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What is breast augmentation?

For patients who desire larger, more rounded breasts, breast augmentation can produce dramatic and satisfying results. Breast augmentation surgery—performed with implants, transferred fat, or both—can improve upper body proportions while enhancing symmetry and balance. The surgery can be performed on its own or in combination with a breast lift or a mommy makeover procedure. 

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What are the different breast implant types?

Dr. Engineer will guide you every step of the way as you navigate the different options available to you with breast augmentation in Henderson, NV. You can choose from several kinds of implants: 

Saline Implants

Saline implants can be inserted unfilled, allowing for a smaller incision and, thus, a less noticeable scar. Another benefit of saline implants is that rupture or leakage is easier to detect. Lastly, saline implants are ideal for improving breast symmetry, as each device can be filled to a different volume capacity. While saline implants are more affordable, they can sometimes lack authenticity regarding their feel and appearance.

Silicone Implants

Silicone implants are a popular choice for patients who desire a highly realistic breast appearance using devices that mimic the natural firmness of human tissue. These implants come in various shapes and sizes, allowing for precise and personalized customization. Because it can be difficult to detect rupture or leakage, patients with silicone implants require regular breast screenings and exams.

Gummy bear implants

Gummy bear implants are more expensive than other options, but their natural-looking tear-drop shape makes them an excellent choice for breast augmentation. Their viscous consistency mimics the natural contour and feel of female breasts, and they hold their form over time. They also have a textured outer shell that minimizes the risk of rippling and capsular contracture.

What are my breast augmentation incision choices?

In addition to choosing their implant type, patients must also decide on their incision pattern. While anatomy plays a role in determining the best type of incision, the patient’s preference for scarring will also decide Dr. Engineer’s approach. Below are four incision patterns.

Inframammary incision

This incision placement – ideal for larger cup sizes – allows Dr. Engineer precise and ample access to the breasts so that he can reshape and refine their contours. The incision runs along the lower breast crease, stretching out horizontally. Scarring is well-concealed by the bra line. 


With this option, the incision curls around the nipple in a semicircle, with scarring later disappearing within the darker areola pigments. This incision is most appropriate for modest bust increases and for those who are not planning to breastfeed in the future.


Here, Dr. Engineer tunnels the implants up to the chest through an incision in the belly button. The scar is nearly invisible. The drawback of this approach, however, is that the surgeon must use an endoscope to place the implants, reducing accuracy.


A transaxillary incision is created within the armpit where scarring is later unnoticeable. Saline implants are inserted beneath the pec muscles into the breast capsules where they are then filled. There are a few drawbacks with this approach, including a higher risk of capsular contracture. 

Breast implant placement

There are a few choices when it comes to placing the implants over or beneath the chest muscles. If the patient has a good amount of natural tissue, they may opt for a subglandular placement with the implant situated over the pec muscles. There is less discomfort with this choice and it works better for larger cup sizes.

With a submuscular implant placement, the implant is situated partially behind the pec muscle. This is ideal for patients with limited breast tissue to camouflage the implant, providing a more natural-looking outcome. The risk of complications is reduced with this choice and undergoing a mammogram tends to be more straightforward with a submuscular placement.

What is fat transfer breast augmentation?

For patients who desire a modest increase in breast size of up to one cup using their own autologous materials, fat transfer breast augmentation may bring satisfaction and peace of mind. During the procedure, fat cells are extracted from a donor region such as the thighs, hips, or belly. After being purified and sterilized, the fat cells are injected into the breast mounds to create fuller, rounder contours. With this approach, patients can avoid many of the risks associated with implant surgery, such as capsular contracture, rupture, and migration. The tradeoff is that enhancement results tend to be less dramatic than with implants. 

What are the benefits of breast augmentation?

Breast augmentation in Henderson, NV, by Dr. Engineer, comes with many cosmetic, emotional, and social benefits. These are:

  • Improves bodily proportions
  • Creates a more feminine, youthful chest profile
  • Enhances balance and symmetry in the figure
  • Expands clothing options
  • Boosts self-esteem and self-confidence
  • Revitalizes the physique after pregnancy, weight loss, or aging

Who makes an ideal candidate for breast augmentation in Henderson, NV?

As part of the consultation process, Dr. Engineer and his caring team will perform a detailed physical evaluation and review your medical history thoroughly.

Ideal candidates for breast augmentation:

  • Healthy non-smokers
  • No current uncontrolled medical issues
  • Patients should have realistic expectations for their breast augmentation outcome 
Woman in a lace bra

What does the recovery process entail?

Recovery after breast augmentation in Henderson, NV, comes in stages. During the first phase, you will receive a customized aftercare plan and prescription pain medications, along with a compression garment to help reduce swelling. Soreness and bruising tend to be at their worst for the first 7-10 days. Proper rest, plenty of water, and gentle walks can help the process go more smoothly.

During the second phase of recovery, you will be able to resume social activities and non-physical work but you should still avoid strenuous exercise for 4-6 weeks. Dr. Engineer will be available to answer any questions that arise during your healing journey.

Once the swelling and discomfort have died down, you will be thrilled with your new upper body appearance and enjoy all your favorite clothing and swimwear styles.

Engineered Aesthetics Plastic Surgery Institute – Timeless beauty, customized results

Dr. Engineer believes that every patient is uniquely beautiful, and he uses his cutting-edge techniques to uncover their timeless elegance. Serving patients in Henderson, Las Vegas, and the surrounding areas. Dr. Engineer and his trusted team create a seamless patient journey that empowers you to reclaim your appearance and self-confidence. There has never been a better time to achieve the feminine, shapely physique you always envisioned.

After receiving his Doctorate at the prestigious Vanderbilt University School of Medicine, Dr. Engineer completed a demanding residency in General Surgery at Southern Illinois University in Springfield, Illinois. He then pursued elite Fellowship training in both Hand and Microvascular Surgery and Plastic and Reconstructive Surgery, going on to receive a Clinical Excellence Award at the University of Louisville.


What age is best to undergo breast augmentation?

Rather than using age to assess a patient’s candidacy, Dr. Engineer typically looks at overall health as a qualifying marker. Patients in their 20s, 30s, 40s, and 50s can all successfully undergo the procedure, and even older patients can gain considerable benefits, provided they are in good health and do not smoke.

Will breast enhancement affect nipple sensitivity?

After surgery, the nipples may be temporarily less sensitive than usual. Your choice of incision may influence nipple sensation, so it is important to discuss your concerns in detail with Dr. Engineer as part of your private consultation.

Will I be able to breastfeed after my surgery?

Yes. Again, if this is a concern, let Dr. Engineer know during your consultation so he can choose the best approach for your needs and goals. Certain incision patterns are more ideal than others for preserving breastfeeding function.

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