Breast Enhancement for Balanced Beauty

At Holcomb - Kreithen Plastic Surgery, we understand there are many different reasons for a breast enhancement, which is why we work closely with each one of our patients, continuously striving to meet the specific goals and aspirations of each and every person we see. A breast augmentation procedure, also known as mammoplasty, is a surgical procedure designed to provide women lacking in form, volume, or symmetry of the chest an improved, aesthetically pleasing figure. This procedure, performed at our Tampa or Sarasota locations, can provide a proportionate figure, and create a restored silhouette on women of any age.

Quick Facts About Breast Augmentation

  • Procedure: Enhance the size of breasts using implants filled with saline or silicone
  • Length: 2 hours
  • Anesthesia: Local with IV sedation
  • In/Outpatient: Usually outpatient
  • Recovery: Back to work in a few days. Heavy exercise and vigorous aerobic activity or lifting after three to four weeks. Fading of scars in several months to a year or more
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Am I a Good Candidate for Breast Augmentation?

  • The best candidate for this surgery is a woman in good health, who wants to improve the size or shape of her breasts. During your consultation, Dr. Kreithen will personally assist in helping each patient achieve the best results possible.
  • The best candidates for breast augmentation are looking for significant improvement in the way they look, are physically healthy, and have realistic expectations for the procedure. Poor healing of the skin is most likely to affect smokers, who must quit at least one month prior to surgery and refrain from smoking for one month afterward.
  • The best candidate for this surgery will be a woman in good health, who is frustrated with the size or shape of her breasts. During your in-person consultation appointment, your surgeon will assist in deciding if the augmentation surgery is the right procedure to meet your individual goals and needs.

Before & After Feature Breast Augmentation

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Ashley's Surgical Journey with HKPS

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Planning Your Breast Augmentation Consultation and Surgery

During your initial consultation, Dr. Kreithen will evaluate your anatomy and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

At the completion of your consultation, you will meet with our patient coordinator. You will be given an estimate of the cost of your procedure and have the option to schedule your procedure if you so choose. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation. Dr. Kreithen realizes the importance of your decision and will be happy to meet with you a second time to discuss the surgery.

Preparing for Your Surgery

Dr. Kreithen and our team will give you in-depth instructions to prepare you for surgery, including guidelines on eating and drinking, and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

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Super Happy Breast Augmentation Patient of Dr. Joshua Kreithen

Diane's testimonial on breast augmentation

Patient Testimonials

It is without saying that Dr. Holcomb's staff is par excellence. You are greeted with respect and professionalism. Personally of utmost importance was to trust my face to a Doct...

I am 2 1/2 weeks post op and could not be happier!! From consultation to post op appointments the staff and Dr. Kreithen have been amazing. Staff is always available to speak to...

I have had an astounding experience with Dr.Kreithen! From the beginning, he was very knowledgeable and informative. Throughout the entire process, they were easily available to...

Dr. Kreithen gave me an arm lift in June. I am so pleased with the results. The surgery went well and was almost pain free. The office staff is wonderful and caring. I highly re...

Dr. Kreithen and everyone on his staff was amazing throughout my entire process. I had a lower body lift and LOVE the results. I did have some minor issues being allergic to med...

Dr. Kreithen had a great bedside manner. He is great at what he does. My BA was beautifully done and his team was awesome.

Dr Kreithen did a fantastic job on my breasts. I am an older woman that had implants from 10 years ago. It was embarrassing for me at my current age to request new ones. I'm so ...

Dr Kreithen spotted something from a prior MRI done in 2017 & 2019. He basically has saved my life. Having had breast implants for 32 years and suffering fibromyalgia for th...

Dr. Holcomb is a gifted surgeon who will make you look your best. I've had 3 procedures and am delighted with all 3. I especially have to commend his staff... Lauren and Leslie ...

Doctor Kreithen and his staff are the absolute BEST. Caring, friendly, efficient, and my surgery outcome is the best. After surgery I had ZERO pain, recovery was easy, follow up...

If I could give a 10 star rating i sure would. I had both Dr Kreithan and Dr Holcolm did procedures on me in march. Dr Kreithen LISTENED TO my husband and me and HEARD us. This ...

They say breast reduction patients are among the happiest of plastic surgery patients. I am very happy with my decision to go with Holcomb Plastic Surgery. I am pleased with the...

My daughter who had her breast done by Dr. Kreithen told me to go to him for the type of surgeries I was wanting to have done. He did a beautiful job with her breast implants. I...

Had BA in 12/2017 and decided on Dr Kreithen. I had been planning on BA for 7-8yrs , had a couple of consultations with others , but just did not feel 100% about the surgeons I ...

I found all the staff very professional, kind, and helpful which is a big plus . I have no negative feedback which is why I give 5+ stars

Dr. Holcomb is an incredible rhinoplasty surgeon. I'm at about 9 months post op, so pretty much all of the swelling is gone, and I could not be more happy. I'm sure most people ...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

Dr. Holcomb is the only one I let do my Botox. I have a short forehead, which can be difficult to do with an untrained provider. The entire office is professional and polite. Wo...

Truly the most professional and skilled plastic surgery practice in the area! Truly everything you would ever want in a doctor. I had a tummy tuck with Dr. Kreithen and LOVE my ...

I recently had eyelid surgery and laser treatment under my eyes done by Dr. Holcomb. Dr. Holcomb is very professional and friendly. He always asked if there were any questions o...

Dr Kreithen has been doing my Botox for about five years, I would never ever consider going to see another doctor. He is masterful at what he does! Always uses only a limited am...

I had a breast reduction completed by Dr. Kreithen, in January. Before surgery I stopped drinking heavily on coffee. I cut back to drinking 1/2 cup to a cup of coffee a day for ...

Dr Holcomb is an excellent surgeon I had a facelift and laser skin resurfacing. I feel 10 years younger and am very pleased with the result

Dr Kreithen gets my best recommendation for anyone looking for a talented plastic surgeon. Very happy with the results of my procedure. He knows what he is doing and I am a happ...

My experience with Dr. Kreithen was amazing. I originally made two consultation appointments with different doctors to shop around but after my first appointment with Holcomb &a...

Dr. Kreithen is amazing. I saw him for Botox and he did a great job. He is an artist with the needles so I felt no pain. I had no bruising and all my wrinkles were blurred away....

Dr. Holcomb and his staff are the best. I had a very positive experience and I'm thrilled with the results of my procedures.

Dr Kreithen did an amazing job on my tummy tuck! I absolutely love the results. The office is clean and beautiful, all the staff have been so kind and respectful, and follow up ...

I am so thrilled with the results. it helps with The helium plasma laser procedure took away years of smoking and sun, damage, The staff and everybody in the office went beyond ...

After contemplating breast augmentation for years, I couldn't be more happier with my decision to choose the best Doctor in the Sarasota area, Dr. Kreithen. My new gals are perf...

Dr. Kreithen is an incredible surgeon and the staff that work along side him are just as incredible. I went to him to see if he could fix some awful scars on my breasts from a p...

My original breast augmentation was performed by Dr. Kreithen approximate 12 years ago. I wanted to increase my size and also get the newest implants. I am beyond happy with my ...

I would highly recommend Dr. Kreithen to anyone who is considering cosmetic surgery he is very knowledgeable and takes the time to listen to your concerns I had a great experien...

Dr Holcomb is AWESOME! I was very afraid to have anything done to my face, but, Dr Holcomb not only reassured me, his results are amazing!! I couldn't be more pleased and I woul...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

I can't say enough about my experience with Dr. Kreithen. Him himself all the office staff were absolutely amazing! Everyone was very thorough with explaining my procedures. Any...

I went in for a consultation to see what my options were for reducing the fat under my chin. I did not want anything injected, and I did not want to go under the knife. Kimberly...

Kim Daily performed both Ultherapy and Halo laser treatment for me last month. At age 45, I was looking for something other than fillers to freshen up my look. Kim Daily took th...

After an abundant amount of research & asking around, a friend referred me to this facility to find out more about a procedure. The staff made me feel at home, and made sure...

I have only had positive experiences within this office, having utilized all the different services that they offer. Dr. Kreithen is a very skilled and caring surgeon. I first s...

This was my second surgical procedure with this office & again I want to say thank you to the entire staff especially the front desk, the nurses & of course Dr. Holcomb....

I had a lower face/neck lift with a full face CO2 laser and I couldn’t be happier with the results!  I look like myself only more refreshed and younger!   The of...

I recently underwent a facelift at Holcomb & Kreithen Plastic Surgery and MedSpa, and I couldn't be happier with the results and overall experience. The professionalism and ...

I went in, feeling pretty discouraged. I can say that, from the beginning of my experience, through the surgery, and the end of my experience, which is now has been almost 6 mon...

Fortunately, I have had the pleasure to have procedures done by both Dr. Kreithen and Dr. Holcomb.  Their office staff and nurses are considerate and caring.  They sho...

I had a breast implant  replacement done by Dr  Kreithen.  I did my research on all the Sarasota Plastic surgeons and Dr Holcomb and Dr Kreithen and their clinic ...

I had procedures done by both holcomb and kreithen. I cant sing their praises enough. The office staff and nurses are incredibly kind and helpful. The doctors are amazing. I was...

The entire staff at this place went above and beyond for the entire process! I had abdominoplasty with hernia and abdominal wall repair and I was a nervous wreck at first; but t...

Dr. Kreithen is the BEST! I had a Panniculectomy because I lost over 300lbs and am so impressed with the surgery. Dr. Kreithen always answers all of my questions and always make...

Where Your Breast Augmentation Surgery Will be Performed

A breast augmentation will most likely be performed at our state-of-the-art Holcomb–Kreithen Plastic Surgery Medical Center certified operating room, and is usually done on an outpatient basis. Complex combination procedures like a mommy makeover may require a short inpatient stay at a local hospital.

Types of Anesthesia

Breast augmentation is usually performed with IV sedation, so you’ll be in a twilight sleep through the entire operation. Some of our breast augmentation patients who have multiple procedures at the same time may require general anesthesia.

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About Our Surgeon

Dr. Joshua Kreithen is one of the most respected breast augmentation specialists in the Tampa and Sarasota areas. Over the years, he has helped numerous women enhance both their physical appearance and psychological well-being through breast augmentation surgery. In order to deliver the best possible aesthetic results, Dr. Kreithen carefully customizes each breast implant procedure.

Contact our office to schedule a consultation appointment. A breast augmentation procedure, also known as mammoplasty, is a surgical procedure designed to provide women lacking in form, volume, or symmetry of the chest an improved, aesthetically pleasing figure. This procedure can provide a proportionate figure, and create a restored silhouette on women of any age.

Meet Your Surgeons 75 Years of Combined Experience

J. David Holcomb, MD Face, Nose & Laser Surgery


J. David Holcomb, MD is a double board-certified Facial Plastic and Cosmetic Laser Surgeon (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology) who has practiced in Sarasota since 2000. His expertise includes advanced procedures such as rhinoplasty and laser resurfacing, and he has participated in groundbreaking clinical research trials (principal investigator in several helium plasma dermal resurfacing studies and BLESS II Letybo neurotoxin non-inferiority study).

Meet Dr. Holcomb
Dr. J David Holcomb

Joshua C. Kreithen, MD Breast & Body Surgery


Joshua C. Kreithen, MD is an Aesthetic Breast & Contouring Body Specialist who is board certified by the American Board of Plastic and Reconstructive Surgery. Dr. Kreithen has practiced in Sarasota, Florida since 2004.

Meet Dr. Kreithen

Marc J. Salzman, MD Face, Breast & Body Surgery


Marc J. Salzman, MD is a board-certified, fellowship-trained plastic surgeon with over 30 years of experience in face and body procedures. A recognized educator and innovator, he's known for advancing techniques and contributing to FDA studies on breast implants.

Meet Dr. Salzman
Dr. Marc Salzman

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and preferences. The incision can be made either in the crease where the breast meets the chest or around the areola. Working through the incision, Dr. Kreithen will skillfully create a pocket, either underneath your breast tissue or the chest wall muscle (the pectoral muscle).

The implants are then centered beneath your nipples. The surgery usually takes approximately 2 hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing. After your surgery, you will be provided with an appropriately sized sports bra that closes in the front.

Types of Breast Augmentation Implants

There are two types of breast implants available today: the saline implant and the silicone implant. Both can improve the contours of a woman’s body, and bring proportion to her chest. The saline implant and the silicone implant both come in a wide variety of sizes (noted as CCs), shapes (round or teardrop), and textures (smooth or textured). Additionally, the breast implant can be placed over or under the chest muscle (subglandular or submuscular). Which implant is best will depend on a woman’s aesthetic goals. Using these different variations, a surgeon can customize the breast augmentation to fit the unique needs of each patient.

Silicone Implants

  • Silicone implants have been proven completely safe for the body
  • Silicone implants can provide a more organic-feeling and looking breast
  • A large variety of shapes and sizes are available.
  • Silicone implants are pre-filled before placed in the chest.

Saline Implants

  • On the market since the mid-1960s
  • Filled with a salt-water solution safe for the body
  • Implants are not pre-filled; the saline solution is added after the implant is placed.
  • Saline implants result in a firm, round breast
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Our Office

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How Much Does Breast Augmentation Cost?

Each plan is customized to individual situations and includes facility fees, IV sedation, medication, and post-operative appointments. Schedule an appointment with the doctor to discuss the details of your surgery, and he will provide a customized plan and quote for you.

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Breast Augmentation Recovery

Patients should expect the initial recovery from a breast augmentation surgery in Tampa or Sarasota to take about one week. There may be some soreness and mild pain immediately after surgery; this will remain well controlled through appropriately prescribed pain medications. There may be some burning around the nipples or incision sites, as well as bruising; these will resolve within the first five to seven days. Swelling is normal but may take up to four weeks or longer to completely disappear.

After a few days, the gauze bandages will be removed from the breasts. A sports bra should be worn for up to four weeks following the surgery. You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around within 24 to 48 hours. Most of your discomfort will be controlled by pain medication. Within the first week, the gauze dressings and stitches will be removed. You should wear your sports bra as much as possible for four weeks. Swelling in your breasts may take one to two months to disappear.

Getting Back to Normal after Breast Augmentation

Most of our breast augmentation patients are able to return to work within a few days, depending on the level of activity required for the job. It is safe to drive a car after discontinuing pain medication for 24 hours, as reflexes and alertness return to normal.

You should wait four weeks before strenuous activity or exercises, and not lift more than 10 pounds in each arm. Walking and other normal activities can resume when you feel comfortable.

Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually four to six weeks after surgery.

Your scars will be firm and pink for up to three months. You will be given instructions for daily breast massage. After several months, your scars will begin to fade, although they will never disappear completely.

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Your New Look

For most breast augmentation patients, the result of breast augmentation is satisfying, even exhilarating, as they learn to appreciate their fuller appearance. If we have helped you meet your goals, then your surgery is a success!

Breast AugmentationFrequently Asked Questions

How Long Do Breast Implants Last?

Breast implants are not considered lifetime devices. On average, they last 10 to 15 years, but many patients enjoy their implants for much longer without issues. Regular follow-ups with your surgeon are essential to monitor their condition.

Can I Breastfeed After Breast Augmentation?

Most women can breastfeed after breast augmentation, especially if the incision is made in the crease of the breast or the armpit. Discuss your plans for future breastfeeding with Dr. Kreithen to ensure the surgical approach supports your goals.

What’s the Difference Between Silicone and Saline Implants?

Silicone implants are filled with a gel designed to closely replicate the texture of natural breast tissue, providing a smooth and soft feel. Saline implants, on the other hand, are filled with a sterile saltwater solution after placement, resulting in a slightly firmer texture. Both options are safe and effective, with the choice largely influenced by your personal aesthetic goals and preferences.

How Long Does It Take to Recover from Breast Augmentation?

Most patients return to work within a few days, but strenuous activities should be avoided for four weeks. Swelling and sensitivity may persist for several weeks, with full recovery typically achieved in six to eight weeks.

Will I Have Noticeable Scars After Surgery?

To keep scarring as discreet as possible, incisions are carefully positioned in natural contours, such as the fold beneath the breast or along the edge of the areola. While scars will gradually soften and become less noticeable over time, they won’t vanish completely.

Can I Combine Breast Augmentation with Other Procedures?

Yes, many patients choose to combine breast augmentation with procedures like a breast lift or tummy tuck as part of a Mommy Makeover. This approach can provide comprehensive rejuvenation in one surgical session.

What Is the Best Age for Breast Augmentation?

There’s no 'perfect' age for breast augmentation. As long as you’re in good health and have realistic expectations, you can consider the procedure at any adult stage of life.

Will Breast Augmentation Affect My Mammograms?

Breast implants can make mammograms slightly more complex, but skilled technicians can use specialized techniques to ensure accurate results. Always inform your provider about your implants before any imaging.

How Do I Choose the Right Implant Size for Me?

During your consultation, Dr. Kreithen will evaluate your body proportions, goals, and lifestyle to recommend the ideal implant size. You’ll also have the opportunity to try on sizers to visualize your results.

Is Breast Augmentation Painful?

Most patients experience mild to moderate discomfort after surgery, which is effectively managed with prescribed pain medication. Any soreness typically resolves within a week, with full comfort returning as you heal.

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