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Breast Augmentation

Breast Augmentation Surgery (Breast Implants) - New York City

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Dr. Aston has written textbook chapters for plastic surgeons on breast augmentation. Breast augmentation is one of the most frequently performed cosmetic surgery procedures around the world. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants under the breast. Dr. Aston knows that every woman is unique in both her body shape and desires and he takes the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation. New York breast augmentation surgeon, Dr. Aston helps decide which implant type and which implant type and implant placement is best for the individual patient. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind. When patients have drooping of the nipple-areolar complex, such that a simple augmentation will not give an aesthetically pleasing result, Dr. Aston will recommend a breast lift operation in conjunction with a breast augmentation.

Implant types

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. A new implant, recently available, is called a Structured Implant is filled with saline but has more the feel of a silicone implant. All three implant types are very safe, and each offers its own advantages. We will help you decide which kind is right for you. During surgery Dr. Aston places the implants behind the pectoral muscle on the chest wall in the vast majority of cases. It is his feeling that only a small percentage of patients are candidates for the implants placed on top of the muscle. 

In October 2006 the U.S. Food and Drug Administration (FDA) approved silicone breast implants for breast augmentation surgery. There had been a 14-year-old ban on silicone implants to study whether silicone implants were related to any systemic disease process. After multiple studies and investigations it was determined that it was safe to offer both silicone gel filled and saline filled implants. At the time of your consultation, Dr. Aston will discuss in detail the choice of implants best suited for your and the pros and cons of saline versus silicone.

Surgical Technique

Breast augmentation procedures last approximately one and half to two hours and are typically performed with general anesthesia. Local anesthesia with intravenous sedation is possible for some patients. Incisions are made in inconspicuous places to minimize scar visibility.  The incisions may be in the armpit (transaxillary), in the crease on the underside of the breast (inframammary), or around the areola, the dark skin around the nipple (periareolar). Dr. Aston does not place breast implants through an incision in the naval. He feels that this technique has many faults and is not in the best interests of his patients. 

During/After Surgery

Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week. At the time of surgery Dr. Aston places a saran wrap type bandage over the incision in order that you can get in the shower the same day or the morning following surgery. The stitches are removed in 5 to 6 days after breast augmentation. Any post-operative pain, swelling and sensitivity will usually diminish in two to three weeks. Dr. Aston permits his patients to resume full aerobic activities on the 21st day after augmentation. Scars from breast augmentation incisions will begin to fade in the first few weeks  and will continue to fade for several months.

Complications following breast augmentation surgery are uncommon but do occur. While rare, they may include capsular contracture, swelling and pain, infection around the implant, a change in nipple sensation, and breakage or leakage of the implant (implant rupture) as a result of injury or abnormal compression of the breast.  Patients, in the appropriate age range, can have mammograms after breast augmentation. Regular monitoring of breast implants after breast augmentation is recommended to ensure continuing breast and implant health.

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The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.

* All information subject to change.