Breast Surgery

Dr. Michael Ciaravino — recognised as one of the world's leading breast implant surgeons — leads the Center for Breast Excellence at this Houston practice, offering breast augmentation, breast lift, breast reduction, implant revision, implant removal, and nipple and areola reduction. Augmentation pricing is published transparently and is fully all-inclusive, covering surgeon fee, facility, anaesthesia, and implant warranty. Pre-operative planning uses Arbrea 3D imaging to help patients visualise expected outcomes before surgery. All procedures are performed at the First Street Surgery Center in Bellaire.

Breast surgery at Ciaravino Total Beauty Houston is anchored by Dr. Michael Ciaravino, whose reputation as one of the world's leading breast implant specialists has drawn patients nationally and internationally to this Greenway / Upper Kirby practice. The Center for Breast Excellence offers the full range of breast surgical procedures, from primary augmentation through complex implant revision and secondary procedures. Breast augmentation at this Houston practice is offered with unusual pricing transparency: all-inclusive fees covering the surgeon, facility, anaesthesia, and implant warranty are published rather than provided only after consultation. Saline implant augmentation is priced at $6,000–$6,400 all-in, and silicone implant augmentation at $7,000–$7,400 all-in — costs that compare favourably against national averages when total expenses are considered. Pre-operative planning uses the Arbrea 3D imaging system, allowing patients to explore implant size, profile, and placement options visually before committing to a surgical plan. Implant type, incision site, and pocket plane (subglandular versus submuscular or dual-plane) are selected based on the patient's existing breast tissue, chest wall dimensions, body proportions, and aesthetic goals. Beyond primary augmentation, the practice performs breast lift (mastopexy) to correct ptosis — sagging of the breast tissue and nipple-areola complex following pregnancy, weight loss, or ageing — as a standalone procedure or combined with augmentation where both volume and position require correction. Breast reduction surgery addresses macromastia and its associated physical symptoms, including chronic neck, shoulder, and back pain, shoulder grooving from bra straps, and postural changes, while simultaneously improving breast shape and proportion. Breast implant revision is a core component of the practice's surgical volume, addressing the spectrum of complications and aesthetic concerns that arise from prior augmentation: bottoming out, implant malposition, asymmetry, rippling, capsular contracture, implant rupture, symmastia, and dissatisfaction with size or projection. Implant removal with or without replacement is also performed. Nipple and areola reduction procedures address disproportionate nipple projection or areola diameter. All surgical procedures are performed at the First Street Surgery Center in Bellaire, an accredited off-site operating room facility. A $1,500 non-refundable deposit is required to secure a surgical date.