PLASTIC SURGERY
James A. Rieger MD
BREAST AUGMENTATION
At a Glance
OUTPATIENT
Same Day
Go home the same day of your surgery.
ANESTHESIA
General
You'll be completely
asleep and comfortable.
PROCEDURE TIME
1-2 Hours
Most patients are in surgery for 1 hour.
Recovery varies from patient to patient.
Dr. Rieger will provide personalized recovery instructions based on your procedure and lifestyle.
RETURN TO WORK
~ 1 Week
Most patients return to work within 1 week.
EXERCISE
~ 6 Weeks
Return to exercise with Dr. Rieger's clearance.
TECHNIQUE
Under the Muscle
Dr. Rieger's preferred technique for all breast augmentation.
Everything You Need to Know About Breast Augmentation
Whether you're considering breast augmentation to restore volume after pregnancy, improve breast symmetry, or enhance your natural proportions, we're here to help you make an informed decision. This guide walks you through every step of the process—from choosing the right implants and understanding recovery to exploring costs, before-and-after photos, and frequently asked questions.
Learn how breast augmentation enhances breast volume, shape, and symmetry using breast implants.
Discover why women choose breast augmentation to restore confidence and improve body proportions.
Follow your recovery from surgery day through the first several months after breast augmentation.
Compare silicone and saline implants to understand which option best fits your goals.
Learn what's included in the cost of breast augmentation and available payment options.
View real patient results to see the natural-looking outcomes Dr. Rieger strives to achieve.
Find answers to common questions about implants, recovery, safety, and long-term results.
Explore our complete collection of breast augmentation guides, articles, and patient resources.
What Is Breast Augmentation?
Breast augmentation is a cosmetic surgical procedure that enhances the size, shape, and symmetry of the breasts using implants. At Plastic Surgery Wichita, Dr. James Rieger performs breast augmentation using an under-the-muscle approach to help create natural-looking, balanced results tailored to each patient's body.
Whether you're hoping to restore volume after pregnancy, improve breast symmetry, or achieve a fuller appearance, breast augmentation is customized to your unique anatomy and goals.
Why Women Choose Breast Augmentation
Restore volume after pregnancy
Improve breast symmetry
Better fit in clothing
Enhance body proportions
Boost self-confidence
Replace volume lost after weight loss
Meet Dr. Rieger
Choosing a plastic surgeon is one of the most important decisions you'll make. At Plastic Surgery Wichita, board-certified plastic surgeon Dr. James Rieger has helped women throughout Wichita and the surrounding communities achieve natural-looking breast augmentation results for more than 20 years.
Rather than focusing on creating the largest possible result, Dr. Rieger believes breast augmentation should complement your unique body proportions and enhance your natural appearance. Every treatment plan is personalized to your anatomy, lifestyle, and aesthetic goals.
Breast augmentation procedures are performed in our private, fully accredited outpatient surgery center using an under-the-muscle implant technique, which Dr. Rieger recommends for the vast majority of patients to promote a natural look and feel while providing long-term support.
Why Patients Choose Dr. Rieger
✔ Board-certified plastic surgeon
✔ More than 20 years of breast surgery experience
✔ Personalized implant recommendations based on your anatomy
✔ Under-the-muscle implant placement for natural-looking results
✔ Private, accredited outpatient surgery center
✔ Honest guidance focused on proportion—not trends
For more than 20 years, women from Wichita, Andover, Derby, Bel Aire, Maize, and surrounding Kansas communities have trusted Dr. Rieger for personalized breast augmentation surgery and natural-looking results.
Breast Augmentation Before & After Photos
See Real Results from Dr. James Rieger's Patients
Every woman's body, anatomy, and goals are unique. Explore real patient results to see the natural-looking outcomes Dr. Rieger has achieved through personalized treatment planning and his under-the-muscle approach.
What our patients are saying
"Dr. Rieger and his staff were amazing. They answered every question, made me feel comfortable, and my results were exactly what I wanted."
— Jessica
"My breast augmentation was a breeze. I absolutely love my results and highly recommend Dr. Rieger."
— Crystal
Why These Results Look Natural
Rather than creating the largest possible result, Dr. Rieger focuses on selecting an implant size and surgical plan that complements each patient's natural proportions. Every procedure is personalized to achieve beautiful, balanced, and long-lasting results.
What You'll Notice
✔ Natural-looking breast shape and proportion
✔ Results tailored to each patient's body
✔ Improved balance and symmetry
✔ Under-the-muscle implant placement
✔ Personalized implant selection
Every patient is unique. Individual results vary based on anatomy, implant selection, and personal goals. During your consultation, Dr. Rieger will recommend a treatment plan designed specifically for you.
Silicone vs Saline Implants
Choosing between silicone and saline implants is one of the most common questions women ask during their consultation. Both implant types are FDA-approved and can produce beautiful results. Dr. Rieger will help you choose the option that best fits your anatomy, lifestyle, and cosmetic goals.
Silicone Implants
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Softer Feel
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Most Popular
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Natural Appearance
Saline Implants
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Filled after placement
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Adjustable during surgery
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Good option for some patients
Implant Placement
Why Dr. Rieger Recommends Under-the-Muscle Breast Implant Placement
One of the most important decisions during breast augmentation is where the implants are placed. At Plastic Surgery Wichita, Dr. James Rieger recommends placing breast implants beneath the chest muscle (submuscular placement) because he believes it provides the most natural-looking, long-lasting results for the majority of patients.
Placing the implant under the muscle offers several important advantages. The additional tissue coverage can create a smoother transition from the chest to the breast, reduce the visibility of implant edges in women with less natural breast tissue, and help produce a softer, more natural appearance.
Another significant benefit is improved breast imaging. Because the implant sits beneath the muscle, mammograms can often visualize more natural breast tissue, making routine breast cancer screening easier than with implants placed above the muscle.
During your consultation, Dr. Rieger will evaluate your anatomy, discuss your goals, and explain why under-the-muscle placement is recommended for your individual treatment plan.
Benefits of Under-the-Muscle Placement
✔ Creates a more natural-looking breast contour
✔ Provides additional soft tissue coverage over the implant
✔ Helps reduce visible implant edges and rippling in many patients
✔ Allows mammograms to visualize more natural breast tissue
✔ Offers long-term support for beautiful, balanced results
Breast Augmentation Recovery
Recovering from breast augmentation is a gradual process, and every patient heals at their own pace. Most women are pleasantly surprised by how quickly they begin feeling like themselves again. During your recovery, Dr. James Rieger and his team will provide detailed instructions and follow-up care to help ensure a smooth healing process.
What to Expect
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Most patients return home the same day as surgery.
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Light walking is encouraged soon after surgery.
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Most patients return to desk work within about one week.
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Swelling gradually improves over several weeks.
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Final results continue to develop as the implants settle into position.
Remember that every recovery is unique. Following your post-operative instructions and attending your scheduled follow-up appointments are important parts of achieving the best possible outcome.
Breast Augmentation Cost
The cost of breast augmentation depends on your personalized treatment plan and implant selection. At Plastic Surgery Wichita, we believe in transparent pricing, so you'll know exactly what's included before scheduling your procedure.
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Board-certifide plastic surgeon fees
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FDA-approved breast implants
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Anesthesia services
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Accredited surgery center
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Post-operative follow-up appointments
$5,450
All-Inclusive Breast Augmentation
Surgeon Fee
Breast Implants
Anesthesia
Surgery Center
Follow-Up Care
How we prepare for surgery at
PLASTIC SURGERY WICHITA KANSAS
01
Planning your surgery
In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant he or she will use — just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs.
Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
02
Preparing for your surgery
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
03
The surgery
Where your surgery will be performed
Dr. Rieger prefers to perform the operation in a state-of-the art accredited
outpatient surgery center.
Types of anesthesia
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation.
The Surgery
The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.
Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant.
Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle).The implants are then centered beneath your nipples.
Dr. Rieger generally places the implant behind the pectoralis muscle, also referred to as submuscular or half under the muscle or dual plane placement. This implant position under the muscle instead of over the muscle interferes less with breast examination by mammogram. Putting the implants behind your chest muscle may reduce the potential for capsular contracture also.
04
After your surgery
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.
You should wear a sports bra for the first few weeks. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.
Getting back to normal
You should be able to return to work within 5 to 7 days, depending on the level of activity required for your job.
Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.
Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.
Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.
Breast Augmentation FAQ
How much does breast augmentation cost in Wichita, KS?
In Wichita, KS breast implant surgery typically ranges from $5,000 to $8,000 depending on the surgeon, implant type and surgical facility. At Plastic Surgery Wichita, breast implant surgery is $5,450 - whether you choose saline or silicone implants. Our pricing is transparent and all-inclusive.
Your surgical fee includes:
Surgeon's fee
Anesthesia
Implant cost (saline or silicone)
Surgery performed at an accredited surgical center
What types of breast implants does Dr. Rieger use?
We offer both silicone and saline breast implants in a range of different sizes and profiles. Dr. Rieger helps each patient choose the implant that best fits their body frame, lifestyle, and desired results.
How long does recovery take after breast augmentation?
Most patients return to light activity within just a few days and can resume normal routines in about two weeks. Full healing and your final results usually appear over several months as swelling fades.
Is Dr. Rieger board-certified in plastic surgery?
Yes. Dr. James A. Rieger is certified by the American Board of Plastic Surgery and is an active member of the American Society of Plastic Surgeons. You’re in expert, experienced hands.
Where is Plastic Surgery Wichita located?
You’ll find our office at 10111 East 21st Street North, Suite 402, Wichita, Kansas 67206 — conveniently near the east side of town, just off 21st and Webb.
Is Surgical Mesh Necessary for Breast Implants?
Risks, Costs, and FDA Status ExplainedWhile surgical mesh is sometimes marketed for added support in breast implant procedures, it is not FDA-approved for use in breast surgery. Studies have not shown consistent long-term benefits, and its use can increase the risk of complications such as infection, chronic inflammation, or interference with future revisions. Additionally, mesh adds a significant and often unnecessary cost to surgery—sometimes thousands of dollars more—without guaranteeing better results. At our practice, we focus on safe, evidence-based techniques to achieve lasting, natural outcomes.
Is Fat Grafting to the Breasts Worth It? Risks, Costs, and Long-Term Results
Fat grafting to the breast may seem appealing as a natural alternative, but it comes with significant drawbacks that make it a less dependable choice. One of the most serious concerns is its potential to interfere with breast imaging—fat grafting can create oil cysts, calcifications, or scar tissue that may mimic or hide signs of breast cancer on mammograms. This can result in false alarms, unnecessary biopsies, or even delayed cancer detection. The procedure also has unpredictable fat survival rates, often requiring multiple sessions to maintain results, with only modest size increases achievable. For patients prioritizing safety, reliability, and long-term results, breast implants remain the superior option.
Kylie Jenner-Inspired Breast Implants in Kansas: Trending Techniques Explained
If you've been searching for Kylie Jenner implants in Kansas or scrolling through TikTok to find the latest trends in breast augmentation, you're probably seeing terms like “half under the muscle” and “BWD.” At our Wichita practice, we offer the same advanced techniques that celebrities and influencers are choosing — but tailored to your unique body and goals.
What Does “Half Under the Muscle” Mean?
Also known as dual plane placement, this method positions the upper portion of the breast implant beneath the pectoral muscle while the lower portion rests under your natural breast tissue. This technique helps create a natural slope in the upper breast while maintaining fullness in the lower pole — a look many associate with Kylie Jenner’s post-surgery figure. Women in Wichita, Andover, Derby, and surrounding Kansas areas love this approach because it offers soft, natural results with reduced risk of visible edges or rippling — especially important for thinner or more athletic body types.
What Is BWD and Why Does It Matter?
BWD (Breast Width Diameter) is a key measurement we take during your consultation. It helps us choose an implant that fits your body’s natural width — not just a one-size-fits-all approach. This ensures your implants look balanced, proportional, and customized to you.
Inspired by Trends, Focused on You
While social media and celebrity transformations—like Kylie Jenner’s—can spark ideas, Dr. Rieger prioritizes safe, proven techniques tailored to your unique body and goals. We’ll help you achieve a natural-looking result that enhances your shape and suits your lifestyle.
Serving patients in Wichita, Andover, Derby, and surrounding Kansas communities.Schedule your consultation today 316-652-9333.
Why Choose Plastic Surgery Wichita Kansas?
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Experienced Surgeon in Wichita, KS: Dr. James Rieger, a board-certified plastic surgeon, brings extensive experience and a steadfast commitment to excellence in every procedure.
Personalized Care: Tailored treatment plans are designed to meet the specific needs and goals of each patient, ensuring personalized outcomes that reflect your individual beauty.
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State-of-the-Art Facility: Our surgeries are performed at Wichita's premier medical centers, equipped with the latest technology to provide privacy, personalized attention, convenience, and affordability.
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Compassionate Team: From the first consultation through your recovery, Dr. Rieger's team is committed to supporting you at every stage, ensuring a smooth, supportive, and safe experience.
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Start Your Transformation in Wichita, KS: Ready to enhance your confidence? Contact Dr. Rieger's office today at 316-652-9333 to schedule your consultation and take the first step towards a new you in Wichita, Kansas.