Over 300,000 breast augmentation procedures are performed by plastic surgeons each year and that number continues to grow. With so many breast implant options and variations available the decision process can be a bit overwhelming for patients. Dallas breast augmentation specialist Dr. Raj leads his patients every step of the way, from the initial consultation through the procedure and into recovery.

Breast augmentation surgery, as with any kind of surgery, has risks and complications, so it’s a good idea to ask questions and read patient reviews. With modern surgical and recovery techniques patients can be on their feet in as little as 24-hours with some minor restrictions.

Before and After Images

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*Individual results may vary.

This is a young patient who felt she wanted more volume in her breast, especially in the upper part of her breasts. She wanted to look and feel more confident in swimsuits. With high profile implants, her goals and desires were achieved. *Individual results may vary

This is a young patient who felt she did not have enough volume in her breasts and desired breast augmentation to feel more confident. She wanted more volume but did not want something that look overly done or too large.  With smaller size high profile implants, her goals were achieved.   *Individual results may vary

This patient wanted to undergo a mommy makeover for her upcoming wedding. She underwent abdominoplasty and breast augmentation. *Individual results may vary

This patient had multiple pregnancies and desired more volume in the upper pole of her breasts.  She wanted to improve her shape so her breasts look more full in bras and clothing.  She underwent breast augmentation with high profile implants. *Individual results may vary

This is a young patient who felt she did not have enough volume in her breasts and desired breast augmentation to feel more confident and also fit better into dressed.  She wanted a modest increase that did not make it look obvious like she had an augmentation. With smaller size high profile implants, her goals were achieved. *Individual results may vary

This patient felt she had good volume to begin with but wanted more upper pole fullness and a rounded shape to her breasts.  She felt she lost this look after her pregnancies.  She underwent breast augmentation to achieve this look. *Individual results may vary

This patient underwent breast augmentation to add more volume to her breasts.  She said she lost volume and fullness due to weight fluctuations and desired breast implants to restore volume that was lost. *Individual results may vary

This is a patient in her 30s who underwent breast augmentation. She had pre-operative asymmetry with the right breast being much smaller than the left breast. Different sized implants were used to achieve better symmetry for her. *Individual results may vary

This is a patient in her 20s with a smaller frame who desired more volume in her breasts and she had placement of 295cc implants (full profile, sub-muscular pocket) in both breasts. *Individual results may vary

This is a patient in her 20s who desired more volume and fullness to create a more natural look. She had placement of 375cc (moderate profile, sub-muscular pocket) implants in both breasts. *Individual results may vary

What is Breast Augmentation?

Surgical breast augmentation, also frequently referred to as breast implant surgery, is the most common type of cosmetic surgery. This procedure utilizes either artificial breast implants or fat grafts to alter the shape, size and/or texture of a patient’s breasts.

Breast Augmentation Options and Variations

Every patient is unique, from the texture and quality of their skin to their muscle tone and build. The popularity of breast implants has led to a wide variety of options and techniques. Some of these options are chosen by default based on the unique qualities of the patient – from skin texture and quality to muscle tone and build. Others require the patient, with guidance from Dr. Raj, to make choices in pursuit of the best result. The six major options for breast implants are:

Breast Implant Size

Most of the time patients consider their breast size in terms of cup sizes, but breast implant sizes are measured in discrete volumes (cubic centimeters or cc’s) and they do not necessarily correspond to bra sizes. This can be a common source of confusion for patients, as the same size implant in different patients may result in incredibly different outcomes.

How Big is Too Big?

There are two major factors that can limit the maximum size of breast implants. The maximum size of the surgical pocket is based on the body dimensions and tissues. Too large implants risk bottoming out or other abnormal movement, which can require revision surgery. Secondly, skin elasticity is important in determining the maximum size as skin will only stretch so much before tearing.

Implant Surface

Breast implants can be textured or smooth. While textured implants were designed around maintaining their position and reducing rippling in the skin, in practice they have been shown to be more likely to ripple than smooth implants due to their lack of mobility. Some patients have reported that textured implants tend to be stiffer, more uncomfortable and in some cases have been associated with a rare form of lymphoma called BIA-ALCL (breast implant associated anaplastic large cell lymphoma).

Smooth breast implants on the other hand move more freely beneath the skin. This leads to fewer intrinsic risks and potential negative outcomes, and to many patients can feel much more like what they expect natural breasts to feel like than textured implants. Smooth implants are also less likely to cause rippling under the skin.

Breast Implant Shape

Breast implants come in different shapes as well as sizes. The two most common shapes are round and teardrop shaped.

Various studies have shown that the shape of the implant alone is not a good indicator for the final result. The eventual shape is mostly determined by the plane (subpectoral or subglandular) and position of the implant placement.

Breast Implant Position

Breast implants are either placed under the breast tissue (subglandular pocket) or beneath the pectoralis major muscle (subpectoral pocket).
Subglandular placement is technically less demanding and results in less post-operative pain but there is a greater risk of skin rippling or the development of scar tissue around the implant which can lead to the breast and implant feeling hard to the touch, as well as changing the shape or appearance in undesirable ways.

Placement in a subpectoral or submuscular pocket has more potential for pain and discomfort in the early stages, but as a tradeoff provides a natural, longer-lasting shape with a significantly lower risk of rippling or stiffening. As with any cosmetic surgery, there are risks – the one most frequently associated with submuscular implantation is displacement of the implant via a muscular contraction, which is why this method may not be recommended for athletes and those who weight train.

Why Choose Dr. Raja Mohan?

Patients choose Dallas breast augmentation cosmetic surgeon Dr. Raj for a variety of reasons. He trains and studies with the best in the industry as a peer and leader, and this commitment means that his patients are always able to benefit from advancements at the cutting edge of science and surgery. He is knowledgeable and personable and is known for both candor and compassion. He really cares about his patients and it shows, both in how he interacts with them as well as in the quality of patient care he provides. Ultimately, all roads end with the outcomes, and the reason most people choose Dr. Raj as their Dallas breast augmentation doctor is that he delivers results that speak for themselves.

Dr. Raj Mohan is a board-certified, aesthetic-fellowship-trained plastic surgeon.

What are the different types of breast implants?

Most breast implants fall into one of two general categories, saline or silicone, with some variations on the theme.

The Initial Consultation

During the initial consultation patients will meet with Dallas breast augmentation surgeon, Dr. Raj and his staff, and a thorough medical history and physical will be conducted to ensure that the patient might safely undergo plastic surgery. Dr. Raj and the patient will then discuss desired outcomes and look at any reference materials which the patient has brought to gain a thorough understanding of what the patient is trying to achieve with cosmetic surgery.

Dr. Raj will then utilize imaging technology and examine the patient to determine which options are available and if the patient is a candidate for breast implants.

The findings of these measurements and examinations can help Dr. Raj to determine a range of implant sizes and types which might work. The patient is then given an opportunity to evaluate those sizes in a breast sizing kit to determine which of the options is closest to their desired result. By the end of the initial Dallas breast augmentation consultation the patient should have their questions about the procedure answered and Dallas breast augmentation specialist Dr. Raj will design an individualized surgical plan.

Before the procedure

Instructions for pre-surgical care will be provided by Dr. Raj prior to surgery based on the patient’s individualized surgical plan. Instructions are provided on preparing for the surgery and patients are made aware of any possible complications, as well as information to help them prepare logistically for the recovery process.

The day of the procedure

In order to maintain the highest standards of safety and patient care, all surgical appointments take place at an accredited surgery center, where patients will be greeted by staff to help them prepare for their procedure. Prior to the procedure Dr. Raj will perform a marking and discuss the details of surgery in the pre-operative holding area. This provides a final opportunity for Dr. Raj to answer any questions before the patient is placed under anesthesia and the surgery commences in an operating room.

The Procedure

Breast augmentation is one of the most common procedures performed by a plastic surgeon. Breast implant surgery is performed in an operating room under general anesthesia as an outpatient procedure for patient comfort and safety. During the procedure:

An incision is made, and the breast pocket is carefully developed to fit the appropriately sized implant. The dissection is done in a manner to minimize post-operative pain, bleeding, and swelling.

Local anesthetic and antibiotic solution is instilled in the pocket to assist with pain control and reduce the risk of infection.
The implant is then carefully placed to prevent any contamination or disruption of the implant.
The positioning and sizing are confirmed before the incisions are meticulously closed.

In most cases the procedure takes about one hour, and you can generally resume normal activities within 24 hours.

Breast Fat Mammography, or Fat Transfer Breast Augmentation is a different procedure that some patients choose in order to achieve their desired results. Fat can be harvested or obtained from patients using liposuction and then specially prepared before undergoing reinjection into the breast. This procedure is also done in some cases as a supplement to breast implant surgery.

After the procedure

The patient will be taken to a post-anesthesia care unit for recovery before being discharged to home to follow their post-operative recovery plan. Dr. Raj has trained extensively in advanced breast augmentation techniques which allow for a speedier recovery and minimizes pain, swelling and discomfort after the surgery. There are no drains used for the procedure and the sutures will dissolve. It’s recommended that patients wear a support bra initially after surgery to allow the tissues to heal.

Patients will be provided with an individualized post-treatment protocol consisting of recuperative massage and exercise techniques which can be performed after a few weeks from surgery.

Limitations, Risks, and Possible Complications of Breast Augmentation

All surgeries carry some risk including breast augmentation. The most common risks are bleeding, infection, and reactions to anesthesia. Although rare, some other risks include loss of sensation in the nipple or breast, capsular contracture (hard capsule or scar tissue around implant), implant rupture or leakage, and implant malposition. Some complications may lead to requiring revision surgery. See also Breast Augmentation Risks.

Schedule a Dallas Breast Augmentation Consultation

If you want to learn more about breast augmentation surgery please call (469) 301-1725 to schedule a consultation with Dr. Raja Mohan.

References

• https://www.mayoclinic.org/tests-procedures/breast-augmentation/about/pac-20393178
• https://www.webmd.com/beauty/cosmetic-procedures-breast-augmentation