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Breast Augmentation

Las Vegas Plastic Surgeons Dedicated to Helping Reveal The Most Beautiful You

Breast Augmentation is an excellent method for women to improve the appearance of their breasts and most often leads to increased self-esteem and confidence through the improvement of the size and shape of their breasts.

Dr. Lane Smith, a board-certified plastic surgeon, is considered to be one of the most experienced and well-trained plastic surgeons in the western United States. Along with his 4 separate board certifications, he is considered a breast augmentation expert and often performs corrective breast surgery on patients who did not receive the outcome desired from other surgeons. Breast augmentation is one of the most common cosmetic surgery procedures and has one of the highest satisfaction rates of all cosmetic surgery procedures in the country.* 

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What Is Breast Augmentation?

Breast augmentation (also called Augmentation Mammaplasty or breast implant surgery) is the surgical procedure performed by a cosmetic surgeon that uses breast implants to enlarge a woman’s breasts. The procedure makes your breasts fuller and raises them just a bit (no more than ¾-inch).* 

Breast augmentation may also be known as breast enhancement and involves the use of silicone or saline implants to help adjust and improve various aspects of a woman’s breasts, including their size, shape and contour.

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Why Women Choose This Surgery

A woman’s breasts are viewed the world over as a sign of beauty and femininity. Female breasts are one of the main ways that cultures distinguish between male and female and so they are given significant importance in just about every country across the globe. 

Because cultures place such importance on a woman’s breasts, a woman with smaller breasts may feel inferior and even at a disadvantage when it comes to being seen as attractive. In addition, women who don’t develop breasts at all or who develop one large breast and one small one can experience feeling “abnormal” or “deformed.” 

What Are The Benefits

Improving Self-Esteem

Breast augmentation surgery is a safe and highly effective way to provide women with larger or more symmetrical breasts. Patients who undergo breast augmentation surgery typically report that they feel more attractive and more feminine. Many also report an increase in their self-esteem, stating that the procedure was the best investment they’ve ever made.* 

Correcting Asymmetry

We see patients in our office all the time who seek to correct a very natural condition of uneven breasts, known as asymmetrical. Breast augmentation is a wonderful procedure for creating improved symmetry so both breasts are the same size and shape.  When this procedure is completed correctly patients also see a great improvement in their own self-esteem, as discussed above. 

Improved Appearance

Improving body shape is important for most people both from a personal and professional point of view.  How they look in their personal and professional lives does impact both their happiness and how others may see them. 

Are you ready to get started? Contact us today to schedule your consultation!

[ap pic=”” align=”right” w=”350″ alt=”Breast Augmentation Las Vegas”]Who Is A Candidate For Breast Augmentation Surgery?

Most of the patients that Dr. Lane Smith consults with in his practice are candidates for breast augmentation surgery. During your initial visit, Dr. Smith will discuss with you your goals, as well as your current situation to evaluate the realistic expectations from this procedure. In addition, Dr. Smith will discuss your overall health and status. Generally, you will want to be in good overall health, not pregnant and a non-smoker.  If you do smoke, Dr. Smith will discuss this issue with you with regards to moving forward with surgery and recovery. 

Will Dr. Smith Personalize My Surgery?

Dr. Smith personalizes every single breast augmentation procedure he performs.  The first step is meeting with the patient to discuss their goals and to present realistic expectations based on their current status. Dr. Smith will discuss a variety of areas associated with the procedure, including: 

  • Position and Location oBreast ImplantSub Glandular vs Submuscular
  • Size of Breast Implant 
  • Shape of Breast ImplantRound vs Teardrop
  • Material of Breast Implant – Silicone vs Saline 
  • Incision Site 

The Position and Location Of Breast Implants

Information to Consider from Our Las Vegas Breast Augmentation Doctor 

  • Two crucial decisions you and Dr. Smith will be making as you prepare for your breast implant are:
  • The position of your implant relative to your nipple (will the implant be above, at or slightly below your nipple), and
  • The location of your implant either “under” or “on top of” the muscle on your chest wall. 

The Position Of Your Breast Implant

Once your breast implant has fully healed, the implant will be riding higher than, be at level with, or be slightly below your nipple. This is called the position of your breast implant.

You and Dr. Smith will need to decide where you want the implant to ultimately ride before your breast implant procedure. 

A “high” implant means that there’s more of the implant above the nipple than below it. This can look slightly “less real,” yet many of our patients undergoing breast augmentation in Las Vegas prefer the high implant. This often is because a woman’s breasts drop slowly as she ages and having the implant above the nipple helps the breast look higher – and therefore “younger” – longer.* 

If you want your implant to ride at the medium position, the same amount of the implant will appear above and below your nipple, ensuring that your nipple is at or close to the center of your breast. We’ve found that this is the position most women choose for their breast implants. 

The low position has 40 percent of the breast implant above the nipple and 60 percent of the breast implant below the nipple. This is the most natural looking position, but on most patients, the breasts still appear droopy or too low. 

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The Location Of Your Breast Implants – Above (Sub-glandular) Or Under (Sub-muscular) The Muscle

When placing your breast implants on the muscles of your chest wall, Dr. Smith can place them in one of two locations. 

Here are simplified descriptions of two rather complex concepts:

  • Underneath the breast tissue and on top of your pectoral muscle.
    Placing your implant under your breast tissue but on top of your pectoral muscle is called “sub glandular” or “submammary placement.” The breast implant sits directly under your breast tissue and on top of your pectoralis muscle. 
  • Underneath your breast tissue and your pectoral muscle.
    Placing the breast implant underneath both your breast tissue and your pectoralis muscle is called the “submuscular location.” In this location, the breast implant sits right on top of your chest wall underneath both your pectoralis muscle and breast tissue. 

To put it simply, there are two choices regarding where to locate your implant: “under the muscle or on top of the muscle.” Dr. Smith will make a recommendation of the best location for you.

Choosing The Size Of Your Implants

Choosing the size of your breast implant probably is the most important decision you’ll make regarding your breast augmentation. 

Some women with small breasts (such as A-cups), who have always dreamed of having larger breasts, may have thought of having breast implants that would deliver D-cups. Such a large change may – or may not – work, depending on factors such as the circumference of the torso as well as overall body size and proportion. 

Dr. Smith will guide you in choosing an implant size that best fits your body shape and size. Still, the ultimate decision is yours given there are no other medical concerns, and you may choose whatever size you wish. 

Breast implants are measured in cubic centimeters (cc). The higher the number, the bigger the implant. Most implants can hold up to 400ccs of either silicone or saline. Every 150ccs to 200ccs equals about an increase in breast size of 1 to 1.5 cups.

Choosing The Shape Of Your Implants

Although breast implants can come in several different sizes, in terms of shape, there really are just two choices: “round” and “teardrop” (which sometimes is called the “anatomical” or “form-shaped” implant). 

The Round-Shaped Implant

Cosmetic surgeons tend to debate over which shape implant is best for a breast augmentation. A round implant gives the upper portion of your breast more fullness as well as a more defined cleavage. We find that most of our breast augmentation patients choose this shape implant. In fact, most women in the U.S. choose this shape.* 

Round-shaped implants tend to stick farther out from your body – they project your breasts farther outward. Dr. Smith tends to place round-shaped implants under your pectoralis muscle. When a breast augmentation patient with round-shaped implants stands up, the breast implants tend to assume a more teardrop shape and can look very natural.* 

The Teardrop-Shaped Implant

The teardrop breast implant (also sometimes referred to as the “contoured” implant, as well as “anatomical” or “form-shaped” implant) slopes a bit downward – as natural breasts do. From the side, they look something like teardrops, with the fullest part of the breast implant at the bottom of the breast and sloping upward so the narrowest part is at the top of the breast. The nipple may look as if it’s “facing up,” providing your breasts more of a “perky” look.* 

Teardrop-shaped implants may look more natural, especially for a woman who were flat-chested before the procedure. This implant shape is very popular in Europe.

Saline vs Silicone, Which Is Best For You?

Choosing the size of your breast implant probably is the most important decision you’ll make regarding your breast augmentation. 

Another important choice you will need to make prior to starting your breast augmentation procedure is whether you will choose implants of silicone or saline. 

Both types have their advantages and disadvantages, and you and Dr. Smith will discuss the pros and cons of each at length before you make your decision. 

Which Is Safer, Saline Or Silicone?

Both are safe and approved by the FDA. In fact, the FDA has deemed both safe for cosmetic and for reconstructive surgery. Thousands of women each year receive either saline or silicone implants safely and are very happy with their results.*

Why Choose Saline Implants?

There are two main reasons why you might choose saline implants:
  • Saline implants require smaller incisions. Dr. Smith inserts an empty saline implant into your breast and fills it with saline during the surgery. Silicone implants, on the other hand are inserted prefilled and at their full size, so the incision needed for a silicone implant is larger than one for a saline implant. Rest assured, however, that the incisions for both implant types often are small enough that they should be well hidden under the smallest of bras or bathing suits.* 
  • Saline implants also may be a better choice if you have uneven breasts. Most women have one breast that is slightly larger than the other and if you’ve decided that you want the smaller breast to better match the larger one, saline may be better because the saline implant allows Dr. Smith to fill the smaller implant to match the size of your other breast.* 

Why Choose Silicone Implants?

There are four main reasons why women choose silicone implants:
  • Silicone feels more natural and comes very close to the feel of your natural breast. It also tends to look more natural, especially when leaning forward.* 
  • Silicone tends to look more natural, especially when moving. This more natural look and feel is the main reason women choose silicone over saline.* 
  • Silicone implants also are less likely to ripple. Their gel-like consistency usually means you’re less likely to see a distortion or rippling than you would with a saline implant. (However, if you decide to go with saline implants, a board-certified and expert plastic surgeon such as Dr. Smith has the experience and skills to minimize the chances of this happening.)* 
  • Silicone implants last longer than saline implants. In fact, silicone implants now carry a “lifetime” warranty.* 

How Do You Determine The Incision Site?

Choosing Your Implant Incision Site

As you and Dr. Smith discuss your breast augmentation, the two of you will decide where to place the incision that will allow him to insert the breast implant. 

You have three different incision locations to choose from:
  • Your armpit (axillary incision) 
  • The crease under your breast (inframammary incision)
  • Just inside the dark/colored part of your areola (periareolar incision) 

Each incision location has its advantages and disadvantages. 

Pros And Cons Of The Armpit (Axillary) Incision:
  • You will have no scar on your breasts.* 
  • The scar in your armpit often blends into your skin’s natural crease and is hard to see.*
  • Dr. Smith will use an endoscopy, providing him with full visibility and the precise control during the surgery and placing the implant.
  • This location may not be available to women who have mild sagging or tuberous breasts.
  • You will have a longer scar (from 2 to 2.5 inches).*
  • You have a minimal risk of numbness of your underarm and upper arm skin.*
Pros And Cons Of The Under-Breast (Inframammary) Incision:
  • Works well for mildly sagging or tuberous breasts.* 
  • Dr. Smith will have direct visibility as he creates the implant pocket and positions the implant. 
  • You will have a scar on the underside of your breast, although it could be hidden if you have deep folds.* 
  • If you don’t have deep folds, or if you have small and tight breasts, it could be hard to hide the scar; the scar could be visible when you lie on your back.*
Pros And Cons Of The Areola (Periareolar) Incision:
  • Works well if you have mildly sagging or tuberous breasts.* 
  • Provides Dr. Smith with great visibility for creating the implant pocket and positioning the implant. 
  • The scar often is visible because the areola is a focal point of the breast.* 
  • The implant is exposed to bacteria in the breast tissue, thus increasing the risk of capsular contracture. 
  • Provides the greatest risk of problems with breastfeeding.*
  • Dr. Smith will have to cut the sensory nerves around your areolas. 

Dr. Smith will discuss the advantages and disadvantages of each incision location with you and will make sure the incision is as small as possible so that as the scar fades, it will become almost invisible for most patients. Appointments can be made by calling (702) 838-2455, or by emailing us. For patients who live a long distance from Las Vegas, online consultations are available.

Recovery After Surgery

Following your surgery, you will notice some swelling and bruising that will gradually subside after a few weeks. This may cause some discomfort, but can be easily managed using oral pain medication and muscle relaxers prescribed by Dr. Smith. 

After your procedure and as part of your recovery, Dr. Smith will provide a surgical bra for you to wear. Once Dr. Smith has provided the approval, you may change out of the surgical bra and into a shapely underwire bra also provided by the practice. This bra should be worn for 6-8 weeks as it will help stabilize the lower and outer breast pocket dimensions, leading to a more predictable implant position and central cleavage. Long term bra support is one way to decrease the risk of sagging in the future. 

You will want to plan on taking up to 2 weeks off from work to recover from the surgery. Your recovery includes refraining from any upper body activity such as heavy lifting or fitness activities, as well as any other strenuous exercises for up to 4 weeks. After the first month of recovery, you can gradually resume light exercise.

What To Expect After Breast Augmentation Surgery

Your breast implants will ten to soften, settle and drop over time, which typically starts after 2 months, but can vary in time depending on the tightness of your tissue and skin tone. You will notice mild changes in the appearance of your breast and can continue for up to 6 months after your breast augmentation surgery. 

The patient typically will continue to look better and the scars improve for up to two years or more after surgery. Around 6-9 months after the surgery, we will typically take a post-operative photo and provide you a set of pre-operative and post-operative photos. This will help you see your improvement. Often, patients will have forgotten what they looked like prior to surgery and are surprised to see that the improvement in their appearance was more than they thought. 

To discuss your goals and to answer your questions, make an appointment with us by calling (702) 838-2455. If you live a long distance from Las Vegas, we can arrange an online consultation.