Preparing for Breast Implant Surgery: Pre-Op ChecklistBreast augmentation is one of the most popular cosmetic procedures worldwide, but success starts long before the operating room. Preparation is key to ensuring safe surgery, smooth recovery, and the best possible results. Here’s a comprehensive pre-op checklist to help patients feel ready and confident ahead of breast implant surgery. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast augmentation to patients in Las Vegas, NV, and surrounding locations.

Medical Preparation

  • Consultation & medical history: Be honest with your surgeon about past surgeries, medications, supplements, and health conditions.

  • Pre-op testing: You may need blood work, a medical clearance exam, or imaging depending on your age and health.

  • Medication adjustments: Stop taking blood-thinning medications and supplements (such as aspirin, ibuprofen, or fish oil) as directed to reduce bleeding risks.

  • Smoking & alcohol: Stop smoking at least 4–6 weeks before surgery and limit alcohol intake, as both impair healing.

Home Preparation

  • Arrange a recovery space at home with comfortable pillows, blankets, and entertainment.

  • Stock up on easy-to-prepare meals or meal-prep in advance.

  • Fill prescriptions before surgery so medications are ready when you return home.

  • Have loose, front-closing tops available to avoid raising your arms after surgery.

Support System

You’ll need someone to drive you home after surgery and ideally stay with you for the first 24–48 hours. If you have children or pets, arrange extra help for the first week to give yourself time to rest.

Lifestyle Preparations

  • Maintain a healthy diet and stay hydrated leading up to surgery.

  • Focus on getting good sleep to support your immune system.

  • Avoid strenuous workouts in the week before surgery, but light activity like walking is encouraged.

The Night Before Surgery

  • Follow fasting instructions (typically no food or drink after midnight).

  • Take a shower using antibacterial soap if directed.

  • Remove nail polish, jewelry, and piercings to reduce infection risks.

  • Pack a small bag with essentials: ID, insurance card, phone charger, and lip balm.

The Morning of Surgery

  • Wear loose, comfortable clothing, preferably something that zips or buttons in front.

  • Do not wear makeup, lotions, or deodorant.

  • Arrive on time and bring your support person with you.

Mindset & Expectations

It’s normal to feel nervous before surgery, but remember you’ve taken all the steps to prepare. Your surgeon and care team are there to ensure your safety and comfort. Focus on your goals and the excitement of your upcoming results.

Proper preparation makes a major difference in both recovery and outcomes. By following your surgeon’s pre-op checklist and making thoughtful arrangements ahead of time, you’ll be setting yourself up for a smoother surgery day and a more comfortable recovery.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Nipple & Areola Adjustments During Breast AugmentationWhen most people think about breast augmentation, they imagine implants adding volume and reshaping the breasts. But for many patients, achieving the most natural, balanced results also involves paying attention to the nipples and areolas. Adjustments in this area can help create symmetry, proportion, and overall aesthetic harmony. Here’s what to know about nipple and areola adjustments during augmentation. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast augmentation to patients in Las Vegas, NV, and surrounding locations.

Why Nipple & Areola Adjustments Are Considered

The nipple and areola are central to the appearance of the breast. Even with perfectly placed implants, disproportionate areolas or nipple asymmetry can affect the final outcome. Reasons patients or surgeons may recommend adjustments include: overly large areolas that look stretched compared to new breast volume, asymmetry between the left and right nipple-areola complex, nipples that point downward due to sagging, or tuberous breast deformities that affect nipple placement.

Types of Adjustments Performed During Augmentation

Surgeons can perform several refinements to enhance aesthetics at the time of augmentation:

  • Areola reduction: If the areola appears too wide for the new breast size, tissue can be removed from the border to create a more balanced look.

  • Areola reshaping: For oval or irregular areolas, reshaping creates a more circular, symmetric appearance.

  • Nipple repositioning: When breast tissue sags or nipples point downward, the nipples can be adjusted upward slightly to better match implant projection.

  • Correction of asymmetry: Size or position differences between the two sides can be adjusted for a more balanced look.

Surgical Techniques

Areola adjustments are often performed through a periareolar incision, which follows the natural border of the areola. This incision is commonly used for augmentation already, making it convenient for subtle refinements without adding new scars. In some cases, additional suturing or tightening is used to reshape and stabilize the areola after tissue removal.

Benefits of Areola & Nipple Adjustments

  • More proportional appearance after implants are placed

  • Correction of congenital asymmetry or deformities

  • Better balance between the breast mound and central features

  • Improved patient satisfaction and confidence

What Patients Should Know

Not every augmentation requires nipple or areola adjustment. The decision is highly individualized and based on anatomy, implant size, and patient goals. It’s important to understand that adding these refinements may slightly extend surgery and recovery, but most patients consider the results well worth it.

Recovery After Adjustments

Recovery is similar to standard augmentation, though there may be extra sensitivity in the nipple-areola area. Some patients experience temporary changes in sensation, which usually resolve over time. Following surgeon instructions on wound care and activity restrictions helps ensure proper healing.

Nipple and areola adjustments can be a small but powerful part of breast augmentation, elevating results from good to outstanding. If you’re considering breast implants, discussing symmetry, nipple orientation, and areola size with your surgeon can help you achieve a result that feels beautifully natural.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Can a Breast Lift Improve Asymmetry?Breast asymmetry is one of the most common concerns women have about their appearance. In fact, nearly all women have some degree of difference between their breasts—whether in size, shape, nipple position, or projection. While small differences are completely normal, more noticeable asymmetry can make it difficult to find flattering clothing, affect bra fit, and even impact confidence. For many women, a breast lift (mastopexy) can be an effective solution to improve the balance between the breasts, enhance shape, and create a more youthful contour. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast lift to patients in Las Vegas, NV, and surrounding locations.

Understanding Breast Asymmetry

Breast asymmetry can range from barely noticeable to quite significant. Differences can occur in one or more ways:

  • Size – One breast may be larger or smaller than the other.

  • Shape – One breast may appear rounder, fuller, or more projected.

  • Nipple Position – Nipples may be at different heights or point in slightly different directions.

  • Sagging Level – One breast may droop more than the other.

There are several reasons this happens:

  • Natural Development – Breasts may develop unevenly during puberty and remain that way throughout life.

  • Pregnancy & Breastfeeding – Hormonal changes, milk production, and breastfeeding can cause different changes in each breast.

  • Weight Changes – Gaining or losing weight can affect breast tissue differently on each side.

  • Aging – Gravity and skin changes can cause sagging at different rates.

  • Surgery or Trauma – Previous surgeries or injuries can alter breast shape and position.

How a Breast Lift Works

A breast lift is designed to reshape and elevate the breasts without necessarily changing their size. The procedure involves removing excess skin, tightening surrounding tissue, and repositioning the nipple-areola complex to a higher, more youthful position.

When breasts are asymmetric, the surgeon can make specific adjustments during the lift to create better balance:

  • Lifting one breast slightly higher to match the other

  • Removing more skin from the larger breast to match the smaller one

  • Adjusting nipple height so they align more evenly

  • Contouring tissue for a more uniform shape

When a Breast Lift Alone May Be Enough

If the main difference between your breasts is sagging level, a lift may be all you need to improve symmetry. For example:

  • One breast has dropped lower than the other due to weight changes or breastfeeding.

  • Nipple position is uneven, but breast volume is similar.

  • Shape difference is minor and can be corrected through tissue reshaping.

In these cases, the surgeon can often achieve natural-looking balance without adding or removing volume.

When Additional Procedures May Be Recommended

Sometimes, a breast lift alone can’t correct asymmetry if the difference is related to volume or projection. In these cases, your surgeon may suggest combining the lift with:

  • Breast Augmentation – Placing an implant in one or both breasts to increase volume and projection. Sometimes only the smaller breast needs an implant for balance.

  • Breast Reduction – Removing breast tissue from the larger breast to match the smaller one.

  • Fat Transfer – Using your own fat, taken from another part of your body, to subtly enhance size and shape differences.

Combining procedures allows for a more comprehensive correction and often produces the most natural, balanced results.

Surgical Techniques for Improved Symmetry

During a breast lift for asymmetry, your surgeon may use different lift techniques for each breast, depending on the correction needed:

  • Periareolar Lift – For minor adjustments around the nipple-areola complex.

  • Vertical Lift – For moderate sagging; reshapes tissue and repositions the nipple.

  • Anchor Lift – For more significant sagging and reshaping needs.

By tailoring the technique to each breast individually, the surgeon can create more even results.

Recovery After a Breast Lift for Asymmetry

Recovery is similar to that of a standard breast lift, though you may have slightly different levels of swelling on each side.

Typical Timeline:

  • First Few Days: Expect swelling, bruising, and mild discomfort. Pain is usually managed well with medication.

  • First Week: You can often return to light, non-strenuous activities.

  • Weeks 2–4: Bruising and swelling start to subside; you can resume most daily activities but should still avoid heavy lifting.

  • Weeks 6–8: Most patients can resume full exercise routines with surgeon approval.

Wearing supportive garments, avoiding strenuous movements early on, and following post-op instructions are key to ensuring optimal results.

Longevity of Results

A breast lift can significantly improve symmetry, but no surgical result is completely immune to change over time. Aging, gravity, and lifestyle factors can still affect the breasts. You can maintain results longer by:

  • Maintaining a stable weight

  • Wearing supportive bras, especially during exercise

  • Avoiding significant weight fluctuations

  • Practicing good skin care and sun protection

Common Questions About Breast Lift for Asymmetry

Will my breasts be perfectly symmetrical after surgery?
Perfect symmetry is rare, even after surgery. However, most patients see a dramatic improvement that makes differences barely noticeable.

Can you lift only one breast?
Yes, if one breast is lower or droopier, lifting just that side can create better balance without operating on the other.

Will insurance cover the surgery?
If asymmetry is significant and causes functional issues (like back pain or posture problems), insurance may cover part of the procedure, but this is uncommon for cosmetic lifts.

Will I lose breast size after a lift?
A lift reshapes and removes excess skin but doesn’t usually remove breast tissue unless combined with a reduction. Some women perceive a smaller size because the breasts are firmer and positioned higher.

Can I breastfeed after a lift?
While some women can still breastfeed, there is a chance that the milk ducts may be affected. If future breastfeeding is a priority, discuss this with your surgeon before surgery.

Who is a Good Candidate for a Breast Lift to Correct Asymmetry?

You may be a good candidate if you:

  • Have noticeable differences in breast position, nipple height, or shape

  • Are at a stable, healthy weight

  • Are in good overall health and a non-smoker

  • Have realistic expectations for improvement, not perfection

  • Are bothered by the way your breasts look in clothing or swimsuits

Contact Us

If uneven breasts are affecting your confidence or comfort, a breast lift may offer the balance and enhancement you’ve been hoping for. Our experienced surgical team can assess your unique anatomy and create a tailored plan to improve symmetry while enhancing your overall shape. Contact us today to schedule your personal consultation.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Will Breast Revision Leave More Scarring?If you’re considering breast revision surgery—whether to replace implants, correct complications, or refine your original results—it’s natural to wonder about scarring. Many patients want to know if the procedure will leave additional scars beyond those from their first surgery. While some new scarring is possible, an experienced plastic surgeon will take careful steps to minimize it and, in many cases, reuse your previous incision sites to avoid creating new ones.

How Scarring Works in Breast Surgery

Scars form as part of the body’s natural healing process when the skin is cut or injured. In cosmetic breast surgery, incisions are made with precision to reduce tension on the skin and encourage fine, flat scars over time.

The final appearance of scars depends on:

  • Location of the incision – Certain areas heal better and are less visible, such as under the breast fold.

  • Surgical technique – Careful incision closure can make scars less noticeable.

  • Individual healing response – Genetics, skin tone, and healing ability all play a role.

  • Post-op care – Following scar care instructions helps improve outcomes.

Using Existing Incisions in Breast Revision

Whenever possible, your surgeon will work through your original augmentation or lift scars. Common incision sites that can be reused include:

  • Inframammary fold (under the breast) – Usually well hidden and easy to reopen for access.

  • Periareolar (around the areola) – Blends with the natural color transition of the skin.

  • Vertical (lollipop) – From the areola downward, often used in lifts and reductions.

By reopening existing scars, your surgeon avoids creating additional incision lines on the breast. This can help keep your overall scar footprint minimal.

When New Scars May Be Necessary

In certain situations, new incisions are needed:

  • Changing implant placement – Moving an implant from above to below the muscle may require a different incision for access.

  • Extensive skin tightening or lift – New incisions might be required for reshaping.

  • Scar revision – If an old scar is thick or raised, it may be removed and replaced with a finer line.

  • Severe complications – Correcting capsular contracture or significant deformities may require additional access points.

How Scars Mature Over Time

Breast revision scars follow a predictable healing timeline:

  • Weeks 1–6: The incision may appear pink or red and feel firm.

  • Months 2–6: The scar begins to flatten and fade in color.

  • Months 6–12: Most scars lighten significantly and become less noticeable.

  • After 1 year: Scars typically reach their final appearance, though they can continue to improve for up to 2 years.

Minimizing Scarring After Breast Revision

Your role in scar care is just as important as your surgeon’s technique. Recommended strategies include:

  • Wearing compression garments as directed to reduce tension on the incision.

  • Avoiding sun exposure to scars for at least one year, as UV rays can darken them permanently.

  • Using silicone sheets or gels to help flatten and soften scars.

  • Following wound care instructions to prevent infection or delayed healing.

  • Not smoking before or after surgery, as nicotine restricts blood flow and slows healing.

Factors That Affect Scar Visibility

Some patients naturally form more noticeable scars than others. Factors that can influence this include:

  • Skin type and color – Darker skin tones may be prone to hyperpigmentation, while fair skin may show redness longer.

  • Genetics – A family history of thick or raised scars can increase your risk.

  • Healing response – Some individuals heal faster and with finer scars.

  • Surgical tension – The less strain on the incision, the better the scar outcome.

Scar Revision Options in the Future

If your breast revision results in scars that bother you, there are treatments available to improve their appearance:

  • Laser therapy to lighten pigmentation and smooth texture.

  • Steroid injections for thick or raised scars.

  • Surgical scar revision to replace a wide or irregular scar with a thinner one.

  • Microneedling to stimulate collagen and soften the scar line.

FAQs About Scarring and Breast Revision

Will my revision scars be worse than my original scars?
Not necessarily. In many cases, your surgeon can work through existing scars, meaning there’s no increase in visible scarring.

Do scars from revision fade as well as the first ones?
Yes—if cared for properly, revision scars generally fade like your original surgery scars.

Can I completely avoid new scars?
It depends on the procedure. If your revision is straightforward, you may have no additional scars. More complex cases may require new incisions.

Is scar tissue inside the breast the same as visible scars?
No. Internal scar tissue, such as the capsule around an implant, is not visible externally.

Can scar treatments be done immediately after surgery?
Some treatments, like silicone sheets, can begin after the incision heals. Others, like laser therapy, are best started after several months.

Contact Us

If you’re considering breast revision surgery but are concerned about scarring, we can help you understand your options and plan for the best cosmetic outcome. Our team specializes in techniques that minimize visible scars while achieving your desired breast shape and size. Contact us today to schedule your consultation and learn how we can help you feel confident again.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Does Combining Breast Lift with Breast Implants Increase Recovery Time?Many women choose to enhance their breasts through cosmetic surgery to achieve a fuller, lifted, and more youthful appearance. Two of the most common breast procedures are a breast lift (mastopexy) and breast augmentation (implants). While these surgeries can be performed separately, many patients choose to combine them for a more dramatic transformation in one procedure. One of the biggest questions that comes up during consultations is whether combining a lift with implants will make recovery longer or more difficult.

The short answer is that combining procedures may slightly extend recovery time compared to having one surgery alone, but it also offers unique advantages—such as only undergoing anesthesia and downtime once. Here’s what you need to know about recovery timelines, factors that can affect healing, and what to expect if you decide to combine a breast lift with implants. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast lift and augmentation to patients in Las Vegas, NV, and surrounding locations.

Understanding the Difference Between a Breast Lift and Breast Implants

Before comparing recovery times, it’s important to understand what each surgery involves:

  • Breast lift (mastopexy): Removes excess skin, reshapes the breast tissue, and repositions the nipple higher on the breast to create a perkier, lifted appearance.

  • Breast implants (augmentation): Uses silicone or saline implants to increase volume, improve shape, and enhance cleavage.

When combined, the lift corrects sagging while implants restore or increase volume—especially helpful for women who have lost fullness after pregnancy, weight loss, or aging.

Why Many Women Choose to Combine the Procedures

Combining a breast lift with implants is popular for several reasons:

  • Addresses both sagging and loss of volume in a single surgery

  • Avoids undergoing anesthesia twice

  • Reduces overall downtime compared to having two separate procedures

  • Provides more dramatic and harmonious results

  • Can sometimes lower overall cost compared to scheduling two surgeries separately

How Recovery Time Compares: Single vs. Combined Procedures

Breast Lift Only
Most women can return to light activities within 1–2 weeks and resume more strenuous activities after 4–6 weeks.

Breast Augmentation Only
Recovery is similar—light activities within 1 week, moderate exercise after 3–4 weeks, and full recovery in 6 weeks.

Combined Breast Lift with Implants
When performed together, the recovery period is often closer to the longer end of the individual timelines. Many patients feel comfortable returning to desk work within 1–2 weeks, light exercise in 4–6 weeks, and unrestricted activity in 6–8 weeks.

Factors That May Extend Recovery Time

While many women find combined surgery manageable, certain factors can add extra days or weeks to the healing process:

  • Implant size: Larger implants require more stretching of the tissues, which may cause additional soreness and swelling.

  • Surgical complexity: If significant lifting, nipple repositioning, or correction of asymmetry is needed, recovery can be slightly longer.

  • Implant placement: Implants placed under the muscle (submuscular) often result in more post-op discomfort than over-the-muscle placement.

  • Personal healing speed: Age, health, and how closely you follow post-op instructions all influence recovery.

  • Lifestyle factors: Smoking, poor nutrition, or high-stress activity can slow healing.

Week-by-Week Recovery Timeline for Combined Surgery

Week 1:

  • Swelling, bruising, and discomfort are most noticeable during this period.

  • Surgical dressings and a compression bra are worn to support the breasts.

  • Most patients can perform light walking around the house but should avoid lifting, bending, or strenuous activity.

Weeks 2–3:

  • Many women return to desk jobs or light work.

  • Swelling begins to decrease, and incision tenderness lessens.

  • Gentle stretching may be introduced, but lifting heavy objects (including small children) is discouraged.

Weeks 4–6:

  • Swelling continues to improve, and most bruising fades.

  • Many patients begin light exercise, avoiding direct chest workouts.

  • Scars begin to mature and flatten with proper care.

Weeks 6–8 and Beyond:

  • Most patients are cleared for all activities, including heavy lifting and high-impact exercise.

  • The breasts continue to settle into their final position over the next few months.

Tips for a Smooth Recovery When Combining a Lift and Implants

  • Follow all post-op instructions carefully to avoid complications.

  • Wear your surgical bra or compression garment as directed to reduce swelling and support healing.

  • Sleep on your back for at least the first few weeks to prevent pressure on the breasts.

  • Avoid smoking before and after surgery to promote better healing.

  • Eat a nutrient-rich diet high in protein and vitamins to support tissue repair.

  • Keep all follow-up appointments so your surgeon can monitor progress and address concerns quickly.

Advantages of Combining Procedures Despite Slightly Longer Recovery

While recovery may be a week or two longer than with a single procedure, there are significant benefits to combining your breast lift and augmentation:

  • Only one anesthesia event

  • One surgical fee and facility cost instead of two

  • One recovery period instead of two

  • More immediate and dramatic results

  • Less overall disruption to your personal and work life

FAQs About Combining a Breast Lift with Implants

Will combining procedures double my recovery time?
No. Recovery may be slightly longer, but it’s still much shorter than recovering from each surgery separately.

Does combining the surgeries increase risks?
Any surgery has risks, but when performed by a board-certified plastic surgeon, combining the two is generally safe for healthy candidates.

Will I have more scarring with a combined surgery?
Scarring will depend on your lift technique, not whether you combine it with implants. Your surgeon will use strategic incision placement to minimize visibility.

Can I choose any implant size if I’m getting a lift?
Your surgeon will help select an implant size that complements your lift and works with your skin elasticity and anatomy.

When will I see my final results?
While you’ll see an immediate change, swelling and implant settling take several months to fully reveal your final shape.

Contact Us

If you’re considering enhancing your breasts and want to know whether combining a lift with implants is right for you, our expert team can help. We’ll review your goals, assess your anatomy, and design a customized surgical plan that delivers beautiful, natural-looking results with the most efficient recovery possible. Contact us today to schedule your consultation and learn more about your options.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

What’s the Best Implant Size for Your Frame? A Guide to ProportionChoosing the right breast implant size can feel overwhelming—but it doesn’t have to be. It’s not about picking the biggest number; it’s about selecting a size that flatters your body, fits your lifestyle, and aligns with your goals. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast augmentation to patients in Las Vegas, NV, and surrounding locations.

Implants Are Measured in Volume, Not Cup Size

Unlike bras, which can vary between brands, breast implants are measured in cubic centimeters (ccs). The most common range is 250cc to 500cc per implant, but what looks “big” or “small” will vary greatly depending on your:

  • Height and weight

  • Chest wall width

  • Breast base diameter

  • Natural tissue and skin elasticity

Proportion Is Key

The most natural-looking augmentations focus on proportion, not size. A 300cc implant on a petite frame may look significantly larger than the same implant on a tall, broad-shouldered person.

Factors to Consider When Choosing Implant Size

  • Body frame and breast width: Wider chests can accommodate wider implants.

  • Lifestyle: Are you highly active? Runners, athletes, and yogis often prefer more moderate sizes.

  • Skin and tissue: Thinner skin may show implant edges or rippling with larger implants.

  • Desired look: Do you want a subtle enhancement or dramatic change?

High, Moderate, or Low Profile?

Projection matters too! A high-profile implant projects more while staying narrow—ideal for petite patients who want fullness without width. Moderate or low profiles are better for a natural slope.

Try Before You Decide

Many surgeons use 3D imaging or in-office sizers so you can “try on” different sizes and visualize your results. Your surgeon will guide you toward the best implant for your anatomy and preferences.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Do You Need a Breast Lift, Implants, or Both? | Las VegasIt’s a common question: “Do I need a lift, implants, or both?” Breasts change over time, especially after pregnancy, breastfeeding, weight loss, or aging. Understanding which procedure is right for you depends on your goals and anatomy. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast augmentation and breast lift to patients in Las Vegas, NV, and surrounding locations.

When to Consider a Breast Lift (Mastopexy)

A breast lift removes excess skin, reshapes the breast tissue, and elevates the nipple to a higher, more youthful position.

You may need a lift if:

  • Your nipples sit below your breast crease

  • Your breasts appear flat or elongated

  • You’ve experienced significant sagging or deflation

  • You want perkier breasts without added volume

A lift alone does not add upper pole fullness (the roundness at the top of the breast).

When to Consider Implants

Breast implants restore or enhance volume. They come in different sizes, shapes, and profiles to help you achieve your desired look.

You may need implants if:

  • You want to increase breast size

  • You’ve lost volume after pregnancy or weight loss

  • You want more roundness or cleavage

  • You have naturally small or asymmetric breasts

Implants alone won’t correct sagging if it’s significant.

When You Might Need Both

If you have sagging and volume loss, combining a lift with implants offers the best result. This is common after multiple pregnancies or weight fluctuations.

Combining procedures:

  • Restores lost volume

  • Lifts and reshapes the breast

  • Repositions the nipple

  • Enhances overall contour

Which Option Is Right for You?

Your plastic surgeon will evaluate:

  • Nipple position

  • Skin elasticity

  • Breast volume and tissue

  • Desired aesthetic outcome

Photos, 3D imaging, and sizers will help visualize your options. The goal? A result that feels natural, proportional, and empowering.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

Mommy Makeover: What to Expect Before, During, and After SurgeryMotherhood is one of life’s most rewarding experiences, but it often comes with dramatic changes to the body. Sagging breasts, loose abdominal skin, stubborn fat, and stretch marks are common concerns after pregnancy and breastfeeding. A Mommy Makeover is a customizable procedure designed to help mothers restore their pre-pregnancy body—and their confidence. Board-certified plastic surgeon  Dr. Bryson Richards  provides mommy makeover to patients in Las Vegas, NV, and surrounding locations.

What Is a Mommy Makeover?

A Mommy Makeover isn’t a single procedure, but rather a combination of surgeries tailored to your unique post-pregnancy body. Most commonly, it includes:

  • Breast Augmentation or Lift: To restore volume, correct sagging, or improve symmetry.

  • Tummy Tuck (Abdominoplasty): To tighten loose abdominal skin and repair separated muscles.

  • Liposuction: To contour stubborn fat areas like the flanks, hips, or thighs.

  • Other Enhancements: Some patients also add labiaplasty or skin treatments for a more comprehensive transformation.

Before Surgery: What to Expect

Preparation is key to a smooth Mommy Makeover journey. During your consultation, your surgeon will evaluate your medical history, lifestyle, and goals. You’ll discuss:

  • Which procedures are right for you

  • Expected outcomes and limitations

  • Risks and recovery timelines

  • Whether you’re done having children (future pregnancies can impact results)

Leading up to surgery, you’ll need to:

  • Quit smoking and avoid certain medications

  • Maintain a stable weight for 6 months

  • Arrange time off work and help at home, especially for childcare

  • Prep your home with essentials for recovery (pillows, medications, ice packs, loose clothing)

During Surgery

The Mommy Makeover is performed under general anesthesia and typically takes 4 to 6 hours, depending on the procedures. Your surgeon will use strategically placed incisions to minimize scarring and enhance aesthetics. In most cases, it’s performed as an outpatient procedure, though some patients may stay overnight.

After Surgery: Recovery and Results

Recovery varies based on the extent of your procedures, but here’s a general timeline:

  • First week: Expect swelling, bruising, and fatigue. You’ll need help with basic tasks.

  • Weeks 2–3: Gradual return to light activities. Compression garments are worn to reduce swelling.

  • 4–6 weeks: Resume most normal activities, but avoid intense exercise.

  • 3–6 months: Swelling continues to resolve, and final results become visible.

Is a Mommy Makeover Worth It?

For many patients, the answer is a resounding yes. The transformation can be both physical and emotional, helping women feel confident, comfortable, and like themselves again.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

The Best Time to Get Liposuction | Las Vegas Plastic SurgeonLiposuction is one of the most popular cosmetic procedures for sculpting and contouring the body by removing stubborn fat deposits that don’t respond to diet and exercise. While liposuction can dramatically enhance your body’s shape, timing plays a crucial role in ensuring you get the best results and recovery experience. If you’re considering liposuction, here’s what you should know about the best time to schedule your procedure. Board-certified plastic surgeon  Dr. Bryson Richards  provides liposuction to patients in Las Vegas, NV, and surrounding locations.

1. When You’re at a Stable Weight

The most important factor before getting liposuction is ensuring that you’ve reached a stable weight. Liposuction is not a weight-loss solution but rather a body contouring procedure. If you’re still actively losing or gaining weight, it can affect the results of the procedure. Surgeons typically recommend waiting until you’re within your desired weight range and have maintained that weight for several months.

2. After Your Final Pregnancy

If you’ve recently had children, you may find it tempting to undergo liposuction to address any stubborn fat or skin changes. However, it’s best to wait until you’ve completed your family before scheduling your procedure. Pregnancy can significantly alter the body’s fat distribution, and additional pregnancies after liposuction may stretch the treated areas and undo the results.

It’s generally recommended to wait until you’ve finished having children and have given your body time to return to its new post-pregnancy baseline before getting liposuction.

3. When You Have Time to Recover

Liposuction requires a period of recovery, usually about 1 to 2 weeks, depending on the extent of the procedure. Swelling, bruising, and discomfort are common during the recovery phase, so it’s crucial to have enough time to rest and follow post-operative instructions carefully. Many patients opt to schedule their liposuction procedures during times when they can take time off work and focus on their healing, such as during holidays or slower work periods.

4. During the Cooler Months

While liposuction can be performed at any time of the year, many people prefer scheduling their surgery in the fall or winter months. The cooler weather makes it easier to wear loose, comfortable clothing to conceal any post-surgery swelling and bruising. Additionally, if you’re recovering from liposuction, the cooler weather can help you feel more comfortable during the healing process, especially when you need to wear compression garments to support your recovery.

5. When You’re Mentally and Physically Ready

Like any surgery, liposuction requires mental and physical preparedness. It’s important to have realistic expectations about the results and recovery process. If you’re physically healthy, have no significant medical issues, and are committed to maintaining a healthy lifestyle, you’re more likely to achieve long-lasting results from liposuction.

Additionally, mentally prepare yourself for the recovery process, which includes following a healthy diet, exercise routine, and wearing compression garments. Support from loved ones can also help make the recovery process smoother.

6. When You’re Ready to Commit to Long-Term Lifestyle Changes

While liposuction can eliminate stubborn fat deposits, maintaining your results requires a commitment to a healthy lifestyle. Liposuction will not prevent you from gaining weight again in the future. Therefore, it’s important to adopt healthy eating habits and regular exercise routines after the procedure to maintain your new body contours.

7. When You Have a Specific Area to Target

Liposuction is ideal for targeted fat removal in specific areas such as the abdomen, thighs, love handles, arms, or back. If you have one or more trouble areas that you’d like to address, liposuction can provide a tailored solution. Ensure that your goals for body contouring align with the procedure’s capabilities, and consult with a board-certified surgeon to discuss how liposuction can help you achieve your desired results.

Conclusion

The best time to get liposuction depends on your individual situation, including your weight, health, lifestyle, and recovery needs. To maximize your results, it’s important to wait until you’ve reached a stable weight, completed your family (if applicable), and have enough time to recover fully.

Consult with a qualified, experienced plastic surgeon to discuss your goals, expectations, and the timing that works best for you. With the right preparation and timing, liposuction can help you achieve the body contours you’ve always wanted.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.

The Best Time to Get a Tummy Tuck | Las Vegas Plastic SurgeonA tummy tuck, or abdominoplasty, is a cosmetic surgery designed to remove excess skin and fat from the abdominal area, while also tightening the muscles. This procedure can help restore a flatter, more toned appearance to your stomach. However, timing is crucial for the best results. If you’re considering a tummy tuck, here are some important factors to help you decide the best time for the procedure. Board-certified plastic surgeon  Dr. Bryson Richards  provides tummy tuck to patients in Las Vegas, NV, and surrounding locations.

1. After Reaching a Stable Weight

One of the most important considerations before getting a tummy tuck is ensuring that you have achieved a stable weight. Significant weight fluctuations can affect the outcome of the surgery and may lead to unwanted changes in the shape of your abdomen.

To get the best results, aim to be within your ideal weight range and have maintained that weight for at least 6 months. If you are still losing weight or planning to lose more in the future, it’s wise to wait before having surgery.

2. After Pregnancy

Pregnancy is a major factor that can stretch out the abdominal muscles and skin. For many women, no amount of exercise or diet can completely reverse the effects of pregnancy on their stomach area. If you are planning to have more children in the future, it’s typically better to wait until after your final pregnancy.

A tummy tuck is ideal after you have completed your family since another pregnancy could stretch the muscles and skin again, compromising the results of the surgery.

3. When You Have Time to Recover

The recovery time after a tummy tuck can vary, but most patients need about 2 to 3 weeks of rest before resuming daily activities. It’s important to factor in time for recovery and plan the surgery when you can afford time off from work and other responsibilities.

The full recovery process can take several months, so you’ll want to ensure that you can manage your post-surgical care, such as wearing compression garments and attending follow-up appointments.

4. When You’re Emotionally Ready

A tummy tuck is a significant surgery, and it’s essential to be emotionally prepared for both the procedure and the recovery process. Ensure that you have realistic expectations about the results and the time needed for healing. Having a support system in place is also important during your recovery.

5. In the Cooler Months

While there is no specific “season” to get a tummy tuck, many patients prefer scheduling their surgery during the fall or winter months. The cooler weather helps conceal any post-surgical swelling or bruising with loose clothing, and it can be easier to manage recovery when you’re not worried about showing your stomach in warmer weather.

6. When You’re in Good Overall Health

It’s essential to be in good health to undergo any major surgery. Before getting a tummy tuck, ensure you are physically healthy, free of chronic conditions, and not smoking (as smoking can slow down the healing process). A consultation with your surgeon will help determine if you are a good candidate for the procedure.

Conclusion

The best time to get a tummy tuck ultimately depends on your personal situation. Make sure you’re at a stable weight, have finished having children, and are emotionally and physically ready for the procedure and recovery. Timing your tummy tuck well can make a significant difference in achieving the desired results and ensuring a smoother recovery process.

Consult with a board-certified plastic surgeon to discuss your goals and determine the best time for your tummy tuck. With the right timing and preparation, you’ll be able to enjoy a more sculpted and confident version of yourself.

Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation

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

Taking new patients from Las Vegas, Bullhead City,  Laughlin, Pahrump, Mesquite NV and surrounding areas.