Michelle Roughton, MD

Dr. Roughton is an amazing addition to Amelia Aesthetics. On August 31, 2021 she performed a tummy tuck, liposuction and repaired my dog ears (breast scar revision) from a breast reduction and lift I had 10 years ago.

I love her bedside manner and her attentiveness. I felt like I could put my body in her more than capable hands from the very 1st consultation that I had with her. She explained what results I could expect from the procedures. The day of surgery when she marked me up, she excitedly told me that I was going to be “hot” when she was done.

Great experience with this surgeon, she is very direct and tells you exactly what to expect. I had a revision with her after lateral displacement of my implants and the decision was not hard to chose her as my surgeon. I researched her previous work with breast cancer reconstruction and knew she was the right surgeon because she has breast implants herself. She informed me of pocket work and the need for a larger implant to achieve the results I was looking for, and I actually told her that if she thought a different size was necessary to make that decision for me while I was under. She did! I am very happy with my results and I do wish I would have gone to her the first time.

Dr. Roughton is a gifted and knowledgeable plastic surgeon, with many years of experience. I am so thankful to have had my procedure with her. Swimsuit shopping is no longer a chore. I love my results!!

I had an amazing experience with Dr. Roughton! She performed my Breast Lift and Augmentation and I am so happy with the results. With Dr. Roughton, it’s so easy and comfortable. She listens to you about what you’re wanting, and then tells you her expert advice that really brings home the most realistic outcome to expect for yourself. I was so happy with her and my experience, that I recommended a family member go to her..and that’s saying something.

Everything just clicked with Dr. Roughton from the moment I first met her at my consult. I loved her straight-forward, no-nonsense, witty, humorous way of interacting and felt at ease with her from the very start.
She made me feel completely at ease on the day of surgery and and checked in with me multiple times post op to make sure my recovery was going well.
I am in love with my new boobies and tell all my friends who are considering a breast augmentation to consult with Dr. Roughton!

In case anyone skims, I want to preface this by saying that Dr. Roughton is an absolute INCREDIBLE surgeon and I would trust her with my life! The negative points made in this review are concerning another surgeon and the mess Dr. Roughton had to fix in order to give me my dream boobies!!!
When I went to see Dr. Roughton, I had implants too small for my frame, too narrow for my chest width, and horribly displaced. My first experience with a breast augmentation was downright disappointing and left me with breast more depressing than the sheer lack of what I had before. Not only did I never even get a chance to try on sizers I was also never given a choice of various implant types - something I didn't realize was suspicious in itself until later research. My first surgeon told me everything I wanted to hear at my consultation, but when it came time for my pre-op, one day prior and after I had already paid my fees in full and surpassed the refundable time period, he was suddenly singing a different tune. He all but shamed me for the breast size I wanted, claiming I would look 'fake' and top heavy. He insisted on being ultra-conservative and said that what we had previously discussed simply would not fit in my body. At that point I felt totally dismissed and hopeless. I could either go through with a surgery I had anticipated and wanted to 27 years, or walk away from nearly 6k and my dream of having breasts. My eager self went against better judgment and I had surgery the following day. After having asked for roughly 350-400 CC implants, I woke up with 200 CC's in my L breast and 245 CC's in my R breast. To say I was devastated was an understatement. Even worse, within just a few weeks, my implants began to bottom out.
By the time I saw Dr. Roughton, my implants were sitting so low that my nipples pointed straight upward and I felt depressed every time I looked at myself naked. When I had my consultation with her, my only goal was to just look 'normal' again. I didn't even care about having larger breasts anymore. So imagine my surprise when I FINALLY met a surgeon who spent an HOUR allowing me to talk, share my feelings, and answer my laundry list of questions at only a consultation appointment. Not only that, but Dr. Roughton shared with me that she herself had implants. I was immediately comforted knowing that I wouldn't be judged for wanting my body to look a certain way; she knew exactly what I meant. Dr. Roughton was kind, patient, and honest. She was up front about what was possible and what was not. She gave me fair expectations and didn't try to sugar-coat anything just to secure a patient.
Before I left her office, I made my down-payment. I was CERTAIN Dr. Roughton was the right choice and there was no need to look any further. After being given all the time I wanted to try on sizers and take selfies, Dr. Roughton and I decided on 505 CC's for my L breast and 590 CC's for my R breast (2 different sizes to correct asymmetry). I was also able to feel various implants and make an informed decision to get a result that mirrored the idea in my head. In the end, I chose Sientra 106 style silicone round smooth high profile implants placed sub-muscularly with an inframammary incision. Dr. Roughton also place gala dissolvable mesh during surgery to correct my displacement and provide increased support to my pocket while my own body creates scar tissue and strengthens the capsule.
Not only do I feel that Dr. Roughton gave me the very best results I could have possibly achieved for this revision, she also gave me my confidence and she gave me a voice. She reminded me that there is power in knowledge. I have since taken the opportunity to share my story via social media so that other women can steer clear of close-minded surgeons like the one I first experienced and save themselves from a world of disappointment. Dr. Roughton is a superior surgeon but furthermore, she is an upstanding woman and someone I am proud to have been a patient of. Her staff at Amelia Aesthetics is the absolute best bar none! I'm talking customer service like you have never seen before. If you are considering a breast augmentation, revision, or any other plastic surgery for that matter, I urge you to seek out a consultation with Dr. Roughton. I promise you will be so happy you did!
MY STATS:
5'9" and about 135-140 lbs; athletic build
Pre-BA: 32AA
Pre-revision: 200cc L 245cc R Mentor Smooth Round HP Silicone 32C
3 Weeks Post Revision: 505cc L 590cc R Sientra 106 Style Smooth Round HP Silicone - currently measuring 32DDD

Having two kids and exclusively pumping for over a year with both of the girls wrecked my body [especially my boobs].
I hated my body. Like cry looking in the mirror hated it. I started working out and eating right and fell back in love with my legs and stomach but my boobs were still saggy sacks of empty skin.
With the support of my incredible husband I made the consultation appointment. I walked into the consultation feeling anxious and like I was making a mistake. By the end of the meeting with the amazing dr. Roughton I felt empowered to take my body back. I scheduled my surgery at the end of my consultation for the end of that week! 
I have been pretty quiet about my surgery because at first I was afraid of being shamed. I felt selfish for doing something for myself instead of putting everyone else first. But I was wrong. I deserved to do something for myself. To invest in my body and my self-confidence did not make me a bad mom, in fact, it made me a better one. I feel like the old me, I'm comfortable again which makes me feel better in all aspects of my life. 
My body is something I should be proud of *surgery or not* but more than that maybe I can be the reason another woman decides to do something she has always dreamt of but has been too afraid to invest in herself! 
Having this surgery was by far the best decision I have ever made for myself! I feel confident in my skin again. I feel sexy 
I highly recommend any woman on the fence about breast surgery or plastic surgery in the general meet with the amazing dr. Roughton. She is a miracle worker and made all my boobie dreams come true!

Dr. Roughton is both professional and personable. She is very honest about her own experience as a doctor *and* a patient, which I appreciated. She took the time to answer all my questions at my pre-op appointment, and then triple check the marks she made before my surgery. I would absolutely recommend her to all my friends!

I can not even begin to describe how happy I am with choosing Dr. Roughton, with Davis & Pyle Plastic Surgery! The entire staff was so welcoming and kind. Dr. Roughton was so down to earth, and I felt like I could trust her as my surgeon immediately. Jenny stayed with me during my pre-op and was so kind and calming! So many laughs and lighthearted conversations during my consultation and pre-op, they could not have done a better job at easing any nerves I may have had. Both Dr. Roughton and Jenny not only gave me their cell phone numbers after the surgery, but individually called and texted me that night to make sure I was doing okay! If you have a chance to go with them, do it! I was an out of town patient ($500 travelers Bustmob discount y'all! ) and we did a Skype consult, but we were undecided about size until the day before! I went in for my pre-op the day before my surgery, on Wednesday, 11/20, and we used the Vectra Imaging machine to decide on 435 CC Sientra 106 implants, under the muscle. My before pictures are post-pregnancy, I was a deflated 34B (probably an A, who am I kidding. I couldn't even fill out my B bra on a good day if I tried). I am 5'2 112 pounds for reference. The best advice is that if you are between 50 CCs for sizing, always go with the larger size! 50 CCs are only a few mm difference, and it is definitely more of a mental thing. I struggled the entire night before with debating if I was going too big, but ultimately decided to stop stressing and just go for it! The coobie bra they supplied me was actually super cute and comfortable, and I will probably wear it all the time. I did buy a set of four zip up sports bras off of amazon for $28 that will do the trick when it's actually time to wash your post-surgical bra. The first set of post-op pictures are from a few hours after my surgery, and the last set of post-op pictures are my 7 day pictures with boobs! I have wanted my breasts done for 10 years now. Turning 30 years old really made me decide it is now or never. I am so happy I took the plunge. I'm even happier I spent over a year researching plastic surgery centers and landing on Dr. Roughton, Jenny Eden, and the entire staff at Davis and Pyle, I could not have asked for more from this entire experience.

Updated on 31 Jan 2021:
Just wanted to update with pictures! Some days I still feel like I went too big but I have zero regrets and would do it all over again!

Dr. Roughton is the best cosmetic surgeon in Raleigh, hands down. She is down to earth, extremely professional and very thorough. My results are more than amazing. She took o much time listening to me and my expectations.Highly recommend her!!!!

Updated on 9 Mar 2022:
After a couple of months I noticed that my breasts were uneven and rippled really bad. I can see the implant projecting on the right breast. Reached out, was not offered any help, except they wanted me to pay again to fix it. Very disappointed. Also asked to place under the muscle but was not. This was a replacement and very sad and disappointed. Just stuck with this now.