Breast Augmentation

If you are unhappy with the look or feel of your breasts, call us at (775) 322-3446 or request a consultation online

Small, unshapely, or asymmetrical breasts can affect the way your entire body looks, making you feel self-conscious about wearing certain clothing. 

Breast augmentation is a surgery that enhances the size, shape, and symmetry of your breasts. The result is a fuller, more shapely bust line that can increase your self-confidence. 

Why should you consider breast augmentation at Murphy Plastic Surgery & Medical Spa? 

Fuller Shape and Size

Because there are a variety of breast implants available, Dr. James Murphy can help you choose a pair that gives your bust the size and shape you desire

Improved Symmetry

If your breasts are unevenly sized or shaped, breast augmentation can help you achieve improved symmetry and a more balanced figure

Boosted Self-Confidence

Being self-conscious about your breast size can affect your confidence on a daily basis. Breast augmentation is a surgical solution that can boost your self-esteem.

Breast implants can be placed in one of two ways...

Breast implant placement

Most Breast Augmentation Patients Are Satisfied with Their Results 

Breast augmentation surgery has extremely high satisfaction rates. During the same study, 85 percent of the women who were surveyed described their new breast size as "just right." 

*According to the American Society of Plastic Surgeons.

Wondering if you are a good candidate for breast augmentation? 

Small Breasts

Breast augmentation can increase the size of your breasts to provide a better complement to your frame and your curves. Results can also give you more clothing options. 

Asymmetrical Breasts

Even if you are happy with the size of your breasts, asymmetrical breasts can affect your self-confidence. Surgery can address symmetry as well as size

Previous Surgery

If you are unhappy with the results of a previous breast augmentation, James E. Murphy, M.D. can perform revision surgery to deliver the results you always wanted. 

Recent Weight Loss

If you have lost weight due to pregnancy or lifestyle changes, breast augmentation can restore lost volume. It can also be combined with a breast lift, depending on your goals.

Transitioning from Male to Female

James E. Murphy, M.D. performs breast augmentation surgery for patients who are transitioning. He can design a custom procedure that provides natural-looking results.

Are you concerned about the cost of breast augmentation? 

Beware of "bargain prices" when it comes to breast augmentation. Although an experienced surgeon may charge more than a less experienced colleague, he or she is more likely to deliver results that you love. You should only consider reputable plastic surgeons like James E. Murphy, M.D. when searching for a breast augmentation provider. 


Because breast augmentation is considered an elective surgery, it is not covered by insurance providers. At Murphy Plastic Surgery & Medical Spa, we offer financing through CareCredit® and Medical Financing™ to help make your goals affordable. 

More Reasons to Choose Breast Augmentation 

If you are unhappy with small breasts or a disproportionate figure, you may be a good candidate for breast augmentation at our Reno practice. Dr. James E. Murphy specializes in breast augmentation, he does more breast augmentations than any other procedure.  James E. Murphy, M.D. carefully listens to his patients' goals to deliver beautiful, natural-looking results. During this procedure, James E. Murphy, M.D. will use saline or silicone implants to enhance your figure and self-confidence. With his gentle bedside manner, surgical expertise, and personalized care, James E. Murphy, M.D. will make your treatment effective and stress-free. Contact Murphy Plastic Surgery & Medical Spa today to schedule your consultation.

Breast Augmentation Results*

Breast implant before picture
Breast implant after picture
This patient was able to increase two cup sizes with silicone gel implants placed under her chest muscle.*
*results may vary by individual*

Is Breast Augmentation Right for You?

Breast augmentation can completely enhance your appearance and give you a fuller, more voluptuous figure. If you struggle with any of the following concerns, you may be a good candidate for breast augmentation:

  • A flat chest or disproportionately small breasts
  • A loss of volume in the breasts following pregnancy or weight loss
  • Uneven or asymmetrical breasts
  • Previous breast augmentation with unsatisfactory results

Planning Your Treatment

Before beginning treatment, James E. Murphy, M.D. will carefully plan out your surgery. Together, you will determine the right type of implants and the best incision pattern for your needs. James E. Murphy, M.D. uses both silicone and saline implants. Both types are safe and provide natural-looking results. Whether you choose saline or silicone implants will depend on your treatment goals, budget, and other personal preferences.  

James E. Murphy, M.D. also performs breast revision to correct the results of another breast surgery. At your consultation, you will discuss your concerns with your previous procedure.

Additionally, James E. Murphy, M.D. performs breast augmentation for patients transitioning from male to female. He will determine the right way to improve your figure and achieve your desired results.

A Quick Look at the Procedure

On the day of your surgery, you will be given general anesthesia to keep you comfortable. Once you are sedated, James E. Murphy, M.D. will create incisions, using one of several established incision patterns, either around your nipple, under your breast crease, or under your arm. He will then place the implants through these incisions. Although some doctors position implants above the breast muscle, James E. Murphy, M.D. prefers to place them under the muscle. He believes this method yields a more natural appearance. When the implants are in place, he will close up the incisions with dissolvable sutures and surgical tape. He will place a comfort, supportive bra on you to wear home. You may shower 48 hours after surgery.

What to Expect after Treatment

Blond woman in pink lacy braRecovery from breast augmentation typically takes about a week, and you can return to work after this time. You should avoid strenuous physical activities for several more weeks, or until James E. Murphy, M.D. gives his approval. You may experience some swelling and discomfort, which will typically fade within a few weeks. In the meantime, you can control post-surgical sensitivity with a compression bra or bandage. You may also take pain medication. You will need to attend several follow-up appointments with James E. Murphy, M.D. so he can monitor your progress, and counsel you on post surgical massage and implant adjustment if needed.

Immediately after your surgery, you will notice the change in your figure. As swelling subsides and you continue to recover, the results will become even more apparent and stunning. As you adjust to the new size of your breasts, you will not only enjoy a more curvaceous figure, you will also enjoy a greater sense of self-confidence.

Frequently Asked Questions

Where is the breast augmentation surgery performed?

Breast augmentation is most frequently performed on an outpatient basis in a hospital operating room, or outpatient surgery center. At Murphy Plastic Surgery, Dr. James Murphy will most often take his patients to Renown South Meadows, to the outpatient surgery center.

How long does the breast implant procedure take?

Cases may differ, but on average the surgery lasts one to two hours.

What anesthesia will be used?

General anesthesia is most commonly used. James E. Murphy, M.D. will always use a board certified anesthesiologist.

Where will my incisions be located?

There are several different surgical approaches to the incision for breast implants. The most popular include Periareolar (around the nipple), Inframammary (beneath the fold of the breast), and Axillary ( in the crease of the arm-pit). A small incision is made in the chosen location, and the implant is placed either under the breast tissue or under the muscle. You and your surgeon, Dr.  James Murphy, will decide which incision is best for you.

What are my breast augmentation incision site options?

There are four incision sites used for breast augmentation: around the nipple (periareolar), within the breast fold (inframammary), and under the arm (transaxillary). James E. Murphy, M.D. will help you choose an incision site that best suits your frame and implant choice with the goal of resulting in minimal scarring. Get the details about each incision site now and then talk to James E. Murphy, M.D. about the pros and cons of each.

Periareolar Incision

Illustration of a periareolar incision and resultsThis incision site is typically the most concealed. It is associated with a higher likelihood of breast feeding difficulties than the other incision options because periareolar incision involves cutting through the breast tissue. This may also increase the chance that there will be a change in nipple sensation.

Inframammary Incision

This is the most commonly used incision for silicone implants at the present time, and is made below the breast fold. This incision is generally less concealed and may cause fewer breastfeeding difficulties than the periareolar incision option.

Transaxillary Incision

This incision is made under the arm. A pocket is created by tunneling thru tissue to behind the breast. This incision site is used primarily to place unfilled saline breast implants.

What are my options for breast implant placement?

Sub-Muscular vs. Sub-Glandular

Illustration of a breast implant above and below muscle tissueYou may have heard that there are options for the placement of breast implants within your breast tissue. In fact, there are two choices for breast implant placement: sub-glandular (under your breast tissue and over your chest muscle) or sub-muscular (under or partially under your chest muscle). Each placement type has benefits that may be right for you. Discuss your desired outcome with your plastic surgeon to select the best option for your figure.

Sub-Glandular Breast Implant Placement

With sub-glandular placement the implant location is between your chest muscle and your breast tissue (under the glands). This placement may help reduce your surgery and recovery time. It may be less painful than sub-muscular placement and may make your breast implants easier to access if re-operation is necessary. Implants that are sub-glandular may be easier to see and feel through your skin.

Sub-Muscular Breast Implant Placement

Sub-muscular placement means that your breast implants are placed partially or wholly under the pectoralis major chest muscle. Sub-muscular implants may result in a longer, more painful recovery than sub-glandular implants. Sub-muscular placement may result in less palpable implants and may reduce the risk of developing capsular contracture (Capsular Contracture: A tightening of the scar tissue surrounding an implant. May require an additional surgery to correct), as well as offer easier mammographic imaging of the breast.

What type of implant is used?

There are two main types of implants used in breast implant augmentation surgery.  Those filled with saline and those filled with a silicone gel.  Saline implants are filled with a solution that is similar to the fluid in the human body. In 2006 the FDA approved silicone breast implants, after two decades of research and testing all over the world. Silicone gel implants are filled with a cohesive substance that is more like a solid than a liquid. Implants can be round or tear-drop shaped, smooth or textured.  During your personal consultation with Dr. James Murphy he will determine which implant is best for you.

Are breast implants safe?

After reviewing years of evidence and research concerning silicone gel-filled breast implants, the Institute of Medicine found that “evidence suggests diseases or conditions such as connective tissue diseases, cancer, neurological diseases or other systemic complaints or conditions are no more common in women with breast implants than in women without implants.”

How will I feel after surgery?

Immediately after surgery you will have some swelling, soreness, and bruising. James E. Murphy, M.D. will prescribe pain medications for the discomfort. You will be up and about the next day, but very conservatively. You are not allowed to lift your arms above your head, or lift any heavy objects.  Stitches are generally removed a week later.

You will experience some swelling and bruising for a few weeks, but reducing over time.  Incisions will be red to pink, but fade out to light pink or white over time. We do have a Icon laser, that can minimize the discoloration of the scars quicker, if the patient chooses.  You will continue to wear a good support bra, 23 hours a day.

You will notice an immediate result and increase in breast size, but keep in mind, you have some swelling at this point. You will need to do some massage exercises to the breasts, to help get the surgical pocket where your implants were placed to relax. New implants tend to “ride high” at first, then relax into a natural placement over time.  You will probably have more realistic results after about 3 months.

After 4-6 weeks you may resume more vigorous exercise and full range of motion with your arms.   Follow-up care will occur within a week after surgery, and approximately every 3 months for the first year.

James E. Murphy, M.D. will call you the first night or following day after surgery, to make sure you are doing well. We are on-call for you 24 hours a day, if necessary.

Choosing a Surgeon

Here are a few questions you should ask a breast augmentation surgeon if you are considering this procedure:

  • Are you board certified with the American Board of Plastic Surgery?
  • How long have you been certified? 
  • What are the risks and complications associated with having breast implants?
  • Do you have before-and-after photos I can look at for each procedure? Look at the doctor’s results, which show his ability.
  • What results and size are reasonable for me? Let your doctor help guide you on this one. Each body is very different, and your surgeon can help you choose what is best for you, to achieve the desired result.
  • Will my ability to breastfeed be affected?

Make sure you are comfortable with the personal rapport between you and your physician. In addition, you should feel at ease and comfortable with the staff. Are they addressing your concerns?

Red Flags

A doctor who is impatient and rushes you to make a decision.

A doctor who is willing to combine multiple major procedures into one surgery. Your safety should be the priority, not to save money on facility fees, and anesthesia. Your doctor is not at his very best into the 6th hour of surgery. Remember, this is your health we are talking about.

A doctor who refuses to answer questions, or provide you with the necessary time to provide information.

Dr. James Murphy

Murphy Plastic Surgery & Medical Spa

Dr. James Murphy is a highly trained, board-certified plastic and reconstructive surgeon who has been in practice for nearly two decades. He serves patients throughout Reno and Lake Tahoe and is affiliated with several prestigious organizations, including: 

  • American Society of Plastic Surgeons 
  • American College of Surgeons 
  • American Medical Association 
  • Reno Surgical Society

Schedule your consultation today by contacting us online or call (775) 322-3446. Se habla Español

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