Breast Augmentation Consultation

Dr. Stile: Hi. I’m Dr. Stile and welcome back to my excellence in cosmetic surgery video blog series. What we’ll be discussing today is breast augmentation surgery. I’m lucky enough to have one of the busiest practices in Las Vegas and perform several hundred breast augmentations per year. What I’d like to do today is take you through a typical breast augmentation consultation. What this will do is help you have a better understanding of the procedure and educate you so that you can make choices that are better for you.

What you’re about to see is a consultation with one of my previous patients… Let’s take a look.

Harmony: My name is Harmony M. I am a professional model here in Las Vegas. I do runway, print work, atmosphere, a lot of times I do showgirl work, I do spokes modeling, everything like that, so my jobs really vary. Within the jobs, you know, I’m meeting people constantly and wearing certain outfits where your body is important. You have to have a good body and stuff like that, and those jobs can enhance that for me.

I had a consultation for breast augmentation and I’m really, really excited about it. He (Dr. stile) was very knowledgeable with everything, so, he kind of made my decision for me, he made it pretty easy, and I definitely want to do it… I’m excited about it.. I’m a little bit nervous but, I’m still excited! I’m going to move forward with it and I’m really confident in him and his abilities.

One of my friends actually referred me to him and I guess he did a wonderful job, I actually saw what he did for her, so that’s why I made the decision to come and see him, and kind of hear what he had to say. He convinced me, you know, and he knows what he is doing and it’s going to come out great.

Dr. Stile: Most of my patients are either referrals from previous patients, or friends of family members. What’s important about that is what patients visualize as being a good result should be something that I can deliver.

The line drawing that you see here demonstrates several features that are typical of a natural result. Natural meaning something nice you could have been born with, an un-operated on look. This breast is an aesthetically pleasing breast that can be found in a younger woman. What we see are three basic features. First and most importantly is a nipple that sits higher than the level of the inframammary fold . We also have a soft contour on the top and a fullness. The fullness comes from two things: fatty tissue and breast gland. The amount of these two tissues, fatty tissues and breast gland, determines what your breast volume is and therefore your breast size. The two primary groups of women I do this procedure for are either women who never had a lot of these tissues, therefore smaller breasts, and wish to have their breast volume enhanced. Or, the second group is women who may have had volume and lost it as a result of: weight loss, pregnancy, aging or a combination of any of these three. This second group wants to restore this volume, possibly add a little bit more, and additionally might want help with their breast shape.

By the time you have had your consultation with your plastic surgeon, you have undoubtably done some research online and discussed the procedure with patients who may have had it already. You’ll become familiar with the concept of breast implants being placed either above or below the muscle. The muscle we are talking about is the pectoralis major muscle (demonstrated right here). Now, placing a breast implant above breast muscle means the implant sits between the skin gland and the actual pectoral muscle. Placing the implant below the muscle simply means that the edge of this actual pectoral muscle. Placing the implant below the muscle simply means that the edge of this muscle is elevated and the implant is slid behind it, allowing most of the implants surface area to be covered by the muscle.

In patients starting out with minimal breast or fatty tissue prior to surgery, placing the implant above the muscle can result in implants that are detected both visually and to the touch. Most commonly what we see are ripples. In women, who do not have a lot of breast tissue to begin with, placing the implant under the muscle may be a better option.

The choice of incisions used is also an important decision. The two primary incisions that I use for breast augmentation surgery are the periareolar incision or the inframmary incision. In my practice the great majority of patients with have a periareolar incision to place their implants.

The next part of your consultation will be measurements, sizing and the choice of implants. The first measurement we’ll take is sternum notch to nipple. First right breast, then left breast. The next measurement will be nipple to inframammary fold. This is followed by base diameter of your chest which will help us select an implant width selection, and the final measurement will be of you areolar diameter. The next part of your consultation will be sizing and choice of implants. There are three implants to choose from: high profile, moderate plus profile and moderate profile breast implant. The high profile is the narrowest with the most projection, the moderate profile is the widest with the lowest projection. Which implant we chose is based primarily on your chest diameter. Our next decision will be that of implant type. Your choices are silicone filled or saline filled implants. And quite honestly, it’s personally preference that makes a difference here.

Your procedure will take approximately one-hour and thirty-minutes. It’s performed here at our surgery center: Premium Surgical Services. Our center is licensed by the State of Nevada and also certified by the Joint Commission of Hospital Accreditation. We are inspected twice yearly. This ensures you the highest standards are met for both your safety and personnel. You will get general anesthesia which will be provided by the board-certified M.D. anesthesiologist. You’ll be discharged shortly after your procedure. I will follow you closely your first month and do all of your post-op care personally. I will continue to see you throughout the rest of the year to make sure that you’re progressing appropriately.

Harmony: I went out in a bikini the first time two days ago, and I felt so confident and so secure, and I just get more attention that way so obviously I love it, and I’m going to get more jobs I’m sure. I’m a big baby when it comes to needles or anything like that so everybody’s like “are you crazy, you’re going to have surgery?” but obviously it’s something that I really wanted, and I did so well through it. It was like nothing. I went to sleep and I woke up, and even the recovery process was so simple. You would never tell that I had surgery. The results day-by-day get better, and better and you can see more you know until, the finality of it. Once I saw that [the finality] I was just ecstatic through the whole process it was really, really good.

Dr. Stile: If you have any other questions regarding this procedure, would like to schedule a consultation, you can visit our website at or call our office to schedule a consultation personally at (702) 243-9555.

Until your consultation or next time, I’m Dr. Stile saying goodbye and be well!

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.