Cosmetic Plastic SurgeryCosmetic Plastic Surgery
Saline Breast Implants/Augmentation
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.
Procedure
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 or silicone 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.
Implant Size
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.
Ideal Candidates
- Patients who are doing it for the right reasons (i.e. for themselves)
- Patients with small breasts or extra skin with loss of breast volume
- Patients who are in good health
- Patients with full breast development
- Patients who do not have breast disease
- Patients with realistic expectations
- Patients with normal shaped breasts
Risks and Complications
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.
Recovery
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 when the implants are placed under the muscle. This allows the implant to drop into a pleasing position. As with all cosmetic procedures, the final result will be apparent around one year.
In/Out Patient
Breast augmentation surgery can be done as an out-patient under general anesthesia and usually takes one to two hours.
Information on this page is not a substitute for medical consultation or advice. Please contact us to schedule an appointment to discuss the best treatments for you.
Call for a complimentary consultation:
(914) 241-7111
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
