Achieve Beautiful, Full Breasts at Our New York & Albany Surgical Centers
Breast augmentation, also known as breast enlargement or augmentation mammoplasty, is a procedure designed to enhance the shape and size of the breasts using a breast implant.
Breast augmentation at our New York-based practice may be performed to enlarge the size of small breasts, even out breasts that differ in size, restore breast volume after pregnancy or weight loss, or reconstruct the breast following a mastectomy.
Who May Be an Appropriate Candidate for Breast Augmentation?
Candidates for breast augmentation should be physically healthy and developed, as well as realistic in their expectations for the operation, which may include:
- Making naturally small breasts larger
- Balancing breasts that are uneven in size
- Restoring breasts to the size and shape they were before pregnancy, breastfeeding, aging, and/or weight loss
- Augmenting the appearance of cleavage
- Improving confidence and appearance across a range of clothing
In some cases, a breast lift (mastopexy) or breast augmentation combined with a lift may be more suitable for patients who wish to correct the appearance of sagging breasts by improving upon their contour and elevation.
Breast revision/reconstruction is also an option for patients who wish to correct deformities from a previous surgery (especially those required for breast cancer).
What Does a Breast Augmentation Entail?
Breast augmentation may be performed in a surgeon’s office-based facility or an outpatient surgery center. Dr. Alain Polynice, a board-certified plastic surgeon, performs this cosmetic procedure as an outpatient surgery at The New England Laser and Cosmetic Surgery Center. Breast augmentation can be done under either Monitored Anesthesia Care (MAC) or with general anesthesia.
The breast augmentation procedure itself typically takes about an hour to perform, as long as there are no complications, along with an additional one to two hours spent in a post-surgery recovery room.
The implant may be placed either directly underneath the breast tissue itself, or underneath the pectoral muscle. They are then centered beneath the nipples, and the incisions are sutured closed. Dr. Polynice prefers to place the implants under the muscle, as this gives the augmented breast a much more natural appearance and feel. Also, placing the implants under the muscle makes them much less likely to interfere with mammograms.
There are a number of choices a patient has to consider before receiving a breast augmentation, including implant type and size, and incision method. As an experienced surgeon who has performed many breast-related procedures, Dr. Polynice walks each patient through every aspect of the procedure, and helps her to make informed, educated choices that address her concerns.
Breast Implant Options
With the range of options available to enhance the breasts, from the many materials and structures of breast implants to grafting their own fat, patients are able to successfully achieve the size, shape, and consistency they want.
Some of the most frequently used implants in breast augmentations include silicone gel implants (which many patients have preferred for their more natural look and feel, as well as their reduced likelihood of rippling); saline implants (which are relatively safer in the event of a leak and easier to replace); or fat deposits collected from selected portions of a patient’s body, then synthesized and transferred to the breasts (which have a very low chance of rejection and are suitable for either a more modest increase in size or an addition to a silicone or saline implant).
The shell of the implant may be textured or smooth. Its shape may resemble a teardrop or be more rounded.
The choice of implant may play a role in which incision options are best suited for the procedure.
Not sure about what breast size you would like to be?
Request a Free Consultation with Dr. Polynice
3-D Vectra Imaging is included in pre-consultation. It is designed to educate patients about breast augmentation, and help you in your decision before you have your surgery. This shows implants and shapes along with different views so you don’t have to imagine an outcome, you can see it!
Breast augmentation may be performed through different incisions, with the three most common being:
- around the areola
- underneath the breast (in its crease)
- in the armpit
Once the incisions are made, the breast tissue is lifted and a pocket created for insertion of the implant.
Recovering from a Breast Augmentation Procedure
Dr. Polynice provides patients with detailed and comprehensive information about what to expect after a breast augmentation, and instructions regarding any medications and post-surgical care. If patients have any questions or concerns during their recovery process, we encourage them to contact our practice for further guidance. Following the instructions provided for both preparation and aftercare for the surgery as closely as possible is key in having a successful recovery.
After breast augmentation surgery, patients can expect to experience some amount of discomfort. Common post-surgical effects, such as swelling, soreness, and bruising, are temporary. It is generally recommended that patients take the prescribed pain medication to help control this discomfort. The doctor offers the use of a pain pump that contains Marcaine, which numbs the area and greatly reduces discomfort. The pump is left in for two days and is removed at your first post-op appointment.
The breasts will be bandaged for the first two or three days after the breast augmentation operation, after which a post-surgical support bra or sports bra should be worn for about four weeks. Patients should avoid wearing push-up or underwire bras during this time, and for up to one year after breast augmentation. Daily breast massage is recommended during recovery.
Though the breasts may appear to be larger than expected and/or sit unusually high in the first few weeks after surgery, they will eventually settle into place once most of the swelling has resolved. Bruising, soreness, and swelling will usually resolve on their own within two to three weeks.
Most patients are able to return to work and other normal activities within a week, though strenuous physical activity and exercise should be avoided for about four weeks.
Breast augmentation is one of the most frequently performed cosmetic surgical procedures in the United States, with hundreds of thousands of women choosing to receive breast implants every year. As with any medical operation, there are certain risks involved, making it very important to select a board-certified, experienced plastic surgeon to perform the procedure.
The potential complications associated with breast augmentation include adverse anesthesia reactions, bleeding, capsular contracture, changes in nipple or breast sensation, implant deflation or rupture, infection, mammography interference, and removal and/or replacement of the implant. These can be discussed in detail at the time of your consultation.
A Final Note on Breast Augmentation
The choice to receive a breast augmentation can be a very personal and intimate decision. As such, it is very important to be as open and clear about your concerns and desired results as possible, while understanding that there is no one-size-fits-all solution. Every detail of the procedure is tailored to fit the unique concerns and existing physiological characteristics of each patient.
A skilled and licensed plastic surgeon can recommend the best possible course of action for a patient who is straightforward about her hopes and expectations, upfront about her medical history and health concerns, and committed and diligent in following all pre- and post-surgical instructions provided by the surgeon.
If you are considering a breast augmentation surgery, or would simply like to learn more about the procedure, Dr. Alain Polynice would be happy to advise you on which options would be well-suited to achieve your aesthetic goals. Request a consultation online or by phoning the Williams Center for Plastic Surgery directly at (800) 742-2797.