Gustavo Machado, MDAesthetic Plastic Surgery

Breast · Lincoln, Nebraska

Natural breast augmentation in Lincoln

Breast surgery is the core of my practice. I plan every augmentation around your measurements and goals, with Motiva implants and a no-touch technique, for results that look and feel natural.

Natural breast augmentation in Lincoln, Nebraska

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Breast augmentation

Motiva implants

Overview

A good augmentation starts with measurements, not cup sizes. I look at your chest width, breast width, skin and tissue thickness, and then we choose an implant that fits your frame and the look you want.

I often place the implant above the muscle, beneath the fascia (the subfascial plane), which avoids the distortion some women notice when the chest muscle moves. For others a dual-plane placement, partly under the muscle, is the better choice. I'll explain which one I recommend for you, and why.

Is it right for you?

Breast augmentation may be right for you if

  • You'd like more volume or fullness in the upper breast
  • You lost volume after pregnancy, breastfeeding or weight loss
  • You want to improve a difference in size between your breasts
  • You're in good health and want a result that looks like you

The procedure

My approach

01

Motiva implants

SmoothSilk-surface implants in round or Ergonomix shapes, designed to move with your body.

02

The right placement

Subfascial or dual-plane, chosen for your anatomy and your goals.

03

Keller Funnel

A no-touch insertion through a smaller incision, with less handling of the implant.

04

A lift when needed

An implant alone doesn't lift a sagging breast. If a lift should be part of the plan, I'll tell you.

Breast lift, with or without implantsBreast reductionImplant removal and revision (explant)Motiva Preservé, the minimally invasive option

Recovery

What recovery usually looks like

  1. First days

    Rest, light walking and a support bra. Discomfort is managed with medication.

  2. About one week

    Many patients return to desk work.

  3. Four to six weeks

    Gradual return to exercise and lifting, as cleared at follow-up.

  4. Three months on

    The implants settle and soften into their final position.

Every recovery is individual. You'll leave with a written plan for yours, and you can reach us at (402) 489-4700 at any time.

Results

What to expect

You see a difference right away. The final shape develops over about three months, as swelling resolves and the implants settle.

At your consultation I'll show you before and after photos of patients with a starting point similar to yours. Individual results vary.

4.9Google rating

What patients say

Hundreds of reviews from real patients, many of them people I've cared for over months and years.

5-star Google review
“Dr. Machado was very thorough and extremely patient with my (many) questions throughout our consultation. Very well thought out in discussing the avenues and options for breast augmentation…”
Polina A.Breast augmentation consultation

Cost

Every quote is personal. After your consultation you receive a written estimate that includes the surgeon's fee, the facility and anesthesia, so there are no surprises.

Because this is a cosmetic procedure, it isn't covered by insurance.

Get your personal quote

Questions

Frequently asked questions

Should the implant go above or below the muscle?

It depends on your anatomy. I often use the subfascial plane, above the muscle and beneath its fascia, for a natural shape without movement distortion. When there is very little tissue to cover the implant, a dual-plane placement can be better. We decide together at your consultation.

Which implants do you use?

FDA-approved Motiva implants with a SmoothSilk surface, in round or Ergonomix shapes, inserted with a Keller Funnel.

What about breast implant illness and BIA-ALCL?

Before surgery we go through the FDA patient decision checklist together. It covers capsular contracture, rupture, BIA-ALCL (a rare lymphoma linked mainly to textured implants) and the symptoms some patients describe as breast implant illness. I want you to decide with complete information.

Do implants last forever?

No. Implants are not lifetime devices. Many last for years, but you may need another operation at some point. Regular follow-up helps us catch changes early.

Will I still be able to have mammograms?

Yes. Tell the imaging center that you have implants so they can take the right views.

Do you remove or replace old implants?

Yes. I perform implant removal (explant), exchange and revision, with or without a lift.

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Dr. Machado explainsChoosing your implant size

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Dr. Machado explainsOver or under the muscle?

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Dr. Machado explainsOne year of Motiva in Nebraska

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Before & afterOne week after augmentation

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Before & afterSix weeks after augmentation

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Dr. Machado explainsWhat makes Motiva different

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Dr. Machado explainsRound or Ergonomix?

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Dr. Machado explainsHow Ergonomix moves with you

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Dr. Machado explainsSixth vs. fifth generation implants

Consultation

Let's talk about your goals.

Every plan starts with a one-on-one consultation. We talk through what you'd like to change, examine and measure, and go over options, recovery and cost before you decide anything.

Appointments are scheduled by Prairie Orthopaedic & Plastic Surgery, Dr. Machado's practice in Lincoln.

Call

(402) 489-4700

Office

4130 Pioneer Woods Drive, Suite 1
Lincoln, Nebraska 68506

Hours

Monday – Friday, 8:00 am – 4:30 pm

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@machadoplasticsurgeon

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