Plastic Surgery News


How to Avoid Becoming a Victim of Bad Plastic Surgery

avoiding bad plastic surgery

We’ve all seen the horror stories of what bad plastic surgery can do. These photos get plastered all over magazines and news stories, and, while plastic surgery can have amazing successes and create dramatic improvement that leave patients beaming, sadly there are surgeons out there who you really need to be aware of.

Many of us want to alter our image or change parts of our bodies that we are uncomfortable with so badly that this can often lead to hasty decisions that ultimately hurt us.

So, we want to educate as many people as possible and help you be able to immediately detect the warning signs, so you do not become a victim of bad plastic surgery.

You would be surprised at how many clinics operate without certification – leading many eager patients now needing additional operations and surgeries to correct their mistakes.

As the leading clinic in Durham, our family here at CARE Plastic Surgery thought we would share a few tips to keep in mind when you are choosing your plastic surgeon.

 1.    Look for Board Certification

Make sure your surgeon is board-certified with the American Board of Plastic Surgery (ABPS). The reason for this is because members of the ABPS must always be up-to-date in the latest technologies and procedures. Click here to find out if your surgeon is certified.

 2.    Meet with Multiple Physicians

Don’t choose the first physician you go to.  Get to know your surgeon and get a feel for how they are with you during the consultation. Are they warm and compassionate? Do they ask questions and really hear your answers? Are they rushing you? Are they pushing you to get procedures you didn’t ask for or want?  Are they giving you realistic expectations and being honest about what to expect? Are they pushing you to get started? Use your own instincts and judgment without making an emotional decision.

 3.    Do Your Research

Check each physician’s records for previous malpractice cases or red flags. Look at how many years they’ve been in the industry, and also take a look at their background and schooling. These are all very important factors when looking for the right doctor for you.

 4.    Don’t EVER Bargain Shop

When it comes to your body, this is not the time to look for the best bargain.  Getting a look-a-like Louie Vuitton is one thing, but when it comes to plastic surgery and altering your body, you do not want an inexperienced doctor offering the same services but at a much lower price. Cheaper isn’t always better. You need to make solid decisions when choosing your plastic surgeon.

 5.    Expensive isn’t Always Better Either

The same is true here too.  Just because a doctor is higher priced than all the rest does not mean that doctor is a better and more experienced surgeon.  We realize price is a factor, however there are many more important factors here that you need to be aware of first.  There are many options for payment today and you can even finance your procedures or wait a little longer to save.  In the long run you are better off waiting, otherwise you really pay later if you make the wrong choice.

 6.    Be Honest with Your Physician

Your medical history is of the utmost importance when it comes to plastic surgery. Be honest with your physician when disclosing yours.  Also, be honest about your lifestyle. Lying about smoking, drinking, or your activity levels can be potentially life threatening when going through your procedure.  Your physician is not there to judge you; they are here to give you the best care possible as well as results.

 7.    Ask Questions

Ask a lot of questions about the procedure or procedures you are interested in. What are the risks, what should you expect after the surgery is over as well as what will the results be.  Also, look through every form you are given before you sign and ask questions wherever something does not make sense. It is always best to be well informed about the procedure, how often the surgeon performs that particular procedure, and all the details of pre and post-op.  The more you know and understand the more confident you will feel about your choice.

 8.    Ask for Referrals

It’s very important to ask for referrals and see what other patients are saying about your surgeon. You can also ask to read any testimonials they have.  You can really learn a great deal from what other patients are saying about the practice you’re interviewing.

 9.    Look for Social Proof

With today’s social media platforms and online reviews, it makes it much easier for patients to find red flags and quickly.  Check the surgeon’s social media profiles and look to see if they are active on social media, how do they engage with their fans, what do their reviews say. This is a great way to see what your surgeon is really like.


In August we will put together an article called,  “The Ultimate Guide on How to Choose a Top Plastic Surgeon in Your Area.” So, look for that soon.

 What other signs and red flags do you recommend patients look for when searching for a top plastic surgeon?  We’d love to hear your comments and please feel free to share this with your friend and family so they can avoid becoming a victim of bad plastic surgery.

CARE Plastic Surgery

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How Long Should I Wait to Get a Mommy Makeover After My Pregnancy?

Mommy Makeovers Post Pregnancy

The last ten years have been an amazing thing to witness for plastic surgeons as women’s’ attitudes towards cosmetic surgery have developed and changed. Today, it is not uncommon for a happy mother to love the miracle that is her children, while still yearning for the pre-baby body of yesteryear. As a result, Mommy Makeovers have become an increasingly popular procedure for mothers who admit that they may need some help beyond diet and exercise to reclaim their past body. In this article, our CARE staff will discuss when is an acceptable time, post-baby, to undergo this procedure.

What is a Mommy Makeover?

A “Mommy Makeover” surgery is an individualized procedure that actually includes a combination of different procedures including; Breast augmentation with mastopexy (breast lift), Breast augmentation with mastopexy (breast lift) and abdominoplasty (tummy tuck), and Breast lift with an abdominoplasty (tummy tuck). This procedure was created to help women get their figure close to a pre-pregnancy state by eliminating or reducing fat deposits at the hips, upper thighs, upper arms and abdominal areas.

How Long Does a Mommy Makeover Recovery Take?

Since a Mommy Makeover is a custom procedure, the recovery period for each mother’s operation will differ from the next. Typically, for a few days after the procedure has been done, someone will need to be around to help with the household tasks. Often times, this designated person will accompany the patient to CARE’s free consultation so they are aware of all that needs to happen post-operation.

When Can I Get My Mommy Makeover?

Due to the extensive nature of some of the cosmetic procedures included in a Mommy Makeover, most physicians will recommend waiting for your body to return, for the most part, back to normal after you have your baby. For most mommies, this return to ‘normal’ takes around 4  – 5 months. If you intend to include breast augmentation in your makeover, we suggest waiting until you are finished breastfeeding and your breasts have stopped the lactation process associated with it.

Are you a new mother, or a mother whose childbearing days are officially behind her and you are looking to revive your pre-babies body? Give us a call at 919.484.4884, to schedule your free consultation.

CARE Plastic Surgery

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Stop Melanoma Before it Starts: Slather Sunscreen on Your Kids

Fight Melanoma with Sunscreen

We’ve all had that horrible childhood sunburn that we look back on and it makes us cringe to remember the discomfort and the distinct smell of Aloe Vera. For decades, scientists have been telling us sunscreen is imperative to prevent burn and possible skin cancer development. But, did you know scientists now believe that Melanoma starts manifesting as early as infancy? In this post, we will review a new study on the importance of sunscreen so that you and your posterity can be better informed on just how damaging the sun’s rays are.

Texas Biomedical Research Institute Study

The Pigment Cell and Melanoma journal recently published a study conducted by the Texas Biomedical Research Institute that shows the risk of developing Melanoma during adulthood can be drastically reduced by proper and frequent sunblock application throughout adolescence.

This study shows that the years from infancy to adolescence are actually the most critical and dangerous time when sun-inducing harm starts to manifest in your cells. In fact, as much as 80% of your lifetime exposure to UV rays occurs before you are 18 years old.

Having conducted the study on opossums, scientists in San Antonio, TX, found that the opossum skin cells exposed to sunlight from infancy on actually develop pre-melanoma lesions that were invisible to the naked eye until the infant had become an adolescent. As such, the pre-melanocytic lesions contracted in infancy, did not progress to melanoma until the opossum was well into adulthood.

The implications of this study for humans (as we have similar reactions to UV rays) reinforces that importance of applying sunscreen on your children from the first time they are introduced to the sun, and maintaining the habit throughout their lifetime. According to the study, doing this can decrease the number of pre-melanocytic lesions on their skin ten-fold, as it did for the animal test subjects.


If you have more questions on skin care and proper maintenance for yours and your children’s skin, give us a call at 919.484.4884. We here at CARE Plastic Surgery are dedicated to helping you achieve youthful and healthy skin.

CARE Plastic Surgery

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Interesting Trends in Breast Shape and Size in the US – Breast Augmentation

size in breasts

The desire to change the shape and size of one’s breasts is an age-old frame of mind, especially for women who have naturally smaller breasts, or have noticeably seen their breasts change over time. Historically, breast implants and breast augmentation surgery has signified larger breasts, which did not always fit the natural look of the women undergoing the procedure. Today, new trends in plastic surgery, and desired breast sizes are emerging within different regions of the country.

Here are the latest trends in augmentation requests by regions, according to a survey done by New Beauty:

Breast Augmentation in the Northeast

According to this survey, plastic surgeons in the Northeast, closer to New York, are reporting patient requests for smaller implants that range from the mid to high 200 cc’s. In stark contrast to the Northeastern surgeons, Southern areas like Florida are reporting patient desires for larger breast implants, specifically in the 350 cc range.

breast augmentation implants


Breast Augmentation in the Midwest

In the Midwest, a more restorative approach to breast augmentation is growing in popularity. They report that patients desire more proportioned-looking breasts than what they already possessed. Surgeons across the region also state that patients are asking for smaller or more naturally-shaped implants.  These patients may desire a newer implant like the Natrelle 410 implant or the Mentor Memory Shape breast implant.  These implants are sometimes referred to as “gummy bear” implants and are labeled “form stable.”  It is important to note that these implants do require a longer surgical incision than the traditional cohesive gel implant.

breast augmentation


Breast Augmentation in the South

The demands of patients and prospective patients for breast augmentation have been larger breasts in the 400 cc or more range, especially in Texas. For visualizing purposes, this size of implant would approximately equal a C or D cup.

Augmentation of the breasts

Breast Augmentation on the West Coast

Similar to Southern desires, women on the West Coast, more specifically, California, are also seeking larger breasts. The typical cc-range for these requests is around 350, slightly smaller than their Southern counterparts.

Regardless of where you live, women ultimately have many options to choose what they truly want when it comes to their breasts. It’s important to choose a board certified Plastic Surgeon who you feel comfortable with, and preferably a member of the American Society of Plastic Surgeons.


Are you a woman in the Triangle region of North Carolina wanting to change the size or shape of your breasts? Please do not hesitate to contact our staff at CARE Plastic Surgery to arrange a consultation. We would love to help you achieve that look you’ve been dreaming of.

CARE Plastic Surgery

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Reviving Your Pre-Pregnancy Body: Mommy Makeovers

Tummy Tuck and Mommy Makeover

Becoming a mom is truly a miracle and a beautiful experience in so many ways. However, this miracle also means many changes to our bodies and many women are so tired of looking down only to be reminded of how much their bodies have changed.

For many women, after they’ve had their baby, and lost their baby weight, there are still areas of sagging skin around the abdomen and loose muscle tone that remain no matter how much they diet or exercise. Some women even experience sagging breasts or a change in breast symmetry, having to wear pushup or padded bras.

What is a Mommy Makeover?

A Mommy Makeover is the name given to a number of surgical procedures a woman can undergo to essentially revive the body she had before her baby.

The Mommy Makeover is a highly individualized procedure that will look a little different from mommy-to-mommy, but there are a few operations that are commonly included. The combination of procedures can include: Breast Augmentation, Breast Lift, Abdominoplasty (Tummy tuck), Liposuction and Labiaplasty.

Before and After Photo: This patient received a tummy tuck and breast lift.

mommy makeover results

How Do I Know Which Procedures I need?

At CARE, Dr. Coan, our Award Winning Surgeon will help you decide which procedures will give you the look you desire once again. It usually is a combination of procedures and Dr. Coan will discuss each one in detail at your consultation.

What is the Recovery Time for a Mommy Makeover?

Since the Mommy Makeover is customized to each individual, the recovery time for each mommy will be a little different. Our CARE staff suggests that you bring whoever will be caring for you post-operation, to the initial consultation with Dr. Coan so they can have a first-hand understanding of what will need to be done. Once you have a treatment plan in place, Dr. Coan and our staff will be better equipped to go over the details of your recovery with you and the one helping you in the days and weeks after your surgery.

However, generally speaking you can expect one to two weeks of downtime. The healing process takes time and following Dr. Coan’s guidelines will make your recovery that much quicker.

How Can I Afford My Mommy Makeover?

Many of our patients enjoy the various financing options available from Care Credit, to Aphaeon Credit, to Medical Financing. Some plans range from 6 months to 60 months, and beyond.  You can click here to learn more about our financing options:

What Are Patients Saying About the Mommy Makeover?

We’ve had several patients come to us after their Mommy Makeover, ecstatic about their post-baby, post-operation body. Here is one of our favorite testimonials:

“I was always in pretty good shape, but after I had my twins things never went back where they were.  All of a sudden my breasts were flat and my stomach had expanded.  No matter what I did I couldn’t make my body go back to how it was.  When I met with Dr. Coan he explained muscle plication and his special training in doing tummy tucks.  I also decided I wanted a breast augmentation.  Now I feel like my proportions are how I want them.  Everyone at work says I look great, and asks how I got my body back after having kids–and my husband can’t keep his hands off me!”

You can also follow the journey of our dear patient, ‘IAMCB’ as she chronicles her Mommy Makeover journey, pre and post-operation, in an honest and candid video journal. Here is the link to her latest entry: Patient Updates Us on Day 2: Operation ‘Snap Back’


If you are interested in speaking to Dr. Coan about potentially undergoing a Mommy Makeover procedure, or you have more questions about what it entails, please feel free to call CARE Plastic Surgery today at: (919) 484-4884.

Refreshing and Revitalizing Your Skin – Chemical Peels

chemical peel

Chemical peels are one of the most popular non-invasive cosmetic procedures performed today to help rejuvenate the appearance of the skin. Over your lifetime, factors such as sun damage, heredity, diet, and repetitive muscle movement can contribute to the formation of lines and wrinkles on your face. Chemical Peels are a great way to lessen these wrinkles and give you a younger, revitalized look.

How Does A Chemical Peel Work?

There are a number of chemical peels used in the industry today that vary in intensity and composition. However, all peel solution types will act the same by dissolving the top layer of your skin with a chemical reaction. Depending on your skin type and quality, there are few different types of chemical peels that Dr. Coan or our Aesthetician may recommend for you that we do here at our clinic.

Here are the following peels that we offer at CARE:

  • VI Peel, a popular choice in our clinic, the VI peel is unlike other chemical peels because it can be used on all skin types and ethnicities.  It is also discomfort-free and has very little downtime, with beautiful results in a week. Administered by our Medical Aesthetician, the VI peel works wonders for melasma and can be used on the neck, chest and hands.
  • Skinmedica Illuminize Peel, this peel is a great choice for clients with mild skin imperfections, looking for a lighter option. This peel is also administered by our Aesthetician. While several chemical peels will lead to the eventual peeling of the skin after a few days, this one does not. Don’t worry if you aren’t peeling, it is still working!
  • Glycolic Acid, Glycolic is a lighter peel derived from fruit acids. CARE offers the Vivite Glow peel, which is perfect for refreshing your skin for an event. There is no downtime, just beautiful glowing results.
  • TCA, or Trichloroacidic acid, is the most powerful peel at CARE and is administered by Dr. Coan. Due to its intensity, this peel requires that you prepare 4 weeks prior to your appointment with retinol and other products Dr. Coan will go over with you at the consultation. With this particular peel, patients will need 1-2 weeks of complete recovery time away from sunlight. The TCA peel reduces the appearance of sun damage and fine wrinkles, while promoting new cell growth and collagen formation so that your results are younger, healthier looking skin.

What Happens During a Chemical Peel

Depending on the type of peel you undergo, Dr. Coan or our Aesthetician will apply the treatment to your skin in layers, depending on the intensity of your peel type. The acids in the peel will work to dissolve the top, damaged layers of your skin. At the end of the treatment, the peel is either left on to self-neutralize, or it will be removed.

How to Prep for a Chemical Peel

Before a chemical peel, you will want to avoid any waxing treatments, begin using very gentle cleansers, and avoid exfoliation. If you plan to go in the sun, make sure to use lots of sunscreen and cover. After your chemical peel, you will continue to use a gentle cleanser. Avoid exercise or excess perspiration for 48 hours. Depending on the type of peel, recovery time will either be non-existent, or a few weeks. So make sure to consult Dr. Coan or our Aesthetician beforehand.

Some products we recommend to help you prep for your chemical peel are: Elta SPF products and Skinmedica products. 


For more information on medical-grade skin peels, or to schedule a consultation with Dr. Coan or our Aesthetician at CARE Plastic Surgery, please call 919.484.4884. 

CARE Plastic Surgery

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How to Plan Your Wardrobe After Breast Augmentation Surgery

wardrobe post breast augmentation

Breast augmentation can do more than alter the physical appearance of your breasts, it can also revitalize the way you see yourself, inside and out. In fact, many women admit they update their entire wardrobe after their augmentation surgery. Our clients tell us that after surgery they like to choose outfits that better fit their appearance as well as their new figure. Here are some points to consider when planning your wardrobe for after your breast augmentation surgery.

Keep Your Wardrobe As is:

You read that right. Some ladies choose such a natural-looking, small breast implant that there really is little need to purchase any new clothes. Our clients who opt for a subtle, minor augmentation generally mention that they simply just want a slight rejuvenation and delicate change in appearance.

Begin at the Brassiere

Before you start filling up a dressing room with new, exciting clothes that match your newer breast profile and contour, make sure to support your breasts, too. We recommend our patients start off with a few new brassieres, including sports bras, and support garments. Make sure that they add comfort and style for your shape.

Some of our favorites we recommend: Leonisa in Colombia, Aerie for Sports Bras

And Victoria’s Secret Very Sexy for Very Sexy bras!

Match the ‘New’ You

While your new breasts may have you feeling excited and rejuvenated about your appearance, it can still be easy to fall back into old habits when you go to your favorite clothing stores. Start thinking of dress and shirt cuts that will highlight and accentuate your breasts, rather than smash and hide them. You might even want to bring a friend with you to help you remember to change it up.

We recommend: plunging necklines and square necklines when out shopping!

Buy That Bathing Suit You’ve Been Eyeing 

Probably the best way to highlight your curvaceous new body, is to browse through swim departments. Our patients often say that their favorite part of buying a new wardrobe is trying on different bathing suits they would never have dreamed of wearing before.

Above all, you want clothing that will accentuate, not dull the vibrancy of your personality and new look. Steer away from baggy shirt and heavy coats. You’ve worked hard to look the way that you look and you deserve to let that show. Choose clothing that best compliments your personality and your attitude towards the ‘new’ you and let that help you show to the world how classy and revitalized you look!

Do you have any questions on how to liven up your wardrobe after you’ve had a breast augmentation procedure? Ask your question below, we would love to help you show your ‘best’ you to the world!

To feeling great about yourself,
Dr. Brian Coan & The CARE Staff,

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What is the Difference between Silicone & Saline Breast Implants?

dr brian coanHave you been thinking about undergoing a breast augmentation procedure? Before you make the decision, there are quite a few things to consider. One of the first considerations you will make, will be whether you choose silicone gel or saline based breast implants. Today we will go over the differences in the two types of implant so that you can make a more informed decision when the time comes.

Silicone Gel Implants

Silicone gel implants are shells that are pre-filled with a thick, sticky substance that mimics human fat. This type of implant is available for surgery at the age of 22 and is slightly more expensive than its saline counterpart. However, due to its silicone contents, many women still choose silicone implants because they greatly resemble the feel of a real breast.

Pros – Because of the thick, nature of the substance, if the implant were to break or tear, you wouldn’t notice at all, as it would hold its shape. If a tear were to occur, it is detectable through an MRI and per the advisement of your plastic surgeon, it can be removed or replaced if necessary.

Cons – There is a rooted stigma about the silicone implant because of the fear that they lead to autoimmune diseases in the 90’s. While these concerns were appeased and the implant was FDA approved and introduced once again to the general public in 2006, there are still some old reservations towards the product.

Saline Implants

Saline implants are filled with sterilized salt water. They are inserted into the breast empty, and are filled to the correct size once they are in place. This type of implant can also be surgically inserted at a younger age than the silicone implant, 18. Because of its watery base, a saline implant will have a different weight and feel than a silicone implant will.

Pros – Since saline is simply sterilized salt water, if the implant were to tear, your body would naturally absorb the substance. You would also know of this right away due to a change in the breast shape, and a replacement or removal could be undergone more quickly.

Cons – The saline implant has a slightly greater chance of visible rippling or wrinkling than a silicone gel implant will. Some patients have reported that they feel less like a natural breast than a silicone implant might.

Do you have any additional questions about silicone gel vs. saline? Share them in the comment box below and we would be happy to answer them for you!

CARE Plastic Surgery


3 Tips…Enhancing Your Breasts Doesn’t Have To Mean Surgery!

Enhancing Breasts

Summer season is upon us, and it is time to start showing a little skin! While we are a plastic surgery facility that focuses on surgical procedures to enhance or alter your breasts, we also believe there are great ways to accentuate your breasts that do not have to include surgery! Here are a few tips that will help you make your breasts look great, not just in your new bikini, but for all of your summer attire!

1. Push-Up Bras – It is not only good to invest in a quality push-up bra for the increased cup size, but the extra cleavage created by a push-up bra has also been known to statistically boost confidence in women as well. Making sure that the push-up bra you purchase is the correct size is important to decrease the chance of back pain, red marks, and bulging in the wrong places.

CARE Secret: Our favorite push-up bra, by far, is the made by Leonisa in Colombia.

2. Going Strapless – Have a strapless dress or tube top you are dying to wear this summer, but have no idea how you are going to wear a bra with it? There are quite a few options you can use to get the support you need to make your breasts look great in that summer outfit.

  • Fashion Tape – This is very popular for celebrities who adorn those amazing gowns at award ceremonies. It is essentially, skin-safe, double-sided tape that can secure the fabric of your outfit to your skin or elsewhere to prevent slipping and add security.
  •  Sewn-in Cups – You can either visit your local tailor, or do this yourself, but it is a very simple sew to include bra cups or extra lining into that dress or shirt you are wanting to wear.
  • Stick-on Bra Cups – There is such a thing! These bra cups stick directly on your skin right underneath the breast and provide that lift and support you are needing from your bra, without the visible straps and hooks.
  • Strapless Bras – These are lifesavers when you are looking for a traditional bra’s supportive feel, without showing your straps to the world. However, if you do not get one that fits to your body, it can actually drag on your breasts and create a lot of discomfort, so make sure you are trying on different styles and brands before you commit to one.  

3. Matching Bathing Suit and Body – Want to feel awesome in that teeny weeny, yellow polka-dot bikini? Make sure you’ve found a bathing suit that will accentuate your breasts.

  • For the Well-Endowed – You are going to want a suit that will support you as well as accentuate your assets. Look for a bikini top that fits like a bra with an underwire to ensure you are getting the support you need.
  • For the Small-Busted – Try on a bathing suit that has a bright color or bold pattern like polka dots, this will help to play up your bustline. You can also try halter tops, which help to push up your breasts and create cleavage, or even padded cups in your suit.

What are your tricks or secrets to make your breasts look great? Post them in the comments below, we would love to help you feel proud and confident with the breasts that you have!

To your Health and Happiness,

Care Plastic Surgery


5 Interesting Facts You Didn’t Know About Breast Augmentation

Breast Augmentation

Breast Augmentation has been the most popular cosmetic procedure in the United States and arguably the world for almost a decade. With almost 300,000 augmentations performed in 2013 alone, it is safe to say that general information surrounding this procedure is well known among American women. That was why we put together a list of interesting and little known facts about breast augmentation we find fascinating and believe you will too!

Breasts in the 1800’s

The first breast augmentation was performed as far back as 1890 in Austria. Surgeon Dr. Robert Gersuny injected women with paraffin. The results were okay at first but over time the breasts turned hard and lumpy and developed dangerous infections. Other breast fillers like ox cartilage, rubber, and ivory were also experimented with. Thank goodness for modern medicine!

The Breast Implant As We Know It

The silicone breast implant as it exists today, was developed in 1961 and was used until the 70’s. Since, this procedure has gone through 5 generations of the implants and now consists of a silicone shell filled with gel. This gel is able to hold its shape, even if the implant is torn or broken – much like a gummy bear!

The Winner For Average Cup Size Is…

In a recent study, it was determined that the average cups size in America, pre-breast augmentation, is a 36C. Just 15 years ago, this average was marked as a 34B. When women choose to undergo this surgery, the majority of women choose to move up by two cup sizes.

Breast Augmentation by the Numbers

As the number one cosmetic procedure in the United States, there are over 2 million women, today, who have undergone a breast augmentation.

Mommies and Breast Implants

Studies show that almost 90% of women wait until after they have children to get breast implants. As such, the average age to go through a breast augmentation is 34.


If you would like to know more about breast augmentation, lifts, or other procedures, we encourage you to drop us a line or you can call CARE at (919) 484-4884 to schedule a consultation at our Durham office. We are also happy to discuss the different financing options available to you for your breast augmentation procedure.


To your Health and Happiness,

Care Plastic Surgery