Breast Augmentation

One of the most frequently performed cosmetic surgery procedures in the United States is breast augmentation. This procedure can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look. Women elect to undergo breast augmentation for many different medical and aesthetic reasons. Most commonly, breast augmentation is performed simply because a woman desires more volume. However, breast augmentation can also be performed to correct a reduced breast volume and abnormal shape following pregnancy or surgery or to balance unequally sized breasts. A breast lift must occasionally be combined with a breast augmentation in order to achieve the desired result.

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A breast augmentation with 350mL silicone implants positioned through a periareolar incision below the muscle.

New breast augmentation before and after pictures » click here

There are three major decisions in breast augmentation: where to make the incision, where to place the implant and what type of implant to use.

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Type of Implant

The implant used in breast augmentation at our NYC facility is made of a strong silicone shell that is filled with either saline (salt water) or softer silicone. Silicone breast implants have had a complicated past in the United States. Due to concerns about the safety of early silicone implants, the Food and Drug Administration (FDA) banned the use of these implants for cosmetic breast augmentation in 1992. Over the next 14 years a massive amount of data from clinical studies was reviewed. In a statement released in 2006, the FDA finally determined that silicone breast implants were “safe and effective.”

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Different Types Of Breast Implant

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Since that time, silicone implants have been successfully used in patients over the age of 21 with a high level of patient satisfaction. Many women believe that silicone implants have a more natural look and feel than saline implants. Dr. Morin will discuss the risks and benefits of both types of implants and help you choose the implant that is best for you at his New York office. In addition, the FDA has posted answers to many frequently asked questions about breast implants on their website.

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Implant Location

A breast implant can be inserted in two ways: below breast tissue and chest wall muscle (submuscular) or below breast tissue only (subglandular). Most commonly, the submuscular location is used because it offers some advantages over the subglandular location. For example, some studies have reported a lower risk of capsular contracture (post-operative tightening around the implant) when the submuscular position is used.

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Incision

Although the skin incision can be made in four locations, at our New York practice Dr. Morin only recommends two. These locations are in the crease on the underside of the breast (inframammary), and at the interface between the light and dark breast skin (periareolar). During your consultation at our NYC practice, Dr. Morin will be happy to discuss which location he believes is ideal for you and why he does not recommend the other locations.

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Procedure

A breast augmentation lasts approximately one to two hours and is performed under general anesthesia at our New York facility. Incisions are made in inconspicuous places to minimize scar visibility. The breast tissue is then elevated in order to carefully and precisely create a pocket into which the implant is placed. Once the implants are properly positioned, the incisions are meticulously closed. A surgical bra is used postoperatively for comfort. Most patients feel sore immediately after surgery, but are usually able to return to work within a few days.

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