Stafford R. Broumand, MD
Daniel Y. Maman, MD 740 Park Avenue,
New York, New York

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Breast Augmentation

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, Dr. Stafford R. Broumand and Dr. Daniel Y. Maman can help you achieve beautiful breast contours with exceptional, natural-looking results.

What Can Breast Augmentation Do for Me?*

Depending on your specific needs and aesthetic goals, breast augmentation with implants may be able to help:

  • Increase the size and fullness of your breasts
  • Enhance the shape and curvature of your breasts
  • Restore lost volume in the breasts
  • Correct breast asymmetries
  • Rejuvenate your figure
  • Improve the look and/or fit of blouses, bras, and swimwear

* 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 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, each of which can create excellent outcomes for the right patients. 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 breast implant page.

Implant Placement

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 two incision options to patients seeking breast augmentation: the periareolar incision and the transaxillary incision. Made at the base of the areola, the periareolar incision is short in length and tends to heal inconspicuously where the darker pigment of the nipple-areolar complex meets the normal breast skin color. Located in the crease of the armpit, the transaxillary incision is also relatively tiny, and it has the added benefit of producing no postoperative scarring on the breasts themselves. Each of these options has its advantages and disadvantages for every individual, all of which will be covered extensively by your plastic surgeon.

The Breast Augmentation Procedure


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During breast augmentation, tiny incisions are typically made along the bottom margin of the areola or at the underarm crease. The breast implants of your choice are then carefully inserted through these incisions and positioned above or below the breast muscle, depending on your specific needs. 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 to complete, and most individuals are able to return home under the care and supervision of a friend or family member.

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, some 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 their location as well as our doctors’ meticulous surgical technique, any residual scarring from surgery should heal nicely and become relatively inconspicuous over time.

Interested in Breast Augmentation Without Breast Implants?

Breast implants may not be for everyone, which is why Dr. Maman and Dr. Broumand offer breast augmentation with fat transfer an alternative solution for patients seeking to increase the size of their breasts without implants. Using this advanced method, our surgeons can extract fat tissue from your own body and transfer it to the breasts for an improved size and shape. As an added benefit, a slimmer, more toned contour can often be achieved in the area from which fat is removed. To learn more about this innovative surgical technique, please check out our page on natural breast enhancement.

Become More Informed About Breast Augmentation

As with any plastic surgery procedure, patient education plays a key rule 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.

VECTRA® XT imaging is a state-of-the-art system that has revolutionized the breast augmentation planning process. With this innovative device, patients are able select from numerous implant options and view a three dimensional image of how these implants may look on their own body. To get a better idea of how VECTRA® XT 3D imaging works, please view the video above.

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For more information about breast augmentation with implants, or if you are interested in scheduling a consultation with one of our board certified plastic surgeons, please contact us today.