Breast Augmentation in New York City
with Dr. Shridharani
What Is Breast Augmentation?
Since 2006, breast augmentation surgery has remained the most commonly performed cosmetic surgical procedure in the United States, with nearly 300,000 patients annually undergoing the procedure.
Breast augmentation, also known as augmentation mammoplasty, is a procedure that increases breast size by using saline or silicone breast implants. In addition, Dr. Shridharani is also able to perform this surgery by using the patient’s own fat, known as fat transfer to the breast.
During your consultation for breast augmentation, Dr. Shridharani will thoroughly discuss your goals in relation to your ideal breast size and shape to determine which implant is best for you. During surgery, Dr. Shridharani will measure the patient’s breasts with an inflatable implant sizer to determine the exact implant size for that individual patient. Implant size may vary for each breast in order to correct a patient’s asymmetry.
Types of Breast Implants: Silicone Gel vs. Saline
Silicone breast implants: Silicone breast implants are filled with silicone gel to feel more like natural breast tissue. If the implant were to break the implant will not collapse and the gel might even remain inside the implant. These implants are FDA-approved for women ages 22 and up. Silicone implants are the most commonly used implant globally – as they offer the most natural feel and last longer than saline implants.
Saline breast implants: Saline implants are filled with sterile saline (salt water). If the implant were to pop the saline would be absorbed and naturally expelled from the body. Saline implants provide uniform shape and are FDA-approved for women ages 18 and up.
Breast Implant Shapes
Breast implant shapes can be either round or anatomic also known as the “teardrop” shape.
Round breast implants: Round breast implants make breasts appear fuller than form-stable implants and generate more projection. Round implants vary in projection to specially be tailored to each patient’s body. There is no concern about the implant rotating, since the implant is the same shape in all dimensions.
Anatomic or “gummy bear” breast implants: Gummy bear breast implants are also called form-stable implants because they keep their shape even if the implant shell has been broken. The silicone gel inside these implants is more viscous/cohesive/”gummy bear” like than the filling of tradition silicone implants. The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants, but are thought to be less likely to break.
Gummy bear breast implants are usually shaped to a natural breast shape rather than just round. They have more projection at the bottom and are tapered towards the top. If a shaped implant rotates, it may lead to an unusual appearance of the breast. Due to the shape of gummy bear implants, there is always a slight chance that the implant could rotate requiring a revision to place the implant in the correct orientation. Placement of gummy bear implants may require a longer incision in the skin.
Watch Dr. Shridharani Perform a “No Touch” Breast Augmentation
Smooth and Textured Breast Implants
Smooth breast implants: Smooth breast implants are the softest to the touch. These implants can move within the “breast implant pocket” giving the breasts more natural movement. Due to their soft nature, these implants MAY produce visible rippling of the skin over the span of years.
Textured breast implants: Textured breast implants develop healthy scar tissue that attaches to the implant. This ensures the implant will not reposition on its own. There is an overall reduction in the natural movement. Because textured breast implants develop scar tissue to stick to the implant, they are less likely to move around inside of the breast and get repositioned. Research shows that textured implants may offer some advantage in diminishing the risk of a scar capsule.
Are Silicone Gel Implants Safe?
YES! After extensive population-based studies failed to show a correlation between autoimmune disease and silicone implants, the moratorium on silicone gel implants was lifted in 2006, and silicone breast implants came back into popularity in the United States. The most recent generation of silicone implants features a barrier layer to reduce the silicone bleeding/leaking phenomenon seen in older implants. Manufacturers of breast implants say each product should last roughly 10 years. Silicone implants have a rupture rate of 1-2% each year.
Breast Implant Incisions and Placement
Breast implants can be inserted through a variety of incision sites. The most common regions to place incisions for breast implants are periareolar (around the areola of the nipple) or inframammary (under the breast fold). Other less common options include placing the incision in transumbilical (belly button) and transaxillary (underarm). Dr. Shridharani can guide you based on what your goals are.
Breast implants can be placed under the muscle or in the fascia above the muscle. Implant placement varies from patient to patient. Patients with little breast tissue will want to have the implant placed below the muscle providing a more natural appearance. However, if a patient already has a decent amount of breast tissue to begin with, an implant may be placed above the muscle. There are advantages and disadvantages to both techniques. Dr. Shridharani will review all of this information with you during your consultation with him at the office in New York City.
The patient had a 270 cc smooth, round, moderate plus profile silicone gel implant placed on the right side and a 210 cc smooth, round, moderate plus profile silicone gel implant placed on the left side. Both implants were placed underneath the muscle (pectoralis major) through an inframammary incision approach (underside of the breast). She is pictured here 1 week prior to surgery and 9 months after her procedure.
How Long Does a Breast Augmentation Procedure Take?
The time for each breast augmentation procedure varies patient to patient. Generally, the surgery takes around a couple hours to perform.
Watch Dr. Shridharani Perform A Breast Augmentation with Fat Transfer
Breast Augmentation Recovery
You will be able to be up and walking around after surgery but may feel sluggish and sore. Most patients may return to work within a week and resume exercise in 2-3 weeks.
Schedule a Consultation
Ready to learn more about breast augmentation and find out if you are a good candidate? Call (212) 508-0000 to schedule a consultation with board certified NYC Plastic Surgeon, Dr. Shridharani.
Breast Augmentation FAQ’s
My patients have the ability to have their procedures performed at my office or at area hospitals and “surgicenters” in New York City. My operating room and facility have certification and accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Our team provides patients with the option of having their procedure performed in the safety, convenience, and comfort of our office/facility.