Breast Augmentation

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Our board-certified plastic surgeons perform breast augmentation for women in New York City and Westchester County, NY, who want to enlarge naturally small breasts or restore fullness to breasts that have lost volume after weight loss, pregnancy, or breastfeeding. In cases where one breast is substantially larger than the other, our surgeons can achieve greater breast symmetry using breast implants. At Cosmetic Surgery Associates of New York, we create attractive, natural-looking results that can enhance your femininity and increase your confidence.

To visit us in Westchester County and find out more about breast augmentation, request a complimentary consultation online or contact us at (914) 761-8667(914) 761-8667. Our surgeons look forward to helping you achieve your aesthetic goals.

Before & After Breast Augmentation

See more photos of our breast augmentation patients.

The CSANY Difference

At Cosmetic Surgery Associates of New York, our doctors have performed hundreds of breast augmentation procedures. We understand the decision to have this surgery is a highly personal one. Your doctor will thoroughly review your breast augmentation options in order to develop a surgical plan with your goals for breast size and shape in mind. Our surgeons know the importance of educating you about your procedure through every step of the process. We believe that being informed leads to being more comfortable and confident before and after surgery.

Breast Implants

We're proud to offer our patients the latest options in breast implants, from high-tech materials to thoughtfully designed shapes and projections. Not only do today's implants look great, but they also last longer than previous models and provide attractive, healthy results you can enjoy year after year.

Implant Material

You have the option of saline or silicone breast implants. Each type offers its own advantages and disadvantages.

  • Saline breast implants are available to women 18 years of age and older. Saline implants are rolled up, inserted through a small incision, and filled with a harmless saltwater solution after they are placed inside the breasts. Saline implants are more affordable than silicone implants. Downsides of saline implants are they may wrinkle, ripple, and feel firmer than natural breast tissue.
  • Silicone breast implants are available for women who are at least 22 years old. Our surgeons use only safe, high-quality, FDA-approved silicone gel implants, which look and feel more like natural breasts than saline-filled implants. Patients often describe them as feeling soft and doughy. Silicone implants are more expensive than saline implants. We offer both those that contain highly cohesive silicone gel and the latest implants made with form-stable silicone gel. These popular new implants come in an assortment of shapes, profiles, and sizes, and are commonly called "gummy bear implants" because of their similarity in texture to the soft but solid candy of the same name.

Implant Size

Although the question of size is mainly a matter of personal preference, it's important to consider your natural anatomy and proportions when choosing a size. Most women want results that look natural, so it's important to select a size that complements your curves.

We often recommend patients bring in photos of women who have breasts that are what they'd like to achieve, either from our photo gallery or elsewhere. Our surgeons can walk you through your options to help you understand what size is likely to work for you and your body.

Implant Shape

Implants can be either round or teardrop-shaped. Many women choose round implants because they add volume to both the upper and lower portions of the breast for a voluminous result with enhanced cleavage. Teardrop implants, also called "anatomical" implants, mimic the shape of natural breasts, with a tapered shape and a bit more volume toward the bottom. These are ideal for women in search of more subtle results.

Implant Profile

The term implant "profile" describes the degree to which the implant projects from the chest compared with how wide it is at the base. Finding the right option for you helps to increase fullness proportionally around all areas of your breasts. However, the profile that is appropriate for you largely depends on your body type and chest width. Your surgeon can examine your body and help you understand which profile option is best for you.

Breast Implant Profiles

Implant Texture

This refers to the surface of the implant, which can be either smooth or textured. Smooth implants move around more freely within the breast pocket. Textured implants have a very finely rough surface that look a bit like frosted glass. This texture helps breast tissue adhere to the implant surface and hold it in place.

Round implants can be either smooth or textured. Teardrop implants are textured to help them stay properly oriented within the breasts. Some evidence shows that textured implants minimize the risk of certain complications, but each patient's experience is different. During your consultation, you and your surgeon more thoroughly examine texture differences to ensure you make the right choice.

Procedure Overview

Our surgeons perform breast augmentation as an outpatient procedure in our fully accredited surgical facility in Westchester County. Breast augmentation surgery generally takes between 1 and 2 hours to complete and can be performed while you are under local anesthesia with "twilight" sedation.

Incision Options

Depending on your preferences, your surgeon begins your breast augmentation by making 1 of 3 incisions:

  • Periareolar: Made along the lower portion of the areola (the darker skin surrounding the nipple), this incision allows the surgeon to easily access the internal breast structures and typically leaves very little visible scarring.
  • Inframammary:This highly popular incision is made along the fold where the breast meets the chest wall. The incision heals to a flat, faded scar that remains hidden under all types of clothing and most swimwear.
  • Transaxillary: This incision is made in the armpit. The advantage to this incision, which is hidden in natural folds of skin, is that there are no scars created on the breasts.

Breast Augmentation Incisions

Implant Placement Options

Once your surgeon has made the incision, he creates a pocket behind your breast tissue. You may choose 1 of 2 placement options:

  • Subglandular: The implant is placed in front of the chest muscle but directly behind the breast tissue. This option requires less downtime but also offers less coverage of the implant. It's more appropriate for women with a good amount of natural breast tissue.
  • Submuscular: The implant is placed behind the chest muscle. This option requires a bit more downtime than a subglandular placement but often yields more natural-looking results, especially for women with very small natural breasts.

He places your chosen implant through the incision and into the pocket. If you've selected saline implants, your surgeon adds their empty shells first and fills them with saline once they're in place. Silicone implants are added intact. Your surgeon positions them and evaluates them for symmetry before closing the incisions with sutures.

Recovery

Thanks to today's advanced surgical techniques, recuperation after breast augmentation is relatively quick and comfortable. You can expect to be back to work and other social activities within a week. In the meantime, it's important to rest at home and give your body an adequate opportunity to heal. Our doctors advise patients to avoid activities that require heavy lifting, stooping, and excessive upper body movement during the healing process. It's a good idea to enlist a friend or family member to help you around the house during this time.

Throughout the following weeks, your surgeon will gradually clear you to resume various activities. You can also expect your implants to begin the process of "dropping" or "settling" as they become softer and more natural-looking and your body adjusts to them. This process can take a few months, during which time your incisions will also fully heal, flatten, and fade.

See For Yourself

Check out before-and-after photos from our plastic surgery patients to see the dramatic results our surgeons can achieve.

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Frequently Asked Questions

I exercise every day. How long after getting breast implants should I wait before resuming activity?

This is a common question. The answer, of course, varies from patient to patient depending on how quickly they recover. Some activity is encouraged, such as short walks, starting on the day of the surgery. Most other exercise, however, should generally be avoided for the first 2 weeks after surgery. Avoid increasing your heart rate or blood pressure. You can then gradually resume more active exercise after 4 weeks, taking care to avoid engaging the chest muscles until at least a couple of months have passed.

Do I need a breast lift with breast augmentation?

Breast augmentation increases breast size, but it will not make sagging breasts perkier. Even though breast implants can improve the breasts' shape for women with minimal sagging, those with more significant sagging should combine a breast lift with augmentation. This can increase the size of your breasts and lift them to a more youthful position. A good way to determine whether you need a breast lift is to look in a mirror and note the position of the nipple in relation to the fold at the bottom of the breast. If the nipple points downward and hangs below the fold, a breast lift may help.

Can I combine breast augmentation with other procedures?

Yes! Many women who get breast implants combine the augmentation procedure with a body contouring procedure, such as a tummy tuck or liposuction. This customized combination is often called a mommy makeover because it addresses areas of the body that can be affected by pregnancy, childbirth, and breastfeeding. But combining procedures isn't only for women with children. During your consultation, we can review your cosmetic goals, medical history, and lifestyle to determine if this approach is right for you.

Can I breastfeed after having breast augmentation?

Most women are able to breastfeed after having breast augmentation. The implant is placed behind the breast tissue, so the procedure should not interfere with the functional structures of the breast. Women with breast implants can safely nurse their children. There is no evidence to suggest that the presence of an implant affects milk production or quality. The risks of breast enlargement surgery will be discussed in detail during your consultation.

Is it better to have implants behind the pectoral muscles?

Research shows placing implants behind the pectoral muscles — called submuscular placement — carries less risk of capsular contracture, which is the primary complication associated with breast implants. Additionally, many women think submuscular placement looks more natural than subglandular placement (above the muscles). But the ideal implant placement varies from patient to patient, depending on a number of factors, such as the amount of existing breast tissue you have and your cosmetic goals. Placing implants in the submuscular position has also been shown to result in less interference with mammography.

I'm not happy with the breast augmentation results I received from another surgeon. Can you help?

Yes. Our experienced surgeons regularly perform breast augmentation revision surgery to help women attain the look they originally wanted from breast augmentation. They also perform revision surgery to correct complications, such as capsular contracture, and exchange breast implants for a different size or type.

How long do breast implants last?

Even though implants last many years, they are not expected to last for a lifetime. Most implant manufacturers give their products a life span of 10 to 15 years. Our surgeons can remove your implants or replace them with new ones as part of breast augmentation revision surgery.

I want a dramatic transformation. What are my options?

Our surgeons are happy to offer options that are both safe and long-lasting for patients who want to "wow" with their results. If you're in search of a significant increase in size and full, voluptuous breasts, round implants are likely the best option. Other options, such as projection and precise size, are quite subjective. The right options for you depend on your unique anatomy, goals, and even your lifestyle. During your consultation, expect to spend a good amount of time discussing your envisioned outcome with your surgeon.

Can breast implants correct asymmetrical breasts?

Most women's breasts are slightly different sizes. The difference is usually less than the woman thinks. In most cases, saline implants can be adjusted slightly so that the 2 breasts look virtually identical. With silicone, different size implants can be used to account for asymmetry.

What can I do to ensure the most discreet scars?

Scarring is an important consideration for any plastic surgery patient, and you can rest assured that our doctors are very careful to create delicate, fine incisions that heal rapidly and beautifully. We will give you detailed aftercare instructions, but it's important to avoid excessive sun exposure and keep your incisions clean and dry to promote proper healing. Although numerous topical scar-reduction products are available at the drugstore, be sure to consult with your surgeon before using any of them.

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