in this section
- Breast Augmentation
- Breast Lift (Mastopexy)
- Breast Lift w/ Augmentation (Mastopexy w/ Augmentation)
- Breast Reduction (Reduction Mammaplasty)
- Browlift (Forehead Lift)
- Ear Reshaping (Otoplasty)
- Eyelift (Blepharoplasty)
- Facelift / Necklift
- Facial Filler
- Facial Resurfacing
- Nose (Rhinoplasty)
- Tummy Tuck (Abdominoplasty)
- Mommy Makeover
- Earlobe Reduction Surgery
- Breast Implant Removal
- Earlobe Repair Surgery
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 balanced 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 tends 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.
What are the benefits of breast augmentation?
For many women, breast size and body image are linked. The desire to augment the breasts is completely personal and there are myriad reasons women seek to have this popular procedure. Each year, breast augmentation is among the most popular cosmetic surgeries in the U.S.
Augmentation consistently ranks among the most satisfying cosmetic surgeries. Women who have had breast augmentation are routinely surveyed in the months and years afterward. They report incredibly high rates of satisfaction. A recent survey from the American Society of Plastic Surgeons reports that 98 percent of women felt their augmentation either met or exceeded their expectations. Over 90 percent of the women also said they felt the procedure increased their self-esteem.
Breast augmentation with Dr. Roth is truly life-changing. It can change the way you see your figure, augmenting your self-confidence along with your breast size and shape.
Who is an Ideal Candidate for Breast Augmentation?
Body image can be so important to your self-confidence. If you’ve always thought your breasts were disproportionally small compared with the rest of your figure, this can make you self-conscious in a swimsuit or during intimate situations. Breasts that are asymmetrical can pose even more of an issue.
Whether you’re right for augmentation is a completely personal decision. But it definitely is a procedure that will likely change your life. It may be just the boost you need.
But when patients are considering breast augmentation, Dr. Roth stresses that the decision needs to be for you and you alone. This isn’t something to do for a spouse or partner. It needs to be something you want…for you.
How Long Does Breast Augmentation Last?
Unfortunately, there are no “lifetime” implants. Like anything that is manufactured, implants have a lifespan. Implant manufacturers warranty their implants for 10 years, so they expect them to last at least that long. However, some implants may only last five years, while others last 20 years. When implants reach their lifespan, they will weaken and rupture. That will require revision surgery to remove the ruptured implant (and any silicone gel that may have leaked out with silicone implants) and to replace both implants with new implants.
A woman having breast implants in her 30s can reasonably expect to need to replace her implants at least two or three times, and possibly four times in her lifetime. Implants are becoming more durable, but at this point, this is a good estimate.
One plus about replacing implants is that Dr. Roth can usually enter through the original incisions. Plus, unless there is extensive capsular contracture, the breast pockets created for the original implants should still be able to be used for replacement implants.
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:
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.
This incision is made in the fold of the breast, where the breast meets the chest wall.
The trans axillary 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.
Is Augmentation Safe? What Are The Risks?
Breast augmentation is major surgery, and it has the risks involved with any surgery: anesthesia reaction, bleeding, infection, and such. For augmentation, there are some specific risks. These include the loss of nipple or breast sensation, implant leakage or rupture (if the implant is somehow nicked during placement), or improper positioning.
For this procedure, the main enduring risk is capsular contracture. This is the body’s reaction to the implants, which is to build scar tissue around them. If the scar tissue becomes too aggressive, it may deform the implants and cause them to feel overly firm or hard. If this happens, they will need to be replaced and the excess scar tissue removed. There really isn’t any way to tell if a patient will develop capsular contracture or not.
Otherwise, numerous studies have been found no link between breast implants and autoimmune or other systemic diseases.
How Much Does Breast Augmentation Cost?
There are variables involved with these surgeries with Dr. Roth. Do you want saline implants or silicone? Gummy bear implants? Ideal saline implants? What incision location do you want to utilize? Costs can vary based on these different options.
During your consultation with Dr. Roth, the two of you will discuss what your goals are and your options. Once we have a good idea of how you’d like to proceed we will give you an exact cost for your augmentation.
Does Insurance Cover Breast Augmentation?
Breast augmentation is deemed to be an elective procedure by insurance companies, so it is not covered. There is one exception: the placement of breast implants after mastectomy. These are generally considered to be medically necessary and are covered.
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 the 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, autoimmune 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 affect the success of the procedure, the subsequent healing process, and the final result. Clearly, issues affecting 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 afterward. 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 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 for 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 for 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.