Breast Augmentation

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These are patients who have submitted their photos and shared their experience with us.

M.S.“I decided on 415 cc HP Sientra textured round implants over the muscle. I am one day post op so I haven’t seen my new boobies yet, going in tomorrow morning to have my bandages removed and I will finally get a look! Ever since my pregnancy in 2002, I nursed my baby for 8 months, I gained 60 lbs and it took me 6 years to lose it. Before this, my breasts were small perky b-cups, after I lost the weight they were deflated sacks of hanging skin with stretch marks. I’ve wanted this for so long! Dr. Richards is an awesome surgeon and I couldn’t be happier with my beautiful new breasts!”

A.K. – “I LOVE my results! He is so caring and passionate about what he does. He understands and is truly and artist. I definitely recommend Dr Richards. I had rhinoplasty, breast augmentation, and Juvederm in my lips and laugh lines. He knows all the newest technology and has an article describing a technique that dramatically reduces pain after breast augmentation.”

P.E.“I started out basically a flat board (32AA) and I was never confident in anything I wore. I’m so glad I decided to have my surgery done by Dr. Richards. Today marks one month since my surgery and I love my results and I am confident they’ll get even more beautiful as they descend to their final position. Dr. Richards and Kerry his NP are so knowledgeable, friendly, caring, and funny. They answered all my questions at my consultation and really put me at ease. My surgery went really well! Was off the pain meds after a couple of days and was back to doing my regular activities within a week. I would highly recommend him to anyone, will definitely go to him again in the future if I decide to get something else done.”

D.L.“I had an amazing experience with Dr Bryson Richards, he went above and beyond to give me what i want and it all worked out perfectly. I look and feel amazing. His care and bed side manner are the best to come by. Any time I needed anything he was literally a text away. Made me so good and happy to know he actually cares. “

M.P. – “Excellence and professionalism from beginning to end. Dr. Richards was compassionate about what I wanted as a patient, and executed those desires perfectly! He is an educated and skilled surgeon, and a great asset to our city. He was accessible via phone day and night to answer my questions pre- and post-procedure. I couldn’t be happier with my results and my experience with Bryson and his team.”


GG.“Dr Richards is very professional, kind, funny and a great person. He has great talent and works magic with perfect results. I am truly satisfied with my results, I couldn’t be happier. I’m very glad I chose him for my BA. I recommend Dr Richards to anyone who is searching for cosmetic surgery. A++++ / 10 stars, he is amazing and will do the job right! Thank you Dr Richards :)”

T.J. “10 STARS to this AMAZING TALENTED AND SKILLED SURGEON!! Passionate, caring and attentive. The hospitality of the entire staff is almost unheard of nowadays, I had been to many consultations prior to making my decision for a second augmentation that required a skilled doctor for the bit of revision that I needed done on one of my breast pockets! Dr. Bryson to pride in taking the challenge and I could see the passion he had behind his work to CREATE PERFECTION AND GUESS WHAT, THEY ARE ABSOLUTELY PERFECT!! EVERYTHING FROM THE SCAR, TO THE RECOVERY AND ALL AROUND JUST ABSOLUTELY BEAUTIFUL!! LOVE LOVE LOVE this doctor for fixing me and giving me my confidence back!! I will forever thank him and he is now my one and only OFFICIAL DOCTOR for any other future procedures!!”


Have your breasts lost volume or fullness after weight loss or childbirth? Are you concerned that your breasts are too small for your body frame? Are you self-conscious about asymmetric breasts (breasts of different sizes)? If you answered yes to one or more of these questions, it may be worth exploring the option of breast augmentation surgery.

Enhancing the size of one’s breasts not only produces aesthetic improvements, but can also lead to a significant boost in self-confidence, which is one of the reasons breast augmentation has remained the most popular cosmetic surgery for the past six years, with close to 300,000 procedures performed in 2013 alone!

Deciding to undergo breast augmentation surgery may feel overwhelming, especially in light of the growing number of implant options and cosmetic decisions that are left in the hands of the patient. It is important to select a plastic surgeon who will take the time to understand your unique cosmetic goals, and will help you to select the ideal options to fulfill your surgical objectives. At the private plastic surgery practice of Dr. Bryson Richards, located in Las Vegas, Nevada, Dr. Richards will guide you throughout your breast augmentation experience, offering expert recommendations and patiently walking you through all of your breast surgery options. Dr. Richards will take great care to ensure that you are well-informed, comfortable, and safe at every phase of your surgery, and that your breast augmentation results embody your aesthetic preferences in a beautifully natural way.


This is typically the first question asked at the consultation. Patients come in with questions regarding the difference between the two types. We have both types available during the consultation for patients to feel the difference. Saline, or salt-water, was the primary material used for primary breast augmentation surgery from 1993 to 2005 due to the moratorium on silicone implants. There are pros and cons to using either saline or silicone. Silicone and saline are equally safe. Both have a soft silicone shell. Silicone has a more realistic feel while saline can give more of a projected look. If there is an implant rupture, saline will deflate immediately and will be very easy to identify, while silicone is more subtle. An MRI is usually required to detect a leak with a silicone filled implant. When female plastic surgeons were surveyed as to the implants they most prefer, silicone was preferred. Dr. Richards will help guide you through this decision to help you achieve your desired look.

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The decision to go above or below the pectoralis major muscle is another option that will be discussed at your consultation. A majority of patients have the best outcome with the implant placed below the muscle. Historically, this will reduce the incidence of capsular contracture compared to placing a smooth implant above the muscle. If you have enough tissue in the upper part of the breast to cover an implant, you may be a candidate for the implant placed above the muscle. When the implant is placed above the muscle, Dr. Richards uses a textured implant. Recent research has shown that the capsular contracture rate of placing a textured implant above the muscle is similar to placing an implant below the muscle. The recovery is much faster when placing the implant above the muscle, but not every patient is a good candidate for going above the muscle. Dr. Richards will help guide you through this very important decision.


Breast implants come in a range of varying sizes. The average implant size in the Las Vegas area is approximately 400cc while other parts of the country average in the 300-350cc range. Silicone implants can go as large as 800cc while Saline implants as large as 1200cc. An implant size is unique to each individual. Your breasts will be measured by Dr. Richards to help determine the perfect size. Your height, weight, current cup size, breast width, and breast measurements all help to aid in choosing the correct size. Dr. Richards uses 3D imaging combined with a sizing system to help you choose the perfect sized implant.


Smooth and round implants are most commonly used in a majority of patients. The implants move around the pocket like a natural breast. Textured implants are used if the implant is placed above the muscle. Recent research has shown that placing a textured implant above the muscle has reduced incidence of capsular contracture. Shaped implants can be used in select patients. Dr. Richards can show you these implants to help you select the proper implant.


After assessing your breast size, shape, and composition, Dr. Richards will determine whether the implant should be placed between the chest muscle and breast tissue (submammary/subglandular placement) or under the chest muscle (submuscular). He will also select the optimal incision technique, from one of two most popular options:
• Inframammary incision: below the curve of the breast
• Periareolar incision: around the lower half of the areola


Actual patient. Shown at 2 weeks, 1 month, and 3 months. The implant will settle, takes 3 months.

Breast augmentation surgery is performed in an outpatient setting under general anesthesia, and typically lasts between 1-2 hours, depending on the specific surgical plan and whether ancillary procedures (i.e. breast lift) are performed at the same time. You will need to arrange for someone to drive you home after surgery, and to be with you for a day or two after your procedure, as you will be on pain medication and unable to drive. Your follow-up visits with Dr. Richards will be scheduled for one day after surgery, one week, three weeks, six weeks, and three months after your breast augmentation.

View Our Before & After Gallery


Although the exact length of the post-breast augmentation recovery period varies from individual to individual, the average duration is 2-4 weeks. You will be given prescription pain medication to manage any discomfort, and will be able to gradually resume your normal activities after 1-2 weeks. Strenuous exercise or movements involving the arm and chest muscles should be avoided for four weeks. The visible results of your breast augmentation procedure will be noticeable immediately after surgery, and will continue to improve gradually over the next few weeks as any lingering swelling and bruising subsides.


Actual patient. Shown at 2 weeks, 1 month, and 3 months. The implant will settle , takes 3 months.



Dr. Richards understands that every patient has unique medical needs and aesthetic preferences, which is why our treatment philosophy is based upon the foundational principle of individualized customization. In practice, this concept amounts to: in-depth consultations, treatment plans that have been tailored to meet your specific needs, and comprehensive patient education, both before and after your breast augmentation procedure.
Dr. Richards makes it a priority to spend ample time with each patient, and to be highly accessible to his patients during every phase of their breast surgery experience. If you are interested in having your breast augmentation surgery performed by Dr. Richards, please contact our office today. We look forward to speaking with you, and to scheduling your initial consultation with Dr. Richards.

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