Breast Surgery 411

Breast Surgery Information Las Vegas

The Incision
There are different options for the entry incision which creates the space or pocket, for which the implant is placed. During your consultation, the Doctor will better explain the different methods and which one might be best for you and why. Dr. Parker uses primarily two different incision methods when placing an implant:

  • Inframammary – in the crease between the breast and the chest wall
  • Periareolar – at the junction of the dark and light colored skin of the areola



The Implant
Significant advances and alterations have been made in the prosthesis itself since the original introduction of the silicone gel breast implant in 1962. The two main types of implants are the silicone gel prosthesis and the saline-filled prosthesis. Both envelopes are made of a solid type of silicone (Silastic), but the filler differs. There are currently no other types of implants that are available such as soybean oil or other types of fillers. This may change in the coming years. There are two types of surface textures available, smooth and textured. This texturing was developed to mimic the appearance of a polyurethane foam implant, now off of the market, which had a very good record for resisting capsular contracture, or hardening of the breasts due to scar.

Placement of implant
There are also two basic techniques of breast enlargement, involving differences in the location of the pocket. In one the pocket is made beneath the breast tissue, but on top of the pectoral muscle. In the other, more common, method, the implant is placed beneath the pectoral muscle, between the pectoral and the ribs. The advantages of placing the implant above the muscle are that it is less painful for the first few days and the appearance of the implants matures faster (because skin stretches faster than muscle). Contraction of muscle, more noticeable in body-builders, has no effect on the appearance of the breast.

The advantages of placing the implant under the muscle are numerous. First, it provides a more natural appearing breast with a better transition from the upper chest to the breast mound. This avoids “upper pole convexity” or roundness of the upper breast, which does not occur in nature. Second, the rates of scarring around the implant are significantly lower when the implant is placed beneath the muscle. Third, the risk of visible ripples or folds in the implant envelope is diminished because of the greater amount of the patient’s own tissue overlying the prosthesis. Fourth, the ability to obtain an adequate mammogram is enhanced with placement under the muscle, as the mammogram technician is better able to separate the breast from the implant when the muscle is interposed.

The Consultation
A consultation is usually around thirty to forty-five minutes long and is usually an exchange of information between the Doctor and the patient. Dr. Parker is a very understanding and caring doctor who will put you at ease and help you make an informed final decision. Your ultimate happiness with your decision is his number one goal. You may wish to bring in photos from publications to demonstrate desired look and size.

The Doctor will need to obtain a pertinent medical history, family history, medication history, allergy history, and also to define the general goals and expectations of the patient. The patient will walk away a complete understanding of the surgery and process.

A fill kit used to fill the implant with sterile saline, usually after the breast implant is placed in the surgical pocket

Las Vegas Plastic Surgery