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Breast Procedures

Breast Augmentation

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular services. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast.

Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Karlinsky's expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.

Fully Customized Breast Enhancement

We know that every woman is unique in both her desires and her body shape. With that in mind, we take the time during the pre-operative consultations to learn what each patient hopes to gain from breast augmentation surgery and to decide which implant type and implant placement is best. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind.

Complementary Procedures

Breast augmentation can achieve dramatic and beautiful results on its own as well as in conjunction with other cosmetic surgery or non-invasive procedures. We sometimes recommend combining breast augmentation with other procedures such as a breast lift for more satisfying results.

Saline and Silicone Gel Breast Implants

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. We will help you decide which kind is right for you. During surgery, we will place the implants behind each breast, underneath either breast tissue or the chest wall muscle.

After many years, the U.S. Food and Drug Administration (FDA) has approved silicone breast implants for breast augmentation surgery. We are proud to offer patients the option of silicone gel-filled breast implants, since they are much softer and feel more natural than saline-filled breast implants.

Breast Augmentation Surgery - Incision Techniques

The breast augmentation procedure lasts one to two hours and is typically performed with general anesthesia. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located:

• In the armpit (transaxillary),
• In the crease on the underside of the breast (inframammary), or
• Around the areola, the dark skin around the nipple (periareolar).

The breast is then lifted, creating a pocket into which the implant is inserted.

Saline implants may also be placed endoscopically through an incision in the navel. This minimally invasive breast enhancement technique is known as a transumbilical breast augmentation or TUBA approach.

Breast Augmentation Surgery - Placement Options

Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. Possible disadvantages include need for drainage tubes and elevated pain in the first few days following surgery. We will discuss which option may be best for you.

In the TUBA procedure, implants cannot be placed beneath the chest wall.

After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed, then taped and bandaged. In a few days, these bandages may be replaced with a surgical bra.

Please click here, to view before and after images of our Breast Augmentation procedure »

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Revision Breast Augmentation

We specialize in revision breast augmentation for patients who are not satisfied with their results after undergoing breast augmentation at other practices. These patients' unhappiness may arise from the implant shape, size, or placement or because of a post-surgical complication such as wrinkling, implant displacement, capsular contracture (hardening around the implant) or symmastia (implants drift together). We can correct these errors and help patients enjoy the fuller breasts they envisioned before their original surgery.

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Please click here, to view before and after images of our Breast Revision procedure »

Click here if you would like more information on our Breast Augmentation procedure, or if you would like to schedule a consultation with Dr. Victoria Karlinsky.

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