Breast Augmentation

Board-certified plastic surgeon Dr. Thomas McNemar performs breast augmentation in Tracy to help women from Livermore, Pleasanton, and Dublin, CA, and surrounding cities have fuller breasts that enhance their femininity. When it comes to breast augmentation, he literally wrote the book as a co-author of Breast Augmentation & Body Contouring. Dr. McNemar provides beautiful, natural-looking results with a genuine appreciation for each patient’s goals and feelings.

To learn more about breast augmentation and implants, request your consultation online and receive a complimentary excerpt from Dr. McNemar’s book, Breast Augmentation & Body Contouring. You can also call him in Tracy at (209) 834-0626 to make your appointment.

Breast Augmentation
 Before & After Photos


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Why Choose Breast Augmentation?

Breast augmentation, also called breast enlargement, is a good choice for many women. Reasons for choosing this procedure include:

  • Enlarging naturally small breasts
  • Restoring volume to breasts after breastfeeding or weight loss
  • Correcting an imbalance in size between breasts

Whatever your reason, your consideration of breast augmentation should be based on realistic expectations of the results.

Patient Stories

A seasoned world traveler, Debbie knew that her increasing weight would eventually prevent her from enjoying her favorite destinations. In her real patient story, she shares how her post‐bariatric breast augmentation made her body better than ever before.

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How Much Does Breast Augmentation Cost in Tracy, CA?

Many prospective patients from Pleasanton, Livermore, and beyond have questions about the cost of breast augmentation at our Tracy practice. Dr. McNemar calculates fees based on the complexity of your procedure, the implants you choose, and other factors; therefore, it’s difficult to offer an estimate without a consultation. Dr. McNemar strives to keep his pricing competitive with other similarly qualified plastic surgeons in the area. He is also pleased to offer financing options to help all his patients fit the treatments they desire into their lifestyles.

Dr. Thomas McNemar

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Board-certified plastic surgeon Dr. McNemar is dedicated to your complete care.

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Ideal Breast Augmentation Candidates

Breast augmentation can be a good choice for women who want to add volume to one or both breasts. Criteria for being a good candidate include:

  • At a healthy, stable body weight
  • Non-smokers or those willing to give it up for a period of time before and after surgery
  • At least age 18 for saline implants and 22 for silicone
  • Prepared to take time out for recovery
  • Accept that they may need their implants replaced in the future (they are not lifetime devices)
  • Have realistic expectations about their results

Breast Augmentation vs. Breast Lift

Many women wonder if breast augmentation on its own will give them the breast size and shape they want. Breast augmentation adds fullness and can correct mild sagging. A breast lift removes excess lax skin, raises the breasts higher on the chest, restores a more rounded shape, and reshapes the areolas if desired, making it a good choice for women with moderate to significant sagging. Many women, such as the patient featured here, benefit from a combination of the two procedures to enhance size and shape. Dr. McNemar will help guide you toward the decision that is right for you.

Before & After Breast Augmentation and Lift

How Is Breast Augmentation Performed?

Dr. McNemar typically performs breast augmentation as an outpatient procedure using general anesthesia. Once you are fully anesthetized, he makes incisions according to the surgical plans you developed during your pre-op process. Through these incisions, he carefully places your implants, constantly assessing them for symmetry and sizing. Once he’s satisfied with their positions, he closes your incisions with absorbable sutures and surgical tape. The tape is removed at a later follow-up appointment, typically about 1 week after surgery. The entire surgery usually takes about 90 minutes. You will be able to return home with a trusted loved one after a brief period of observation.

Dr. McNemar provides an overview of the breast augmentation procedure during your consultation and thoroughly explains the choices you’ll have, including the specific implants you want, the incision locations, and whether the implants will be placed in front of or behind the chest muscle. Read on to learn more about those choices.

What are the options for breast implants?

The newest generation of breast implants offers patients an array of options, including:

  • Size: Most patients have an idea of the size they’d like to reach. However, because bra cup sizes aren’t standardized from brand to brand, saying you want to go from an A cup to a C cup provides only a general description of the results you want. Implants are measured in cubic centimeters (cc), and Dr. McNemar helps guide your choice based on your cosmetic goals.
  • Shape: Implants are either round or shaped anatomically, resembling the teardrop slope of natural breasts. A patient who wants more fullness in the upper areas of the breasts usually chooses round implants. A patient who wants more subtle enhancement might be a better candidate for anatomical implants.
  • Fill material: Most patients believe silicone gel implants look and feel more like natural breasts than saline. Innovations have led to cohesive silicone gel implants and highly cohesive gel implants that are often referred to as “gummy bear” implants that avoid the risk of leakage. However, incisions are slightly longer for silicone implants because they are pre-filled, unlike saline implants, which are filled after being inserted.
  • Texture: The silicone implant shell can be either smooth or roughly textured. Shaped implants usually have a rough exterior, which helps scar tissue attach to them and prevents the implants from rotating within the implant pocket. A shaped implant that shifts may require revision surgery.
  • Profile: An implant’s profile refers to how far it projects from the body in relation to its width at the base. Dr. McNemar helps patients choose implant profiles that will look natural based on their body proportions. Profile choices are typically low, moderate, moderate plus, and high.
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Which incision is best for breast augmentation?

The best breast augmentation incision depends on the choice of implant, patient anatomy, and other factors. Options for the location of incisions include:

  • Periareolar: This incision is made along the lower border of the areola, the dark skin that surrounds the nipple. It is easily concealed because it blends in with the color transition between the areola and the breast skin. There is a greater risk to the patient’s ability to breastfeed with this incision.
  • Inframammary: This short, horizontal incision is just above the crease where the breast connects to the chest. This is the most common incision location.
  • Transaxillary: This incision is in the armpit. An endoscope – a camera with a light – tunnels through fat tissue to help create a pocket for the implant. This incision is typically limited to patients who choose saline implants because they aren’t filled until after they’re inserted

Breast augmentation incision locations

What is the best placement for breast implants?

Breast implant locationBefore inserting the implants, Dr. McNemar creates a small pocket where the implant is placed. That pocket can be behind the chest muscle (submuscular placement) or in front of the muscle and behind the existing breast tissue (subglandular placement). Dr. McNemar explains the advantages of each position and recommends what he thinks is best for your procedure.

Real Patients, Great Results

Browse our online photo gallery to see the beautiful results for yourself.





This 35-year-old used to wear padded bras to get the look she wanted. She decided to get breast implants and is very happy with her results. See more details about her operation.

See the details

Can I Combine My Breast Augmentation With Another Procedure?

Yes! Breast augmentation can be easily performed at the same time as one or more other procedures. In fact, breast augmentation is often an integral element of a popular, transformative surgery called mommy makeover. A mommy makeover typically combines a tummy tuck, liposuction, and breast augmentation or breast lift procedures into a single surgery. As its name implies, a mommy makeover is especially popular with women who have had children, as it targets the areas most affected by pregnancy. However, it can be completely customized to suit the needs of most women, whether they are mothers or not. Combining procedures is a safe, effective way to get the results you want without undergoing multiple surgeries. During your consultation, Dr. McNemar will help you determine if this option is right for you.

Your Complete Guide to Breast Augmentation & Body Contouring by Dr. Thomas McNemar

Learn From the Expert

As a board-certified plastic surgeon with decades of experience, Dr. Thomas McNemar loves teaching patients about their cosmetic treatments. To learn more about what to expect from your plastic surgery procedure, read his go-to guide on breast augmentation and body contouring.

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What Should I Expect After Breast Augmentation?

After your procedure, you will need to take care to rest and follow Dr. McNemar’s post-op instructions carefully. Although your restrictions may vary depending on the specifics of your surgery, all patients are advised to avoid heavy lifting and upper-body exercise for several weeks. Discomfort is quite manageable with prescribed medications, and most patients find that they can easily transition to over-the-counter pain medicine after just a few days.

How Long Does It Take for Breast Implants to Drop?

During the first month, swelling subsides gradually, and the breasts “drop and fluff” an informal name for when the breasts soften and the implants settle into their new position. The ultimate results of your surgery can take several months to develop; however, once your recuperation is complete, you can enjoy your shapelier, sexier breast appearance for many years.

A Reputation Built on Results

I moved to Montana 10 years ago he did my breast implants before I left… He is the best doctor ever!...
Excellent care and staff thank you for everything.
I give Dr. McNemar a 10 I was extremely comfortable from the very first visit to the surgery day. Dr....
Dr. McNemar is great he has a caring attitude and made sure he took care of my health first.

Frequently Asked Questions

How long after surgery can I work?

In general, breast enlargement patients can return to lighter activities, including work, within 1 to 2 weeks of surgery.

Do breast augmentation scars go away?

While all scars are permanent, over the course of about a year, breast augmentation incisions typically flatten and fade significantly, resulting in very discreet marks that are generally very well hidden within the breast contours.

I have saline implants right now and would like to get silicone. Can I have my implants exchanged?

Yes. Many women choose to upgrade their implants to silicone to attain a more natural look and feel. Women have breast augmentation revision surgery to exchange their implants for other reasons as well, including improving their breast augmentation results, changing the size of their implants, and replacing ruptured saline implants.

Should I wait to have breast augmentation until after I’ve had children?

It depends. Breast augmentation will not affect your chances of becoming pregnant or successfully breastfeeding. However, pregnancy and breastfeeding will likely affect the size and shape of your breasts. If you have breast surgery before having children, it’s likely you will need surgery in the future to restore your breasts to an attractive shape. If you plan to start your family within the next year or so, it may be best to postpone breast surgery. Otherwise, having the breast size and shape you want now may be a good decision.

Will I lose sensitivity in my nipples after breast augmentation?

It is very rare that breast augmentation causes permanent loss of nipple sensation. Often patients have decreased or increased nipple sensitivity after breast surgery, but this change is typically temporary.

Can I still breastfeed with implants?

Implants should not affect your ability to breastfeed if you let Dr. McNemar know before surgery. He can account for your desire to breastfeed in the future by avoiding the milk glands when performing your surgery.

Will my results look natural?

Yes. Dr. McNemar provides beautiful, natural-looking results that complement his patients’ overall proportions.

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