What is Breast Augmentation?
Breast augmentation, also known as breast enlargement, breast enhancement, augmentation mammoplasty or “Boob Job” is a surgical procedure designed to increase the size of the breast. The surgery involves the placement of a breast implant, sometimes in front (retromammary), but most commonly behind the muscles (retromuscular) to increase your cup-size.
If you have been considering enhancing your breast size, look no further. Our cosmetic surgery practice in Huntington, NY provides cosmetic surgery to women in the Long Island, Nassau & Suffolk County area with state-of-the-art breast augmentation procedures and techniques. Please read through the information below to learn more about breast implants and augmentation.
Why Choose Breast Augmentation?
There are many reasons why women choose to have their breasts augmented, including:
- Increase over all size to achieve a fuller bust line or a more proportioned look.
- Pregnancy – many of our patients wish to restore their breasts or correct a difference in size.
- Correcting size or volume discrepancies between the breasts.
After a thorough consultation and examination, Dr. Elliot Duboys will recommend an appropriate course of treatment to satisfy your expectations.
Breast Augmentation Procedure
The Breast Augmentation procedure takes about one hour and typically involves the placement of an implant (silicone or saline) beneath the muscle via an incision beneath the breast or around the nipple. Breast Augmentation surgery is typically performed with general anesthesia to keep the patient as comfortable as possible. Following the procedure, you will be in recovery until you are ready to be discharged.
Breast Augmentation Before and After Photo
Breast implants: Saline vs Silicone
Breast Implants come in a wide range of sizes, shapes, desired texture, and material used. All options are FDA approved and come with a clinically proven safety record. Starting with material, the two types of implants used are saline (salt water) and silicone gel. Both come in a various profile rounds, which describe the relationship between the diameter (width), and height (projection) of the implant. Newer silicone based implants can also be anatomic or teardrop shaped. Lastly, the outer shell of the implants can be either smooth or textured. These are all options to consider when discussing implant selections with your doctor.
Saline Implants: This implant has a silicone outer envelope that is filled with saline during your procedure. As the implant is placed while empty, a small incision may be used. Saline implants have a failure rate of 10% per year and, in theory, will have to be replaced every 10 years.
Silicone Implants: Unlike a saline implant, this implant comes pre-filled and, therefore, a slightly larger incision must be used. This implant has a silicone outer envelope and is filled with a cohesive silicone gel.
How long do breast implants last?
Saline implants typically have a failure rate of 10% per year. Silicone implants, while not permanent, might have to be replaced in some cases. To learn more click here.
Are Breast Implants Safe?
In the early 1990’s the silicone breast implant was taken off the market in the United States because the implant was thought to cause autoimmune disease. This myth has been totally debunked and there is no evidence to infer that they cause any issues. The gold standard study was performed at John’s Hopkins University. Approximately 5 years ago the silicone breast implant was reintroduced. There are many hundred thousand women who have had silicone breast implants with no issues. Breast implant surgery is a safe procedure, and when performed by competent individuals there is a minimal incidence of complications. To learn more about breast implant safety click here.
How do I choose the right size breast implant?
This is a decision that will be made between you and your surgeon together. There are many factors that go into deciding what size implant to use: current body shape, desired body type, as well as what your body can handle. Our sizes range from very small to very large so we can be sure to help you with whatever size you would like that is still safe for your body. Even though Dr. Duboys can use simulation software to augment photos and show what you will look like after the surgery, we still recommend trying on the implants in a variety of clothing to get as accurate an idea as possible.
How are the implants placed?
Dr. Duboys uses the Keller Funnel Method when implanting silicone breast implants. This technique involves using a one-time use cone that will allow for the implant to gently transition from the funneling device into position inside the breast. Some of the benefits to this process include minimal trauma to the breast tissue, shorter and more comfortable recovery time, and a reduction in risk of scaring and capsule formation.
Breast implant Placement Using The Keller Funnel Method
Dr. Duboys utilizes the latest technology available when it comes to breast implant surgery. The Keller Funnel is a breakthrough technique that allows cosmetic surgeons to perform breast augmentation surgeries more efficiently and through smaller incisions. The Keller Funnel is a soft sterile, single use cone shaped instrument that aids in the placement of silicone implants, and allows Dr. Duboys to create a more natural look and feel to silicone breast implants. In addition, the usage of this device cuts down on surgery time, decreases risk of infection and results in a quicker healing time due to less tissue being damaged.
Breast Implant Placements
- Retromammary: The implant is placed behind the breast tissue. This location permits the placement of a larger implant and gives significant fullness to the upper portion of the breast. Sometimes, by utilizing this location, a minimal amount of ptosis (droop) may be corrected.
- Retromuscular: The implant is placed beneath the pectoralis major muscle. This location gives a more normal appearing breast configuration. 100% of the breast tissue is above the implant.
- Duel Plane: The surgeon places a portion of the implant beneath the muscle, and a portion above the muscle. This technique permits elevation of the breast and might obviate the need for a breast lift.
Breast Implant Incisions
- Inframammary: The most common incision is one slightly above where the breast joins the chest. This Breast Augmentation Implant Incision options small incision is usually hidden by all garments and lingerie. It is the most direct approach to either retromammary or retromuscular placement of the implant.
- Periareolar: An incision around the areola permits placement of most implants. This incision may interfere with nipple sensation and nursing in the future. A woman must have a relatively large areola for placement of silicone implants.
- Transaxillary: The armpit incision. While one would think this scar is camouflaged, frequently this scar widens and is visible when wearing a sleeveless blouse.
- Periumbilical: A small incision made around the belly button. Elliot B. Duboys, MD prefers not to use this incision and he will explain all the details during your consultation.
During your consultation, Dr. Duboys will discuss the pros and cons of each incision, implant placement, and types of implants.
Will I have scars from the incisions?
The incisions made for Breast Augmentation do result in scars. However, the doctors make special efforts to ensure that the incisions and resulting scars are as inconspicuous as possible.
Where is the surgery performed?
Dr. Duboys typically performs the surgery in his fully certified in-office surgical suite. This state-of-the-art operating room is fully accredited by the American Association for Accreditation of Ambulatory Surgical Facilities a convenience that is another solid reason to trust Dr. Duboys & Associated Plastic Surgeons & Consultants, PC. Should you desire, the procedure may be performed in one of the local hospital.
Breast Augmentation Recovery
As with any surgery, there is usually some discomfort that can be expected. In particular, patients may feel sore during the first few days. You will be provided with prescription medical to minimize your discomfort. After your breast augmentation, dressings may be applied to the breasts which will be removed within several days. You can expect some amount of swelling following the surgery, which will subside within about three to five weeks. A bra or support bra will need to be worn for a period of time.
Exercise is not recommended for up to 4-6 weeks. Most patients are able to return to work and most other normal activities within a few days. When planning, one week off is usually realistic.
When will I see the final results of this operation?
For around two weeks after the procedure has taken place, there will be some swelling and bruising. During this time, your breasts may appear slightly larger than you wanted, but fear not, for this is normal. In the following weeks and months, the implants will find their correct position. Therefore, while you will have a good idea what you will look like, the final result should be expected in a few months after the operation.
Can I breast feed after receiving breast implants?
Short answer: yes. There should be virtually no effect on your ability to breast-feed. We do caution patients that some women simply can not breast feed, regardless of whether or not they have implants. This happens because there is just not enough breast tissue to produce milk. There are certainly no health concerns for you or your baby if you breast feed with breast implants. To learn more click here.
Will breast implants affect my mammogram?
When having a mammogram, you should advise the technician that you have implants. You might require an additional view to make sure that all breast tissue is being seen.
Why is it important to have a board certified plastic surgeon?
When searching for any doctor, it is important to make sure they are certified within their particular specialty so to make sure they are practicing with the necessary standards and regulations recognized nationally. Plastic surgeons should be certified by the American Board of Plastic Surgery (ABPS). With this, you can be sure that your doctor provides quality care and practice techniques that will ensure your safety. Dr. Duboys is fully certified by the ABPS. Should you decide to “shop around” always ask your surgery if he/she can perform the procedure in a hospital. Any surgeon in the United States can perform breast augmentation, but only those certified as Plastic Surgeons can do it I n a hospital. To learn more click here.
What to expect during your breast consultation with Dr. Duboys
During the consultation for Breast Augmentation, you will meet with Dr. Duboys. After carefully examining your breasts, Dr. Duboys will discuss your expectations and the possibilities available to you. He will discuss the pros and cons of each incision, implant placement, and types of implants. All details of the Breast Augmentation procedure will be fully explained and any questions that you have, answered.
Schedule a Consultation
If you would like to learn more about Breast Augmentation, contact us or call (631) 423-1000 to schedule a consultation at our office in Huntington, Long Island. Dr. Duboys has been serving the Long Island, Nassau & Suffolk county areas with leading cosmetic surgery care for over 30 years.