Engage with Dr. Culver :
Engage with Dr. Culver :
Whether you want to add volume, correct asymmetry, or restore fullness after pregnancy, breast augmentation can help you feel confident and proportionate. Dr. Abby Culver is a board-certified plastic surgeon in Dallas who builds an individualized surgical plan around your breast tissue, chest wall anatomy, and goals. She performs augmentation with silicone implants, saline implants, and fat transfer, selecting implant size, profile, incision location, and placement to suit your frame.
Every plan starts with a conversation, not a catalog.
Dr. Culver completed a six-year integrated plastic surgery residency at UT Southwestern and served as faculty there. That academic habit shows up in how she plans cosmetic surgery of the breast: measurements first, then options.
Twenty minutes of measurement beats twenty hours of guessing.
The breast augmentation procedure changes breast size, shape, and symmetry using implants or fat grafting. Dr. Culver offers saline implants, silicone gel implants, and cohesive silicone implants, often called gummy bear implants, each behaving differently in feel, upper pole fullness, and shape retention. She also performs fat transfer breast augmentation, an implant-free option for eligible patients.
The consultation decides the rest. Dr. Culver measures breast tissue, base width, and chest wall anatomy, then recommends implant type, volume in cubic centimeters, profile, incision location, and whether the implant sits above or below the pectoralis muscle. Candidacy is assessed individually, and results vary.
A well-planned breast enhancement does more for proportion than cup size.
Implants increase breast volume to balance your frame. Patients whose breasts sit out of proportion notice it first in how clothing fits. Projection and base width, not cup size, drive that result.
Pregnancy, breastfeeding, aging, and weight loss reduce breast volume and stretch the skin. Augmentation refills that envelope. Where the nipple has descended and mild ptosis is present, Dr. Culver may recommend a breast lift with implants instead.
Most women have some natural asymmetry. Dr. Culver treats breast asymmetry by specifying a different implant for each side, and occasionally a different placement, rather than fitting one implant twice. Perfect symmetry is not a realistic goal.
Breast implants are measured in cubic centimeters, not cup size. Cup size is not standardized across brands, so two patients in the same C cup can need very different volumes. Dr. Culver uses measurements, sizers, and 3D imaging to narrow the range, then confirms the choice in the operating room.
Technique matters as much as hardware. Depending on anatomy, Dr. Culver may discuss Ballerina breast augmentation, minimally invasive breast augmentation, or small breast implants for a subtler change.
Implant selection is a fitting, not a shopping trip.
Photographs answer what measurements cannot. Dr. Culver’s breast augmentation before and after gallery shows the range produced by individualized implant selection and meticulous technique. Results vary with healing, body composition, and lifestyle.
Candidacy depends on health, anatomy, and expectations. Dr. Culver evaluates every patient at consultation.
Some want a primary breast augmentation after years of consideration. Others come after breastfeeding emptied the upper pole. A third group needs breast revision surgery because an older augmentation developed capsular contracture, scar tissue, rippling, or an implant rupture. Each calls for a different approach.
Bring goal photos. They say more about your taste than any cup size.
A Dallas breast augmentation runs on three appointments: consultation, surgery, and follow-up visits.
Dr. Culver begins by measuring. Breast anatomy sets the limits. Base width, breast tissue thickness, skin quality, nipple position, and chest wall anatomy constrain which implants will look proportionate. She then reviews implant options, incision location, and pocket placement.
You leave with an individualized surgical plan, a cost breakdown, and financing information.
The breast implant procedure is an outpatient procedure under general anesthesia at an accredited facility, and most patients go home that day. Dr. Culver typically uses an inframammary incision in the breast fold, though a periareolar incision at the areola, or a transaxillary incision, suits some patients. She closes in layers with buried sutures to limit scarring.
Recovery is gradual. Most patients return to light activity within one to two weeks and resume exercise at four to six weeks. Swelling, bruising, and altered nipple sensation are normal early and settle over following weeks. Final shape develops across three to six months. Patients who would rather avoid general anesthesia can ask about awake breast augmentation.
Dr. Culver takes the time each consultation needs. She walks through implant selection and recovery planning, and says plainly when an outcome is not achievable with your tissue. That attention continues through every follow-up visit and into the long-term breast health screenings she recommends for anyone living with implants.
Good surgery is unremarkable. That is the point.
Consultations are one-on-one with Dr. Culver.
Breast augmentation with Dr. Culver typically costs around $8,500, including surgeon fees, anesthesia, and facility charges. Final pricing depends on implant type and surgical technique. Our full breast augmentation cost breakdown for Dallas explains each line.
The three main types are saline breast implants, silicone breast implants, and cohesive silicone implants, known as gummy bear implants. Saline implants use sterile salt water and allow adjustable fill. Silicone implants feel closer to natural breast tissue. A form-stable implant holds its shape, and cohesivity sets how firm it feels. Dr. Culver also offers Preservé by Motiva, a system approved by the Food and Drug Administration (FDA).
Most patients return to light activities within one to two weeks and full exercise in four to six weeks. Temporary swelling, mild bruising, and moderate soreness are common early in breast augmentation recovery. Dr. Culver provides post-operative instructions for your procedure.
Yes. Augmentation is often combined with a breast lift, or mastopexy, when volume and sagging both need addressing, and it is a standard component of a mommy makeover alongside a tummy tuck and liposuction. Dr. Culver assesses whether combined surgery suits your recovery timeline.
Breast augmentation carries risks including capsular contracture, implant rupture, infection, bleeding, rippling, changes in nipple sensation, and asymmetry. Some patients need additional surgery later. Textured implants have been associated with BIA-ALCL, a rare lymphoma. Dr. Culver reviews every risk at consultation.
Fat transfer breast augmentation with Dr. Culver generally averages around $9,000. Pricing varies with the volume of fat transferred, the liposuction donor areas, and case complexity. This implant-free approach uses your own fat. See our fat transfer cost guide for detail.