
For some women, the breasts they were born with never matched how they wanted to look. For others, pregnancies, weight changes, or aging changed their shape over time. Breast augmentation surgery offers a way to bring back balance and create the silhouette you feel best in.
At James Rough, MD Plastic Surgery in Tucson, breast implants are chosen with care and placed with precision. Dr. Rough spends time understanding your goals, guiding you through implant options, and recommending a plan that feels natural for your body.

Breast augmentation is a cosmetic surgery procedure that reshapes the breasts to create a fuller look. It is known as one of the most popular cosmetic surgeries, offering women who dislike their breast shape many opportunities for improvement. With the help of implants or fat from the patient's body, this cosmetic treatment improves breast shape and size, resulting in a gorgeous and natural-looking outcome. Dr. James Rough is skilled in executing breast augmentation for Tucson, AZ, patients.
During your consultation at James Rough, M.D. Plastic Surgery, board-certified plastic surgeon Dr. James Rough will go over your aesthetic desires and concerns so he can customize a treatment plan to achieve your goals.

Breast implants come in several varieties, each offering unique advantages. Saline breast implants are filled with sterile saltwater and can be adjusted in volume. Silicone breast implants are pre-filled with soft gel, while cohesive silicone gel implants (“gummy bear” implants) maintain shape and feel more like natural breast tissue.
Placement also matters: implants can be positioned above the chest muscle (prepectoral) for less recovery time or beneath the fascia of the chest muscle (subfascial) for a more gradual slope and natural look. Dr. Rough will review these options during consultation, helping you choose what best fits your body and aesthetic goals.

Incision placement, as well as implant placement, are aspects that will need to be decided prior to surgery. During the procedure, an incision is created for implant insertion.
There are a couple of methods that may be used for implant placement. These include either under the pectoral muscle or behind the breast tissue but over the pectoral muscle. Where to insert the implant depends on varying factors, including the overall type and size of the implant, as well as Dr. Rough's recommendations. Regardless of the incision, scarring is often hidden within the natural creases and lines of the body. Placement and location are determined based on your body type, implant size, and lifestyle.
Choosing the proper incision placement is an important part of breast augmentation. The most common options are along the inframammaryfold (under the breast, a periareolar incision (around the edge of the nipple), or a transaxillary incision (within the armpit). Each technique has its own benefits depending on your anatomy, implant type, and desired outcome. During your consultation, your surgeon will recommend the best approach for a natural-looking result and a well-hidden scar.
Women choose breast implant surgery for different reasons, including:

Breast augmentation does more than add size. Many women find that it restores proportion, improves clothing fit, and creates a more confident body image. Benefits include:

You may be a good candidate if you:
Women who are pregnant, breastfeeding, or have certain health concerns may need to wait or consider other options.
Recovery from breast implant surgery usually takes a few weeks. Soreness and swelling are normal at first and improve quickly. A supportive bra or garment helps protect healing breasts.
Most patients return to desk work within about a week. Exercise and heavier activity are usually safe again after 4–6 weeks. Follow-up appointments with Dr. Rough ensure your recovery is on track.

You’ll see a change immediately, though implants need a few weeks to settle into their final position. Swelling also takes time to resolve.
Patients often notice:
Maintaining a steady weight and supporting your breasts with well-fitted bras helps preserve results.
Dr. James Rough is a board-certified plastic surgeon with advanced training at UCLA and extensive experience in breast procedures, including breast augmentation surgery, implant breast reconstruction, and other cosmetic and reconstructive treatments. Breast augmentation patients describe him as calm, patient, and precise. He takes the time to understand your hopes, explain your options, and support you in making the choice that feels right for you.
At our Tucson practice, every plan is tailored. The focus is on natural, elegant results that look balanced and feel authentic to foster your most confident self-image.

If your breasts have lost fullness due to aging, pregnancy, or weight loss, breast augmentation might be a great solution for you. This treatment is considered a safe way to increase the size of your breasts and produces beautiful outcomes. Contact James Rough, M.D. Plastic Surgery in Tucson, AZ to schedule your first office visit with Dr. Rough.
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Your total cost for breast augmentation will vary based on your choices and whether you are having any other surgeries. Once your treatment plan is developed, Dr. Rough will talk to you about estimated costs and financing options. To make sure your results match your goals and last a long time, it's important to focus on quality over low costs.
Your treatment plan may include breast augmentation, a breast lift, or both. A breast lift removes loose skin and improves the position of the breasts, while augmentation enhance the size and shape. In your consultation with Dr. Rough, he will listen to your needs and goals before explaining your treatment options. An augmentation and lift are often a part of a mommy makeover to rejuvenate the breasts after breastfeeding and pregnancy.
If you want to breastfeed after breast augmentation, talk to Dr. Rough during your consultation. It is usually possible to breastfeed after augmentation surgery, with the right surgical technique and placement. Pregnancy and breastfeeding can alter your results, which is why it is better to wait until your family is complete to get breast augmentation.
Yes. Many women combine the two procedures if sagging is also a concern.
Implants are long-lasting but not lifetime devices. Many last 10–15 years before revision is needed.

















