Women choose to have breast augmentation surgery to balance the proportion between the breast and body, as well as gain a shapelier contour. Breast augmentation, one of the most popular and common cosmetic surgeries, involves the placement of a silicone or saline breast implant beneath or over the chest muscle to increase breast size. In most cases, the incision is made either around the lower half of the nipple or under the breast crease, which leaves practically no scar resulting in a natural appearance. Dallas, TX plastic surgeon, Dr. Steven J. White, offers both saline and silicone breast implants depending on each unique patient case and their individual aesthetic goals. He is a master at his craft, and blends surgeons skill and years of experience to create gorgeous results.
Who is the Best Candidate?
Good candidates for breast augmentation are women who demonstrate:
- Small breast size for body shape
- Size discrepancy of breasts
- Breasts that have become smaller and lost their firmness after having children
- Non-smokers or those who have ceased smoking two months prior to the procedure
- Overall good health
Saline or Silicone?
Both saline and silicone breast implants remain popular choices among women today. The type chosen depends on a few different factors. Saline implants are filled with saltwater during surgery and this amount can be adjusted during the procedure. These implants can feel a bit firmer than silicone implants. Silicone implants have a pre-filled amount of cohesive gel when placed during surgery and they have a more natural feel. The surgeon typically uses silicone implants for patients who have lower body weight and less breast tissue.
A couple of distinct differences between saline and silicone breast implants are that patients must be 18 years of age in order to receive saline implants, and 22 years of age for silicone. In addition, silicone implants usually cost about $1,000 more than saline. We will assess the current breast tissue, as well as discuss the patient’s goals for surgery and together make a determination as to the best implant to use to attain the best result.
Breast Augmentation Reviews
"Wonderful doctor, wonderful results! I was very hesitant to get any plastic surgery for two big reasons: 1) any surgery that is optional should be avoided - why take the risk, 2) it seemed kind of fake. But after abdominal surgery for medical reasons and then a c-section delivery, I really wanted to investigate getting a tummy tuck. After both those surgeries, things just didn't get back together the same and no amount of exercise was doing the trick. My husband was very supportive and wanted me to have the very best. Dr. White has an outstanding reputation. We went to his website and viewed before/after photos, and read all the patient testimonials, before we visited with Dr. White. Dr. White was very supportive, answered all my questions and then some, but most of all he listened to what I wanted, he did not tell me what I needed but offered what he could do to provide me with the desired results. I ended up scheduling both breast augmentation followed one month later by a tummy tuck (Mommy makeover). I had my surgery at the Texas Institute for Surgery (vs. Presbyterian) - definitely do it there. Dr. White takes every precaution under the sun, the staff is already incredible but he trains them just the way he wants and he has posted his personal rules, protocols and notes all over the hospital room. The staff there is absolutely fabulous. They are at your beck and call and are so knowledgeable and caring and genuinely supportive. The breast augmentation was a d"- Google User / Google / Jan 30, 2013
" My experience with Dr. White and his fabulous staff at USA Plastic Surgery couldn't have gone any better. I have always read D Magazine and see Dr. White's awards and description. I have had friends who recommended other doctors in the DFW which I considered prior to my consultation with Dr. White. I scheduled my consultation in early March to discuss having a breast augmentation. Jasmine took some of my information and mentioned because of the weight gain and loss I experienced during back to back pregnancies(my sons are 16 months apart), a breast lift might also be discussed. My bra size also went from a 34C to a 40F when nursing both my boys (9 months with each). Dr. White and his staff are so welcoming and considerate of all my questions. We discussed both augmentation and a lift. Dr. White asked me what result I was looking for, which solidified my decision to have a breast lift (mastopexy). It has been 7 weeks since my surgery and I couldn't be any happier with my results. I am able to go without a bra with confidence. I feel sexier and have the body I had in college. This would have NEVER happened without Dr. White. I was completely off pain medication 36 hours after surgery and returned to work Tuesday after my Friday surgery. I was concerned I would be bedridden for an extended amount of time and be unable to care for my young children. I quickly realized that Dr. White's dedication and precision during my surgery would allow me to still be a mom and all that entails immediately after my surgery. Dr. White is truly a genius in his field. I will forever be grateful to him and his staff for walking me through this process and exceeding my expectations. "- B.S. / Google / Jun 30, 2014
"I found Dr. White in D Magazine listed as one of the best Plastic Surgeons in Dallas. Since I have always been afraid of surgery, medicine, and anything that could permanently hurt me, I wanted to make sure I had a Doctor who had my best interest at heart. The first time I met Dr. White, I knew his business was all about ME! Everything we discussed was about my safety, my desires, and my goals. Dr. White is very caring and makes sure everything is painstakingly perfect before any surgery is even done. Then, of course, his results are amazing. He delights in the amazing transformation that takes place as a result of his meticulous work. I am extremely pleased with the results of my surgery and feel the best I have ever felt about this area of myself. My husband is delighted as well. I am so glad I found Dr. White. He is truly the best in his field. Thank you, Dr. White!"- L. W. / Office Visit / Sep 13, 2006
"Safety before, during and after surgery is not a negotiation with Dr. White. He takes the utmost care with his patients, and produces the best results. I easily put my trust in Dr. White because he put my best interests first. Dr. White routinely uses Doctor Anesthesiologists and performs his surgeries in a hospital. I was amazed when I visited other plastic surgeon's offices and found that my request to have either a Doctor Anesthesiologist or the surgery performed in the hospital was a special request. And I felt as though I was negotiating my safety with these other plastic surgeons. The foibles of that type of negotiation did not put my attorney-mind at ease. Rather, Dr. White stood out as the only choice for my surgery. I felt comfortable trusting Dr. White's decisions regarding not only my safety, but also the size of my implants. He is talented both as a plastic surgeon and an artist. I am so thankful and appreciative to his wise decisions in the operating room that made my figure just right. In fact, the implants that I am today very, very happy and pleased with are actually 100ccs different that the size I picked for myself at another plastic surgeon's office! If I had chosen the other plastic surgeon, I would have been visiting Dr. White for a revision. As a headstrong attorney, it was difficult to place so much trust in the hands of someone else. But it was easy to place my faith and trust in Dr. White's talents because I saw how he put my best interests first and that safety was not a negotiation. I am very thankful I chose him as my plastic surgeon. Thank you Dr. White for taking care of my safety and also making my figure just right."- H. K. / Office Visit / Nov 17, 2005
"I waited quite some time to give my review of Dr. White and his work. My breast augmentation surgery was 10 months ago. Let me start off by saying I was a bit frightened at the prospect of the whole process and putting foreign objects in my body. I can honestly say I am very pleased with the result. From the consult to the recovery, I would have to say it was a piece of cake. Please don't think there was not some discomfort involved; however, I have had 4 other surgeries (non-cosmetic) and ALL of them were miles apart from the care and consideration that I received from Dr. White. My surgery was on a Tuesday morning and I returned to work as a nurse on Thursday (driving myself). The results of my new figure are beautiful. I have been so completely pleased with all of Dr. White's expertise that my husband has now had a cosmetic procedure performed by him. He too has had fantastic results! Dr. White and his staff are warm and caring and real. From the moment you set foot into his office, you are greeted and treated as if you were an old friend. All questions and concerns are answered honestly and thoroughly without the concern of any misgivings. Dr. White is a physician that you will want to maintain a friendship with for years to come. He is a fabulous surgeon."- G. C. / Office Visit / May 08, 2007
What to Expect
The patient’s overall health, along with the current breast size and breast shape will be discussed during the initial consultation. Additionally, we will evaluate the underlying bone anatomy of the chest, the presence of breast masses (if any), the looseness of the skin of the breasts (if any) and the patient’s overall body shape in proportion to the breasts. Finally, measurements will be taken of the breasts to help determine the best implant size. This evaluation will help to develop a customized and individual breast augmentation plan.
Things to Consider
When choosing the right breast implant, the surgeon will discuss several aspects of the various implants that are offered today. Each implant is produced with varying profiles, which is the amount of projection the implant will offer. This is taken into consideration along with the chest wall and the breast base width. The goal is to find an implant that will fill the base width naturally, while at the same time offering a projection the patient will be happy with. Breast implants also come in various shapes (round or tear-shaped), and different textures (smooth or a textured surface). The incision type and the implant placement will also be addressed. Our surgeon typically places the implant under the pectoralis major muscle with a pre-made pocket that is created surgically. A common approach for the incision is either within the natural crease of the breast or along the nipple. Both of these techniques hide scarring and offer a natural result.
After breast augmentation surgery, patients are placed in a surgical dressing that may include a support bra or wrap. Swelling is expected after surgery. The swelling and bruising will start to resolve 1-2 weeks after surgery, although this will vary between patients. Usually patients may return to work within 3-5 days. Most patients can resume modest activity in 2 weeks and a complete recovery can be expected between 4-6 weeks after surgery.
Plan Your Procedure
- Recovery Time
- 1-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Achieve the Look You Want!
Breast augmentation surgery is one of the most common cosmetic procedures performed among plastic surgeons. It is a surgery that produces gorgeous, natural results and the majority of women are thrilled with their outcome. If you desire shapelier breasts, please call our plastic surgery office and schedule your complimentary consultation with our doctor today.
Rapid Recovery Augmentation
Dr. Steven J. White with USA Plastic Surgery offers the latest advance in breast implants: the "Optimized, Rapid Recovery" Breast Augmentation. This 7- step breast implant program is the culmination of over a decade of experience by Dr. White which allows him to optimize every aspect of the procedure. His goal is to create the most beautiful breasts for each patient. The operation seems deceptively simple — making the breasts bigger by putting in implants. Achieving exceptional results, however, requires detailed pre-op planning, precise surgical technique, and careful follow-up. Dr. White’s "Optimized, Rapid Recovery" Breast Augmentation does just that... in a series of 7 steps.
Step one involves listening carefully to understand what the patient is hoping to achieve. Does she want a natural look which is proportionate to her body? Is she afraid she will be too big — or does she instead want the largest size which still looks natural for her body? Does she want to avoid the "stuck-on" look?
Step two occurs when Dr. White takes several measurements of the breasts and chest, paying close attention to asymmetries of the breasts, which is surprisingly common. Selecting the proper size implants is one of the most important aspects of breast implant surgery. Dr. White believes this is best achieved by matching the implant to the patient’s tissues and chest wall and then adjusting the size according to the patient’s desires.
Step three is comprehensive patient education. Every patient is thoroughly informed about the procedure and what to expect before and after surgery.
The next three steps occur during surgery. Patient safety and natural-appearing results are Dr. White’s primary goals. To optimize patient safety, he only uses doctors — not nurses or CRNAs — for anesthesia. Step four involves precise surgical technique to create the "space" or "pocket" under the muscle for the implant. Dr. White’s specially-designed instruments allow him to use the smallest incision to minimize the scar. Drains are not necessary since he avoids blunt dissection. Instead, he performs a precise dissection to minimize bleeding, bruising, and pain which allows for a rapid recovery. Step five is when Dr. White uses "sizers" to carefully match the implant to the patient’s tissues and chest wall to create the most natural look for each patient. Step six is to sculpt or shape the breast tissue (when needed) over the implant to achieve the prettiest breasts.
Step seven is the last but also one of the most important: the follow-up care. Dr. White has developed a comprehensive post-op program to allow for rapid recovery and exceptional results. His surgical technique avoids bruising and minimizes pain so that his patients can begin arm range-of-motion exercises on the day of surgery. Many of his patients feel so good they go shopping or out to lunch the day after surgery.
Please explore our website at usaplasticsurgery.com to learn more. See Before & After Photos. Read Patient Reviews. See what our patients say about their experience and how they feel about their results. Discover the Difference. We believe you will agree... Dr. White is the intelligent choice to enhance your image.