Breast Augmentation & Breast Surgery

Dr. Sam Jejurikar offers a full range of breast surgery procedures at his Dallas practice, including breast augmentation with saline or silicone implants, breast lift, combined augmentation with lift, breast revision, and implant removal. Implant selection consultations incorporate 3D Crisalix imaging to simulate size and shape outcomes before surgery. Patients are guided through implant type, profile, incision placement, and pocket position choices based on their anatomy and goals.

Breast surgery at Dallas Plastic Surgery Institute under Dr. Sam Jejurikar encompasses the full spectrum of breast enhancement, restoration, and revision procedures. Dr. Jejurikar's approach centres on individualized planning — matching implant size, profile, and placement to each patient's chest measurements, skin quality, and aesthetic goals — rather than applying a standardised formula. Breast augmentation is the most commonly performed procedure at the practice, with patients choosing between saline and silicone implant options. Silicone gel implants — available in smooth round and anatomical (shaped) profiles — produce a soft, natural feel that closely mimics native breast tissue. Saline implants offer the advantage of a smaller initial incision and the ability to fine-tune fill volume at the time of surgery. Implant pocket placement options include subpectoral (under the pectoralis major muscle) for patients with minimal native breast tissue, and subglandular (above the muscle) for patients with adequate coverage. Incision placement options include the inframammary fold, periareolar, and transaxillary approaches, each with distinct trade-offs for scar visibility and implant control. The Crisalix 3D imaging system is used during breast augmentation consultations at this practice, allowing patients to visualise simulated outcomes across multiple implant options before committing to a size and profile. This simulation session is included as part of the consultation process and is particularly valuable for patients who find it difficult to visualise the difference between implant profiles in abstract terms. Breast lift (mastopexy) addresses breast ptosis — the descent and loss of shape caused by pregnancy, nursing, weight fluctuation, or natural aging. Dr. Jejurikar performs breast lift using vertical, anchor (Wise pattern), or periareolar techniques depending on the degree of ptosis and the patient's native breast volume. A combined augmentation-mastopexy addresses both volume and shape in a single procedure, though this combination requires a higher level of surgical planning due to the competing tensions in the wound. Breast revision surgery addresses implant malposition, capsular contracture, implant rupture, size change, and asymmetry correction in patients who have had prior breast augmentation elsewhere. Implant removal (explantation) is available for patients who choose to have implants removed with or without replacement, with or without a simultaneous lift. Recovery from breast augmentation typically involves approximately one week before return to desk work and four to six weeks before resumption of strenuous activity.