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Breast Augmentation

Breast Augmentation

Many women strive for their ideal figure, and a breast augmentation is often at the top of the list to achieve that physique. The procedure allows women to increase breast size and improve breast shape in order to enhance their body contours. Whether the breasts have changed due to pregnancy, are disproportionate due to weight loss, or could simply benefit from shape and size enhancement, a breast augmentation provides an effective solution for women wanting a change. As it is a fully customizable procedure, breast augmentation surgery is completely tailored to meet the patient’s desired look.

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Breast Augmentation Results

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Realself

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.

Achieved With Breast Augmentation

Enhanced Volume

Some women naturally have breasts with little to no volume, while others find that their breasts have lost volume following pregnancy or weight loss and appear empty or deflated. Implant size, profile, and placement all work together to provide you with either the subtle or dramatic volume increase that is ideal for you.

Improved Shape

Women often notice that their breasts lack a defined shape and attractive definition. A lack of cleavage is also an issue for women with smaller breasts. Implants are designed to create definition and improve the shape of the breasts to provide a more youthful breast appearance that complements a woman’s natural appearance.

Balanced Proportions

You may consider a breast augmentation if your breasts do not match your body proportions or if one of your breasts is smaller than the other. This asymmetry can appear as either a size or placement discrepancy between your breasts, which can cause you to have an unbalanced appearance. Your surgeon can choose subtly different implants to treat asymmetry and restore a balanced look.

Customizing Your Breast Augmentation

Implant Options

  • Material
    • Saline – This implant type consists of a shell filled with a saltwater solution, and it is FDA approved for women over 18. The expandable nature of saline implants allows for more customizable sizing during surgery. However, saline implants are more prone to developing surface wrinkles and ripples.
    • Silicone – A silicone implant is comprised of a cohesive silicone gel, which makes it form-stable. Silicone implants are FDA approved for women over 22 years of age and are often preferred because of their ability to simulate the look and feel of natural breast tissue. Since silicone implants are pre-filled, they can increase the size of your incision.
    • IDEAL IMPLANT® – Dr. Rosen is a provider of the recently FDA-approved structured breast implant. The IDEAL IMPLANT® has been approved for women over 18 and uses a multi-chamber design, creating a durable implant that has the same feel as a silicone one. Since the implant is filled with a saline solution, ruptures are immediately noticeable and pose no health risk.
  • Texture & Shape
    • While there are various options for implant texture and shape, Dr. Rosen believes that smooth and round implants create the best results in almost all patients. Smooth implants are generally safer for the patient and don’t have the same surface irregularities as textured implants. Round implants sculpt the attractive shape that most patients are looking for.

Incision Options

  • Dr. Rosen works with you to determine the best incision option for your surgery.
  • Factors such as implant size, placement, and your aesthetic goals will influence which incision location works best for you.
    • Inframammary – Hidden along the natural lower breast crease
    • Periareolar – Placed along the outer border of the areola
  • No matter the location of your incisions, Dr. Rosen takes great care to limit the visibility and severity of any resulting scars.

Placement Options

  • Subglandular placement places the implants below the glandular tissue but above the pectoral muscles. This placement is usually associated with a less painful recovery period and does not cause implant movement during muscle contractions. However, upper pole edges are more likely to be visible in patients with thinner breast tissue, and there is an increased risk of capsular contracture.
  • Subpectoral placement (dual plane) places the implants below both the glandular tissue and the pectoral muscles. This placement creates a more natural slope of the upper pole and can help mask the edges of the implants. It’s often a better choice for thinner patients.

Sizing

  • Ideal implant size varies between women depending on their body type and aesthetic goals. The implant size that works for one patient does not always translate to the perfect choice for another.
  • Proper implant size plays an important role in creating a natural and attractive breast appearance. Implants that are too large may appear noticeably fake and can also weaken breast tissue over time. The undermining of your breast tissue integrity can result in future complications.
  • Dr. Rosen uses body measurements, such as the base diameter of the breast and width of the shoulders, hips, and waist, to determine which implant size will lead to a balanced appearance. Sizers are used in-office to assist in the decision-making process.

Combination Procedures

  • Breast lift techniques are considered if you present with laxity during your consultation. Untreated laxity can lead to complications like double-bubble deformity or implant malposition. The placement of the nipple-areola complex can also shift over time. Combining implants with a lift helps ensure the best, longest-lasting results possible.
  • Mommy Makeover combines breast and body procedures to target the common body issues that moms face. Breast augmentation surgery is just one facet of this transformative, comprehensive procedure. Implants restore lost breast volume, while body techniques address sagging skin and muscles.
  • Brazilian Butt Lift can be combined with a breast augmentation to help you achieve the voluptuous, eye-catch curves you desire. Women with a smaller chest and boxy behind may feel that they don’t have the feminine shape they desire. Implants are used to increase the bustline, while BBL crafts a larger, more shapely buttocks.

Additional Information

Recovery

The procedure is performed under sedation or a light general anesthesia. There is some discomfort from the procedure, but this is minimized by the incorporation of a three-day novocaine called EXPAREL® (see below). An ACE bandage and bandeau are worn for two days following the surgery; after this time, you are placed in a surgical bra. Patients can usually shower within 48 hours of their surgery.

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

Scars

The visibility of your scars varies depending on which incision technique is used for surgery. Care is taken to ensure that all incisions are placed as discreetly as possible. Natural factors can impact the severity of your scarring, which will likely to fade over time.

Cost

The cost of a breast augmentation is dependent on the type, size, and placement of your implants. Other factors that can impact cost include anesthesia fees, surgical fees, and facility fees. Dr. Rosen will provide you with a detailed quote during your consultation.

Pain

Providing patients with a safe and pain-free recovery is the key to having them back on their feet sooner. Our patients are provided with EXPAREL® at the end of their surgery. EXPAREL® is a low-release, non-opioid pain medication, which is injected into the pectoral muscle. This form of pain relief lasts for three days, and patients who use EXPAREL® don’t require narcotics during their recovery.

Frequently Asked Questions

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  • How old should I be before I undergo a breast augmentation?

    Saline implants are FDA approved for patients 18 years or older, and silicone implants are approved for those 22 years or older. There is no maximum age for breast augmentation, but a combination augmentation/mastopexy is often required in patients with sagging.

  • Will my implants last forever?

    Current implant technologies are designed to maintain their integrity for years. While a follow-up evaluation may be needed after 10 years to ensure that there have been no structural changes to your implants, they can provide beautiful results for as long as 20 years

  • I’ve heard breast implants cause cancer. Is this true?

    There have been reported cases of anaplastic large cell lymphoma in patients with textured implants. However, to date, there have been no confirmed cases of BIA-ALCL in patients with smooth surface-only implants. Due to these findings, Dr. Rosen only offers smooth implants to his patients.

  • Will breast implants prevent me from breastfeeding in the future?

    Factors such as incision location, implant placement, and implant size can impact the nerves in the breast that facilitate nursing. At your consultation with Dr. Rosen, it is important that you make sure to discuss any concerns you might have regarding breastfeeding.

  • Will breast implants affect my ability to have an accurate mammogram?

    No. Accurate mammograms can be taken, even with implants. Make sure you inform your mammogram technician so that they can make any needed adjustments.

  • What risks are associated with breast augmentation?

    Breast augmentation is a routine procedure with a low risk of serious side effects. However, like all surgeries, breast augmentation surgery does pose some complications. These can include bleeding, infection, scarring, loss of sensation, capsular contracture, asymmetry, and implant malposition. Discuss your concerns with Dr. Rosen during your consultation.

Rick Rosen, MD, FACS

91 East Avenue
Norwalk, CT 06851

Phone: 203.899.0000

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