COVID-19 UPDATE: As of May 11, 2020, we have re-opened our office to regular in-person appointments. We are operating at a lower-than-normal capacity in order to respect social distancing advisories and best protect the health of our patients. We are still offering telemedicine as an option. For more information please call us at (314) 996-8800.

Breast Surgery

Cosmetic and Reconstruction Options in St. Louis

Dr. Terry Myckatyn and Dr. Marissa Tenenbaum both perform breast surgery in St. Louis at West County Plastic Surgeons. The options for women seeking a change include cosmetic breast surgery and breast reconstruction.

Any surgery involving a change to one or both breasts is a very personal process. The entire West County Plastic Surgeons team works with discretion and compassion every step of the transformative journey to make each patient feel as comfortable and empowered as possible. Women are encouraged to ask questions along the way and get answers to their satisfaction. The ultimate goal is not merely new contours on the chest, but a patient who is happy with her overall look.

To schedule your appointment for breast surgery in St. Louis, MO, contact our office by phoning 314-996-8800 or requesting your consultation online.

Dr. Terry Myckatyn, MD and Dr. Marissa Tenenbaum, MD

Dr. Terry Myckatyn and
Dr. Marissa Tenenbaum:

Trusted. Experienced. Committed.

Cosmetic Breast Surgery

Breast surgery to change the look of the breasts is considered cosmetic. Dr. Myckatyn and Dr. Tenenbaum offer a full range of procedures. Their goal is to address what is bothering patients, achieve a great result, and make patients feel good about themselves again.


This breast surgery adds volume to make one or both breasts larger. It may be performed to boost the size of the breasts or to even out a size disparity for a more symmetrical look. There are several variations, each of which can be discussed at length during a consultation with one of our plastic surgeons.


Sagging breasts can be raised higher so they appear perkier and more prominent. This breast surgery does not involve adding volume, but removes loose skin and excess tissue to counter the effects of gravity and changes to the body due to pregnancy, breastfeeding, weight loss, and more. A lift can also involve repositioning the areolas and nipples.

Augmentation and Lift

When combined, an augmentation and a lift can truly transform the chest. This particular breast surgery pairing requires an especially discerning eye and skill on the part of the plastic surgeon. Commonly, the combined procedure involves adding volume that is most noticeable in the upper pole of the breast and positioning the nipple so that it sits in a more central and youthful position.

Implant Revision

While implants used for augmentation are long lasting, they are not considered to be lifetime devices. In the event that an implant leaks, causes unwanted contour changes, or is simply no longer desired, a revision surgery can address the issue. Some women choose to have their implants removed entirely, while others opt for a new size or style to be substituted in.


Some women want their breasts smaller for cosmetic reasons, physical comfort, or both. Tissue can be removed to reduce volume, increasing a patient's comfort and creating contours that allow for better-fitting clothes, less strain on the neck and back, and other benefits. This breast surgery may involve traditional excision of tissue or the use of a laser.

Inverted Nipple Correction

Women whose nipples are inverted due to how they developed or as a result of nursing or trauma can have the issue corrected with a surgery that pushes the nipples out and holds them in place so that they project instead of turn inward.

Mommy Makeover

This "package of procedures" is not strictly limited to breast surgery, but involves any cosmetic changes a woman may want to address the physical signs of pregnancy, childbirth, and breastfeeding. Options include augmentation, lifts, or reductions, as well as surgery for other areas of the body, such as a tummy tuck or liposuction.

To learn more about Breast Implant Shapes, click here.

Breast Reconstruction

Reconstructive breast surgery is intended for women who have had all or a portion of a breast removed as a part of their cancer treatment. It can also be applied to other situations, such as trauma or injury.

Many breast surgery techniques used for reconstruction involve the creation of a flap that serves as a new breast mound. Volume can come from existing tissue, a patient's own harvested fat, an implant, or some combination of these on one or both breasts.

Our surgeons also offer reconstructive breast surgery for patients following mastectomy or lumpectomy for cancer, which can restore a woman's breasts to a near-normal appearance, shape, and feel. For many women, reconstructing the breast is an essential emotional and psychological component of healing from breast cancer. In addition to adding volume, this breast surgery can include nipple reconstruction.

Reconstructive breast surgery may also involve balancing procedures, since a reconstructed breast tends to look younger than its untouched counterpart. In these cases, breast surgery can include augmenting, lifting, or reducing the healthy breast for a symmetrical look.

Before & After

Visit our Photo Gallery to see our patient results.

*Results may vary.

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If you have questions about breast surgery in St. Louis or would like to book a consultation with one of the surgeons at West County Plastic Surgery, please call (314) 996-8800.

If you have questions or would like to book a consultation with one of the surgeons at West County Plastic Surgery, please call (314) 996-8800.

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