600 East Government Street Pensacola, FL 32502 (850) 500-7527

Composite Breast Augmentation

Do you desire fuller breasts with improved cleavage?  For many women, breast size is an important part of feeling attractive, confident and healthy.   This explains why Breast Augmentation was the 2nd most commonly performed cosmetic surgical procedure in the United States (after liposuction).

A COMPOSITE breast augmentation refers to performing fat transfer to the breasts at the same time as augmentation with an implant.  For some patients, their chest wall anatomy prevents Dr. Brown from being able to give them the cleavage they desire.   If he places the implants too close together – he will put them at risk for a complication known as symmastia (unibooob).   A COMPOSITE breast augmentation involves placing the appropriate size implants in the appropriate position and then transferring fat to the breasts to help fill in the areas of the breast that need additional volume, areas that cannot be safely augmented with the implant.

Because breast augmentation is such a common procedure, many patients and surgeons take a lax approach to the process – selecting from only a few different types of implants and neglecting to tailor the operation to an individual’s anatomy and goals.

Dr. Brown thinks of breast augmentation as an investment.  He does everything he can to reduce your risk for ever needing revisionary surgery.   Thoughtful planning and meticulous execution of the first operation is the best chance for an excellent, long-lasting result.



Once you’ve decided to pursue breast augmentation in the Pensacola area, you want to make sure to find the right surgeon, the right implant, and the right technique to meet your expectations.  Dr. Ben Brown is the only plastic surgeon in the region to train at a 6-year integrated plastic surgery program.  During his 6-years at Georgetown University, Dr. Brown was mentored by world renown plastic surgeons Drs. Scott Spear and Maurice Nahabedian.

Procedure A pocket for the breast implant is created above or below the muscle. This pocket is created and accessed from an incision in the inframammary fold (crease under the breast), an incision around the areola or an incision in the axilla (arm pit).  A silicone or saline implant is placed into this pocket and the tissues are closed with absorbable suture.  The operation usually takes Dr. Brown less than 1 hour.


Fat is then harvested via liposuction from the abdomen, flanks, thighs or anywhere there is “extra.”  This fat is then processed and injected into the areas of the breasts where it is needed.  This takes an additional 15-30 minutes.

Goal To improve breast size and shape.
Facility Surgery Center or Hospital
Anesthesia General anesthesia if going under the muscle.  General anesthesia or local anesthesia if going above the muscle.
Hospital stay Most patients choose to go home after surgery.
Assistance You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to care for others or drive a car.
Walking You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering After 48 hours you should remove your bra and take a shower.
Exercise You should do mild/gentle stretching exercises immediately after surgery to prevent your arm and chest muscles from getting tight. Light exercise is ok 1 week after surgery with your new breasts well supported. No arm exercises (other than stretching) for 3 weeks.
Sex Wait 1 week because you don’t want to increase your blood pressure during the early healing period. After 1 week, sex is ok ONLY if your partner is able resist touching your new breasts. You are the only person allowed to touch your breasts for the 6 weeks following surgery.
Work Depending on your type of work you can resume light office work as soon as you feel you are able to do so. Most people take at least a long weekend off of work following a breast augmentation.
Swelling Usually peaks around 3 days and gradually goes away.
Bruising If present, should subside within 1-2 weeks.
Follow-up Appointments 1-3 days after surgery, 2 weeks, 8 weeks, 6 months, 1 year.
Performed by: Dr. Ben Brown