Breast augmentation continues to be one of the most requested cosmetic procedures in New York and around the U.S. Through the placement of silicone or saline implants, breast enlargement can improve the balance and proportion of your body.
Patients who are in good health but dissatisfied with the size and shape of their breasts are excellent candidates for breast augmentation. Breast augmentation may be used to:
After breast augmentation, your breasts will appear more proportionate to the rest of your body. They will be fuller and more prominent, but retain their sensitivity and ability to breastfeed.
Despite its many advantages, breast augmentation may not be for everyone. The best way to determine if you are an ideal candidate is to schedule a consultation with Dr. Gotkin.
General or local anesthesia combined with sedation will be administered. Once you have been sedated, Dr. Gotkin will make a small incision hidden in the crease under the breast, partially around the areolar margin or in your armpit. The size and position of the incisions will vary based on the type and size of the implant used. Through the incision, a pocket is made usually behind the pectoral muscles. The implant is slipped into the pocket and secured in place with fine sutures.
The two main types of breast implants are silicone-filled and saline-filled, each of which present their own set of benefits and considerations. Dr. Gotkin will help you to determine which type of implant is best for you, which incision makes the most sense for you and other alternatives that may be important in your decision to have breast augmentation.
After surgery, you will be placed in a soft surgical bra. You will feel more comfortable in the support of a bra. Drains are not used in first-time breast augmentations. You will be able to walk around immediately following the surgery, but should rest for at least a day or two. You should limit strenuous arm movements. The results will be immediately visible; however some swelling and bruising may obscure the final results for several weeks. Shortly after surgery, you may start a process of “massage” to move the implants around the surgical pocket underneath the muscles. Stitches are usually removed in about three weeks. You will continue to wear a soft bra for several weeks.
Recovery times vary. Normal activities can usually be resumed in a few days though intense upper body physical activity should be postponed for several weeks. The chest should be protected from accidental impact and sun exposure for several months. Incision lines will fade and lighten during the 12-18 months following the surgery.
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