Breast Augmentation/Breast Implants New York City

Before & After

What is a Breast Augmentation?

Breast augmentation procedures involve surgically placing either saline or silicone implants underneath the breast tissue for additional fullness. Breast implants are sometimes placed to restore breast size and shape that has been diminished by a recent massive weight loss or pregnancy. Breast implants are sometimes used to correct breast asymmetry as well as to reconstruct one or both breasts after mastectomies. The later is called “breast reconstruction”. There are other ways to accomplish the above goals, however, breast implants are usually the least invasive and most accepted standard for the conditions stated. Breast implants are one of the most common cosmetic procedures done in the United States and all implants used are FDA approved with no MRI or follow up restrictions.

Initial Consultation for Breast Augmentation Procedure

During your initial consultation with Dr. Joshua Hyman, you will discuss your goals and expectations for the surgery. This consultation will also involve a review of your complete medical history and an examination of the skin and soft tissue of the breasts. Our plastic surgeon will suggest the procedure that suits you best and answer any questions that you might have. The implant type, size, and shape, and the position of the incision and implant are determined based upon both your body type and your personal preference. Dr. Joshua Hyman encourages his patients to choose their implant size by using various sizers available in the office. Our plastic surgeon believes the patient should be allowed to choose the size breasts she desires and will help you pick the correct size for your body so that the most natural results are achieved.

Breast Augmentation Procedure

During the short procedure, the incision may be made in the infra-mammary fold of the breast or underneath the areola. There have been other approaches described such as through the belly button and the armpit approach but Dr. Hyman feels the best results can be achieved through the infra-mammary fold or around the areola. Dr. Hyman prefers to use a cohesive silicone implant such as Sientra, Allergan, Mentor for the best and most natural results.

The procedure takes approximately one hour and is performed on an outpatient basis in Dr. Joshua Hyman’s private ambulatory surgery facility. In patients that need a breast lift or “mastopexy” during the breast augmentation the procedure time will be 2-3 hours.

Post-Breast Augmentation Surgery

Immediately following the procedure, your breasts may be swollen. You will be placed in a surgical bra (essentially a sports bra that open in front) and a elastic band on your upper chest if needed. You will recover in our private recovery room for 1-2 hours and then will be escorted home by a friend or family member. Dr. Hyman will see you 3-5 days later. You are able to shower after 2-3 days and there are no drains placed. You can return to light exercise in 2 weeks and full exercise at 4 weeks or as tolerated. Dr. Hyman will likely recommend some breast massage techniques to help your chest soften and aid in healing. The scar is usually less then 4 cm when healed and sometimes silicone based scar creams and lasers will be provided at no charge to facilitate healing when needed. We encourage our patients to get out of bed and walk as much as possible the first night as well as to try to resume regular activity the first post operative day.

Strap/band placed on breasts after surgery

This picture is of a patient 7 days after breast augmentation with 325cc silicone implants, under the muscle, infra-mammary fold approach, breast strap.

Dr. Hyman will place a strap/band on the upper aspects of your breasts after surgery. The purpose of this strap is to stabilize the breast implants for comfort as well as to hold them in the correct position after surgery. Most patients find this strap very comforting. There are some situations that Dr. Hyman will not use the strap after breast augmentation. The breast strap also helps to decrease swelling after the procedure.

How Do I Get Started?

Dr. Hyman and his staff will be happy to discuss this procedure with you. Please feel free to call for a private consultation with Dr. Joshua Hyman, or you can request an appointment online. Cosmetic surgery consults are free of charge.