Breast Augmentation

What Is Breast Augmentation?

Breast augmentation is a plastic surgery procedure designed to enhance the size and shape of the breasts. It has helped women all over the world enhance the size of their breasts and feel more confident about their appearance. It remains one of the most popular plastic surgery procedures. Our plastic surgeon, Dr. Andrew Cohen, understands that each woman’s body is unique and that every individual will have personal cosmetic goals. With this procedure, he can give the breasts a more balanced and proportionate shape and size with results that look beautiful and natural.

What Are the Benefits of Breast Augmentation?

Dr. Cohen customizes each breast augmentation procedure to address the unique cosmetic concerns of the patient. Women who choose to undergo breast augmentation with implants often seek to:

  • Increase breast volume
  • Enhance symmetry between the breasts
  • Restore a more youthful shape to the breasts
  • Achieve a more proportionate figure

Breast augmentation can be particularly beneficial for women who have had one or more children and have experienced a loss of volume due to pregnancy, weight fluctuations, or breastfeeding. Some women may opt to incorporate breast augmentation into a comprehensive Mommy Makeover plan for a more complete body rejuvenation.

Am I a Candidate for Breast Augmentation?

Most women who choose breast augmentation desire to increase the size of their breasts, improve the shape of their breasts, or achieve a more balanced, proportionate figure. Those who want to elevate the position of their breasts or reduce sagging may be better suited for a breast lift. Depending upon the personal goals of the patient, Dr. Cohen may recommend combining these two procedures for a breast augmentation with lift.

Patients must be in good overall health to be eligible for breast augmentation. Those with certain pre-existing medical conditions or patients who smoke tobacco products have an increased risk for post-operative complications and may not be good candidates for breast augmentation. Candidates should maintain realistic expectations in regard to what their procedure can accomplish. The best way to determine if you are a good candidate for breast augmentation is to schedule a consultation with a board-certified plastic surgeon.
 

What Is the Best Age for Breast Augmentation?

Prospective patients must be at least 18 years of age for saline breast implants and over 21 years of age for silicone implants. There is no age limit for breast augmentation, but patients should have good skin elasticity and be in good health to qualify.

What Can I Expect in the Breast Augmentation Consultation?

Variables such as breast implant type, size, volume, shape, and surgical technique can seem overwhelming at first. As a result, Dr. Cohen uses the preliminary consultations as a time to get to know you, understand your expectations, and help you make educated decisions about your surgery. Before the day of your breast augmentation, Dr. Cohen will design a custom-tailored surgical approach that can best achieve results that look and feel natural while providing the aesthetic outcome you desire.

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What Are My Breast Implant Options?

Breast implants can enhance the contours of the breasts, add or replenish lost volume, and/or improve symmetry between the breasts. Oftentimes, women with smaller breasts can achieve a more proportionate silhouette with breast implants. There are two main types of breast implants: saline and silicone. Dr. Cohen has used all implant options available in the United States under FDA guidance. He is an Allergan® implant provider, as he believes this manufacturer provides the best options for sizes, shapes, and implant warranties. In addition, he feels the capsular contracture rates and implant rupture rates for Allergan are superior to the other companies.  

Each type of breast implant has unique benefits and can be sized according to the patient’s desires. There is no one “best” option for all patients. Breast implants can also be placed over or under the muscle, depending upon the patient’s goals. Finally, the type of incision used to place the implants plays a role in how the final results will appear.

Learn more about silicone and saline breast implants.

Which Breast Implant Profile Should I Choose?

A breast implant profile will determine how far the implant projects from the breast. There are differences in the profiles of the silicone and even the saline breast implants, and there are multiple profile options that Dr. Cohen typically prefers.

When using silicone gel implants, the two profiles that he recommends are either a full profile (SRF) or a moderate (SRM) profile. The full profile augments the upper pole of the breast and gives nice cleavage. The moderate is more natural looking and has more of a gentle slope to the upper pole. For the saline implants, there is also the option of moderate versus the full saline implant. The full profile will give a more “fake” or done appearance on most women.

We will always choose the profile size that makes you the most comfortable. Dr. Cohen is here to give you a great result, and he encourages patients to bring pictures so that he will know what kind of result you are looking for.

Outline of a Typical Breast Augmentation Procedure

  • Duration of Surgery: One hour in most circumstances
  • Anesthesia Type: General anesthesia
  • Hospital Status: Outpatient
  • Post-Operative: Mild swelling, soreness, sensitivity, or bruising
  • Surgical Risks: Blood clots, infection, or capsular contracture are among the surgical risks of breast augmentation; however, Dr. Cohen is highly experienced and makes every effort to reduce the risk of complications.
  • Duration of Recovery: A few days of downtime before returning to work, several weeks of avoiding strenuous exercise, and several months for scars to fade.
  • Results: Most implants will last up to ten years before replacement is advised, though some patients may require or desire revision surgery or implant maintenance after a certain period of time. Keep in mind that many types of implants are under a long-term warranty.

What Does the Breast Augmentation Procedure Involve?

On the day of surgery, you will be given general anesthesia by board-certified anesthesiologists to ensure your safety. To begin your breast augmentation, Dr. Cohen will place an incision either around the areola, underneath the breast, around the areola extending to the inframammary crease, or through the underarm. These locations allow for post-operative scarring to be well-concealed. Dr. Cohen will then create a pocket for the breast implant underneath the pectoralis muscle (known as submuscular) for the most natural appearance. In some cases, he may recommend placing the implants over the muscle (known as subglandular). These details will be discussed with you prior to your surgery.

Depending on the type of breast implant you are receiving, Dr. Cohen will typically utilize the Keller Funnel® technique, which is a no-touch method of inserting the implants. This can allow for smaller incisions and a reduced risk of certain complications, such as capsular contracture. Once the implants are in place, Dr. Cohen will close the surgical sites. The entire procedure takes approximately one hour.
 

How Long Does Pain Last After Breast Augmentation?

Dr. Cohen has worked on his techniques for breast augmentation for the past 20-plus years. He has developed a technique to block the nerves in your breasts to allow for less post-operative pain. This technique—called the “Cohen Quick Recovery”—has been beneficial to all of our patients and involves the use of medication to numb the breast and muscle, which produces less pain when the implant is placed under the muscle. Our team also will provide patients with a prescription for antibiotics, pain medications, a muscle relaxant, and an anti-nausea pill. These have been essential for quick healing after a breast augmentation.
 

What Is Recovery Like After Breast Augmentation?

The recovery from breast augmentation may look slightly different from patient to patient, but in general, you can expect some degree of swelling, bruising, and soreness after surgery. Any pain or discomfort you experience can usually be well-managed with over-the-counter pain medication. Most patients can return to work within the first week after surgery. Light exercise, such as walking, is recommended as soon as you feel comfortable after surgery, as this can help facilitate the healing process. More strenuous activities and exercise should be avoided for four to six weeks. The majority of your recovery from breast augmentation takes place in the first six weeks, and your scars will continue to fade for several months.
 

How Much Does Breast Augmentation Cost?

Since each breast augmentation is customized, there is no set cost for the procedure. On average, the cost of breast augmentation at our practice ranges from $7,000 to $10,000. However, this price may vary based on a number of variables, including:

  • Whether saline or silicone implants are used
  • Implant placement
  • Type of incision
  • Experience of the plastic surgeon
  • Geographic location of the practice
At the end of your initial consultation, Dr. Cohen will provide you with an accurate quote based upon your custom-tailored treatment plan. Our practice has partnered with several third-party companies to help our patients comfortably afford the cost of their breast augmentation. These companies include CareCredit®, ALPHAEON™ Credit, and BLIS® Specialty Insurance. These plastic surgery financing options can provide low monthly payments with little to no interest for qualifying patients. Please contact a member of our staff to learn more about financing your breast augmentation.

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For more information about how breast augmentation can help you achieve your cosmetic goals, please contact our office today to schedule a consultation.