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Breast AugmentationPlastic Surgery in Latham, New York

Begin Your Journey

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.

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

What Does a Breast Augmentation Entail?

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. Placing the implants under the muscle also makes them much less likely to interfere with mammograms.

There are a number of choices for a patient to consider before receiving a breast augmentation, including implant type and size, whether to use the patient’s own fat to transfer, and where incisions should be made. As an experienced surgeon who has performed many breast-related procedures, Dr. Polynice walks each patient through every aspect of the procedure, and helps them to make informed, educated choices that address all concerns.

Breast augmentation may be performed in a surgeon’s office-based facility or an outpatient surgery center. Dr. 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.

Not sure about what breast size you would like to be?

3-D Vectra Imaging is included in pre-consultation. It is designed to educate patients about breast augmentation, and help patients decide before they have their surgery. This shows implants and shapes along with different views so patients don't have to imagine an outcome, they can see it!

Breast Implant Options

With the range of implant options available to enhance breasts, from the many materials and structures of breast implants to grafting their own fat, patients can successfully achieve the size, shape, and consistency they want.

Some of the most frequently used implants in breast augmentations include silicone gel implants, saline implants, and fat deposits collected from selected portions of a patient’s body. Silicone gel implants are what many patients prefer because of their more natural look and feel, as well as their reduced likelihood of rippling.

Saline implants are relatively safer in the event of a leak and easier to replace. Fat transfer breast augmentation uses liposuction to remove fat from parts of patient’s bodies and inject it into their breasts. This is a good option for women who are looking for a small increase in breast size. Fat deposits that are synthesized and transferred to the breasts, have a very low chance of rejection and are suitable to be used for either a more modest increase in size or an addition to a silicone or saline implant.

The choice of implant may play a role in which incision options are best suited for the procedure.

Incision Options

Dr. Polynice will make an incision in one of three possible areas: around the areola (periareolar), in the armpit (transaxillary), or underneath the breast in its crease (inframammary). All three areas ensure that any scarring after the surgery is as inconspicuous as possible.

As each patient has different physical characteristics and aesthetic goals, a consultation with a surgeon is the only way to determine which one may be appropriate.

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.

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 the 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.

Risks & Potential Complications

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 the 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 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.
For those considering a breast augmentation surgery, or wanting 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 The Plastic Surgery Center at Williams directly at (518) 243-8881.

Frequently Asked Questions

  • What is the implant made of?

    Breast implants are made of a silicone shell. This shell is then filled with saline, a salt-water solution.

  • What can I expect during a consultation for breast augmentation?

    During a consultation for breast augmentation, Dr. Polynice will take a thorough medical history, complete a breast exam, discuss the goals and explain all facets of the surgery including the technique, the anesthesia, the facility, the risks and the costs.

    Patients should have a clear idea of what they want their final breast size to be and it is often a good idea to bring photographs of women’s breasts that patients find desirable.

  • How do patients determine the size of the breasts they want?

    Determining the size that patients want their breasts to be is often a very difficult decision for breast augmentation patients. Patients can help determine this by looking at photographs of women’s breasts to find what is most desirable. Another great idea is to buy a variety of bras in different sizes and then try them out with padding, to see which size they prefer.

  • Where is the breast augmentation procedure performed?

    Breast augmentation may be performed in a surgeon’s office-based facility, an outpatient surgical center, or a hospital.

  • What sort of anesthesia is used for breast augmentation?

    Breast augmentation is commonly performed with either local anesthesia and sedation or with general anesthesia.

  • How long does breast augmentation take to perform?

    The actual breast augmentation surgery typically takes between one and two hours to complete. In addition, patients typically spend two more hours in recovery.

  • Will there be scars after my breast augmentation procedure?

    The incisions for breast augmentation will result in scars. However, efforts are made to ensure that the incisions and resulting scars are as inconspicuous as possible. After surgery, the scars will be pink and firm at first but will fade within several months.

  • Is breast augmentation a painful procedure?

    Patients should expect to feel some discomfort after surgery, though pain medication can be prescribed.

  • Should I have someone drive me home and stay with me after a breast augmentation?

    Patients should have someone drive them home after their procedure and stay with them during the first night or two after their procedure.

  • What is the recovery like with breast augmentation?

    Some discomfort is common after breast augmentation, and it’s generally recommended that patients take prescription pain medication to help control this. Bruising and swelling is also common, and the swelling will fade within three to five weeks. The breasts will appear unusually high during the first few weeks, but they will eventually settle into place.

    Bandages are typically worn during the first two to three days and are then replaced with a sports bra or support bra for the next four weeks. Push-up and underwire bras should not be worn during recovery. The stitches are usually removed in about seven to ten days. Breast massage is often recommended on a daily basis.

  • Is breast augmentation covered by insurance?

    Procedures performed solely for cosmetic purposed are typically not covered by insurance, though some degree of coverage may be available for procedures performed to reconstruct the breast after mastectomy or due to a congenital deformity.

  • Are breast implants permanent?

    The results of breast augmentation are not necessarily permanent as the implants may require removal or replacement at any time.

  • Is it possible to get financing for a cosmetic procedure?

    Financing is available for many plastic surgery procedures.

  • What does board certified mean?

    Not all surgeons are board certified. Surgeons who are board certified are those who are exceptionally committed to professionalism, quality patient care, and lifelong learning. All surgeons at The Williams Center are board certified by the American Board of Surgery.

Schedule Your Consultation

Call us today at (518) 786-7000

To request a consultation for breast augmentation, contact the Williams Center for Plastic Surgery.

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