Breast augmentation is one of the most frequently performed cosmetic surgery procedures offered by Dr. Monasebian and Park Avenue Plastic Surgery. It is also one of our most popular services. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast. Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast size after pregnancy or surgery and correcting a congenital breast defect. Under Dr. Monasebian’s expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.
We know that every woman is unique in both her desires and her body shape. With that in mind, Dr. Monasebian and Park Avenue Plastic Surgery will take the time during the pre-operative consultation to learn what each woman 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.
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 lift for more satisfying results.
Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe and each offers its own advantages. During your consultation, Dr. Monasebian will help you decide which implant is right for you. The implant size and shape will also be discussed. During surgery the implant will be placed behind each breast, underneath either breast tissue or the chest wall muscle. After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. At Park Avenue Plastic Surgery, we are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.
Breast Augmentation Surgery – Incision Techniques
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:
- In the armpit (transaxillary)
- In the crease on the underside of the breast (inframammary)
- Around the areola, the dark skin around the nipple (periareolar)
The breast is then lifted, creating a pocket into which the implant is inserted.
Breast Augmentation Surgery – Placement Options
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. Possible disadvantages include need for drainage tubes and elevated pain in the first few days following surgery. Dr. Monasebian will discuss which option may be best for you. After the implants have been inserted and positioned beneath the breasts, the incisions are stitched closed, then taped and bandaged. In a few days, these bandages will be replaced with a surgical bra.
Breast Augmentation Surgery – Recovery
Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week.
Stitches are removed in a week after breast augmentation. Any post-operative pain, swelling and sensitivity will diminish over the first few weeks.
Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.
Breast Lift (Mastopexy)
Over time, the effects of gravity along with the loss of the skin’s natural elasticity begin to have an effect on the appearance of a woman’s breasts. These factors, combined with pregnancies and nursing, will often cause the breasts to lose their youthful shape and firmness. A breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. The procedure can also reduce the size of the areola (the darker skin surrounding the nipple). Breast implants inserted in conjunction with a mastopexy procedure can increase both firmness and size.