Breast Augmentation Surgery – Las Vegas, NV*

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Breast augmentation increases the size and enhances the shape and projection of the female breasts. Because there are many options available with this procedure, and since every woman differs in body type and desired results, each patient at VIP Plastic Surgery is treated with an individualized approach. Whether you have naturally small breasts, deflated breasts, or sagging breasts, breast enhancement surgery can give you a significant boost in confidence. Las Vegas women who are dissatisfied with their breast size or need breast revision surgery to correct results from a prior augmentation, will love the results provided by Dr. Khorsandi.

Vectra 3D Imaging

Dr. Khorsandi is proud to use Vectra 3D imaging technology to assist patients in visualizing what their surgical outcomes may look like. Vectra is an advanced imaging system that takes a digital 3D image of a body part, which allows Dr. Khorsandi to capture high resolution, ultra sharp details in which he can digitally manipulate, similarly to how he would during surgery. During the consultation, this process allows Dr. Khorsandi to sit with his patients and communicate various aspects of the procedure and how it may affect the outcome. His primary goal is to meet the aesthetic needs of his patients and put them at ease prior to going into the operating room. Vectra plays a role in this process and is used with many breast augmentation patients.

Breast Augmentation Benefits

Increase Size

The primary goal of breast augmentation surgery is to increase the size of the breasts using either breast implants or a fat transfer from one area of the patient’s body to the breasts. Dr. Khorsandi will evaluate each patient’s desires, body shape, and health history to help determine the implant size and surgical technique that will yield the most optimal results.

Correct Asymmetry

Breast asymmetry is a very common condition and can be easily corrected with either method of breast augmentation. A larger implant is inserted into the smaller breast, or more fat is injected in the smaller breast with fat transfer to produce a balanced result. Since saline implants are filled after they are placed within each breast, the volume can be adjusted easily during surgery.

Improve Position of Nipple

If the patient has sagging breasts, oversized areolas, or nipples that point downward, Dr. Khorsandi may recommend a breast augmentation combined with a breast lift to alter the position of the nipple. This provides a more youthful, lifted appearance to the breasts. Many mothers choose this combination of procedures to correct the volume loss and sagging that often result from pregnancy and breastfeeding.

Types of Breast Implants


Saline implants are silicone shells filled with a sterile salt water (saline) solution. Because saline implants are inserted into the breasts before they are filled, they require a smaller incision than augmentation using silicone implants, and the size of the implants can be easily adjusted and evaluated during surgery. Saline implants are FDA approved for use in women over the age of 18 and for women of any age for breast reconstruction. Saline implants:

  • Are filled with saltwater (which is naturally absorbed by the body if ruptured)
  • Can be placed through a smaller incision
  • Can be used in patients who are under 22 years of age
  • Can be filled to different volumes from side to side for symmetry
  • Tend to have more rippling
  • Tend to feel less natural
  • Tend to have higher implant rupture rates


Silicone implants are filled with a silicone-gel material that is said to feel more like natural breasts than saline implants. Silicone implants are less likely to rupture than saline implants, but if rupture does occur, it is more difficult to see and requires an MRI to detect the rupture. Silicone implants are FDA approved for use in women over the age of 22 and for women of any age for breast reconstruction. Silicone implants:

  • Are chosen by 80% of women worldwide
  • Feel more like natural breast tissue
  • Have a lower rupture rate
  • Possess a more stable shape
  • Have less rippling
  • Provide a more natural look when there is little native breast tissue
  • Generally cost more
  • Require a larger incision
  • Cannot be placed through the belly button
  • Require a larger areola if they are to be placed through the nipple
  • Cannot be placed through the armpit if large size is selected
  • Cannot be reabsorbed into the body if the implant shell ruptures

Cohesive Gel

Cohesive gel implants, also referred to as “gummy bear” implants, are made of a highly cohesive silicone-gel that is thicker than that used in typical silicone implants. These implants are said to feel and appear very natural, with a low occurrence of implant rippling and folding. These implants are usually inserted using either the inframammary or periareolar incision.

Fat Grafting

During this breast augmentation approach, fat is harvested from an area of the body, such as the abdomen, thighs, or “love handles,” and is then purified and injected into the breasts for augmentation and shape enhancement. This technique is becoming very popular because it is a holistic approach to breast augmentation. Since it uses the patient’s own fat, there is no concern for rejection.

Size, Shape and Profile


When dealing with breast implants we do not talk in terms of cup size. Cup size is a clothing manufacturers way of describing brassieres and it can vary from manufacturer to manufacturer as there is no standard. For instance, a C cup bra from Victoria’s Secret may fit quite differently than a C cup bra from Fredericks of Hollywood. Thus when dealing with breast implants we do not guarantee cup size nor do we talk about implants in regard to cup size. Instead we talk about implant volume in terms of cc or cubic centimeters. This is a measure of volume and it is standardized. There are a number different ways to estimate what your new breasts will look like after augmentation surgery. Dr. Khorsandi uses the Vectra 3D Imaging System to simulate how your body will look with different breast implants. Many patients feel that the system helps to understand how implants will change their breasts. For a rough estimate, each 200 cc’s implant volume added the patient may increase approximately 1-cup size. However again since there is no standard for cup size this may vary from patient to patient.


The vast majority of implants are of the round shape, and when viewed from head-on the implant appears round. The newer 410 Allergan form stable implant and the Sientra shaped implants both come in a teardrop shape which is intended to mimic the shape of the natural breast. Far and away, most patients choose round implants, as they tend to provide more fullness to the upper breast. The differences between implant shapes will be discussed in detail during the initial consultation.


Breast implants come in a number of different profiles. These include low, intermediate, high, and extra high profile shapes. What this means, is that for any given volume, implants can have different amounts of projection when viewed from the side. The higher the profile, the more the breast will stand out from the chest when viewed from the side. In addition, the higher the profile, the more the breast will appear full in the upper pole.

Types of Incisions

There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Here are the approaches most commonly used:

  • The inframammary incision is made in the natural crease under the breast.
  • The transaxillary incision is made in the natural fold of the underarm.
  • The periareolar incision is made where the border of the areola and regular breast skin meet.
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Average Cost  
$7,100 - $8,100
Recovery Time  
5-7 Days
Average Procedure Time  
1-2 Hours
Post-op Follow-up  
2 Weeks
Procedure Recovery Location  
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Breast Augmentation FAQs

How do I Prepare for Surgery?

Patients that smoke should stop using tobacco products and all anti-inflammatory medications at least 3-4 weeks before surgery. Normal exercise and everyday routines can continue until the time of your surgery. Additional preoperative instructions will be given to you during your initial consultation.

What is the Recovery Like?

The recovery time for a breast augmentation usually takes between 5-7 days. After your procedure, Dr. Khorsandi will likely prescribe pain medication, as well as an antibiotic to reduce any discomfort you may have and to prevent possible infections. Most women feel a stretching sensation that is similar to the feeling of sore muscles or muscle spasms. By avoiding certain arm movements, you can limit your pain and soreness by refraining from lifting, pulling, or pushing heavy items.

Postoperative Massaging?

Breasts massages are an important part of the recovery process because they help keep implants soft and loose in the muscle pocket. Once your breast pain and soreness begins to go away, you should massage your breasts at least three times a day. Massages should continue for approximately 3-4 months.

What About Ruptures?

The newer generation silicone gel implants are filled with a cohesive gel. This means that if the outer shell of the implant ruptures the gel will not leak out. The newer form stable silicone implants, such as Allergan’s 410 and Sientra’s shaped implant have a silicone filler that is even more cohesive with even less chance for leakage. It is difficult to determine if there is a rupture of a silicone implant. Typically an ultrasound or MRI may be used to determine if the implant has failed and whether or not surgery is needed to replace the implant. The breast will remain largely unchanged with a silicone breast implant rupture. If a saline implant ruptures, the salt water leaks out and is immediately absorbed by the body. The breast will deflate and the breast will become smaller than the non-ruptured side. For many women this necessitates immediate removal of the ruptured implant with replacement so a normal symmetry can be maintained. Nevertheless when a saline implant ruptures, there is no harm to your body to have the implant in place nor is there harm with the saline solution.

How Much Does This Cost?

Costs depend on the implants that will be used. The average fee for saline implants run about $6500 Add $1,000 or more when choosing silicone implants. Any additional procedures will add up to the fees.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.