The pekomd®
Standard for Breast Augmentation

Breast augmentation at pēkomd® is about clarity, not trends. It is a decision guided by anatomy, proportion, and how you want to feel in your body long-term. Our board-certified plastic surgeons at pēkomd® in Toledo take a comprehensive, honest approach, evaluating your structure, lifestyle, and goals together before recommending any surgical plan. Selling a look or pushing size never defines the approach. Every recommendation centers on proportion, anatomy, and results that feel natural and sustainable over time. For breast augmentation guided by expertise rather than trends, get started with pēkomd® today.

woman's body in pink bikini

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that enhances breast volume, shape, and proportion. Depending on your anatomy and goals, this may be achieved using breast implants or, in select cases, fat transfer from another area of your body.

At pēkomd®, the procedure is never reduced to a single choice or device. Your surgeon evaluates chest width, existing breast tissue, skin quality, and overall proportions to determine the approach that will create the most balanced outcome. Your anatomical structure, tissue quality, and procedural options will be weighed to determine what will deliver the most predictable and lasting result.

Real Patients, Real Results Before & After

* Individual results may vary.

Warning:

This gallery contains nudity. Please click OK to confirm you are not offended by this material.

Ok
Contact Us

Benefits of Breast Augmentation

When approached with clinical judgment and intention, breast augmentation can restore balance, proportion, and confidence.

  • Improved breast volume and shape: Enhances fullness while maintaining natural proportions.
  • Better symmetry: Corrects differences in size, position, or contour.
  • Restored fullness: Replaces volume lost after pregnancy, weight changes, or aging.
  • Improved fit in clothing: Allows bras, swimwear, and clothing to sit more comfortably.
  • Confidence alignment: Helps your appearance better reflect how you feel.

Am I a Good Candidate for Breast Augmentation?

You may be a good candidate for breast augmentation if you are healthy, have a stable weight, and feel that your breast size or shape no longer aligns with your goals. Ideal candidates value expert guidance, have realistic expectations, and want a plan built around their anatomy rather than a trend. If augmentation is not the right solution, your surgeon will explain why and help identify a more appropriate path forward.

Step Into my Best Silhouette

Breast Augmentation Options and Combinations

Breast Implants vs. Fat Transfer

Breast implants offer the most flexibility in size, shape, and projection and are often ideal for patients seeking a noticeable increase in volume. Fat transfer uses your own tissue to create a subtle enhancement and may appeal to patients prioritizing a natural feel with modest volume change.

Breast Lift With Augmentation

For patients experiencing both volume loss and sagging, combining a breast lift with augmentation can reposition the breasts while restoring fullness. This approach addresses shape, position, and volume together for a more comprehensive result.

Motiva Preservé

We’re proud to offer Motiva Preservé breast augmentation procedures to our patients. Motiva Preservé is an advanced breast enhancement technique that uses patented Motiva technologies to preserve the patient’s breast tissue and functionality, including nipple sensation and chest muscles. This less invasive procedure is available to women seeking a primary breast augmentation, a mastopexy augmentation, or a hybrid breast augmentation. Each procedure uses Motiva SmoothSilk Ergonomix® implants to mimic the look, feel, and shape of natural breasts.

Banner media
woman leaning to the side and grabbing her side

Related Breast and Body Procedures

  • Breast lift: Elevates and reshapes sagging breasts when position, not volume, is the primary concern.
  • Breast reduction: Reduces breast size to relieve physical discomfort and restore proportion.
  • Body contouring: Refines the abdomen, flanks, or thighs to support overall balance.
  • Fat transfer procedures: Redistributes your own tissue to enhance contour and volume naturally.
  • Mommy makeover: Combines breast and body procedures to address changes after pregnancy.

Schedule a Consultation

Start My Personalized Plan
Peter Koltz smiling in a suit

Dr. Peter Koltz

At pēkomd®, Dr. Peter Koltz leads our team with a steadfast commitment to excellence in plastic and reconstructive surgery. Dr. Koltz's rigorous training has cemented his status as an American Board of Plastic Surgery board-certified plastic surgeon with advanced expertise in both cosmetic and reconstructive procedures. Dr. Koltz specializes in body contouring, facelift surgery, reconstructive procedures, and a range of nonsurgical treatments. His patient-first philosophy and personalized approach ensure that every treatment plan is uniquely crafted to help you look better, feel better, and ultimately do better. Dr. Koltz was named the winner of the 2025 Best of Toledo Awards.

Experience and Expertise

With years of hands-on experience, Dr. Koltz brings both technical mastery and compassionate care to every patient. At pēkomd®, he leads our team in performing a wide range of procedures—from body contouring and facelifts to complex reconstructive surgeries and nonsurgical treatments.

His approach is uniquely tailored to each individual, ensuring that every treatment plan aligns with your anatomy and aesthetic goals. His clinical privileges at pēkomd® Cosmetic Surgery and Rejuvenation Center and the Promedica Health System in Toledo underscore his commitment to safety and excellence.

Testimonials

I Highly recommend this place. Dr. Koltz and his Amazing team are always friendly and ready to help. I got Breast Implants and they look Beautiful. The healing process was easier t...Read More

India Bevier

I Highly recommend this place. Dr. Koltz and his Amazing team are always friendly and ready to help. I got Breast Implants and they look Beautiful. The healing process was easier than I thought it would be. Thanks to Dr. Koltz this summer I will be looking and feeling more confident than ever!!!

1 week post-op for a breast augmentation and I couldn’t be more satisfied with my experience. From start to finish- the staff, the facility and Dr. Markov have been remarkable. Bri...Read More

Rachel Golem

1 week post-op for a breast augmentation and I couldn’t be more satisfied with my experience. From start to finish- the staff, the facility and Dr. Markov have been remarkable. Brittany hasn’t missed a beat on checking in, making sure I’m taken care of. Dr. Markov made me feel well-informed and safe going into my surgery. Both the office and the surgical center are staffed with incredibly kind and caring people, are clean and updated, and foster an environment that makes you feel secure and cared for in the before, during and after. This is a better team for my care than I ever could’ve anticipated. I can’t recommend enough!

I seriously can’t stop smiling!! I recently got my breast augmentation done and I am absolutely in love with the results. They’re everything I hoped for and more — I feel so confid...Read More

Caitlyn Canestraro

I seriously can’t stop smiling!! I recently got my breast augmentation done and I am absolutely in love with the results. They’re everything I hoped for and more — I feel so confident, feminine, and just so good in my own skin again! Dr. Koltz is a total artist. From my first consult to my final check-up, the entire experience was smooth, professional, and honestly kind of fun! The whole team is amazing — warm, welcoming, and super knowledgeable. They made me feel safe, understood, and hyped me up every step of the way. I can’t recommend them enough. If you’re even thinking about it — do it! This team is the real deal.

Dr. Koltz and his team are Rockstars!! Always doing their best to keep me happy. From breast augmentation to injectables to facials. Love the doctor and his team!!...Read More

Jennifer Wiley

Dr. Koltz and his team are Rockstars!! Always doing their best to keep me happy. From breast augmentation to injectables to facials. Love the doctor and his team!!

I absolutely love this place! The whole team is so friendly and professional. I had breast augmentation in October and went back and got chin filler. My results look so natural and...Read More

Julie Morelock

I absolutely love this place! The whole team is so friendly and professional. I had breast augmentation in October and went back and got chin filler. My results look so natural and i feel much more confident now. ♥️ Thank you Pekomd♥️♥️♥️

Dr. Koltz and his team are amazing i have been going to them for several years and i could not be happier with my results with my breast augmentation with Dr. Koltz himself all aro...Read More

Holly Bolton

Dr. Koltz and his team are amazing i have been going to them for several years and i could not be happier with my results with my breast augmentation with Dr. Koltz himself all around it has been a great experience and would highly recommend them!!!!

10 out of 10 highly recommend Dr. Koltz and his staff. I had been wanting a breast augmentation ever since birthing and breastfeeding my 3rd child back in 2016. This year, I finall...Read More

Sarah Best

10 out of 10 highly recommend Dr. Koltz and his staff. I had been wanting a breast augmentation ever since birthing and breastfeeding my 3rd child back in 2016. This year, I finally decided to go for it. Dr. Koltz and his staff not only made me feel comfortable throughout the entire process, but more importantly EXCITED! I was impressed with Dr. Koltz’s confidence and the way he goes about sizing for his clients. He nailed it! I am 2.5 months post-op and I’ve gotten my confidence back! I feel like myself again. His slogan definitely rings true - “Look better. Feel better. Do better.”

I can’t thank Dr. Koltz enough for the boost in confidence I have. As an active mother, who breastfed for 4 years straight, weight training and going the natural route could only d...Read More

Maleasha Lincoln

I can’t thank Dr. Koltz enough for the boost in confidence I have. As an active mother, who breastfed for 4 years straight, weight training and going the natural route could only do so much. Rejuvenated and natural was the goal, and Dr. Koltz delivered!

Dr. Koltz has been amazing during my experience with PekoMD! I was referred from a friend because I wanted a breast augmentation ~ I barely fit in a 34 A and I just wanted somethin...Read More

Kelly Hamill

Dr. Koltz has been amazing during my experience with PekoMD! I was referred from a friend because I wanted a breast augmentation ~ I barely fit in a 34 A and I just wanted something a little more that gave me confidence and comfort in a swimsuit! He did exactly what I asked and exceeded my expectations ~ I’m just sad I waited so long to do this because of my own personal fear! I am more than Happy ~ I am ecstatic about my new look 🥰♥️ Thank You Dr. Koltz and the entire office staff at PekoMD You all are amazing 🤩 Rockstars.

Dr. Markov performed my double breast mastopexy (breast lift) and I couldn’t be happier with my results. Placement, symmetry, sutures are perfect. We are fortunate to have a surgeo...Read More

Michelle Pickrel

Dr. Markov performed my double breast mastopexy (breast lift) and I couldn’t be happier with my results. Placement, symmetry, sutures are perfect. We are fortunate to have a surgeon with his credentials and expertise in our area. Not only is Dr. Markov top notch, his entire team is as well. Thank you.

Feel beautiful from the inside out

Begin My Transformation

Create My Ideal Look

What to Expect During Breast Augmentation

Breast augmentation is performed in an accredited surgical facility under general anesthesia and typically takes one to two hours. Incisions and surgical techniques are carefully planned to support proper healing and natural-looking results. After surgery, you will be monitored before returning home the same day with detailed aftercare instructions and direct access to our clinical team.

Breast Augmentation Recovery and Results

Recovery involves temporary swelling, tightness, and soreness that gradually improves over the first few weeks. Many patients return to light activities within several days, with activity increasing as healing progresses. Results continue to refine over several months as swelling resolves and tissues settle, revealing a balanced, comfortable outcome designed to align with your long-term goals.

a bunch of small purple flowers

Why Choose pekomd®
for Breast Augmentation?

At pēkomd®, breast augmentation is guided by clinical judgment, not limited offerings or trends. Our board-certified plastic surgeons operate within a comprehensive care environment, which means recommendations stay objective and focused on what will truly serve you long-term. Every plan is built around proportion, surgical precision, and outcomes that feel natural and intentional, never pushed or excessive.

Your Consultation

Your consultation is a focused, professional discussion designed to bring clarity to your decision. Your surgeon will review your goals, medical history, and anatomy, then walk you through appropriate options with transparency and precision. You will leave with a clear understanding of what makes sense for you, what does not, and why, so any next step feels confident and well-informed.

Banner media

How Much Does Breast Augmentation Cost?

The cost of breast augmentation reflects the complexity of your surgical plan, the techniques involved, and whether procedures are combined. After your consultation at our Toledo office, you will receive transparent pricing with a clear outline of what is included. Flexible financing options are available, and our team will guide you through them clearly and transparently.

Claim My New Figure

Breast Augmentation Frequently Asked Questions

Ready to explore how breast augmentation can enhance your confidence? Contact pēkomd® to schedule a one-on-one consultation and take the first step toward a more self-assured you.

How long do breast implants last?

Breast implants are designed to be long-lasting but are not considered lifetime devices. Longevity varies based on implant type, anatomy, and lifestyle factors, which is why ongoing monitoring and follow-up are part of responsible long-term care.

Will breast augmentation affect future pregnancy?

Pregnancy can change breast shape regardless of surgery, including changes to volume and skin elasticity. If future pregnancy is anticipated, your surgeon will discuss timing considerations and how to plan accordingly.

How are implant placement and incision location determined?

Placement and incision decisions are guided by your anatomy, tissue characteristics, and surgical goals. These choices are made to support predictable healing, stable positioning, and results that hold up over time.

What factors can limit how much change is possible?

Skin quality, existing breast tissue, chest anatomy, and healing response all influence surgical outcomes. Planning focuses on safe, balanced improvement within those limits rather than pursuing unrealistic change.

How do surgeons plan for long-term results?

Long-term planning accounts for how implants or transferred fat may behave over time, including aging, weight changes, and lifestyle factors. The goal is a result that remains appropriate well beyond the initial recovery phase.

Will I need time off work?

Most patients plan for several days away from work, depending on job demands and the specifics of their procedure. Your surgeon will provide individualized guidance during consultation.

Are there non-surgical alternatives?

Non-surgical treatments may improve skin quality or contour but cannot replicate the volume or structural changes achieved with surgery. These options are discussed when appropriate.

How do I choose implant size?

Size selection is based on measurements, proportions, tissue support, and surgical feasibility rather than cup size alone. This process helps ensure results feel balanced and sustainable.

What happens if my goals change later?

Surgical planning considers long-term flexibility, and future adjustments or revisions can be discussed if preferences or circumstances evolve.

Find Your Better Path Forward

Breast augmentation is a decision that deserves clarity, expertise, and honest guidance. At pēkomd®, we help you understand what truly fits your body and your goals so you can move forward with confidence. Get started today at our Toledo location and take the next step toward your Do Better Point™.

Contact Us

This field is required.
This field is required.
This field is required.
This field is required.
Submit
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 567-408-7356.
Connect With Us