Breast Surgery

Sound Plastic Surgery in Seattle offers a comprehensive range of breast procedures performed by board-certified surgeons Dr. Joshua Cooper and Dr. Scott Sattler in an accredited on-site ambulatory surgery center. Services include breast augmentation with silicone or saline implants (including Motiva implants), breast lift (mastopexy) using limited, vertical, or anchor incision techniques, breast reduction, breast implant removal, implant revision, and fat grafting breast augmentation using the patient's own tissue. All procedures are tailored to each patient's anatomy and goals through a thorough pre-operative consultation.

Sound Plastic Surgery Seattle provides one of the Pacific Northwest's most comprehensive breast surgery programs, delivered by two board-certified ASPS member surgeons operating from an on-site accredited ambulatory surgery center — meaning patients do not need to travel to a hospital for their procedure. Breast augmentation at the practice is performed using the full spectrum of modern implant technology, including Motiva Ergonomix implants and Allergan options in silicone and saline formulations. Implant selection — covering profile, volume, shape, and surface texture — is made collaboratively during the consultation based on the patient's existing breast tissue dimensions, chest wall anatomy, skin laxity, and aesthetic goals. Incision placement and pocket selection (submuscular or subglandular) are individualised to each case. For patients seeking a natural augmentation without implants, fat grafting to the breast uses autologous adipose tissue harvested by liposuction from donor areas such as the abdomen or flanks, processed, and injected into the breast to provide subtle volume enhancement. Breast lift surgery (mastopexy) addresses ptosis — the descent of the breast and nipple-areola complex — that occurs after pregnancy, significant weight loss, or with age. The surgeons at Sound Plastic Surgery offer the full range of mastopexy incision patterns: the limited periareolar scar for mild ptosis, the vertical scar technique for moderate cases, and the anchor (Wise pattern) incision for patients requiring significant reshaping. An auto-augmentation technique is available for selected patients, using the patient's own lower-pole breast tissue to provide additional projection without an implant. Breast reduction surgery at the practice removes excess glandular tissue, fat, and skin to alleviate symptoms including neck and back pain, shoulder grooving, skin irritation, and postural problems, while reshaping the breast to a more proportionate size. Breast implant removal addresses patient requests to explant implants for medical or personal reasons, including concerns about breast implant illness or the rare risk of breast implant-associated ALCL. Implant revision surgery corrects complications such as capsular contracture, implant malposition, bottoming out, or synmastia in patients who have undergone prior breast augmentation. Combination breast and body procedures, including mommy makeover packages pairing breast surgery with tummy tuck and liposuction, are available for patients who are eligible for combined procedures from a safety standpoint. Virtual consultations via Zoom are available for out-of-town patients in Washington, Oregon, Alaska, Montana, Idaho, and Canada, with a dedicated patient coordinator managing pre-operative logistics.