212.920.6800
Daniel Y. Maman, MD FACS

Breast Augmentation

The desire for fuller, more substantial, or more shapely breasts is one of the most sought-after cosmetic goals today. Many patients are dissatisfied with their breast proportions and look for ways to improve them with plastic surgery in NYC. Breast augmentation is an option to reshape your bosom and increase its size, which can boost confidence and create more appealing overall proportions.

The breasts have a tendency to change with age, leading many patients to seek breast augmentation. Others wish to enhance their look by increasing breast size, improving shape, and correcting irregularities.

What is Breast Augmentation?

Breast augmentation can help make your breasts look fuller and more prominent, for both cosmetic and reconstructive purposes. Women who suffer from breast cancer can feel more comfortable after receiving a breast augmentation following a mastectomy.

Breast augmentation is a common form of plastic surgery in NYC that is performed with the placement of breast implants or by way of fat transfer.

Implants

The majority of patients receive breast implants, which consist of either silicone or saline-filled shells. Both incorporate the surgical implantation of silicone shells that contain a saline solution of sterile water (saline implants) or a synthetic gel (silicone implants). These implants most often sit under the breast tissue and muscle to create a more natural look, that has less of a chance to change with movement or natural aging.

There are small risks associated with silicone-based implants, as they would need to be quickly removed or replaced if any leakage occurs. Patients tend to prefer silicone as they result in fewer surface variations and smoother outcomes. Saline-based implants, on the other hand, come in a wider variety of custom sizing. Some patients prefer this flexibility and the peace of mind that comes with a natural filling. The type of implant you receive is entirely up to you. Dr. Maman will help you decide what is best for your body and particular situation.

Fat Transfer

The secondary breast augmentation method is fat transfer, which uses fat transferred from different parts of the body to increase volume or correct irregularities. Fat is usually sourced from the stomach or hips using liposuction. The surgery requires specific preparation; skin and breast tissues must be expanded before Dr. Maman can insert the fat into the breast pocket. Depending on the patient’s needs, this procedure may be more beneficial than implants. However, fat is less predictable than implants and has a risk of moving around or changing texture creating conditions that would require regular analyses.

It is important to note that the expansion process before surgery does take time. You will need to use an expansion system, which consists of suction cups that sit on your breasts for three to five weeks, increasing the frequency in which you wear them as you near the operation. The week before surgery, patients will wear these cups throughout the entire day, removing them only when showering. Patients must also use the system for up to three months after the procedure. The suction cups expand the tissue and also increase the body’s blood flow.

Anyone who struggles with a lack of confidence due to smaller breast size, disproportionate sized or shaped breasts, and/or breast volume loss, is a potential candidate for breast augmentation, but you must make the decision for yourself. The best candidates are healthy, non-smokers who understand the process and have realistic expectations for plastic surgery in NYC.

Breast Augmentation Gallery

 

The Procedure

Dr. Maman will discuss your goals, questions, and procedure in great detail during your consultation and preoperative appointments. He will conduct a physical examination during your initial visit and will address your medical and surgical history to have a comprehensive understanding of your needs. Dr. Maman will discuss your treatment plan, thoroughly exploring all your options to help you identify realistic and reasonable goals.

Breast augmentation generally takes about one to two hours to perform. You will receive general anesthesia so that you do not feel any pain during the procedure. Dr. Maman will make incisions that are specific to your surgery and situation. Most likely, incisions will be placed under the breasts and/or around the nipple. These incisions give access to the area around the breast tissue where Dr. Maman can insert implants or fat. These incisions will form a minor scar. Any marks will be hidden in the natural curves of the body or by clothing and minimized with the proper post-procedure protocol. After Dr. Maman places the silicone or saline breast implants you can return home the same day, following a short recovery period.

Results and Recovery

You will notice a marked difference immediately. It will take some time for the swelling to diminish and the implants to settle into their final position. Dr. Maman will help you heal as quickly as possible. Bandages, compression with a surgical bra, and necessary medication will all help for a smooth recovery. You will be provided with all post-operative care instructions and any follow-up appointments for continued care. Most patients will start to feel better and active within one week, but the total recovery time takes an average of four to six weeks.

Although breast implants can last a long time, they eventually may need to be replaced for a variety of reasons such as age and related changes to the skin. It is also important to regularly check your implants to ensure there are no complications, including regular imaging for those with silicone-filled implants. If you received a fat transfer, the fat may not fully survive in its new home, risking re-absorption into the body. As a result, the breast may revert to a slightly smaller size over time.

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As the situation with COVID-19 evolves we are taking every precaution to safeguard the well-being of our patients and staff. That’s why we are expanding our consultation options to offer comprehensive virtual visits with Dr. Maman.

1165 Park Avenue, New York, NY 10128