Larger, fuller breasts are possible with breast augmentation. This cosmetic procedure not only enlarges breasts, but also enhances their overall shape and appearance. The only way to know if it is right for your goals is to schedule a consultation with board-certified plastic surgeon Dr. Jeffrey Roth in Las Vegas.

What is Breast Augmentation?

Breast augmentation is a surgical procedure that increases the size of the breasts using breast implants. Other benefits of this procedure include:

  • Improves breast asymmetry
  • Restores volume following weight loss or breastfeeding
  • Improves the overall shape of the breasts
  • Improves breast projection
  • Creates more balance between the shape of the hips and bust
  • Creates the roundness and fullness you desire

Many breast enlargement patients report enhanced self-image and self-confidence following the procedure.

Please see our breast augmentation before-and-after gallery.

Breast augmentation is considered a cosmetic procedure generally. For that reason, it is almost certainly exempt from coverage by your health insurance policy, which tend to cover procedures the insurance company deems medically necessary. Breast enhancement patients continue to opt for the procedure anyway because it offers such a beautiful, lasting return on the initial investment. In fact, this procedure has been the Number 1 cosmetic procedure in the United States for several years running. Hundreds of thousands of women undergo breast augmentation annually, and surveys show high rates of satisfaction.

How Long Does Breast Augmentation Last?

Breast augmentation results persist for as long as the breast implants are intact, looking good, and free from any complications or issues. Breast implants are not lifetime devices. Many women will replace them about 10-20 years after the breast enlargement procedure.

The procedure to refresh your results is commonplace and frequently performed by Dr. Roth. You can rely on his skill and experience to update your breast implants. It is possible to go decades without needing a replacement or revision; it really depends on individual circumstances.

Here are a few of the many reasons a woman may decide to update the original breast augmentation results:

  • To increase or decrease the size of your breast implants
  • To switch from saline to silicone breast implants, or vice versa
  • To correct capsular contracture, rippling, rotation or other issues 
  • To replace ruptured or leaking breast implants
  • To address skin sagging that has occurred with age

Saline vs. Silicone Breast Implants

All breast implants have an outer silicone shell. Within the shell, the fill material is saline fluid or silicone gel. Choosing between saline and silicone breast implants is one of the ways that you will customize your results.

Saline is a sterile saltwater solution. Unlike a gel, saline is a liquid. Saline implants are more prone to rippling and wrinkling, and some women express that silicone implants look and feel more natural. In the event that a rupture or tear occurs, the saline fluid will be harmlessly absorbed by the body. The implant and breast will flatten as the implant deflates, so it is very easy to tell if a saline implant is leaking, which will cue you to call the surgeon and get the implant replaced. Saline breast implants are FDA-approved for people age 18 and older.

Silicone breast implants contain a cohesive silicone gel, which resembles the consistency of real human fat. Silicone breast implants look and feel optimally natural. If the shell tears, the gel maintains its shape, so routine MRIs may be recommended to make sure everything is looking good. Silicone breast implants are FDA-approved for people age 22 and older.

Breast Implant Incision Options

Three main incision options exist for breast enlargement:

  • Periareolar incision: This incision is circular and made around the circumference of the areola. It is hidden well in the skin color change that occurs at the border of the areola. 
  • Inframammary fold: This incision is made in the fold of the breast, where the breast meets the chest wall.
  • Transaxillary incision: The transaxillary incision is made in the armpit. Some women prefer it because it is so well-concealed. 

The breast implants are placed in the breast pockets via one of these incisions. Dr. Roth will recommend the incision location based on the implant and your current breast measurements, as well as other factors particular to your procedure, body and preferences. Dr. Roth always creates incisions that are as minimal as possible. We know our patients want resulting scars to be subtle. Each person’s body and skin type react a little differently to scarring, but we make sure you are armed with the best aftercare instructions to promote proper healing. Scars will become lighter in color and flatter as time goes by.

Arrange a Consultation with Dr. Roth

Dr. Jeffrey Roth is a board-certified plastic surgeon providing breast augmentation and other cosmetic surgeries to women from Las Vegas and across the surrounding areas of Nevada. As Las Vegas is an international city, we also have patients come from all over the world. If you are interested in enlarging your breasts, we encourage you to take the next step in the journey by scheduling a consultation with Dr. Roth. Please contact our staff to learn more.

Dr. Roth will first listen to your concerns and goals. Some patients bring in photos from publications to demonstrate desired look and size. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as; medications, herbal remedies, allergies, smoking, drug use, bleeding and scarring tendencies, will be reviewed. Chronic issues, (e.g. diabetes, high blood pressure, auto immune disease), are also important.

Dr. Roth will examine you and will describe not only what he sees, but also how it relates to your appearance or other issues. He will then explain what might be done to improve each area medically or surgically.

You may not wish to take advantage of every treatment that is available, but at least you can know about available options and what each might offer.

Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact.. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.

Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation, (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing and needs to be discontinued prior to the operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.

Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterwards. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well.You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.

Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).

You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find someone. It is also mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety.

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

There are different ways to perform the breast augmentation. These are determined by the individual's anatomy, tissues, and goals.

The procedure usually takes about an hour, depending on the extent of your particular anatomy, tissues, and procedure. Appropriate arrangements will be made so that you'll be observed for the first night after the procedure.

Remember that any surgical procedure requires a certain period of recovery from the surgery and anesthetic. Individuals vary, but it is possible to experience soreness, swelling, and bruising.

You will need to have someone drive you home from the surgery center. You should also have someone stay with you the first couple of days after you go home. You will also need someone to drive you to your visits to the Doctor. Remember, no driving for 10 days after the procedure. Any discomfort following breast augmentation, (augmentation mammoplasty), is usually controlled well with the prescribed pain medication.

The bra will act as the "dressing," holding the implants and breasts in position. After 2 weeks you may sleep without the bra. You may shower the day after surgery.

Although you will be up and around in a day or two, you should plan to take it a little slower the first week. If your work is secondary, you may return as you feel fit. If work is more strenuous, you should wait 7-10 days. Do not do anything that requires straining or heavy exercise for at least 10-14 days. This is especially true of upper body activity, (e.g. Vacuuming). Likewise, you should avoid vigorous activity for two weeks after surgery, this will reduce the incidence of swelling or bleeding. Walking and stretching are encouraged. Some areas may be numb for weeks to months, and so heating pads and sun lamps are to be absolutely avoided. Sun exposure is discouraged for at least the first few months.

Everyone responds differently to an operation. It may take some time for the healing process to let you accurately appreciate the operation. With proper peri-operative care, you should be able to maximize the healing process and help to achieve your goals.

As you research your cosmetic surgery procedure, Before and After pictures can help you understand your options and set realistic expectations for your surgical outcome.

These pictures are all from actual patients shown Before and After surgery (your results may vary).

Frequently Asked Questions

Where will the scar be?

That will be discussed with the Doctor at the time of consultation. Incision placement will depend on multiple factors including your particular anatomy, tissues, and goals.

Is there any association between breast augmentation and breast cancer?

Studies have shown that the incidence of breast cancer in women with breast augmentation is actually lower than average. This may be due to multiple factors.

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