100+ Five Star Reviews

San Antonio’s Trusted Choice For Breast Augmentation

Voted Best Plastic Surgeons for Breast Augmentation

Call (210) 791-9167 today to schedule your consultation!

See What’s Possible With Breast Augmentation

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*Individual Results May Vary

Dr. Isakson performed Breast Augmentation and lipo on this mom of 3! Having children certainly changed my body. Dr Isakson walked through my specific areas of concern and spoke to what he could do to make me look and feel better. He was super informative and his bedside rapport was excellent. – Karen D.

Breast Augmentation That Gives More Than Confidence & Curves

We understand that choosing breast augmentation is a personal decision, often guided by how you want to feel in your body – not just how you want to look. Our board-certified, award-winning plastic surgeons have helped thousands of women across San Antonio regain their confidence by:

  • Adding volume to naturally small or flat breasts
  • Restoring fullness lost after pregnancy or weight changes
  • Correcting noticeable asymmetry
  • Improving breast shape and balance
  • Helping you feel more confident in your clothes—and in your body

We don’t believe in one-size-fits-all solutions. Our team takes a personal approach by understanding your goals and recommending the right breast augmentation for your physique. With more than two decades of combined experience, we’re proud to deliver results that look natural, feel right, and truly reflect who you are.

Meet Dr. Decherd

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Meet Dr. Michael E. Decherd

Dr. Michael E. Decherd is a fourth-generation Texas physician who chose plastic surgery to help patients look and feel their best. He sees each procedure as a personal journey and takes pride in guiding patients through it with honesty, education, and a pressure-free approach.

  • Board certified by the American Board of Plastic Surgery
  • Active member of the American Society of Plastic Surgeons
  • Active member of San Antonio International Society of Plastic Surgeons

Meet Dr. Isakson

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Meet Dr. Matthew H. Isakson

Dr. Matthew H. Isakson is a board-certified plastic surgeon with specialized fellowship training in aesthetic surgery. He focuses exclusively on cosmetic procedures of the face, breast, and body, with expertise in mommy makeovers, tummy tucks, liposuction, breast augmentation and lifts, fat transfer, labiaplasty, gynecomastia, and post-weight loss body contouring.

  • Board certified by the American Board of Plastic Surgery
  • Active member of the American Society of Plastic Surgeons
  • Active member of The Aesthetic Society

Dr. Isakson took the time to listen to my concerns and understand my desired outcome. He thoroughly explained the procedure, addressing any questions or doubts I had, which put my mind at ease. Not only did Dr. Isakson deliver outstanding results, but he also provided exceptional post-operative care. He closely monitored my recovery, ensuring that I healed properly and addressing any concerns promptly. His genuine care and attentiveness made me feel well-supported throughout the entire recovery journey. – Amy S.

Your Transformation Starts With Choosing The Right Surgeons

At San Antonio Plastic Surgery Institute, your comfort, safety, and results are our top priorities.

Our board-certified, award-winning surgeons have performed thousands of successful breast augmentations and lifts, helping women restore confidence after pregnancy, weight loss, or aging. Every treatment plan is customized to your body and your goals.

Here’s why patients choose our surgeons when considering breast augmentation:

  • One-on-one consults with your surgeon to explore options tailored to your physique & goals
  • Digital previews to help visualize your results before surgery
  • Expertise in breast lifts to reshape and elevate sagging breasts
  • On-site anesthesia for a safe, seamless procedure
  • Quick recovery—most patients return to routine activity in just a few days

Flexible Financing Options Available

With CareCredit, PatientFi, and Cherry you can break your procedure into manageable monthly payments, so you can move forward now and pay over time. We offer low-rate plans and co-signer options to help make your transformation more accessible.

Here’s how to get started:

Call us at (210) 791-9167 — we’ll help you explore the best financing option for you.

Apply online through one of our trusted partners PatientFi, CareCredit, or Cherry.

Dr. Decherd is a talented surgeon – Loving my results! First, let me established that Dr. Decherd is skilled and kind, with an amazing staff. After years of hating my small breast, I finally decided to take care of it. Dr. Decherd is highly recommended and after seeing his beautiful results, I made my consult for breast augmentation. Dr. Decherd was calmed, professional and listened to my request – Lucia M.

You Have Questions – We Have Answers

Options include beneath the breast, around the areola (nipple), or in the armpit. Most of the time, especially for silicone implants, we need to go beneath the breast in the inframammary fold (where the bottom of the breast meets the chest). This allows for a longer incision for these pre-filled implants. In most cases, especially if the breast has any degree of sag, the patient almost never sees this incision.

Implants come round or shaped (such as a tear shape). While some women think that a shaped implant will be better, we often recommend a round shape. First, the implant has to be textured to prevent rotation after surgery (a problem a round implant does not have). Also, they seem not to give enough fullness to the bottom half of the breast. By contrast, a round implant under the muscle essentially assumes a teardrop shape, but can rotate without causing a problem.

The implant pocket can be created either under the muscle or on top of the muscle. However, it is a common approach to almost always go under the muscle on a first-time breast augmentation. Even under the muscle, there are some areas in the lower and outer quadrant where the pectoral muscle does not cover the implant, but the muscle helps fill in the upper pole of the breast. An under-the-muscle placement also helps prevent capsular contracture.

Usually women feel pretty good pretty quickly after breast augmentation surgery. What this means is that patients should take it easy for the first day once they are released and resting at home. Most patients feel pretty good but will be tired, sore and feel as though they just had a vigorous workout. Patients should get up and moving soon to help with circulation. Exercise will need to be avoided for several weeks or longer to prevent any possible bleeding.

It is common for many women to feel anxious right after surgery. This is because there is swelling, and the implants ride high at first, so they appear larger and higher than they will once they assume their final position. It takes about 3-4 months for the implants to settle and take on a natural look. Women typically love their new breasts once this occurs. The results for most women are long lasting. Today’s implants are manufactured well. The average implant can last between 10-15 years or longer.

Real Patients. Real Experiences.

Hilary’s Experience

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Heather’s Experience

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