Experience the MPSG difference

Breast Augmentation in Carmel & Indianapolis, IN

Enhance breast volume and proportion with personalized implant selection and surgical options, including an endoscopic approach that avoids placing an incision on the breast.

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Why Choose MPSG for Your Breast Augmentation in India?

“One of the first questions I ask during a breast augmentation consultation is what the patient hopes to achieve. We discuss their goals for size, shape, proportion, and overall appearance. Many patients bring photos of results they find attractive, which can be very helpful in understanding their vision and expectations. Those images allow us to have a more detailed conversation about what is realistic for their body frame and anatomy. My goal is not simply to choose an implant size, but to create a result that looks balanced, natural and fits their lifestyle.”

- Dr. John Aker

Patients considering breast augmentation in Indianapolis and Carmel choose My Plastic Surgery Group for personalized care and natural-looking results.

At MPSG, breast augmentation procedures are performed by Dr. Aker and Dr. Beckman:

  • Dr. John Aker - Dr. Aker is board-certified by the American Board of Plastic Surgery and introduced endoscopic breast augmentation to Indianapolis and Carmel. He has been recognized as an Indianapolis Monthly “Top Doc” in body and facial plastic surgery for more than 19 years.
  • Dr. Di Beckman - Dr. Beckman completed six years of integrated plastic surgery residency at Rutgers, where she trained in aesthetic and reconstructive surgery and served as Chief Resident. She went on to complete an aesthetic plastic surgery fellowship at H/K/B Cosmetic Surgery.
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“One of my favorite parts of a breast augmentation consultation is helping patients navigate their options. From implant size to incision placement, every decision plays a role in creating a result that feels right for you. My approach is centered on education, communication, and developing a surgical plan that aligns with your anatomy.”

- Dr. Di Beckman

Our plastic surgeons have performed thousands of breast augmentation procedures in Indianapolis and Carmel in the past 20+ years, and we would like to be a part of this journey with you. We take the time to understand your aesthetic ideals and what you want to achieve, so we can tailor your procedure to you, and we prioritize your safety and clear communication at every step of the treatment journey.

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Combination Procedures

Breast Augmentation Before & After Results

Browse breast augmentation before-and-after photos showing individualized differences in implant size, profile, projection, breast volume, symmetry, and overall balance with each patient's frame.

Questions & Answers with Dr. Aker

The Specifics

Breast Augmentation Options for Indianapolis and Carmel Patients

Breast augmentation involves several decisions, including the type, profile, and size of your implants, where the surgical incision will be made, and whether the implants are placed over or under the pectoral muscle. Your surgeon will explain these choices during your consultation and provide personalized recommendations.

Types of Breast Implants

Patients considering breast implants in Indianapolis, Carmel, and throughout Central Indiana can choose between saline and silicone gel implants. Both can increase breast volume and improve proportion, but they differ in several ways.

Saline Implants

Saline implants are filled with sterile salt water and are FDA-approved for cosmetic breast augmentation in women age 18 and older. Because saline has a fluid consistency, these implants provide a uniform shape and firmness. If the implant shell breaks, the implant typically deflates, and the saline is safely absorbed by the body, resulting in a visible change in breast volume. 

Silicone Implants

Silicone gel implants are FDA-approved for cosmetic breast augmentation in women age 22 and older. They contain cohesive silicone gel, which tends to feel more like natural breast tissue. 

Silicone implants are available in different levels of cohesiveness, from softer gels to firmer, more form-stable options that better maintain their shape. Depending on the implant, they may be round or anatomically shaped. Because a rupture may not cause an obvious change in the breast, your surgeon may recommend periodic imaging to evaluate implant integrity.

Implant Size and Profile

Implants come in different sizes and low-, moderate-, and high-profile options. Choosing the right implants for you is less about selecting a particular cup size and more about finding dimensions that complement your frame. Your surgeon will help you understand how implant size and profile can influence your final result.

Incision and Implant Placement

My Plastic Surgery Group offers two breast augmentation approaches: endoscopic transaxillary breast augmentation, sometimes called Hidden Scar Breast Augmentation, and the inframammary fold (IMF) approach. 

Implants can be placed over or under the pectoral muscle. Your surgeon will determine which option is best for you to achieve the most natural-looking breasts possible.

Hidden Scar Breast Augmentation

Dr. Aker brought this endoscopic breast augmentation technique to Indiana and the Indianapolis-Carmel area in 1996. My Plastic Surgery Group has since performed thousands of endoscopic breast augmentation procedures. Although practiced frequently on the east and west coasts, we have the most experience with this technique in the Midwest.

Endoscopic breast augmentation is performed under general anesthesia. A small incision is made in a fold in the armpit area. Then, an endoscope, which is a lighted tube that has a video camera attached, is used to create a pocket for the implant underneath the chest muscles. The endoscope allows our surgeons to see the tissue, so the pocket can be created precisely.  

Once the pocket is created, the implant can be inserted and positioned. Because the incision is located in the armpit, there is no surgical scar on the breast itself. As the armpit incision heals and fades, it is typically difficult to see.

Inframammary Breast Augmentation

The inframammary fold (IMF) technique is one of the most common and trusted approaches for breast augmentation. With this method, the implant is placed through a small incision made in the crease beneath the breast called the inframammary fold.

This technique allows for excellent control over implant placement and symmetry, supporting natural-looking results. It’s suitable for both saline and silicone implants and provides the surgeon direct access to the breast pocket, minimizing trauma to surrounding tissues.

The IMF incision generally heals well and is easily concealed beneath the breast, even in swimwear or lingerie. Many patients appreciate the balance of a discreet scar with smooth, elegant contours.

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What Is Recovery Like After Breast Augmentation Surgery?

Most patients return to light activity within a few days and normal routines after one to two weeks. You may be directed to wear a support garment for several weeks to protect the treatment area and reduce swelling.

We provide a structured recovery plan to help ensure a smooth healing process. Your healing progress will be assessed during your follow-up visits, so we can advise you when it is safe to resume exercise, lifting, and other strenuous activity.