David B. Reath, MD
Knoxville, TN (865) 450-9253

Breast Augmentation

RealSelf Top Doc Breast ImplantsThere are lots of reasons why women consider having breast augmentation surgery. Many tell us they just want to be able to buy a bathing suit that fits!

Despite some Hollywood stereotypes, the majority of women we see in our Knoxville practice increase from one to two cup sizes to obtain the flattering figure they always wanted. Some come to us after they have had children and lost their breast size after breast-feeding. Others need to have a breast lift along with the enlargement.

You may not be surprised to learn that breast augmentation is our most popular plastic surgery procedure. Actually, over 220 women from Johnson City, Cookeville, Cleveland, and beyond chose to use Dr. Reath for their breast augmentation surgery in Knoxville, TN last year. They had lots of questions about breast augmentation that you might be wondering about as well.

That’s why our office staff published the award-winning eBook “A Girlfriend’s Guide to Breast Augmentation”, a 40-page ebook with everything you need to know about breast augmentation all in one place. Plus some fun stuff thrown in. It’s a free download.
Download Our Free E-Book! A Girlfriend's Guide to Breast Augmentation Download Now

Breast Augmentation Cost

One thing that nearly everyone asks is how much breast implants cost, so we include our surgery prices right here on our website. Amazing, right? Here’s what you’ll want to know:

The cost of a breast augmentation with Dr. Reath includes both surgical and anesthesia fees, breast implants, post-surgical bra, our exclusive recovery kit and all follow-up visits.

Implant Type Cost Cash Price
Saline Implants $4,865 $4,622
Silicone Gel Implants $5,865 $5,572
SoftTouch Silicone Gel Implants $6,365 $6,072

Cash Discount: Great news! For our patients who would like to pay with cash or check we offer a 5% discount.

How to Know If You’ll Need A Breast Lift

An important thing to realize about breast augmentation pricing- It is possible that during your consultation Dr. Reath may recommend a breast lift along with your augmentation to achieve a pleasing shape and perkiness. It happens most frequently with women who have had children, but not always.

Standing in front of a mirror, look at your nipples in relation to the natural crease of your breasts. If your nipples are lower than your breast crease before surgery, adding implants without removing excess skin will make them more saggy. (Sad, but true.)

If this sounds like you, you may also want to look at the breast lift procedure page for before and after photos. The pictures give you a better idea of when a breast lift is needed and the great results when performed along with a breast augmentation.

Breast Lift pricing ranges from around $6,200 to $8,600 depending on the amount of skin to be removed and the type of implant you choose. Silicone implants cost more than saline.

Note: It is normal for women to have one breast that is slightly larger than the other. However there are many women who suffer from severe breast asymmetry. Finding clothes that fit is a major problem. (Imagine the difficulty picking out a wedding dress.) The good news is that breast asymmetry can be corrected. Breast augmentation on one side and/or a breast lift on the other side can be performed to even out the size and shape of the breasts. Here are photos of how Dr. Reath can correct breast asymmetry.

Some of our Before and After Breast Augmentation Photos

Breast Augmentation (Saline)
 Before & After Photos

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Breast Augmentation (Saline)
 Before & After Photos

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

Case: 1 of 27
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Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 1 of 26

Breast Augmentation with Saline Implants

This patient is a 28 years old and had concerns regarding the size of her breasts. She was very active and thought that her breasts were out of proportion with the rest of her figure. She weighs 115 pounds and is 5'6". Dr. Reath placed 325cc saline breast implants, which he filled to 375-cc's on both sides underneath the muscle. She... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 2 of 26

Before and After Breast Augmentation (Saline)

Before and After Breast Augmentation (Saline): She is 5’4” and weighs 130 pounds. Here is a 33-year-old mom who had always been unhappy with the size of her chest. After working with breast implant sizers she chose 350cc saline implants. Because she had a modest amount of natural breast tissue and she wanted saline implants,  Dr. Reath placed... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 3 of 26

Before & After Breast Augmentation with Saline Breast Implants

She is 5'7" and weighs 138 pounds. Here is a 32-year-old woman who came to our office unhappy with her small breasts. Dr. Reath performed a breast augmentation using 390cc saline breast implants, which he inflated to 450cc. They were placed underneath her chest muscles and she is pictured here six months after her surgery.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 4 of 26

Breast Augmentation with Saline Implants

She is 5'3" and weighs 108 pounds. Here is a young woman who came to us because she wanted larger breasts. Dr. Reath used 300cc saline breast implants which were inflated to 350cc. Dr. Reath placed them underneath her chest muscles to give her this lovely natural look she had always wanted.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 5 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation (Saline): She is 5’7” and weighs 129. Here is a 25-year-old woman who wanted to increase her breast size. She had one child but did not have any skin laxity in her breasts which would require a breast lift. She chose 350cc saline breast implants which Dr. Reath placed below her chest muscles.... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 6 of 26

Breast Augmentation with Saline Implants

Here is a 31-year-old who told us that she had recently lost weight and was no longer fitting into her bras. She had always wanted to have larger breasts so Dr. Reath used 325cc saline breast implants which were inflated to 375cc and placed underneath her chest muscles. She is very happy with her new figure.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 7 of 26

Breast Augmentation with Saline Breast Implants

Here is a 23-year-old who wanted her breasts to be "bigger than an A-cup" but still look natural. Dr. Reath performed a breast augmentation using 250cc saline breast implants underneath her chest muscles which he inflated to 275cc on the right and slightly more on the left.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 8 of 26

Breast Augmentation Saline Submuscular

Before and After Breast Augmentation (Saline): She is 5’6” and weighs 131 pounds. Here is a 21-year-old woman who always felt that her breasts were smaller than she wanted. Dr. Reath used 375cc saline implants to achieve the look she wanted. Because she was using saline implants he placed them below her chest muscles. She is pictured here before... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 9 of 26

Breast Augmentation with Saline Implants

She is 5'4" and weighs 131 pounds. Here is a 30-year-old mom who was unhappy with the loss of volume in her breasts after breast feeding. Dr. Reath used 350cc saline implants which were inflated to 400cc and placed underneath her chest muscles. She is very pleased with the size and shape of her new breasts.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 10 of 26

Breast Augmentation (Saline)

Before and After Breast Augmentation (Saline): She is 5’6” and weighs 134 pounds. 

Here is a 23-year-old woman who came to our office for a breast enlargement. She chose 350cc saline implants which Dr. Reath placed underneath her chest muscles. She is pictured here before and six months after her surgery. 
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 11 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation- She is 5' and weighs 102. Here is a 22-year-old athlete who wanted larger breasts but did not want them to interfere with her active lifestyle. After working with sizers, she chose 325cc saline implants which Dr. Reath placed underneath her chest muscles. She is pictured here 6 months later and is very pleased... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 12 of 26

Before and After Breast Augmentation (Saline)

Before and After Breast Augmentation (Saline): She is 5’6” and weighs 130 pounds. Here is a 37-year-old mom who was not happy with the loss of volume in her breasts after having kids. She did not breast feed and was lucky not to have any sagging to be corrected. After working with sizers she liked the look of 350cc saline breast implants... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 13 of 26

Breast Augmentation with Saline Implants

She is 5'9" and weighs 173 pounds. Here is a 34-year-old who first came to us with concerns about the changes in her breasts after having three children. She wanted her them to be more in proportion to her large body frame and felt she wanted a larger breast implant. Dr. Reath performed a breast augmentation with 400 cc saline implants and... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 14 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation Saline- She is 5’6” and weighs 120 pounds. She wanted to enlarge her breasts from an A-cup but have them look in proportion to the rest of her body. After working with our implant sizers, she chose 325cc saline implants. Because of her limited natural breast tissue, Dr. Reath placed... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 15 of 26

Breast Augmentation with Saline Implants

She is 5'5" and weighs 123 pounds. After having two children, she came to us and wanted to increase her breasts to the size they were when she was pregnant. She wanted saline implants with a peri-areolar incision rather than the sub-mammary incision which the majority of our patients prefer. Dr. Reath used 300cc Mentor saline breast implants... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 16 of 26

Breast Augmentation with Saline Implants

She is 5'9" and weighs 152 pounds. She is one of the few women we see in our office who had three children but virtually no change or sagging in her breasts. Therefore Dr. Reath was able to give her this excellent result with a breast augmentation without needing to perform a breast lift. 325cc saline implants were used and placed underneath... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 17 of 26

Breast Augmentation with Saline Breast Implants

 Before After Breast Augmentation: She is 5'7" tall and weighs 159 pounds. Here is a 24-year-old who had been noticing an increasing lack of volume in her breasts while she was training for a marathon. She told us that was "just not the look she wanted." At the same time, she did not want to be too large and have her breasts... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 18 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation (Saline)- She is 5'1" and weighs 106. Here is a 20-year-old student who wanted her breasts enlarged. She chose 300cc implants. Because she wanted saline implants and did not have a lot of natural breast tissue, Dr. Reath positioned them underneath her chest muscles. She is pictured here 6 months later,... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 19 of 26

Breast Augmentation with Saline Implants

She is 5'6" and weighs 162. Here is a mother-of-two who came to us because she wanted to be larger than an a-cup. Even though she had children, she did not have any skin laxity in her breasts as a result of her pregnancies. Therefore Dr. Reath was able to do a breast augmentation without a breast lift. He used 350cc saline implants which... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 20 of 26

Breast Augmentation with Saline Implants

She is 5'8" and weighs 136 pounds. Here is a 45-year-old woman whose breasts were always smaller than she wanted them to be. Dr. Reath used 350cc saline implants, inflated them to 400cc and placed them underneath her chest muscles. She is pictured before and six months after her surgery, very happy with her new figure.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 21 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation- She is 5’6” and weighs 152. Here is a 50-year-old very athletic woman who had always wanted her breasts to be larger.  She chose a modest size, 325cc saline implants, which Dr. Reath placed under her chest muscles. She is pictured here 6 months later, looking great and enjoying... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 22 of 26

Breast Augmentation with Saline Implants

She is 5'1" and weighs 107 pounds. Here is a very petite 30-year-old woman who had always wanter her breasts to be larger. Dr. Reath used 250cc saline implants, which he inflated to 300cc and placed underneath her chest muscles. She is picture here before and siz months after her procedure very pleased indeed.
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 23 of 26

Breast Augmentation with Saline Implants

She is 5'0" tall and weighs 115 pounds. This 36-year-old mother of two explained that she had always had small breasts and that bothered her. But even more than that she said she wanted to be more "proportional." Dr. Reath used 300cc saline breast implants and placed them below her chest muscles. The right implants he inflated... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 24 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation: She is 5’9” and weighs 141 pounds. Here is a 37-year-old mom who wanted her breasts to be more in proportion with the rest of her 

figure. She chose 325cc saline implants which Dr. Reath placed below her chest muscles. She is pictured here 6 months later very happy with her result. 
Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 25 of 26

Breast Augmentation with Saline Implants



Before and After Breast Augmentation Saline: She is 5'6" and weighs 156 pounds. She is a 37-year-old who had always wanted her breasts to be larger. After working with sizers, she chose 375cc saline breast implants. Because she did not have a large amount of natural breast tissue, Dr. Reath placed them below her chest muscles to... Read More
Breast Augmentation (Saline) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 26 of 26

Breast Augmentation with Saline Implants

Before and After Breast Augmentation (Saline)- She is 5’4” and weighs 144 pounds. Here is a 50-year-old woman who had always been small breasted and became even more so after she had her children. She told us she wanted her breasts to be a “normal size and shape”. After working with sizers, she chose 350cc implants... Read More

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

David B. Reath, MD

Board-certified plastic surgeon David B. Reath, MD is renowned for his surgical skills and his commitment to public education. Practicing in Knoxville, Tennessee since 1986, his personal approach with patients is what truly sets him apart.

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About Breast Augmentation Surgery

The good news is that breast augmentation is an outpatient procedure and does not involve an overnight stay in the hospital. The entire operation is done under general anesthesia and takes about an hour. At the end of the operation, patients are placed in a special bra to support their breasts. After recovery from the anesthesia, they go home in the care of their family.

Breast Augmentation Recovery

Helping our patients manage a speedy recovery is one of our primary missions. Most patients are up and about the day after a breast augmentation or breast lift but instructed to rest and avoid any lifting. About a week after the operation patients are seen in the office to check their surgical sites and instruct them in massage and stretching exercises. Expect the stitches to be removed in about a week.

Most women are able to return to normal activities in 7 to 10 days and usually need no more than a week off from work.

Breast Augmentation Recovery Kits

Our Surgical Recovery Kits are a great personal touch. Patients tell us that the recovery kits we include with their surgeries are an area that really sets us apart. Each recovery kit contains items hand-picked to make your recovery faster and more pleasant. We put together everything you’ll need after surgery so you don’t have to. People who have had surgery with other doctors are amazed that we include these kits at no charge for all of our surgery patients.

New! We now include medical-grade silicone shapes (which are medically proven to aid in healing and reduce the appearance of scars) in all of our breast augmentation recovery kits.

Not our patient? No problem! We’ll be happy to send you your very own recovery kit to make recovering so much easier. Just visit our new online store.
Breast Augmentation
Recovery Products
Visit our online store.Shop Now

Breast Implant Sizers: The Best Part of Your Consultation

During your consultation with Dr. Reath, you’ll be able to try on breast implant sizers in order for Dr. Reath to understand the results you want to achieve. Our patients say it is very helpful to them to visualize the way different implants will look and feel in their favorite clothes. We find that taking the extra time to work with breast implant sizers is far more helpful to patients than a computer imaging program like VECTRA which we don’t use. If you’re curious about computer imaging versus sizers, Dr. Reath wrote a blog about it:

Why Sizers Are Better Than VECTRA For Choosing Your Breast Implant Size

Without a doubt the most important question in the mind of women anticipating breast enlargement is what they will look like with a certain size implant. And, therefore, the choice of implant size is critical to being happy with the final result of your surgery. I mean, let’s face it: that’s what it’s all about. … Read more »

Your Breast Implant Choices

Some of the breast implants Dr. Reath uses are filled with a saline solution (saltwater) and can be placed either over or under the chest muscle wall. However, 98% of our patients are choosing silicone breast implants which are now available. Silicone breast implants have a much more natural feel to them and are among the most studied devices in medical history.

Saline breast implants are FDA-approved for breast augmentation in women 18 years or older and silicone breast implants are FDA-approved for augmentation in women 22 years and older. You can read more about silicone implants and the new SoftTouch highly cohesive gel implants (gummy bear breast implants) on the silicone breast implant page.

Breast Augmentation Incision Sites

Breast Implant incision sitesDr. Reath mainly uses the inframammary incision placement (along the under side of the breast) for breast augmentation surgeries that don’t involve a breast lift. This allows the best view of the implant pocket for the plastic surgeon and makes the scar much less noticeable because it lies in the natural crease of the breast. It is by far the most common incision site used in breast augmentation.

Dr. Reath never uses the trans-axillary incision (under the arm) or the tran-umbilical incision (through the belly button). They are not recommended by the breast implant manufacturers either. We have more information about breast implant incision placement in our eBook or you can check out Dr Reath’s blog:

Breast Augmentation: The Incision Decision

There are many important questions to answer and decisions to be made when considering breast augmentation. Such as saline or silicone? Over or under the muscle? What size implant? And, where to place the incision. This last question is one that I have been asked a lot, but as of yet I haven’t explained my … Read more »

How Long Breast Implants Last

Another question we hear all the time is about how long breast implants last before they need to be replaced. Many people are under the mistaken impression that breast implants need to be switched out every so often like getting your oil changed in your car. This is actually not true. The number of wrong answers on a recent Truth-O-Meter Tuesday question showed how many people are confused by this.

Basically, if you are not having any problems with your implants, there is no need to replace them. In fact the most common reason to replace breast implants seems to be when women change their mind about their breast size. Here Dr. Reath explains more:

Breast Augmentation: Helpful Pages On Our Site

Guess who the American Society of Plastic Surgeons interviewed when they produced their podcast on breast augmentation?
Dr. Reath and one of his patients!  If you or someone you know is considering breast augmentation, you’ll want to hear the “Today in Plastic Surgery” podcast. Click on the podcast icon to listen.

In this twenty minute podcast:

  • Dr. Reath discusses various breast augmentation options, what to expect during the consultation with your surgeon, and safety and recovery issues to consider.
  • A patient of Dr. Reath’s describes her reasons for having the procedure, how she prepared for her consultation, and how long it took to return to her normal daily routine.

Have a question about breast augmentation? Ask Dr. Reath.

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The Latest Breast Implants Posts from Dr. Reath's Blog

  • What My Patients Should Know About BIA-ALCL

    From the Blog

    If you have breast implants, or have been thinking about breast implants, you may have heard some chatter regarding something called Breast implant associated anaplastic large cell lymphoma, otherwise known as BIA-ALCL, or simply ALCL. With a name like this, it sounds pretty scary and may well raise some questions about whether this is something … Read more »
  • Breast Implants: How To Know When You’re Going Too Big

    From the Blog

    A recent phenomenon that I have noticed is that women are choosing larger and larger breast implants when having breast augmentation. The average implant size has gradually increased over the years that I have been performing breast augmentation here in Knoxville, TN. I am left with 2 questions: is there an upper limit in sight? … Read more »
  • My Top 10 Most Important Blog Posts (So Far)

    From the Blog

    Back in November of 2009, I started my Facebook page, got my first smart phone, and wrote my first blog post. Since then, we have been honored with over 11,500 facebook fans and our practice You Tube channel has 273 videos with over 680,000 views. Pretty amazing, right? Now, eight years later, I have written almost 300 … Read more »

Meet Mandi Millsaps, M.A.

Mandi Breast Augmentation Specialist

If you have a breast augmentation with Dr. Reath, prepare for Mandi to become your new BFF. Whenever you read a glowing review of our practice online, it’s likely that you will see Mandi mentioned by name. Kind, caring and detail-oriented, Mandi has been a patient favorite since she started with our practice in 2002. Working side by side with Dr. Reath, Mandi takes the time during clinic to listen to our breast augmentation patients while kindly and expertly guiding them through the surgery process.

Mandi is famously known as a “sizer sister” because of her close work with our breast augmentation patients. She has literally helped thousands of women pick out the size of their breast implants. She will not steer you wrong. Where she really shines is in our pre-op appointments. Mandi is the one who will help you finalize all the details prior to your surgery from what vitamins to take to when you can shower afterward. Her experience, patience and hand-holding are so reassuring to patients who are a little nervous just before and right after their surgery.

Mandi received her degree in Health Care Administration in 2001, has been a member of the American Registry of Medical Assistants since 2003 and is an active member of the American Society of Plastic Surgical Nurses.

“I feel very blessed to work for such an honorable physician. Seeing amazing results and positive changes in our patients makes my job so fulfilling.”

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A Girlfriend's Guide to Breast Augmentation A Girlfriend's Guide to Breast Augmentation

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