Breast enhancement surgery is among the most commonly performed cosmetic surgeries in the United States and one of our most popular services. Today women have many options available to them when planning this surgery. All of the surgical concerns such as implant material, size, shape, and location are carefully determined by you and Dr. Roland prior to surgery. These issues are carefully explained to you during your initial consultation, and during a second pre-operative appointment centered on sizing your implants. Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Roland's expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.
Every woman considering breast enhancement surgery is unique in her wishes and her form. With this in mind, the Doctor takes the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which implant type and implant placement is best. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind. This program allows you to best achieve your desired result based on your anatomy, expectations, and lifestyle.
Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are safe, and approved by the U.S. Food and Drug Administration (FDA). Each type of implant has different considerations when planning your surgery and different characteristics once implanted. All of these factors will be carefully explained to you, to help you decide which type is right for you.
The breast augmentation procedure lasts one to two hours and is typically performed with general anesthesia. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located:
The breast pocket is then created into which the implant is inserted.
Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. This technique usually is associated with somewhat more pain in the first few days following surgery. In a small percentage of patients, placing the implant under the breast and on top of the muscle can alleviate the need for a breast lift with larger scars. We will discuss which option may be best for you.
After the implants have been inserted and positioned beneath the nipples, the incisions are sutured closed, then taped and bandaged. You are then placed in a sports bra with a band around your chest above the implants to keep your implants in their place during the early recovery phase.
Breast augmentation can achieve dramatic and beautiful results on its own, as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lifting (Augmentopexy) for more satisfying results.
Most patients feel tired and sore after breast augmentation surgery, but this usually passes in two or three days. Many patients return to work within the week. Your body absorbs all sutures so no painful suture removal is necessary. Any post-operative pain, swelling or diminished sensitivity will usually return to normal over the first few weeks. Scars from breast augmentation incisions, although permanent, will fade over time.
Complications following breast augmentation surgery may include capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, and breakage or leakage of the implant (implant rupture) as a result of injury or the normal compression and movement of your chest.
If a saline implant ruptures, the implant will simply deflate in a few hours and your body will absorb the salt water. If a silicone implant leaks, you will need to see Dr. Roland. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.
Hours by Appointment at:
|52 East 72nd Street, Suite 1A
New York, NY 10021
|80 Wall Street, Suite 615|
New York, NY 10005
|Tel: (212) 744-9400
Fax: (212) 744-9424
|Tel: (212) 952-0200
Fax: (212) 952-0203
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Donald Roland, MD
BOARD CERTIFIED PLASTIC SURGEON