Breast Surgery

Dr. Robert Schwartz performs a full range of breast procedures including augmentation, lift (mastopexy), reduction, and revision surgery from his Dallas practice. Augmentation options span silicone gel, saline, and Serene implants in round or teardrop profiles, placed via inframammary, periareolar, or transaxillary incisions. Breast lift techniques are matched to the degree of ptosis — from Crescent and Benelli approaches for mild cases to the vertical or anchor patterns for more significant sagging. Breast reduction combines anchor or vertical incisions with liposuction where appropriate. Recovery across all procedures typically allows return to desk work within three to seven days.

Dr. Robert Schwartz Plastic Surgery Dallas provides board-certified surgical expertise across the full spectrum of breast surgery, from first-time augmentation to complex revision and reconstructive cases. For breast augmentation, Dr. Schwartz offers three implant fill types — silicone gel, saline, and the Serene saline variant — each available in round or anatomical (teardrop) profiles and across a range of projection depths and base widths to match each patient's chest wall dimensions and aesthetic goals. The preferred incision is inframammary (in the breast crease), which provides excellent visibility for pocket dissection and implant placement while keeping the scar in a naturally concealed location; periareolar and transaxillary approaches are also available. Implant placement is typically submuscular (under the pectoralis major) for the most natural appearance and lowest capsular contracture risk, with subglandular placement available for patients with adequate breast tissue coverage. General anaesthesia is standard, with local anaesthesia and sedation options available for appropriate candidates. Breast lift surgery at the Dallas practice uses a technique selection algorithm based on the degree of ptosis measured by the nipple-areola complex position relative to the inframammary fold. The Crescent and Donut/Benelli periareolar techniques address mild ptosis with minimal scarring; the Vertical (lollipop) approach is Dr. Schwartz's most commonly applied technique, offering reliable reshaping for moderate ptosis; and the Anchor (inverted T) pattern provides maximum lift for significant skin redundancy. Breast reduction surgery addresses macromastia — oversized breasts causing neck, back, and shoulder pain, skin irritation, and postural issues — through reduction of glandular tissue, fat, and skin using vertical or anchor incision patterns, often combined with liposuction for refined contouring. All breast procedures are performed as outpatient surgery with targeted postoperative pain management and detailed recovery instructions provided. Patients typically return to light desk work within three to seven days and resume unrestricted exercise at three weeks, with final scar maturation complete at six to twelve months post-procedure.