Breast Surgery

Dr. Frank Agullo performs the full range of breast surgical procedures at his El Paso practice, including breast augmentation with saline, silicone, or premium Motiva implants, breast lift (mastopexy) using circumareolar, lollipop, or anchor techniques, breast reduction, and fat transfer to the breast. Augmentation with lift is available as a combined procedure. An advanced option for breast lift patients is the GALATEA GalaFORM 3D internal scaffold, which converts to connective tissue over approximately two years and provides long-term structural support. The Keller funnel technique and triple antibiotic solution are used to minimize capsular contracture risk.

Breast surgery at Southwest Plastic Surgery in El Paso spans the full spectrum of augmentation, lifting, reduction, and combination procedures, performed by Dr. Frank Agullo — a double board-certified surgeon with fellowship training at the Mayo Clinic and eleven consecutive Castle Connolly Top Doctor recognitions. Breast augmentation is available with three implant families: saline implants at $7,000, silicone cohesive gel implants at $8,000, and premium Motiva implants at $8,500–$9,000 starting. Textured anatomical and gummy bear implants are deliberately excluded from the practice's offering due to the documented association with breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Implant shapes are round; profiles range from low through moderate, moderate plus, high, and extra high to match each patient's chest wall and aesthetic goals. Pocket placement options include subglandular and subpectoral positioning, with incision access via the axillary (armpit), inframammary (breast crease), or periareolar approach. The Keller funnel is used for implant insertion to minimise trauma and contamination, and a triple antibiotic irrigation protocol is applied to reduce capsular contracture risk over the long term. Breast augmentation combined with a mastopexy lift — necessary when significant ptosis is present alongside volume concerns — is available in a single operative setting, with pricing ranging from $13,500 to $17,500 depending on the extent of lift required. Standalone mastopexy techniques include the circumareolar (donut) approach for minimal ptosis, the circumvertical (lollipop) for moderate correction, and the Wise pattern (anchor) for significant grade III ptosis. An advanced augmentation option is the GALATEA GalaFORM 3D internal bioabsorbable scaffold, which is placed internally during a lift procedure and progressively converts to the patient's own connective tissue over approximately two years, providing lasting structural support to maintain the lifted breast position. Breast reduction follows the same technique selection logic, with pricing equivalent to mastopexy at $10,000–$14,000. Fat transfer to the breast using the patient's own harvested adipose tissue is also available, starting at $6,000 for a single site and $9,000 or more for bilateral procedures. Recovery from breast surgery is typically one week before returning to desk work, with strenuous activity avoided for four to six weeks. All fees include anesthesia, surgical facility, pre-operative medical testing, post-operative garments, and recovery products.