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armpit-fatBreast Surgery FAQs and Facts

  1. How do I know which breast surgery is right for me?
  2. How much time will it take to recover from a breast surgery procedure?
  3. How long will it take for the breast implants to “settle”?
  4. What types of breast implants are available?
  5. How are the unfilled breast implants filled up to the size I want?
  6. How do I know what size breast implant to choose?
  7. How painful is breast surgery?
  8. How much does each breast surgery procedure cost?
  9. What is involved in the pre-operative preparations?
  10. What can I expect after having breast surgery?
  11. Is it OK to smoke cigarettes if I want to have breast surgery?
  12. What are the risks involved in having breast surgery?

  1. How do I know which breast surgery is right for me?

If you have lost a significant amount of weight, have had a child and/or breastfed, or have naturally small breasts then a breast augmentation with one of our Breast Surgery New York surgeons may be right for you.

A breast augmentation restores cup size and volume using a saline or silicone implant. So, if your main concern is to increase your cup size, this would be a good procedure for you.

If you have lax or sagging skin on your breasts or if they hang lower than they should, then a breast lift is probably the procedure that would help the most.

If you have a combination of lost breast volume and sagging skin or breasts that hang too low, an augmentation plus a breast lift would be the recommendation from our breast surgery New York surgeons.

Finally, if your main concern is that your breasts are too large (with or without sagging from the large cup size) then a breast reduction (plus lift, if needed) is recommended.

Only one of our surgeons can give you an exact idea of which procedure(s) would help you most. Please call us to schedule a free consultation so we can meet with you in person to discuss your individual concerns and how they can be addressed by our breast surgery NYC & Long Island surgeons.

 

  1. How much time will it take to recover from a breast surgery procedure?

Though every individual heals at a slightly different rate, you can expect to be very limited in activities for the first week. After that, light duty can be started with no strenuous activities for at least one full month.

This means no heavy lifting, weight lifting, or other strenuous activities that could disrupt the tissues that are healing. We require a compression garment or surgical bra to be worn at all times for the first month.

It will then be up to the discretion of our breast surgery New York surgeon to recommend a regular bra, perhaps massage at some point during the process, or anything else that would help you heal properly.

 

  1. How long will it take for the breast implants to “settle”?

Breast implants are foreign objects in the body, so they do not naturally take a position within the chest that looks normal at first. Sometimes, our breast surgery patients may need to wear an elastic strap to encourage the new implants to settle in where they need to be, lower on the chest wall. This produces a more natural placement in the chest.

Other times, a light pushing down with your hands is all that’s required, several times a day, to encourage proper placement. Many women notice that at first, their breast implants may appear like a “Snoopy nose”, very round and high up on the chest. Once the breast implants settle into their permanent placement within the chest wall, it will look more natural.

Our breast surgeon will help you "tame" the breast implants during the healing process.

 

  1. What types of breast implants are available?

Implants can be broken down into two main categories and several subcategories. The two types of breast implants include saline filled and silicone filled. The saline implants generally come unfilled, but some types arrive pre-filled by the manufacturer.

Silicone breast implants are the other type of implant that is available. They always arrive pre-filled and sealed by the manufacturer. Within those two types of breast implants, there are several different shapes that patients can choose from.

The first type are high profile breast implants which are greater in height (when lying flat) than other types of implants. The second type of implant shape is a tear drop shape and the third is a regular profile implant (evenly rounded on all sides).

Breast augmentation Long Island specialists from our Advanced Cosmetic Surgery Team can help you decide the right shape for your figure.

 

  1. How are the unfilled breast implants filled up to the size I want?

The unfilled implants arrive in a sterile sealed box to our surgical centers and are made to be filled to a specific capacity as predetermined by you. Considerations will be made for your body frame, how large you want your breasts to be after the surgery as well as how much existing breast tissue you have.

During the breast surgery, our plastic surgeon will attach a filling tube (a flexible tubing that attaches on one end to the implant and the other end can be filled using a sterile syringe). The implant will be rolled up so that it can be carefully slid into place under the chest muscle.

He will then fill the implant to the specified size and then overfill it to a certain degree to avoid any rippling or sloshing of the breast implant after the patient is closed up. To read more about how our plastic surgeon performs this procedure, please click here.

 

  1. How do I know what size breast implant to choose?

When you come in for your free consultation, our breast surgeon will speak to you about what cup size you are looking to accomplish. If you are not sure what cup size you want, we have pre-filled breast implants for you to try on in the office.

You can place them inside of your bra and see which of them is right for you. Our breast surgeon will recommend a size that will likely get you to the size you want, but it is ultimately up to you to see which breast implant will help you achieve the cup size you want.

 

  1. How painful is breast surgery?

As with any surgery, there will be post-operative pain due to the disruption of the delicate tissues in the breast. Blood vessels, nerves, muscles, fatty tissue, and all of the layers of skin are involved in any procedure of this nature.

The degree of disruption to the tissues depends upon how much alteration of the existing tissues is involved. For example, a breast augmentation alone disrupts less tissue than a breast lift or breast reduction. Therefore, the recovery times and the amount of discomfort for each breast surgery patient can vary.

Rest assured that after about 3-4 days, no matter which procedure you have, the discomfort is greatly reduced. While you are in those first few days after surgery, we will prescribe an appropriate pain medication to help keep you comfortable. Many patients find that they need only Tylenol after that.

 

  1. How much does each breast surgery procedure cost?

Please read our Breast Surgery Pricing Page for more information about the cost of each procedures in our surgical centers.

 

  1. What is involved in the pre-operative preparations?

Please read our Pre-Op Instructions Page to read about how to prepare for your breast surgery.

 

  1. What can I expect after having breast surgery?

Please read our Post-Op Instructions Page to find out what our surgeon advises about what to expect after breast surgery, warning signs of an infection, and how to care for yourself following surgery.

 

  1. Is it OK to smoke cigarettes if I want to have breast surgery?

We ask that our patients stop smoking for at least two weeks prior to surgery and that they do not smoke afterwards. The reason for this is because cigarettes have a negative effect on the blood vessels in the skin, thus impeding healing and compromising your health.

Please plan on discontinuing the use of all tobacco products prior to having breast surgery because we will not perform procedures on tobacco users.

 

  1. What are the risks involved in having breast surgery?

As with any surgery that involves some degree of risk, so do breast surgery procedures. Due to the use of general anesthesia, there are risks involved with being “put under” general anesthesia. Our breast surgeon will go over each and every risk during your pre-operative appointment and answer any questions you may have.

Infection is also another risk to consider with any surgery. The skin is the body’s best defense against infection and once it is cut open, that risk is increased. We take every precautionary measure possible to avoid infection complications for our breast surgery patients.

Please read our Pre-Op Instructions Page to see the full list of instructions for prior to surgery. Additionally, we prescribe antibiotics following breast surgery to prevent infection.

Another risk with implants is the possibility of having a “capsular contraction”. This is a term used for the body’s abnormal reaction to having an implant inside of the breast. Though it is normal for the body to form a protective “scar capsule” around the implants, it is not normal for the capsule to constrict the breast implant so tightly that the breast is grossly misshapen and painful.

If a capsular contracture occurs, the surgeon can sometimes fix it by prescribing massage for minor cases. In instances where breast surgery is the only option, the patient is re-opened and the capsule is corrected.

Unfortunately, for our breast surgery New York patients who are prone to capsular contractures, many times they can recur after corrective surgery. The Advanced Cosmetic Surgery Team is highly skilled to perform revision breast implant surgery on patients.

Breast Surgery Before and After Photos