Breast Augmentation Techniques Dallas

Dr. Steve Byrd, a board-certified plastic surgeon and breast augmentation specialist in the Dallas/Fort Worth, TX area, has more than 25 years of experience with different breast implant types, sizes, fill materials, and shapes and a full range of body types. He thoroughly understands how surgical and postoperative care techniques differ based on the implant and the patient’s anatomy. It is important to seek a board-certified plastic surgeon who demonstrates competence with breast implants and the various augmentation techniques.

Whether you feel unsatisfied with your breasts because of genetics, pregnancy, nursing, or weight loss, allow Dr. Byrd to give you the shape and size you desire. Come in and 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.

Before & After Photos

See real results of actual patients treated by Dr. Byrd.

Planning Your Breast Augmentation

When you consult with Dr. Byrd at his Dallas/Fort Worth practice for breast augmentation, he will discuss your goals and your options. You may review pictures of Dr. Byrd’s previous breast augmentation patients to help you visualize size and shape and help you both come to a mutual understanding of your goals. You will discuss submuscular placement (implant beneath the pectoral muscle) versus subglandular placement (implant above the muscle and behind the glands). Dr. Byrd’s most common method involves saline implants under the muscle.

A woman’s first augmentation procedure rarely requires drains. Secondary (revision) augmentation may require drains if excess fluids or bleeding occur. Pain during recovery varies and depends on implant size (larger implants stretch the tissues more) and insertion location (the transaxillary, or underarm, approach causes more pectoralis muscle spasm than inframammary).

Patient Evaluation

Proper breast augmentation requires far more than choosing a cup size. Breast augmentation is highly technical, and careful preoperative evaluation of the patient is extremely important.

Recognizing subtle differences in breast dimensions can prevent implant malposition and asymmetry and allow for improved aesthetics of the breast. Dr. Byrd will carefully measure the dimensions of your breasts to make sure they are symmetrical.

Figure 1

In Figure 1, the crease, or inframammary fold (IMF), beneath the right breast is 2 centimeters higher, and the distance from the IMF to the nipple is 2 centimeters shorter. For symmetrical results, the right IMF must be lowered 2 centimeters, and a larger implant must be placed in the right breast.

In Figure 2, both breasts have an equal distance from the IMF to the nipple, but the left IMF sits 2 centimeters higher. Lowering the left IMF would increase the distance between the IMF and nipple and allow the implant to sit too low in the breast, producing an unnatural, upturned look (see Figure 3).

Figure 2


Figure 3


Figure 4

Some conditions limit a patient’s implant size options. In Figure 4, we see a tuberous breast deformity. This condition presents a tight inferior pole (bottom of the breast) with a herniating, over-projecting, and downward-facing areola/nipple complex.


Figure 5

Anatomical deformities in the underlying chest wall can also affect the treatment plan and results. Figure 5 shows a pectus excavatum (underdeveloped breast bone). If not accounted for in the treatment plan, breast augmentation may accentuate the deformity. Conversely, a pectus carinatum (overdeveloped sternum, not shown) can enhance the results of augmentation.

For treatment of breast ptosis (sagging), visit our breast lift page.

Breast Augmentation Techniques

Endoscopic Transaxillary Technique

Breast implants are inserted through the underarm. This method allows for a variety of implant types and sizes and placement either above or beneath the muscle. Additional benefits include:

  • A small incision under the arm
  • Precise positioning of the breast implant
  • No scars on the breast
  • No drains necessary

Periareolar Technique

Dallas woman before and after endoscopic breast enlargement

The implant is inserted through an incision around the areola. The periareolar scars tend to blend in the best. The diameter of the areola must measure 4 centimeters or larger for this technique, which is why many women who have had children and breastfed are good candidates for this technique. In certain cases, this technique can also be used to reduce areolar size and provide small amounts of breast lift.

Fort Worth woman before and after inframammary breast enlargement

350 cc rnd saline

Inframammary Technique

A more common approach for breast augmentation, the implant is placed through an incision in or slightly above the IMF. Dr. Byrd determines the exact incision based on whether he will lift the fold, lower the fold, or keep it in the same location.

Periareolar breast augmentation

325 cc round implants with nipple reduction

Contact Us

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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