
If you are constantly wearing push-up or padded bras breast augmentation may be
for you. You may enjoy buying clothes to enhance your new shape, as well as increase
your self- confidence.
Breast augmentation is a method of enlarging the breasts by using breast
implants. The implants are inserted through a small, inconspicuous incision. They
may be placed behind the chest muscle or behind the breast tissue. This procedure
is used for patients with small or unequal breasts or patients who have lost breast
volume through age, pregnancy or breast- feeding. Dr. Farella will wait until
the breasts are fully developed before recommending breast enlargement. The implants
used for primary breast enhancements are saline implants. These salt-water implants
have a thin silicone shell or envelope, which contains the salt- water solution.
The implants can be inserted through incisions made around the nipple areola area,
under the breast crease or through the armpit. Some doctors insert the implants
through the umbilicus or belly button. The saline implants used can be smooth-
round implants, textured-round implants, textured bio dimensional or pear shaped.
The implants will not lift the breasts or change the nipple position. Additional
procedures, such as breast lifts can be performed in combination with breast enlargements
to correct droopy breasts with low -lying nipples. The need for such an operation
can be determined at the time of your consultation. Breast implants are man made
mechanical devices and are considered temporary. Therefore, they will have to
be exchanged at some point during your life. These implants do not cause breast
cancer based on current studies. However, it is more difficult to locate a breast
mass on mammograms with patients with breast implants. There is no statistically
proven cause and effect relationship between breast implants and autoimmune disease.
However, reported cases of autoimmune disease post silicone breast augmentation
have been documented. Once you have decided to undergo breast enlargement, the next consideration
is breast size. Keep in mind, there is no correct breast size. Your new size will
be judged by your body frame and preference. One way to determine the size you
want is to find photographs of women from lingerie catalogues or before/after
photos presented by your surgeon. This gives the surgeon and the patient a basis
for desired size. Implant sizes do not come in A, B, C, or D cups. Your new size
will be a combination of what you started with, plus the implant volume. Remember,
bra sizes may vary based on different styles and manufacturers. Your new bra size
will ultimately depend on comfort and appearance. After breast surgery, your breasts
will appear larger as a result of swelling, but will decrease in size, and drop
in position over time. The most common comment post surgery is, "I should
have went bigger." Dr. Farella prefers to use smooth- round saline
implants inserted around the nipple and placed under the muscle. However, other
options are available depending on the needs of the patient and the clinical situation.
Risks and complications may include but are not limited to scarring,
bleeding, infection, deflation of implant, capsular contracture or scarring around
the implant, asymmetry, skin wrinkling and rippling, calcification, implant displacement,
fluid accumulation, contour problems secondary to or resulting from implant shape,
change in nipple and skin sensation, firmness of the breasts, thrombosed veins,
painful or possible deformity of breasts, and risks and complications associated
with anesthesia. It is important to realize that complications can occur, but
are rare. Breast augmentation has a high patient
satisfaction, and if done on the right patients leads to improved body image and
self esteem. Risks and potential complications of surgery are best discussed
at the time of your consultation. Smokers have a greater risk of wound healing
and pulmonary complications. Current medical information does not demonstrate
an increased risk of breast disease or breast cancer in women who have breast
implant surgery. Breast disease can occur independently of breast implants. After
your implants are placed, subsequent alterations in breast shape may occur as
a result of aging, weight loss or gain, pregnancy, or other circumstances not
related to augmentation mammaplasty. Most patients will recover within ten to fourteen days at which time
you may resume light exercise. Strenuous exercise and upper body lifting can be
resumed in four to six weeks. Dr. Farella recommends wearing a soft cotton bra
without an under wire for two months. This allows the implant to drop into a pleasing
position. As with all cosmetic procedures, the final result will be apparent around
one year. Breast augmentation surgery can be done as an out-patient under general
anesthesia and usually takes one to two hours.
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Lexington Avenue Suite 104 - Mount Kisco, NY 10549
(914) 997-9090
311 North Street Suite 408 - White Plains, NY 10605
(718) 548-5200
3333 Henry Hudson Parkway Suite 1-A - Riverdale, NY 10463

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