Breast Augmentation FAQ Dallas

Many of Dr. Steve Byrd’s patients have found satisfaction from breast augmentation in the Dallas/Fort Worth area thanks to his expertise in the latest breast augmentation techniques and implants. These are complicated procedures, and patients have many things to consider.

If you’re thinking about breast enlargement in the Dallas/Fort Worth area but have concerns, you will likely benefit from this list of frequently asked questions. You can also let Dr. Byrd help you understand your options by coming in to meet with him in our office on North Central Expressway near North Park Mall. Request $100 off your consultation, or give us a call at
(214) 821-9662 to schedule an appointment. Read on to see how Dr. Byrd answers several common questions.

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Is saline or silicone best for me?

Silicone gel-filled implants are FDA-approved for all women who are 22 years of age or older. If a woman younger than 22 has asymmetry or ptosis (drooping), a doctor may still recommend silicone.

When there is ptosis, I prefer silicone implants over saline implants. In addition to breast augmentation, the patient will usually require a breast lift. Together, this combination procedure is called augmentation-mastopexy. Silicone implants provide better internal support than saline implants, helping to prevent recurrent ptosis.

Are silicone implants safe?

Yes. Independent, multi-year studies of silicone breast implants in women were completed in 1999 and 2000. These studies evaluated the relation between silicone breast implants and the occurrence of autoimmune disease and breast cancer. Both the old and new silicone breast implants were shown to be safe and not related to either of these diseases.

How long do saline and silicone breast implants last?

The short answer is that breast implants last longer than 20 years.

In the early 1990s, during a U.S. moratorium on silicone implants, I used only saline implants for routine breast augmentation. I have since eliminated several styles due to early deflation. Aside from the styles I have discontinued using, saline implants have performed well, with longevity out to 20 years. However, I do think that saline implants are more prone to sagging with time, and some patients have complained about palpability and rippling.

As soon as cohesive silicone was made available in 1995 for special use, we began using them in addition to saline implants. I have yet to remove a defective silicone implant. The interval of use for the silicone implants is 18 years. The implant manufacturers allowed for a 10-year warranty. In a way, this backfired on the implant manufacturers. The warranty was meant to instill confidence in patients, but some people misinterpret it to mean that the implants are expected to wear out and must be removed or replaced every 10 years. I have not found that to be the case.

What incision site is the best?

I use 3 incision sites. Most primary breast augmentation patients have the option of selecting any of these incisions:

  • Transaxillary (armpit): This under-the-arm incision is ideal for a first-time breast augmentation patient whose breasts are symmetrical and who desires a smaller to medium-size silicone implant or a saline implant of any size.
  • Inframammary fold (crease beneath the breast): The inframammary fold, or IMF, incision usually yields the best access when there is asymmetry between the breasts, specifically asymmetry in the height of the IMF.
  • Periareolar (around the areola): The incision around the areola can be used with saline implants and small silicone implants. If the diameter of the areola is shorter than 4 centimeters, this incision site is not useable or advisable. The periareolar incision is the preferred incision for correcting tuberous breast deformity. An incision at this site will not cause loss of nipple sensation.

It seems as though it might be difficult to make sure you understand the look I desire. How do you know what implant size/style to use on me?

For women who come to me in Dallas for breast augmentation with implants, I personally prefer to see photos of what they expect or desire for their appearance post-breast augmentation. We ask that patients bring in before-and-after photos selected from implant manufacturers’ websites (where plastic surgeons nationwide have contributed photos).

I ask that the patient select someone who looks as similar as possible to them in the pre-op views and then brings several post-op photos to show what the patient does like and does not like. Combining these visuals with my careful measurements of the breast and chest wall allows me to select the size and style of implant that will achieve the desired result.

Will I experience pain after surgery?

Most of my patients experience very little pain and complain more of tightness, soreness (like working the pectoralis muscles a lot), or a heaviness when they lie down (with large implants).

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    Dr. Steve Byrd

    Board-Certified Plastic Surgeon

    To visit our office use address:
    9101 N Central Expy #560
    Dallas, TX 75231

    For mailing purposes use address:
    9101 N Central Expy #600
    Dallas, TX 75231
    Tel (214) 821-9662
    Fax (214) 828-2609

    The American Society for Aesthetic Plastic SurgeryAmerican Society of Plastic Surgeons