Breast Augmentation Houston

What is breast augmentation?

Breast augmentation or enhancement is a surgical procedure to enlarge the breasts. Breast augmentation creates a full more feminine shape, and it can give a boost of confidence to a woman’s life. Breasts are a key feature to a women’s body and how they look and feel can affect how a woman feels about herself. Breast implants help to make the body proportionate, or to help create more curve. There are different techniques and types of breast implants used to enlarge the breasts. Dr. Payne will help guide you through the process of deciding the technique and type of implant used for surgery and help you find the right cup size.

What to expect before a breast augmentation:

It is completely normal to be a little nervous before your surgery, and Dr. Payne will be available during your pre-op appointment, to answer any question you have. We will help alleviate any concerns about the process, and talk you through all of the details. Our staff will schedule your surgery and prepare you for what to expect the day of, and the day after.

What are the types of breast implants?

During your initial consultation, you will be able to decide on the type of implant you like best, and try on implants to compare and see what size works for the look you desire. There are three ways breast augmentation can be done.

Saline: Saline breast implants are one of the most common used for breast augmentation. This involves filling a silicone implant with saline to the desired amount or size of breasts. Saline is less problematic if it were to rupture, because it will simply absorb into the body safely.

Silicone: Silicone is also a popular choice and the newer silicone gel implants are less likely to cause issues than their previous counterparts. Silicone is a more natural feeling option, and many women like the way it looks and feels.

Fat Grafting: The third option for breast augmentation is fat grafting. This method is done by using fat harvested through liposuction techniques. The fat is usually taken from the abdomen and flanks. Fat grafting is the least common method because the process is less predictable and the results are less permanent. Fat can be reabsorbed or cause hard nodules and cysts to form. However some patients may desire only one breast to be done in this manner to help achieve symmetry of the breast.

How will the implants be put in?

Dr. Payne will also decide whether to put the implant above or below the pectoralis muscle. The best location is underneath the muscle which provides more coverage for the implant and decreases the risk of future complications. There are certain circumstances where placing the implant above the muscle may be necessary, and in these cases, a textured implant can be used to decrease the risk of capsular contracture. Dr. Payne has been trained in plastic surgical techniques, and is able to utilize these techniques to work on even the smallest details of the breast. He is passionate about perfection, even to the smallest detail.

One of the final decisions is location of the incision line for placement of the breast implant. Dr. Payne will choose based on your body, how to proceed. There are four types of incisions used for breast augmentation: inframammary, peri-areola, axillary and umbilical. The most common location is in the inframammary fold or underneath the breast.

This second most common location is around the areola. This incision is very well hidden as it is camouflaged with the color of the areola. This incision is used more commonly when redundant skin needs to be removed to elevate the breast in addition to placing a breast implant.

The third incision location is placing an incision in the axilla or armpit which is very well hidden. Some patients like this option as there are no scars on the breast. There is a slight increased risk of infection with this technique. The axillary incision technique can take longer to perform than the inframammary incision.

The fourth incision is through the belly button which is called umbilical, also known as transumbilical breast augmentation or TUBA.

What to expect after the breast augmentation?

We recommend no strenuous activity for the first 2 week. The third week and on you may do light walking to help blood flow. You will experience soreness and swelling for a few weeks. You will be wrapped and bandaged to help keep things in place and prevent any damage to sutures, or to the incision area.

Will I have scars after a breast augmentation?

You may have minor scarring as the incision area begins to heal. Most scars fade and are hardly noticeable. The use of anti-scar cream is helpful to minimize healing time. Most patients heal very well and with minimal scarring.

Can I resume normal activity?

You may shower the next day after surgery. Typically we will see you in clinic the next day after surgery to remove dressings. You may return to work shortly after surgery, but some patients prefer to take a week off to rest and recuperate from surgery. It will take some time for the swelling to resolve and your final look of the new breast shape to be seen. Within about 2 weeks you will begin to see the final results of your new beautiful curves.

Are there any risks?

As with any surgery there are some risks with breast augmentation surgery. The most common risks are infection and scarring. Rarely do hematoma or blood clot form around the surgery site. You will likely see bruising which is normal from undergoing breast surgery. The late problems seen with implants are capsular contracture which is where a tight scar forms around the implant. In this uncommon problem, the capsular contracture can be seen 3-10 years after the initial surgery. Dr. Payne uses best practice guidelines to prevent capsular formation during the surgery and postop management.

BIA-ALCL is short for Breast Implant Acquired- Anaplastic Large Cell Lymphoma. This is a treatable type of lymphoma that is very rare that can develop around breast implants. The risk of association between breast implants and ALCL is extremely low according to recent data available. Currently no smooth surface implants are associated with the BIA-ALCL. Research regarding this can be found at


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