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When Can I Wear a Bra After Breast Augmentation?

woman wearing a new bra after breast augmentationOne of the most fun and exciting things to do after breast augmentation is shop for a new wardrobe. Many women look forward to wearing new tops, bikinis and bras that will accentuate their new breast size. However, you will need to be patient since it will be a little while before you can begin wearing regular bras again. More »

How Long will it Take for My Breast Implants to Drop?

woman in a white bra after getting breast implantsWhile it’s understandable that you’ll want to enjoy your new breast appearance as soon as possible, it’s important to be patient following breast augmentation surgery. It will take several months before your final results are achieved. As you heal after breast augmentation, the appearance of your breasts will continue to change. More »

Will Future Pregnancies Impact My Breast Augmentation Results?

couple with a baby after woman had breast augmentationOver 300,000 women chose to undergo breast augmentation in 2018, making it the most popular plastic surgery procedure performed over the last year. For the many women seeking breast augmentation in their 20s, starting a family may not be something on the immediate horizon. However, if you are planning on having children down the road, it’s important to understand how pregnancy, childbirth and breastfeeding may impact your breast augmentation results. More »

Do I Need a Breast Lift, Breast Implants or Both?

Woman With Small Chest Holding Breasts in White Bra

As women look to restore their bodies following pregnancy, childbirth and breastfeeding, an overwhelming number turn to breast implants — breast augmentation was the most popular plastic surgery procedure in 2018. However, since 2000, the number of annual breast lift procedures has been increasing twice as fast as breast augmentation. Depending on what you’d like to change about your breasts, one of these procedures, or a procedure that combines them both, may be right for you.

More »

5 Ways Breast Reduction Can Improve Your Life

woman with outstretched arms rejoicing after breast reductionIf you have oversized breasts, you already know that large, heavy breasts can cause pain, discomfort and a disproportionate figure. Breast reduction surgery can alleviate the physical and emotional challenges caused by overly-large breasts by removing excess breast fat, glandular tissue and skin. Not only does the procedure deliver attractive aesthetic results, it also allows you to enjoy an overall better quality of life. Because of the numerous benefits of breast reduction surgery, it’s no surprise that it ranks among the highest in patient satisfaction of all plastic surgery procedures. More »

Breast Augmentation

Having children and breastfeeding, gaining and losing weight, and even the simple act of getting older can cause a woman’s breasts to change in shape and size. At Midsota Plastic Surgeons, we understand what it means for a woman to feel good about the feminine curves of her body. With a personalized breast augmentation, you can enhance the shape and size of your breasts for a curvier, more youthful silhouette.

Breast Augmentation at First Glance

Breast Augmentation (Augmentation Mammoplasty)

Ages: 18+/22+ (Saline/Silicone)

Return to Work: 4-7 days

Surgery Time: 1 hour

Recovery Time: 2 weeks

Off Restrictions: 4 weeks

Is breast augmentation for me?

The great thing about the breast augmentation procedure is that it can be customized for just about every woman’s own unique goals. The versatility of breast implants has made this a procedure for anyone from mothers looking to restore their pre-baby figure, to women—young and old—who have never quite had the size or shape of breasts they desired.

We offer a variety of different breast implant options, allowing us to create the best procedure plan for your body and your desired outcome. Breast implants can be great for achieving a subtle boost in your cup size, for correcting asymmetrical breasts, or for creating a more dramatic enhancement. Whether you want to feel more comfortable in your favorite clothes or stand out in a bikini, our team of Midsota plastic surgeons can help achieve your goals with a personalized breast augmentation procedure.

What are the Benefits of Breast Augmentation?

Women may choose to pursue breast implants for several different reasons, including to:

Silicone (cohesive gel) and saline breast implants have both been approved by the FDA and can provide a wide range of looks to meet your desired outcome. Each implant gives the option of various shapes, sizes, profiles, and even textures. Your Midsota plastic surgeon will work with you to choose the right breast implants for your procedure.

How is a Breast Augmentation Performed?

The details of your breast augmentation will all be discussed during your consultation prior to your surgery. When you come in for your procedure, you and your Midsota plastic surgeon will have already determined aspects of your procedure such as incision location, implant placement, and, of course, implant type and size.

Your breast augmentation will be performed under general anesthesia—you will not be awake during the surgery. An incision will then be made in the pre-determined location, carefully using your body’s natural contours to minimize visibility of any future scarring. Your Midsota plastic surgeon will create a pocket to hold the breast implant either on top or beneath the pectoral muscle. Your implants are then placed through the incision and into the pocket. Once they are in place, the saline implants are filled and adjusted, whereas silicone implants are inserted with a pre-filled cohesive silicone gel. Your surgeon will then carefully observe the implants to make sure your breasts are as symmetric as possible and match your desired shape and size. Once your doctors are confident you will love your results, your incisions are closed and any necessary bandages and dressings are put in place.

How Long Does Breast Augmentation Surgery Take?

The average breast augmentation surgery should take no more than a couple hours to complete. Factors such as incision location, implant placement, and implant type/size can affect the length of your breast augmentation surgery.

How Long is Breast Augmentation Recovery?

The recovery period after your breast augmentation should go by fairly quickly. Most women are able to return to work after just several days or a week. You may experience some bruising and swelling of your breasts for a few weeks, and a support bra will need to be worn during this time to assist in the healing process.

When will I Notice the Results of My Breast Augmentation?

You should notice a change in the size, shape, and feel of your breasts immediately. Any bruising and swelling will gradually fade over the next few weeks, and you should notice your scar flatten and fade over time. Incision lines can be easily hidden beneath your clothing—even under most bathing suits and lingerie.

The results of your breast augmentation are designed to last for years to come, but it is important to remember that implants are not intended to be permanent. If an implant needs to be replaced, or you want to revise a previous augmentation for personal reasons, you can undergo a revision breast augmentation surgery.

Midsota Patient Reviews

See what past Midsota patients are saying about their breast augmentations?

Breast Reconstruction

Breast Reconstruction After Mastectomy

A woman’s fight against breast cancer can be an extremely difficult and unimaginably challenging point in her life. When she overcomes this disease, she deserves to feel whole again–a strong woman who didn’t let cancer beat her. Women choosing mastectomies to prevent breast cancer also need reconstructive options.  At Midsota Plastic Surgeons, we strive to give women the tools they need to take back control of their lives and feel like themselves again with breast reconstruction surgery.

Breast Reconstruction at a Glance

Breast Reconstruction

Ages: 18+

Surgery Time: Varies per patient

Recovery Time: Varies per patient

Is Breast Reconstruction for Me?

You get to choose if breast reconstruction is for you.  In 1998, Congress passed the Women’s Health and Cancer Rights Act which requires that most health insurers cover reconstructive surgery after mastectomies.  Many of these women choose to undergo a mastectomy of the involved breast, or mastectomies on both sides, to beat the disease.  However, losing a breast can leave a woman feeling scarred, self-conscious, and less feminine. Reconstructive breast surgery is designed with one goal in mind–to restore the breasts, so women may continue feel confident, sexy, and strong after beating breast cancer.

There are various breast reconstruction options available. During your consultation, we will discuss the options available for your situation and create a customized procedure plan to help restore your figure and renew your confidence.

What are the Benefits of Breast Reconstruction Surgery?

Breast reconstruction surgery can be one of the most life-changing plastic surgery procedures because of the empowerment it can give women to reestablish a sense of their former selves. The goal of breast reconstruction at Midsota Plastic Surgeons is to provide both women who have had breast cancer and women choosing mastectomies to prevent breast cancer with the positive option of breast restoration.

How many Reconstructive Surgeries Will be Needed?

Since it is more challenging to replace the breast than to remove it, breast reconstruction most often involves more than one surgery.

When is Breast Reconstruction Surgery Performed?

Breast reconstruction can be started either at the time a mastectomy is performed or at a later point.  Most women can choose.  For some women, particularly those who will or may need radiation therapy, it is preferable to start breast reconstruction after cancer care is completed.

How is Breast Reconstruction Performed?

Several reconstructive options are available through Midsota Plastic Surgeons, from rebuilding the breast using a woman’s own tissue to reconstructing the breasts with underlying breast implants. 

The most common source of natural tissue to reconstruct a woman’s breast is her abdomen.  The surgeon uses the fatty tissue from the abdomen to replace the lost breast volume, and borrows skin from the abdomen to replace skin removed at the time of the mastectomy.  There are a few different surgical techniques for transferring tissue for breast reconstruction from the abdomen to the chest with blood supply, so it survives.  The traditional TRAM flap procedure leaves it attached to the body by the rectus abdominis muscle.   

A newer option for breast reconstruction is the DIEP flap. This procedure allows the muscles in the abdomen to remain in place and actually utilizes the dominant blood supply to the abdominal tissue.  Dr. Houle has been performing DIEP flap breast reconstruction since 2006.

Implant-based breast reconstruction replaces the lost breast volume with underlying silicone or saline breast implants.  Reconstruction begins with placement of a tissue expander behind the musculature of the chest wall at the first surgery.  A series of appointments to add fluid to the expander prepares the woman for her second surgery which is replacing the expander with a breast implant.

How Long Does Breast Reconstruction Surgery Take?

Because every breast reconstruction procedure is so carefully tailored to each woman’s unique circumstances, surgery times aren’t predictable from woman to woman.

How Long is Breast Reconstruction Recovery?

The recovery period following a breast reconstruction will require patience. The length of recovery varies from one woman to another depending on where she is in her breast cancer care, whether the mastectomy was earlier or coordinated with the first reconstructive surgery, what type of breast reconstruction was chosen, and her overall health. We will provide you with detailed care instructions. It may vary by patient but typically it takes up to two weeks to two months before you are able to return to work, depending on your specific situation.

How long will my breast reconstruction results last?

The results of your natural tissue breast reconstruction are long lasting, so you can enjoy your newly-restored figure for many years to come. Women having implant-based breast reconstruction experience the relief of a restored breast as well. However, it is important to remember that, like women without breast cancer having breast augmentation, implants are not intended to be permanent. If an implant needs to be replaced, or you want to revise a previous reconstruction for personal reasons, you can undergo a revision of your breast reconstruction surgery.

Midsota Breast Reconstruction Patient Reviews

Read what patients are saying about their breast reconstruction surgery at Midsota Plastic Surgeons.

Breast Reduction

Breast Reduction Surgery

Bigger is not always better. Women with breasts that are disproportionately large compared to their bodies often struggle with various physical issues and may have difficulty finding properly-fitting clothing and bras. Our team of Midsota plastic surgeons is experienced in reducing/resizing the breasts for a well-balanced and natural appearance.

Breast Reduction at a Glance

Breast Reduction (Reduction Mammoplasty)

Ages: 18+

Return to Work: 1 week

Surgery Time: 3 hours

Recovery Time: 1-2 weeks

Off Restrictions: 4 weeks

Is a Breast Reduction for Me?

Many women struggle through life with breasts that are too large for their bodies. Overly large breasts can cause physical pain and discomfort, can make it difficult to exercise or perform other normal activities, can make finding clothes that fit properly almost impossible, and may lead to emotional issues or low self-esteem.

A breast reduction can also be an effective option for women who have trouble losing weight due to the size of their breasts. Larger breasts have been linked to obesity due to their limiting of physical activities and exercise.

Women who have had a breast augmentation in the past and are considering switching to smaller-sized implants may be better candidates for a revision breast augmentation.

During your consultation, you will discuss your desired outcome with one of our Midsota plastic surgeons to determine if a breast reduction is right for you.

What are the Benefits of Breast Reduction Surgery?

A breast reduction can provide several benefits, among which are to:

  • Relieve neck, back, or shoulder pain
  • Prevent rashes from forming beneath larger breasts
  • Correct posture
  • Improve the balance between the breasts and body
  • Improve the ability to participate in physical activity and exercise
  • Allow for a wider variety of clothing options

In addition, women who have undergone a breast reduction often experience a boost in their self-confidence and feel more comfortable with their new bodies.

How is a Breast Reduction Performed?

We will discuss the details of your breast reduction procedure, such as the required incision pattern, during your consultation.

Once the incision is made, we will work to carefully reduce any excess breast tissue and reposition or resize the nipples and areolae, as necessary. Before closing your incisions, excess skin may be removed to restore the balance between the amount of skin and what it holds.

How Long Does Breast Reduction Surgery Take?

A breast reduction at Midsota Plastic Surgeons will take approximately three hours. This will depend on your unique situation and the method used for your reduction.

How Long is Breast Reduction Recovery?

Following your breast reduction, we will provide you with detailed care instructions and a support bra to be worn for the first few weeks. You should feel well enough to return to work a week after surgery.

When Will I Notice the Results of my Breast Reduction?

Your breasts will be noticeably smaller and well-contoured immediately after surgery. Most bruising and swelling will fade within six weeks and your scar will gradually fade and flatten over time.

Our breast reduction patients often experience immediate lifestyle changes following their surgery. Not only do they feel more comfortable in their clothing, but they also notice a dramatic improvement in any pre-existing physical pain and are able to move around more confidently and effortlessly.

How Long Will my Breast Reduction Results Last?

With healthy lifestyle choices, the results of your breast reduction are lasting. Your breasts will still experience normal changes as you get older, gain weight, or become pregnant. However, your new breasts will be better proportioned and well-balanced with the rest of your body.

Read what our patients are saying about their breast reduction surgery at Midsota Plastic Surgeons.

Breast Lift With and Without Augmentation

Mastopexy (Breast Lift) Surgery

Life has its way of changing our bodies, and sometimes those changes can leave us feeling like a completely different person. Women often experience unwanted drooping or sagging of their breasts following normal lifestyle factors such as pregnancy, breastfeeding, weight loss, or simply aging and genetics. With an expertise in achieving results that appear both aesthetically beautiful and natural, our Midsota plastic surgeons can help restore the youthful feminine silhouette you want back.

Breast Lift at a Glance

Breast Lift (Mastopexy)

Ages: Most common around 40

Return to Work: 1 week

Surgery Time:2 hours without augmentation; 3 hours with augmentation

Recovery Time: 1-2 weeks

Off Restrictions: 4 weeks

Is a Breast Lift for Me?

The breast lift can be a great option for any woman looking to restore a more youthful and feminine figure. A woman’s breasts can go through various changes as she gets older, and sometimes this cannot be improved with diet and exercise alone. Once the skin around the breasts loses elasticity, the breasts can begin to droop, and the nipples and areolae also droop and may point downward.

Many mothers choose to get a a breast lift after having children in order to restore their pre-baby bodies, but the procedure is also common with women experiencing sagging due to age or weight loss. A breast reduction is like a breast lift combined with making the breasts smaller and is appropriate for women whose breast size is too large for their comfort.

Women who not only want to lift their breasts, but also enhance their shape and enlarge their breast size may choose to combine their breast lift with a breast augmentation. During your consultation with our experienced Midsota plastic surgeons, the two of you will discuss your goals and expectations to determine the best treatment plan for you. Not all women will require both breast implants and a breast lift to achieve their desired results; however, those who have lost breast volume and lack fullness at the top of the breasts may benefit from supplementing their breast lift with implant placement.

What are the Benefits of a Breast Lift?

Some of the major benefits of breast lift surgery include:

  • Restoring a youthful position of the breasts
  • Correcting the position and shape of the areolae.
  • Repositioning downward pointing nipples

How is a Breast Lift Performed?

The details of your breast lift, such as incision location and pattern, will be discussed during your consultation. We will work with you to create a treatment plan centered on your goals and expectations while always prioritizing your safety.

Your breast lift will be performed under general anesthesia. Your areolae are resized and nipples and areolae are centered at a more youthful and natural position.  Your surgeon may reposition the breast tissue.  Women who have chosen breast augmentation as well will have their implants placed.  Excess skin is removed to restore the balance between the amount of skin and what it holds before closing your incisions.

How Long Does Breast Lift Surgery Take?

Breast lift surgery at Midsota Plastic Surgeons will take about two hours, but will vary based on your unique condition and whether you chose to combine your breast lift with a breast augmentation.

How Long is the Breast Lift Recovery?

We will provide you with detailed care instructions following your breast lift. A support bra is to be worn for the first few weeks to assist with proper healing. You should be able to return to work within 1 week; however, more strenuous activities and exercise should be limited for about a month.

When will I Notice the Results of my Breast Lift?

Although there will be some initial bruising and swelling, which will fade over the next several weeks,  you will notice an immediate change in the position of your breasts. Our patients are often thrilled at the sight of their new figures and can’t wait to try on new clothes and old favorites.

How Long Will my Breast Lift Results Last?

Your breasts will appear much younger than before surgery, but your body will continue to age and skin may begin to relax again. Some women may choose to return for a revision surgery when they feel their results begin to fade.

Breast Lift Reviews

Read what our past patients are saying about their breast lifts.

Revision of Prior Breast Augmentation

It’s important to know that after receiving breast implants, results are not permanent and your implants may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts.

Over time, your breasts can change due to aging, weight fluctuations, hormonal factors and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour.

What is Breast Implant Exchange?

Breast implant exchange is a surgical procedure that removes and replaces breast implants placed during breast augmentation. The procedure may be indicated for medical reasons, or it may be the patient’s personal choice. To provide a satisfactory aesthetic outcome, a cosmetic procedure may be performed during or after breast implant removal. Removal of breast implants is frequently followed by replacement with a different implant size or type (such as silicone gel) or a breast lift (mastopexy) procedure.

Reasons for Breast Implant Exchange

You may believe that breast implants no longer fit into your lifestyle, or you may decide that a different implant size or type is appropriate. In either of these cases, breast implant removal will be necessary.

  • Change in size preferences
  • Switch from saline to silicone
  • Decision to remove implants

Medical indications for breast implant removal may include trauma, disease, or a surgery complication. Complications of breast augmentation may necessitate breast implant removal or revision surgery. Some of these complications are as follows:

  • Capsular contracture
  • Implant displacement
  • Visible implant rippling
  • Ruptured implant
  • Nipple malposition

What Happens During Surgery?

Breast implant removal is a relatively straightforward procedure. The implant is typically approached through the same surgical incisions as your original breast augmentation, although a different incision may be chosen instead.  The duration of surgery will vary depending on your particular condition.

After Breast Implant Exchange or Removal

Removal of breast implants without replacement carries a possibility for an undesirable aesthetic outcome, especially if you’ve had them for several years. When breast augmentation is first performed, the skin stretches to accommodate the implants. If they are removed, it is likely that your skin will not shrink back to a satisfactory state.

Some patients might benefit from another cosmetic procedure, a breast lift, to remove excess skin. To meet your appearance goals, if you would like to have new implants placed, as many women do, your doctor may also recommend a different implant size or different implant type.


“I want to say Thank you to Dr. Heath and the staff at Midsota. Every time I came into the center I was welcomed. Dr. Heath made me feel very comfortable discussing my options for breast reduction. I was kept well informed and felt very safe and secure during the procedure and all of my office visits.”

Rita N.

“The beautiful job Dr. Houle did with my DIEP flap reconstruction surgery was the final chapter in my successful survivor story of breast cancer. Thank you for restoring my feeling like a “whole” woman again.”


“Dr. Yang did an absolutely amazing job on my lower eyelid surgery. I am so completely happy with the results. Thank you is all I can say! Recommending to anyone considering!”

Karen P.