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Questions about Plastic Surgery?

Contact the Breslow Center for Plastic Surgery about the cosmetic surgery procedures at our office in northern New Jersey.

Breast Augmentation

Breast augmentation is a surgical procedure that enhances the size and shape of a woman's breasts through the insertion of a silicone or saline-filled implant behind the breast tissue, thereby increasing breast "volume" by one or more bra cup sizes. Breast augmentation is a safe, elective way of “treating” small breasts. It is not a cure for them. What that means is that anyone who undergoes breast augmentation will likely need to undergo future breast procedures in the future.

There are two reasons for this. First, breast implants are mechanical devices and, as such, do not last forever. There is wear and tear to the implants causing them to ultimately break down over time. Second, a woman’s breasts will not stay the same shape over time as processes like aging, weight fluctuations, pregnancy, and breast feeding will cause them to sag and/or deflate. Therefore, it is very likely that a woman who undergoes breast augmentation will need future surgeries (implant exchange, breast lift, etc.) to maintain the desired appearance. The longevity of a breast augmentation varies. But in general, subsequent breast procedures may be required after 10-20 years.

The choice of which implant to use is a personal one. Breast implants are of two kinds: saline filled and silicone filled. Saline implants are firmer and project more while silicone implants are softer and are generally less projecting. Saline implants tend to ripple (show the edges of the implant through the skin) more than silicone implants do. Both implants have the same silicone shell with one exception: saline implants come empty and are filled through a small valve at the time of surgery, while silicone implants come prefilled and sealed at the factory (therefore there is no valve).

Silicone implants were banned in the United States for primary breast augmentation from 1991-2006 due to concerns over illnesses that were thought to be linked to ruptured implants. However, after extensive and exhaustive scientific studies, there was shown to be no link between ruptured silicone implants and any known disease process. As a result, the FDA reapproved silicone implants for use in primary breast augmentation for woman 22 years of age and older.

Other issues, such as where the implants are placed (in front of or behind the chest muscle), the placement of the incisions (at the bottom of the breast, around the areola, or endoscopically in the armpit), and concomitant procedures (such as a breast lift) are discussed in depth at the consultation at our New Jersey practice. The combination of methods and implants ultimately chosen for a breast augmentation is individualized for each patient, and depends upon several factors including the patient's anatomy and the desires and goals of the patient.

Combine Breast Augmentation with Another Treatment for the Best Results

Other procedures, such as liposuction, abdominoplasty ("tummy tuck"), arm lift, and thigh lift can be performed simultaneously with a breast augmentation, resulting in more comprehensive improvement. If you are interested in breast augmentation, contact cosmetic surgeon Gary Breslow, M.D., in New Jersey to schedule your free consultation.

Breast Augmentation