Breast Augmentation Techniques in Dallas and Fort Worth, Texas

Endoscopic Transaxillary Breast Enlargement in Dallas and Fort Worth, Texas

This breast augmentation method offers:

• No scars on the breast
• A small incision under the arm
• Precise placement of the breast implant
• Choice of implant style and size
• Implants placed above or below the muscle
• No drains required

My Dallas and Fort Worth breast augmentation patients have the option of positioning their breast implants beneath the breast gland on top of the muscle or beneath the pectoralis major muscle. I routinely place saline implants under the muscle. Drains are rarely required in primary augmentation but may be necessary in "redo" surgery or if any oozing or bleeding is encountered. Pain following breast augmentation is somewhat variable and generally relates to implant size (larger causes more stretch) and route of implant insertion (the transaxillary approach yields more pectoralis muscle spasm than inframammary).

If you're ready to learn more, click to request $100 off your consultation and come in to talk with me at my plastic surgery office in Dallas.

Periareolar Breast Enlargement

The periareolar incision may be used when the diameter of the areola is 4 cm or greater. As a result I find it a common choice among women who have had children and breast fed. It may be used as a way of reducing areolar size and providing small degrees of breast lift. Dallas and Fort Worth patients find that this method provides some of the least noticeable scars.

Inframammary Breast Enlargement

The inframmary approach to breast enlargement in Dallas is probably the most common technique. The incision is placed on the underside of the breast in or slightly above the inframmary fold. I choose the exact placement depending on whether the fold will be lifted, lowered, or kept in the same place.

You and your surgeon should thoroughly discuss your desired size and shape. I find the review of pictures with my Dallas and Fort Worth breast enlargement patients extremely helpful in coming to a mutual understanding of sizes and shapes that are both desirable and undesirable.

More than ever I think it is crucial that patients considering breast augmentation in Dallas assume the responsibility of finding a Board Certified Plastic Surgeon who demonstrates competence and familiarity with the breast implant issues and specifically demonstrates experience with both saline and silicone breast implants. After 25 years of dealing with all types, sizes, and shapes of breast implants, I am convinced that saline and silicone implants necessitate techniques in surgery and postoperative care unique to the implant style, shape, fill material, and the specific anatomy of the patient.

Patient Evaluation

The skin dimensions of the breast need to be accurately measured to determine symmetry. A failure to recognize subtle differences may result in implant malposition and actually enhance the deformity rather than improve the aesthetics of the breast. In the case to the right, the distance from the nipple to the inframamary fold (IMF) is 2 cm less on the right breast. Also note that the IMF is positioned 2 cm higher. To produce symmetry the surgeon must lower the right IMF 2 cm while maintaining the IMF position on the left. A larger implant will also be required on the right.

On the subsequent patient, note that the distance from the IMF to the nipple is the same on both sides and yet the IMF is 2 cm higher on the left. In this patient if would be a mistake to lower the IMF on the left side, as it would cause the distance between the nipple and fold to increase and thereby allow the implant to assume a position below the nipple/areola complex creating an upturned look to the breast.

A limiting factor on the size of the implant that should be used often relates to the presence of a tight inferior pole which may be seen alone or in association with a tuberous breast deformity. This deformity is characterized by a tight lower pole of the breast with a herniating, over- projecting and turned down nipple complex.

Underlying asymmetries in the chest wall may also influence the aesthetic outcome with breast augmentation. An under developed breast bone (pectus excavatum) may appear worse after breast augmentation while an over- developed sternum (pectus carinatum) may benefit from augmentation. These factors are mentioned to underscore the importance of careful preop analysis and to emphasize the fact that aesthetic breast augmentation is far more than choosing a "B, C, or D" size or for the surgeon to simply cram the largest implant he has available under the breast. See "mastopexy" for conditions in which breast sagging or droop is present.

If childbirth, weight loss or Mother Nature granted you breasts you're unhappy with, come in and meet with us in our office at 411 N. Washington in downtown Dallas. You'll wonder why you waited so long to get the shape you've been dreaming of. Request $100 off your consultation and come in to talk with Dallas plastic surgeon Dr. Steve Byrd, or give us a call at 214.821.9662 to schedule an appointment.