Breast
Augmentation
Breast Augmentation
Breast augmentation is one of the most consistently popular cosmetic surgery procedures performed today, and with good reason. Breast implants can create a sexy, curvy look that’s natural, flattering and feminine. Whether you’ve always felt self-conscious about your small breast size, or seen recent changes in your figure due to weight fluctuation or pregnancy, breast augmentation from Eastern Shore Cosmetic Surgery in Fairhope, Alabama can help you feel great about your body again.
Dr. James Koehler and the highly skilled team at Eastern Shore Cosmetic Surgery can help. With over 20 years of experience in breast enhancement procedures, Dr. Koehler sets high standards for individual patient care and satisfaction. We have helped thousands of women throughout the Mobile-Pensacola area achieve amazing results while maintaining a natural-looking appearance. Schedule with us today to take the first step toward your new look!

Dr. Koehler

Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.


Are You a Candidate?
The best candidates for breast enlargement are women over the age of 18 who have concerns about the appearance of their breasts, whether related to size, asymmetry or other concerns that breast implants can help improve. It’s also important to be in good overall physical and mental health, and to have realistic expectations about your results.
While breast augmentation is ideal for increasing your cup size, breast implants will only add volume to your existing breasts and will not affect their position or placement. In other words, breast implants will not lift drooping breasts. Concerns over breasts that look too low on your torso or have a droopy, deflated appearance may require combining a breast lift with your implants for the best results. During your consultation, Dr. Koehler will go over all your options to help ensure that you’re a good candidate for breast enhancement before proceeding with surgery.
Your Breast Augmentation Consultation
Every procedure at Eastern Shore Cosmetic Surgery begins with a comprehensive consultation and physical evaluation. During this time, you will have the opportunity to ask any questions that you may have about breast augmentation in general or your specific procedure. Dr. Koehler will also discuss decisions like the type of implant you should choose and will explain in more detail what you can expect from your breast augmentation surgery and recovery.
At this point, you and your surgeon will decide together whether or not breast augmentation could be right for you and what your next step should be.
Your Breast Augmentation Procedure
To start your breast enlargement, Dr. Koehler will make a small incision, through which he can create a surgical pocket and properly place the implant. The implant may be situated between the muscle and the existing breast tissue, known as subglandular placement, or below the muscle, known as submuscular placement. Once the implant is centered and positioned correctly, your incisions will be closed and you can begin your recovery. Dr. Koehler performs breast augmentation as an outpatient procedure, so you can expect to return home the same day as your surgery.
Your Breast Augmentation Results
Although you’ll notice an immediate change in your breast size following your procedure, your final results will initially be disguised by some swelling. It typically takes up to 3 months for breast implants to fully settle into place, so don’t be worried if your implants don’t look or feel exactly like you’d hoped right away. Your results should continue to improve, with final breast augmentation results typically developing by the 6-month mark.
Over time, well-healed incisions should be hardly visible, and you can expect to enjoy your new look for many years to come.
Saline vs. Silicone Implants
Women have a choice between saline or silicone breast implants, and your surgeon will discuss the pros and cons of each implant type so you can make the decision that’s right for you. Currently, saline implants are FDA approved for women 18 years of age or older and silicone implants are FDA approved for women 22 years of age or older.
Saline implants have been termed by many as the “safest” implant. The outside surface of this implant is made of solid silicone and the inside is filled with sterile salt water at the time of surgery. If the implants were to leak, your body would absorb the water and will cause you no harm. If a saline implant is leaking, it generally goes flat over several days. The implant shell would need to be removed and another implant placed.
Silicone implants are considered to be the most natural feeling implants. These implants have significant advantages for women with thin tissues, where a saline implant might ripple or feel very unnatural. We offer Silicone Gel Implants and Form Stable Silicone Implants, also termed “Gummy Bear Implants.” Although the gummy bear implants are relatively new to the United States, they have been used in Europe since 1995 and in Canada since 2000. There are a number of profiles and shapes for both saline and silicone implants.
Your New Look
Although you’ll notice an immediate change in your breast size following your surgery, your final results will initially be disguised by some swelling, and it will take several weeks to a few months for your implants to fully settle. Over time, well healed incisions should hardly visible, and you can expect to enjoy your new look for many years to come.





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