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Approximately 75% of women in the United States are reported to be unhappy with the size of their breasts. Breast augmentation is a commonly performed procedure to address small breasts, breast asymmetry, oddly-shaped breasts, and droopy, deflated, or sagging breasts. In some cases, breast augmentation can be coupled with a breast lift for enhanced results.

Dr. Steven Rottman is a double board-certified and fellowship-trained plastic surgeon known for providing among of the best breast augmentation results. Dr. Rottman is dedicated to helping women feel more attractive and confident in their bodies. If you’re self-conscious about the shape, size, or general appearance of your breasts, please contact Dr. Rottman to discuss your options for breast augmentation in Baltimore, Maryland.

What is Breast Augmentation?

Breast augmentation is a surgical procedure wherein saline or silicone implants are placed underneath the breast tissues to improve their shape, size, and appearance. As the name suggests, breast augmentation is primarily concerned with helping you achieve the desired cup size. If you’re experiencing sagging issues due to age, breastfeeding, or significant weight loss, you can also opt for a breast lift for improved results. Breast augmentation is currently one of the most popular cosmetic surgeries in the United States.

What are the Benefits of Breast Augmentation?

  • Add curves to your silhouette
  • Enhance naturally small breasts
  • Fill out clothes and dresses better
  • Improves self and sexual confidence
  • Restore fullness after pregnancy or weight loss
  • Restore symmetry and proportionality to uneven breasts
  • Reconstruct breasts after breast surgery or mastectomy

Who is a good candidate for breast augmentation?

If you think breast augmentation in will improve your quality of life, please visit Dr. Steven J. Rottman to discuss your options for breast augmentation in Baltimore, Maryland. You might be a suitable candidate for breast augmentation if you identify with any of the “reasons for breast augmentation” listed above, i.e., if you’re self-conscious about the shape, size, or appearance of your breasts. Dr. Rottman will evaluate the current condition of your breasts, talk to you about what you hope to achieve with the procedure, review your medical history, and determine if you’re the right candidate for breast augmentation.

Generally speaking, you’re a suitable candidate for breast augmentation if you:

  • Are physically and mentally healthy.
  • Have small, uneven, or misshapen breasts.
  • Have realistic expectations from the procedure.
  • Don’t smoke or are willing to stop smoking before and after the surgery.
  • Aren’t pregnancy or nursing.
  • Don’t have breast cancer or other underlying medical conditions.
  • Can take sufficient time off work to recover from breast augmentation.

Dr. Rottman is the best!! I have so much more confidence. He did my breast augmentation and my lip injections, I couldn’t be happier. I recommend him to everyone who is looking to get any type of plastic surgery.

Breast Augmentation Patient

Before and After Breast Augmentation with Dr. Rottman

Women rely on Dr. Rottman to improve the size and shape of their breasts while maintaining a natural appearance and correct proportions. The before and after pictures of some of our breast augmentation patients show you what Dr. Rottman regularly achieves for his patients.

Before and After Breast Augmentation Surgery in Maryland
Before and After Breast Augmentation in Maryland

Breast Augmentation — A General Overview

Breast augmentation is an in-office and outpatient surgical procedure usually performed under local anesthesia with sedation or general anesthesia. During the procedure, saline or silicone breast implants are inserted through a small incision and placed under the chest muscle or between the chest muscle and breast tissue. Different patients need different types of breast implants, incision styles, and placement options — your surgeon will discuss all the options during the preparation. The procedure usually concludes within a few hours, following which you can return home and start the recovery process.

Types of Implants

Implant Type & Material

  • Saline Implants: These are filled with sterile salt water. They’re not as natural as silicone implants, but they require smaller incisions, and they’re easily absorbed by the body if there’s a leak, making them safer.
  • Silicone Implants: These are filled with silicone gel, making them resemble the texture and sensation of natural breasts. However, patients with silicone implants need regular breast examinations because the silicone gel may escape into the body if there’s a rupture.
  • Gummy-Bear Implants: These are teardrop-shaped breast implants with silicone shells and gel. They’re also called “form-stable” implants because they retain their shape even if the shell is broken. They’re the most natural-looking breast implants available.

Implant Shape

  • Round Implants: These have the same shape all around, and they appear fuller. There’s no risk of them projecting outwards from your breast tissues because they’re the same shape on all sides.
  • Teardrop Implants: These are “form-stable” implants heavier at the bottom and tapered at the top. They resemble the natural breast shape, but they run the risk of poking out of the skin if they rotate out of place, making them visible through the breasts.

Implant Texture

  • Smooth Implants: These are extremely soft and move with the breast implant pocket, making them resemble the natural motion of actual breasts. However, they ripple more easily, becoming visible through the skin.
  • Textured Implants: These have a roughened texture that makes them stick to the implant and create scar tissues better. However, they don’t move around inside the breast pocket like smooth implants.

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Breast Implant Sizing

Breast implants are available in various sizes from 100 to 1,000 cubic centimeters, 300 to 400 cc being the most popular range. Plastic surgeons measure the size in cubic centimeters instead of cup size to ensure objectivity. While the cc measurement doesn’t accurately correlate with cup sizes, rough estimates suggest that one bra cup size ranges from 150cc to 250cc. Your surgeon will discuss your specific goals to recommend the ideal breast implant size.

Incision Styles

  • Transaxillary Incision: In the armpit.
  • Periareolar Incision: Along the line separating the dark areola from the surrounding skin.
  • Inflammatory Incision: Just underneath the breast.
  • Transumbilical Incision: Through the navel.

Implant Placement Options

  • Subglandular Placement: Behind the mammary gland and over the muscles.
  • Subpectoral Placement: Between the pectoralis major and minor muscles.
  • Submuscular Placement: Behind the pectoralis major and minor muscles.

The Complete Breast Augmentation Experience


The first part of your one-on-one breast augmentation consultation with Dr. Rottman involves examining your breasts and discussing your goals for breast augmentation surgery. We help you choose the ideal implant shape, size, and material, produced by the top manufacturers — Natrelle, Mentor, and Sientra. We discuss what you can expect from each implant option, highlighting their unique features, benefits, and drawbacks, to aid in your decision. We also answer all your questions and concerns about the surgery and recovery.


Our breast augmentation in Baltimore requires general anesthesia, and Dr. Rottman may order blood work and other pre-operative tests to ensure you are safe to undergo a surgical procedure. The surgeon might recommend a baseline mammogram before the surgery to ensure you’re a viable candidate. You’ll also have to avoid certain medications, such as aspirin and other non-steroidal anti-inflammatory medications, for a few weeks before the surgery to prevent excessive bleeding. If you’re a smoker, you’ll have to stop smoking several weeks before the surgery.


The breast augmentation surgery will be performed under local anesthesia and sedatives or general anesthesia, depending on the surgeon’s recommendations. The incision will be made inconspicuously in the armpit, along the areolar edge, under the breasts, or the navel (rarely), depending on your specific goals and needs. Dr. Rottman will discuss the surgical techniques and options before the surgery. After the incision, the chosen implant will be placed in the subglandular, subpectoral, or submuscular regions, depending on your specific goals. The incisions will be closed with sutures.


The healing process varies for each patient. You should expect the soreness, swelling, and bruising to last for a few weeks. You’ll have to wear compression stockings during the recovery to ensure optimal healing. The surgeon will prescribe pain-medications to handle the pain and discomfort. Complete recovery generally takes several weeks, but most patients can start moving around and perform simple household tasks in a day or two. During the months following your procedure, the incisions will gradually fade, becoming virtually unnoticeable.

Why Choose Dr. Steven J. Rottman?

Breast augmentation surgery has become more popular than ever. At the office of Dr. Steven J. Rottman in Baltimore, we focus on body enhancements, and provide patients from all walks of life with perfectly designed breast implants, reconstructive breast procedures, and breast reductions, all done with the utmost in personalized care and compassion to give you the best results after breast augmentation in Maryland.

How Much Does Breast Augmentation Cost?

Rottman Plastic Surgery believes breast augmentation should be an accessible procedure for all women who want to improve their self-image. To that end, we go the extra mile to make our services affordable and accessible. We work with CareCredit and AlphaeonCredit to offer our patients convenient and affordable payment options for breast augmentation surgery. To learn more about CareCredit and AlphaeonCredit, please visit our financing page.

Breast Augmentation—Frequently Asked Questions

How long before I can start exercising after my breast augmentation?

You can resume basic stretching after the first few days and light jogging in around four weeks. However, you should avoid lifting heavy objects and strenuous workouts for at least six weeks.

How long do breast implants last?

There’s no specific date for the replacement of breast implants. On average, most breast implants last 10-plus years. We recommend replacement if or when complications begin to arise. If you get silicone implants, you could also go for regular tests to ensure your implants function correctly without ruptures or leaks.

Is breast augmentation safe?

Complications with breast augmentation are rare but not impossible. It’s important to discuss your medical history and concerns with Dr. Rottman. Generally speaking, the following are some of the potential risks of breast augmentation:

  • Scar tissues and capsular contracture can affect the shape of your breasts.
  • Breast pain and discomfort.
  • Infections are an inherent risk with all surgeries, manageable with antibiotics.
  • Changes in nipple and breast sensations.
  • Implant leakage or rupture.
  • Implant position changes, leading to visibility on the breast’s surface.

What is the most natural breast implant shape?

Teardrop-shaped breast implants are considered the most natural-looking — the bottom portion is fuller, and the upper portion is tapered. Gummy bear implants are generally preferred for their naturalized shape, texture, and volume.

Why Choose Dr. Steven J. Rottman?

Dr. Steven J. Rottman is a double board-certified and fellowship-trained cosmetic and reconstructive plastic surgeon serving the men and women of Baltimore and surrounding areas. Dr. Rottman is recognized for his personal approach to reconstructive and plastic surgery and producing exceptionally natural-looking results.

At the office of Dr. Steven J. Rottman in Baltimore, we focus on body enhancements and provide patients from all walks of life with perfectly designed breast implants, reconstructive breast procedures, and breast reductions, all done with the utmost care and compassion. As each patient is unique, Dr. Rottman personalizes each surgical technique to address your specific needs and concerns.

Please contact us today to schedule your personal consultation with Dr. Rottman and discuss your breast augmentation options.

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Practice policy regarding COVID-19:

On behalf of the entire team at Rottman Plastic Surgery, we'd like to take this moment to say thank you again for your loyalty and support. We hope you, your family, and friends are safe and well.

The past several months have been unlike anything any of us have ever experienced. We are working hard to adjust to the “new normal” in a meaningful and thoughtful way for the safety and health of you and our staff. This means doing things in new ways, while still providing the same quality of care and service you are accustomed to.

Every decision and action we take is based on this. We are creating an office environment that is safe and comfortable for everyone.

The following protocol is now in place:

General Office Precautions:

  • Screening concierge at the Front Desk
  • Taking steps to allow for social distancing of six feet or more
  • Limiting the number of patients in the office
  • Strict cleaning protocol for the entire office with a disinfectant effective against COVID-19
  • Spacing appointment times further apart to minimize patient interactions
  • No chairs / magazines in the waiting room

Daily Staff Screening:

  • Screening questionnaire every morning
  • Temperature check every morning
  • Symptomatic staff will be sent home
  • Cleaning of all personal cell phones and washing hands upon entering office
  • Staff will wear face coverings at all times
  • Increased and enhanced cleaning and sanitization of exam rooms and common areas

Screening of Patients:

  • All patients will have their temperature checked upon arrival
  • Patients with temperatures >100 F will need to reschedule their appointment
  • COVID-19 Patient Screening Questionnaire upon arrival
  • A face covering / mask is required to enter the office
  • Patients should come alone – no guests will be allowed in the office
  • Patients should have makeup removed and hair in a pony tail
  • Patients wash hands or use hand sanitizer upon entering office

We will continue to offer Virtual Consultations. Please email photos to and call Emily to schedule at 410.321.6868.

The staff and I look forward to seeing all of you again soon!



Steven J Rottman, MD.

Virtual Consultation