Women who come to our Honolulu, Hawaii, practice for breast augmentation from Maui, Oahu, Kauai, and beyond each have their own personal reasons for wanting to enhance their breasts. Most consider their breasts an essential expression of their femininity. Board-certified plastic surgeon Dr. Shim Ching works to customize each breast augmentation by listening closely to the patient’s unique cosmetic goals. Using advanced surgical techniques, he then helps make those goals a reality.
If you’re thinking about getting breast implants and are looking in Hawaii or Kuwait for a breast augmentation specialist, request a consultation with Dr. Ching online or call our office at
(808) 585-8855 and one of our helpful staff members will schedule your appointment.
Breast Augmentation Before & After Photos
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Dr. Shim Ching performed breast augmentation for this patient at his practice in Honolulu, Hawaii. During the surgery, he placed incisions in the crease of each armpit, called the transaxillary technique, to avoid any scars on the breasts. Dr. Ching performed the procedure endoscopically and placed 371 cc moderate profile silicone implants... Read More
This patient had breast augmentation by Dr. Shim Ching in Honolulu, Hawaii. Dr. Ching is a board-certified plastic surgeon who provides beautiful, natural-looking results using saline and silicone breast implants. He can perform the surgery using endoscopic techniques that do not leave a scar on the breast. Read More
This woman came to Dr. Shim Ching’s practice for breast augmentation in Honolulu, Hawaii. He placed 400 cc silicone implants under the chest muscle using inframammary incisions (along the breast crease). Many breast augmentation patients prefer silicone implants because they believe these implants feel more natural than saline implants.Read More
Dr. Shim Ching performed breast augmentation at his Honolulu facility to enhance the size and shape of this patient’s breasts. He used an endoscopic technique that involved incisions in the underarms. Dr. Ching used a submuscular placement for the medium profile 695 cc silicone breast implants. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
This patient came to Dr. Shim Ching because she was interested in breast enhancement surgery. He performed breast augmentation in Honolulu, Hawaii, using the subglandular placement, where the implant sits directly behind the breast tissue and on top of the chest muscle. He placed 350 cc saline implants using a breast crease (inframammary)... Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
Many women such as this patient visit breast enhancement specialist Dr. Shim Ching for breast augmentation in Honolulu, Hawaii. He offers the latest breast implant options and can perform breast augmentation using the advanced transaxillary endoscopic technique that leaves no scar on the breast. Read More
This patient had breast augmentation in Honolulu, Hawaii, with Dr. Shim Ching. He used transaxillary incisions (in the armpits) through which he placed high profile breast implants under the chest muscles (submuscular placement).
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles. He also performed a nipple reduction to correct nipples that are constantly erect or have drooped as a result of weight loss, pregnancy... Read More
Dr. Shim Ching, a board-certified plastic surgeon in Honolulu, Hawaii, performed endoscopic breast augmentation for this patient. During surgery, Dr. Ching used the transaxillary technique, where the incisions are placed in the armpits not on the breasts, to insert saline breast implants under the chest muscles. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone soft touch implants using the endoscopic technique through the armpit, and under the muscles.
This patient had breast augmentation in Honolulu, Hawaii, with Dr. Shim Ching. He used transaxillary incisions (in the armpits) through which he placed high profile breast implants under the chest muscles (submuscular placement).
Board-certified plastic surgeon Dr. Shim Ching performed breast augmentation for this patient in Honolulu, Hawaii, to enhance her breast size and shape. To provide natural-looking results for each patient, Dr. Ching offers a variety of breast implant sizes and shapes in both saline and silicone. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles. He also performed a nipple reduction. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles. He also performed an Inverted Nipple Correction. Read More
Dr. Shim Ching performed breast augmentation in Honolulu, Hawaii, to enhance the size and shape of this patient’s breasts. He used a transaxillary incision (in the armpit) to place silicone implants in the subfascial position.
Breast enhancement specialist and board-certified plastic surgeon Dr. Shim Ching performed endoscopic breast augmentation in Honolulu, Hawaii, for this patient. He used transaxillary incisions (in the underarms) to place 320 cc high profile saline breast implants under the chest muscles (submuscular position). Read More
Board-certified plastic surgeon Dr. Shim Ching performed breast augmentation for this patient in Honolulu, Hawaii. For the most natural-looking results, he used incisions in the armpits(transaxillary) and performed the procedure endoscopically. Dr. Ching inserted 400 cc saline breast implants in a submuscular placement (under the chest muscles). Read More
This patient had breast augmentation in Honolulu, Hawaii, with board-certified plastic surgeon Dr. Shim Ching. He used the transaxillary technique to insert high profile implants in a submuscular placement (under the chest muscles).
This woman visited Dr. Shim Ching in Honolulu, Hawaii, for breast augmentation. He performed the surgery endoscopically using incisions in the armpits to place high profile breast implants under the chest muscles (submuscular placement). The results look very natural and there are no scars on the breasts. Read More
This woman had endoscopic breast augmentation in Honolulu, Hawaii, performed by Dr. Shim Ching. During the surgery, Dr. Ching used transaxillary incisions (in each armpit) and placed saline breast implants under the chest muscle for a natural look. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
This patient came to Dr. Shim Ching’s practice in Honolulu, Hawaii, for breast augmentation. For a naturally enhanced look, Dr. Ching performed the surgery endoscopically using transaxillary incisions (in the armpits) and placed 275 cc silicone breast implants under the chest muscles. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
Dr. Shim Ching, a board-certified plastic surgeon and breast enhancement specialist, performed breast augmentation in Honolulu, Hawaii, for this patient. Dr. Ching used transaxillary incisions to place silicone breast implants under the chest muscles. Read More
This patient came to Dr. Shim Ching’s practice in Honolulu, Hawaii, for breast augmentation. He is a board-certified plastic surgeon and breast enhancement specialist who is known throughout the Hawaiian Islands and beyond for his beautiful, natural-looking results. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
This woman had breast augmentation in Honolulu, Hawaii, with Dr. Shim Ching. An experienced board-certified plastic surgeon, Dr. Ching offers patients a variety of options in terms of breast implants and surgical techniques to provide personalized results that look very natural. Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone soft touch implants using the endoscopic technique through the armpit, and under the muscles. He also performed a nipple reduction to correct nipples that are constantly erect or have drooped as a result of weight... Read More
This patient enhanced the size and shape of her breasts with breast augmentation by Honolulu, Hawaii, plastic surgeon Dr. Shim Ching. As a breast enhancement specialist, Dr. Ching offers endoscopic breast augmentation during which he performs the procedure through tiny incisions in the armpit. He also offers specialized breast procedures... Read More
This woman came to Dr. Shim Ching's practice for Breast Augmentation in Honolulu, Hawaii. He inserted silicone implants using the endoscopic technique through the armpit, and under the muscles.
Dr. Shim Ching performed breast augmentation for this patient at his practice in Honolulu, Hawaii. During the surgery, he placed incisions in the crease of each armpit, called the transaxillary technique, to avoid any scars on the breasts. Dr. Ching performed the procedure endoscopically and placed 371 cc moderate profile silicone implants... Read More
This patient enhanced the size and shape of her breasts with breast augmentation in Honolulu, Hawaii, by Dr. Shim Ching. A board-certified plastic surgeon, Dr. Ching specializes in providing the natural-looking results his patients want. He can use an endoscopic technique that involves an incision hidden in the armpit through which he inserts... Read More
This patient had breast augmentation in Honolulu, Hawaii, by board-certified plastic surgeon Dr. Shim Ching. He used perithelial incisions (placed beside the nipple within the areola) to insert saline implants under the chest muscle. Read More
This patient visited Dr. Shim Ching for breast augmentation in Honolulu, Hawaii. Women appreciate the natural-looking results he provides that are personalized to their aesthetic goals and unique anatomies. He offers the latest saline and silicone breast implants in a range of sizes and profiles. Read More
Women considering breast augmentation often want to feel a greater sense of confidence in their bodies. Getting breast implants can do a number of things:
Increase the size of naturally small breasts
Restore volume lost after pregnancy or weight fluctuations
Improve breast shape
Correct asymmetrical breasts
Elevate mild to moderate breast drooping
The key to getting the results you want is selecting a talented and experienced plastic surgeon who has a keen sense of aesthetics such as Dr. Shim Ching.
Breast Augmentation Financing
Dr. Ching offers his Hawaii breast augmentation patients a variety of financing options to ensure they do not sacrifice the quality of their care, safety, and results. Visit our Financing page for details.
Customized Breast Augmentation
Your breast augmentation consultation is very important. First, it’s the time to get your questions answered about breast implants. It is also Dr. Ching’s opportunity to give you feedback and guidance on achieving the best breast augmentation results for you. Is your goal to restore some lift? Do you want to move up a cup size or 2, or have significantly larger breasts? Whatever the goal, you should be clear about what you want to accomplish and be ready to communicate that to Dr. Ching. As your plastic surgeon, he needs to clearly understand.
During your consultation, Dr. Ching creates a surgical plan that’s ideally suited for you by carefully considering a variety of factors, which include your:
Existing breast size and shape
Overall body dimensions
Personal preferences
Lifestyle
Your breast augmentation options include the size, shape, and type of implants, the location of your incisions, and placement of the implant pocket. With the help of Dr. Ching’s recommendations, you can feel confident that the breast implants and surgical approach you choose will be the combination that best meets your aesthetic goals.
Dr. Shim Ching
Board-certified plastic surgeon Dr. Shim Ching is one of Hawaii’s most renowned physicians for aesthetic procedures of the face, breast, and body. His attention to detail, skill, and mastery of surgical techniques produce remarkable, natural-looking results.
Specialized Techniques for Asian Breast Augmentation Patients
Asian women make up a significant portion of Dr. Ching’s patient population. He specializes in surgical techniques for Asian women and takes a unique approach to breast augmentation for Asian patients to provide an enhanced, natural look that is not conspicuous.
I have always had visions of what I would look like with a flat tummy. Now every single morning when I awake, I always say, “thank you Dr. Ching!” Thank you for allowing my dreams and visions of having my ideal body come to be a reality.
Dr Shim Ching is the best surgeon of the island of Oahu. You will get what you paid for. He gets the most hospitable staff. I just love them. Thank you.
Dear Dr. Ching, It has been 6 weeks (just as you said) and I look Fabulous! What a transformation! I just wanted to let you know how grateful I am for the GREAT WORK you did on my face.
Dr. Ching offers you a choice of incision areas and techniques. He clearly explains the options and why one incision location may be the best suited for you based on your cosmetic goal and body type. Dr. Ching is one of the few plastic surgeons in Hawaii who specializes in the transaxillary technique – sometimes called the “no scar on the breast” procedure because the incision goes in the underarm area.
For more specifics on the transaxillary technique and other incision locations, visit our Breast Augmentation Incisions page.
Breast implants can be placed either on top of the chest muscle (subglandular placement) or under the chest muscle (submuscular placement). Typically the submuscular placement provides results that look and feel the most natural.
Over the Muscle Implant Placement
Under the Muscle Implant Placement
Your Breast Augmentation Procedure
Dr. Ching performs breast augmentation as an outpatient procedure. The surgery takes approximately 1 hour to perform. After making each incision, Dr. Ching creates a small pocket where he inserts the implant. If there is any preexisting asymmetry of the breasts, Dr. Ching may use different implant sizes for the left and right breasts for a symmetrical result. He also places patients in the seated position during surgery to ensure symmetry between their breasts before the surgery is completed.
Dr. Ching uses an innovative device called the Keller Funnel® when inserting the implants. This enables him to position the implants without touching them, providing an added measure of safety.
He closes the incisions with absorbable sutures, reinforced with skin adhesive. This type of dressing allows the patient to shower right away, if desired. Additionally, we do not do postoperative wrapping of the chest or use pressure garments, so patients can return to their daily activities as quickly as possible.
Breast Augmentation Recovery
Although the post-surgery process typically follows a common pattern, your unique qualities and those of your procedure influence your recovery as well. Some of these factors include your age, body shape, and the surgical technique used for inserting your breast implants. For example, placing breast implants underneath the chest muscle can cause pain and swelling, and therefore may increase recovery time. Implants placed over the muscle may cause less pain and swelling. However, the correct surgical technique should be selected based on the patient’s unique characteristics, rather than the time for recovery.
Dr. Ching discusses each step of the recovery process during your initial consultation and provides detailed instructions to follow after your surgery. It’s important that you know what to expect to help ensure the best possible results:
Your breasts may feel sore and will probably be swollen. Swelling usually reaches its peak 3 to 5 days after surgery and then gradually subsides as your breasts’ new shape and size emerges.
It’s normal for your implants to take a few weeks to settle as the body begins to heal.
Implants typically feel hard at first, but soften over time.
Dr. Ching recommends avoiding strenuous exercise for the first 4 weeks after surgery. Taking the time to fully recover helps reduce the risk of complications.
You will need to sleep on your back for at least the first few days after your breast augmentation. Prop yourself up on pillows or sit in a recliner. This keeps you face up and makes it easier to get in and out of bed during those first 48 hours, when you may be moving more slowly and deliberately.
Tips for Breast Augmentation Recovery
There are some steps you can take before the surgery that will help the recovery process go smoother, as well:
Clear your schedule. You don’t want to be running around or doing errands while recovering. Give your body the time it needs to begin healing.
Fill any prescriptions for pain medications or antibiotics so you have them ready and at hand upon your return after surgery. We always give our patients prescriptions at the preoperative appointment.
Arrange for a friend or family member to give you a ride home from the surgery.
Lay out your clothes and choose garments that make dressing easier. For example, you’ll want to wear button-up shirts, not pullovers. Pullovers require raising your arms, which you need to avoid during this time.
Place anything you need or want quick and easy access to within reach at your bedside table, such as your phone or other mobile devices, the television remote, and books.
Common Breast Augmentation Questions
What’s the difference between a breast lift and breast augmentation?
The differences between breast lift and breast augmentation procedures can be confusing. Both procedures focus on the appearance of the breasts, but they address different concerns.
A breast lift elevates breasts that are sagging due to natural aging, pregnancy, breastfeeding, or other factors. It changes the shape and form of your breasts, and raises the breasts’ position. In some cases, a breast lift can be combined with augmentation to simultaneously elevate and increase the size of the breasts.
Dr. Ching and his team look forward to serving you here in Honolulu. If you’re ready to begin, or you’d simply like to learn more about what fillers can do for you, please request a consultation or call our office at
(808) 585-8855.
Breast augmentation only adds volume to the breasts. If you have mild breast sagging, implants may provide the appearance of a subtle lift, but moderate to severe sagging cannot be corrected by inserting implants without a breast lift.
Is breast augmentation revision possible?
Yes. Breast implant revision procedures require a plastic surgeon such as Dr. Ching, who has the expertise needed to perform what is typically a more complicated surgery than the initial breast augmentation.
Dr. Ching and his team look forward to serving you here in Honolulu. If you’re ready to begin, or you’d simply like to learn more about what fillers can do for you, please request a consultation or call our office at
(808) 585-8855.
If you have concerns about the results of a breast augmentation performed by another surgeon and are experiencing complications, please be sure to clarify when you schedule a consultation with Dr. Ching.
Directions for Our Fly-in Patients
Dr. Shim Ching's exceptional qualifications and results draw patients to his Honolulu plastic surgery practice from across the Hawaiian Islands including Maui, Kauai, and the Big Island. Select a location for driving directions to our practice.
One of the most common questions asked by women considering cosmetic breast surgery is whether they can get the results they want with breast implants or if they need a breast lift. In many cases, the answer is that both can create beautiful results. Many women say they want to avoid having a breast lift... Read More
Breast augmentation remains one of the most commonly performed cosmetic surgery procedures in the U.S. But the breast enhancement results most women sought 10 or 15 years ago aren’t necessarily what patients want today. Fewer women are asking for the attention-getting DD-cup size increase, instead opting for results that look proportional and more natural. This... Read More
Did you know it was possible to get breast implants without having scars on the breasts? It’s true. Dr. Shim Ching can insert implants through incisions made in the natural fold of the armpit, avoiding making incisions at the base of the breast or on the lower edge of the areola. It’s actually not an... Read More
