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Breast Augmentation

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that utilizes the placement of breast implants or a patient’s own fat to enhance volume and fullness in the breasts. Through breast augmentation, you can achieve the cosmetic results and special attention you deserve. Having full, well-proportioned breasts can greatly enhance the overall contour of your body, helping you obtain an “hourglass figure.” When you are happy with your appearance, your self-confidence tends to increase, improving your overall quality of life.

At the Personal Enhancement Center, board-certified* New Jersey plastic surgeon Christopher P. Godek, MD and Dr. Christina Pasick** are extensively experienced with breast enhancement procedures. Our doctor will listen to your aesthetic goals and customize the breast augmentation procedure based on your unique needs and desires. With proper implant selection and positioning, Dr. Godek or Dr. Pasick can help you achieve an ideal breast contour with beautiful, natural-appearing results.

Breast Augmentation Before-and-After Pictures

What Are the Benefits of Breast Augmentation?

Breast augmentation is one of the most popular cosmetic enhancement procedures available due to its high satisfaction rate and numerous benefits. Depending on your particular needs and aesthetic desires, breast augmentation can help with the following goals and concerns:

In addition to these enhancements, breast augmentation can prove to be beneficial on an emotional and psychological level – the majority of patients experience a significant boost in self-confidence and esteem that carries over into their personal, social, and even professional lives.

Dr. Godek is simply amazing! I had breast augmentation done by him. I always get asked what doctor I saw. I’ve referred quite a few friends to him, who are more than satisfied with their results. Dr. Godek’s bedside manner is excellent! Between him and the entire staff I felt comfortable and relaxed post and pre-op. When I met Dr. Godek and stepped foot into his office, I knew he was it. His work is flawless!

Nicole Marie

June 19, 2015

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What Are My Breast Implant Options?

During the consultation process, one of the main goals is determining which type of implant you will want. The following information can help shed some light on your available options.

Implant Types

There are two basic implant types: saline and silicone breast implants. The choice between the two will ultimately be based on your personal preference, but most women tend to select silicone implants due to their exceptionally natural appearance and ability to feel like natural breast tissue.

Silicone Breast Implants
Silicone breast implants are composed of a silicone outer shell filled with a thick silicone gel. Here at the Personal Enhancement Center, we utilize some of the safest and most advanced types of silicone breast implants available. Often referred to as “gummy bear” implants, these popular breast implants are filled with highly cohesive silicone gel, which gives them a very natural look and feel. They are also known to have a strong safety profile because they are more stable and less likely to rupture.

Silicone breast implants are approved by the U.S. Food and Drug Administration for cosmetic breast augmentation in women who are 22 years-old or older, and for breast reconstruction patients of any age.

Saline Breast Implants
While silicone breast implants have proven to be very popular over the years, saline breast implants still offer a variety of benefits and can be a good choice for the right patient. Composed of an outer shell made of silicone and filled with a saline (salt-water) solution rather than a viscous silicone gel, saline implants can be inserted while they are still empty and then filled immediately after they are placed. This method can ultimately minimize the incision and therefore, the resulting scar, depending on the breast augmentation technique utilized. Additionally, saline implants are beneficial in instances of natural breast asymmetry, providing the surgeon more precision in volumetric proportions. Another reason why some women prefer saline breast implants is that, in the rare event of rupture, the implant’s saline solution can be harmlessly absorbed by the body.

Saline breast implants are approved by the FDA for women who are 18 years-old or older, and for patients of any age when utilized for breast reconstruction procedures.

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Implant Shapes and Sizes

Breast implants come in a variety of shapes and sizes. In regard to shape, individuals desiring to improve fullness in the upper portion of the breasts will generally benefit the most from round implant with a “full” or “extra full” profile. The “profile” of an implant refers to how much the implant projects off the chest wall. “Full” and “extra full” profile implants are typically more narrow than “moderate” or “low” profile breast implants. For patients who are seeking a look and projection that more closely resembles the upper pole fullness and slope of a natural breast, implants of a lower profile may be a more appropriate choice.

In terms of implant size, it is important to keep in mind that bigger does not necessarily mean better. Instead of focusing on cup sizes, our doctors recommend paying more attention to how certain implant sizes actually look on one’s frame. To do this, they take various anatomical measurements and employ state-of-the-art 3D imaging, both of which can give patients a better idea of what implant would work for them. While Dr. Godek or Dr. Pasick will provide their own recommendations, the final decision will be the patient’s.

Implant Surface Textures

Our practice only offers silicone and saline breast implants with smooth surface textures. These implants typically have a softer feel than others, do not cause the irritation or health risks associated with textured implants, and can also minimize the risk of causing a “rippled” appearance. With smooth implants, the material composition of the outer shell is also usually thinner than other types.

How Do I Choose the Right Breast Implants?

The aim of our plastic surgeons is to come to a realistic goal based on patient expectations, body type, medical history, and a host of other influential factors, and then deliver the cosmetic results that were discussed and agreed upon with the patient. To help accomplish this, our doctors use advanced VECTRA® 3D imaging to create personalized simulations of breast augmentation results that can potentially be achieved. With this interactive tool, you are able to select from a variety of implant types, shapes, and sizes, viewing how each option would appear on your own body. In addition to helping you select the right implants and formulate realistic expectations for surgery, VECTRA® 3D imaging enables Dr. Godek and Dr. Pasick to gain a better understanding of the look you would like to attain, ultimately improving the level of care they are able to provide.

How Is Breast Augmentation Performed?

There are several methods of performing breast augmentation surgery, and our plastic surgeons will work with you at the time of your consultation to determine which technique can achieve the best results while minimizing the appearance of scars.

Incision Locations

Inframammary
An inframammary incision is made in the natural breast crease, where the breast meets the chest wall. This incision placement allows the residual scars to be hidden in the natural crease of the breast. The inframammary approach also allows our surgeons to place the implants through an area with less bacterial colonization when compared to other areas, such as the areola or axilla. This technique is quite popular for breast implant placement; however, the best technique for you will depend on your specific anatomical needs and your ultimate goals. The periareolar or transaxillary approach (described below) may be more ideal in certain circumstances.

Periareolar
For the periareolar breast augmentation technique, an incision is created at the edge of the areola, which is the darker, pigmented skin that surrounds the nipple. The scars that result from periareolar incisions are often unable to be distinguished from the normal, surrounding skin, as they are placed in the natural transition zone of areolar skin and breast skin.

Transaxillary
An incision is created in the underarm area. The breast implant is then inserted through this incision and precisely guided into the breast pocket. The transaxillary approach can only be utilized for saline breast implants since the implant must be filled after placement.

Implant Placement

During the actual procedure, an incision will be made in the crease below the breasts (inframammary), around the areola (periareolar), or in the armpit (transaxillary), depending on what was determined prior to surgery. Through this incision, our surgeon will carefully insert the breast implants. In most primary breast augmentation procedures, our doctor will place the implants below the chest muscle (subpectoral/submuscular). This approach typically allows for both the most natural-looking results and better long-term support of the breast implant and the implant pocket. In rare cases, our plastic surgeons may recommend a subglandular (over the chest muscle) approach. This technique may be indicated for patients who have had a previous subglandular augmentation and are undergoing a revision breast surgery to replace the implants.

Once the implants are situated, the incisions will be meticulously closed via tiny sutures. The entire breast augmentation procedure usually takes about one hour to perform, and patients are generally able to return home with the help and supervision of a loved one.

What Is Breast Augmentation Recovery Like?

After breast augmentation, the majority of patients can expect a minimal degree of swelling, bruising, a sensation of chest “tightness,” and breast sensitivity initially, though these side effects should dissipate over time. It is rare for severe pain to be experienced, but any potential discomfort can typically be well-managed with medication. Most women are able to return to office jobs and non-strenuous daily routines after about one week; however, we instructs all individuals to avoid heavy lifting, vigorous exercise, and various other physical activities for at least a few weeks in order to give the breasts enough time to heal.

Fat Transfer (Natural) Breast Augmentation

Breast augmentation utilizing fat transfer techniques – known as “natural” breast augmentation – is a method of adding volume to the breasts without the use of breast implants. This treatment takes fat from another area of your body via liposuction and injects it into the breast tissue in precise areas to add volume and fullness. While breast augmentation with fat transfer may not be the best option for all patients, some women can effectively achieve their breast enhancement goals with this procedure. In some cases, fat transfer can also be a beneficial complement to breast implants, ultimately helping to optimize the results.

Learn more about breast augmentation with fat transfer.

Breast Lift and Augmentation

If you are experiencing breast ptosis (sagging) and are considering enhancing the size of your breasts as well as giving the breasts a firmer, “perkier” appearance, a combination breast lift with augmentation procedure may be your best solution. In addition to the placement of breast implants, this procedure – medically referred to as augmentation mastopexy – eliminates excess, inelastic skin and lifts the breasts to a higher, more youthful position on the chest.

Learn more about breast lift with implants.

Will I Be Able to Breastfeed after Breast Augmentation?

With the appropriate surgical technique, women should be able to breastfeed after undergoing breast augmentation. Some people may be surprised to learn there is a significant percentage of women who are naturally unable to breastfeed. For most breast augmentations, if you are able to breastfeed before the surgery, it is likely you will retain the ability post-operatively. Please discuss any questions with either of our plastic surgeons during the initial consultation and he will develop a treatment plan utilizing techniques to help maintain the ability to breastfeed in the future.

Will I Have Breast Augmentation Scars?

The length and prominence of scars that result from breast augmentation ultimately depends on the specific technique performed (inframammary, periareolar, or transaxillary). For most patients, the preferred inframammary technique involves an incision created on the underside of the breast at the crease where the breast skin meets the body. Fortunately, this incision is made in an area that is quite hidden. Also, our plastic surgeons are extensively experienced with breast augmentation surgery and can perform the procedure in such a way that signs of residual scars should be minimal. Additionally, scars from breast augmentation surgery often fade over time.

How Long Do Breast Implants Last?

Officially, the lifespan of both saline and silicone breast implants falls in the range of 10 to 20 years. Our doctors advise patients who have silicone breast implants to strictly follow the FDA recommendations that they undergo periodic MRI imaging tests to check for signs of a “silent” (or unnoticeable) rupture. If a rupture occurs in either silicone or saline implants, they will need to be replaced or removed. Dr. Godek and Dr. Pasick also routinely follow up with their breast augmentation patients to ensure everything is going smoothly.

How to Choose a Breast Augmentation Surgeon

There are many doctors and practices offering breast augmentation surgery, so you should be diligent when considering your options. After all, choosing to have any kind of plastic surgery is a major decision. While there are numerous benefits to having surgery, it is important you choose an experienced plastic surgeon who utilizes advanced techniques and is committed to providing the safest possible care, in addition to beautiful and natural results.

Here are a few tips to help guide your search:

Please take a look at the biographies of Dr. Godek and Dr. Pasick to learn more about their background and philosophy of care. Our plastic surgeons are highly experienced with breast augmentation procedures and are dedicated to providing exceptional care in a safe and comfortable environment.

Dr. Godek, Dr. Pasick, and our staff at the Personal Enhancement Center will be happy to talk with you about how breast augmentation can help you achieve your goals. If you would like to discuss your options, contact us online today, or call (732) 908-2599.

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