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Breast Augmentation in Seattle, WA

Feminine curves are one of the ultimate symbols of beauty. While every woman’s vision of beauty is unique, many share a desire for that distinctly feminine figure. Breast augmentation is a way to restore harmony, enhance confidence, and feel more feminine.

As a board-certified plastic surgeon with advanced training in both microsurgery and aesthetic breast procedures, Dr. Alexander Gougoutas offers fully customized breast augmentations in Seattle, WA, designed to look natural, balanced, and beautiful. With extensive experience and specialized techniques like composite breast augmentation, he helps patients achieve results that complement their figure and reflect their individuality.

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See Results From Actual Patients: Breast Augmentation Before & After Pictures


Case--4053 | Before Breast Augmentation 1
Case--4053 | After Breast Augmentation 1

This 28 year-old patient had sub-fascial breast augmentation with 545-SSX (Natrelle, extra full projection) smooth, round, silicone implants. She also had fat grafting for improved cleavage and upper pole shaping. (Tattoos have been edited to maintain anonymity).

Case--1811 | Before Breast Augmentation 1
Case--1811 | After Breast Augmentation 1

This 35 year-old patient had sub-fascial breast augmentation with 265 cc Natrelle, full projection, smooth, round, silicone implants. She also had fat grafting for improved cleavage and upper pole shaping.

Before & After Photo Gallery


What Our Patients Have to Say: Breast Augmentation Testimonials

“Dr. Gougoutas was very kind and professional when I saw him for a breast augmentation at the Polyclinic in Seattle. He listened to what I wanted and why, and helped me get there. I am very happy with the results and am in fact going to be seeing him again!”

Breast Augmentation Cost in Seattle

The cost of breast augmentation in Seattle varies depending on factors including the complexity of the surgery, the type of implants used, the surgeon’s experience, and more.

Dr. Gougoutas performs fully customized breast augmentations using advanced techniques for stunning outcomes, enhanced scar healing, and optimized recovery. The estimated price range for a breast augmentation at his practice is between $9,000 and $12,600, although this can vary depending on individual patient needs.

During your consultation, Dr. Gougoutas will create a personalized treatment plan and provide you with a detailed cost estimate.


Dr. Gougoutas in a consultation looking at a patient's abdomen

Why Choose Dr. Alexander Gougoutas for Your Breast Augmentation in Seattle?

Dr. Alexander Gougoutas is a board-certified plastic and reconstructive surgeon with specialized training in both aesthetic and reconstructive breast surgery.

With advanced training in microsurgery, Dr. Gougoutas has extensive experience restoring the breast form after cancer surgery and trauma. This foundation translates into superior skill when it comes to creating natural, symmetrical results for cosmetic breast augmentation. Dr. Gougoutas also specializes in composite breast augmentation, a cutting-edge approach that combines breast implants with fat grafting for the utmost natural look and feel. He believes it is absolutely critical for patients to participate in their implant sizing and has adopted a unique method for allowing patients to visualize and select their desired results.

Dr. Gougoutas believes in open communication, patient education, and long-term follow-up care, ensuring patients feel confident not only in their results but throughout their entire surgical journey. With his reputation for innovative and compassionate care, Dr. Gougoutas has become one of Seattle’s most sought-after breast augmentation specialists.

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Experience the transformative power breast augmentation can have on your confidence. Contact the office of Dr. Alexander Gougoutas at (206) 320-6138 or complete our online contact form to schedule a consultation today.

What Is Breast Augmentation?

Breast augmentation, also known as augmentation mammaplasty, is a plastic surgery procedure that enhances breast size and shape. While this procedure usually involves the use of silicone or saline breast implants, advanced techniques like fat grafting and composite breast augmentation offer patients additional ways to customize their breast enhancement.

This procedure not only increases breast volume and improves symmetry, but it can also restore fullness after pregnancy or weight loss, enhance overall body proportions, and create a more balanced figure. For many patients, breast augmentation is about achieving harmony with their natural figure and feeling more confident in their own skin.


Busty woman wearing black bra and panties

Benefits of Breast Augmentation

Some of the potential benefits of breast augmentation include:

  • A fuller, more proportionate silhouette
  • Improved breast symmetry
  • A boost in confidence and femininity
  • Clothing and swimwear that fit better
  • Restored volume after pregnancy, weight loss, or aging
  • Natural softness and shape with advanced fat grafting techniques
  • Long-lasting results

Am I a Good Candidate for Breast Augmentation?

You may be a good candidate for breast augmentation surgery if you are:

  • In good general health
  • At a stable body weight
  • Unhappy with the size, shape, or symmetry of your breasts
  • Looking to restore lost volume in the breasts after pregnancy or weight loss
  • Realistic about what surgery can achieve

To determine if you’re a good candidate for breast augmentation, schedule a consultation with Dr. Gougoutas today by calling (206) 320-6138.

What Are My Breast Augmentation Options?

There are seemingly countless ways to customize breast augmentation to your liking to suit your goals, preferences, anatomy, and lifestyle. Generally, you have choices when it comes to the material and shape of your implants, where your incisions will be placed, and where your implants will be placed. During your initial consultation, you and Dr. Gougoutas will discuss your options in detail.

Breast Implant Types

There are two main options when it comes to breast implant material:

  • Silicone Implants: The most popular option for their natural feel and appearance.
  • Saline Implants: Filled with sterile saltwater solution, which allows for a smaller incision size.

Breast Augmentation Incisions

The location of your incisions is ultimately the location of your scars. Dr. Gougoutas will recommend the incision type that best balances your goals with minimal scarring. He will also provide you with care instructions to help them fade until they are barely noticeable.

  • Inframammary (under the breast fold)
  • Periareolar (around the areola)

Breast Implant Placement

This refers to the plane in which your implant is placed.

  • Subglandular (above the muscle): This approach often involves a quicker recovery, but may not be ideal for patients with thin or minimal breast tissue.
  • Dual-Plane (half under the muscle): This approach places the implant partially under the muscle to help blend it with your natural tissue in the upper part of the breast. This plane is most appropriate for very thin patients with minimal breast tissue.
  • Subfascial: This advanced technique places the implant above the muscle but under a thin layer of tissue, or “fascia,” and is a “best-of-both-worlds” approach in many ways.

Composite Breast Augmentation

Composite breast augmentation is an advanced technique that combines breast implants with fat grafting (liposuctioned fat harvested from another part of the body).

Benefits include:

  • Softer, more natural feel
  • Selective enhancement of specific parts of the breast, such as enhanced cleavage and contouring of the upper breast shape
  • Correction of mild asymmetries
  • Additional body sculpting from liposuction
  • Lower implant visibility or rippling in patients with less breast tissue
  • Often allows the implant to be placed above the muscle in patients who would otherwise not have that option

This highly specialized approach requires surgical precision. Dr. Gougoutas is one of the few surgeons with experience in this technique.

How to Prepare for Breast Augmentation

While Dr. Gougoutas will give you more complete instructions before your procedure, there are a few things you’ll need to do to prepare for your breast augmentation:

  • Stop smoking. Nicotine interrupts proper blood flow and significantly increases your chances of severe complications such as tissue necrosis, infection, and blood clots. You will need to quit at least three weeks before and three weeks after surgery.
  • Avoid certain medications as directed.
  • Arrange for a support buddy to pick you up from surgery and help during recovery. Whether this is a friend, family member, or professional caregiver, you’ll need assistance with things like meal preparation, medication schedules, errands, and other tasks.
  • Prepare your home and recovery space. Gather items like healthy snacks, front-opening shirts, and pillows, especially a wedge pillow or recliner to support you while you sleep (you will need to sleep elevated for the first few weeks). You’ll also want to set up a cozy area with essentials close by, including books and movies, a phone charger, water, and so on.

Breast Augmentation Recovery & Aftercare

After surgery, you’ll be monitored in a recovery area until you are cleared to be driven home. Dr. Gougoutas will provide you with detailed aftercare instructions, including incision care, medication guidelines, activity restrictions, and other important information. Please follow these instructions carefully to ensure optimal recovery and achieve the best results. It’s also vital to attend all follow-up visits so Dr. Gougoutas can closely monitor your progress.

You’ll need to wear a surgical bra to support your breasts as they heal and settle into place. Rest is crucial, especially during the first week. As soon as the day of surgery, you’ll be encouraged to take short walks around the house to promote circulation and prevent the formation of blood clots.

Many patients can return to work at a desk job after about two weeks. However, you will continue to refrain from heavy lifting, strenuous activity, and rigorous exercise for about six to eight weeks, until Dr. Gougoutas clears you.

What Results Can I Expect From Breast Augmentation?

While you will be able to see immediate changes, your initial results will likely be obscured by swelling. Subfascial implants will be basically in their final position immediately after surgery. Dual-plane implants may sit slightly higher on the chest wall initially and drop into their final position over several weeks.

If fat grafting was also performed, some of the fat cells will naturally be reabsorbed and removed by the body as the fat cells adapt to their new location and blood supply.

After about one to two months, your final results will be on display, with full, soft breasts sitting in a natural position.

Breast Augmentation FAQs

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How long do implants last?

Most implants last 10 to 20 years, but many women keep them in place for longer without issue. As long as you don’t experience complications and are happy with how they look, there is no need to replace your breast implants.

Will breast augmentation affect breastfeeding?

Most women can still breastfeed after augmentation, depending on incision placement and individual factors.

Can I combine breast augmentation with a lift?

Yes, many patients choose a breast lift (mastopexy) at the same time for optimal reshaping and volume enhancement. Depending on your anatomy, Dr. Gougoutas may recommend performing a lift at the same time as your augmentation or scheduling them as two separate procedures, approximately three months apart.

What if I want a natural look?

Composite breast augmentation may be an ideal choice, as it enhances implant results through the use of fat grafting. The newest generation of silicone implants also includes many more choices of implant texture or feel, allowing them to be tailored to your desired look.

Book Your Breast Augmentation Consultation Today


If you are ready to take the first step toward achieving your ideal feminine physique, ensure you get off on the right foot by choosing a breast augmentation expert. Dr. Alexander Gougoutas is a board-certified plastic surgeon with experience in microsurgery, breast reconstruction, and specialized aesthetic breast procedures.

To schedule a consultation, call (206) 320-6138 or complete our online contact form today.

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