Cosmetic Surgery Tips

Best plastic surgeons nyc for breast augmentation

Breast augmentation is a surgical procedure performed to enhance the size and/or shape of a woman’s breasts. This is often done to increase confidence, self-esteem, or body image. There are several options available for breast augmentation, including saline and silicone gel filled implants.

Breast augmentation surgery can be performed in different ways. The most common method involves using an implant that is inserted through the nipple and into the chest cavity where it is filled with either saline or silicone gel. The other option is to use a special bra that contains small balloons that inflate after surgery and are then implanted under the skin of your chest wall. It’s important that you choose a plastic surgeon who has experience performing this type of procedure, as well as one who can address all your concerns before, during, and after surgery.

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 plastic surgeons nyc for breast augmentation, Breast augmentation recovery and results. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Natural looking breast implants. Read on to learn more.

Best plastic surgeons nyc for breast augmentation

If you are unhappy with the appearance of your breasts due to genetics, changes after pregnancy, weight fluctuation, or aging, breast augmentation surgery can restore your femininity and improve your confidence. NYC Breast Augmentation Specialist Dr. David L. Cangello is a Board Certified Plastic Surgeon who is experienced in the art of cosmetic breast surgery. He offers personalized treatment plans to meet your aesthetic goals.

Breast Augmentation Benefits:

  • Restores fullness to breasts that have lost volume
  • Rejuvenates breasts that have changed shape with age
  • Improves symmetry and balance
  • Adds balance to a feminine figure
  • Enhances the size and shape of smaller breasts

Facts About Breast Augmentation

  • Clinical study surveys of breast augmentation patients report a very high rate of patient satisfaction.1,2
  • Breast Augmentation has been the most popular cosmetic surgery procedure in the U.S. for over a decade, with more than 300,000 procedures performed last year.3
  • Breast Augmentation is popular among adult women of all ages, with the most procedures performed on patients aged 30 to 39.
  • Breast implants should not interfere with a woman’s ability to breastfeed.4
  • Breast implants are sized by volume, not cup size. An experienced plastic surgeon will help you choose the right breast implants for you.

An Artistic Approach to Breast Augmentation in NYC

Women seeking cosmetic breast surgery typically want to restore volume, shape, or symmetry to their breasts without looking “done.” Combining medical precision with the principles of aesthetics, Dr. Cangello creates elegant results without compromising the integrity of the body’s natural form. Artistic intuition is at the heart of how he approaches every cosmetic procedure and his expert opinion on this topic has been featured in several media segments, particularly highlighting how he excels at maintaining natural proportions of the body while still allowing for the desired enhancement.

Dr. Cangello has perfected the art of breast surgery through extensive experience, meticulous surgical techniques, and an eye for artistic detail. Whether you’d like a subtle look or bold cosmetic enhancements, Dr. Cangello incorporates your tastes and preferences into a treatment plan.

Patient Experiences

“My experience was amazing. Dr Cangello took his time, I asked many questions. He answered everyone. Very satisfied with the size and results. I get lots of complements and I cant wait to go shopping for new clothes. BTW the value of this breast augmentation special in New York City is unbelievable. He is well trained and his facility is super nice. I am telling all my friends!”

—M.S.

Your Breast Implant Consultation with Dr. Cangello

The foundation of a productive doctor-patient relationship is trust, and Dr. Cangello facilitates this vital partnership through informative, thorough consultations. His Park Avenue office in NYC provides a warm, welcoming environment. He and his entire staff are committed to making you feel comfortable as you take the first step toward considering treatment.

During the consultation, Dr. Cangello will address any questions or concerns you may have and expectations for outcomes. He will also determine whether you’re a good candidate based on your medical history and current health. Dr. Cangello is committed to patient satisfaction throughout every step of the process – from your initial consultation to your post-operative visits – which is why he’ll work with you to develop a treatment plan that is tailored to your aesthetic tastes and goals.

Breast Augmentation patient before
Breast Augmentation patient after

Planning your Treatment at Cangello Plastic Surgery

Undergoing any kind of surgery can be a source of anxiety for patients, especially when their appearance is involved. For optimal patient comfort, Dr. Cangello has a state-of-the-art, fully accredited (AAASF) operating room at his NYC office, where most of his plastic surgery procedures are performed. Your safety and comfort are paramount, and he and his staff work meticulously to ensure you have a stellar outcome. For added safety and comfort, they only work with board-certified anesthesiologists. Patients considering breast augmentation in NYC are welcome to take a tour of Dr. Cangello’s operating facilities during their consultation. For patients who feel more comfortable having their procedure in a hospital type setting, Dr. Cangello has operating privileges at Manhattan Eye, Ear, and Throat Hospital, which is New York City’s premier hospital for aesthetic surgery, and it is located on East 64th Street on the Upper East Side.

Your Breast Augmentation Options

Dr. Cangello will guide you through the process of deciding on the size and shape of your implants, where they’ll be placed, and whether silicone or saline will be used. If you are seeking a modest size enlargement and you don’t want to have implants, you may want to consider breast augmentation via fat grafting as well. Dr. Cangello is one of only two surgeons in the world trained in fat grafting techniques by one of the pioneers in the field, Dr. Sydney Coleman. He worked closely with Dr. Coleman for two years and has extensive experience with cosmetic fat transfer treatment.

Shape

There are two basic shapes for breast implants: round and contoured:

Round

Round breast implants have volume and fullness all the way around. They contain a gel that is less cohesive than the anatomically shaped (teardrop) variety and, as a result, they are softer and feel natural. They typically have a smooth texture.

Contoured

Contoured breast implants, also called teardrop, have a subtle sloping shape that is intended to match the curves of natural breasts. These require a textured surface to ensure they adhere to surrounding tissue so that they do not rotate in the breast pocket once they are implanted. They are also a bit firmer to the touch due to the greater cohesivity of the gel filling. It is the cohesive nature of the gel that does not allow the implant to change shape when the implant position changes.

Implant Placement and Incision

Breast implants can be placed under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement). There are also three possible places for the incision, which can vary based on your anatomy and the size and type of implant used.

Incisions can either be periareolar (around the nipple), inframammary (in the crease between the breast and chest wall), or transaxillary (in the armpit), although Dr. Cangello avoids using the transaxillary technique, as this method has a higher rate of implant malposition. When it comes to minimizing incision size, Dr. Cangello prefers to use the “no touch” method during breast augmentation with silicone. The “no touch” method utilizes a Keller funnel, instead of the surgeon’s hands, for placement into the breast pocket. This allows for easier implant insertion and uses a smaller incision size. It may also help to minimize infection risk.

Silicone vs. Saline Breast Implants

Dr. Cangello uses both silicone and saline to deliver exceptional results, but these varieties differ in a few ways:

Saline Implants

Saline Implants are filled with saline once they’ve been placed into the treatment site. Because of this, a smaller incision size can be utilized to accommodate insertion of the implants. Since they do not contain silicone, long-term monitoring is not required. In thin women with small amounts of breast tissue, visible rippling at the implant edges may be seen. In the rare case, they rupture, the saline can be safely absorbed by the body. Saline is approved for patients who are at least 18 years old.

Silicone Implants

Silicone Implants are pre-filled by the manufacturer with a cohesive, silicone gel. Many patients find that they feel more natural to the touch. Aesthetically, they look more natural, too. Traditionally they required larger incisions, but Dr. Cangello uses the Keller funnel method to minimize incision size. Because they contain silicone, the FDA suggests MRI scans every few years to monitor the condition of the implant shell. However, MRI surveillance is only a recommendation and not mandated. They are approved for patients who are at least 22 years old.

Preparing for Your Breast Augmentation

During your initial consultation, Dr. Cangello will provide you with a pre-operative plan that details everything you need to know about getting ready for your surgery. This plan will be custom tailored to your unique needs, and it may also include dietary changes that impact your health.

Before the day of your surgery, you should arrange for a responsible adult to accompany you to and from Dr. Cangello’s NYC office. Because treatment is performed under general anesthesia, you will not be able to drive after the procedure. Likewise, consider having a friend, family member, or caregiver assist you for the next 24 hours. Even if you feel fine after your surgery, it can be helpful to have someone assist you with daily tasks and errands so you can focus on recovering.

Breast Augmentation patient before
Breast Augmentation patient after

Post-Breast Augmentation Surgery & Follow Up

Undergoing surgery can be stressful for some patients, which is why Dr. Cangello aims to provide helpful, realistic information about every step of the process. Breast Augmentation surgery typically takes one-and-a-half to two hours. When you wake up, you will have a surgical dressing over your incisions, and you will be wearing a post-surgical bra. You may feel achiness or tightness in your breasts, but Dr. Cangello will prescribe pain medication to alleviate any discomfort.

While every patient is different, you can expect your recovery to take approximately four to six weeks. In the first few days after your surgery, it’s normal to experience some pain and/or tightness in the breasts. Most patients are able to resume non-strenuous and non-contact sport activities one week following surgery. Plan to visit Dr. Cangello for your follow-up appointment one week after your procedure, then again at four weeks and again at 12 weeks to ensure optimal healing.

Breast augmentation recovery and results

After an hour or so in the recovery room, you will be discharged to the care of another adult who needs to stay with you for the evening. You will need someone to bring you to your first post-operative recheck, since you should not drive a car for the first two days after breast enlargement surgery, or while taking pain medication. Virtually every patient can resume normal everyday activities within 24 hours after surgery, including showering, doing one’s hair or applying cosmetics, dressing, eating normal meals, and moving about the house. You should avoid stretching or repetitive activities that might raise your pulse or blood pressure, which can increase the risk of bleeding and re-operation. Our superior anesthesia protocols (TIVA), as well as careful, minimal-trauma surgery may allow most patients to feel well enough to go out for pizza on the way home from surgery, or to go dancing the next day. But really, this makes no sense, since every patient having an operation must heal tissues and seal blood vessels. The less strenuous activity you engage in, the less likelihood of bleeding, bruising, discomfort, capsular contracture, or re-operation. Taking things easy, even if you feel great, is an investment in your final cosmetic result! Anything else that seeks to imply a superior surgical skill, “special” technique, or proprietary way to circumvent normal healing is simply marketing.

Avoid Exercising

You should avoid exercising, lifting, or strenuous activity for a full two weeks following surgery, to limit the possibility of bleeding. If you have bleeding, re-operation is necessary to remove the blood, cauterize or suture the source, and re-close the incision. Most patients prefer to reduce activities rather than risk re-operation and the higher rate of capsular contracture that may result if this occurs. This generally means no exercise or other strenuous activity for the first two weeks. Jogging, horseback riding, weightlifting (bench press, military press, curls, etc.), yoga, or any activities that bounce the breasts or stretch/contract the chest muscles should be avoided for a full month or longer, depending on intensity.

Breast augmentation–submuscular silicone implants

This 20 year-old woman came to Minneapolis Plastic Surgery for breast augmentation with implants. She underwent submuscular silicone gel implant placement as a light general (TIVA) anesthetic outpatient procedure in our nationally-accredited (AAAASF) on-site surgical facility. She returned to everyday (non-strenuous) activities in 24 hours, light exercise in 2 weeks, and more vigorous work-outs in 4 weeks. (Note the large mole in her cleavage area was removed at the time of her surgery; the small mole on the right breast remains.)

Breast augmentation–submuscular saline implants

This 47 year-old mother of 3 lost most of her breast volume after breast feeding, and came to Minneapolis Plastic Surgery for augmentation mammoplasty (breast enlargement with implants). Her surgery was one month before the FDA again released silicone gel implants for elective breast augmentation (2006), so this patient had submuscular saline implants placed. Proper “over”filling minimized implant rippling. Her TIVA general anesthetic allowed her to leave the recovery room in just one hour–alert, comfortable, and without nausea or vomiting.

Breast augmentation–submuscular saline implants

This 19 year-old mother of one came to Minneapolis Plastic Surgery for breast implants to restore fullness lost after breast feeding. She had saline implants placed beneath her pectoralis muscles in our nationally-accredited (AAAASF) office surgical facility as a 1-hour outpatient operation. Note the natural “teardrop” appearance of her breasts with smooth round submuscular implants.

Breast augmentation–submuscular silicone implants

This 20 year-old health care professional from Rochester, Minnesota wanted larger breasts. After much research, she decided she wanted the latest generation of cohesive silicone gel implants instead of saline ones. Even though she is not yet 22, it is perfectly legal and appropriate for her to request silicone gel implants, particularly when we agree that this is the best choice for her goals and anatomy. Use of silicone gel implants in a woman under age 22 is considered “off-label” use, just as when Botox is used for treatment of facial lines or wrinkles of the neck or upper forehead (Botox Cosmetic is FDA-approved only for use in treating frown lines between the brows and “crows feet” lines; use anywhere else is considered “off-label” use that is completely legal and quite common). She sized with 550cc and 600cc implants in a bra and stretchy top; in her 55 minute outpatient breast augmentation operation at Minneapolis Plastic Surgery, she had 650cc high-profile cohesive silicone gel implants placed. She has been thrilled with her results, and at her most recent office recheck appointment said that she is contemplating increasing to 800cc implants.

Breast augmentation–submuscular saline implants

This 31 year-old woman breast-fed three children, and told us these were the only times she had any breast fullness. She requested breast enlargement, but did so during the time (1991-2006) when the FDA restricted cosmetic silicone gel augmentation, and therefore had submuscular saline implants placed at Minneapolis Plastic Surgery’s nationally accredited (AAAASF) on-site outpatient surgical facility. Three years later she requested additional saline fill to reduce rippling (despite proper “over”filling initially).

Breast augmentation–submuscular saline implants

This 33 year-old woman breast-fed both of her children and developed Grade II (moderate) breast ptosis (droop) and significant loss of breast volume. She requested restoration of breast size without breast lift if possible. Submuscular breast augmentation was performed as an outpatient light general anesthetic (TIVA) procedure that nicely corrected her loose breast skin without breast lift (mastopexy) scars or increased cost being necessary.

Breast augmentation–submuscular silicone implants

This 21 year-old woman told us she has always been bothered by her small, unattractive breasts. She underwent augmentation mammoplasty at Minneapolis Plastic Surgery’s AAAASF-accredited on-site surgical facility, and had 575cc silicone gel implants (cohesive latest-generation) placed below her pectoralis muscles in a 50-minute operation. Use of silicone gel implants in a woman under age 22 is perfectly legal and appropriate as long as informed consent regarding “off-label” use is obtained, and the patient requests their use. Her TIVA anesthesia allowed her to leave the facility in 1 hour feeling comfortable and relaxed without nausea or that bloated, gassy, dizzy, inhalation anesthesia smell (and higher nausea risk). After photo at 1 year post-op.

Breast enlargement with cohesive silicone implants–89

This 23 year old woman from North Dakota desired larger and more shapely breasts, but did not want an obvious, round, “fake” look. She came to Minneapolis Plastic Surgery for breast augmentation with cohesive silicone gel implants, and chose smooth round implants because they have a soft teardrop appearance when upright, and flatten and round out to the sides of her chest when reclining–significantly more natural and “anatomic” than form-stable teardrop-shaped textured implants. Her outpatient operation was performed in our nationally accredited (AAAASF) on-site office surgical facility under a light TIVA general anesthetic. She returned to her daily routine and traveled back to her home the next day, and resumed exercise and strenuous activities in 3-4 weeks. After photographs were taken 6 weeks post-op.

breast augmentation with silicone implants

This 30 year old woman and her husband are done with their family and breastfeeding her 2 children left her with deflated breasts. She came to Minneapolis Plastic Surgery for breast augmentation with silicone implants, as well as liposuction of various other areas. She is 5′ 4″ tall and weighs 133 lbs. so she is an excellent candidate for liposculpture as well as breast enlargement for improved body contours. Her TIVA anesthetic allowed nausea-free recovery and rapid discharge home to her caregiver. She had 5 pounds of fat removal via her same-procedure liposuction, combining multiple areas of surgery into one operation and one recovery.

Breast augmentation–submuscular silicone implants

This 20 year-old woman came to Minneapolis Plastic Surgery for breast augmentation with implants. She underwent submuscular silicone gel implant placement as a light general (TIVA) anesthetic outpatient procedure in our nationally-accredited (AAAASF) on-site surgical facility. She returned to everyday (non-strenuous) activities in 24 hours, light exercise in 2 weeks, and more vigorous work-outs in 4 weeks. (Note the large mole in her cleavage area was removed at the time of her surgery; the small mole on the right breast remains.)

Breast augmentation–submuscular saline implants

This 47 year-old mother of 3 lost most of her breast volume after breast feeding, and came to Minneapolis Plastic Surgery for augmentation mammoplasty (breast enlargement with implants). Her surgery was one month before the FDA again released silicone gel implants for elective breast augmentation (2006), so this patient had submuscular saline implants placed. Proper “over”filling minimized implant rippling. Her TIVA general anesthetic allowed her to leave the recovery room in just one hour–alert, comfortable, and without nausea or vomiting.

Breast augmentation–submuscular saline implants

This 19 year-old mother of one came to Minneapolis Plastic Surgery for breast implants to restore fullness lost after breast feeding. She had saline implants placed beneath her pectoralis muscles in our nationally-accredited (AAAASF) office surgical facility as a 1-hour outpatient operation. Note the natural “teardrop” appearance of her breasts with smooth round submuscular implants.

Breast augmentation–submuscular silicone implants

This 20 year-old health care professional from Rochester, Minnesota wanted larger breasts. After much research, she decided she wanted the latest generation of cohesive silicone gel implants instead of saline ones. Even though she is not yet 22, it is perfectly legal and appropriate for her to request silicone gel implants, particularly when we agree that this is the best choice for her goals and anatomy. Use of silicone gel implants in a woman under age 22 is considered “off-label” use, just as when Botox is used for treatment of facial lines or wrinkles of the neck or upper forehead (Botox Cosmetic is FDA-approved only for use in treating frown lines between the brows and “crows feet” lines; use anywhere else is considered “off-label” use that is completely legal and quite common). She sized with 550cc and 600cc implants in a bra and stretchy top; in her 55 minute outpatient breast augmentation operation at Minneapolis Plastic Surgery, she had 650cc high-profile cohesive silicone gel implants placed. She has been thrilled with her results, and at her most recent office recheck appointment said that she is contemplating increasing to 800cc implants.

Breast augmentation–submuscular saline implants

This 31 year-old woman breast-fed three children, and told us these were the only times she had any breast fullness. She requested breast enlargement, but did so during the time (1991-2006) when the FDA restricted cosmetic silicone gel augmentation, and therefore had submuscular saline implants placed at Minneapolis Plastic Surgery’s nationally accredited (AAAASF) on-site outpatient surgical facility. Three years later she requested additional saline fill to reduce rippling (despite proper “over”filling initially).

Breast augmentation–submuscular saline implants

This 33 year-old woman breast-fed both of her children and developed Grade II (moderate) breast ptosis (droop) and significant loss of breast volume. She requested restoration of breast size without breast lift if possible. Submuscular breast augmentation was performed as an outpatient light general anesthetic (TIVA) procedure that nicely corrected her loose breast skin without breast lift (mastopexy) scars or increased cost being necessary.

Breast augmentation–submuscular silicone implants

This 21 year-old woman told us she has always been bothered by her small, unattractive breasts. She underwent augmentation mammoplasty at Minneapolis Plastic Surgery’s AAAASF-accredited on-site surgical facility, and had 575cc silicone gel implants (cohesive latest-generation) placed below her pectoralis muscles in a 50-minute operation. Use of silicone gel implants in a woman under age 22 is perfectly legal and appropriate as long as informed consent regarding “off-label” use is obtained, and the patient requests their use. Her TIVA anesthesia allowed her to leave the facility in 1 hour feeling comfortable and relaxed without nausea or that bloated, gassy, dizzy, inhalation anesthesia smell (and higher nausea risk). After photo at 1 year post-op.

Breast enlargement with cohesive silicone implants–89

This 23 year old woman from North Dakota desired larger and more shapely breasts, but did not want an obvious, round, “fake” look. She came to Minneapolis Plastic Surgery for breast augmentation with cohesive silicone gel implants, and chose smooth round implants because they have a soft teardrop appearance when upright, and flatten and round out to the sides of her chest when reclining–significantly more natural and “anatomic” than form-stable teardrop-shaped textured implants. Her outpatient operation was performed in our nationally accredited (AAAASF) on-site office surgical facility under a light TIVA general anesthetic. She returned to her daily routine and traveled back to her home the next day, and resumed exercise and strenuous activities in 3-4 weeks. After photographs were taken 6 weeks post-op.

breast augmentation with silicone implants

This 30 year old woman and her husband are done with their family and breastfeeding her 2 children left her with deflated breasts. She came to Minneapolis Plastic Surgery for breast augmentation with silicone implants, as well as liposuction of various other areas. She is 5′ 4″ tall and weighs 133 lbs. so she is an excellent candidate for liposculpture as well as breast enlargement for improved body contours. Her TIVA anesthetic allowed nausea-free recovery and rapid discharge home to her caregiver. She had 5 pounds of fat removal via her same-procedure liposuction, combining multiple areas of surgery into one operation and one recovery.

Individual results may vary.

Minneapolis Plastic Surgery Patient Recovery

Some breast augmentation surgeons or websites state or imply that they utilize special techniques to minimize postoperative pain, swelling, or restriction of activities. One website even emphasizes the implied “superiority” of their procedure by showing a photograph of a breast enlargement patient out dancing with her arms above her head shortly after surgery, or by showing testimonials by patients who go out to dinner the night after surgery. We also employ all of these “special” techniques, and in fact 97-98 percent of Minneapolis Plastic Surgery’s breast enhancement patients have NO nausea, NO vomiting, NO anesthetic hangover, and are able to eat normal food and be up and about the night after surgery. Do we encourage dancing and dining the night after surgery? Of course not; there still are the two-three percent of patients who will have some degree of nausea or more discomfort, and do best by minimizing the potential for raising the blood pressure that accompanies vomiting, and the risk of re-operation or capsular contracture that goes with elevating the blood pressure or pulse. Most of our breast enhancement patients are thrilled by their lack of post-operative pain, bruising, or swelling, not to mention the avoidance of nausea and vomiting our superior anesthesia techniques permit! But we want ALL of our patients to have a great result, so we recommend moderation in activities that might adversely impact your result (and our reputation).

Although limitation of strenuous activity requirements are simple, straightforward, and in your best interest, a few patients each year feel they can bypass this rule, think they are doing so well that this doesn’t apply to them, or decide that they “got away with (an inappropriate activity) once, so it must be OK,” and end up in the operating room again.  This is usually avoidable, but bleeding can still occur despite everyone’s (patient and surgeon) best effort. If this is the case, timely re-operation can remove the blood (usually only a few ounces), control the bleeding source, and avoid or limit any untoward effect on the final result. If you have significant swelling on one or both sides post-operatively, notify your surgeon.

Avoiding Infection

Infection is extremely rare in this operation. It can occur, however, and you must take the prescribed antibiotics until gone to reduce this risk as much as humanly possible. If an implant becomes infected, it must be removed (usually with the other implant, infected or not) and will need to be left out for several weeks to as long as a year, to allow all bacteria to be destroyed by antibiotic therapy and your own antibodies, as well as to allow scar tissue to soften enough to permit replacement of the implants.

You can also reduce the risk of infection by showering rather than bathing, and you should absolutely stay out of the lake, Jacuzzi, pool, hot tub, or sauna for three weeks after breast enlargement surgery. Close contact with animals or household pets (especially cats) should be limited as well during this time. Taking your antibiotics as prescribed does not eliminate the need to follow these recommendations!

Typical Breast Augmentation Recovery Prescriptions

You will also receive prescriptions for muscle relaxants and anti-inflammatory before you leave our Clinic (these are now e-prescribed and can be picked up prior to surgery so you don’t have to stop on the way home after surgery!) In our office, pain medication cannot be “called-in” or e-scribed–on the day of surgery your adult caregiver will be given a written prescription for these medications. Take your medication as advised to reduce nausea, vomiting, and the resultant increase of blood pressure that might start bleeding. Your breasts will NOT have drains (they are not necessary with our precise surgical technique and meticulous hemostasis), but you will have a long-acting local anesthetic placed in your implant pocket to minimize immediate post-operative discomfort. We also inject a 3-4 day extended-release local anesthetic (Exparel) into the tissue around your breasts to reduce discomfort for an extended period. This multi-pronged approach is why the vast majority of our breast enlargement patients do so well and report minimal post-op discomfort.

Typical Breast Augmentation Activity Recommendations

Keep fluid intake up and walk, move around, and flex your calf muscles to reduce the risk of blood clots. This is important to reduce the risk of heart attack, stroke, pulmonary embolism, or sudden death. Do not take aspirin, ibuprofen, Aleve™, etc. during the four weeks after surgery. Resume other medications as advised by your doctor. Return to work based on the activity levels required at your job, and resume exercise or strenuous activity gradually, no sooner than the two weeks discussed above. Jogging, horseback riding, weightlifting, vigorous sexual activity, or similar strenuous exertion should be avoided for four weeks to decrease the risk of bleeding, re-operation, and/or capsular contracture.

Your bleeding risk is actually highest 10 to 33 days AFTER surgery, as pain and soreness resolve, and activities naturally increase. Healing tissues are not durable and supple enough for vigorous stretching or strenuous muscular contraction until one month from surgery, and then only if started gradually. This information is meant to help you avoid re-operation for bleeding! (And those “quick-recovery” “brand-name” operations don’t have any magical stop-bleeding tricks either—in fact, implying activity is OK or encouraged only increases these doctors’ re-operation rates for evacuation of hematomas.) Ask who pays for that?  Hospital charges for bleeding re-operation can cost thousands; we offer minimal-cost, no surgeon’s fee  re-operation (around $1000) in the unlikely event that one of our patients bleeds.

Following these recommendations will make the likelihood of a successful outcome as high as possible, and the risk of complications low. After your breast enlargement surgery, your final appearance will take some time to be achieved. During this time your muscle, breast tissue, and skin must heal, stretch, soften, and settle over time. Some patients look fabulous days after surgery; most take somewhat longer!

Most patients are sent home with a Velcro® bandeau placed on the upper part of the breasts. This will be worn at night, and in most cases, patients will be asked to remain braless during the day. This will allow your breast implants to drop into the proper position over time. The amount of time necessary for final softening and settling of implant position is different for each patient, and so will the time recommended to start wearing a bra. Some patients will have tapes and a surgical bra right after surgery. Do not judge your recovery by the yardstick of a friend’s or relative’s experience; every patient is unique, and every recovery and result is also unique. Your surgeon will guide you as time goes by and advise you on how to enhance your result. At Minneapolis Plastic Surgery, Ltd. we offer our patients a lifetime of no-charge rechecks and will keep you apprised of the best advice we are capable of giving.

Most patients look good in clothing within days after surgery; unclothed, a soft, natural appearance will take longer to develop. Final softening, settling, and the return of sensation can take several months to as long as a year or so. During this time, or at least as long as your scars are pink, you must avoid tanning booths or any source of ultraviolet exposure in order to reduce the chance of permanently darkening the scars. Vitamin E oil or ointment massage of the scars after three week’s time can help to soften and fade them; you should not begin this prior to three weeks after surgery in order to avoid the risk of prematurely softening and stretching the scars. If you have a tendency to form thick or heavy scars, your surgeon may instruct you in the use of scar pads ( silicone sheets ) or other scar-treatment remedies as  ways of helping to reduce this concern.

A Smooth Recovery Process

All in all, with superior anesthesia, careful surgery, meticulous technique, precise hemostasis, attention to medications, not resuming strenuous activity prematurely, and equally attentive patient compliance, breast enlargement is a safe, straightforward procedure with a very high satisfaction rate. This information and these recommendations are not intended to be complete or all-inclusive. Post-operative rechecks are important and are designed to monitor your progress, make appropriate recommendations, and address any specific concerns or questions. 

Natural looking breast implants

Breast augmentation continues to be one of the most commonly performed cosmetic surgery operations in the UK, with over 2000 procedures carried out in London each year. Breast enlargement surgery is designed to alter the size and shape of the breast with an improvement in breast texture.

Breast implants come in two main types, silicone implants or saline implants. Saline implants are composed of a silicone outer and are filled with a sterile saltwater solution (saline). In contrast, silicone implants are composed of a cohesive gel-like material enclosed by a silicone shall. Saline implants are rarely used in the UK due to the high risk of implant rupture and the inability to achieve natural-looking results. There are also more prone to developing implant rippling, which may be visible through the skin. Silicone breast implants are most commonly used in the UK and have a more natural consistency with a reduced likelihood of developing implant rippling or wrinkling. All types of breast implants have a finite lifespan of approximately 10 to 15 years, and it is recommended to have them removed or replaced at this time. Some women may also want to improve the size and shape of their breasts after a period of time due to the development of breast sagging, and different-sized implants, whether bigger or smaller, may be used to replace old breast implants.

Which types of breast implants look natural?

We commonly get asked how women can achieve a natural look with breast implants. There are several different ways to ensure a natural-looking appearance with breast implants.

Getting natural-looking results with breast augmentation

The first step is to have a consultation with an expert breast augmentation surgeon at Centre for Surgery. At the consultation, your surgeon will assist you in helping to select the most appropriate type of implant to match your chest anatomy. We offer two different brands of breast implants, including Mentor and Sebbin implants. Both types of implants are MHRA-approved for breast augmentation and have a proven track record of safety and quality. Implants come in various sizes and shapes, including round implants, anatomical implants or teardrop implants.

Implants also come in a variety of different profiles, from low profile to very high profile. Implant profile is used to describe the distance of projection from the chest, with low profile implants having a more shallow edge resulting in a more natural appearance. Very high-profile implants project further outwards with more defined edges and help improve breast cleavage. High-profile implants have a lower potential for creating a natural appearance but are often preferred by many patients who want to achieve bigger breasts with enhanced cleavage.

Your surgeon will also discuss optimal breast implant placement with two main techniques for placing the implants, which can be either below the pectoralis muscle or placed on top of the muscle. There are pros and cons to both approaches depending on your desired look. Achieving a natural appearance to the breasts will often depend on where the implants are placed, and you can discuss this further with your surgeon at the consultation.

Natural-looking breast implants can be enhanced further with the addition of fat transfer to the breasts, which is an effective technique for disguising the edges of the implant in thin-skinned patients.

Following the post-operative instructions after breast augmentation surgery is essential to get the best results. You will be provided with a post-operative support bra to maintain the breast implants in the correct position and avoid unnecessary irritation of the healing scars.

We would advise avoiding certain types of strenuous exercise, including cardiovascular exercises and sporting activities such as tennis, which involve raising your arms above your shoulder level. Excessive movements of the arms above the shoulders may result in a risk of developing implant malposition. This complication may require corrective breast surgery further down the line. Avoiding excessive arm movements will also help your breast augmentation scars to heal properly.

How can breast implants look fake?

Fake-looking breast implants often have several characteristics. Choosing very high-profile implants often results in breasts that appear less natural. The position of the implant can also play a factor in creating breast implants that look fake, whether the implant is placed above the breast muscle or beneath it.

The anatomy of the female chest and the size of the breast implant selected can often determine whether breast enhancement results appear fake. Women who only go up one or 2 cup sizes after breast augmentation surgery have a higher likelihood of achieving natural-looking results than women who go up 5 or 6 breast cup sizes. If you are keen to achieve a natural-looking breast augmentation, please discuss this with your surgeon, who will be able to use years of experience in helping you select implants that will appear natural for your body shape.

What is the most natural breast implant?

Compared with saline implants, silicone breast implants have the most natural-looking appearance and optimum feel. At Centre for Surgery, we have extensive experience with Sebbin breast implants manufactured in France. These implants have over 20 years of safety data proving their effectiveness. Sebbin implants contain a highly cohesive silicone gel contained in an outer silicone shell. Patients often tell us how the implants feel similar to the natural breast tissue. Successful breast augmentation surgery to achieve a natural appearance depends on choosing the correct implant size, shape and profile, which must always be customised to each patient to get optimal results.

What kind of breast implant is right for you?

Are there any natural alternatives to breast implants?

Breast augmentation with implants is the most common method of surgically enhancing the breasts. However, fat transfer breast augmentation has emerged as a highly effective way to enhance breast volume without the need for implants.

Centre for Surgery experts in all types of fat transfer surgery, including breast augmentation fat transfer which involves enhancing breast volume by injecting fat into the breasts. Many patients often prefer having breast augmentation with fat transfer as the procedure does not involve the use of artificial substances such as silicone implants and is known for producing natural-looking results.

What are the natural alternatives to breast implants?

Natural breast augmentation with fat transfer to breast involves liposuction to remove fat from unwanted body areas such as the abdomen, thighs or hips, followed by its purification. The purified fat is then injected into the breasts using small diameter cannulas. Many patients appreciate having areas of stubborn fat removed to contour and sculpt body regions such as the stomach. This procedure is often viewed as a two-in-one procedure with the body contouring benefits of liposuction combined with breast fat transfer to increase breast volume in the same procedure. Natural breast augmentation with fat transfer results in fewer scars compared with breast implant surgery.

The risk of complications such as bleeding is much less with breast fat transfer than with breast implant surgery. Not having implants inserted means any risk of infection is minimal. Fat transfer breast augmentation is commonly requested by patients who may be unhappy with the results of a breast implant procedure. Some patients may have had surgery for breast cancer, such as a mastectomy and will require breast reconstruction surgery to restore the shape of the breasts and get rid of breast asymmetry.

Fat transfer breast augmentation is most commonly carried out under a general anaesthetic. At Centre for Surgery, we specialise in TIVA anaesthesia to ensure a quick recovery with minimal risk of post-operative sickness. The procedure takes, on average, between one and three hours, depending on the amount of liposuction carried out and the quantity of fat injected into the breasts.

The recovery time after that transfer to breasts is generally between one week and four weeks. Your surgeon may recommend taking one week off work and restricting physical activities until any post-operative swelling has settled down, which will help improve the quality of your recovery. Once you have seen your surgeon at your six-week review, you may undertake complete activities without restrictions.

Fat transfer to the breasts can be carried out with or without breast implant surgery. When breast fat transfer is combined with breast implants, the procedure is called hybrid breast augmentation. By combining the two procedures, patients can benefit by having a significant increase in breast volume with implants with the natural-looking results achievable with fat transfer. Liposuction can be carried out to other body areas if desired to create a flatter stomach or slimmer-looking thighs.

Some of our surgeons are experienced in 3-D virtual imaging to give you an idea of how you could look after your breast implant surgery. 3-D imaging may help you develop a better idea of what can be achieved and whether your expectations are realistic.

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