Breast Augmentation

Customized Breast Augmentation

For breast augmentation (also known as breast enlargement), we use FDA-approved saline or silicone breast implants. The type, shape, size, incision type, and placement of your implants are all choices we shall help you make during your consultation.

We recognize that every woman is unique and brings her own ideals and body shape to the process. We spend time discussing all of your available options with you, and we shall recommend the breast implants and surgery options that we believe are best for you. However, the final decisions about the details of your breast implant procedure will be up to you. We empower you to make the decisions that are right for your body and will give you the natural-looking results you want. We also offers financing options to help keep breast augmentation affordable!

Are you ready to see how breast implants can enhance your natural beauty and boost your self-confidence? Call 972-566-6500 today or contact the Cosmetic Surgical Center to schedule your consultation with Dallas breast augmentation surgeons Drs. Vasdev and Surjit Rai.

To learn more about this topic, read our blogs about Breast Augmentation.

Read Breast Augmentation Testimonials

Breast Implants

At the Cosmetic Surgical Center in Dallas, we offer our patients a wide variety of breast implant options in order to provide you with the best options for your figure and your cosmetic goals. During your consultation, we shall discuss your options for:

Implant types: There are two types of implants

Implant Size and Style

All implants are available in multiple sizes. Sizes are essentially based on implant dimensions and volume of their fillings.

An implant style refers to the overall implant projections, ranging from low flat profiles, medium profiles, high profiles and ultrahigh profiles. Each manufacturer essentially provides their entire catalog of offerings to guide surgeons and their patients in the proper choice of implants. No one style will fit all needs. Size and style need to be customized for each patient. We are here to help you choose your best option.

Implant Texture

Implants are either smooth walled or textured walls. Initially all implants were smooth. In the early 1980s Polyurethane covered implants were introduced. In these implants the silicone shell was further covered with a layer of Polyurethane with the expectation that it will change the nature of the body’s response to the implant because of Polyurethane layer, and reduce the incidence of capsular contracture, and also decrease implant displacement. Polyurethane covered implants were taken off the market in 1990 because of concerns with Polyurethane.

Since then textured implants are textured by texturing the outer silicone cover with some kind of texturing. Texturing technique varies among different manufacturers of implants. Mentor uses a technique called “negative imprinting.” Allergan uses a “salt loss” technique. Sientra uses yet another proprietary technique. The impact of different techniques of texturing on capsular contracture and performance of implants are not clear.

Textured implants are lately reported to be associated with BI-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma). The exact cause of BI-ALCL is still being investigated.

Placement of the Implants

The placement of your breast implants will play a large role in the final results of your procedure. The recommended placement will depend on several factors, such as the amount of natural breast tissue you have to begin with, your lifestyle, your desired final look, your fashion sense and many other factors unique to you.

There are two main placement options:

Subglandular: Subglandular placement is done behind the breast tissue but in front the muscles of chest.

The natural female breast exists right here. Subglandular implants thus become part and parcel of your natural breasts and achieve a natural shape and characteristics of breasts as they are supposed to be. Thus, subglandular implants look natural, have natural cleavage (unlike submuscular implants), and do not move with contraction of chest muscles (unlike submuscular implants). They also fit into bras more naturally (unlike submuscular implants).

On the down side, subglandular implants may show more implant rippling and may have a slightly higher rate of capsular contracture. In our opinion, the upsides far outweigh the downsides. We prefer this placement over submuscular placement in most patients.

Submuscular: Submuscular placement of implants is done behind the breast tissue and chest muscles. This placement provides an additional layer of coverage for breast implants, which reduces the appearance of imperfections such as rippling and wrinkling. The additional support for the implant also reduces the risk of breast sagging.

However, there are downsides to a submuscular placement. The muscle does not allow the implants to give a natural cleavage for the breasts. Implants jump and move around with activity of chest muscles associated with weight lifting, any sports, and sometimes even using your keyboard. Although patients tend to get used to it, it is never natural and always bothersome.

Over the passage of time the muscle action on top of the implants tend to shift the implants towards the armpits. Many years later implants can become displaced into the armpits and require pocket adjustment operations.

Also, there is needless muscle injury and trauma that is necessary to create a pocket behind the muscle.

Larger implants even tend to bend the ribcage and rarely cause rib fractures. With the passage of time the muscle itself thins out from the pressure of the implant. Recovery time from surgery is longer with submuscular implants.

Because of these downsides we try to discourage our patients from choosing submuscular placement of implants. There are some exceptions to this rule, namely a patient with a totally flat chest will require implant placement behind the muscle. However, such situations are exceptions rather than rules.

To learn which placement option is right for you, schedule your consultation with Dallas breast surgeons, Dr. Vasdev Rai and Dr. Surjit Rai today. Call 972-566-6500

Choosing The Implant Size

Breast implants are not measured by a cup size. Instead they are measured by volume in cubic centimeters (cc’s). Larger implants will have a larger number. For example, a 300cc implant is larger than a 250cc implant.

The same size implant may look completely different on two different women because of their body shape, height and weight. Your friend may wear a D cup with 300cc implants, but that does not mean the same size implant will produce the same results for you.

At the Cosmetic Surgical Center in Dallas, we encourage patients to begin with photos of women with a breast size you admire and would want to emulate. Bring these photos to your consultation with us to begin the discussion of your cosmetic surgery goals.

We will help you select the appropriate breast implant size to give you the results you are looking for.

To schedule your breast implant consultation and determine what size your implants should be call 972-566-6500 today.

Risks of Breast Augmentation

Every surgical procedure comes with some risk. It is important for our patients to understand the risks of breast augmentation in order to make a sound decision about undergoing the procedure. Breast augmentation risks include:

Breakage/leakage of breast implants. If the tough outer shell of your implant breaks, the implant may leak, especially if it is a saline implant, and need to be replaced. There are no health consequences to leaking implants.
Interference with breast exams or mammograms. Dr. Rai will teach you some easy techniques to properly self-examine your breasts with implants, and trained radiologists can easily overcome mammogram difficulties with newer, more advanced mammography techniques.
Rippling or wrinkling. Saline implants have inherent ripples in the shell. Silicone implants ripple less and implants behind the chest muscle are less noticeable. By properly choosing, placing, and filling your breast implant pockets, we minimize this type of problem.
Capsular contracture. Your body will naturally make a layer of scar tissue around your implants. Contracture occurs when that capsule of scar tissue begins to tighten around and constrict your implant. An additional surgery may be required to correct this distortion.
Loss of feeling or diminished sensitivity. Most sensory changes are temporary and will disappear within 6-12 weeks. However, you should be aware that permanent sensory changes can occur. Dr. Rai is careful to avoid unnecessary nerve manipulation during your procedure to minimize sensory disturbances.
Anesthesia complications, scarring, infection, pain. These are all risks associated with surgery in general. We use experienced anesthesiologists and make safety our priority for your breast augmentation.
Risk of BI-ALCL with textured implants has been recently reported.

To discuss your concerns and get all of your questions answered about your breast augmentation procedure, call 972-566-6500 today to schedule your consultation with experienced Dallas breast surgeons Dr. Vasdev Rai and Dr. Surjit Rai.

Incision Options

Every step in your breast augmentation procedure will be personalized to meet the specific demands of your unique frame. One of the options that we shall discuss with you during your consultation is the location of incision for you.

We use one of two incisions:

Inframammary – in the breast fold crease.
Periareolar – at the border of dark areolar skin and breast skin.

These incisions allow us precision and control of your new look. We have abandoned trans-axillary and belly button approaches since they lack precision and control for artistry required to create beautiful breasts.

To discuss which incision option is right for you, please call 972-566-6500 today to schedule your consultation with experienced Dallas breast surgeons, Dr. Vasdev Rai, and Dr. Surjit Rai.

Breast Augmentation Questions

Is there anything I should do to prepare for my surgery?

Plan for your surgery ahead of time. Make sure that you have an adequate support system of friends/spouse while you recover from your surgery. Avoid taking any products that can interfere with surgery or increase risks, especially blood thinners and medications that increase bleeding. Your surgeon would have provided you with list of things to do and medications to avoid. Make sure that you follow that list. You will need someone to drive you to your surgery, and back. Take adequate time off from your work to allow for proper healing. Get your prescriptions filled ahead of time. If you do all that you will be in good shape for your surgery.

How do I choose which implants to get?

If you are not 22 years of age your only option is saline filled breast implants. The FDA does not approve of the use of silicone gel implants in your age group. After attaining the age of 22 you can choose between silicone gel filled implants and saline filled implants. Both are safe implants. However, saline filled implants are even safer since saline is naturally present in your body. Saline implants lose that advantage in their feel. Silicone implants feel more natural than saline implants and have less rippling. Since saline implants tend to show ripples, they are usually placed behind the chest muscle to hide their rippling. Silicone gel implants can be placed behind your chest muscle or in front of chest muscles since they feel more natural. Thus, it is best to make this choice with your chosen surgeon. The choice will be guided by your risk tolerance and suitability for each implant in your particular case.

Are there risks to having surgery?

There are risks with every surgery. However, breast augmentation is a low risk surgical procedure. There are risks associated with anesthesia and risks of reaction to medications. There are early risks related to wound healing, infections, loss of sensation of breasts, hypersensitivity or hyposensitivity of breasts. In the long term there are risks related to the implant in your body. Implants can develop scar tissue around them and require future surgeries. Implants may require their replacement in case they were to break or rupture.

Is it possible to lose nipple sensation with breast augmentation?

Yes, however this risk is low. Nerves that carry sensation to the nipples and areola travel through the breasts. They can get stretched or damaged and cause loss/impairment of nipple and areola sensation. Most times, this numbness is temporary and recovers. However, sensation loss can be permanent in some cases.

Will I be able to breast feed with breast implants?

The answer is yes. However, there are some reports of difficulty with breast feeding after breast augmentation. It may be related to the fact that some women cannot breast feed even in the absence of breast implants. Thus, the cause and effect relationship are not established. There is none to a minimal disruption of the lactation mechanism from breast augmentation. Implants simply sit behind breast tissue or behind muscle and the overlying breast can carry on its function normally and take part in breast feeding.

How long is recovery after breast augmentation?

Each patient has her own unique journey. Non-stressful routine activity can be resumed a day after surgery. Most patients can start to drive within 2-3 days of surgery as long as they are supporting their breasts with a bra. Most of the stitches are removed in 7-10 days. Gradually increasing activity can be undertaken after that. Patients can assume normal full activity in 4-6 weeks. Recovery is faster with subglandular implants compared to submuscular implants.

Can I have other procedures done at same time as my breast augmentation?

Yes. Breast augmentation can be combined with other cosmetic surgeries as long as you are in good general health. Most commonly other combined operations are liposuction, tummy tuck, face lift, and rhinoplasty.

How long does breast augmentation surgery take?

Breast augmentation usually takes under two hours to perform.

What can I expect right after my procedure?

Is it necessary to stay in the hospital?There is minimal to no pain with breast augmentations. Submuscular implants are more uncomfortable than subglandular implants. Hospital stay is not required after breast augmentation. Patients can go home and sleep in their own bed after surgery.

Why does choosing a Plastic Surgeon matter over just a cosmetic surgeon?

It is the specialized training and rigorous selection process for that training that sets a plastic surgeon apart from non-plastic surgeons for plastic surgery. It has been clearly established that proper training of a surgeon translates to better outcomes and fewer complications for their patients.

What is the ideal breast size?

Only you can answer that question for yourself. Dr. Rai will help you visualize how different breast implant sizes will look on your figure and discuss the pros and cons of larger implants versus a more natural, proportional look. Ultimately, your ideal breast size is one that complements your individual image.

Will I need MRIs of my breasts after breast augmentation?

The FDA recommends initial breast MRI three years after breast augmentation to check for implant integrity. This is because silent breast implant leaks are not clinically detectible. Follow up MRI of breasts is recommended every two years after that.

What is BI-ALCL?

BI-ALCL stands for Breast Implant-Associated Anaplastic Large Cell Lymphoma. This kind of lymphoma has been reported in women who received textured silicone implants regardless of whether they were saline, or silicone filled. Presently the incidence is 1:30,000 textured implants are at risk. No incidence has been reported with smooth shell implants. It is believed that the texturing sets up a stage for chronic fluid buildup around implants which then leads to this neoplastic change. Biofilm formation followed by infection with Ralstonia species has also been implicated in ALCL. We have stopped using textured implants in our practice because of this concern. Thus, this should not be your concern when you choose us for your cosmetic surgery.

To get all of your questions answered and select the right procedures for your figure, call 972-566-6500 today to schedule your consultation with experienced Dallas breast surgeons.

– Dr. Vasdev Rai and Dr. Surjit Rai

Breast Augmentation Testimonials

“The result is extraordinary”

I feel like a new and improved woman. It has finally let me release the reassurance I had within myself, bottled inside for so long! I now look in the mirror and say: “Yes, I’m beautiful, fit and secure”. I have got all positive reactions. Now I have people noticing me for my brains as well as my chest. The pain is minimal and the result is extraordinary. It was worth every penny.
“I am very pleased with my appearance”

I am very pleased with my appearance since I had my surgery. I feel more confident-like the way I look and the way my clothes look on me. I no longer have to worry about buying a push-up bra. In fact it’s nice not to have to worry about one at all. I can now wear lingerie and clothes I never could before because I had no cleavage to fill it out. I feel more feminine being able to wear these things now. I didn’t go for a drastic breast enlargement, so a lot of people haven’t noticed. This is what I wanted. However, I do notice “more looks” because I can wear more revealing clothing because I don’t have to use a push-up bra. I would recommend breast augmentation to anyone who is considering it. It is an easy procedure, quick recovery and Dr. Rai and his staff are wonderful. They tell you exactly what to expect and really take care of you. I have had no problems.