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Breast Augmentation (Breast Implants)
Breast augmentation enhances the size, shape, and symmetry of the breasts to bring balance and proportion to a woman’s figure. While augmentation can be performed with fat transfer, it is traditionally achieved with saline or silicone (gummy bear) implants — available in a wide range of shapes, sizes, and textures so the procedure can be highly customized to each patient’s preferences. The result is a natural, personalized outcome rather than a one-size-fits-all look. Women across Reno and Lake Tahoe choose Avance Plastic Surgery Institute for breast enhancement built around their individual goals.
Breast augmentation is performed by Dr. Erez Dayan, a board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute whose authority in breast surgery is grounded in his own research — he authored one of the most widely read publications on the safety of silicone breast implants in the journal Plastic & Reconstructive Surgery. After training in the internationally recognized Harvard Plastic Surgery Program, where he served as Chief Resident in Plastic and Reconstructive Surgery at Massachusetts General Hospital, Dr. Dayan was one of only two surgeons selected for the elite aesthetic surgery fellowship at the Dallas Plastic Surgery Institute. A recipient of the Harvard Plastic Surgery Academic Achievement Award, he offers breast augmentation as one of several cosmetic breast surgery options at the practice.
Common Reasons Women Choose a Breast Augmentation
A woman’s breasts are as personal as her fingerprints, and so are her reasons for wanting a change. Some of the most common concerns breast augmentation addresses include:
- Cup Size: restoring fullness lost to soft-tissue laxity, genetics, weight loss, pregnancy, or breastfeeding, often by combining fat grafting with implants for a natural, lasting result
- Breast Symmetry: correcting uneven size or shape that can make bras and clothing difficult to fit, for a consistent, balanced cup size
- Breast Shape: improving misshapen breasts, including genetic conditions such as tuberous or constricted breasts, for a rounder, more pleasing form
- Breast Volume: replacing lost volume or enhancing current size and shape to achieve either a fuller appearance or a more tailored silhouette
“My goal is always a result that looks and feels like the patient — never overdone. Combining implants with fat grafting, when it’s right for someone, is often what creates that truly natural slope and fullness.” — Dr. Erez Dayan
Benefits of Breast Augmentation with Implants
- Youthful Appearance: a more youthful look and feel to the breasts
- Enhanced Cleavage: improved upper inner breast volume
- Better Proportion: greater balance and proportion across the chest
- Restored Volume: correction of lost breast volume
- Improved Symmetry: more even, balanced breasts
- Post-Pregnancy Restoration: renewed breast aesthetics after pregnancy or weight loss
- Natural Results: outcomes designed to look and feel natural
Who Makes a Good Candidate for a Reno Breast Enhancement?
A good candidate for breast augmentation is at or near their ideal weight and in good physical and emotional health, with no significant medical concerns that might interfere with treatment. Patients should be non-smokers or willing to quit both before and after surgery, and should hold realistic expectations for what the procedure can achieve. A consultation with Dr. Dayan is the best way to confirm whether breast augmentation is right for you.
What Types of Breast Implants Are Available?
Saline Implants
Dr. Dayan uses advanced saline implants to achieve a natural, more volumized appearance. The empty implants are placed under the breast tissue and filled with sterile saline in a closed system, with the volume customized to your goals. In cases of asymmetry, each side can be filled to a different volume for an improved match, and Dr. Dayan often combines liposuction and fat grafting for a natural slope. If a saline implant ruptures, the fluid is simply absorbed by the body without harm.
Silicone Implants
Silicone implants come pre-filled with a cohesive gel — the gummy bear implant — that closely mimics the look and feel of natural breast tissue, which is why many patients prefer them. If a silicone implant ruptures, the gel is typically contained within the implant shell or the capsule the body forms around it. Because silicone is not absorbed by the body, Dr. Dayan recommends periodic breast screening to confirm implants remain intact, and silicone augmentation is approved for women over the age of 22. Dr. Dayan has performed extensive research on silicone implants and authored a widely read publication on their safety.
Fat Grafting
For patients who prefer not to have implants, Dr. Dayan commonly uses liposuction and fat grafting to enhance breast volume and shape, transferring fat from areas such as the abdomen, flanks, or thighs. This technique can also be combined with implants to enhance upper-pole fullness and minimize the potential for rippling or visibility. In select cases, fat grafting can be performed in the office under local anesthesia.
What Are My Breast Implant Incision Options?
- Peri-areolar: a semi-circular incision at the lower edge of the areola, hidden at the border of the colored areola and breast skin, allowing precise implant placement
- Inframammary: a minimal-access incision (typically about 4 centimeters) within the breast crease, giving ample access to develop the pocket and place the implant meticulously
- Trans-axillary: an incision within the armpit that spares the breasts from visible scarring, used with saline implants that are filled once positioned
Where Are Breast Implants Placed?
Breast implants can be positioned above or below the pectoral muscle. In most cases, Dr. Dayan prefers placement beneath the muscle, which provides more soft-tissue coverage and a more natural appearance. For patients who rely heavily on their chest muscles — such as bodybuilders or acrobats — he may place the implant above the muscle, where it is less likely to shift when the chest is flexed. The right choice is determined together during your consultation.
What Can I Expect During Breast Augmentation Recovery?
You’ll wake comfortably from surgery, thanks to Dr. Dayan’s use of long-acting local anesthesia and advanced nerve-block techniques, and a surgical compression wrap will be placed to minimize swelling. Some swelling and tightness over the first five to seven days is normal. You’ll need a friend or family member to drive you home and will rest that day, though light walking is encouraged, and it helps to have someone available for chores or childcare.
About one week after surgery, swelling begins to diminish and many patients return to light activities and non-strenuous work. By two weeks, most swelling has resolved and normal activities can usually resume with occasional over-the-counter pain relief. At one month, your new breast shape is fully visible and incisions begin to fade. By three months the breasts have settled into a natural, rounded shape, and by six months the incisions have blended with your skin tone.
Frequently Asked Questions About Breast Augmentation
What’s the difference between saline and silicone implants?
Saline implants are filled with sterile saltwater after placement and are absorbed harmlessly if they rupture, while silicone implants are pre-filled with a cohesive gel that more closely mimics natural breast tissue. Dr. Dayan will help you weigh the look, feel, and screening considerations of each during your consultation.
Are silicone breast implants safe?
Silicone implants are FDA-approved for women over 22 and have an extensive safety record. Dr. Dayan has researched this topic directly and authored a widely read publication on silicone implant safety, so he can discuss the evidence with you in detail.
Can breast augmentation be combined with fat grafting?
Yes. Dr. Dayan frequently combines implants with fat grafting to enhance upper-pole fullness, create a natural slope, and minimize implant rippling or visibility. Fat grafting can also be used on its own for patients who prefer not to have implants.
Where will my incisions be located?
Incision options include peri-areolar (at the areola border), inframammary (in the breast crease), and trans-axillary (in the armpit). Dr. Dayan recommends the approach that best fits your anatomy, implant type, and goals.
Will my implants be placed above or below the muscle?
In most cases Dr. Dayan places implants below the pectoral muscle for more natural soft-tissue coverage. Above-muscle placement may be recommended for patients who heavily use their chest muscles, such as bodybuilders or acrobats.
How long is recovery after breast augmentation?
Most patients return to light activities and non-strenuous work within about a week, with most swelling resolved by two weeks. The breasts continue settling into their natural shape over three to six months, guided by a detailed aftercare plan.
Why Choose Dr. Dayan for Your Reno Breast Implants
- Published Implant-Safety Researcher: author of a widely read publication on silicone breast implant safety in Plastic & Reconstructive Surgery
- Harvard Training and Honors: trained at the Harvard Plastic Surgery Program and recipient of the Harvard Plastic Surgery Academic Achievement Award
- Elite Aesthetic Fellowship: one of only two surgeons selected for the aesthetic fellowship at the Dallas Plastic Surgery Institute
- Natural, Customized Results: skilled at combining implants with fat grafting for a natural look and feel
- Accredited Surgical Facility: procedures performed in a state-of-the-art, AAAASF-accredited setting
How Much Does a Breast Augmentation Cost in Reno?
The cost of a breast augmentation depends on your individualized plan, including the type of implant and incision used. After your detailed consultation with Dr. Dayan at the Reno/Tahoe office, the patient coordinator will provide a full, itemized quote. The practice partners with major financing companies offering low monthly payment plans, and the office staff is glad to help you apply for patient financing if desired.
Schedule Your Breast Augmentation Consultation in Reno/Tahoe
Ready to explore your options? Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule your breast augmentation consultation with Dr. Erez Dayan. Virtual consultations are also available for patients traveling from out of town.
Dr. Erez Dayan has completed extensive research on the evidence related to Silicone Implant Illness. Please read Dr. Dayan’s research paper – Silicone Implant Illness: Science Versus Myth? – here.
Maintenance Program
The maintenance program at Avance Plastic Surgery Institute is designed to offer patients a convenient way to continue seeing the benefits of our treatments for as long as possible.
To maintain the outcomes of cosmetic breast procedures, we recommend non-invasive and minimally invasive treatments with the following devices:
- Forma Body (InMode)
- Morpheus 8 (InMode)
Sientra Implant Warranty
THE INDUSTRY’S MOST COMPREHENSIVE 20-YEAR WARRANTY
Sientra Platinum20 Product Replacement and Limited Warranty Program is the most comprehensive and longest of any breast implant manufacturer. Not only does it provide the most comprehensive protection and longest length of coverage, it also includes the most financial assistance and least amount of warranty restrictions in the industry.
See Confidence With Full Coverage
Covers all primary and revision augmentation and reconstruction surgeries:
- LIFETIME: FREE implant replacement for rupture
- 20 YEAR: Up to $5,000 for uncovered fees and costs due to implant rupture and up to $7,500 for uncovered fees and costs due to BIA-ALCL
- 20 YEAR: FREE implant replacement for complications of capsular contracture (Baker Grade III/IV), late forming seroma, double capsule and BIA-ALCL
- 2 YEAR: Up to $2,000 for uncovered fees and costs due to capsular contracture (Baker Grade III/IV), late forming seroma, and double capsule
For complete details about the terms and conditions of the Sientra Platinum20 program and Sientra breast implants, visit Sientra resources.
