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Breast Augmentation

Breast Augmentation

in Norwalk, CT

Many women become dissatisfied with the size and shape of their breasts over time. Sometimes this is the result of external factors like pregnancy or age; other times, it is in response to long-standing size concerns. For women who seek to improve the size and shape of their bust, breast augmentation surgery is a viable solution.

Why Should I Choose Dr. Rick Rosen?

Dr. Rick Rosen is a board-certified plastic surgeon with over thirty years of experience. He makes sure to build rapport with all his patients when determining their goals and desires. Dr. Rosen only recommends treatments he believes are suited for each patient and goes out of his way to address his patient’s physical needs and aesthetic goals.

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Dr. Rosen is extremely helpful, professional, and compassionate and I would highly recommend him. During our visits he is easy to speak with and devotes his time to his individual patients, therefore I never feel rushed out of the office. He has a laid back manor, however makes me feel confident in his services.

What Are the Benefits of Breast Augmentation?

Breast augmentation is performed on women to address the three S’s:

Size

Breast augmentation can increase the size of your breasts, reversing the volume loss that can result from pregnancy or age.

Shape

Breast augmentation can refine the shape of your breasts, providing the right amount of perkiness for you to wear that daring dress you’ve been eyeing.

Symmetry

Breast augmentation can reshape one or both of your breasts to match each other. This may involve changing the size, projection, or proportions of your breasts.

Candidates

Am I a Candidate for Breast Augmentation?

Ideal candidates for breast augmentation are non-smokers who are in good health and realistic with their expectations. Candidates who take blood-thinning medication or have underlying health concerns that may impact healing should mention those factors to Dr. Rosen during their consultation.


What Is Discussed During My Breast Augmentation Consultation?

A consultation is an essential first step in any cosmetic surgical procedure. This is where Dr. Rosen works with his patients to determine what treatment(s) will benefit them most.

During your consultation, Dr. Rosen will:

  • Discuss your goals for your breast augmentation
  • Evaluate your skin condition
  • Explain your surgical options
  • Recommend combination procedures (if needed)
  • Develop a surgical plan
  • Take photos of your starting figure

If you think you may be a candidate for breast augmentation, contact Dr. Rick Rosen to schedule a consultation by calling (203) 899-0000.

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How Can I Personalize My Breast Augmentation?

There are a series of choices you can make to tailor your breast augmentation surgery to meet your personal needs.

What Are the Types of Breast Implants?

Saline

A saline implant is a safe and reliable way to enhance the size of the breasts. It is also usually the least expensive option. A saline implant is made of a silicone shell filled with a saline (saltwater) solution. This implant is used to enhance volume and support the shape of the breast. Due to its inflatable nature, a saline implant may be inserted with a smaller incision, and provide a greater total volume, compared to other implant types. It is approved by the FDA for adults over 18, and the risk of complications post-recovery is low (even in the case of a rupture).

The significant disadvantages of saline implants are that they are prone to developing surface wrinkles and do not as accurately simulate the look or feel of natural breast tissue.  

Silicone

A silicone implant is made out of a medical-grade silicone gel inside a solid silicone shell.  This implant is generally more expensive but is also more popular because it more accurately simulates the appearance and texture of natural breast tissue. A silicone implant can be more precisely shaped as well, which ensures a specific breast contour. This implant is FDA approved for adults over the age of 22. 

The disadvantage of silicone implants is that they are pre-formed, which can mean that your incisions may need to be larger to insert them. It is also necessary to get periodic MRIs or ultrasounds to ensure the integrity of the implants.

IDEAL IMPLANT®

An IDEAL IMPLANT® is an FDA-approved saline-filled implant for adults that combines the advantages of saline and silicone implants while reducing the disadvantages of both. Like the other two, the IDEAL IMPLANT® has a solid shell made of medical-grade silicone. Unlike the traditional saline implant, the IDEAL IMPLANT® has a chambered honeycomb-like internal structure filled with saline. This means that the IDEAL IMPLANT® can provide the shape and texture of a silicone implant, with the safety of a saline implant. Dr. Rosen is one of the early adopters of the IDEAL IMPLANT® and is one of the preeminent experts in their use.

Textured and Shaped

Some implant options offer anatomical (teardrop) shapes with textured surfaces. Dr. Rosen tends to avoid the use of textured implants as smooth round implants tend to be safer and provide more stable results. Textured implants are known to produce surface irregularities in the breast tissue and do not sculpt contours in the same manner. If you intensely desire a textured implant, speak with Dr. Rosen during your consultation.

What Are My Incision Options?

Incision placement is one of the issues that worry patients the most because that will be the location of their resulting scar. Dr. Rosen always uses his considerable skill to ensure that scars are as small and discreet as possible. Implant type, size, placement, and the patient’s aesthetic goals will influence the incision choice. 

  • Inframammary:  Incisions are made along the natural breast crease (above the rib cage). The position of the breast will conceal the scars.
  • Periareolar:  Incisions are made along the outer border of the areola. Scarring will be concealed within the natural coloring of the areola.

What Are My Implant Placing Options?

  • Subglandular Placement:  The implant is placed below the breast tissue and above the muscle layer in the chest. This usually allows for a faster and more comfortable recovery and ensures that muscle movements in the abdomen do not cause the implant to move. On the other hand, the implant itself is more likely to be visible in the upper portion of the breast, and this placement may increase the risk of capsular contracture, which would require a second breast surgery to correct.
  • Subpectoral Placement (Dual Plane):  The implant is placed below both the breast tissue and muscle tissue. This will ensure a more natural-appearing upper breast and prevent the implant from being directly visible. This option is often encouraged for thinner patients with less natural breast tissue. This placement usually requires more extended recovery periods.

How Can I Determine the Best Implant Size for Me?

Different body shapes and aesthetic goals can determine which implant size is most desirable.

  • Implant Size:  Implant size plays an essential role in forming a natural and attractive breast appearance. Implants that are too large may appear noticeably augmented. Oversized implants can also weaken a patient’s breast tissue over time. Undermining breast tissue integrity can result in future complications.
  • Body Size:  Dr. Rosen uses body measurements to determine which implant size will lead to a balanced appearance. Factors that influence the ideal implant size include the breast’s base diameter, the shoulder width, the hip width, and the waist circumference. Sizers are used in-office to assist in the decision-making process.

What Are Your Concerns?

Below are common concerns that many patients raise during their consultations.

What Will My Breast Augmentation Recovery Be Like?

After the surgery, mild to moderate discomfort can be treated with a three-day novocaine injection called EXPAREL®. You will be asked to wear an Ace bandage and bandeau for the first two days of recovery; after that, you can often transition to a surgical bra. Showering is usually permitted within 48 hours.

Most women can return to work within one week, and social engagements within two weeks. You should avoid strenuous physical activity during this time. You may resume jogging and lower body exercises after three to four weeks, but you should not engage in upper body workouts or yoga for a minimum of eight weeks. Most swelling subsides entirely in four to six weeks, and your implants will settle into their final position over the next several months.

Is Breast Augmentation Painful?

The surgery itself is performed under general anesthesia, so you should experience little to no pain during or immediately after the operation itself. During the initial recovery, mild to moderate discomfort is expected. To alleviate this discomfort, our patients are provided with EXPAREL®, a slow-release, non-opioid pain medication during their surgery. This injection lasts for three days, and patients who use EXPAREL® should not require additional narcotics.

Will My Breast Augmentation Leave Scars?

All cosmetic surgery leaves scars, and breast augmentation is no exception. However, Dr. Rosen has 30 years of experience in ensuring that scars are placed discreetly and are as small as possible. All surgical scars fade over time, though the degree varies depending on the individual.


How Much Does Breast Augmentation Cost in Norwalk, CT?

Breast augmentation varies in price depending on any combination of procedures chosen, the type of implant, the placement of said implants, and more. Moreover, costs can vary further depending on anesthesia fees, surgical fees, and facility fees. Since pricing for a breast augmentation procedure differs so much based on personal customization, Dr. Rosen will only be able to give you an accurate, personalized price estimate after your consultation. Financing is available for many patients upon request.


Should I Combine My Breast Augmentation With a Breast Lift?

While not required, Dr. Rosen may suggest combining breast augmentation with a breast lift if you already experience breast laxity. This combination will prevent complications such as double-bubble deformity or implant malposition. A breast lift procedure can also help ensure that the areola remains in the desired position after breast augmentation surgery.


Should I Consider a Mommy Makeover?

For women who want to address not only breast volume and shape, but also issues such as excess fat and skin on the abdomen, sagging breasts, weakened abdominal muscles, and more, a Mommy Makeover may be what you are looking for. Talk to Dr. Rosen during your consultation to see if a Mommy Makeover is the right choice for you.

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What Are Some Frequently Asked Questions About Breast Augmentation?

  • Will my breast implants be permanent?

    Current implants are designed to maintain their integrity for years. A follow-up evaluation may be necessary after 10 years to ensure that there have been no significant changes to your implants. Your implants may provide beautiful results for up to 20 years or longer. Unfortunately, there is no way to determine or estimate the longevity of an implant.

  • Do implants increase my breast cancer risk?

    No. There has never been any proven link between breast implants and breast cancer, and studies are continuously being performed.

    There have been reported cases of anaplastic large cell lymphoma (cancer of the lymphatic system) in patients with textured implants. This is not breast cancer, but, instead, something that develops in the scar tissue surrounding the implant. Based on this, Dr. Rosen only offers smooth implants to his patients. It is recommended by the American Cancer society that women between the ages of 45 and 54 have yearly screenings, regardless of the presence of implants. Make sure you inform your mammogram technician that you have breast implants so that they can make any needed adjustments. 

  • Can I breastfeed after breast augmentation?

    Breast augmentation surgery can affect the nerves in the breasts that facilitate nursing. As such, be sure to discuss any concerns you might have regarding breastfeeding during your consultation with Dr. Rosen. He will be able to advise you on whether the procedure can be done while considering your concerns, or if another procedure would suit your needs better.

  • What are the risks associated with breast augmentation?

    Breast augmentation is a surgical procedure that, like all surgical procedures, carries some degree of risk. These risks may include:

    • Bleeding
    • Infection
    • Scarring
    • Loss of sensation
    • Capsular contracture
    • Asymmetry
    • Implant malposition

    Dr. Rosen will do everything he can to reduce the chance of surgical complications, but some risk always remains.

Norwalk Office

91 East Avenue
Norwalk, CT 06851

Phone: 203.899.0000

Bridgeport Office

2660 Main Street, Suite 110
Bridgeport, CT 06606

Phone: 203.332.4744

Fax: 203.332.4751

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