Femininity manifests in diverse ways, with many women equating proportionate and well-positioned breasts as a key expression. For those dissatisfied with their breast size, shape, or appearance—whether due to natural asymmetry, aging, or a reconstructive procedure—breast augmentation with implants is an excellent option.
If you are dissatisfied with the appearance of your breasts, breast augmentation can rejuvenate your feminine essence and bolster your self confidence. NYC’s Dr. Stafford Broumand, a board-certified plastic surgeon, excels in cosmetic breast procedures, providing tailored treatments aligned with your aesthetic aspirations.
What Is Breast Augmentation?
Intended to add volume and projection to the breasts,1 a breast augmentation procedure will not only enhance your overall body proportions; it can also dramatically improve the fit of clothing, your self-confidence, and your self-esteem. By selecting the right implants for your individual desires, New York plastic surgeon Stafford Broumand, MD can help you achieve beautiful breast contours with exceptional, natural-looking results.
Types of Breast Implants
Breast enhancement offers a range of implant options, each varying in shape, size, and texture. At 740 Park Plastic Surgery, Dr. Broumand provides both saline and advanced silicone gel implants, including the popular ‘gummy bear’ type. Patients can opt between a smooth or textured silicone shell and can choose between a round or anatomically contoured implant design, each tailored to produce optimal results for the individual.
Determining the ideal implant for your needs is influenced by your specific goals and anatomical considerations. In your consultation, Dr. Broumand will delve into the advantages and drawbacks of each implant choice. After a comprehensive discussion, he will guide you in selecting the breast implants that align best with your breast enhancement goals.
Breast Augmentation Incisions
Breast augmentation surgery offers several incision options. The choice of incision plays a role in scar visibility, implant placement, and potential impact on breastfeeding or nipple sensation. Dr. Broudmand offers the following options:
Periareolar Incision: This approach involves making an incision along the circumference of the areola—the pigmented skin that surrounds the nipple. One of the main advantages of this technique is that the resultant scar often blends well with the natural transition of color between the areola and the surrounding breast skin, making it less conspicuous. Furthermore, it provides direct access to the breast pocket, allowing the surgeon to place the implant with precision. However, potential drawbacks include a possible risk to breastfeeding capability and nipple sensation.
Inframammary Incision: The inframammary incision is another popular approach utilized in breast augmentation procedures. This technique involves an incision made in the natural crease beneath the breast, known as the inframammary fold. The location of this incision offers the surgeon a direct view and access to the breast tissue, facilitating precise placement of the implant. A notable advantage of this method is its distance from the milk ducts, which can reduce potential future issues with breastfeeding. Additionally, the resulting scar, though larger than some other incision types, is typically concealed in the natural fold and remains hidden even when wearing low-cut clothing or swimwear.
Each of these techniques offers unique advantages and disadvantages, all of which can be covered in full detail at the time of the consultation.
Breast Implant Placement
Breast implant placement is a pivotal decision in the breast implant surgery process. The two primary placement options are submuscular and subglandular. In submuscular placement, the implant is positioned beneath the pectoral muscle on the chest wall, which can provide a more natural appearance and feel, particularly for women with little natural breast tissue. This placement can also reduce the risk of capsular contracture and may create fewer interferences with mammogram readings. On the other hand, subglandular placement situates the implant directly behind the breast tissue but above the pectoral muscle. This can allow for a slightly simpler and quicker surgery with less postoperative discomfort. The best approach varies from patient to patient, and the decision often depends on the individual’s anatomy, the type of implant chosen, and the desired aesthetic outcome.
Preparing For Breast Augmentation
The journey to breast augmentation begins with an initial consultation, a crucial step that lays the foundation for the entire procedure. During this meeting, patients discuss their medical history and aesthetic goals with Dr. Broumand, explore various implant options, and gain a comprehensive understanding of what to expect from the surgery. Once the groundwork is laid in this session, patients should then focus on preparations leading up to the procedure. Maintaining a healthy lifestyle is essential, emphasizing a balanced diet, regular exercise, and refraining from habits like smoking and excessive alcohol consumption. Certain medications and supplements, particularly those that can increase bleeding risk such as aspirin, anti-inflammatories, and some vitamins, might be advised to be paused. As the surgery date nears, patients should ensure they have transportation arranged for post-operation and someone to assist them during the initial recovery days. Setting up a cozy recovery space at home, stocked with essentials, comfortable attire, and ice packs, will also pave the way for a more relaxed post-operative phase. Above all, adhering to Dr. Broumand’s specific preoperative instructions is key to achieving the best results.
The Breast Augmentation Procedure
Upon arrival on the day of your surgery, you’ll be introduced to our dedicated operating room staff, a team that has collaborated closely with Dr. Broumand for over two decades. Before the procedure, Dr. Broumand will go over the pre-op details, guide you to the preparation area for attire change, review consents, and ensure all prerequisites are met for the surgery. Our goal is to maintain an inviting ambiance in our operating room, where safety is paramount.
Typically, a breast augmentation procedure lasts between 1 and 1.5 hours and is conducted under general anesthesia. Strategically placed incisions decided upon during your consultation, pave the way for the insertion of breast implants.
These implants are then meticulously placed through the incisions and adjusted based on your unique requirements. When working with silicone breast implants, Dr. Broumand prefers the Keller Funnel™ “No-Touch” method. This state-of-the-art technique allows for implant placement without the implants coming into direct contact with the skin.
This sophisticated implant placement method can reduce the risk of complications such as capsular contracture, bacterial infections, and potential damage to the implant’s outer layer, and lessen visible scarring. After ensuring the implants are correctly aligned, the incisions are delicately sutured.
Post-breast augmentation, our operating room team will assist you to the recovery room, ensuring your comfort over the subsequent hour. Once you’re ready, your pre-arranged transportation will safely escort you home the very same day.
Breast Augmentation Recovery & Results
After a breast augmentation, patients can typically expect an initial period of discomfort and swelling, which usually subsides within a few days to a week. Pain can be managed with prescribed pain medications, and Dr. Broumand may recommend wearing a surgical bra or compression garment to support the breasts and reduce swelling. It’s essential for patients to avoid strenuous activities, heavy lifting, and certain movements that strain the chest muscles for at least a few weeks. While some individuals may feel good enough to return to work within a week, others might need a bit more time, especially if their job is physically demanding. The incision sites should be kept clean and dry, and any changes or concerns should be promptly reported to the surgeon. Over time, the implants will settle into their natural position, and scars will begin to fade, but it’s important to note that full recovery and final results can take several months to manifest. Regular follow-up appointments will ensure the healing process is progressing as it should.
Following this cosmetic procedure, patients have a noticeable enlargement in their breast cup size. The final results vary based on implant size and individual anatomy, ensuring a tailored approach to achieve desired outcomes. Through breast augmentation, patients can confidently enjoy a more proportionate and fuller profile.
Schedule A Consultation For Breast Augmentation
Ready to enhance your natural beauty with a trusted expert in Manhattan? Contact us now to schedule your Breast Augmentation consultation with Dr. Stafford Broumand at our plastic surgery practice on Park Avenue, New York City, NY’s premier destination for aesthetic excellence.
FAQs About Breast Augmentation
- Am I a good candidate for breast augmentation?
- Are silicone or saline implants better?
- How long do breast implants last?
- Will I be able to breastfeed after breast augmentation?
- What is the recovery time?
- Are there risks associated with breast augmentation?
- Can I combine any other procedures with breast augmentation?
- How much does breast augmentation cost?
- Can I still have mammograms after getting implants?
- How soon after breast augmentation surgery can I exercise?
- What happens if I want to remove or replace my implants?
- Why doesn’t Dr. Broumand offer the transaxillary incision?
Breast augmentation is ideal for women wishing to enhance their breast size or restore lost breast volume due to factors like pregnancy, aging, or weight loss. Candidates should:
- Desire a larger breast size or more balanced breast proportions.
- Wish to fill out clothing or swimwear better.
- Experience minor sagging or asymmetry in their breasts.
To be eligible, candidates should be in good health, not have uncontrolled medical conditions, and be non-smokers for at least two weeks before the surgery. If you’ve recently stopped breastfeeding, it’s advised to wait 1-2 months for stabilized breast sizing. All considerations will be discussed during your consultation.
Neither is universally “better,” but each has its pros and cons. Silicone implants often feel more natural and have a lower risk of rippling, while saline breast implants allow for a smaller incision and are easier to adjust for size. The best choice depends on individual preferences, body type, and the advice of the surgeon.
Breast implants are not lifetime devices. On average, they last 10 to 15 years, although many can last longer. Over time, they might need to be replaced due to rupture, leakage, or other complications.
Many women can successfully breastfeed after breast augmentation,2 but there’s no guarantee. The type of incision and the placement of the implant may impact breastfeeding capabilities.
Typically, patients can return to light activities within a week and full activities within 4-6 weeks. However, recovery can vary based on the procedure, implant placement, and individual factors.
As with any surgery, there are risks. Potential complications include capsular contracture (scar tissue formation around the implant), rupture, infection, changes in nipple or breast sensation, and unsatisfactory results, among others.3
Many breast augmentation patients choose to combine other surgical procedures with their breast augmentation to achieve more comprehensive and harmonious results. One popular combination is a breast lift with augmentation, which can elevate sagging breasts while adding volume, resulting in a fuller and more natural breast contour. Another procedure often combined with breast augmentation is fat transfer, using the patient’s own fat to enhance the shape and feel of the breasts. Beyond the chest area, it’s not uncommon for patients to opt for a tummy tuck and/or liposuction at the same time, streamlining the body’s contour and achieving a rejuvenated silhouette. The blend of procedures in cosmetic surgery can often enhance the overall aesthetic outcome and even reduce total recovery time in some cases. During your initial consultation, all of these options can be discussed in-depth to tailor the surgical plan to your unique goals and desires.
The cost varies based on the type of implant, the extent of the procedure, and other factors including any procedures performed at the same time. You’ll receive a comprehensive quote during your consultation with Dr. Broumand.
Yes, but it’s crucial to inform the mammography technician about the implants. Special techniques can be employed to ensure an effective mammogram while minimizing potential implant damage.
Light activities can resume in a few days, but rigorous exercises, especially those involving the chest, should be avoided for at least 4-6 weeks.
Implants can be removed or replaced through a secondary procedure. Some women choose to replace old implants, while others opt for removal without replacement. The specific procedure can vary based on individual needs and the presence of any complications.
The transaxillary incision approach for breast augmentation involves creating an incision within the armpit, through which the breast implant is inserted and then positioned in the breast pocket. While this method does have the advantage of leaving no scar on the breast itself, several concerns can make it less optimal compared to other incision choices, including limited visibility and precision, implant limitations, nerve damage, and risk of implant malposition, among others.
1 Mayo Clinic. Breast augmentation. Available: https://www.mayoclinic.org/tests-procedures/breast-augmentation/about/pac-20393178. Accessed October 24, 2023.
2 Johns Hopkins Medicine. Think You Can’t Breastfeed After Implants? Think Again. Available: https://www.hopkinsmedicine.org/health/wellness-and-prevention/think-you-cant-breastfeed-after-implants-think-again#. Accessed October 24, 2023.
3 ASPS. What are the risks of breast augmentation? Available: https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/safety. Accessed October 24, 2023.