Breast AugmentationLatham and New York, NY

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?

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.

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 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 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 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 your surgeon is the only way to determine which one may be appropriate for you.

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.

Frequently Asked Questions

  • What is breast augmentation?

    Breast augmentation, also referred to as breast enlargement and augmentation mammoplasty, is a procedure which can enhance the size and shape of the breast with the use of a breast implant. Breast augmentation may be used to enlarge the size of small breasts, even out differences in breast size, restore volume to breasts after weight loss or pregnancy, or reconstruct the breast after mastectomy.

  • How do I know if I'm a good candidate for breast augmentation?

    Candidates for breast augmentation include women who are looking to enhance the size or shape of the breast and are physically healthy and realistic in their expectations.

  • 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, the surgeon will take a thorough medical history, complete a breast exam, discuss your goals and explain all facets of the surgery including the technique, the anesthesia, the facility, the risks and the costs. Patients should have a fairly clear idea of what they want their final breast size to be and it’s often a good idea to bring photographs of women’s breasts that you find desirable to the consultation.

  • How do you determine the size of the breasts?

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

  • 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 is breast augmentation performed?

    Incisions are made either around the areola, underneath the breast, or in the armpit. The breast tissue is then lifted and a pocked is created into which the implant is inserted. The implant may be placed directly behind the breast tissue or underneath the chest wall muscle, they are centered beneath the nipples and the incisions are then closed.

  • 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.

  • Where are the incisions made for breast augmentation?

    There are several different incision locations that may be used. The most common locations include around the areola, underneath the breast, and in the armpit.

  • 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 placed so as to be as inconspicuous as possible. After surgery, the scars will be pink and firm at first but they 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.

  • Is it okay if I drive myself home after my breast augmentation procedure?

    Patients should have someone drive them home after their procedure.

  • Is it necessary to have someone stay with me at home after my breast augmentation procedure?

    It’s best for patients to plan to have someone 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.

  • How much time will I need to take off from work in order to recover from breast augmentation?

    Most patients can go back to work in a few days.

  • How soon after breast augmentation are the stitches removed?

    The stitches are usually removed after seven to ten days.

  • Are there any risks or complications associated with breast augmentation?

    As with all types of surgery there are potential complications and these may 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.

  • 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?

Schedule Your Consultation

Call us today at (518) 490-0726

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

  • This field is for validation purposes and should be left unchanged.