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Excellence in Orange County Breast Augmentation
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Joseph T Cruise, MD, Breast Augmentation Specialist
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, help their career (dancers, actresses, models, etc.). Women who want breast augmentation are looking for the best plastic surgery results to achieve their aesthetic goals, which is why they come to 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 Joseph T Cruise, MD transforms women’s bodies. Additionally, you can read his patient's reviews and testimonials as they describe how Joseph T Cruise, MD has transformed their bodies and lives through breast augmentation surgery.
Joseph T Cruise, MD 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. Joseph T Cruise, MD uses advanced surgical techniques to provide his patients exceptional results, and his Newport Beach facilities are outfitted with the most state of the art surgical equipment and plastic surgery 3D imaging. After your consultation with Joseph T Cruise, MD and his staff, you will be clear on the details and projected outcome of your breast augmentation surgery.

Highly Experienced, Impeccable Reputation
Perhaps the most significant advantage of being very busy performing breast augmentation is the tremendous experience obtained. Joseph T Cruise, MD performs several hundred breast augmentations at his Newport Beach practice every year. This experience, and Joseph T Cruise, MD’s extreme attention to detail and innovative full muscle coverage technique, 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 Joseph T Cruise, MD. "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."
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 breast augmentation affordable.
Joseph T Cruise, MD and his Newport Beach staff have earned a prestigious reputation as one of the best plastic surgeon offices in Southern California. By combining a dedication to excellence with the latest technologies available, there is no better example of how to provide patients with concierge patient care or higher quality breast implant surgery results than Cruise Plastic Surgery.
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, Joseph T Cruise, MD 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.

Joseph T Cruise, MD's Breast Augmentation Philosophy
Breast augmentation patient satisfaction is very high when performed by an experienced breast augmentation plastic surgeon. Breast augmentation is not as simple as it may seem, there are many variables and nuances to achieving a great result.
Joseph T Cruise, MD breaks down the process into categories he takes into consideration during each breast augmentation consultation. Read more on his Philosophy Page.
Breast Augmentation Anesthesia - Safety & Expertise
Breast augmentation performed by Joseph T Cruise, MD is done so under general anesthesia in a fully accredited outpatient surgery center.
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, Joseph T Cruise, MD only works with Orange County Board Certified Anesthesiologists who are specialists in cosmetic surgery and provide gentle, outpatient anesthesia. Below you can learn more about Joseph T Cruise, MD's primary anesthesiologist, Dr. Cedric Choan.
Meet Breast Augmentation Anesthesiologist Cedric Choan, MD
Concierge Patient Service & Superior Technology
In order to give patients every advantage to enjoy beautiful breast augmentation results, Joseph T Cruise, MD has spent over 5 years developing his own proprietary digital patient management software.
This program guides patients through the entire surgery process, with guidance on selecting the right breast implants, secure text messaging access to Joseph T Cruise, MD’s Newport Beach, Orange County office, and much more. Cruise Plastic Surgery patients have exclusive access to personalized before and after pictures. Before the surgery even begins, patients can see images of what to expect during the healing process, as well as learn massage and bra management techniques to ensure the best breast augmentation result possible.
"The Look You Want"
During the consultation with Joseph T Cruise, MD at his Newport Beach practice, he will use the patient's personal information and desired goals to help determine the "Look You Want" to achieve with breast augmentation surgery. This aspect of Joseph T Cruise, MD's software program allows women to visualize the different results possible with surgery and gives him a clear picture of the "Look You Want." This feature bridges the gap with patient - surgeon communication and greatly reduces the need for revision surgery due to unclear expectations.
Quick Access to Joseph T Cruise, MD and Staff
Some cosmetic surgery offices develop reputations for being less available to patients after their surgery, but Joseph T Cruise, MD and his staff believe that after breast augmentation surgery is when patients need them most. In addition to offering patients Joseph T Cruise, MD’s personal phone number, the staff can also be reached through a nurse line and via text messaging. Patients can send in pictures and express any healing concerns, knowing they will be answered quickly and in a very convenient way.
Help with Ongoing Concerns & Care
As a patient care oriented Newport Beach cosmetic surgeon, Joseph T Cruise, MD assists his breast augmentation 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 demonstrating how to manage asymmetrical breast implants, post-operative massage techniques, and post-operative bra management. These videos allow Joseph T Cruise, MD to fully explain how daily life may be affected after your breast augmentation surgery, and they allow convenient access to Joseph T Cruise, MD’s invaluable advice as often as needed. Sample videos about post-operative breast massage can be seen below in the Healing Progression section.
Have questions? Contact our knowledgeable staff at 949.446.1421
Procedure Details
Below we have categorized the most important and popular breast augmentation topics into sections. Reading through this information will help you become further educated about the breast augmentation procedure details.
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:
- Serious medical issue
- 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, Joseph T Cruise, MD 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.


Consultation & Physical Exam
During your consultation with Joseph T Cruise, MD, not only will he review your health history, he will also provide a physical exam which will include measurements of your breasts and chest wall. This evaluation will help determine the best procedure, implant type, and incision location. Please visit our physical exam page for more information.
Additional information:
Implant Options
Guide to Breast Implant Options
Selecting your new A.S.S.E.T.S. Fun infographic diagraming the decisions that need to be made when having breast augmentation.

Detailed information about the types of breast implants including: saline, silicone, gummy bear, round, shaped, etc. can be found here: Types of Breast Implants Explained
Augmentation Videos: Silicone & Saline
Saline breast implants
Saline breast implants are filled with sterile salt water. They are inserted empty into the breasts, and then filled once they are in place. The fill amount can be customized within a specific volume range based on the size of the implant.
Silicone breast implants
Silicone breast implants are pre-filled with silicone gel, which is a 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. More information and frequently asked questions, click here.
Additional info about Silicone and Saline Implants
Implant Placement
Implants can be placed in three different ways:
- Subglandular implant is placed on top of the muscle and under the breast tissue (gland) only.
- Partial Muscle Coverage, a.k.a. Dual Plane. Only part of the implant is covered by the muscle.
- Complete Muscle Coverage - the entire implant is covered by the muscle.
Joseph T Cruise, MD's preferred placement method is Complete Muscle Coverage. For more information about this technique, visit: Complete vs. Partial Muscle Coverage

Understanding Implant Placement
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.
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.
Partial vs. Complete Muscle Coverage

Partial Muscle Coverage

Inside view of masculine chest
Joseph T Cruise, MDs's Complete Sub-Muscular Coverage
To provide the best, longest-lasting breast augmentation results for his patients, Joseph T Cruise, MD performs his surgery by inserting the breast implants under complete breast muscle coverage. This means instead of placing the implant under just the pectoralis major muscle, as most plastic surgeons do, Joseph T Cruise, MD places the implant under additional muscles as well.
This complete muscle coverage technique has several important purposes, especially for Newport Beach breast augmentation patients who desire 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. Joseph T Cruise, MD likes to reference this as the "book end" technique. Full muscle coverage acts like "book ends" supporting the implants so they don't move laterally into the armpit. 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 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?
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 end" 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.
Two example are shown below. 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.
Cleavage and Implant Placement

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.
Upper Breast Shape/Fullness and Implant Placement

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

Implants placed higher
Notice the enhanced upper breast fullness and lower nipples
Incision Placement
There are several places where the incisions can be placed when having breast augmentation. In many cases, the incision is determined by the preference and experience of your plastic surgeon. There can also be circumstances pertaining to your breasts or implant choice, which will also impact placement of the incision.
- Inframmamory fold: Within the fold at the bottom of the breast.
- Peri-areolar: Exactly at the margin of the areola where the lighter skin meets the darker skin.
- Axillary: Within the axila (armpit).
- Transumbilical (TUBA): Upper inside edge of the belly button
- Breast Lift Incisions: Donut, Lollipop, Anchor
More information is available on our Breast Augmentation Incisions Page.
Minimizing Breast Augmentation Scarring
Women do not want scars that make their breasts look “operated on,” and as an experienced, skilled Orange County cosmetic surgeon, Joseph T Cruise, MD goes to great effort to minimize scarring. With silicone implants, Joseph T Cruise, MD uses a funnel insertion device which eases the effects of the surgery and decreases the size of the incision and of any potential scar. Furthermore, he puts meticulous detail into closing breast augmentation incisions and tapes them after surgery to reduce tension, so the scars are more likely to remain thin and flat.
Design Your Look
Joseph T Cruise, MD has designed the "Look You Want" interactive diagram below to help his patients visually show what they want their breasts to look like after breast augmentation surgery.
Click the images below to select the look you want in each category and complete the submission process. You will be contacted by a member of Joseph T Cruise, MD's staff who will review your selections. You can also click TLIW in PDF format to print for your own use.
Healing Progression
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 Massage Videos - Below are two instructional videos about post-operative breast massage. One is for asymmetrical breast healing and other other for general healing.
Before & After Photos
Joseph T Cruise, MD has an extensive gallery of Breast Augmentation before and after photos. You will see examples of his trademark "close cleavage,"as well as various results showing upper fullness vs. lower fullness and conservative vs. dramatic. Achieving "The Look You Want" is the ultimate goal and can be achieved with top breast augmentation surgeon, Joseph T Cruise, MD.
Breast Augmentation 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
Read more about breast augmentation costs, financing, and financing benefits, click here.
FAQ
For a full list of Breast Augmentation FAQ's, Click Here.
Patient Experiences 
When considering breast augmentation it can be very helpful to hear from others who have already recovered from surgery. There are several on-line forum sites such as Real Self and Just Breast Implants where you can read posts about topics pertaining to breast augmentation. You can even talk to others and get answers to many of your questions, receive emotional support, as well as get tips and advice.
Below are two articles many of our breast augmentation patients have found helpful during the research process. There is also a video you can watch with several of our patients talking about their breast augmentation experience.
- 10 things I wish I knew before my breast augmentation journey
A patient's perspective about things she wish she would have known before her breast augmentation surgery. - Choosing your implant size. One of the hardest decisions for breast augmentation patients is choosing the implant size.
- Patient testimonial video
Actual breast augmentation patients discusses their experience and results.