Breast Enhancement Plastic Surgery Overview

What is Breast Enhancement?

Breast enhancement is a cosmetic surgery procedure designed to increase of the breast size of a woman through surgical insertion of saline or silicone implants in the breast tissue. At present, breast enhancement is the second most sought-after cosmetic surgery in the US, just behind liposuction. Between 1997 and 2012, over 4.5 million breast enhancement procedures were performed in the US.

Success rates in breast enhancement have improved dramatically over the decades following the introduction of new and advanced surgical technologies and techniques. Dr. Bryson Richards is a leading plastic surgeon providing breast enhancement and various other procedures to patients in Las Vegas, NV and surrounding communities.

Who should receive Breast Implants?

Breast implant plastic surgery procedure may be appropriate for women who need at least one or more of the following improvements in their breast appearance:

  • Making the breasts more proportionately sized with the rest of the body.
  • Creating symmetry between unevenly shaped or sized breasts.
  • Increase breast size to make them more aesthetically appealing.
  • Restoring loss of breast volume following a pregnancy.
  • Correcting congenital defects in one or both breasts.
  • Correcting the condition of micromastia or naturally under-developed breasts.
  • Reconstructing breasts after mastectomy or breast tissue injury.

More about Breast Surgery


Breast enhancement is one of the customizable procedures that can be tailored to meet the unique aesthetic goals of the patient. Choices can be made with regard to breast implant type, size and shape, incision location and placement position of the implants in the breast tissue. As an experienced cosmetic surgeon, Dr. Richards receives patients from Las Vegas, NV and nearby areas for breast enhancement.

Implant Types

Breast implants may be produced with a soft silicone gel core or saline fluid core. Both silicone and saline implants have been approved by the FDA, and are widely accepted by the patients. New and advanced qualities in highly cohesive silicone implants are now available which can retain their form and shape more effectively.

Before and After Photo Gallery

Implant Placement

The two main choices for implant placement are below the pectoral muscle or in front of the pectoral muscle, behind the breast tissue. Saline implants can be placed in a deflated state through a smaller incision, and the saline solution can be filled after insertion.

Incision Location

Common options for incision placement include underneath the breast along the breast crease, around the areola, or under the arms. In a few cases, the surgeon may place the incision transumbilically, which is called TUBA incision.

Q&A with Dr. Richards


The surgeon will begin the procedure by making the incision in a discreet location as decided during the treatment planning stage. A breast pocket will be created through the incision, and the implant will be placed in the desired position as decided. Once the implants are placed and adjusted carefully into position, the surgeon will close the incisions with sutures or skin adhesive.


The patient can expect to return to their normal routine or go back to the workplace in about 10 to 14 days. Mild pain is experienced by most patients in the first week, which can be managed with pain medications.

If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070

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