Breast Surgery — Augmentation, Lift & Reduction

Sieber Plastic Surgery offers a comprehensive range of breast procedures performed by Dr. Sieber, who is described as a thought leader in breast surgery. Services include breast augmentation with silicone or saline implants, breast lift (mastopexy), breast reduction, implant revision and removal (explant), mommy makeover (combining breast and body procedures), and gynecomastia treatment for male breast reduction.

Breast surgery is one of the two specialities for which Dr. David Sieber has been specifically recognised as a thought leader, alongside body contouring. His combined training — five years of general surgery residency, three years of plastic and reconstructive surgery residency, and a dedicated aesthetic fellowship at UT Southwestern — gives him a depth of technical grounding in breast procedures that spans reconstructive complexity and aesthetic refinement. Breast augmentation at Sieber Plastic Surgery is approached with a focus on proportional, natural-looking outcomes. Implant selection (silicone vs. saline, round vs. shaped, smooth vs. textured surface), pocket placement (submuscular, subglandular, or dual-plane), and incision approach (inframammary, periareolar, or transaxillary) are determined collaboratively during consultation based on existing breast tissue, chest wall anatomy, and aesthetic goals. Revision and explant (implant removal with or without replacement) are also offered for patients with prior augmentation. Breast lift (mastopexy) corrects ptosis resulting from pregnancy, breastfeeding, weight loss, or natural ageing. The procedure repositions the nipple-areola complex to a more youthful position and removes excess skin to reshape the breast envelope. Lifts are frequently combined with augmentation when volume loss accompanies ptosis. Breast reduction addresses symptomatic macromastia — back, neck, and shoulder pain, skin irritation, and activity limitation caused by disproportionately large breasts. Dr. Sieber uses techniques that preserve nipple sensation and, in most cases, breastfeeding capacity. Gynecomastia treatment (male breast reduction) removes excess glandular tissue and fat through a combination of liposuction and, where necessary, direct tissue excision, producing a flatter and more masculine chest contour. The mommy makeover combines breast and body procedures — typically augmentation or lift paired with tummy tuck and liposuction — in a single operative session, reducing overall recovery time compared to staging procedures separately. Patients from throughout the Bay Area, including Marin County, the Peninsula, and the East Bay, consult with Dr. Sieber at the Union Square practice.