Breast Augmentation

When small, uneven or slack breasts are causing you discomfort or embarrassment, breast augmentation offers a way to bring balance and contours to your body. Breast augmentation is the surgical enhancement or enlargement of the breast, and it is one of the most popular cosmetic surgeries in the world. The procedure is designed to increase the fullness or projection of the breast and is most commonly done with the use of an implant, but can also be done with a patient’s own fat.

The procedure is designed for several purposes: to it increase the size of a naturally occurring small breast, to restore lost volume after pregnancy or breastfeeding, or help achieve improved symmetry.

What is Breast Augmentation?

Breast augmentation is a surgical procedure that increases the size and projection of your breasts while reshaping the breast and improving physical symmetry. It can also reverse a deflated appearance in the breast that may have been caused by pregnancy, age, or weight loss. Breast augmentation can recreate the body’s natural appearance for patients who have recently undergone mastectomies, or breast cancer removal.

The intentions of a breast augmentation procedure are simple. One, it can increase the projection and fullness of the breasts. In most cases, this can increase self-confidence and self-image, therefore increasing the comfort the patient feel in their own skin. Additionally, a breast augmentation can create an even more attractive silhouette by balancing the body’s natural contours and increasing its visual symmetry.

With two offices — one in New York City, the other in Englewood, NJ — Dr. David L. Abramson is well-known to the residents of our community. His extensive skills have made him a surgeon of choice for breast augmentation in Manhattan and surrounding areas.

Before and After Photos

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Reasons to Get A Breast Augmentation

While the reasons why someone may want a breast augmentation may vary, they are all valid reasons to desire personal improvement. The most common reasons for a patient to undergo a breast augmentation surgery are:

• Size: The number one reason women undergo breast augmentation surgery is an increase in breast size and physical projection which will in turn to enhance the body’s natural balance and proportions.
• Shape: Breast augmentation can achieve fuller, rounder, and more voluminous breasts. Breast augmentation can be performed with a breast lift if sagging is a concern as well.
• Asymmetry: Perhaps a woman’s breasts are asymmetrical in size or shape, or did not naturally develop equally. Breast augmentation can increase the attractiveness of the breasts by creating a balanced, more symmetrical silhouette.
• Age: Over the course of a lifetime, the breasts may appear to deflate and lose volume. A breast augmentation surgery can help to turn back the hands of time, providing more voluminous breasts.
• Weight loss: A loss in weight may cause a decrease in breast size or create a deflated appearance. Breast augmentation surgery can address the loss of breast volume caused by significant weight loss.
• Breast cancer: If a woman will have, or has recently had, a mastectomy, breast augmentation can recreate their figure and restore natural proportion.
• Post-Pregnancy: Pregnancy causes a lot of changes to a woman’s body, including changes to the breasts—a breast augmentation can be part of a “Mommy Makeover” to help mother’s bodies bounce back to their youthful silhouette.

While able to increase the volume and projection of the breast, breast augmentation cannot correct the appearance of drooping or sagging breasts. In such a case, a breast lift (also called a mastopexy) may be required along with a breast augmentation procedure for drooping breasts to look fuller and more youthful. The doctor can assist in making a decision that is best suited for the patient’s desired result and determine the best course of action.

Incision Options

When considering your incision options for breast augmentation in Englewood with Dr. Abramson, you should know that there are multiple types that you can choose from. These incisions mainly differ in the location they are placed and the surgical expertise required to perform them, but they can impact your results, so you must choose the best one for your needs.

Dr. Abramson is a pioneering figure in the field of breast surgery. He is recognized nationwide for his innovative techniques, which have earned him profound respect within the broader medical community. During your consultation for your breast augmentation, he will review each of our three incision options, discuss their benefits, and help guide you in making the best decision for your aesthetic needs.

What Types of Incisions Are Available?

Your choice of incision will significantly influence the outcome of your breast procedure. The selected type dictates where your implant will be inserted and can affect the overall surgical process and the resulting scarring. In every case, Dr. Abramson will do his best to conceal your incisions.

Here are the three main types of breast augmentation incision options performed at our Englewood office.

Inframammary Incision

The inframammary incision is made in the fold underneath the breast, where it meets the wall of your chest. This option is one of the most common choices for breast augmentation because it typically offers the easiest access for Dr. Abramson, allowing for precise placement of your implants. This incision is also generally hidden well within your natural breast crease, making it a very discreet option, yet another reason why it is popular with our patients.

Axillary Incision

This type of incision is performed in the armpit, ensuring that there are no visible scars on the breasts themselves. Axillary incisions may be the ideal method for patients who do not want any scarring on the breasts. In this type of augmentation procedure, Dr. Abramson skillfully creates a tunnel from your armpit to your breast and inserts your implant through this pathway.

Though this technique avoids breast scarring, it can be technically challenging to achieve in some patients. In addition, the scar in the armpit area might be faintly visible when raising your arms, though Dr. Abramson will try his best to conceal the incisions where possible.

Periareolar Incision

For this option, Dr. Abramson will make a precise incision around the edge of your areola where the darker skin meets the lighter breast tissue. Many of our patients prefer this method because the incision typically blends seamlessly with the natural color transition of the areola, making it harder to detect with the naked eye. This option provides direct access to the breast tissue and muscle, although it may occasionally impact nipple sensation and breastfeeding functionality.

If you are considering your incision options for breast augmentation in Englewood, you have come to the right place. Ultimately, each choice has its advantages and considerations, and the right one for you will depend on individual factors, such as your anatomy, the type of implants you prefer, and your preferences for scarring. Your decision will also be based on the goals of your surgery and what type of cosmetic outcome you are hoping to achieve.

Learn More About Incision Options

During your initial consultation with Dr. Abramson, our clinical staff will discuss these options with you in detail. We will consider which incision will best achieve your desired results while minimizing visible scarring and potential complications, and maximizing your safety and wellness.

Schedule a meeting with our staff to learn about your incision options for breast augmentation in Englewood today!

Good Candidates

You may be a good candidate for breast augmentation if:

• You are in good health.
• You are not currently pregnant.
• You are not currently breastfeeding.
• Your breasts have developed fully.
• Your breasts are of a personally undesirable size or volume.
• Your breasts are of a personally undesirable shape or projection.
• Your breasts are asymmetrical.
• Your body contour appears unbalanced.
• You want breasts that you find to be more attractive.
• You have realistic expectations of a breast augmentation surgery.
• You are making the choice to have a breast augmentation procedure for yourself and within your own comforts.

Most women who seek breast augmentation are unhappy with the small size of their breasts. This is often a result of genetics; however, there are other reasons patients are disappointed in the appearance of their bust. Sometimes a woman has asymmetrical breasts, where one is much smaller than the other. Other breast augmentation patients complain about a lack of volume due to breastfeeding, weight loss, or aging. Prior to undertaking a breast augmentation, patients, particularly those with a family history of breast cancer, need to be evaluated possibly with mammography to determine that there is not any pathology in the breast prior to a cosmetic augmentation.

Please remember that breast augmentation surgery is a personal choice. Therefore, it is extremely important that breast augmentation patients are undergoing the procedure for themselves. Breast augmentation is intended to increase your own happiness and your own self-image, rather than please somebody else. Patient satisfaction is incredibly high with breast augmentations, specifically when they want the procedure done for themselves and it is performed within their own comfort levels.

For years Dr. Abramson has listened carefully to the concerns of women throughout Manhattan and further afield. He and his professional staff welcome you to schedule an appointment at our New York City, Franklin Lakes, or Englewood office to discuss your breast augmentation options.

Choosing the Right Implants

When considering which implants will be the most beneficial, the implant size, profile, material, and texture are all options to take into consideration. When making the decision for what enhances the natural you, make sure to consider both your body and your desired result. While the influx of information related to your implant may seem daunting, Dr. Abramson can assist you in making the best decision for your personal needs.

Remember: harmony and balance found within the end result are the most important effects in obtaining the greatest amount of personal appeal and general attractiveness of your new silhouette.

The types of implants vary, as well as their advantages and disadvantages in use. Implants range in size and profile, may be filled with saline or silicone, and may be smooth or textured. Both silicone and saline implants are encased in a silicone shell, developed to resist punctures and ruptures.

Implant Composition

Saline Implants

Saline implants are filled with a solution of sterile salt water, encased in silicone. One of the main advantages of saline implants is that it can be filled with a range of cc’s, a liquid measurement. Because of this liquid measurement, the surgeon can customize the size and volume of the implant to best suit the patient’s individual needs. A second main advantage of a saline implant is its cost efficiency. Saline implants cost less than silicone implants. Many patients who chose saline implants over silicone implants consider the saline solution to be a third advantage.

Silicone Implants

Silicone implants have a silicone shell, filled with a thick silicone gel. Silicone implants have several advantages over saline implants. One advantage is the fact that silicone implants have much less chance of rippling than saline implants. A second advantage of silicone implants is the natural feel of the implant. The thick silicone inside the implant’s silicone shell resembles the feel of a natural breast much more than the saline solution found in saline implants.

“Gummy Bear” Silicone Implants

Shaped, cohesive gel implants are commonly referred to as “gummy bear” implants, or “form-stable” implants. These silicone implants are made of a silicone shell, filled with a thicker and more cohesive medical grade silicone than the average silicone implant. It is referred to as “shaped” because the outer shell has a teardrop shape built into it, where thinner at the top and fuller at the bottom, to create the most natural, anatomically natural breast shape possible.

These form-stable implants have a few advantages over the average silicone implant or the saline implant options. With a form-stable implant, there is a natural shape built into the device. There is also a decreased risk of rippling due to its thicker silicone gel. There is a greater number of options for shape and size than available with the common silicone implant.

Implant Size, Projection, and Profile

Every implant has a measurement of its diameter (or width), its volume (or size), and its projection (or how much it sticks out from the body).

Implants come in a variety of sizes and profiles, with each designed to create a different type of result when used. The implant profiles are referred to as: a low profile, a moderate plus profile, and a high profile. Low profile implants create a wider and rounder breast, with a small amount of extra projection.

The moderate plus profile, on the other hand, is the most common implant used in breast augmentation. This is because the moderate plus implant creates what is considered to be a more natural-looking result. The third option, a high profile implant, provides a very round and full shape to the augmented breast. This is a good implant size for someone who wants the greatest size, projection, and roundness. Different cc’s are available to create the desired projection and roundness.

Implant Shape

Both silicone and saline implants can be manufactured in one of two shapes: round and teardrop. Many women choose round implants because they provide the greatest amount of fullness, projection, and cleavage. Despite the appearance, the greatest benefit of inserting round implants over teardrop, or anatomical, implants are in case of implant movement. If a round implant becomes turned, it is still round and does not require additional surgery, unlike its shaped counterpart.

As the name implies, a teardrop breast implant—also known as an anatomical, shaped, or contoured breast implant—is in the shape of a teardrop, where it is fuller at the bottom. Augmented breasts will obtain a more gently sloping, natural shape with teardrop breast implants. For patients seeking a more naturally shaped result, these implants may be the ideal choice for augmentation.

Implant Texture

The shell of the implant can have a surface that is either smooth or textured.

Smooth silicone implants are smooth to the touch. On the other hand, textured implants have a surface with a coarser shell, similar to a velvety feel. These implants have tiny, microscopic bumps on the surface which give it a texture.

These implants were created to reduce the chance of capsular contracture, a hardening of the scar around the implant. Textured implants are much less likely to turn or rotate after insertion, as scar tissue holds onto the implant through its microscopically textured shell and can assist in keeping the implant in its intended position.

Incision Options

• Inframammary – Near the natural crease under the breast
• Axillary – In the underarm area
• Periareolar – At the edge of the areola

The Procedure

Breast augmentation can be performed through a variety incisions. The most commonly chosen is the inframammary incision. This is a small incision on the underside of the breast within the natural crease. Other common incisions including periareolar and transaxillary incision. The implants can be placed either above or below the pectoralis muscle and most commonly silicone gel implants are used. However saline implants are used in patients less than 22 years of age. At the start of a breast augmentation, the patient will be placed under general anesthesia or intravenous sedation.

 Once the incision is made, the implants will be inserted into a pocket created by Dr. Abramson. This pocket will either be made subglandularly (directly behind the breast gland) or sub-muscularly (beneath the pectoral muscle below the breast gland and above the chest wall).

Dr. Abramson will then work to obtain the desired shape and size of the bust. After this has been achieved, he will close the incisions using sutures and place a surgical bra around the breasts to reduce swelling and bruising during the recovery stage.

Preparing

If you are considering, or ready to pursue a breast augmentation with Dr. David Abramson, you might be wondering how to adequately prepare for your breast augmentation in Englewood.

Preparing for breast augmentation involves more than just the surgery itself—it requires thoughtful planning and lifestyle adjustments prior to and after your procedure to ensure your best chances of achieving optimal results. For personalized guidance and a comprehensive preparation plan that is customized to your unique needs, schedule a consultation with Dr. Abramson, whose wealth of experience will help you confidently navigate every step of your journey.

Scheduling Your Initial Consultation

A breast augmentation procedure is a personal and significant decision that requires thorough preparation for Englewood patients. The first crucial step is to schedule your initial consultation, with Dr. Abramson guiding you through the following major topics:

• The breast augmentation surgical procedure
• Preparing for breast augmentation surgery
• Risks involved
• Rest and downtime requirements
• Expected results
• Maintenance of results
• Lifestyle recommendations

This is a great time to ask any questions—we will do our best to prepare you with all the answers you need. In addition to discussing your procedure, Dr. Abramson and his staff will also explore:

• The best surgical options and design tailored to your needs.
• The ideal size, shape, and type of breast implant for you, using 3D imaging simulation.
• Any additional procedures that might enhance your results, like a breast lift.

Once we have established your personalized breast augmentation plan, we will assist you in preparing for your surgery day with a personalized plan.

Clinical Assessment Before Your Surgery

To ensure you are fully prepared for both the surgery and recovery, a thorough clinical assessment is essential. Before your procedure, you will undergo blood work at our office to confirm normal levels of hemoglobin, electrolytes, creatinine, and INR. For patients over the age of 50, an electrocardiogram (ECG/EKG) may be required. If any concerns arise from your blood work or ECG results, Dr. Abramson will discuss the next steps with you.

How to Prepare for Your Breast Augmentation Surgery

There are some important tips to help you prepare for your breast augmentation in Englewood. First, you will need to quit any smoking, alcohol, or recreational drugs that you take, as these substances can interfere with your body’s healing capabilities. You should also avoid any herbal supplements (such as green tea extract) and medications like Aspirin.

Other lifestyle adjustments to consider include:

• Eat nutritious foods to support your overall health and drink plenty of water.
• Prepare frozen meals and easy-to-prepare foods.
• Organize childcare and pet care if needed.
• Have any recovery items ready, including antibacterial soap, loose clothing, button-up shirts, and entertainment ready.
• Ensure you are well-rested on the night before the procedure and arrange a ride to and from the office.

Following these guidelines, and any other personalized advice given to you by Dr. Abramson, will help set you up for success.

For More On Preparing for a Breast Augmentation in Englewood, Call Us Now

By following these guidelines and any additional instructions from Dr. Abramson, you will be well-prepared for both your surgery and your recovery from a breast augmentation in Englewood.

If you have further questions or wish to set up a consultation, please reach out to us. Our aim is to set you up for success with any plastic surgery procedure you choose to have, and we are available at any time afterward to guide your recovery.

Recovery

The recovery after breast augmentation is relatively short with most patients returning to work within 4-5 days. The patient should massage the breast as instructed by their surgeon and limit physical activity for the first several weeks after the procedure. Finally, results tend to be optimal about 3 to 4 months after the surgical procedure. Patients who choose to have silicone gel implants should be monitored based on FDA guidelines which will include an MRI after three years.

Dr. Abramson has helped hundreds of women from New York and New Jersey achieve the breasts they have always wanted. If you live in New York City, Manhattan, Englewood or anywhere else in the area, then you will want to choose the best board-certified surgeon for your breast augmentation. Please contact Dr. Abramson today to book a preliminary consultation and discover why he has a reputation for thorough, top-notch care.

The extent of recovery from breast augmentation in Englewood will vary based on unique factors like your own personal health and the nature of your procedure. For most patients, the healing process typically lasts several weeks to a few months.

To learn more about how your own recovery journey may look, schedule a consultation with Dr. David Abramson and his staff today. We can answer any questions you have about our innovative breast augmentation procedures!

What to Expect Immediately After Your Surgery

Directly after your surgical breast procedure, you will be required to spend a couple of hours or so in the recovery room under Dr. Abramson’s supervision. Once cleared, you will be free to leave. However, you will not be able to drive yourself, due to the effects of the anesthesia. Arrange for someone to take you home and stay with you for the first 24 hours for your safety.

You will need to stay home and rest for the first four to five days following your procedure. If you are experiencing discomfort, you can easily manage it with over-the-counter pain medicine. Dr. Abramson may also prescribe medications if needed.

Steps to Ease Your Recovery Journey

Once you leave our Englewood office and return home to begin recovery, there are several things you can do to enhance healing from your breast augmentation.

Take a Break From Excess Exercise

You should avoid strenuous activities for at least a month to six weeks following your procedure. This includes heavy lifting and exercise. In most cases, you can return to non-strenuous work, such as office work, after a week. You will notice the full extent of your results after around three to four months.

Practice Self-Care

Be sure to prioritize proper and mindful self-care during your recovery period to aid your healing. Dr. Abramson will provide detailed post-operative instructions and guide you on how to care for your incisions, when to change your dressings, and how to identify signs of complications. You will also learn special breast massage techniques to promote healing.

Wear Your Supportive Garment

Dr. Abramson may recommend wearing a supportive or compression garment to reduce swelling and support your breasts as they heal. If you have silicone gel implants, he will ensure you understand specific guidelines, including the FDA-recommended MRI procedure that should take place three years after your breast surgery.

Go to Follow-Up Appointments

Attending scheduled follow-up appointments with Dr. Abramson is essential. These visits allow him to monitor your healing progress, remove sutures if needed, and address any concerns you may have about your results. This is a crucial step in ensuring your recovery progresses well and that you have the best chance of achieving excellent outcomes from your Englewood breast augmentation procedure.

Additional Tips For a Smooth Recovery

While recovering from breast augmentation surgery in Englewood can be challenging, there are several ways you can make your healing process more comfortable and pleasant:

Prepare Your Home

Make your recovery setting cozy and comforting by arranging pillows and blankets to support your body in a reclined position. You may be required to sleep on your back as you heal. In addition, it is a good idea to have lots of entertainment on hand to pass the time.

Do Light Exercise

Gentle exercise, such as short walks, can improve circulation and promote healing. However, avoid activities that strain your chest muscles.

Get Support From Loved Ones

Reach out to friends and family for emotional support. Having someone to talk to or help with daily tasks can alleviate anxiety during recovery. If possible, arrange for assistance with childcare, pet care, or household tasks.

Consider having pre-prepared meals available to avoid the need for cooking. This additional support can significantly reduce stress and facilitate an easier recovery process.

Call Today to Learn More About Recovery From Your Englewood Breast Augmentation

By following these guidelines and all other instructions outlined by Dr. Abramson, you can promote healing, reduce complications, and make your recovery as smooth as possible.

Remember to prioritize your health, listen to your body, and seek medical advice from our surgeon if you have any concerns. With proper care, you can enjoy the long-term benefits and have an uncomplicated recovery from your breast augmentation in Englewood!

Breast Augmentation Cost

The cost for a breast augmentation can include the hospital anesthesia cost and the costs of the breast implant themselves. For your financing needs, Alphaeon™ and Prosper® are offered, since breast augmentation costs vary by patient. The best way to obtain a breast augmentation quote is to contact Dr. Abramson and his team of experts. We can provide all the information you need about costs and possible financing options.