What Does Dr. Lynam’s Breast Augmentation Process Actually Look Like? A Real Richmond, VA Patient Case Study

Not every breast augmentation patient wants to go big. Some women just want to feel more like themselves, a little more proportionate, a little more confident in a bathing suit. That goal is actually harder to achieve than it sounds. Getting a result that looks completely natural, one where nobody can tell, takes a very specific kind of surgical thinking.

This post walks through a real case Dr. Lynam reviewed on camera, one he described as a great example of exactly that kind of outcome. The patient, the measurements, the implant choice, the incision approach, all of it is covered. And the result, in his own words, is one where no one would ever know these weren’t her real breasts.

That’s not marketing language. That’s a board-certified plastic surgeon with over 20 years of experience describing a specific clinical outcome. Here’s how it happened and what it can tell you about the breast augmentation process at Richmond Surgical Arts.

The Patient: Proportions First, Size Second

Dr. Lynam described this patient as a very attractive, well-proportioned female with a narrow waist and narrow shoulders. She wasn’t coming in asking for a dramatic size increase. Her goal was specific: feel a little more feminine, look better in a bathing suit, and keep everything natural. Not oversized. Not obvious.

That’s a different kind of consultation than someone who wants to go from an A cup to a DD. It requires the surgeon to think about subtlety, about how an implant fits into a frame rather than how much it changes it. And for a patient with narrow shoulders and a narrow waist, putting in too much volume would throw everything off. It would look wrong even if the patient thought she wanted more.

Dr. Lynam’s approach to cases like this starts with listening. What does she want to change? What does she want to keep? Those answers shape everything that follows.

The Measurements: Three Per Breast

Before any implant is selected, Dr. Lynam takes three measurements per breast. This is part of what he calls a bio-dimensional approach to implant sizing, and it’s one of the reasons his results tend to look proportionate rather than grafted on.

The measurements account for breast width, tissue thickness, and the natural dimensions of the chest wall. They’re not optional steps. They’re what determines which implant can actually fit the patient’s anatomy without overwhelming it. You can’t eyeball this and get it right consistently.

For this patient, those measurements pointed clearly toward a specific implant size and profile. A narrower, more projected implant would have looked out of place on her frame. A wider, lower-profile option fit her anatomy much better. That’s a decision the measurements make, not personal preference.

Dr. Lynam on sizing: “We measure three measurements per breast… it doesn’t overwhelm her frame, it fits, and it’s proportionate to her body.”

The Implant: 295cc Soft-Touch Allergan, Moderate Profile

The implant selected for this case was a 295cc soft-touch Allergan implant in a moderate profile. Each part of that description matters.

295cc is a modest volume. For context, many augmentation patients end up in the 300 to 450cc range depending on their frame. For this patient, 295cc was the right call because of her narrow build. More volume would have pushed past what her chest wall could support proportionately.

The moderate profile means the implant has a wider base and less forward projection. On a narrow-shouldered patient, a high-profile implant (narrower base, more projection) can look unnatural. The moderate profile spreads more naturally across her chest and blends into her frame.

The soft-touch cohesiveness level sits between a standard silicone gel and a firm gummy bear implant. It has a bit more structure than a traditional silicone gel, which means it holds shape better and has less tendency to ripple, but it still feels very natural to the touch. Dr. Lynam has talked about preferring this level in several of his patient education videos. It’s one of the newer cohesiveness options from Allergan and, in his view, gives the best of both worlds. You can read more about implant types on the procedure page.

The Incision: Breast Fold, Under the Muscle, Dual-Plane

For this case, Dr. Lynam used an incision along the breast fold, known as the inframammary incision. The implant was placed under the muscle in what’s called a dual-plane position. Both of those choices are worth understanding.

The inframammary incision sits in the natural crease beneath the breast. When you’re standing, it’s hidden in shadow. It heals well across most skin types and gives the surgeon the best visibility and control when creating the implant pocket. For a case involving a moderate-profile silicone implant placed below the muscle, it’s typically the most precise approach.

Dual-plane placement is a refinement of standard submuscular (below the muscle) positioning. In a dual-plane approach, the lower portion of the pectoral muscle is released slightly, which allows the implant to sit in a more natural position and the lower pole of the breast to fill out more softly. The result looks less “implanted” and more like natural breast tissue, especially in the lower breast where natural fullness should taper gradually.

Below-the-muscle placement in general is associated with lower rates of capsular contracture compared to above-the-muscle placement. And for a patient with less soft tissue coverage, like someone with a lean, athletic build, it also provides better coverage over the implant edges.

Dr. Lynam also offers the transaxillary (armpit) incision for patients who want no visible scar on the breast at all. That approach wasn’t used in this case, but it’s worth knowing it’s an option not many Richmond surgeons offer.

The Result: Natural, Proportionate, Undetectable

Dr. Lynam summed up the outcome simply: “She just has a very wonderful, natural result.”

What makes that possible isn’t luck. It’s the sequence of decisions that led to it. Starting with what the patient actually wanted. Taking the right measurements. Selecting an implant that fits the frame rather than one that fills a wish list. Choosing a placement and incision that serve the anatomy. Each step builds on the last.

The goal this patient came in with was to feel a little more feminine, to look better in a bathing suit, without it being obvious. That’s exactly what she got. In Dr. Lynam’s words, it doesn’t overwhelm her frame. It fits. And it’s proportionate to her body.

He also said something worth repeating: “Not everyone needs to be a double D. This is just a very natural look. No one would ever know these were not her real breasts.”

That’s the point of a well-executed breast augmentation. Not to announce itself. To quietly do exactly what the patient asked for and nothing more.

What This Case Teaches About the Process

This case is a good one to study because it’s not dramatic. There’s no big transformation story, no extreme before and after. It’s a precise, thoughtful procedure done on a patient who knew what she wanted and worked with a surgeon who knew how to deliver it.

A few things stand out clinically. First, the implant volume (295cc) is on the conservative end of what most patients choose, and it was the right call for this particular frame. Second, the moderate profile was selected specifically because of her narrow shoulders and waist. A different profile on the same patient would have produced a different result, and not necessarily a better one. Third, the dual-plane placement gave the result a softness and naturalness that straight submuscular placement sometimes doesn’t achieve in the lower pole.

None of those decisions happened by accident. They came from a consultation where Dr. Lynam listened, measured, and matched the implant to the person rather than the other way around.

Is a Natural-Looking Result Right for You?

Not every patient who walks into a breast augmentation consultation wants subtlety. Some patients want a more noticeable change, and that’s a completely valid goal. But a lot of women, especially those who are already fit and proportionate, come in wanting exactly what this patient wanted: to feel more like themselves, just a fuller version.

If that resonates with you, the conversation during your consultation should start with proportions, not volume numbers. What’s your chest width? How much soft tissue coverage do you have? What profile fits your frame? Those answers matter more than picking a cc number off a friend’s chart.

Richmond Surgical Arts has a full breast augmentation gallery sorted by implant type, volume, and incision type. It’s one of the more useful resources locally for getting a realistic sense of what different choices look like on real patients.

Clinical Research Worth Reading

ASPS: Breast Augmentation Overview Current clinical guidance from the American Society of Plastic Surgeons on implant safety, technique, and patient selection.
FDA: Risks and Complications of Breast Implants Updated FDA information on both saline and silicone implants, including monitoring recommendations.
PubMed: Dual-Plane Breast Augmentation Research Peer-reviewed studies on dual-plane placement and how it affects long-term outcomes and natural appearance.

Ready to Talk About Your Goals?

If you’re based in Richmond, Midlothian, Short Pump, or the surrounding area and you’re thinking about breast augmentation, Dr. Lynam’s practice is at 8720 Stony Point Parkway, Suite 100, Richmond, VA 23235.

Schedule a consultation at richmondsurgicalarts.com/breast/breast-augmentation/ or call (804) 560-5260.

Results vary based on anatomy, implant selection, and individual healing. The best way to understand what’s realistic for your situation is a real conversation with a board-certified surgeon who takes the time to evaluate you properly.