Joseph T. Cruise, M.D.


(949) 446-1421  

Excellence in Orange County Breast Augmentation

Breast Augmentation Overview

We have compiled this information to help you make an informed and educated decision. Please let us know if you have any questions along your surgical journey.

Augmentation Videos

  • Silicone 
  • Saline 


  • Breast Augmentation
  • Breast Lift

Augmentation Options

  • Above the muscle
  • Dual plane
  • Complete muscle coverage
  • Implant types

Incision Placement

  • Areola
  • Inframmary Fold
  • Breast Lift Incisions

Design Your Look

  • Pick your size
  • Projection
  • Upper & Lower breast fullness

Healing Progression

  • Healing progression step by step
  • Possible risks and complications

Before & After Photos

  • View extensive gallery of before and after photos.

Cost & Financing

  • Augmentation: $7,000 - $9,000
  • Lift: $7,500-$13,500
  • Financing Options: Prosper Lending, Care Credit, Alphaeon Credit


  • Implant Warranty
  • Breast Feeding
  • Mammogram
  • Possible Complications

About Dr. Cruise

Breast augmentation remains the number one cosmetic surgical procedure performed in the United States. Women have breast augmentation for many reasons, including, to obtain better body proportion, enjoy better fitting clothes and bikinis, improve self confidence, feel more feminine and sexy, and  the list goes on. Women who seek breast augmentation are looking for the best plastic surgery results to achieve their aesthetic goals, and they find it with Orange County breast augmentation surgeon, Joseph T. Cruise, M.D.

Breast augmentation before and after photos show what words can’t explain – you can see for yourself how Dr. Cruise transforms women’s bodies. Additionally, you can read his patient's reviews and testimonials as they describe how Dr. Cruise has transformed their bodies and lives through breast augmentation surgery.

Dr. Cruise and his staff have gone to great lengths to ensure your breast augmentation experience is optimal. His knowledgeable and caring staff will guide you every step of the way, providing concierge patient services. Dr. Cruise's Newport Beach facilities are outfitted with the most state of the art surgical equipment and the best plastic surgery software available to make sure you are crystal clear on the details and projected outcome of your breast augmentation surgery.

For your convenience, Dr. Cruise has provided a wealth of information and resources to familiarize you with breast augmentation preparation, procedures, and recovery.

Use the menu below to advance to a particular section of interest or keep reading this page.


Highly Experienced with an Impeccable Reputation

Perhaps the most significant advantage of being very busy is the tremendous experience obtained. Dr. Cruise does several hundred breast augmentations in Orange County every year. This experience and Dr. Cruise’s extreme attention to detail has lead to an unsurpassed reputation as one of the best plastic surgeons in Orange County;  providing predictably good results with a perfect safety record. "Performing the surgery is only part of the process," says Dr. Cruise. "Providing optimal results and cultivating a good reputation also requires an equally skilled staff. You will find that all my staff is extremely knowledgeable and caring. My patients are comforted knowing that we are there for them through out the entire recovery process."

Elite Credentials

Dr. Joseph T. Cruise is board certified by the American Board of Plastic Surgery. He is also a member of the American Society of Plastic Surgeons, and the American Society for Aesthetic Plastic Surgery, which is limited to cosmetic surgeons specializing in aesthetic surgery. In addition, Dr. Cruise has joined the Orange County Society of Plastic Surgeons, an esteemed local group dedicated to safety, excellence, and integrity in cosmetic surgeries such as breast augmentation.


Many High Quality Before and After Pictures

Breast augmentation before and after pictures prove the success Dr. Cruise has with his patients. No matter what a patient is looking for in her surgery, Dr. Cruise can customize his trademark close cleavage, upper or lower breast fullness, and proper proportion for height into the overall look the patient wants to achieve from her breast augmentation. The before and after pictures show Dr. Cruise’s attention to detail and ability to finely tailor the augmentation results to meet his patient’s preferences.

Breast Augmentation by Height

The Difference of Complete Sub-Muscular Coverage

To provide the best, longest-lasting results for his Orange County breast augmentation patients, Dr. Cruise performs his surgery with a technique of inserting the breast implants with complete breast muscle coverage. This means that instead of putting the implant under just the pectoralis major muscle, Dr. Cruise puts the implant under additional muscles as well.

This complete muscle coverage serves several important purposes, especially for Newport Beach breast augmentation patients who appreciate close cleavage. Over time, breast implants often shift to the sides as breast tissues weaken, but full muscle coverage allows for closer cleavage with a reduced risk of cleavage widening. These stronger muscles are less likely to allow the implants to shift, and they provide a thick buffer that effectively reduces or prevents the skin rippling effect that can occur with other types of breast augmentation.

Partial vs. Complete Muscle Coverage

Partial coverage

Partial Muscle Coverage


Inside view of masculine chest

Implant Placement

What is the difference between partial and complete muscle coverage?

Early in breast augmentation history, placing the implant above the muscle was very common. However, due to high incidences of capsular contracture, rippling, and an "implanted look", placing the implant underneath the pectoralis major muscle became the preferred method for most board certified plastic surgeons. Placing the implant below the muscle has been shown to decrease capsular contracture and rippling. In addition, it softens the margins on the implant so that it looks more natural. However, most patients do not realize that even with below muscle coverage up to half the implant is not covered by muscle. This is referred to as partial muscle coverage.


Areola incision 5 months after surgery

Partial muscle coverage is the most common technique. Complete muscle coverage requires that the pectoralis minor, serratus anterior, and usually a portion of the external oblique also be included so that the lower, outer part of the implant is covered as well. The images below illustrate the anatomic differences as well as the aesthetic differences between the two. In summary, complete muscle coverage adds support and coverage over the lower, outer part of the implant. This has the advantage of less rippling, less bottoming out, less migration of implant into the arm pit. In addition, this lateral support essentially pushes the implant toward the midline creating closer cleavage.

Two example are shown. One with the implant placed higher on the chest and the other with the implant placed lower. High implants create more upper breast fullness and the appearance of a longer, thinner abdomen, and a perkier look. Low implants create more lower breast fullness, a more concave slope to the upper breast, and give more lift to the nipples. However, lower implants means less upper breast fullness, less cleavage, and a shorter abdomen.

Partial vs. Complete Muscle Coverage

(Implant positioned high on chest)

Partial coverage

Partial muscle coverage
50% of implant uncovered


Complete muscle coverage
Complete lateral coverage of implant


Partial muscle coverage


Complete muscle coverage


Partial muscle coverage


Complete muscle coverage
Better cleavage as muscle prevent implants
from sliding

How is cleavage affected by implant position?

Complete vs Partial muscle converge

As demonstrated above, complete muscle coverage adds muscle coverage and support over the other part of the implant. This does two positive things. One, it prevents the implant from sliding outward particularly when laying on the back. Two, it acts as a "book shelf" to push the implants toward the midline providing better cleavage.

The lower a implant is placed the more the implants will separate. Placing an implant low has the advantage of lifting the nipple slightly. Lowering the implant too much may cause "bottoming out" and sliding of the implant toward the arm pit.

How is cleavage affected by implant position?


Implants High/Partial muscle coverage


Implants High/Complete muscle coverage


Implants Low/Partial muscle coverage


Implants Low/Complete muscle coverage

How is upper breast shape/fullness affected by implant position?

Implant position has a significant impact on the overall shape of the breast. Placing an implant in a high position actually means it is placed in the normal location of breast tissue. The implant is placed at the level of the breast fold. However, the breast fold is not lowered significantly. This will create more upper breast fullness and better cleavage. Placing an implant in a low position means that the implant is placed somewhat below the breast tissue. Lowering the breast fold a little will create a concave shape to the upper breast as demonstrated below. In addition, it will cause the nipple to elevate slightly. This may be useful in the borderline cases where a formal breast lift is trying to be avoided. Lowering the fold too much will create a heavy, maternal look with no upper breast fullness. In general, if the nipples or the breasts are sagging it is best to put them back up where they below. This will give the sexiest, perkiest look.

How is upper breast shape/fullness affected by implant position?


Implants placed lower
Notice the softer appearing upper breast and
the nipples being lifted.


Implants place higher
Notice the enhanced upper breast fullness.

Imperceptible scar

Women do not want scars that make their breasts look “operated on,” and as an experienced, skilled Orange County cosmetic surgeon, Dr. Cruise knows how to minimize scarring on his patients. He uses a funnel insertion device with silicone implants, which eases the effects of the surgery and decreases the size of the incision and of any potential scar.

As one of the top cosmetic surgeons in Newport Beach, Dr. Cruise puts meticulous detail into closing breast implant incisions, and his staff will provide you with a detailed explanation of the post-operative care you need for the following months. Simple taping of the incision sites combined with Dr. Cruise’s elite skill decreases the chances of scarring, leaving you with natural-looking, healthy breasts that you can enjoy for years to come.

View a video of the Funnel Method vs Finger Method

Breast Augmentation Anesthesia

Cedric Choan MD, Board-Certified Orange County Anesthesiologist

Dr. Joseph Cruise realizes that an important aspect of any surgery is the anesthesia and that many women are sensitive and suffer unpleasant effects from it. In order to offer patients the most comfortable plastic surgery experience possible, Dr. Cruise only works with Orange County Board Certified Anesthesiologists who are specialists in gentle, outpatient anesthesia.

Numbing of breast in a horseshoe shape

Meet our Anesthesiologist Cedric Choan, MD

Dr. Cruise and his staff work hard to ensure that patients experience minimal pain after their cosmetic surgery by using preventative pain control measures with local anesthetics so patients’ pain never becomes intense, even after the medication wears off. These extra steps to make the breast implant recovery process as easy as possible for patients are one of the many ways that Dr. Cruise has earned his reputation as one of the best cosmetic surgeons in the Newport Beach area.

Concierge Patient Service Meets Cutting Edge Technology

In order to give patients every advantage to enjoy outstanding breast augmentation results, Dr. Cruise has spent over 5 years developing his unique digital patient management software.

This program guides patients through the entire surgery process, helps them decide which implants are right, provides secure text message access to Dr. Cruise’s Orange County office, and so much more. As a CSF user, you will have exclusive access to personalized before and after pictures – before the surgery even begins, you will see what you can expect during the healing process, as well as learn massage and bra management techniques to ensure that you obtain the best breast augmentation result possible.

The Look You Want

During your consultation with Dr. Cruise at the Newport Beach facility, the doctor will use your personal information to help you determine the look you want to achieve after your breast implants. This aspect of the CSF program allows you to see the different possibilities for your cosmetic surgery results, and lets you discuss with Dr. Cruise what you prefer for your own body.

Breast Implant Sizes


Quick access to Dr. Cruise and staff

Some cosmetic surgery offices develop reputations for being less available to patients after their surgery, but Dr. Cruise and his staff believe that after your procedure is when you need them most. In addition to offering patients Dr. Cruise’s personal phone number, the staff can also be reached through a nurse line. You can send pictures and express your concerns, knowing that you will be answered quickly and in a very convenient way.


Help with Ongoing Small Concerns

As a fully customer oriented Orange County cosmetic surgeon, Dr. Cruise helps patients with all aspects of post-surgery care. On an ongoing basis, he produces videos that discuss the relevant breast implant issues that matter most to his patients, including things such as showing you how to manage asymmetrical breast implants, post-operative massage techniques, and post-operative bra management. These videos allow Dr. Cruise to fully explain how your daily life may be affected long term after your cosmetic surgery, and they allow you convenient access to Dr. Cruise’s invaluable advice as often as you need it.

The Example of Excellence in Orange County Breast Augmentation

Joseph T. Cruise, M.D. cares about what his patients need, and his experience has taught him how to provide the highest quality, most professional, most convenient, and overall top cosmetic surgery experience possible for his patients. He also believes that every woman has the right to feel beautiful and enjoy the highest quality breast augmentation. Ask a staff member about available financing options and ways to make cosmetic surgery affordable.

Dr. Cruise and his Newport Beach staff have earned their prestigious reputation as one of the best plastic surgeon offices in the area. By combining personal dedication to excellence with the latest technologies available, there is no better example of how to provide patients with concierge customer service or higher quality breast implant surgery results than Cruise Plastic Surgery.

Procedure Details

Read through the breast augmentation procedure overview prior to consultation.  This will help you become further educated about the procedure. We recommend creating a list of questions for Dr. Cruise regarding the surgical process.

According to the American Society of Plastic Surgeons, 2015 marked yet another year that breast augmentation made the #1 spot as the most popular plastic surgery procedure in the United States. With more manufacturer and implant options available today, it is unlikely it will move out of the top spot anytime soon.

Silicone vs. Saline in 3D

What is the difference between saline and silicone breast implants?

Both implants saline and silicone have an outer silicone shell. The difference is in the fill of that shell.

Saline breast implants

Saline breast implants are filled with sterile salt water. They are inserted empty into the breasts, and then filled once they're in place.

Silicone breast implants

Silicone breast implants are pre-filled with silicone gel. It is thick, sticky fluid that is very similar in feel to human breast tissue. Many women feel that silicone implants look and feel more like natural breast tissue.

Additional info about Silicone and Saline diffrences

Implant Placement

Implants can be placed in three different ways:

  1. Subglandular implant is placed on top of the muscle and under the breast tissue (gland) only.
  2. Partial Muscle Coverage, a.k.a. Dual Plane. Only part of the implant is covered by the muscle.
  3. Complete Muscle Coverage - the entire implant is covered by the muscle.

Read about Complete vs. Partial Muscle Coverage


implant placement

Breast Cost & Financing

Estimated Cost of Breast Plastic Surgery Procedures

  • Breast Augmentation / Breast Implant Exchange Cost - The price varies between $7,000 to $9,000 depending of whether saline or silicone implants are used, if other procedures are performed at the same time, etc. This includes surgical facility fee, surgeon fee, anesthesia fee, operative supplies, implants, and all the post-operative visits.
  • Breast Lift Cost - The price of breast lifting varies depending on level of descent of your breasts and whether or not implants are used. A breast lift varies between $10,000 to $15,000.
  • Breast Reduction Cost - If your breasts are large enough and cause significant discomfort, your PPO insurance may cover on rare occasion some of the procedure costs. If this is not the case, the price will vary between $10,000 to $15,000. It may be a two stage procedure if implants are added.

Cruise Plastic Surgery accepts the following forms of payment:

  • Check
  • All major credit cards
  • Cash
  • Financing: Prosper Lending, Care Credit, Alphaeon Credit

Are you a candidate?

Ideal Candidates for Breast Augmentation

Unlike many other cosmetic procedures, most patients are good candidates for breast augmentation. There are very few reasons which would cause a patient to be an unsuitable candidate. The two primary reasons someone is unable to have breast augmentation surgery:

  1. Serious medical issue
  2. Patient takes regularly a prescribed medication, which is not allowed when having surgery and cannot be stopped.

Candidates with Breast Sag


While most patients are a candidate for a breast augmentation, there are some women who may also need a breast lift  to achieve their desired result. If you have experienced significant weight gain and/or loss, pregnancy, breast feeding or just naturally have breast sag, Dr. Cruise may recommend a breast lift with augmentation. Measurements will be taken during your consultation to determine whether or not an implant alone will provide the lift you need or if a breast lift with augmentation is needed.


Incision Placement

Tincisionshere are several places where the incisions can be placed when having breast augmentation. In many cases, the incision is determined by the preference of your plastic surgeon. There can also be circumstances pertaining to your breasts or implant choice, which will also impact placement of the incision.

  1. Inframmamory fold: Within the fold at the bottom of the breast.
  2. Peri-areolar: Exactly at the margin of the areola where the lighter skin meets the darker skin.
  3. Axillary: Within the axila (armpit).
  4. Breast Lift Incisions: Donut, Lollipop, Anchor


Design Your Look

Choose your desired look from patients with similar height and weight. You can click this link and view before/after pictures of Dr. Cruise's patients to determine how you would like your breasts to look after surgery. Select the pictures you like best and save them to your saved Items. You will then be able to refer back to them or review them with your consultant or Dr. Cruise.

You can click the image below, fill out the form and submit it to our office. You can also click TLIW in PDF format to print it for your own use.

Recovery Timeline - Understanding what to expect during recovery, as well as how long it will take you to be fully healed, is key when deciding when to having your surgery.



Breast Implant Warranty
Most people aren't aware implant manufacturers offer warranties on both silicone and saline implants.
  • Allergan - offers both saline and silicone implant warranty
  • Mentor- offers both saline and silicone implant warranty
Breast Feeding After Breast Augmentation
Women who plan to have children in the future want to know whether or not breast augmentation will interfere with breast feeding. Read through comments from plastic surgeons who weigh in on this important topic.
Mammogram & Detection of Breast Cancer with Implants
A valid concern for those considering breast augmentation. Read this article for information on this important topic.
Breast Augmenation Words to Know
It is important for you to familiarize yourself with the common terminology associated with breast augmentation surgery.
History of Breast Implants
A timeline outlining the regulatory history of breast imlplants in the United States provided by the U.S. Food and Drug Administration (FDA).
Risks and Possible Complications
There are various surgical risks you will want to be familiar with when deciding whether or not to have breast augmentation surgery.

Discussion Boards

Patient discussions and experiences

When considering breast augmentation it can be very helpful to connect with others who have already recovered from surgery and with those who are currently going through the process. There are several on-line forum sites where you can read posts about topics pertaining to breast augmenation. You can even talk to others and get answers to many of your questions, receive emotional support, as well as get tips and advice.

Some of the popular forum sites are:

Patient Experiences and Forum Posts of Interest:

  1. 10 things I wish I knew before my breast augmentation journey
    A fun and helpful article from a patient who gives her tips on things she wish she would have known before hand.
  2. Breast augmentation journey
    26 year old woman details her experience beginning with the research process through recovery.
  3. Women talk about wishing they were bigger after having breast augmentation
    One of the hardest decisions for breast augmentation patients is choosing the implant size.
  4. Patient testimonial video
    Actual breast augmentation patients discusses their experience and results.

Consultation Checklist

Prior to your consultation we recommend you complile a list of questions to ask Dr. Cruise. Some of the common questions asked by patients are:

  • How many breast augmentations do you perform per year?
  • Do you recommend saline or silicone implants for me?
  • What are the incision options?
  • How do I determine what size and profile to choose?
  • Where do you place the implants?
  • What are the most common complications from breast augmentation?
  • When will the implants need to be replaced?
  • How long is recovery?
  • How many post-op visits will I have?
  • When can i resume driving?
  • When can I back to work?
  • When can I work out?
  • When can I resume sexual activity?
  • What surgery center do you use and is it accredited?
  • Is the anesthesiologist board-certified?
  • Will I need to purchase any special bras?