Understanding Breast Augmentation Surgery

Choosing to undergo breast augmentation is an important decision, which can impact not only your appearance but your self-confidence. To ensure your health and safety, as well as exceptional results, it is critical to choose a reputable surgeon who can tailor all aspects of the procedure to your unique needs. Dr. David L. Liland performs augmentation surgery at his advanced surgical suites in Dallas, TX, which are held to the highest safety standards. He can carefully place your implants and camouflage your incisions for the best possible outcome. Breast augmentation surgery can take one to two hours, depending on where and how the implants are placed, but the average surgery time is around 45 minutes.

Prior to Surgery

To ensure successful results, Dr. Liland can provide you with detailed pre- and post-operative at-home instructions. If you receive general anesthesia, you may not eat or drink anything after midnight the night before your surgery. You may also need to shower with a chlorhexidine antibacterial wash both the night before and the morning of your surgery to reduce your risk of infection. On the day of your surgery, do not apply any perfumes, lotions, or deodorants. You should also wear loose-fitting, comfortable clothing.

When you entrust your care to a board-certified plastic surgeon like Dr. Liland, you can feel confident that you will receive the highest standard of service and exceptional results.

You will need to allow ample time prior to your scheduled surgery to check in and complete any additional paperwork. At this time, you can ask any final questions, and Dr. Liland can mark your incision sites for surgery. 

The Procedure

Before beginning, we can place you under general anesthesia intravenously or through inhaled sedation, or you may receive sedation. 


Dr. Liland can place implants through incisions in one of three locations: the breast crease (inframammary), armpit (transaxillary), or the perimeter of the areola (periareolar). The type of incision created will depend upon the implant selected, the size of the areola, and your personal preferences. Dr. Liland can camouflage the incisions to minimize any visible scarring.

illustration of breast augmentation incisions
We can place your incisions in the crease of the breast, beneath the armpit, or along the areola.

Implant Placement

Implant placement depends on a variety of factors, including the type of implant you select as well as the location the implant will reside. We can place implants above the pectoral muscle, but behind the breast tissue, which is called subglandular, or we can place the implant behind the pectoral muscle, which is known as submuscular.

If you are receiving a saline implant, we can insert the implant when empty and fill it with sterile saltwater during surgery. Silicone implants are pre-filled prior to placement. Typically, saline implants can be placed with slightly smaller incisions than silicone implants.


Once your implants are in place, Dr. Liland can close your incisions with sutures, skin adhesive, or surgical tape. We can then wrap your breasts with a gauze bandage and fit you with a post-surgical garment for support. For about one to a few hours after surgery, we can monitor your vitals to ensure proper healing before sending you home. We can also review your detailed at-home care instructions and answer any questions you may have.

Schedule Your Visit

As breast augmentation surgery can have life-changing effects, you should thoroughly research not only the procedure but also your surgeon. When you entrust your care to a board-certified plastic surgeon like Dr. Liland, you can feel confident that you will receive the highest standard of service. To schedule your consultation, we invite you to contact us online anytime, or call (214) 692-6500.

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Dallas Office

3500 Oak Lawn Ave
Ste 160
Dallas, TX 75219

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