When women are considering breast augmentation, they often worry that their results will look obvious or unrealistic. It’s good to know that breast augmentation techniques have improved significantly over the past few years. Breast enhancement specialist Dr. Richard D’Amico performs breast augmentation in Englewood, NJ to give women fuller yet natural-looking breasts*.
Breast Augmentation Candidates
Dr. D’Amico performs cosmetic breast augmentation with breast implants in his New Jersey operating facility.
In general, good breast enhancement candidates are:
- Physically and mentally healthy, with realistic expectations for their procedures
- Seeking surgery for their own personal fulfillment, not to satisfy cultural standards or the desires of others
Saline implants are available for women 18 and older, while silicone gel implants are an option for women age 22 and older*. In addition, Dr. D’Amico routinely performs corrective breast surgery for young women under the age of 18 who have tuberous breasts or other breast development issues.
We ask that patients who are 35 or older undergo mammograms before their breast augmentations to create an “original mapping” of the breasts as they appeared before surgery. If any abnormalities are found on the mammogram, these must be addressed before any breast surgery.
Why Choose New Jersey Plastic Surgeon Dr. D’Amico
As a world-wide educator in breast surgery, Dr. D’Amico offers several improvements over traditional approaches. These include:
- Minimized tissue damage and scarring
- Shortened, more comfortable recovery
- More natural shaping of the breasts
What Improvements Can Breast Enhancement Surgery Give Me?
Women who feel their breasts are too small or not proportionate with the rest of their bodies may benefit from breast augmentation. Smaller breasts can impact their confidence and undermine their feelings of femininity. Breast augmentation can also correct breasts that are asymmetrical*.
Dr. D’Amico performs breast implant revision surgery for patients who are unhappy with the results of a previous augmentation*.
Types of Breast Implants
Dr. D’Amico recommends the appropriate type of breast implant for his patients based on their needs and cosmetic goals. His patients have 2 choices for implant materials:
- Saline breast implants are inserted empty and then filled with a sterile saltwater solution; therefore, a slightly smaller incision is needed to insert a saline implant.
- Silicone gel breast implants are prefilled and often described as feeling more like natural breast tissue. Dr. D’Amico offers his patients 3 popular types of cohesive silicone implants (sometimes called “gummy bear” implants) to choose from: Allergan Natrelle® 410 and Sientra® Silimed and Allergan round implants. The high-strength silicone used in these implants ensures that they retain their shape even in the unlikely event of rupture.
Both Natrelle 410 and Silimed implants are made of cohesive silicone gel. Natrelle 410 implants are shaped to be more true to a woman’s anatomy. Many patients enjoy the subtle boost in volume and natural-looking shape created by the tapered shape of Natrelle. Silimed implants are available in both round and shaped versions, providing customizable choices each patient’s unique anatomy and aesthetic goals*.
Learn more about your breast implant options.
Choosing the Right Breast Implant Size
Every woman is different, and choosing a breast size is a personal decision. Some women seek subtle changes, while others pursue more dramatic transformations. At your consultation, Dr. D’Amico will listen to your goals and develop a surgical plan to best provide the results you want*.
Breast Augmentation Procedure
Dr. D’Amico performs a variety of techniques in placing breast implants. The site of the incision, the size and type of implant (whether silicone or saline), and the position of the implant relative to your chest will be covered at your consultation. Essentially, after a light general anesthesia is given, an incision is made and a pocket is created for the implant, which is then inserted. Placing beneath the muscle takes a bit more time, but creates a more natural appearance and may be better for mammography.
Breast Implant Incisions
Breast implants can be inserted through an incision around the lower edge of the areola (periareolar), under the fold of the breast (inframammary), or within the armpit (transaxillary). Dr. D’Amico uses absorbable stitches to close these incisions.
|Periareolar Incision||Inframammary Incision||Transaxillary Incision|
Dr. D’Amico discusses your incision options in more detail during your consultation. Some women, particularly those who have had children or have seen their weight fluctuate significantly, choose to combine breast augmentation with a breast lift procedure. This combined surgery restores fullness to the breasts and lifts them to perkier, more youthful-looking positions on the chest for a complete transformation. Body contouring procedures, such as liposuction and tummy tuck surgery can further accentuate your new breast size*.
Can I Undergo Multiple Procedures at Once?
At Dr. D’Amico’s New Jersey plastic surgery practice, patients often combine 2 or more procedures into 1 surgery. Though this approach can create dramatic results, it’s important to note that the recovery will likely be longer and more complex than if the patient had undergone a single procedure. In some cases, a brief hospital stay may be necessary.
Breast Augmentation Before and After*
Will I Have Scars After a Breast Enhancement Procedure?
Unfortunately, some scarring is inevitable following a breast enhancement surgery. In most instances, Dr. D’Amico uses an anchor-shaped incision that goes around the areola, then down and under the breast crease. Because of the location of the incision, your scars should not be visible under clothing or swimsuits. Scars will fade significantly over time, and you can ensure their maximum refinement by closely following your postoperative instructions.
Breast Augmentation Recovery
You will find that you’ll feel back to normal in about a week, and it will take about 4 to 6 weeks for you to fully heal. Although you will see results immediately, keep in mind that some swelling will make your breasts appear slightly larger than they will be after they settle into their final positions, which takes about 30 days or so*.
After your surgery, we will instruct you to avoid raising your arms over your head or doing any exercise that uses your chest muscles, as well as avoiding heavy lifting, for about 6 to 8 weeks*.
You should keep in mind that breast implants are not permanent. We suggest that you visit us every year after implant surgery so we can confirm that your implants are still functioning as they should.
Pain After Breast Augmentation
Because of the surgical manipulation of muscle required during this procedure, significant postoperative pain used to be a problem. Fortunately, something we call a “pain pump” or a tiny catheter we insert at the time of surgery, will virtually eliminate the pain. The pain pump drips Novocain right onto the affected muscle 24 hours a day to relieve virtually all the muscle pain and avoid the need for heavy drugs or narcotics by mouth. This means a more comfortable, quicker, and better quality of recovery!*
Breast Augmentation Success Story
How Will Breast Enhancement Affect a Future Pregnancy?
Due to the wide variety among breast enhancement surgeries and methods, not all breast surgeries will interfere with future pregnancy or breastfeeding. In most instances, a woman who has undergone breast augmentation in the past is still able to breastfeed. A breast reduction, however, may diminish the ability to breastfeed.
Pregnancy also causes changes to your body that can alter the results of your surgery. Regardless of which procedure you choose, it’s important to talk to your surgeon about any future plans to become pregnant.
Will I Lose Nipple Sensitivity After My Breast Enhancement?
For some women, loss of sensation in the nipple or hyper-sensitivity can occur following a breast enhancement procedure. In most cases, this side effect is temporary and will resolve on its own. In a small number of cases, however, the loss of sensation in the nipple is permanent. Dr. D’Amico takes every precaution during all breast enhancement surgeries to reduce the chances of any long-term side effects, including loss of sensation.*
Does Breast Enhancement Surgery Interfere with Mammograms?
Depending on their placement, breast implants can interfere with mammography. Before your mammogram, be sure to inform the technician and other staff that you have implants. They will perform an adjusted mammogram to get a better view of your breast tissue.
Though breast reductions and breast lifts do not normally interfere with mammography, the redistribution of tissue during these surgeries can create abnormal but harmless changes on your next mammogram. If your doctor notices any of these changes, he or she may order further testing to rule out a malignant growth.
Schedule a Consultation
The first step in achieving your cosmetic goals is to request a consultation with Dr. D’Amico, who serves the New York metro area. He enjoys spending time with you one-on-one to understand your objectives and give his professional opinion about the procedures that are best for you. You will never feel pressured to choose surgery and you will even have a second consultation visit (included with your fee) to bring along family or loved ones and ask follow-up questions. The consultation fee is put toward any surgical procedure you choose. We are also happy to schedule appointments by phone.
* = Results may vary