Transparent, all-in pricing — surgeon’s fee, operating room, anesthesia, and implants included.
Cost is one of the first questions every patient asks, and one of the hardest to find a straight answer to online. Most plastic surgery websites bury the price behind a consultation form or quote a vague “$5,000 to $15,000” range that tells you nothing useful.
That is not how Little Rock Plastic Surgery operates. Below are the exact prices for breast augmentation at our practice, what is included, what is not, and what genuinely changes the number.
Breast augmentation at Little Rock Plastic Surgery starts at $7,475 all-in for saline implants and $8,475 all-in for silicone implants, with Motiva Ergonomix silicone at $9,275 all-in. The practice’s flagship technique — Motiva Preservé(sometimes written “Preserve”), performed by the only Preservé-certified plastic surgeon in Arkansas — is $12,150 all-in under local anesthesia or $13,500 all-in with twilight sedation. Breast augmentation combined with a breast lift is quoted at consultation.
Cost is one of the first questions every patient asks, and one of the hardest to find a straight answer to online. Most plastic surgery websites bury the price behind a consultation form or quote a vague “$5,000 to $15,000” range that tells you nothing useful.
That is not how Little Rock Plastic Surgery operates. Below are the exact prices for breast augmentation at our practice, what is included, what is not, and what genuinely changes the number.
The Flagship: Motiva Preservé
Most cost pages lead with the cheapest option. This one leads with the best one, because it is the procedure the practice is built around.
Preservé is a tissue-preservation breast augmentation technique that uses specialized instrumentation to separate and preserve the breast’s natural ligament structure rather than cutting through it. Less tissue is disrupted, which translates into a faster recovery, less trauma, and better long-term implant position. Recent published data on Preservé has reported a 0% rate of inferior implant malposition at three years and capsular contracture rates under 1%.
Dr. Michael Spann is currently the only plastic surgeon in Arkansas certified in the Preservé technique.
Preservé is offered two ways:
- Preservé under local anesthesia — $12,150 all-in. Because the technique is so tissue-sparing, appropriate candidates can have the procedure performed comfortably without general anesthesia — no grogginess, no anesthesia recovery, home sooner.
- Preservé with twilight sedation — $13,500 all-in. For patients who prefer to be sedated during the procedure.
The premium over a standard Motiva augmentation — roughly $2,900 to $4,200 depending on anesthesia choice — reflects the specialized single-use instrumentation the technique requires, the additional surgical precision involved, and the certification required to perform it. For most candidates, the practical benefits are worth the additional investment. Whether Preservé is appropriate for a specific patient’s anatomy is determined during consultation.
Breast Augmentation Pricing
Every price below is all-in. That includes the surgeon’s fee, the operating room facility fee at our AAAASF-accredited on-site surgery center, board-certified anesthesia (where applicable), and the implants themselves. There are no hidden line items added later.
| Procedure | All-In Price | Implant / Technique |
|---|---|---|
| Motiva Preservé (local anesthesia) | $12,150 | Motiva Ergonomix silicone, Preservé technique |
| Motiva Preservé (twilight sedation) | $13,500 | Motiva Ergonomix silicone, Preservé technique |
| Breast augmentation — Motiva silicone | $9,275 | Motiva Ergonomix silicone |
| Breast augmentation — silicone | $8,475 | Silicone |
| Breast augmentation — saline | $7,475 | Saline |
| Breast augmentation + lift | Quoted at consultation | Silicone (Motiva Ergonomix) |
| Revision breast augmentation | Quoted at consultation | Varies |
Pricing reflects 2026 standard rates. A $75 consultation fee applies.
What Is Included
Every breast augmentation at Little Rock Plastic Surgery includes:
- Surgeon’s fee — Dr. Spann personally performs every procedure
- Operating room facility fee at our on-site AAAASF-accredited surgery center
- Board-certified anesthesia by a credentialed anesthesia provider
- Implants (saline or Motiva silicone, depending on your procedure)
- All pre-operative appointments and surgical planning
- Post-surgical bra
- All standard post-operative follow-up visits during the first year
- 24/7 access to Dr. Spann’s direct line for post-op questions
What Is Not Included
Two items are billed separately because they vary by patient:
Pre-operative labs and clearance. If insurance does not cover routine pre-op bloodwork, the cost is typically $100–$300 depending on what is required.
Prescription medications. Pain medication, antibiotics, and anti-nausea medication are written as standard prescriptions and filled at your pharmacy. Cost depends on your insurance and pharmacy.
That is the full list. No “facility surcharge” added on the day of surgery. No “implant fee” tacked on at the last minute. The number you see is the number you pay.
Why the Price Varies Between Procedures
Saline vs. silicone implants
Saline implants are approximately $1,200 less per pair than silicone implants at the manufacturer level — which is why the saline version of breast augmentation is $1,200 less than the silicone version. Saline still has a place in modern breast augmentation, but the vast majority of patients at this practice choose silicone for the more natural feel.
Why Motiva implants are the standard at this practice
Dr. Spann uses Motiva Ergonomix silicone implants as the standard for the practice. Motiva received full FDA PMA approval in September 2024 — the first new breast implant to receive PMA approval in over a decade. Recent published data on Motiva implants reports rupture rates under 1% and capsular contracture rates under 1%, both meaningfully better than the historical numbers for older implant designs. Full details are available on the Motiva implants page.
Why Motiva Preservé is more
Preservé is a tissue-preservation technique that uses specialized instruments to separate and preserve the breast’s natural ligament structure rather than cutting through it. The additional cost reflects the specialized instrumentation, the longer surgical time, and the certification required to perform the procedure. Dr. Spann is currently the only plastic surgeon in Arkansas certified in the Preservé technique.
Recent published data on Preservé has reported a 0% rate of inferior implant malposition at three years and capsular contracture rates under 1%. For most candidates, the practical benefits — faster recovery, less tissue trauma, better long-term implant position — are worth the additional investment. Whether Preservé is appropriate for a specific patient’s anatomy is determined during consultation.
Why the Price Varies Between Procedures
Saline vs. silicone implants
Saline implants cost approximately $1,000 less per pair than silicone implants at the manufacturer level — which is why the saline version of breast augmentation is $1,000 less than the silicone version. Saline still has a place in modern breast augmentation, but the vast majority of patients at this practice choose silicone for the more natural feel.
Why Motiva implants cost more — and why they’re worth it
Motiva Ergonomix implants carry a higher device cost than standard silicone implants, which is why a Motiva augmentation is $9,275 versus $8,475 for standard silicone. Motiva received full FDA PMA approval in September 2024 — the first new breast implant to receive PMA approval in over a decade. Recent published data on Motiva implants reports rupture rates under 1% and capsular contracture rates under 1%, both meaningfully better than the historical numbers for older implant designs. Full details are available on the [Motiva implants page].
Why combination procedures are quoted individually
A breast augmentation combined with a breast lift (mastopexy) involves two distinct surgical procedures performed in the same operation. The surgeon’s fee for the lift is added to the surgeon’s fee for the augmentation, but the patient only pays one operating room fee and one anesthesia fee — making the combined procedure significantly less expensive than performing the two operations separately. Because the extent of the lift varies considerably from patient to patient, combined procedures are quoted precisely at consultation.
Why combination procedures cost more
A breast augmentation combined with a breast lift (mastopexy) involves two distinct surgical procedures performed in the same operation. The surgeon’s fee for the lift is added to the surgeon’s fee for the augmentation, but the patient only pays one operating room fee and one anesthesia fee — making the combined procedure significantly less expensive than performing them separately.
Consultation Fee
A $75 consultation fee applies for all surgical consultations. The consultation fee exists for two reasons: it ensures the patients Dr. Spann sees are serious about moving forward, and it allows him to spend the time each consultation deserves — typically 45 to 60 minutes one-on-one.
Financing Options
Most patients finance some or all of their procedure. Little Rock Plastic Surgery is partnered with two of the most widely accepted medical financing companies in the country:
CareCredit. The most established medical credit card in the United States. Offers promotional 0% interest periods for qualifying applicants, with longer-term financing options available beyond that. Patients can apply online before consultation for pre-approval.
Alphaeon Credit. Specifically designed for aesthetic and elective procedures. Often offers more competitive terms than general medical financing for cosmetic surgery. Same online application process.
Both companies make their decisions based on standard credit criteria. Approval and terms depend on the patient’s individual situation, not on the practice. Full financing details are available on the financing page.
How Pricing Compares to the National Average
The American Society of Plastic Surgeons reports the national average surgeon’s fee for breast augmentation was $5,177 in their most recent data. That figure does not include facility fees, anesthesia, or implants — the items that typically double or triple the final number.
On a true all-in basis, breast augmentation in major US markets typically runs $9,000 to $15,000. The $8,175 all-in price for silicone Motiva implants at Little Rock Plastic Surgery — performed by a double board-certified surgeon at an AAAASF-accredited facility, using FDA PMA-approved implants — sits below the national average for comparable quality. This reflects Arkansas operating costs, not a compromise on the procedure itself.
If a significantly lower quote is being offered elsewhere — locally or out of state — the most common reasons are (1) the surgeon is not board-certified in plastic surgery, (2) the facility is not AAAASF or AAAHC accredited, (3) older or non-PMA-approved implants are being used, or (4) the quote excludes anesthesia, facility, or implant costs that get added later.
Frequently Asked Questions
How much does breast augmentation cost in Little Rock?
At Little Rock Plastic Surgery, breast augmentation starts at $7,475 all-in for saline implants, $8,475 all-in for silicone, and $9,275 all-in for Motiva Ergonomix silicone implants. The Motiva Preservé technique is $12,150 all-in under local anesthesia or $13,500 with twilight sedation. All prices include the surgeon’s fee, operating room, anesthesia, and implants.
How much does the Motiva Preservé technique cost?
Motiva Preservé breast augmentation is $12,150 all-in under local anesthesia or $13,500 all-in with twilight sedation at Little Rock Plastic Surgery. Dr. Michael Spann is currently the only plastic surgeon in Arkansas certified to perform the Preservé technique.
How much does a breast augmentation with lift cost?
Breast augmentation combined with a lift (mastopexy) is quoted at consultation at Little Rock Plastic Surgery, because the extent of the lift varies by patient. Combining both procedures in a single surgery is significantly less expensive than performing them separately, because the patient only pays one operating room fee and one anesthesia fee.
Does insurance cover breast augmentation?
Cosmetic breast augmentation is not covered by insurance. Reconstructive breast surgery following mastectomy is covered under federal law (the Women’s Health and Cancer Rights Act of 1998). Patients with a medical indication for breast surgery should ask during consultation whether their situation qualifies for insurance coverage.
Is financing available for breast augmentation?
Yes. Little Rock Plastic Surgery is partnered with CareCredit and Alphaeon Credit. Both offer promotional interest-free periods for qualifying applicants and longer-term financing options. Patients can apply online before consultation.
Why is Motiva Preservé more expensive than traditional breast augmentation?
Preservé is roughly $2,900 to $4,200 more than a standard Motiva augmentation, depending on anesthesia choice. The additional cost reflects the specialized single-use instrumentation the technique requires and the certification required to perform it. Dr. Michael Spann is currently the only plastic surgeon in Arkansas certified in Preservé. Published data on the technique reports a 0% rate of inferior implant malposition at three years.
Can breast augmentation be done under local anesthesia?
Yes — the Motiva Preservé technique at Little Rock Plastic Surgery can be performed under local anesthesia for appropriate candidates, at $12,150 all-in. Because Preservé is tissue-sparing, many patients are comfortable without general anesthesia and avoid anesthesia recovery entirely. Twilight sedation is available for $13,500 all-in.
Is there a consultation fee?
A $75 consultation fee applies.
Are there hidden fees added on top of the quoted price?
No. Prices quoted at Little Rock Plastic Surgery are all-in and include the surgeon’s fee, operating room facility fee, anesthesia, and implants. Pre-operative labs and prescription medications are billed separately because they vary by patient and insurance.
What does breast augmentation pricing include?
Every breast augmentation at Little Rock Plastic Surgery includes the surgeon’s fee, operating room at the AAAASF-accredited surgery center, board-certified anesthesia, implants, all pre- and post-operative visits during the first year, a post-surgical bra, and direct access to Dr. Spann for post-op questions.
Is breast augmentation cheaper in Arkansas than in other states?
Breast augmentation pricing in Arkansas is typically below the national average due to lower facility and operational costs. National all-in pricing in major US markets typically runs $9,000 to $15,000 for comparable quality, while pricing at Little Rock Plastic Surgery runs $7,475 to $13,500 depending on implant and technique.
Schedule a Consultation
Price matters. So does the experience, training, and judgment of the surgeon performing the procedure. So does the facility. So does the implant being placed.
The best way to determine whether breast augmentation is right for a specific patient — and which technique and implant type fit best — is to schedule a consultation. Dr. Spann personally meets with every consultation patient at the AAAASF-accredited surgery center on Rodney Parham Road.
Call (501) 219-8000 or request a consultation online.
Michael Spann, MD, is a double board-certified plastic and reconstructive surgeon and the founder of Little Rock Plastic Surgery, P.A. He is currently the only plastic surgeon in Arkansas certified to perform the Motiva Preservé breast augmentation technique. The practice operates from an AAAASF-accredited surgery center at 2200 N. Rodney Parham Rd. in Little Rock, with a satellite office in Fayetteville serving Northwest Arkansas.
