Breast Augmentation

Board-certified plastic surgeon Dr. Thomas McNemar performs breast augmentation in Tracy to help women from Modesto to Pleasanton, 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 San Ramon at  (209) 834-0626 or in Tracy at (925) 967-2804 to make your appointment.

Breast Augmentation
 Before & After Photos


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Breast Augmentation Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 9
Case: 1 of 9
Breast Augmentation Case 7 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 1 of 8

Case #7

34 year old from the bay area wanted to have a better look in her clothes and  proportionate. She had a breast augmentation with saline implants 400cc saline transaxillary approach.  Read More
Breast Augmentation Case 76 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 2 of 8

Case #76

This is a 45 year old mother of 3 from Tracy who was unhappy with the size of her breat. She underwent a breast augmentation with silicone implants placed behind the muscle. She is very happy with the new appearance of her breast.
Breast Augmentation Case 27 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 3 of 8

Case #27

This is a 26 year old woman who was unhappy with the size of her breast. Patient was a B cup pre-operatively. Patient underwent breast augmentation surgery and had a 475cc saline implany placed behind the muscle. Patient is a D cup post-operatively.Photos taken at 5.5 months post-op. Read More
Breast Augmentation Case 6 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 4 of 8

Case #6

7 months post-op
Patient had a 360cc saline implant inserted transaxillary and placed under the muscle. Patient is a full C Post-operatively.
Breast Augmentation Case 111 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 5 of 8

Case #111

Patient is a 38 year old mother of three children who wished to improve the apprearance of her breast and fit better with clothes. She had a 450cc silicone implants placed below the muscle.
Breast Augmentation Case 9 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 6 of 8

Case #9

6 weeks post-op
Patient from Modesto had a 425cc saline implant inserted transaxillary approach. Patient is a full D post-operatively.
Breast Augmentation Case 37 Before & After View #1 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 7 of 8

Case #37

This is a 28 year old mother of two who was unhappy with how her breast looked. She underwent a breast augmentation. She was an A cup pre-operatively and a full C/D post-operatively. 
Breast Augmentation Case 4 Before & After View #2 | San Ramon & Tracy, CA | McNemar Cosmetic Surgery
Before & After
Case: 8 of 8

Case #4

4 months post-op.
Patient had a 475cc high profile saline implant inserted transaxillary and placed under the muscle. Patient is a D cup post-operatively.

Keep in mind that each patient is unique and your results may vary.

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. In some cases, it may make sense to combine your augmentation with a breast lift for enhanced breast shape. Dr. McNemar will help guide you towards the decision that is right for you.

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.

Read More

How Much Does Breast Augmentation Cost?

Many prospective patients from Pleasanton, Modesto 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

Meet Dr. Thomas McNemar

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

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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. For additional information, visit Dr. McNemar’s Breast Augmentation FAQ page.

What are the options for breast implants?

The newest generation of breast implants offers patients an array of options including size, shape, material, texture, and profile:

  • 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 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

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 implants soften and 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.

How Long After a Breast Augmentation Can I Work?

In general, 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.

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