(281) 242-1061 
There’s a moment many women describe long before they ever book a consultation. It may arrive while getting dressed for an event, shopping for a swimsuit, or seeing an old photo and realizing their reflection hasn’t quite matched how they’ve always envisioned their body. For some, it happens after pregnancies and weight fluctuations change the breasts they once knew; for others, it’s a feeling they’ve carried since adolescence with naturally smaller breasts and a long-held wish to feel more balanced in their favorite clothes. Wherever you are in that story, breast augmentation is not just a technical decision about fill material and incision. It’s a deeply personal choice about harmony, confidence, and how you move through the world. As Dr Ravi Somayazula, Plastic Surgeon in Houston, TX, my job is to guide you through the science and the art with clarity, calm, and a relentless focus on natural, proportionate beauty that never chases fads.
When patients meet me for the first time in Houston, Texas, they’re often surprised by how much we talk about proportion, lifestyle, and long-term comfort before we ever discuss a specific implant. That conversation matters as much as anything we do in the operating room. I’m known for a calm, empathetic consultation style that prioritizes listening, careful education, and realistic planning, backed by more than two decades of experience in breast and body surgery and a commitment to an elevated, boutique experience at every touchpoint. The goal isn’t “bigger.” It’s beautiful. It’s you - refined.
Modern silicone implants are filled with cohesive gel that holds its shape while remaining soft to the touch. In day-to-day life that means the breast drapes, moves, and compresses in a way that most women perceive as very close to natural breast tissue. Saline implants, by contrast, are filled with sterile saltwater and can feel firmer, particularly in thinner patients with less breast coverage; some patients also notice more visible rippling with saline when lean and active. In my practice, the vast majority of women prefer - and I most often recommend - modern cohesive silicone for its tactile realism, stability, and the ability to fine-tune projection and width to your anatomy.
Implant brand and gel characteristics matter, too. I work with Allergan and Motiva because both offer contemporary sixth-generation cohesivity, stable shells, and robust warranty support, which together translate to beautiful shape, durability, and peace of mind. Motiva’s design also emphasizes gel-shell integration and manufacturing precision that supports soft, natural capsules in my experience. “Best brand” isn’t a popularity contest - it’s a safety and performance question, and these two manufacturers reliably meet my standards.
Saline implants remain an option for highly specific scenarios. Some women value the immediate visibility of a rupture with saline, since deflation becomes obvious and the saline is harmlessly absorbed. Others feel reassured by the simplicity of saline. But I’m always transparent that saline can feel less natural and is more prone to visible edge effects under thin tissue, which is why we select it thoughtfully rather than reflexively. The heart of the decision is still proportion, coverage, and the overall aesthetic target we set together.
Great augmentation begins with measurements and a practiced eye. During your consultation I take precise tissue-based measurements, including breast base width, the medial and lateral soft-tissue pinch, and the nipple-to-inframammary fold distance on stretch. These parameters determine which implant width actually fits your breast footprint and how much projection harmonizes with your chest wall and soft-tissue envelope. This is not about forcing your anatomy to match a catalog photo; it’s about choosing an implant that respects your framework so the result looks like you, only better. That’s why I use sizers during the consultation when appropriate - to ground our choices in a tactile, visual experience that consistently correlates with high satisfaction.
We also talk ratios and lines because small details quietly create “natural.” I often aim for an aesthetic where roughly forty-five percent of visible breast sits above the nipple and fifty-five percent below, which reads youthful without appearing overdone. Cleavage is tailored as well; a two-to-three-centimeter medial gap usually looks elegant on the majority of frames, though athletic builds or broader chests may require different targets. These are guidelines, not rules, and they work best when guided by your wish photos and lifestyle. A marathon runner may choose a slightly smaller, highly cohesive implant to keep movement comfortable and tops effortless, whereas a patient who prioritizes fashion silhouettes might prefer a touch more upper-pole presence. Either can be right when the measurements and the vision align.
I’ll also be candid about what “fullness” really means on your body. Projection and base width determine your side profile and frontal balance more than raw volume in cubic centimeters. Two women with different chest widths can wear the same 325 cc implant very differently. My role is to translate numbers into nuance, so that your chosen implant reads as proportionate, soft, and intentional rather than simply larger. As Dr Ravi Somayazula, Plastic Surgeon in Houston, TX, my promise is to make those numbers make sense for your body and your life.
Placement shapes the final aesthetic as much as the implant itself. Subfascial positioning - where the implant sits just beneath the natural fascia of the pectoralis - can be excellent for women with more than two centimeters of upper-pole tissue thickness, especially when combined with a modern cohesive implant like Motiva. The breast maintains softness and responsive movement without the animation that can happen when implants sit under the muscle in very athletic patients. In women with less soft-tissue coverage or mild glandular ptosis, a dual-plane approach - partially under the muscle and partially under breast tissue - often delivers the most graceful slope and helps us achieve that 45/55 aesthetic ratio without over-enlarging the breast footprint. These decisions are always individualized, and in augmentation-mastopexy (lift plus implant) cases, the dual-plane approach is particularly powerful for shaping.
There are also things I do not use because they conflict with my long-term aesthetic and safety standards. I do not use teardrop or textured implants. The U.S. market withdrawal of many textured devices due to BIA-ALCL risk and the reliability of modern smooth cohesive gels make that choice straightforward in my practice. With skillful tissue-based planning and a modern smooth cohesive implant, we can consistently create a beautiful, stable shape without the trade-offs of texture.
In some revision settings - say, a patient with bottoming-out tendencies or thinned lower-pole tissue - I may incorporate internal support to protect the result over time. Thoughtful pocket selection, precise fold control, and internal reinforcement work together to “teach” the breast where to sit so the shape stays elegant in motion and at rest. Patients across Houston, Texas often appreciate how these quiet internal decisions translate into long-term confidence.
Beautiful results begin with a meticulous sterile protocol. In surgery, I create the implant pocket with prospective hemostasis, which means I take the time to control even subtle bleeding to keep the pocket dry and clean. I irrigate with saline and then a half-strength betadine solution, allowing dwell time before implantation to minimize bacterial contamination. The implant itself is transferred directly from its sterile container to a Keller Funnel insertion device so it never contacts skin or gloves. This no-touch method reduces shell stress during placement, lowers the risk of introducing skin flora, and helps reduce the incidence of capsular contracture. Details matter, and I insist on them.
Equally important is where and with whom we operate. Your procedure takes place in my Quad A-accredited surgical facility at Body by Ravi Plastic Surgery & Aesthetics - a standard that requires rigorous infection control, equipment maintenance, and quality-assurance audits - alongside a board-certified anesthesiologist and a skilled, highly synchronized operating team, including a veteran first assist. That team dynamic is not an afterthought; it’s a choreographed, sterile ballet that keeps your experience smooth and your safety paramount from induction to recovery.
I believe women shouldn’t have to choose between a beautiful result and a comfortable recovery. My enhanced recovery pathway begins before surgery with non-opioid multimodal medications and extends into the operating room with targeted local anesthesia strategies. The upshot is less reliance on narcotics, a clearer head after surgery, and a return to desk work often within a couple of days for many augmentation patients, depending on the specifics of their procedure and job demands. This is the “Rapid Recovery” philosophy I’ve championed across my breast procedures, and my patients often tell me the experience was far easier than they expected.
From a practical standpoint, drains are not part of my standard plan for primary augmentation or augmentation-mastopexy. They may be used selectively in complex revision cases, but the majority of first-time augmentations recover comfortably without them. You leave surgery with clear written instructions, an easy-to-follow checklist, and a scheduled series of follow-ups so we can monitor healing, answer questions early, and optimize your outcome together. And if questions arise between visits, you’ll never feel alone after discharge - that’s not how a boutique practice operates.
We’ll map a phased return to daily life in Houston - light walking early, gentle desk work often within a couple of days, cardio in a few weeks, and heavier upper-body training on a timeline tailored to your pocket placement and healing. Those details are personalized because your sport, your job, and your implant plan are unique - and so is your recovery curve.
Augmentation is more than placing an implant. Shape is sculpted with careful internal work. I routinely use internal parenchymal shaping sutures to support upper-pole contour and fine-tune the breast footprint from within. In select cases - especially after weight loss or in thinner tissue envelopes - I incorporate an internal bra using a modern soft-tissue scaffold to reinforce the lower pole and help resist bottoming out over time. Thoughtful support means we can pursue a refined, youthful silhouette without over-reliance on implant size, and it helps results age more gracefully across the years.
Scars receive the same level of attention. Tension is the enemy of delicate healing, so I use techniques to offload it from the start, including precise layered closure and the early application of external tension-modulating devices when appropriate. Once the incision has matured beyond the earliest phase, we usher you through a structured protocol that may include silicone sheeting, silicone gel, and timed microneedling sessions. Many patients also benefit from adjunctive therapies like LED red light; the strategy is personalized to your skin, your healing, and your goals. The result isn’t just a smaller scar; it’s a more elegant frame for your outcome.
There is no single type of woman who chooses augmentation in Houston, Texas. My consultation rooms are filled with first-time augmentations for women who’ve always been small-breasted and simply want to feel at home in a wider range of clothing. I also work with mothers restoring upper-pole fullness after breastfeeding, weight-loss patients whose breasts have deflated along with their waistlines, and athletes who want confidence in their sports bras without crowding their swing or stride. Fitness-forward women often do best with slightly smaller, highly cohesive implants that offer presence without bulk, and I frequently choose subfascial placement for them to avoid animation while maintaining softness. If a lift is needed, that’s not a sign you’ve failed with implants; it’s a sign we’re designing honestly for gravity and tissue stretch so your result looks and feels right the day you heal - and years later.
Sensation and breastfeeding are part of our discussion, too. While every surgical plan carries variables, careful incision placement, pocket selection, and nerve-conscious dissection help preserve sensation where possible. Many women go on to breastfeed after augmentation; if you’re planning future pregnancies, I’ll align the plan with that goal so your long-term priorities remain intact. When you sit down with Dr Ravi Somayazula, Plastic Surgeon in Houston, TX, expect a thoughtful, lifestyle-aware plan that fits you.
Safety counseling should feel candid and reassuring, not alarmist. We discuss the knowns and unknowns with modern implants, including the very low risk profile associated with smooth cohesive silicone devices and how careful surgical technique, pocket choice, and sterile handling can help mitigate capsular contracture. I also address social-media topics with nuance. Breast implant illness, for instance, remains poorly understood scientifically and appears uncommon in my practice; when patients arrive with a constellation of symptoms, I recommend a thorough primary-care workup to rule out other causes and then support an informed conversation about explantation if appropriate, while being transparent that symptom improvement is not guaranteed. Honest, individualized guidance is part of the trust you place in me, and I take that trust seriously.
If you’re coming in for a revision, we’ll talk about your original pocket, fold position, capsule behavior, and how internal support can stabilize a more elegant shape this time. The point isn’t to dwell on the past; it’s to build a better plan with clear biomechanics, sterility, and scar care that protect your investment. At Body by Ravi Plastic Surgery & Aesthetics in Houston, Texas, these principles are baked into every step of your journey with me, Dr Ravi Somayazula, Plastic Surgeon in Houston, TX.
Luxury in medicine isn’t marble and cappuccinos; it’s precision, privacy, and presence. It’s knowing your surgeon is not just board-certified and highly experienced, but also attentive to the details that help you heal comfortably and beautifully. It’s having a board-certified anesthesiologist whose sole focus is your safety, a first assist and nursing team that function as an extension of my hands and eyes, and a Quad A-accredited OR that adheres to the highest standards of sterility and equipment oversight. It’s an office that returns your messages, anticipates your next step, and designs your journey so stress doesn’t accumulate in your blind spots. This is the culture I’ve built at Body by Ravi Plastic Surgery & Aesthetics in Houston, Texas: character, accountability, professionalism, and a patient-first team approach - CAPPT - expressed in every moment you spend with us.
By the time we finalize your plan, you won’t be choosing between silicone versus saline in a vacuum. You’ll understand how your base width guided the implant width, how projection relates to your nipple-to-fold distance on stretch, and why we picked a particular pocket to achieve your slope and support your lifestyle. You’ll know why a modern cohesive silicone implant from Allergan or Motiva was selected, or in select cases why saline makes sense for you. You’ll feel confident in the sterile steps that happen in the OR, from betadine dwell times to no-touch Keller Funnel insertion. You’ll go home with a clear recovery plan and access to my team, along with a long-term strategy for support and scar refinement. That’s not marketing - just the standard of care I’d want for someone I love.
If you’ve always been small-breasted and have quietly pictured a fuller, more balanced figure for years, I want you to know that you’re exactly the kind of thoughtful patient I love to help. If your body changed after pregnancy and you want your silhouette to feel like you again, I’ve designed my approach around that wish list. And if you’re an athlete, a creative, a leader - someone whose days are full and whose priorities refuse to pause - my enhanced recovery pathway is the practical compassion that lets you step into this choice without stepping out of your life. Experience matters, but so does ethos. I do not make surgical decisions based on trends; I shape results around proportion, longevity, and the kind of quiet, natural elegance that stands the test of time. When you choose Dr. Ravi Somayazula, Plastic Surgeon in Houston, TX, you are choosing a patient-first approach grounded in precision and care.
You deserve a consultation that feels like a conversation, not a sales pitch. Bring your questions. Bring your wish photos and your concerns. We’ll measure, plan, and map options together until the decision feels obvious - not because someone told you what to do, but because the right plan makes sense in your bones.
Not if you baby your incisions and follow our scar plan. We’ll keep you cool, hydrated, and protected from sun exposure, then transition you to silicone therapy and gentle skin treatments as you heal.
Yes - just not right away. We’ll give you a phased return-to-fitness plan based on your implant placement and tissue healing so you can get back to cardio and upper-body work safely.
Absolutely. We design around your breast base width and soft-tissue coverage, then choose a cohesive gel implant and pocket plan that creates elegant medial fullness without oversizing.
You won’t notice a meaningful change. High-quality cohesive gel maintains a natural, soft feel across normal temperature swings.
We plan pocket placement with your lifestyle in mind. If you’re very athletic, certain placements and implant choices help minimize animation while keeping a soft, natural look.
Yes. Subtle size or profile adjustments - and internal shaping - can harmonize your breasts so they read symmetrical in clothing and on close inspection.
You’ll have detailed written instructions, direct lines to our team, and virtual check-in options. We’ll keep you supported and on track until you can be seen in person.
My approach to implant selection relies on tissue-based planning with objective measurements and sizers, a practice pattern associated with highly predictable, satisfying outcomes. In the operating room I utilize prospective hemostasis, saline and half-strength betadine pocket irrigation with adequate dwell time, and no-touch Keller Funnel insertion to minimize contamination and capsule risk. Procedures are performed in a Quad A-accredited operating suite with a board-certified anesthesiologist and an experienced first assist and nursing team. Postoperatively I emphasize enhanced recovery with minimal narcotic reliance, structured follow-ups, and a tiered scar-optimization program that may include tension-offloading devices, silicone therapy, and microneedling where appropriate. These elements are not afterthoughts; they are the architecture that supports natural results and comfortable recovery.
Schedule a private consultation with Dr Ravi Somayazula, Plastic Surgeon in Houston, TX, at Body by Ravi Plastic Surgery & Aesthetics in Houston, Texas. Call (281) 242-1061, or request your appointment through our website form. From first hello to final reveal, my team and I will guide you through a beautifully orchestrated experience - focused on your safety, your comfort, and an outcome that looks like you at your most confident.
