photos
Photos don’t lie — but they can mislead. Look for:
- Consistent lighting and angles
- Natural-looking results, not exaggerated or overdone
- Cases that resemble your body type or goal
Stanwix Plastic Surgery maintains a gallery of real patients who’ve kindly shared their results, so you can visualize what’s possible for you.
Read Reviews — but Read Between the Lines
Five stars matter, but so do the reasons behind them. Are patients mentioning:
- Feeling heard and supported?
- Clear communication and no pressure?
- Natural, beautiful outcomes that matched their goals?
These are the signs of a practice that prioritizes quality, not volume.
Trust Your Gut During the Consultation
This should never feel like a sales pitch. You’re not just hiring a surgeon — you’re choosing a partner in your transformation. If you feel rushed, dismissed, or unsure… it’s okay to keep looking.
Dr. Stanwix encourages every patient to take their time, ask questions, and only move forward when they feel 100% comfortable.
Up next, we’ll cover the risks, recovery tips, and what real healing looks like after breast augmentation.
Risks & Recovery Tips – What Healing Really Looks Like
Any surgery comes with risks — and breast augmentation is no exception. But with the right preparation, the right surgeon, and the right aftercare, most patients recover smoothly and love their results.
Let’s talk honestly about what to expect, what could go wrong, and how to set yourself up for the best possible healing experience.
Common (and Rare) Risks of Breast Augmentation
Most patients experience temporary swelling, tightness, and mild bruising. These are normal and fade with time.
More serious (but uncommon) risks include:
- Infection
- Hematoma (collection of blood around the implant)
- Capsular contracture (hardening of scar tissue around the implant)
- Changes in nipple or breast sensation
- Implant rupture or shifting
Choosing a board-certified surgeon like Dr. Stanwix significantly reduces your risk — and if anything unexpected does happen, you’ll have a responsive care team by your side.
Recovery Tips That Actually Help
Healing isn’t just about what you don’t do — it’s about setting your body up for success.
Here’s what Dr. Stanwix typically recommends:
- Sleep on your back, slightly elevated, for the first few weeks
- Wear a surgical support bra 24/7 (except for showers)
- Avoid heavy lifting, overhead reaching, or intense workouts for 4–6 weeks
- Take short, frequent walks to promote circulation
- Stay hydrated and eat nutritious meals (your body needs fuel to heal)
The “Drop and Fluff” Process: What to Expect
Immediately after surgery, your breasts may look higher, tighter, or slightly uneven. This is completely normal. Over the next few weeks, the implants will “drop and fluff” — meaning they’ll settle into place and take on a softer, more natural appearance.
Most patients say they feel back to normal around week 3 or 4, with final results visible by month 3–6.
Stay in Touch with Your Surgeon
One of the most underrated parts of recovery is follow-up care. Dr. Stanwix sees patients regularly during the healing process to check progress, answer questions, and address any concerns early.
You’re never left to figure things out alone.
Next, we’ll tackle the most frequently asked questions — the kind that come up late at night, after the consultation, when you’re still deciding if this is right for you.
Real Patient Questions Answered (FAQ)
No matter how many articles you read, some questions always linger. Here are the most common ones Dr. Stanwix hears during consultations — answered plainly.
How long do breast implants last?
Most implants last 10 to 20 years, but they don’t “expire.” If you’re happy with how they look and feel — and there are no complications — you don’t necessarily need to replace them. However, some patients choose revision surgery over time due to aging, preference changes, or implant wear.
Can I breastfeed after breast augmentation?
In many cases, yes. Implants placed under the muscle with an incision in the crease (inframammary fold) are least likely to interfere with milk ducts. That said, if breastfeeding is a top priority, discuss it during your consultation.
Is it obvious when someone has implants?
Not when it’s done right. Dr. Stanwix prioritizes natural results that fit your body. The implant type, size, placement, and your own anatomy all play a role in how “noticeable” the enhancement is.
What’s the difference between a breast augmentation and a lift?
Augmentation adds volume; a lift (mastopexy) reshapes and raises sagging breasts. Some patients benefit from both — especially after major weight loss or pregnancy. During your consult, Dr. Stanwix will help determine what’s best for your goals.
Can I choose my exact cup size?
Cup sizes vary between brands and are notoriously inconsistent. Instead, the conversation focuses on volume in cc’s, proportions, and how you want to look in clothes. Sizing appointments often include trying on different implant sizers under a bra or using 3D imaging.
Is fat transfer safer than implants?
Fat transfer avoids foreign material, which some patients prefer. But it’s not risk-free — fat can be reabsorbed or form lumps. It also offers a more subtle size increase and requires donor fat via liposuction. It’s best for small to moderate enhancement, not large volume increases.
Will I lose nipple sensation?
Temporary numbness is common as nerves adjust post-surgery. Most patients regain sensation within a few months, but there’s always a small risk of permanent change — especially with larger implants or periareolar incisions.
Up next: why patients across Richmond trust Dr. Stanwix and how to take the next step.
Why Richmond Patients Trust Dr. Stanwix
There’s no shortage of plastic surgeons online — but when it comes to trusting someone with your body and confidence, the right choice goes beyond credentials.
Dr. Matthew Stanwix isn’t just board-certified — he’s a surgeon who listens. Patients consistently describe him as thoughtful, honest, and meticulous. His training at The Johns Hopkins Hospital, combined with over a decade of surgical experience, means every decision is backed by skill — not guesswork.
But it’s not just about qualifications. It’s about how you’re treated:
- Your goals are heard.
- Your questions are answered without rush.
- Your care is personalized from consultation to final follow-up.
At Stanwix Plastic Surgery, the focus isn’t on volume — it’s on you.
Local, Trusted, and Convenient
Located right in Richmond, Dr. Stanwix serves patients throughout:
- Richmond
- Charlottesville
- Williamsburg
- And surrounding communities in Central Virginia
With a private surgical facility, an experienced care team, and a reputation built on trust, you’re in good hands from the very first visit.
Ready to Take the Next Step?
Breast augmentation is a personal journey — and it starts with the right conversation.
Book a private consultation with Dr. Stanwix to explore your options, get honest answers, and see if this is the right next step for you.
Stanwix Plastic Surgery
12320 West Broad Street, Suite 205
Richmond, VA 23233
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