Breast Augmentation

For many women, the goal is not simply larger breasts, but a shape that feels more natural, balanced, and in harmony with the rest of the body. Board-certified plastic surgeon John F. Farella, MD, FACS performs breast augmentation for women throughout Westchester County, including Mt. Kisco and White Plains.

His approach combines surgical precision with an artistic eye for proportion, helping patients choose implant options that suit their anatomy and aesthetic goals.

Schedule a Consultation | View Before & After Photos | Request Pricing Information

Breast Augmentation Before and After Gallery

Before-and-after photos can be one of the most helpful tools when deciding whether breast augmentation is right for you. Reviewing real patient results can help you better understand differences in implant size, shape, projection and how surgical planning affects the final outcome.

See Dr. Farella’s breast augmentation before-and-after gallery to explore results achieved for patients in the Westchester area.


See Full Breast Implant Photo Gallery

See Photo Gallery

What Is Breast Augmentation?

Breast augmentation is a surgical procedure designed to increase breast size and improve breast shape using breast implants. It may also help correct asymmetry or restore volume lost over time. Implants are inserted through a small incision and placed either behind the breast tissue or behind the chest muscle, depending on the patient’s anatomy and surgical plan.

Women often consider breast augmentation surgery when they want to:

  • enhance naturally small breasts
  • restore fullness after pregnancy or breastfeeding
  • improve symmetry
  • achieve a better balance with their overall figure
  • feel more confident in clothing and swimwear

Breast enlargement is highly personal, and the best results come from choosing an approach that fits your body rather than following a one-size-fits-all ideal.

What Breast Augmentation Can Improve

Breast augmentation can do more than increase volume. In many cases, it can improve overall breast proportions and help clothing fit more comfortably and confidently.

Benefits may include:

  • fuller breast volume
  • improved symmetry
  • better upper-pole fullness
  • a more proportionate silhouette
  • restored shape after pregnancy, weight loss, or aging
  • increased confidence in and out of clothing

A well-planned procedure should look balanced, not overdone. That is why implant selection, placement, and surgical judgment matter so much.

Why Patients Choose Dr. John Farella

The surgeon you choose is one of the most important parts of your breast augmentation experience.

Dr. John F. Farella brings extensive training in plastic surgery and a long-standing focus on cosmetic procedures. He is certified and a Diplomate of the American Board of Plastic Surgery, a Fellow of the American College of Surgeons, Assistant Clinical Professor of Plastic Surgery at New York Medical College, and director of an AAAASF-accredited same-day surgery center. He completed training at New York Medical College, Westchester County Medical Center, the University of Oklahoma College of Medicine, and Lenox Hill Hospital.

Just as important, he emphasizes direct communication and realistic expectations from consultation through recovery. Patients are given time to ask questions, review options, and make informed decisions about surgery.

Learn more about Dr. Farella or schedule a private consultation to discuss your goals.

Breast Implant Options

Breast implants are not all the same. Choosing the right implant involves more than selecting a size. Implant fill, profile, shape, and placement all influence how your results will look and feel.

Silicone vs. Saline Breast Implants

The implants used for primary breast enhancement are typically saline or silicone. The existing page notes saline implants with a silicone shell and identifies saline and silicone as the primary implant material categories discussed in consultation.

In general:

  • Saline implants are filled with sterile salt water and can offer flexibility in certain surgical situations.
  • Silicone implants are often chosen by patients seeking a softer, more natural feel.

The right choice depends on your goals, tissue characteristics, and surgical plan. During your consultation, Dr. Farella can explain which option makes the most sense for your anatomy.

Choosing Implant Size, Shape, and Profile

There is no single “correct” breast size. Implant sizes are not determined solely by the bra cup letter, because the final cup size varies based on your starting breast volume, chest width, tissue, and bra manufacturer. The goal is to select an implant that fits your body frame and produces a result that feels natural to you.

To help guide this process, patients may bring inspirational photos or review before-and-after examples. This helps Dr. Farella understand your preferences while keeping the plan balanced with your proportions.

Implant Placement and Incision Options

Breast implants may be placed:

  • Behind the chest muscle
  • Behind the breast tissue

Incisions may be made:

  • Around the nipple-areola area
  • In the breast crease
  • In the armpit

The best placement and incision approach depends on your anatomy, implant type, and desired outcome. Dr. Farella notes that he often prefers smooth, round saline implants placed behind the muscle through an incision around the nipple or under the breast, while still recognizing that other options may be more appropriate depending on the patient and clinical situation.

Breast Lift vs. Breast Augmentation

Implants can increase volume, but they do not lift the breasts or reposition low nipples on their own. If breast sagging is a concern, a breast lift may be recommended instead of breast augmentation alone, or in combination with implants. The need for a lift can be determined during your consultation.

Patients who want more fullness but also need nipple elevation or reshaping may benefit from a breast lift with implants or a standalone breast lift. Patients seeking smaller, lighter breasts may want to explore breast reduction.

CTA: Not sure whether you need implants, a lift, or both? Schedule a consultation for a personalized recommendation.

Who Is a Good Candidate for Breast Augmentation?

Breast augmentation may be a good option for patients who:

  • Want surgery for themselves rather than external pressure
  • Have small breasts or loss of breast volume
  • are in good health
  • Have fully developed breasts
  • Do not have breast disease
  • Have realistic expectations
  • Have a normal breast shape and are looking for enhancement rather than correction of severe droop alone

Good candidates are also emotionally prepared for the recovery process and understand that implants are medical devices, not lifetime devices. Breast implants are considered temporary and will likely need to be replaced at some point.


Hear From Dr. Farella’s Patients

“After meeting Dr. Farella in our initial appointment I was extremely impressed. He was extremely knowledgeable, and had a very caring, compassionate genuine side to him. He listens to all of my complaints of my breasts and the issues I was experiencing because of my dissatisfaction with how I felt physically. He was very reassuring pertaining to my needs and situation and went the extra mile to answer all my questions and concerns. After that meeting, I had complete trust that he was the best surgeon I could have ever possibly chosen for myself to do such an intimate surgery. My surgery went wonderful with no complications, and my results were astonishing.”– A Very Pleased Patient

 

You can also learn more about the practice and surgeon on the Meet Dr. Farella page.

Breast Augmentation Recovery Timeline

Breast augmentation is usually performed as an outpatient procedure under general anesthesia and typically takes one to two hours. After surgery, patients recover in a private recovery room under the care of an experienced registered nurse.

Most patients recover within about 10 to 14 days, although healing continues well beyond that early period. When implants are placed under the muscle, Dr. Farella recommends wearing a soft cotton bra without an underwire for two months to help the implants settle into a more aesthetically pleasing position.

Final results are generally judged over time, with the full outcome becoming more apparent over the course of a year.

Exercise After Breast Augmentation

Activity is resumed gradually. Light exercise may typically begin after two weeks, while strenuous exercise and upper-body lifting usually resume after four to six weeks.

Preparing for Surgery

Before surgery, patients are advised to:

  • Wear loose-fitting clothes
  • Avoid heels
  • Arrange a reliable ride home
  • Avoid makeup and jewelry
  • Stop eating and drinking after midnight before surgery

How Long Breast Implants Last

Breast implants are man-made medical devices and should be considered temporary. They do not need to be replaced on a fixed schedule for every patient, but they will usually need to be replaced at some point during a patient’s life.

Reasons for future breast implant revision or replacement can include:

  • A change in cosmetic goals
  • Capsular contracture
  • Implant deflation or rupture
  • Shifting over time
  • Pregnancy, weight changes, or aging that affect breast shape

Patients who later need a different approach may also wish to learn about related breast contouring procedures through the practice’s breast contouring hub.

Breast Augmentation Cost in Westchester

The cost of breast augmentation in Westchester depends on several factors, including body type, implant and surgical choices, complexity of the procedure, and any individual medical considerations.

During your consultation, we can tailor your treatment plan based on your anatomy and goals. You can also discuss inclusions that may affect the overall cost and whether a combined breast augmentation and lift procedure changes the overall procedure plan.

Want clear pricing based on your goals? Schedule a consultation with Dr. Farella for a personalized surgical plan.

What to Expect at Your Consultation

Dr. Farella places strong emphasis on communication, private consultation time, realistic expectations, physical examination, and careful explanation of the procedure, recovery, and possible complications.

During your consultation, you can expect to discuss:

  • Your goals for size, shape, and overall appearance
  • Whether implants alone are appropriate or whether a lift should be considered
  • Implant type and surgical approach
  • Recovery expectations
  • Pricing and next steps
  • Any questions you have about safety, longevity, or long-term follow-up

Patients may also review photos, educational materials, and details about the surgical facility.

Breast Augmentation FAQs

Not necessarily. Implants add volume, but they do not reposition low nipples or correct significant sagging on their own. If breast droop is present, Dr. Farella may recommend a breast lift or a lift with implants.
That choice depends on your anatomy, goals, and the type of result you want. Both saline and silicone implants are commonly used for primary breast enhancement, and your consultation is the best time to review which option fits your body best.
Most patients recover in about 10 to 14 days, though swelling and settling continue for longer. Light exercise may usually resume after two weeks, while more strenuous upper-body exercise often waits four to six weeks. Final results continue to refine over time.
Breast implants are temporary devices and will likely need to be exchanged at some point during your life. The timing varies from patient to patient and depends on the implant, your body, and any future changes in appearance or implant condition.
While complications are uncommon, possible risks include scarring, bleeding, infection, capsular contracture, implant deflation, asymmetry, rippling, implant displacement, changes in nipple or skin sensation, fluid accumulation, firmness, contour irregularities, and anesthesia-related risks. Smokers may have a greater risk of wound-healing and pulmonary complications.
Patients should always inform the imaging center that they have breast implants before a mammogram. Breast augmentation does not prevent breast screening, but the presence of an implant can affect the way imaging is performed. This is an important discussion to have during consultation and in your routine follow-up care.
Many women are able to breastfeed after breast augmentation, but outcomes can vary based on anatomy, incision location, and other individual factors. If future breastfeeding is important to you, it should be part of your consultation discussion before surgery.

Schedule Your Breast Augmentation Consultation

If you are considering breast augmentation in Westchester, NY, a private consultation with Dr. John Farella is the best next step. You can discuss your goals, review implant options, understand recovery and cost, and learn what approach is best suited to your body.

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