Breast Augmentation

Breast Augmentation in Dallas, Texas

Introduction

Customized Breast Augmentation

Imagine the feeling of finally having the full-sized breasts you’ve always dreamt of; the way they would complement your silhouette, the confidence they would give you in your everyday clothes and intimate wear, and the peace of mind of having your perfect body at last. That’s what a breast enhancement can do for you. In the heart of Dallas, TX, Dr. Rai offers breast augmentation to patients designed around their unique anatomy, ensuring long-lasting results that harmonize with the rest of the body. Patients report feeling a profound increase in self-confidence and overall satisfaction in their rejuvenated appearance. Primary breast augmentations are performed by Dr. Vasdev Rai.

A vertical image of Dr. Vasdev Rai, a distinguished, older man in a light gray suit and a patterned gold tie, sitting at a dark wood desk during a consultation. He is speaking while holding a silicone breast implant in his right hand, demonstrating it to a female patient whose shoulder and arm are visible in the foreground. Another glass-like object is on the desk. - Breast Augmentation in Dallas, TX

What is a 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.

For select patients fat transfer or fat grafting to the breast is an option to volumize the breast without the use of a breast implant. While this can provide only modest size changes it is important to note that fat transfer or fat grafting has some limitations. It is limited by the amount of fat the patient has that is able to be harvested. There can also be re-absorption of the fat which can make the outcome inconsistent and sometimes asymmetric. This might require further operations to try to correct. Additionally, fat that does not survive the transfer can become necrotic which could produce hard or firm areas in the breasts. Sometimes these might make mammograms more difficult to read which would require biopsies. While fat transfer to the breast is an option for some patients it is still not as widely used as breast implants for breast augmentations.

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 decisions that are right for your body, providing the natural-looking results you desire. We also offer financing options to help keep breast augmentation affordable!

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Steps of Selecting Your Implants

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

Saline

Saline implants are also made of a silicone outer shell, which is filled with 0.9% NaCl solution. Saline is a salt solution with the same concentration of salt as salt in our own bodies. This makes the saline in implants biologically compatible with our body. If a saline implant were to rupture, its fluid would be absorbed into the bloodstream and be eliminated without any adverse effects.

The downside of saline implants is how they feel to the actual touch. Saline implants tend to have shell ripples. They tend to feel like water-filled bags, rather than like breasts. Because of this drawback they need to be placed behind the chest muscles. That brings in its own unacceptable issues. After a few years of their placement, the pectoral muscle suffers atrophy from the pressure of the implants, and it thins out. At that time, the rippling starts to show through and worsens as the muscle atrophies further over time.

The American implant manufacturers (Allergan, Mentor, Sientra, Motiva) offer inflatable saline implants with variable fills and projections.

Saline implants are the only implants that can be used in women under the age of 22.

Silicone

We recommend silicone implants for most of our Dallas patients because they produce the most natural-looking and feeling results. Silicone implants are composed of a cohesive inner silicone gel surrounded by a thick outer silicone shell.

Our FDA-approved silicone implants provide our patients with:

  • A variety of size choices
  • Round-shaped
  • Low, moderate, or high profile

Silicone gel implants are approved by the FDA in women under 22 only in some very special conditions, like congenital breast deformities and breast reconstruction.

Silicone gel implants have a silicone polymer outer shell, which is filled with silicone gel. It is essential to recognize that the backbone of silicone is a chemical compound known as polydimethylsiloxane (PDMS). PDMS’s basic structure is chemically modified by changing the length of the polymer chains and the extent of cross-linking to yield a liquid, a gel, or a shell. Thus, silicone gel implants are silicone shells filled with silicone gel.

The shell structure is further modified to reduce silicone bleed outside the implant. Present implants are memory gel implants by Mentor, gummy bear implants by Natrelle’s Inspira line, Sientra OPUS, and Motiva SmoothSilk.

The terms: Memory gel, gummy bear gell, opus, smoothsilk all signify gel characteristics of implants manufactured by four manufacturers (Mentor, Allergan, Sientra, Motiva) in the USA. Essentially, they are all filled with new-generation gels that stick together, resist flowing out of the shells, and maintain their shape. Dr. Rai offers Motiva, Mentor and Allergan implants at this time.

Silicone gel-filled implants feel more breast-like, have fewer ripples, and can be placed in front of the chest muscles.

Presently, silicone gel implants are only approved by the FDA for women 22 years of age and older.

Since being approved by the FDA in 2006 for use in cosmetic surgeries, silicone implants have helped millions of women feel more comfortable and confident in their bodies.

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

    An implant style refers to the overall implant projections, ranging from low, flat profiles to medium, high, and ultrahigh profiles. Each manufacturer provides its entire catalog of offerings to guide surgeons and their patients in making 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.

    A cup size does not measure breast implants. 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 they 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 achieve the results you desire.

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

  • 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 of the muscles of the 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 appear natural, exhibit natural cleavage (unlike submuscular implants), and do not move with the contraction of chest muscles (unlike submuscular implants). They also fit into bras more naturally (unlike submuscular implants).

    On the downside, subglandular implants may exhibit more implant rippling and have a slightly higher rate of capsular contracture. 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 the 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 tends 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 can even tend to bend the rib cage and rarely cause rib fractures. With the passage of time, the muscle itself thins out due to the pressure of the implant. Recovery time from surgery is longer with submuscular implants.

    Because of these downsides, we 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 the rules.

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

  • 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 the incision for you.

    We use primarily one incision option:

    Inframammary: in the breast fold crease.

    This incision allows us precision and control of your new look. We have abandoned peri-areolar, trans-axillary and belly button approaches since they lack the precision and control required for artistry 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.

  • Implants are either smooth-walled or textured-walled. 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 would change the nature of the body’s response to the implant because of the Polyurethane layer, and reduce the incidence of capsular contracture, and also decrease implant displacement. Polyurethane-covered implants were removed from the market in 1990 due to concerns about polyurethane.

    Since then, textured implants have been textured by texturing the outer silicone cover with a specific pattern. 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 the performance of implants is not clear.

    Textured implants are lately reported to be associated with BIA-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma). The exact cause of BIA-ALCL is still being investigated. For this reason Dr. Rai only uses smooth walled implants.

Who Are the Best Candidates for a Breast Augmentation?

The best candidates for breast augmentation are women who are in good overall health and have realistic expectations about their results. You may be a strong candidate if:

  • You feel your breasts are too small for your frame and want to increase their size.
  • Your breasts have lost volume or firmness after pregnancy, breastfeeding, or significant weight loss.
  • You have asymmetrical breasts and would like to achieve better balance.
  • You want to restore a more youthful contour to your figure.
  • You are over the age of 18 for saline implants, or 22 for silicone implants, per FDA guidelines.

Breast augmentation is not recommended for women who are currently pregnant, breastfeeding, or experiencing untreated medical conditions that may interfere with healing. During your consultation in Dallas, Dr. Rai will thoroughly review your health history, examine your anatomy, and discuss your aesthetic goals to determine whether breast augmentation is the best procedure for you.

What Are the Benefits of a Breast Augmentation?

The benefits of a breast augmentation are both physical and mental. It gives women a sense of confidence and an elevated level of self-esteem, especially when they’ve struggled with the shape and size of their breasts their entire lives. Clothing may look better, as well as swimwear and intimate wear, as the breasts will now harmonize better with the entire body to create a better silhouette. It gives women peace of mind and allows them to walk through the world with more assurance.

What’s the First Step?

Your Breast Augmentation Journey with Dr. Rai

The first step in the process of your breast augmentation journey is to schedule a private consultation at the Cosmetic Surgical Center in Dallas. During this visit, you will meet with Dr. Rai to discuss your goals, preferences, and any concerns you may have. Your surgeon will:

  • Review your medical history and lifestyle to ensure you are a safe candidate for surgery.
  • Perform a physical examination to evaluate your natural breast tissue, skin elasticity, and body proportions.
  • Discuss your options for implant type, size, shape, placement, and incision location.
  • Show you before-and-after photos of previous patients to help visualize potential outcomes.

This appointment is also your opportunity to ask questions and fully understand what to expect. By the end of the consultation, you will have a personalized surgical plan designed to meet your cosmetic goals.

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What to Expect on the Day of Breast Augmentation Surgery

Here’s what you can expect at our Dallas surgical facility:

  • Anesthesia: A board-certified anesthesiologist will administer general anesthesia to ensure you remain comfortable and pain-free throughout the procedure.
  • Incision Placement: Your surgeon will make the incision in the location discussed during your consultation (inframammary).
  • Implant Placement: The implant will be inserted either above or below the chest muscle, depending on your unique anatomy and goals.
  • Closing the Incisions: Once the implants are in position, your surgeon will carefully close the incisions with layered sutures to promote optimal healing and minimal scarring.
  • Recovery Room: You will be monitored in our recovery area as you wake from anesthesia. Most patients return home the same day under the care of a trusted friend or family member.
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A woman with brown hair in a white blouse and jeans sits in Dr. Rai's seating and waiting area reading over possible options in a folder. Purple orchids sit on the marble table next to her giving a serene and clean vibe to this area. - Patient Resources in Dallas, TX

Breast Augmentation Recovery

Your Guide to Post-Breast Augmentation Care

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. A hospital stay is not required after breast augmentation. Patients can go home and sleep in their own beds after surgery.

How Much Does a Breast Augmentation Cost in Dallas, TX?

The cost of a Breast Augmentation in Dallas averages out to about $7,000. However, this can vary depending on several factors, including the type of implants chosen (saline vs. silicone), the surgical technique required, anesthesia fees, facility costs, and your surgeon’s expertise. At the Cosmetic Surgical Center, we believe in transparent pricing and will provide you with a detailed cost estimate during your consultation.

While cost is an important factor, we encourage patients to prioritize safety, training, and experience when selecting a surgeon. We also offer financing options to make breast augmentation more accessible so that you can achieve your desired look without unnecessary financial stress.

Why Choose Us?

At the Cosmetic Surgical Center in Dallas, your care is our top priority. Dr. Rai brings decades of combined surgical expertise and a reputation for exceptional, natural-looking results, as both are affiliated with the American Board of Plastic Surgery (ABPS). When you choose our team, you are selecting surgeons who treat every procedure as a work of art, combining surgical precision with a profound understanding of aesthetics.

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5.0 ★★★★★ 327 Reviews

Patient Reviews

  • A close up shot of a woman with brown hair in a white blouse and jeans sits in Dr. Rai's seating and waiting area reading over possible options in a folder. - Patient Resources in Dallas, TX

    He is the most caring doctor

    He is the most caring doctor , he is very precise , listens , explains every detail and has addressed every concern I had. Although I was scared to have the surgery it was very quick and I absolutely love the way that I look. The recovery was not at all what I thought it would be. Dr Rai is extremely good at what he does and has been amazing through out the whole entire process. Thank you so much for everything I honestly feel so much better !!

  • MRKTMade_Rai-40-circle-1-473

    Dr. Rai is the best in Dallas

    This is my second-time coming to Dr. Rai for my nose and breast and I never leave disappointed. He is so kind and truly an artist at his craft. His staff is so kind and always so helpful. I had multiple consultations with different doctors and let me tell you Dr. Rai is the best in Dallas. Look no further Dr. Rai has the experience and his kindness are like no other.

  • MRKTMade_Rai-40-circle-473

    I cannot say enough good things about my experience with Dr. Rai and his team.

    From the very first consultation, he listened with compassion, answered all of my questions, and made me feel completely supported in my decision to explant.

    The surgery itself went smoothly, and the results exceeded my expectations. What truly stood out, though, was the phenomenal aftercare. Dr. Rai and his staff checked in consistently, responded quickly whenever I had concerns, and made sure I felt cared for every step of the way.

  • MRKTMade_Rai-40-473

    I’m forever grateful for Dr. Rai and his team.

    They are so thorough, nice, calming, reassuring, supportive…. I could go on and on. I would recommend Dr. Rai over and over! You simply cannot go Wrong with making him your choice. My favorite thing about the whole process was after surgery HE personally calls and emails you until you are released from his care. HE personally talks to you on the phone and shows that he gives a crap about his patient. It’s not just a paycheck to Dr. Rai, he truly cares and actually shows it. You don’t have many drs SHOWING their genuine care outside of your surgery day. He’s there for his patients and I’m grateful for it bc he calmed so much anxiety!!! Plus, his work is WONDERFUL! 100/10 recommend!
  • MRKTMade_473

    I can’t say enough good things about Dr. Surjit Rai and his staff!

     They were exceptional, from the time I made my appointment to my consultation, my surgery and post op care. The front desk staff made the scheduling easy, the pre and post op nurse was kind and put my nerves at ease. Dr. Rai is a skilled surgeon with a wonderful bedside manner, he explained the surgery and outcome very clearly and provided personal post op support. I am a nurse in the medical field and I would highly recommend him as a surgeon.

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Schedule Your Consultation

Expert guidance, tailored to your needs.

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 surgeon Dr. Vasdev. Please note only Dr. Vasdev Rai performs primary breast augmentations.

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

Read Breast Augmentation Testimonials