Femininity can be expressed in many ways; a common one being proportionate & well-positioned breasts. Women who are unhappy with the size, shape and overall appearance of their breasts due to a wide variety of factors, from natural asymmetry and aging to reconstruction, explore breast augmentation with implants as an excellent corrective option. Intended to add volume and definition to the breasts, a breast augmentation procedure will not only enhance your overall body proportions; it can also dramatically improve the fit of clothing, your self confidence and self-esteem. By selecting the right implants for your individual desires, New York plastic surgeons Daniel Maman, MD & Stafford Broumand, MD can help you achieve beautiful breast contours with exceptional, natural-looking results.
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.
-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.
Breast implants come in several different shapes, sizes, types, and textures. At 740 Park Plastic Surgery, Dr. Maman and Dr. Broumand offer saline and traditional silicone gel 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 surgeon 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.
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 begin the consultation, your surgeon 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.
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.
On the day of surgery, you will come into our office and be greeted by our staff. Once settled, you will meet our operating room team who our doctors have worked with for over 20 years. Your surgeon will review the pre-op process and bring you into the operating room to get changed, go through consents, and make sure everything is in order to proceed. We strive to make our operating room a very comfortable environment, with strict attention paid to safety.
The average breast augmentation procedure takes 1 to 1.5 hours, performed under general anesthesia. Tiny incisions are made at the site pre-determined during your consultation.
The breast implants are then carefully inserted through these incisions and positioned depending on your specific needs. 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. 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. Once the implants are properly situated, the incisions are carefully closed using small sutures.
Once the breast augmentation is complete, the same operating room team—as well as our board-certified anesthesiologist—will be present to greet you. You will wake up feeling incredibly well—almost as if waking from a long nap. Our team will help walk with assistance to a recovery room. 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 taken home safely the same day.
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.
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 post-operative 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 become relatively inconspicuous over time.