Many women who are unhappy with the size, shape, and/or overall appearance of their breasts may discover that breast augmentation with implants can be an excellent cosmetic surgical option. Intended to add volume and definition to the breasts, this procedure can not only enhance your overall body proportions, it can also dramatically improve your self confidence and esteem in the way you look. By selecting the right implants for your unique desires, New York plastic surgeons Stafford R. Broumand, MD and Daniel Y. Maman, MD can help you achieve beautiful breast contours with exceptional, natural-looking results.
What Can Breast Augmentation Do for Me?
For women interested in improving the overall size and appearance of their breasts, an augmentation with implants can often prove to be an ideal solution. Depending on your unique needs and desires, breast augmentation may be able to help:
- Enhance breast size and fullness
- Improve breast contour and curvature
- Restore lost breast volume
- Correct size discrepancies and/or other breast asymmetries
In addition to these benefits, breast augmentation can also help rejuvenate your figure for a more youthful physique, as well as improve the fit and/or look of many bras, blouses, and swimsuit varieties.
*Results May Vary
Candidates for Breast Augmentation
Breast augmentation can be an excellent option for women seeking to improve the overall size and appearance of their breasts. Good candidates for this procedure are typically those who can relate to one or more of the following:
- Want a larger breast size
- Desire to fill out swimsuits and/or clothing a bit better
- Have disproportionately sized and/or shaped breasts
- Have experienced breast volume loss due to pregnancy, breastfeeding, weight reduction, and/or the process of aging
- Have a minor amount of breast drooping accompanied by volume loss
Along with these qualifications, ideal breast augmentation candidates must be in good overall health, have no unmanaged medical conditions, and have stopped smoking for at least two weeks leading up to their procedure. In addition, women who have recently had children should wait a minimum of one to two months following the cessation of breastfeeding in order for an accurate preoperative breast size to be determined. All of these factors will be discussed in full detail at the time of your consultation.
Considerations for Breast Augmentation
When it comes to breast augmentation, there are many elements that factor into achieving an ideal outcome. Below are a few details to take into consideration prior to surgery.
Breast Augmentation or Breast Lift?
A breast lift, medically referred to as mastopexy, is performed to raise and recontour the breasts for a more youthful, natural-looking appearance. As a result, a breast lift alone can generally be an excellent option for women who wish to eliminate extra skin and notable drooping in the breasts but do not desire to significantly increase their breast size. Contrarily, a breast augmentation is designed to enhance both the size and contour of the breasts. Although the procedure may possibly correct minor drooping and/or excess skin for certain individuals, breast augmentation on its own is typically the most appropriate option for patients exclusively seeking to improve the shape and volume of their breasts.
For those interested in increasing their breast size in addition to correcting a considerable degree of drooping, a breast lift and breast augmentation can often be performed in combination with one another. Known as an augmentation-mastopexy or a breast lift with implants, this procedure can help to elevate the breasts and eliminate excess skin while also creating more upper pole fullness for a rejuvenated overall shape and projection. For more information, please check out our page dedicated to breast lift with implants.
Breast Implant Options
Breast implants come in several different shapes, sizes, types, and textures. At 740 Park Plastic Surgery, Dr. Maman and Dr. Broumand offer saline, traditional silicone gel, and cohesive silicone gel (gummy bear) implants. In addition, patients have the option of a smooth or textured outer surface as well as a round or anatomically contoured implant shape, all of which can create excellent outcomes for the right individuals.
Selecting the best implant for you will be based on a variety of factors, including your unique needs and desired results. During your consultation, one of our board-certified plastic surgeons will thoroughly discuss all available options, making sure to highlight the pros and cons of each selection. Once all possible options have been explored, your doctor will help you choose the breast implants that can safely and most effectively help you achieve your breast enhancement goals.
To learn more about our implant selection, please visit our page on breast implants.
There are three options for implant placement: below the muscle (submuscular), above the muscle (subglandular), and dual plane. Each position can create an exceptional outcome for the right patient, though our plastic surgeons generally favor the dual plane technique. This placement tends to yield the advantages of both submuscular and subglandular positioning—it provides a more natural-appearing upper pole slope and added soft tissue coverage over the edge of the implant, as well as an improved aesthetic and greater durability in the lower pole of the breast. Based on your specific needs and desires, your doctor will discuss the pros and cons of each option and help you select the most appropriate implant placement for your surgery.
Breast Augmentation Incisions
Dr. Maman and Dr. Broumand offer four incision options to patients seeking breast augmentation:
- Periareolar Incision – This incision is made in the crease of the armpit.
- Inframammary Incision – This incision is made along the natural fold (inframammary crease) beneath the breasts.
- Transaxillary Incision – This incision is made in the crease of the armpit
- Transumbilical Incision – This incision is made in the belly button.
Each of these techniques offer unique advantages and disadvantages, all of which can be covered in full detail at the time of the consultation. To learn more about breast augmentation incision options, please contact our practice.
When to Schedule Breast Augmentation Surgery
Our plastic surgeons strive to make sure every patient develops a strong connection with them, as well as a deep understanding of the entire breast augmentation procedure. If this takes one visit, two visits, three visits, or even a visit with a significant other, we want to see you as much as needed to ensure you have reached a supreme comfort level before scheduling your procedure.
Should you decide to proceed with surgery, we can generally perform the procedure in as little as a few days from the consultation, as long as your medical history and physical health check out. In other cases, patients take months or years to feel completely comfortable with the decision (or finally have the time to dedicate to this process), which is normal and understandable. We never want to proceed until you are 100% comfortable with the procedure, the expectations, and our practice.
What Is the Breast Augmentation Consultation Like?
To begin the consultation, one of our doctors will first listen to your aesthetic goals and conduct a physical exam to make sure your concern(s) is something that can be addressed effectively with breast augmentation. Following the physical assessment, he will cover medical history, family history, social history, and any prior surgical history to make sure he understands the entire picture. It is important for your surgeon to really grasp the full extent of your motivation for pursuing aesthetic enhancement due to the thoughtful planning and consideration required for cosmetic surgery.
Once your aesthetic desires are clear, Dr. Broumand or Dr. Maman will then continue the conversation by outlining a customized treatment plan that takes into consideration everything from chest size and hip width to body shape and profile. Your surgeon will also identify what a reasonable goal for the procedure would be, as well as what type of outcome can be expected. This is accomplished through VECTRA® XT 3D imaging—a state-of-the-art system that has revolutionized the breast augmentation planning process. With this innovative device, you are able select from numerous implant options and view a three dimensional image of how these implants may look on your own body. To get a better idea of how VECTRA® XT 3D imaging works, please view the video below.
Our team strives to make each patient look and feel better, and in the end, we have a simple aim in mind: we want you to be happy. If we can better understand your unique aspirations and desires for your cosmetic enhancement—and if we’re able to connect and define a treatment plan that will help you achieve these goals—then we proceed with scheduling surgery whenever you are comfortable doing so.
How Is Breast Augmentation Performed?
On the day of surgery, you will come into the office you visited during the consultation process and be greeted by our staff. Once settled, you will meet our operating room team, some of whom our doctors have worked with for over 20 years. From the very beginning, our doctors and staff are all focused on you as they run through the pre-op process and bring you into the operating room to get changed, go through the pre-op signatures, and make sure everything is in place and ready to proceed. We strive to make the setting in the OR a very safe and comfortable environment, with strict attention paid to every manner of your comfort.
To perform the actual breast augmentation procedure, tiny incisions are made at the site that was predetermined during the consultation. The breast implants are then carefully inserted through these incisions and positioned above or below the breast muscle, depending on your specific needs. (See below for details about our doctors’ specialized implant placement technique.) Once the implants are properly situated, the incisions are carefully closed using small sutures. Performed under general anesthesia, the entire procedure generally takes about one hour.
Once the breast augmentation is complete, the same operating room team—as well as our board-certified anesthesiologist—will be present to greet you. From here, the process is relatively simple, as you will wake up feeling incredibly well—almost as if waking from a terrific nap. Ensuring that you are in no pain, our team will help you walk under your own power to a recovery room, which is something we encourage. You will be in this room for about an hour as our surgical team makes sure you are comfortable to go home they then will coordinate with a friend or family member for you to be picked up and take home the same day.
Keller Funnel™ Technique
When placing silicone breast implants, Dr. Broumand and Dr. Maman often employ the Keller Funnel™ “No-Touch” technique. This innovative approach enables implants to be inserted into the breast pocket without coming into contact with any skin. In addition, the Keller Funnel™ device allows our doctors to gently slide the implants into position through a smaller incision without directly touching them. Ultimately, Dr. Maman and Dr. Broumand believe this advanced implant placement technique can help lower the chance of capsular contracture, diminish the risk of bacterial infection and/or trauma to the outer shell of the implant, and minimize residual scarring.
Breast Augmentation Recovery
Following breast augmentation with implants, your surgeon will call in the evening to ensure you feel well and answer any questions you may have. Moving forward, follow-up visits are typically scheduled for one week, two weeks, three weeks, four weeks, six weeks, three months, six months, and one year after the procedure.
In regard to side effects and/or restrictions after breast augmentation, some degree of swelling, bruising, and/or numbness in the nipples and breasts may be experienced, though these symptoms should subside over the first few postoperative weeks. Any potential discomfort can generally be managed with medication, and the majority of patients are able to resume normal, non-strenuous routines after approximately one week. That said, Dr. Broumand and Dr. Maman typically advise that you refrain from any rigorous exercise or strenuous physical activities for several weeks to help ensure proper healing and ideal, long-term outcomes. Due to our doctors’ meticulous surgical technique, any residual scarring from surgery should heal nicely and become relatively inconspicuous over time.
Become More Informed About Breast Augmentation
As with any plastic surgery procedure, patient education plays a key role in achieving a smooth treatment and successful breast augmentation outcome. Throughout the consultation process, our doctors will explain every facet of the procedure in complete detail, ensuring that you are fully informed about your various choices, as well as what to expect both before, during, and after surgery. At any point in time, they encourage you to ask questions and/or express any concerns you may have in order to gain a better understanding of the procedure and feel completely comfortable with your decision. Our team understands the vast amount of information there is to absorb, and we are happy to progress with you along your aesthetic journey at your chosen pace, making sure to never pressure or rush you into anything you are not prepared for.