Frequently Asked Questions about Breast Augmentation in Houston
What is the process for a Breast Procedure with Dr. Nikko?
- Consultation: each patient must contact Nikko Cosmetic Surgery Center to schedule a breast augmentation consultation with Dr. Nikko. During the detailed visit, the patient will not only share their concerns and goals with Dr. Nikko but they will also be examined to determine what procedure works best. A Patient Coordinator will guide each candidate along the way to ensure all questions and concerns are answered by Dr. Nikko and his staff. Once a breast surgery plan has been selected, the Patient Coordinator will review the pricing details, financing options and surgery dates available.
- Pre-op: all breast enhancements patients are required to conduct a Mammogram X-ray prior to the procedure. Two weeks before the surgery date, Dr. Nikko will review all the details of the before, during and aftercare with the breast surgery patient. During this two-hour visit, candidates have the opportunity to address all questions and concerns and share their final goals to ensure their look is achieved.
- Surgery: surgeries are conducted at Nikko’s ambulatory surgery center located inside the Nikko Cosmetic Surgery Center. All breast augmentation or breast surgeries are performed under general anesthesia and generally last about two hours. Dr. Nikko, along with his experienced staff that includes qualified nurses and CRNAs, will conduct the surgical procedure to ensure all the proper measures are taken. Once the patient is awake from the general anesthesia, Dr. Nikko will prepare them for discharge and to return the next day. All patients receive a free meal courtesy of Nikko Cosmetic Surgery Center to alleviate any extra work for the caretaker.
- Post-op: Dr. Nikko requests to see all patients 24 hours following a breast augmentation or breast procedure. During this appointment, he will ensure the patient and the breasts are healing adequately. Also, the nurses will remove any bandaging and clean the incision sites to prevent infections. The patient will again visit Dr. Nikko six days proceeding surgery to remove sutures and avoid any visible scaring in the incision sites. All patients visit Dr. Nikko numerous times for up to a year to ensure the results are beyond expectations. The post-op visits are free of charge; thus included in the package.
What is a Capsular Contracture?
A Capsular contraction, the most common complication of breast surgery, is when the scar tissue surrounding the implant begins to squeeze around it, tightening and leading the breast to begin hardening. Scar tissue builds up around the implant as the body’s immune system responds to a foreign object in the body. Dr. Nikko teaches all breast surgery patients the massage technique to prevent a capsular contracture. He also advises all patients to intake Vitamin E after a week of surgery, which minimizes the chances of a contracture.
How often do I need to replace my implants?
As the implants move and shift in the body over time, they will eventually wear down and need to be replaced. The lifespan of breast implants depends on the individual. In some cases they will need to be replaced within the first couple of years after surgery; others can last as long as 25 years. In general, the manufacturers of breast implants say the products should last, on average, about ten years. If a leak or rupture occurs with saline implants, the deflation appears immediately. If a leak or rupture occurs with silicone implants it is harder to detect as the cohesive gel still holds itself together.
What is Breast Ptosis or Breast Sagging?
Breast sagging, medically known as Breast Ptosis, may occur as a result of advancing age, massive weight loss, pregnancy and/or breast-feeding. The first step Dr. Nikko takes is to determine the degree of sagging and the nature of the drooping.
- Grade 1 – Mild Ptosis: If your nipple lies slightly above or directly in front of the breast fold, this is considered mild or grade 1 ptosis.
- Grade 2 – Moderate Ptosis: If the central point of your nipple is 1 to 3 cm below the top of your breast crease, you may have grade 2 ptosis or moderate ptosis.
- Grade 3 – Sever Ptosis: If the central point of your nipple and your areola is more than 3 cm below your breast crease, you may have Grade 3 ptosis and is considered severe ptosis.
- Pseudo – Ptosis: occurs when the nipple is still above the inframammary crease, but the breast appears to droop because of a large, flattened breast lobe. (Your breast has 15 to 20 lobes, where milk is produced.)
- Low Breasts: breasts naturally sit below on the chest with no ptosis or sagging.


