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 underdeveloped or small breasts, as well as women whose breasts have decreased in size following weight loss or pregnancy. In cases where one breast is substantially larger than the other, our surgeons can achieve greater breast symmetry by performing breast augmentation. 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.

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: Made along the fold of the breast where it meets the chest wall, this incision creates scars that are hidden in the lower crease beneath the breast.
  • 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.


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

What should I consider when choosing the size of my implants?

This can be a difficult decision for many patients, and we can help guide your choice. While the ultimate decision is yours, our surgeons can make recommendations based on their experience and evaluation of your body and breasts. The size of your frame and the amount of existing breast tissue will be factors in your decision, but the biggest factor will likely be your preferences. Feel free to bring photos of how you'd like your breasts to look to your consultation. You can also browse our photo gallery for actual patients with body frames similar to yours.

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.

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 will my scars be like?

This depends on the type of incision you choose. Our doctors perform breast augmentation using the following incisions: periareolar (along the areolas), inframammary (in the fold under the breasts), or transaxillary (in the armpit). Whichever location you choose, our doctors are very careful to create delicate, fine incisions that heal rapidly and beautifully. We will also give you detailed aftercare instructions for your incisions to ensure they fade quickly.

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