Category Archives: Plastic Surgery

Many women considering implant removal want to know what their breasts will look like afterward. When implants are removed, the breast tissue may appear deflated, loose, or saggy depending on skin elasticity, age, and implant size. For many patients, combining implant removal with a breast lift provides a beautiful, youthful contour without implants. At Richards Cosmetic Surgery, Dr. Richards frequently performs this combination procedure to reshape the breast and deliver natural, lifted results.

Why Combine Implant Removal With a Lift?

Removing implants alone may not restore the breast shape you want. When implants are taken out, excess skin that stretched around the implant may remain. A breast lift tightens this skin, repositions the nipple, and reshapes the breast mound for a firmer and more proportional appearance.

Combining both procedures in one surgery:
• Restores a youthful breast shape
• Eliminates sagging or drooping
• Repositions the nipple to a natural height
• Creates rounder, more elevated contours
• Offers a more predictable cosmetic outcome

What Affects Your Final Results?

Several factors influence how the breasts will look after implant removal with lift.

Skin Elasticity

Younger patients or those with good skin quality often see tight, perky results. Patients with stretched or thin skin may require additional internal support.

Implant Size and Duration

Larger implants or implants that have been in place for many years tend to stretch the skin more, requiring more lifting and reshaping.

Natural Breast Tissue

The amount of natural tissue you have determines postoperative fullness. Patients with minimal tissue may have a more athletic or modest breast shape.

Nipple Position

The lift repositions the nipple and areola, restoring them to a more youthful, centered location.

How the Procedure Works

Implant removal is performed through the existing incision when possible. Dr. Richards removes the implant and, if necessary, the surrounding capsule. A breast lift is then performed to tighten loose skin and reshape the breast. Excess skin is trimmed, the breast mound is reshaped, and the nipple is elevated for a natural look.

Incision patterns may vary depending on your anatomy, including periareolar, vertical, or full anchor incisions. Dr. Richards recommends the least invasive pattern that can still achieve an excellent result.

What Results You Can Expect

Most patients notice:
• Firmer, lifted breasts
• A natural, implant-free shape
• Symmetry improvements
• Better nipple projection and position
• A more youthful contour overall

The breasts may appear slightly smaller than before but typically have a much more flattering and natural shape. Full healing and final results continue to improve over several months as swelling decreases and tissues settle.

Is Implant Removal With Lift Right for You?

You may be a good candidate if you:
• No longer want implants
• Prefer a natural breast appearance
• Notice sagging or drooping after implant removal
• Have capsular contracture or implant issues
• Want to correct changes from aging or pregnancy

During your consultation, Dr. Richards evaluates your goals, tissue quality, and implant history to determine the best approach.

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.

Breast implants are long lasting, but they are not designed to stay in the exact same position forever. Over time, natural aging, changes in skin elasticity, capsular changes, and gravity can cause implants to shift, drop, or sit differently on the chest. When this happens, the breasts may appear asymmetrical, uneven, or distorted. Breast implant revision surgery can correct these concerns and restore a balanced, natural appearance. At Richards Cosmetic Surgery, Dr. Richards specializes in complex breast revisions and uses advanced techniques to reposition implants and refine breast contour.

Why Do Breast Implants Shift?

Breast implants can shift for several reasons, and understanding these factors helps determine the appropriate revision technique.

Loosening of the Implant Pocket

The implant sits inside a surgically created pocket. Over time, this pocket can stretch due to aging, weight fluctuations, genetics, or large implant sizes. A stretched pocket may allow implants to drift outward, downward, or toward the armpit.

Skin and Tissue Changes

Skin naturally loses elasticity with age. Pregnancy, breastfeeding, and weight loss can also thin breast tissue and loosen support structures. When tissue weakens, the implant may no longer sit firmly in place.

Capsular Contracture

Capsular contracture occurs when the scar tissue around the implant tightens or hardens. This can distort implant position, cause a breast to look higher than the other, and create discomfort.

Implant Bottoming Out

Bottoming out happens when the lower breast tissue stretches and the implant drops too low on the chest, causing the nipple to appear too high. This is often related to weak or thin lower pole tissue.

Symmastia

Symmastia, sometimes called “uniboob,” occurs when implants shift toward the center of the chest due to over-dissection or weakened tissue between the breasts. Revision surgery can correct this separation.

Natural Aging and Gravity

Even without complications, gravity gradually changes breast shape. Over time, the implant may settle lower, even with perfectly executed original surgery.

Signs Your Implants Have Shifted

You may notice:
• One breast sitting higher or lower than the other
• Implants drifting outward or toward the armpits
• Cleavage that looks unnatural or too wide
• Nipples pointing downward or outward
• Breasts looking deflated or bottomed out
• Rippling or visibility of implant edges

If any of these changes occur, a revision consultation can help determine the cause and best treatment approach.

How Breast Revision Surgery Fixes Implant Shifting

Revision surgery is highly customized. Dr. Richards evaluates the breast tissue, pocket integrity, implant type, and overall anatomy to determine the optimal solution.

Pocket Repair or Reconstruction

The most common correction involves tightening or reshaping the implant pocket. This may include internal sutures or reinforcement materials to hold the implant in the correct position.

Changing Implant Type or Size

Switching to a more cohesive silicone gel implant or adjusting the size can improve stability and reduce future movement. Smaller or anatomically appropriate implants may reduce downward pressure on weakened tissues.

Using Supporting Mesh or Acellular Dermal Matrix

For patients with weaker tissue, Dr. Richards may use internal support materials to strengthen the pocket and prevent future shifting.

Correcting Capsular Contracture

If capsular contracture is the cause, removing or releasing the capsule is necessary to restore proper implant position.

Addressing Bottoming Out or Symmastia

Specific techniques rebuild internal support and reposition the implants for balanced, natural symmetry.

What Results Can You Expect After Revision?

Revision typically restores symmetry, improves breast shape, corrects implant placement, and enhances overall appearance. Patients often feel more comfortable and confident once the implants are properly positioned. Dr. Richards focuses on achieving natural, long-lasting results with improved support to prevent future shifting.

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.

Breast augmentation is one of the most popular cosmetic procedures, but like any surgery, complications can occur. Two of the most misunderstood postoperative issues are double bubble and capsular contracture. Although they may look similar to patients, they stem from entirely different causes and require different treatment approaches. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast revision to patients in Las Vegas, NV, and surrounding locations.

What Is a Double Bubble?

A double bubble deformity occurs when the implant and the natural breast tissue do not align smoothly, creating the appearance of two breast folds. This can give the breast a “double” crease or a distinct step-off between the implant and the lower breast pole.

Common causes include:

• A high implant that does not fully settle

• Overly tight or strong natural breast crease (inframammary fold)

• Implant placed too low

• Bottoming-out over time

• Anatomical mismatch between the implant size and the patient’s natural tissue

• Capsular contracture pulling the implant upward (secondary double bubble)

Some cases appear early after surgery, while others develop months or years later due to natural aging or changes in breast tissue.

What Is Capsular Contracture?

Capsular contracture occurs when the scar tissue (capsule) that naturally forms around the implant tightens excessively. This contraction can squeeze the implant, distorting its shape or position.

Symptoms may include:

• Hardening of the breast

• Distorted or round, ball-like appearance

• Pain or discomfort

• Rising of the implant on the chest

• Firmness and visible asymmetry

Capsular contracture is graded using the Baker scale, from mild firmness (Grade I–II) to painful, visible distortion (Grade III–IV).

Key Differences Between Double Bubble and Capsular Contracture

Although both affect breast appearance, they originate from different issues:

Understanding these differences is essential for determining the correct revision approach.

How Dr. Richards Diagnoses the Issue

A thorough evaluation includes:

• Physical exam of breast shape and position

• Assessment of implant type and placement

• Review of surgical history

• Ultrasound or imaging in complex cases

Correct diagnosis is crucial, as treating one condition with the wrong technique can worsen the outcome.

When Revision Surgery Is Recommended

Both conditions can be corrected surgically, but the techniques differ significantly. Dr. Richards designs a personalized revision plan based on the underlying cause, breast anatomy, and long-term goals.

If you suspect changes in your breast shape or firmness, schedule an evaluation at Richards Cosmetic Surgery. Expert diagnosis ensures you get the right treatment, the first time.

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.

A double bubble deformity can be distressing for breast augmentation patients, especially when it affects symmetry or confidence. The good news is that double bubble is highly correctable with the right revision approach. Board-certified plastic surgeon  Dr. Bryson Richards  provides breast revision to patients in Las Vegas, NV, and surrounding locations.

What Causes a Double Bubble?

A double bubble occurs when the implant sits in a different position than the natural breast fold (inframammary fold). This creates two stacked contours—a natural crease and a second crease caused by the implant.

Common causes include:

• Implant placed too high

• Implant dropping too low (bottoming out)

• Tight or strongly defined natural fold

• Wrong implant size or projection for the patient’s anatomy

• Capsular contracture pulling the implant upward

• Breast tissue changes due to pregnancy, aging, or weight fluctuations

Identifying the root cause determines the right surgical approach.

Revision Techniques to Correct Double Bubble

1. Repositioning the Implant
If the implant sits too high, Dr. Richards can lower the implant pocket so it aligns with the natural breast fold. If the implant has dropped too low, the pocket is tightened to restore proper placement.

2. Adjusting or Reconstructing the Inframammary Fold (IMF)
For patients with a strong natural fold that pushes the implant upward, the fold can be lowered in a controlled, precise way to create a smooth contour.

3. Capsulorrhaphy (Internal Pocket Tightening)
This technique tightens the implant pocket using internal sutures, providing better support and preventing excessive movement or bottoming out.

4. Changing the Implant Type or Size
If implant size contributed to the double bubble, switching to a more appropriate size or projection can create a more harmonious shape.

5. Treating Capsular Contracture (if present)
When capsular contracture is the underlying issue causing the implant to ride up, Dr. Richards may perform:

• Partial or total capsulectomy

• Implant replacement

• Pocket conversion (e.g., switching from subglandular to submuscular placement)

What Results Can Patients Expect?

After revision surgery, patients typically see:

• A smoother, natural lower breast contour

• Better implant position and symmetry

• Improved cleavage and projection

• Softer, more natural breast movement

Swelling decreases significantly in the first few weeks, with final results developing over several months as tissues settle.

Preventing Recurrent Double Bubble

To reduce recurrence risk, Dr. Richards focuses on:

• Proper implant selection

• Precise control of the breast fold

• Ensuring correct implant pocket size and support

• Addressing tissue quality and skin elasticity

Postoperative support garments and careful activity restrictions also play an important role in long-term success.

Expert Breast Revision in Las Vegas

Double bubble deformity can be upsetting—but with the right revision technique, beautiful results are absolutely achievable. Dr. Richards combines surgical skill with extensive experience in breast revision to help patients restore a natural, elegant breast shape.

If you’ve noticed changes in your breast contour or suspect a double bubble deformity, schedule a consultation with Richards Cosmetic Surgery to explore your revision 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.

Breast 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.

When 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.

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.

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.

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.

Choosing 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.