About Dr. Steve Byrd
Dr. Steve Byrd has been practicing as a plastic surgeon in Dallas, Texas since completing his residency in 1978. He is board certified by both the American Board of Surgery and the American Board of Plastic Surgery. He entered private practice at Baylor University Medical Center at Dallas and was appointed vice-chairman to the Division of Plastic Surgery at the University of Texas Southwestern Medical Center following his residency. Since those appointments, he has been distinguished as a full professor at the above mentioned University and has served as Chief of Service at Baylor University Medical Center at Dallas. In addition, he is the Director of Plastic Surgery at Children's Medical Center, is past president of the Dallas County Society of Plastic Surgery, is a founding member and past president of the Rhinoplasty Society, and a former member of the board of the Plastic Surgery Educational Foundation. In a recent poll, "Best Doctors in America", Dr. Byrd was elected by his peers as one of the top plastic surgeons in the United States. He accredits this acknowledgment to his uncompromising commitment to the highest standard of patient care, to the development of innovative and state of the art surgical techniques, and to the betterment of his specialty through the educational and governmental process.
Dr. Byrd's practice emphasis is aesthetic surgery. He is internationally known for his techniques in endoscopic facelift and rhinoplasty techniques. He has been invited to multiple countries where he has demonstrated these techniques.
Though Dr. Byrd's practice is characterized by a higher than average number of facelift and rhinoplasty patients, the aesthetic balance is found by a high number of aesthetic breast, liposuction, body contouring patients. He is familiar with and utilizes a cross-section of saline implant styles, and commonly employs the endoscopic approach to breast enlargement. Similarly, he employs the latest techniques of liposuction and liposculpture including the use of syringe aspiration, tumescent infiltration, and fat grafting. Dr. Byrd's operating facility, Dallas Day Surgery Center, is a fully acredited facility with a nationally quoted safety record for outpatient plastic surgery procedures. Of special note is "The Cloister", a six room hotel adjacent to the operating facility and designed for overnight patient stay. Nurses oversee the facility and food services are provided. In short, the practice is designed to accommodate local and out of town patients with a minimum of inconvenience and a maximum of attention and care.
Honors Awards and Credentials
Curriculum Vitae
Henry Stephenson Byrd, M.D.
EDUCATION
North Texas State University, Denton, Texas, 1964-68; B.A. with Honors, University of Texas Medical Branch, Galveston, Texas, 1968-72; M.D. with Honors (AOA)
GRADUATE TRAINING
Straight Surgical Internship - University of Texas Southwestern Medical Center at Dallas, 1972-73
Residency in General Surgery - University of Utah Medical Center, Salt Lake City, Utah, 1973-77
Residency in Plastic Surgery - University of Texas Southwestern, Medical Center at Dallas, 1977-79
TEACHING APPOINTMENTS
Professor, Department of Plastic Surgery; University of Texas Southwestern Medical Center, Dallas, Texas, 1979-current
Chief of Pediatric Plastic Surgery Section, Children's Medical Center, Dallas, Texas, 1979-current

HOSPITAL APPOINTMENTS
Attending Staff, Parkland Memorial Hospital, Dallas
Director Plastic Surgery Service, and Member of Cleft Lip-Craniofacial Team, Children's Medical Center, Dallas
Attending Staff, Baylor University Medical Center, Dallas
Attending Staff, Zale Lipshy University Hospital, Dallas
LICENSURE
State of Texas & State of Utah
BOARD CERTIFICATION
American Board of Surgery, July, 1978
American Board of Plastic Surgery, May, 1980
HONORS AND AWARDS
Blue Key Honor Society, North Texas State University, Denton, Texas
Who's Who in American Colleges and Universities, North Texas State University, Denton, Texas
Alpha Omega Alpha, University of Texas Medical Branch, Galveston, Texas
1984 Winner, James Barrett Brown Award of the American Society of Plastic and Reconstructive Surgeons
MEMBERSHIP IN PROFESSIONAL SOCIETIES
American Society of Plastic Surgeons
American Association of Plastic Surgeons
American Society for Aesthetic Plastic Surgery
Fellow, American College of Surgeons
American Cleft Palate Association
Texas Medical Association
Texas Society of Plastic Surgeons
Board Certified Plastic and Cosmetic Surgeons of Dallas
Dallas County Medical Society
CURRENT PROFESSIONAL ACTIVITIES
Board Member, Plastic Surgery Educational Foundation, 1993-1995
Member, Education Commission, American Society for Aesthetic Plastic Surgery
Chairman of the Board Pediatric Surgical Alliance
Secretary Preferred Surgical Specialist of Texas
Secretary-Treasurer and Board Member, Selected Readings in Plastic Surgery, 1980-
Chairman, In-Service Exam Committee, Plastic Surgery Educational Foundation, 1989-91
Member, Long Range Planning Task Force, Plastic Surgery Educational Foundation, 1991
Member, Marketing Committee, Plastic Surgery Educational Foundation, 1991
Member, Scientific Program Committee, American Society of Plastic and Reconstructive Surgeons, 1991
Faculty member, Baker-Gordon-Stuzin 29th Annual Symposium on Cosmetic Surgery, February 1995; demonstrated live surgical technique of rhinoplasty, endoscopic brow lift, and upper facelift
Sole presenter, Surgical Rejuvenation of the Upper Face and Cheek: The Anatomy and Technique of the Deep Temporal Facelift, 11th Annual Teleplast of the Plastic Surgery Educational Foundation, Fall 1995; recorded surgery transmitted via satellite throughout the United States, Canada, and Mexico
Member, Board of Directors, Plastic Surgery Educational Foundation, 1996-98
Member, Select Committee on Forward Planning, Plastic Surgery Educational Foundation, 1996
Member, International Services Committee, Plastic Surgery Education Foundation, 1997-1999
President, Board Certified Plastic and Cosmetic Surgeons of Dallas, 1999-2000
President, Rhinoplasty Society 1999-2001
Member, Electronic Communications Committee, American Society for Aesthetic Plastic Surgery, Inc., 1998-2001
Member, Practice Relations Committee American Society for Aesthetic Plastic Surgery, Inc., 1998-2001
Chief of Service, Plastic and Reconstructive Surgery, Baylor University Medical Center, 1996-2001
Breast Augmentation Surgery
Breast augmentation is more than just putting a breast implant under the skin. I’ve watched the changes in Dallas as less experienced surgeons have promoted a “one size fits all” philosophy using one single implant and one single incision site for all patients. Having a beautiful, natural looking breast is not that simple.
My Approach
There are four basic surgical approaches to breast augmentation:
- Endoscopic – (armpit)
- Periareolar (around the outside edge of the nipple)
- Inframammary fold (below the breast, where chest and breast connect)
- Transumbilical (belly button)
The many secondary implant removal and replacements that I’ve done are evidence that the “one size fits all” theory doesn’t work. The attitude that the female breast can be stretched to any desired size is a decidedly abused idea. Working with an informed patient who directs the desired outcome, the surgeon can select the best implant and technique needed.
Saline and silicone implants come in several types:
- Smooth
- Textured
- High Profile
- Anatomical
Recent studies have determined that there is no relationship between silicone implants and breast cancer or autoimmune disease. The FDA is currently reintroducing silicone implants back into the market. Patients who are eligible for silicone implants are:
- Those who currently have silicone implants
- Patients who are undergoing breast reconstruction due to cancer
- Mastopexy (breast lift) patients
The current silicone gel implants are improved versions of earlier models. They have a thicker shell, which is filled with a “cohesive” gel material that is less subject to leakage. The current shells can be punctured without spilling their cohesive silicone gel.
The approved alternative available to augmentation patients is the saline implant. Saline, the standard IV fluid is absolutely harmless if a leak should occur. The occurrence of capsular contracture (hardened implants) has decreased to 3-5% with the use of saline implants.
The main objection to saline implants centers around the “feel” of the implant along the lower portion of the breast as well as visible rippling in very thin patients in the upper portion of the breast. as well as ripples visible in very thin patients. Placing the implant below the pectoral muscle eliminates both of these concerns, but does add to the recovery process.

Are You a Candidate?
Candidates for breast augmentation should be informed, healthy and have a reasonable expectation of improvement, not perfection, from the breast augmentation surgery. Childbirth, weight loss and breast surgeries are common causes of changes in breast shape that can be addressed by breast augmentation. Augmentation is not a magic pill that will dramatically change you or the way people treat you.
Cheek Augmentation
Angularity in the face is a desired aesthetic quality by our current standards of beauty. Individuals with prominent cheeks, angular jaw lines, and strong projecting chins constitute the angular face. These sites lend themselves to skeletal augmentation when deficiency is present (see chin).
Traditional skeletal augmentation involves the placement of synthetic materials over the facial bones to enhance their prominence. Preformed manufactured implants may not exactly "fit" the bone surface making them subject to "rock" or project unnaturally. For these reasons we have sought out and now use (since 1986) naturally occurring Hydroxyapatite (HA).

Hydroxyapatite (HA) is coral that has the same chemical components and porosity as human bone. In its granular form it is mixed with fibrillar collagen and blood and is injected onto the bone surface where it can be molded to near perfect contour. Due to its similarity with human bone, fibrous ingrowth into the HA occurs allowing it to become part of the body rather than being "walled off".
Cheek enhancement with HA is accomplished through a small incision in the hairline through which an endoscope is inserted. The dissection is carried down to the surface of the bone, at which time the bony deficiencies are easily visualized on the monitor. Appropriate amounts of HA are placed bilaterally and the created "pocket" is sutured closed so that the granules cannot migrate. Volumes of HA injected range from 1.5cc per side (small) to 3.5cc (large). The patient to the right had 3.5 cc of HA per side. The granular form of HA hardens within approximately 2 weeks from the date of injection. During the initial post-operative days the granules can be molded from the surface of the skin by use of fingertip massage and manipulation by the surgeon. In over eleven years of use we have had only two infections which were cured within days by using oral antibiotics. There have been no rejections or allergic reactions to the HA.