North Texas Breast and Plastic Surgery

Breast Surgery

Breast Augmentation
Breast Lift (Mastopexy)
Breast Reconstruction
Breast Reduction
Revisionary Breast Surgery

Breast augmentation is the most popular procedure in plastic surgery, and with the advancements in implants over the last decade the results of the procedure are better than ever. Women who have smaller breasts can have them enlarged by inserting an implant behind their natural breast tissue. The implant can be placed either above or below the pectoralis (chest) muscle, and it can be placed through a variety of incision sites.

Being fellowship trained in cosmetic breast surgery, Dr. Hermann has extensive experience in breast augmentation. He uses the BodyLogicTM System to take precise measurements of your natural breasts to help select the exact implant size and dimension to provide the look and outcome that you desire.

Breast augmentation surgery is an outpatient procedure with a comparatively quick and easy recovery. Breast augmentation is considered a cosmetic procedure and therefore is NOT covered by insurance. Please see the Breast Augmentation FAQ for more information.

Breast Augmentation FAQ

What types of implants are there?
Dr. Hermann uses both saline (salt water) and silicone gel breast implants. Silicone implants offer some advantages over saline implants but are somewhat more expensive. The details of each will be discussed in your consultation.

Are silicone implants safe?
Despite the media scare about silicone implants, they have been shown through medical research to be safe for use in breast augmentation. At your consultation, the details of silicone implants and their safety will be discussed.

How much can my breasts be augmented?
The amount of augmentation possible varies on your natural breast tissue and its overlying skin. During your consultation, Dr. Hermann will ask you several questions to determine what type of end result you are looking for. Based on your desired outcome, Dr. Hermann will be able to tell you if the result you want is possible based on your native breast size and dimensions.

What options will be discussed in my consultation?
Dr. Hermann will ask you about what size you are looking to obtain. He will discuss whether putting the implant below or above the muscle would be a better option for you. Incision location will be discussed, as will whether you would prefer a saline or silicone implant.

What about implants and risk of breast cancer or ability to get mammograms?
Breast implants do NOT affect your risk of developing breast cancer. As for mammograms, breast implants alter the way the procedure is performed and read to accommodate for the change in the breast tissue presentation with an implant present. If the mammogram is performed at a facility that is familiar doing the procedure with patients who have implants, a complete and thorough mammogram can be done without difficulty in a patient with implants.

I’ve heard that breast augmentation can make my breasts look different… is that true?
More than 90% of women have some asymmetry or difference between their right and left breast, whether it be in size, shape or position. Small differences can become more noticeable after breast augmentation. In the case where one breast might be significantly larger or smaller than the other, using different sized implants on the right and the left can sometimes correct this difference.

How does my body react to having implants placed?
When any foreign object is placed into the body, the body forms a lining around the object. Around breast implants, this lining is called the capsule. In approximately 10% of women, the capsule that forms around the implant can become very hard, called a capsular contracture; unfortunately, despite much effort to discover the reasons, it is unknown why some women form dense capsular contractures while most do not. Capsular contracture can affect the way your breast feels, causing it to be more firm. In severe cases, it can affect the shape of your breast as well. Capsular contracture can be fixed fairly easily, either with capsule incisions or capsule excision, but it does require another surgery to perform. This risk will be discussed in detail at your consultation.

What are the risks of breast augmentation surgery?
With any surgery, bleeding, infection, and excessive scar formation are possible. Bleeding and infection are very rare, occurring in approximately 1-3% of cases. As discussed in the previous question, scarring in the form of capsular contracture is a possibility in breast augmentation surgery. All risks will be discussed in detail at your consultation.

How long do implants last? Can they break?
With the advancements in implant design, we are finding that the implants we use today are lasting longer than the implants of the past. It is impossible to tell you exactly how long your implants will last, but if you are in your 20’s or 30’s, then most likely you will have to have your implants replaced sometime in your lifetime. Implants can rupture, especially if you receive trauma to your breast area (such as in a car wreck), but spontaneous rupture is quite rare unless the implants have been in for many years. If a saline implant ruptures, the saline is absorbed and excreted from your body quite quickly. When a silicone implants ruptures, you may never know it, as the silicone gel will not leak out of the shell.

What should I expect after breast augmentation surgery?
You will go home the same day of your surgery. Your incisions will be covered, and all stitches will be placed under the skin to give you the best scar possible. It is normal to have swelling and/or bruising after breast augmentation, and your breasts might feel tight in the days after your surgery. You will be able to shower the day after your surgery. You will be given a prescription for pain medication, and most people report taking the pain medicine for only a few days after surgery. You will follow up in Dr. Hermann’s office a few days after your surgery to check on your progress.

What should I expect as far as recovery time?
Breast augmentation is an outpatient surgery; you will go home the same day. You might be fairly sore in the first 24-48 hours, but this soreness generally improves quickly. Swelling and bruising is common after breast augmentation, but it generally recedes in 3-10 days. Normal social activity can be resumed in 3-5 days, and most people can return to work within 5-7 days. We instruct people not to perform any significant exercise for 4 weeks after your surgery, as exercising can increase your risk of bleeding if started too early.

For those patients who have developed breast ptosis (sagging) either before or after childbirth, a breast lift (mastopexy) is the procedure of choice to return the breasts to a more youthful and perky appearance. Breast ptosis can involve the breast tissue and/or the nipple and areola. A few select patients will have only nipple ptosis than can be restored to normal position with only a scar around the areola. A consultation with Dr. Hermann will give you the information you need to know what type of lift procedure is best for you.

Most patients will require lifting of both the nipple/areola and the breast tissue. The standard way of lifting the breast can leave quite a lot of scars after the procedure. Fortunately, Dr. Hermann is specialty trained in cosmetic breast surgery, and he offers a short-scar technique known as the SPAIR Mastopexy which gives an excellent and long-lasting lift with only about half the scar of the standard lift surgery.

For patients who must undergo either a partial or total mastectomy, breast reconstruction offers a woman the opportunity to restore her self-image. Breast reconstruction can be done as either an immediate procedure at time of mastectomy, or it can be done as a delayed procedure after the mastectomy procedure is completely healed.

Dr. Hermann uses various techniques to reconstruct the breast, and during your consultation your individual preferences and desired outcome will help Dr. Hermann develop a reconstruction plan that is tailored specifically for you.

With specialty training specifically in breast reconstruction, Dr. Hermann offers the latest techniques in breast reconstruction, such as fat grafting and the use of Alloderm.

When a woman’s breasts become too large, they can seriously affect her daily life and make her self-conscious about her appearance. Breast reduction surgery accomplishes two important things – reducing the weight of the breasts, which will alleviate neck and back pain, and lifting the breasts to give them a more youthful and perky appearance.

Dr. Hermann’s specialty training in cosmetic breast surgery allows him to offer the SPAIR breast reduction, an advanced reduction technique which results in long-lasting lift and reduced breast weight with only HALF of the scar of the standard reduction techniques.

Despite what you may have heard, breast reduction surgery is almost always covered by your insurance plan if your breasts are truly too large for your body frame.

Being fellowship trained in cosmetic and reconstructive breast surgery provides Dr. Hermann with the expertise to help patients who have already had breast surgery but are unhappy with their results or have had changes in their results over time. Whether it be breast augmentation, reduction, lifting, or reconstruction, Dr. Hermann has the experience to revise issues with your previous breast surgery from simple to very complex.

Services by Dr. Hermann

Services by Lisa Rux

Injectables
Skin Treatments

Information

Medical Office Building I
2900 N I-35, Suite 409
Denton, TX 76201
VIEW MAP »

(940) 387-4900 Phone

(940) 387-4966 Fax

We accept cash, checks, Visa, MasterCard, Discover and
American Express