Category Archives: Plastic Surgery

Breast augmentation currently ranks as the second most popular cosmetic surgery procedure after liposuction. It is important for a woman to have adequate information about the procedure and its pros and cons in order to make the best decision about going ahead with this surgery. The breast surgeon will discuss all aspects of the breast implant procedure during the pre-op consultations, and will address the patient’s questions and concerns in detail.

Dr. Bryson Richards is an experienced plastic surgeon providing breast augmentation and various other procedures of the breast, body and face. Dr. Richards will carefully assess the patient’s existing anatomical condition, medical history, and her personal aesthetic goals before recommending breast implant surgery. He provides various procedures for the breast, body, and face to patients in Las Vegas, NV and other locations.

Body Weight Aspect

Some women may like to know whether body weight or BMI (body mass index) may be one of the criteria for being a suitable candidate for breast augmentation plastic surgery. Most breast surgeons are of the opinion that body weight is not a major factor in determining the candidacy for breast implant surgery. The procedure may be applicable to women with a lower or higher than the ideal weight or ideal BMI.

The primary concern for a surgeon will be to ensure that the woman is in good general health and does not suffer from any such medical condition that may pose a risk during the procedure or create difficulties in recovery. As long as she is declared fit to undergo the surgery, the body weight issue would not generally create a major concern.

The FDA has approved saline implants for women above the age of 18, and silicone implants for women above the age of 21. Approved sizes of implants range from 120 cc to 960 cc. Therefore, women with a wide range of body and breast size can receive this procedure, as long as the cosmetic surgeon finds them fit to undergo the surgery on all counts.

Healthy BMI

While there are no particular weight limitations when a woman is considering breast implant surgery, most surgeons would agree that the body mass index (BMI) should not place the woman in the obese category. In ideal conditions, it is safer to perform any cosmetic surgery procedure such as breast implants for patients who are not obese.

Some medical professionals recommend that the BMI of 30 or below should be treated as the limit before a patient is ready to undergo an elective surgery such as breast augmentation. The risk of complications is reduced during and after the surgery when such limits are followed.

Weight Loss

If the woman exceeds the BMI limit of 30, it may be a fabulous idea to first work on weight loss, and achieve a healthier BMI. A surgeon may be able to refer the patient to a prolific weight loss and fitness program to achieve this goal. Once a safer BMI is achieved, the patient may move forward with breast augmentation. Dr. Richards receives patients from Las Vegas, NV and nearby areas for this surgery.

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, NV and surrounding areas.

Breast implant is currently the second most popular cosmetic surgery procedure in the US after liposuction. The procedure can create predictable, sustainable, and highly desirable outcomes as long as it is performed by a trained breast surgeon with a proven track record of success in such procedures. Dr. Bryson Richards is a dedicated and experienced plastic surgeon providing breast implant procedure patients in Las Vegas, NV and surrounding communities.

Customizing the Procedure

Dr. Richards believes that optimal results in breast implant surgery can be obtained when the procedure is customized according to the patient’s unique needs. Breast implant surgery involves key decisions with regard to the size and type of implants, the location of incision, and the placement position of implants in the breast tissue.

The final outcome will depend to a considerable extent on these choices. Dr. Richards engages closely with the patient to determine her innate aesthetic needs and goals and takes into account her natural breast anatomy. Based on this assessment, he will help the patient make the right choices for the breast implant plastic surgery.

Combining Art and Science

In every aesthetic procedure, including breast implant surgery, Dr. Richards will combine the best principles of science and art in order to produce great results. His first goal is to ensure that the implant procedure maintains the patient’s long-term health and well-being, and contributes to her self-esteem.

At the same time, he will approach this surgery in order to enhance the overall breast shape and appearance, and not merely increase the size of the breasts. Therefore, Dr. Richards is able to create breast implant results that are healthy, sustainable and natural looking, apart from meeting or exceeding the patient’s aesthetic goals. He is a leading cosmetic surgeon receiving patients from Las Vegas, NV and nearby areas.

Awards and Honors for Dr. Richards

For his commitment and contributions to the field of plastic surgery, Dr. Richards has received a number of prestigious awards and honors during the course of his career, including the following:

• Joseph M. Serletti, MD, Resident Research Award, 2013 – for Excellence in Academic Plastic Surgery at URMC
• Senior Top Gun Award, 2012 – Overall highest score on plastic surgery in-service of plastic surgery residents at URMC.
• Junior Top Gun Award, 2011 – Highest score on plastic surgery in-service exam at junior level among plastic surgery residents at URMC.
• Phi Kappa Phi, 2004 – Undergraduate honors society
• Omicron Delta Epsilon, 2004 – International Economics Honors Society
• Resident research award for studying data to find patterns that would improve patient care

Community Involvement

Apart from offering personalized care and attention to patients through his practice, Dr. Richards also takes out time to perform community and humanitarian services whenever possible. He has volunteered time to perform cleft lip and palate repairs in Uganda, Africa.

He actively participates in meetings, seminars, and takes advantage of continuing education opportunities to update his surgical skills in order to provide cutting edge plastic surgery procedures to his patients in Las Vegas.

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, NV and surrounding areas.

Inverted nipple condition is more common than most women would like to believe. This condition is caused due to a variety of factors, and the corrective procedure or cosmetic surgery will be decided according to the grade of inversion and the cause. The goal of a breast surgeon should be to achieve correction in a minimally invasive manner or through non-surgical methods.

Dr. Bryson Richards is an experienced plastic surgeon providing cutting-edge procedures for the breast, body and face. Dr. Richards will offer a customized treatment plan and recommend the most appropriate surgical or non-surgical procedures to achieve desirable results. He provides correction for inverted nipples to patients in Las Vegas, NV and other areas.

Breast Augmentation and Inverted Nipples

Breast augmentation is one of the most popular plastic surgery procedures today. If a woman has one or both inverted nipples and she wants to undergo breast implant surgery, naturally she may want to know if this surgery will also correct the appearance of her nipples. A dedicated surgeon will note this concern of the patient and provide her an accurate answer after a detailed examination.

If the cosmetic surgeon determines that a minor level of inversion in the nipples has occurred due to a loss of breast volume, this condition may be corrected simply with breast implant surgery. Loss of volume will cause the skin to sag, and the skin around the nipples may also become loose. This can create slight inversion in the nipples. Breast implant placement may restore the firmness of skin and breast volume, resulting in natural improvement in the appearance of the nipples.

Causes of Breast Volume Loss

A woman may experience breast volume loss due to the following reasons:

• Aging – Breasts may tend to lose volume due to the effects of aging, causing the breasts to appear smaller and droopy.
• Pregnancy and Breastfeeding – A number of women may experience loss of breast volume following pregnancy and breastfeeding, which can be restored with breast implants.
• Weight loss – If the woman has undergone a major weight loss program, it may result in reduction of breast volume.

If nipple inversion has occurred due to any of these reasons, it may be possible to achieve correction simply with breast augmentation surgery. Dr. Richards is a leading cosmetic surgeon providing breast implant surgery to patients in Las Vegas, NV and nearby areas.

Corrective Surgery

In many cases, inverted nipples may have occurred due to the tissue underneath, which does not allow them to release. These are often classified as Grade 2 or Grade 3 inverted nipples. It may be necessary to perform corrective surgery specifically to address this condition, and breast implant procedure alone will not improve it.

The magnificent thing is that a breast surgeon can perform nipple inversion corrective surgery at the same time along with breast augmentation procedure. Alternatively, the inversion correction alone can be performed. For inverted nipple correction surgery, the woman should be at least 18 years old, and should not be pregnant or breastfeeding at the time of surgery.

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

What is Liposonix

Liposonix fat reduction is a treatment option for people who are struggling to reduce stubborn fat pockets, but do not want to undergo cosmetic surgery. One of the key concerns, particularly for working individuals and busy mothers is that a surgery typically involves a longer recovery period and may have a higher risk of post-operative complications.

This is where a procedure such as Liposonix becomes highly useful for such patients because it involves a much faster and simpler recovery process as compared to a surgery. Dr. Bryson Richards is a dedicated plastic surgeon providing Liposonix and various other surgical and non-surgical procedures to patients in Las Vegas, NV and surrounding communities.

Almost No Downtime

Unlike a plastic surgery procedure such as liposuction, Liposonix does not involve any cuts or incisions. This ensures that the patient does not go through a period of post-op pain and discomfort, and requires no pain medications during recovery. The process of recovery in Liposonix is quite simple and causes no hindrance in the patient’s everyday life or roles and responsibilities at the workplace.

Busy people prefer such a procedure because it can easily fit into their busy schedule, and they can simply return to their normal activities or go back to work right after the Liposonix procedure. The procedure does not interfere their life because it does not involve almost any downtime in most of the cases. The treatment session will last for just one hour, and a working individual may simply receive the treatment during lunch hour, and return to work immediately after that.

Mild Post-op Symptoms

While Liposonix does not involve any scalpel, needles or even lasers, the ultrasound energy will generate some degree of heat in the targeted areas to disintegrate fat cells. This can create a mild tingling sensation during the treatment, which may linger afterwards for some time. Some patients may feel slightly uncomfortable for a few hours after the treatment, but it will not be painful.

Very mild bruising, swelling, and redness may be experienced after Liposonix treatment, which will dissipate quickly. Particularly where the cosmetic surgeon or another treatment provider makes use of the latest Liposonix technology, mild or no discomfort may be experienced. Dr. Richards receives patients from Las Vegas, NV and nearby areas for Liposonix.

Pain and Swelling

Each individual may have a different degree of pain and anxiety tolerance. The treatment expert may provide some medications about 30 minutes prior to the procedure. If the patient wants to avoid the medications, they should have someone to drive them back home and preferably stay overnight. The treatment provider’s office may also arrange a cab for the patient, if necessary.

While redness will resolve in a few hours after Liposonix procedure, swelling can take a few days in some cases. The patient may have to wear a compression garment in the treated area during this period to minimize swelling and improve comfort. The treatment provider may recommend wearing compression garment for two to three days after the Liposonix treatment.

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

Inverted nipples are a fairly common occurrence among women, but the subject is not discussed widely. Many women prefer to treat it as a private issue and do not wish to admit it publicly about having inverted nipples. Cosmetic surgery can be used to correct this condition, if a woman is bothered by the appearance of breasts due to inverted nipples.

Dr. Bryson Richards is a dedicated plastic surgeon providing state of the art aesthetic and reconstructive surgeries for the breast, body and face. Dr. Richards also offers proven and effective corrective solutions for conditions such as inverted nipples. He receives patients from Las Vegas, NV and surrounding locations.

General Causes

Inverted nipples may not necessarily occur in pairs, and some women may only have one. Whether the position of the nipple is truly inverted or just shy can be determined by a three-level grading system. Physical causes in each level are usually different from each other. Plastic surgery may be necessary in moderate to severe cases of inverted nipples. General causes include:

• The woman may have inverted nipples by birth.
• Following breastfeeding, the milk ducts may have been damaged or become fibrous and retracted, which can pull the nipples inwards.
• Previous surgeries may have caused scar tissue formation, which can create nipple inversion.
• Breast cancer may be the cause of an inverted nipple.
• With age, the breast skin may sag and the skin around the nipples may become loose, leading to inversion.
• Any infection in the breast may cause inflammation, resulting in fibrous scar tissue pulling the nipple inwards.
• Some women may have inverted nipples during pregnancy.

Dr. Richards is an experienced cosmetic surgeon providing effective treatments for inverted nipple to patients in Las Vegas, NV and nearby areas.

Grade 1 Inverted Nipple – Causes

Commonly known as a “shy” nipple, grade 1 inverted nipple can be coaxed out or stimulated to protrude like a normal nipple. A cold therapy or massage may be used to achieve this correction through stimulation. This condition is not linked with breastfeeding problems because the milk ducts remain unaffected. The primary causes of this condition are unknown.

Grade 2 Inverted Nipple – Causes

Correction in grade 2 inverted nipple can be achieved in a similar way as with grade 1 inversion. But the problem in this case is that once the pressure is released, the nipple returns to its inverted position. Fibrosis and mild retraction of the milk ducts are the key causes behind this condition. In other words, the nipple is constantly getting pulled in by fibers into the breast.

Grade 3 Inverted Nipple – Causes

These are the truly inverted nipples, which will be permanently inverted and not seen to be protruding at any time. Women hoping to breastfeed commonly seek surgical correction of this condition because breastfeeding is compromised with this condition. Severe fibrosis and short milk ducts are the main causes of grade 3 inverted nipples. Short milk duct implies that the nipple is pulled inward and physically attached to tissue within the breast.

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

The final outcome in breast augmentation cosmetic surgery procedure will be impacted by the type and size of implants that a patient has chosen. Therefore, it is advisable to discuss the size aspect closely with the surgeon and make the optimal decision. Dr. Bryson Richards is an experienced plastic surgeon providing breast implants and other procedures to patients in Las Vegas, NV and surrounding communities.

Choosing the Implant Size

Breast implants are available in various sizes ranging from 120cc to 960cc. A number of factors should be considered while choosing the size of implants:

Personal Aesthetic Goals

Breast augmentation plastic surgery is usually performed for aesthetic reasons. Whether the patient has a goal to make the under-sized breasts more proportionate to the rest of the body, or she simply desires more voluptuous breasts even though the current breast size is normal, will make a difference to the size choice.

Natural Breast Size

One of the limitations in choosing the breast implants will be the size of natural breasts. The breasts should have sufficient extra tissue to cover the implant without causing rippling or other problems. If only limited tissue is available, it may not be possible to choose very large implant sizes.

Breadth of Chest and Shoulders

The chest and shoulder breadth or the size of the frame will differ for each patient. Breast implants are typically available with different base widths. Therefore, the patient will have to choose a size that works well with her frame.

Personal Lifestyle

Breast implant surgery is a long-term procedure. An experienced cosmetic surgeon will discuss the patient’s lifestyle in order to make the right recommendation of implant size. Women who enjoy playing outdoor sports, running, climbing, swimming, body building or perform other physically straining activities, may do better with a moderate size of implants. Large implant sizes may hamper their ability to exercise optimally.

Proportion and Symmetry

The choice of implant sizes is not just about how bigger the breasts may appear. It is also about creating the right proportion and symmetry to make the breasts more visually appealing. Many women seek breast augmentation surgery just to achieve more even and symmetrical breasts.

In such cases, the size of implants will be chosen accordingly, and some women may have to use differently sized implants on each side. Dr. Richards receives patients from Las Vegas, NV and nearby locations for breast implant surgery.

Profile Appearance

When selecting the implant size, the patient will also have to consider what kind of profile she wants. If the patient desires a moderate profile, she may have to choose implants with minimal projection. These implants will not stick out much from the chest, and are usually well-suited for patients with a wide chest.

Women who seek a slightly higher profile than a moderate profile may choose moderate-plus profile. These implants will project slightly more than moderate implants, and will be marginally tapered. These are good for women with a small and narrow chest.

High profile implants may be chosen by women who seek maximum projection and cleavage. These implants have a smaller base so they project more.

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

Eyelid surgery, clinically called blepharoplasty, is a cosmetic surgery procedure designed to reduce excess skin and fat around the lower and upper eyelids, and restore a rejuvenated eye appearance. Eyes are the most delicate external organ, which makes it important to have any procedure related to the eyes performed by a fully trained and qualified surgeon.

Leading plastic surgeon Dr. Bryson Richards provides eyelid surgery in a state of the art surgical environment. Dr. Richards will customize the surgery according to the patient’s unique eye anatomy and their personal aesthetic needs. He provides eyelid surgery and other procedures to patients in Las Vegas, NV and surrounding communities.

Personalized Care

Dr. Richards is personally involved with every intricate plastic surgery procedure such as eyelid surgery. He ensures that every patient receives his personalized care and attention at all stages of the procedure. He will have an in-depth pre-op consultation, where he encourages the patient to share all their concerns and doubts, and addresses them to their complete satisfaction.

When preparing the surgical plan for eyelid surgery, Dr. Richards will engage closely with the patient and tailor the plan to meet their specific goals. He will take out time to educate the patient comprehensively about the treatment choices available to them in eyelid surgery. Even after the procedure, he will instruct the patient about their recovery process to ensure safe and best results.

Expertise in Eyelid Surgery

Dr. Richards has the necessary training and experience as a cosmetic surgeon to perform eyelid lift procedures with outstanding results. His goal is to keep the procedure minimally invasive and achieve optimal outcomes in a targeted manner. This approach allows him to place smaller incisions in discreet locations, minimize scarring, minimize pain and discomfort, and reduce the downtime involved.

Dr. Richards may recommend lower or upper blepharoplasty, depending on the patient’s condition. In some cases, he may recommend a combination of both for more comprehensive results. If the patient does not have the problem of loose or sagging skin over the eyelids, he may perform a less invasive procedure called transconjunctival blepharoplasty. He receives patients from all over Las Vegas, NV and nearby areas for eyelid surgery.

Award-Winning Surgeon

Over the course of his plastic surgery training and experience, Dr. Richards has been the recipient of a number of awards and honors, which include:

• Joseph M. Serletti, MD, Resident Research Award, 2013 – For Excellence in Academic Plastic Surgery at URMC

• Senior Top Gun Award, 2012 – Overall highest score on plastic surgery in-service of plastic surgery residents at URMC.

• Junior Top Gun Award, 2011 – Highest score on plastic surgery in-service exam at junior level among plastic surgery residents at URMC.

• Phi Kappa Phi, 2004 – Undergraduate honors society

• Omicron Delta Epsilon, 2004 – International Economics Honors Society

Publications

Dr. Richards wrote a paper to describe an innovative surgical technique to reduce post-operative pain in breast augmentation surgery. The paper was published in the eminent Aesthetic Surgery Journal, and has been cited in other articles on breast surgery. Dr. Richards also earned the top resident research award for analyzing data to find patterns that would improve patient care.

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

Rhinoplasty or nose reshaping surgery ranks among the top five most popular cosmetic surgery procedures in the US today. Even a subtle change to the nose can make a magnified impact on the overall appearance of the face. Therefore, the procedure should only be performed by a surgeon who understands the nuances of rhinoplasty.

Dr. Bryson Richards is a pre-eminent plastic surgeon providing rhinoplasty and various other procedures of the breast, body and face. Dr. Richards will employ cutting edge surgical techniques to achieve safe, healthy and aesthetically appealing results with rhinoplasty. He receives patients from Las Vegas, NV and surrounding communities.

Combining Art and Science

Dr. Richards believes that every plastic surgery procedure must incorporate the principles of both art and science in order to achieve consummate results. This is particularly true of intricate facial procedures such as rhinoplasty. Using the artistic principles and aided by advanced surgical technology and techniques, Dr. Richards is able to sculpt the nose in a desirable way so as to meet the patient’s aesthetic expectations.

At the same time, he ensures that the scientific principles and best surgical practices are not compromised because of the aesthetic enhancement. Health and safety of the patient remains a top priority. Dr. Richards adopts an approach to conserve the tissue as far as possible, involve minimal cuts and incisions, and create results that are health promoting, sustainable and natural looking.

Maintaining Balance

Rhinoplasty procedure cannot be performed in isolation. An experienced cosmetic surgeon will prepare a nose reshaping surgical plan in context of other facial structures. For instance, if the nose appearance becomes more prominent, it should not undermine the existing appearance of the chin, and vice versa. All facial features must appear in natural harmony to each other after rhinoplasty.

Therefore, it is vital that nose surgery should only be performed by a highly trained and skillful rhinoplasty surgeon with a deep understanding of facial anatomy and aesthetics. Dr. Richards makes use of his in-depth knowledge of the complex facial structures and advanced clinical skill set to improve facial balance and proportion with rhinoplasty. He provides this procedure to patients in Las Vegas, NV and nearby locations.

Awards and Honors

In recognition of his contributions to the field of plastic surgery, Dr. Richards has won several honors and awards, which include:

• Joseph M. Serletti, MD, Resident Research Award, 2013 – For Excellence in Academic Plastic Surgery at URMC

• Senior Top Gun Award, 2012 – Overall highest score on plastic surgery in-service of plastic surgery residents at URMC.

• Junior Top Gun Award, 2011 – Highest score on plastic surgery in-service exam at junior level among plastic surgery residents at URMC.

• Phi Kappa Phi, 2004 – Undergraduate honors society

• Omicron Delta Epsilon, 2004 – International Economics Honors Society

Academic Background

Dr. Richards graduated from Cornell Medical School in New York City and was the chief plastic surgery resident at Strong Memorial Hospital in Rochester, NY. He received advanced training in cosmetic and plastic surgery at the leading Cleveland Clinic. Over the years, a number of surgical societies and organizations have invited Dr. Richards to speak at national meetings and share his expertise with other plastic surgeons.

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