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Authored by: Dr. Sam Sukkar, MD on February 19th, 2026
Breast Augmentation Success Story Series by Dr. Sam Sukkar, MD in Houston, TX | Case Study #6086
This is part of our series featuring real patient transformations at The Clinic for Plastic Surgery. Each case study provides an in-depth look at actual procedures, recovery experiences, and results from Houston patients who’ve undergone breast augmentation with Dr. Sam M. Sukkar.
When a 23-year-old walked into my Houston consultation room, she brought something I don’t see every day: a folder of screenshots. Not just any screenshots, carefully curated images of before-and-after results she’d been collecting for two years. She’d been researching since she was 21, watching consultation videos, reading recovery blogs, saving photos of results that matched her vision. She knew exactly what she wanted: natural-looking C cups that complemented her athletic 5’9″ frame without looking overdone.
*The patient’s name was changed to protect their privacy. All medical details and photographic before and after results are from actual Patient Case #6086. Individual results may vary based on body type, surgical approach, and adherence to post-operative instructions.
Hannah* had always been active, volleyball in high school, regular gym sessions, hiking on weekends. At 5’9″ and 146 pounds, she maintained a fit, athletic build. But proportionally, her B cup breasts felt disproportionate to her frame. “I looked in the mirror and felt like something was missing,” she told me during our first meeting. “Not that I wanted to be big, I just wanted to feel balanced.”
Her concerns were specific. She worried about looking “obviously done.” She’d seen results that looked too round, too high, or simply didn’t match the patient’s body type. For someone her height, choosing the wrong implant size or profile could create an unnatural appearance. She also questioned whether silicone or saline would be better, and whether subpectoral or subglandular placement would give her the natural breast augmentation results she wanted.
During our consultation, Hannah expressed three main worries:
Recovery and activity restrictions: As someone who worked out five days a week, the thought of six weeks without upper body exercise felt daunting. She wanted to understand exactly what limitations she’d face and when she could safely return to her routine.
Implant longevity and maintenance: She’d read conflicting information online about how long implants last and whether they’d need replacement. The idea of future surgeries concerned her.
Achieving natural-looking results on a tall frame: This was her biggest concern. She’d seen too many augmentation results that looked disproportionate on taller women, either too small to make a difference or too large and obvious. Finding that sweet spot mattered more to her than simply going bigger.
Based on Hannah’s body measurements, aesthetic goals, and lifestyle, I designed a breast augmentation surgical plan tailored specifically to her tall, athletic frame.
1. Bilateral Augmentation Mammoplasty (Breast Augmentation)
The 425cc volume was carefully calculated. For a woman of Hannah’s height and chest width, this size would deliver the C cup result she desired while maintaining proportion. Too small, and the change wouldn’t be noticeable on her frame. Too large, and she’d risk the “overdone” look she specifically wanted to avoid.
I selected high-profile silicone implants because they provide more forward projection with a narrower base width, ideal for Hannah’s naturally narrow chest wall. The silicone fill creates a more natural feel and movement compared to saline, which was important given her active lifestyle and lean tissue coverage.
The subpectoral placement decision came down to three factors. First, Hannah’s lean build meant limited natural breast tissue for coverage. Placing the implants beneath the pectoralis major muscle would provide an additional layer of soft tissue, reducing visible implant edges and rippling, particularly important for someone with low body fat. Second, submuscular placement typically creates a more gradual, natural-looking upper breast contour. Third, this approach offers better long-term outcomes for mammography and implant longevity.
The inframammary fold incision, made in the natural crease beneath the breast, allowed me direct access to create the submuscular pocket with precision. This approach results in a well-hidden scar that’s virtually invisible when healed, even in a bikini. After performing over 20,000 procedures in my 25+ years of practice, I’ve found this combination of incision location and pocket placement consistently delivers the natural aesthetic that patients like Hannah seek.
For tall women seeking breast augmentation, proportionality is everything. The high-profile implants provided the forward projection needed to create visible enhancement without requiring excessive width that could look unnatural on Hannah’s frame. This surgical approach balanced her goals for noticeable but natural-looking results with the anatomical realities of her body type.
Hannah described the first 48 hours as “uncomfortable but manageable.” The tightness across her chest was the most prominent sensation, expected with subpectoral placement as the muscle adjusts to the implant beneath it. She experienced moderate soreness, similar to an intense chest workout, but the prescribed pain medication kept discomfort controlled. Sleeping propped up at a 30-degree angle helped reduce swelling.
She followed her post-operative instructions precisely: no lifting anything over five pounds, no reaching overhead, no sleeping on her stomach or sides. Movement was deliberate and slow. The surgical bra stayed on continuously except during the brief, careful showers I’d approved starting day three.
Week 1-2: Visible Progress
By day five, Hannah noticed significant improvement. The initial tightness began easing. Swelling started subsiding, though her breasts still sat higher on her chest than their final position, normal for fresh subpectoral augmentation as gravity and time allow the implants to settle into their designated pocket.
She returned for her one-week follow-up, where I confirmed everything was healing beautifully. The inframammary incisions showed excellent closure with minimal redness. I cleared her for light walking and gentle daily activities but reinforced the critical restrictions: no upper body exercise, no lifting, no raising arms above shoulder height, and no underwire bras until I specifically approved them.
Understanding breast augmentation recovery timelines helped Hannah maintain realistic expectations during this phase. She’d done her homework and knew patience would pay off.
Hannah described week three as her turning point. The surgical bra came off, replaced by soft, wireless sports bras. Her range of motion improved dramatically. She returned to work (desk job) without difficulty and resumed light cardio, walking and stationary biking at moderate intensity.
The implants began their descent, settling into a more natural position. The upper pole fullness that had been quite prominent initially started softening. She could see her final shape emerging, though some residual swelling remained. “I finally felt like myself again,” she told me at her one-month visit, “just a better version.”
Months 2-3: Final Results Revealed
By her three-month post-operative visit, Hannah’s transformation was complete. The implants had fully settled into their final position, creating beautiful, natural-looking C cup breasts that perfectly complemented her 5’9″ frame. The high-profile implants delivered exactly the forward projection she’d wanted without excessive width. Her inframammary scars had faded to fine, barely-visible lines hidden in the natural breast crease.
I cleared her to resume all normal activities, including full upper body workouts and unrestricted exercise. She could now wear underwire bras, though many patients find they prefer wireless styles for comfort. Hannah reported complete satisfaction with both her aesthetic result and her recovery experience, noting that the outcome matched the vision she’d spent two years researching.
Hannah’s transformation delivered exactly what she’d envisioned: natural-looking, proportionate enhancement that complemented rather than overwhelmed her tall, athletic frame.
Measurable Outcomes:
The numbers tell one story, but Hannah’s experience reveals another. She returned to full workouts at 10 weeks post-op, noticing immediate confidence changes in the gym. Shopping for swimwear and fitted clothing became enjoyable rather than frustrating. “I finally feel proportionate,” she said during her final follow-up. “Nobody would guess I had surgery, they just think I look great.”
Her decision to proceed at age 23, after two years of research, proved wise. She approached the process with maturity, realistic expectations, and commitment to following post-operative protocols exactly as prescribed. These factors contributed significantly to her excellent outcome.
Several elements combined to create Hannah’s outstanding breast augmentation result:
Customized implant selection for body type: The 425cc high-profile implants weren’t chosen arbitrarily. For someone 5’9″ with narrow chest width and athletic build, this specific volume and profile delivered visible enhancement while maintaining natural proportions. Larger implants would have looked disproportionate; smaller ones wouldn’t have achieved her goals.
Submuscular placement for lean tissue coverage: Hannah’s low body fat percentage meant limited natural breast tissue. Subpectoral placement provided the additional soft tissue layer necessary to prevent visible implant edges, rippling, or an obviously augmented appearance, the exact concerns she’d expressed during consultation.
Patient compliance with recovery protocols: Hannah followed every restriction and recommendation precisely. She didn’t rush back to exercise, didn’t test the lifting limits, and attended every follow-up appointment. This discipline directly influenced her smooth recovery and optimal healing.
Appropriate timing and emotional readiness: Two years of research meant Hannah came to surgery fully informed and emotionally prepared. She understood realistic expectations, knew what recovery would entail, and had clear aesthetic goals. This preparation contributes to patient satisfaction more than patients often realize.
Surgical precision in pocket creation: Creating the submuscular pocket with exact dimensions ensures proper implant positioning and natural shape. After 25+ years performing these procedures, I’ve refined techniques that minimize trauma, reduce recovery time, and optimize long-term aesthetic outcomes.
How do high-profile implants differ from moderate or low-profile options for tall women?
High-profile implants provide more forward projection with a narrower base width. For taller women like Hannah with naturally narrow chest walls, this profile creates noticeable enhancement without excessive lateral fullness. Moderate profile implants have wider bases with less projection, sometimes better for women with broader chests. The choice depends entirely on your individual chest measurements, tissue characteristics, and aesthetic goals. During consultation, I use 3D imaging and sizing samples to help you visualize how different profiles will look on your specific frame.
Why does subpectoral placement take longer to settle than subglandular placement?
When implants are placed beneath the pectoralis muscle, the muscle itself needs time to stretch and accommodate the implant. This creates the initial “high and tight” appearance many patients notice immediately after surgery. Gravity, massage (if recommended), and natural muscle relaxation allow the implants to gradually descend into their final position over 3-6 months. Subglandular placement, above the muscle but beneath breast tissue, settles faster but offers less natural tissue coverage, making it less ideal for lean patients like Hannah.
Can athletic women like Hannah maintain their workout routines long-term after breast augmentation?
Absolutely. Once fully healed (typically 8-12 weeks), patients can resume all normal activities without restriction. Hannah returned to her five-day workout routine, including upper body exercises, without complications. Subpectoral implants may cause slight temporary flexion, visible movement when contracting the pectoral muscles, but this typically diminishes over time and doesn’t interfere with exercise or daily activities. The key is patience during recovery and gradual reintroduction of strenuous activity as your surgeon approves.
Hannah spent two years researching before walking into my Houston office. She walked out three months later with the proportionate, natural-looking C cup breasts she’d envisioned, results that perfectly complemented her 5’9″ athletic frame.
Your story might be different. Maybe you’re concerned about finding the right implant size for your height, wondering about recovery timelines for your active lifestyle, or trying to understand which surgical approach will deliver natural-looking results.
But the common thread is this: You deserve to feel confident and comfortable in your own body. Your body deserves the same dedication you give to fitness and health.
If post-pregnancy changes, natural asymmetry, or proportional concerns are affecting your quality of life, transformation is possible.
Schedule Your Personalized Consultation here, or call us today at (281) 940-1535 and take the first step toward your own transformation journey!
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Dr. Sam Sukkar, MD, FACS is a highly respected Board-Certified Plastic Surgeon in Houston, Texas, known for his expertise in advanced cosmetic and reconstructive procedures. As the founder of The Clinic for Plastic Surgery, Dr. Sukkar has set a new standard for excellence, performing over 20,000 procedures with a focus on delivering natural, refined results.
Dr. Sukkar earned his Doctor of Medicine (M.D.) degree from Louisiana State University School of Medicine in 1992 after graduating summa cum laude with a Bachelor of Science in Microbiology. He then completed an intensive General Surgery Residency at the University of Texas Hermann Hospital before being selected for a highly competitive Plastic Surgery Fellowship at Northwestern University in Chicago, one of the most prestigious training programs in the country.
With more than 20 years of experience, Dr. Sukkar is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He is also an active member of the American Society of Plastic Surgeons (ASPS) and the Houston Society of Plastic Surgery (HSPS). His dedication to innovation and continuing education has solidified his reputation as a leading expert in aesthetic surgery, specializing in breast surgery, body contouring, facial procedures, and non-invasive treatments.
Dr. Sukkar’s expertise has been recognized by Houston Magazine, naming him one of Houston’s “Top Docs for Women,” and he has been featured among RealSelf’s America’s Top Doctors. Committed to his patients, he prioritizes personalized care, ensuring every individual feels informed, comfortable, and confident in their aesthetic journey.
Contact Dr. Sukkar today to schedule a consultation, visit DrSukkar.com to learn more, or call us directly at (281) 940-1535.
Cover Image Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.
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