Cosmetic Surgery Tips

Best new york plastic surgeons breast augmentation

The breast augmentation procedure is a surgical procedure that reshapes, enlarges, and lifts the breasts. The procedure can be performed on women who want to increase their breast size or correct breast asymmetry. In most cases, silicone or saline implants will be used to achieve the desired results.

A breast augmentation procedure involves making an incision in the fold beneath the nipple and placing an implant behind it. This may be performed through either a horizontal or vertical incision, depending on the patient’s anatomy and surgeon preference. Once placed, the implant will stretch the skin of your breasts to create a more natural look. The procedure itself takes about one hour to perform and typically requires two weeks of recovery time before you can return to normal activity levels.

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best new york plastic surgeons breast augmentation, Recovery after breast augmentation surgery. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Breast reconstruction cost. Read on to learn more.

Best new york plastic surgeons breast augmentation

attractive woman with perfect body taking off her bra

Breast augmentation is one of our most popular procedures. With advanced breast implants, you can add volume and fullness to the breasts with beautiful, natural-looking results. Our experienced plastic surgeons have collectively performed thousands of successful breast surgeries, and they understand that every woman chooses breast augmentation for reasons that are unique and individual to her.

What are the benefits of breast augmentation?

Our patients at New York Plastic Surgical Group seek breast augmentation to fulfill a variety of cosmetic goals, including:

  • Increase breast size
  • Achieve a more proportionate breast size
  • Correct asymmetry
  • Improve overall shape and contour

Who is a good candidate for breast augmentation?

Some women also choose breast augmentation as one component of a mommy makeover, which can be used to rejuvenate the body after pregnancy and breastfeeding. In addition, women who have a significant amount of excess skin or breast sagging may choose to combine breast augmentation with breast lift to create a more youthful appearance.

The plastic surgeons at NYPSG understand the value of open communication and a thorough consultation process. During the initial consultation, your surgeon will listen to your aesthetic desires and create a customized surgical plan designed to meet your expectations.

To learn more about breast augmentation, or to schedule a consultation with one of our surgeons at NYPSG, please contact our office today.

Breast Implants

Breast implants can add or restore lost volume to your breasts, improve the contours of your figure, and create a more symmetric and proportionate look that is in harmony with your natural body frame. Both saline and silicone implants can be effectively customized to meet your needs and achieve your cosmetic goals. During the consultation process, you will discuss with your surgeon which implant type, size, and shape may be best for you. After you are fully informed about the benefits and limitations of your options, you can make well-educated decisions about your body and the approach your surgeon will use for your procedure.

SILICONE

Silicone implants are composed of a cohesive silicone gel, and are FDA-approved for cosmetic breast augmentation patients over the age of 22. Many patients believe silicone implants offer a more natural look and feel compared to saline implants. In addition, women have a reduced risk of rippling with silicone implants, making them a popular choice for women with thinner breast skin. Should a rupture occur, it can be difficult to identify since the silicone stays in its place. This is why you should undergo an MRI every three years to ensure your implants are in good condition.

SALINE

Saline implants are composed of a silicone shell and then filled with a sterile saline solution. Since the implant is inserted into the breast pocket before it is filled, the size of the incision is typically smaller compared to silicone implants and can reduce residual scarring. Saline implants are FDA-approved for patients over the age of 18. As an added advantage, in the case of a rupture, saline solution can be easily and safely absorbed by the body.

It is important to note that breast implants are not intended as lifetime devices. Although the lifespan of an implant will vary, the average amount of time before they need to be replaced is about 10 to 15 years. Common reasons patients may need to replace their implants include rupture, hardening, and the desire for breast revision surgery.

Breast Augmentation Procedure

The surgical approach used for your breast augmentation can significantly impact the final results of your procedure. Therefore, your plastic surgeon will spend the time during the consultation process to ensure you fully understand the distinctions and make informed decisions.

IMPLANT PLACEMENT

Breast implants can be placed directly beneath the breast tissue or underneath the chest muscle. Each location offers unique advantages.

  • Under the chest muscle: This is often ideal for patients who have little breast tissue and thin breast skin, as the extra layer of muscle can lower implant visibility.
  • Above the chest muscle: Best for women with adequate breast tissue and skin thickness. By placing the implants under the breast tissue but above the muscle, patients typically have a faster, less painful recovery since there is less trauma to the area. Silicone implants are often recommended for this placement, as they are not prone to rippling like saline can be.

A number of factors will contribute to which implant placement is most appropriate for your anatomy and aesthetic goals. Your NYPSG surgeon will review the benefits of each option and help you decide which may be best for your individual needs.

INCISION PLACEMENT

There are also a variety of incision placement options our doctors can use when designing the surgical approach for your breast augmentation. Incision placement options can include:

  • Transaxillary: An incision concealed in the underarm area.
  • Inframammary: A discreet incision made along the underside of the breast, against the chest wall.
  • Periareolar: An incision hidden around the outer edge of the areola.
  • Transumbilical: An incision made in the navel for the endoscopic placement of the implant. This type of incision, known as the TUBA technique, can only be used for saline implants that are placed directly beneath the breast tissue.

After the incision has been made, your plastic surgeon can create a pocket to receive the implant. For most patients, breast augmentation surgery takes approximately two hours to complete, is typically done as an outpatient procedure, and can be performed under general anesthesia or a local anesthesia combined with a sedative.

Breast Augmentation with Mastopexy

In addition to breast augmentation, many women can benefit from mastopexy (BAM), also known as a breast lift with implants or breast augmentation with a lift. By performing this combination, patients can not only increase the size of their breasts, but also enhance the shape and lift their breasts to a more youthful position on the chest. This is especially beneficial for augmentation patients who notice their breasts beginning to sag over time, due to weight loss, pregnancy/breastfeeding, or the natural aging process.

A breast augmentation with mastopexy typically entails the removal of excess skin, tightening of the remaining skin, repositioning of the areola and nipple, and the insertion of the breast implants. The details of your surgery will be discussed during your consultation, when one of our surgeons can determine the best techniques to help you achieve your desired outcome.

Breast Augmentation Recovery and Results

Patients usually experience some swelling, bruising, or temporary numbness after their breast augmentation surgery; however, any post-operative discomfort can be managed with oral pain medication. Our surgeons take great care during surgery to minimize tissue trauma, and most patients can return to work and their normal daily routines within three to seven days. With that in mind, our surgeons recommend avoiding any strenuous exercise for at least two to three weeks. Throughout the healing process, you should see the results of your breast augmentation continue to improve as the implants settle into their final position.

Do’s and Don’ts After Breast Augmentation Surgery

After your procedure, it is important to follow your surgeon-provided instructions for proper healing and to provide the best possible outcome. Our patients are typically recommended the following:

Do’s

  • Do relax and take pain medication as directed
  • Do wear support bras and post-surgical specialty garments that have been provided for your recovery period
  • Do ask friends and family for help, especially in the first few weeks
  • Do sleep on your back at night
  • Do massage the breasts and perform recommended exercises
  • Do participate in mild activity as soon as you can
  • Do attend every follow-up appointment
  • Do give us a call if you suspect any problems such as infection or other complications
  • Do protect your breasts from intense force, pressure, trauma, and compression
  • Do wait to assess your aesthetic breast augmentation results for at least a month
  • Do wear sunscreen over exposed scars if you are out in the sun

Don’ts

  • Don’t engage in strenuous activities or heavy lifting for several weeks
  • Don’t smoke
  • Don’t take blood thinners
  • Don’t leave scars uncovered in the sun
  • Don’t alter or remove surgical tape until your surgeon does so
  • Don’t ignore post-surgery care instructions

Frequently Asked Questions About Breast Augmentation

As an aid to our patients, our skillful plastic surgeons have provided answers to some of the most commonly asked questions about breast augmentation. We hope this serves as a useful resource during your research.

Can I have a breast augmentation without implants?

Breast augmentation using your own fatty tissue (fat grafting) is possible, but typically this is only done if a small adjustment in size or shape is necessary. For a larger increase in volume, breast implants are recommended. In some cases, fat grafting can be combined with breast implants to achieve a softer, more natural-looking result. Our experienced surgeons can discuss this option with you if you are interested. Fat grafting requires harvesting fatty tissue from another location on the body using liposuction. Many patients find this to be an added benefit of the fat transfer process, and we can often identify a harvest area based on your preferences.

Which implant provides the most natural result?

Everyone’s sense of beauty is unique, and some patients may find one style looks more natural than another, while another patient feels the complete opposite. Additionally, how one set of implants looks on you can be completely different than how they look on someone else. Most women report that the silicone cohesive gel, or “gummy bear,” implants provide the most lifelike look and feel. The unique consistency of these implants is designed to mimic breast tissue. We offer a wide range of sizes and projections of all our implants, allowing you to make a choice that bests suits your aesthetic and body type.

Can I breastfeed after breast augmentation?

Most women who receive a breast augmentation go on to breastfeed without issue; however, this question assumes a woman will be able to breastfeed naturally. Some women have trouble with nursing regardless of breast surgery, and this is something to keep in mind. If you were capable of breastfeeding prior to the operation, you should be able to afterward as well. Let us know during your consultation that this is important to you, and we will utilize techniques that can best preserve your ability nurse a future child.

How much does breast augmentation cost?

The price of breast augmentation can vary considerably based on the unique details of your treatment plan. We believe you can achieve the best possible results by custom-designing your cosmetic program to suit your desired outcome, anatomical characteristics, and other needs. The type of implant you choose, the technique employed, and other factors will all play a role in the final cost. Breast augmentation surgery ranges in total cost from $8,000 – $9,000. We will go over the full estimated cost of your custom-tailored treatment plan during your consultation.

What do breast augmentation scars look like?

Most breast augmentation incisions heal very well and should become relatively unnoticeable over time. The location of the incisions will depend on the technique used. Sometimes they are placed on the underside the breast where it meets the chest, sometimes they are placed around the areola and nipple. We offer several options, and the final location will be decided by you and your surgeon.

Recovery after breast augmentation surgery

Recovery After Breast Augmentation Surgery

Breast augmentation, also called augmentation mammoplasty or casually referred to as “boob job” is a quick elective surgery to increase the size or the fullness of the breasts. 

There are a lot of reasons why women opt for breast augmentation surgery. Whether you have an uneven volume of fat in your breast area, are dissatisfied with the size of your breasts, or need a lift after breastfeeding, it all comes down to bringing confidence back.

Despite being cosmetic in nature, breast augmentation surgery is still a major operation. Assisting your body and applying the best practices for recovery will help your breasts heal without complications. You must work hand in hand with your surgeon and equip yourself with as much knowledge as you can to take care of yourself pre and post surgery.

Here’s everything that you can expect during the recovery period.

Post-Operation

After the operation, here are some things you need to consider:

  • When you wake up after the procedure, you might feel loopy and funny because of the pain medicine and anesthesia. While you are able to make minimal movements, you can’t drive yourself home or participate in any activity that will require mental focus. Make sure that you will be assisted by at least 1 caretaker who will take you home and assist you post surgery.
  • As far as pain goes, you will feel more discomfort than pain since you will be given numbing creams and painkillers that will last you a while. It’s exactly why you might feel funny for as long as the medicine is in your system.
  • Your surgeon will recommend you wear a supportive bra while in recovery (ideally for around 6 months). A surgical bra may be provided, but high-impact sports bras or compression bras will work just fine. Make sure to choose bras that open from the front so as not to strain your arms. You will not be able to do much with them during the first few days after the operation. 
  • Avoid straining your chest area by refraining from lifting heavy objects and wearing inappropriate bras. Keep the surgical bra on for support and as much as possible, avoid bralettes and wire bras for up to 6 months. 
  • It is normal to experience bruising and swelling around your breast area post-op. Feeling tightness is also a common feeling for the first 2 days. Cold therapy by using gel packs or clay packs will definitely help calm the soreness.
  • You will not be able to shower on your own because you cannot stretch your arms from the surgery. Your stitches can also be infected when it gets wet so request for waterproof tape to cover your stitches until your next doctor’s visit. Alternatively, ask for assistance whenever you’re washing your body or your hair.
  • Light walking is highly recommended to help with blood circulation, thus preventing any blood clots from forming.
  • Drinking loads of water can help with flushing out the anesthesia post-op. As you take pain medication during your recovery period, remember that these meds can cause constipation so drinking a lot of water helps prevent that.
  • While pain, discomfort, swelling, and bruising are completely normal, you must go to the doctor if you get fever as this could be a sign of an infection.
  • You have to sleep on our back during the whole duration of your recovery period. Sleeping on your chest or sides can put pressure on your implants and stitches, and can cause an infection. You’ll have to sleep on your back for a while and wait for the green light from your doctor before you can sleep on your sides or chest (in some cases, it can take a full year).
  • Use supporting pillows to make you comfortable, and when you catch yourself sleeping on your side, immediately correct your position. If you’re someone who’s used to sleeping on your stomach or side, this position will take a little getting used to.
  • If you’re reading this before your surgery, practice sleeping on your back as early as you can. It will be one less thing to worry about once you’re home after surgery. This will also ensure that you will get the right amount of sleep to help you recover fast.

1 Week Post-Op

The day after your surgery isn’t all that bad since there’s still anesthesia in your system. The days following that, however, have been regarded as the worst part of the recovery process. But don’t fret – it will only last a week.

  • Aside from the discomfort, there have been cases where women report experiencing postoperative depression. Some women need an adjustment period to get used to the look of their new breasts, and others report brief moments of doubt with their decision to get the surgery. If you ever experience symptoms like low mood, fatigue, change in appetite, a loss of interest, irritability, and other symptoms of depression, know that it is normal. Post-surgical depression can last for a couple of days up to a month.
  • During these times, it is important to reach out for help and support. This is also the time to take care of yourself even more by eating healthy and being active (but not too active). 
  • Given that the implants have not completely settled or are still swollen, women might feel like they chose the wrong size or regret the procedure altogether. The look of your breasts will improve as it “drops and fluffs,” (a process that takes 6 months) finally settling into its intended position once the muscles in your breast relax.
  • You will not be completely helpless but you might need a designated caretaker to assist you with menial tasks from time to time. 
  • You can go back to work 2-4 days after your surgery, but you can not do any heavy lifting or anything too strenuous.
  • As for the pain and swelling, you might still feel stinging or discomfort since your skin and nerves are being stretched because of your implant. Your nipples might experience pain or numbness. You might also notice stretch marks forming, so you can apply moisturizer or oil to help reduce its appearance.

1 Month Post-Op

By this time, you’re most likely used to your new boobs and might not feel as much pain and discomfort, except for the occasional random pains and pulls. However, there are some things you still have to remember.

  • Your stitches have been around long enough for them to accumulate moisture and dirt, so make sure to clean them thoroughly to avoid infection.
  • After the one month mark, you can already start with light exercise if you’ve been exercising before your surgery. 6 weeks is the prescribed time until you can fully return to your normal function, but you will still be restricted from using weights that weigh more than 10 pounds.
  • You might experience what’s called a “morning boob,” which manifests as a tightness and hardness in your breasts for the first 30 minutes when you wake up. This is nothing to worry about and is completely normal.
  • Morning boob is due to muscle spasm. During your sleep, you don’t move your arms around very much and so your pecs (pectoralis muscles located in your chest) are not engaged. Since your pecs have not been fully accustomed to the implants, it tries to return to its unstretched state. Thus, your breasts might feel tight when you wake up. After a few light movements, the discomfort disappears altogether.

At this stage, you need to be aware of capsular contracture. Capsular contracture is a breast augmentation complication which happens when the scar tissue or ‘capsule’ that naturally develops around your implant squeezes or chokes the implants. This is an immune system response and it can happen as early as a month after your surgery or even years after. 

Capsular contracture develops gradually. It starts out normal and the first sign is usually a high-riding breast/s. After that, pain and firmness may be felt around your implants. 

As you already know, your implants are supposed to drop to its intended position but if you notice that they are doing the exact opposite, you should consult a doctor immediately. 

The degree of capsular contracture is graded using the four-grade Baker scale:

  • Grade 1: The breasts are normal, soft, and appears natural
  • Grade 2: The breasts are a little firm, but appears natural and normal
  • Grade 3: The breasts are firm and appears high-riding or unnatural
  • Grade 4: The breasts are hard, appears high-riding or unnatural, and is painful to the touch

Your risk of getting capsular contracture increases when you get an infection, hematoma (collection of blood outside a blood vessel), or seroma (fluid build-up under the surface of the skin).

It is important to call your doctor immediately when you feel like something is wrong with your implants. The most effective treatment of capsular contracture is by removing the scar tissue/capsule surrounding your implants, or by removing or replacing  your implants.

6 Months Post Op

After 6 months, your breasts are considered fully healed. You can now go back to your normal activities and enjoy your new breasts. Still, keep these few things in mind:

  • You need to still sleep on your back until you get a green light from your surgeon to avoid putting pressure on your implant or your stitches.
  • 6 months after the surgery is also when the “drop and fluff” process is completed. When the drop and fluff process ends, your pectoral muscles relax, the implants drop to their final place, and fluff out into the space where they should be. 
  • Numbness especially around your nipples is completely normal. Unfortunately, the numbing can last up to two years for some people.

Final Thoughts

Recovery after breast augmentation needs to be slow and steady. For your stitches to fully heal and for your implants to beautifully settle, you need to support your body’s natural healing process. Use supportive bras for as long as necessary, avoid infection by taking care of your stitches and protecting your implants, and tend to your pain. 

You can always ask your doctor for medication, but as much as you can, go natural and relieve bruising, swelling, and pain by cold therapy. IceWraps carries a wide range of gel packs and clay packs for soothing pain relief. 

Breast Reconstruction Cost

Breast reconstruction typically is performed to re-create one or both breasts after a single or double mastectomy. The American Cancer Society[1] provides a detailed overview of breast reconstruction.

Typical costs:

  • Without health insurance, breast reconstruction using implants typically costs $5,000 to $15,000 per breast, for a total of $10,000 to $30,000 if both breasts are reconstructed. On RealSelf.com[2] , plastic surgeons discuss estimated total costs for bilateral implant reconstruction without insurance.
  • Without health insurance, breast reconstruction with “flap” techniques (using tissue from the patient’s own body to create new breasts) typically costs $25,000 to $50,000 or more per breast, or $50,000 to $100,000 for both sides. Total costs of $100,000 to $150,000 are not uncommon.
  • With health insurance, out-of-pocket costs for breast reconstruction total a few hundred to several thousand dollars. In some cases, costs can hit $10,000 to $12,000 or more. Patients on a breast cancer forum[3] discuss out-of-pocket costs for the most expensive surgeries.
  • When done after a mastectomy, breast reconstruction is covered by health insurance. The federal Women’s Health and Cancer Rights Act of 1998[4] requires all U.S. health insurers and self-insured group plans that cover mastectomy to also cover post-mastectomy breast reconstruction, surgery on the other breast to create symmetry and treatment of post-reconstruction complications. Some states also have laws requiring coverage.

What should be included:

  • In some cases, reconstruction can be done immediately after the mastectomy; in other cases, especially if radiation is being used, the reconstruction is done months, or even years, after the mastectomy.
  • With an implant, the surgeon usually stretches the skin by inserting a tissue expander under the skin and muscle and, over a four- to six-month period, slowly inflates it by adding saline. When the expansion is complete, the expander is surgically removed and replaced with a silicone gel or saline implant, usually in an outpatient procedure that takes an hour or two under general anesthesia, and requires two to four weeks off work for recovery.
  • With flap methods, the surgeon removes skin, blood vessels and, with some older techniques, muscle, usually from the abdomen, back or buttocks, and uses that tissue to re-create the breast. These inpatient operations typically use general anesthesia, take four to 12 hours to perform, and require up to a week in the hospital and as long as two months off work. These procedures are complicated and require an experienced surgeon highly skilled in microsurgery. The DIEP Flap[5] procedure is considered by some to be the state-of-the-art technique. Other options include the SIEA Flap[6] , the TUG Flap[7] , the GAP Flap[8] , the TRAM Flap[9] and the Latissimus Dorsi Flap[10] . Which procedure is recommended depends on how much tissue the patient has in a given area, prior surgeries and other health issues. Typically, one or two additional outpatient surgeries (a few hours each) are required, months after the initial operation, for revisions — smoothing out scars or injecting fat — and nipple and areola creation. On a breast cancer forum[11] , patients discuss the different stages of surgery.

Additional costs:

  • An implant will need to be replaced after about 10 or 15 years; insurance typically covers replacement.
  • Many patients must pay travel and hotel expenses for the initial consultation and at least two to three surgeries.
  • Getting a nipple and areola tattooed — usually several months after nipple reconstruction — by a permanent makeup artist or plastic surgeon typically costs $200 to $600 per breast; some providers offer the service free to breast cancer survivors.

Discounts:

  • The nonprofit My Hope Chest[12] helps qualifying women pay for breast reconstruction. And the United Breast Cancer Foundation[13] offers financial help for patients in need.

Shopping for breast reconstruction:

  • A plastic surgeon performs breast reconstruction. Make sure the doctor is certified by the American Board of Plastic Surgery and has privileges at an accredited hospital, even if the surgery is not taking place there. The American Society of Plastic Surgeons[14] and the American Society for Aesthetic Plastic Surgery[15] offer referrals. Ask about the surgeon’s experience and success rate, and ask to see before-and-after photos of previous patients. According to this guide on how to find a surgeon, from Plastic Reconstructive & Microsurgical Associates[16] , a surgeon should have performed at least 100 procedures and, in the case of flap procedures, should have a success rate (where the flap of tissue lives in its new location) of at least 97 percent.
  • Possible risks include bleeding, swelling, infection, pain, scarring, necrosis of tissue (cell death) requiring more surgery, change in or loss of sensation, and reaction to anesthesia that could include death. Ask about specific risks for each type of procedure (such as an abdominal hernia or lifelong limits on lifting weight after the TRAM Flap procedure). BreastReconstruction.org[17] provides surgeon-reviewed information and discussion forums for patients, and BreastCancer.org[18] has a reconstruction discussion forum.

Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.

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