Is Breast Augmentation painful?

Patients are administered a type of anesthesia before all breast augmentation procedures. We offer local or general anesthesia, depending on your comfort level and we will discuss it during your consultation. During your recovery, you will experience symptoms such as swelling, bruising, and discomfort around the surgical site, which is entirely normal. Dr. Nikfarjam can recommend some pain medication types to help you feel comfortable, and assist in your healing process.

How many appointments will I need?

Breast enhancement surgery is completed in one surgical appointment. We schedule a follow-up appointment for Dr. Nikfarjam to check your progress and healing. The follow-up appointment is also important for you to share how you are feeling and what your recovery experience has been like thus far. For some patients, there may be a need for additional surgery, depending on the results or how satisfied you are. These follow-up appointments also allow Dr. Nikfarjam to determine when you can remove bandages, gauze, etc.

How long until I see results?

While Breast Augmentation yields larger breasts right away, the final results may take a few weeks as the swelling subsides and the skin stretches. Some patients may need to wear a bandeau to help shape their breasts, especially if they have underlying asymmetry or very small breasts to start with. Incision lines may take several months, even a couple of years, to fade. You will achieve optimal breast augmentation results by following Dr. Nikfarjam’s recovery plan. Something important to consider after your surgery: breast implants are not considered to be lifetime devices, and they may need to be replaced. You can see Dr. Nikfarjam for an annual examination to evaluate your breast health and implant integrity.

Will my breasts feel natural after my Breast Augmentation surgery?

Dr. Nikfarjam and his team strive to deliver the most natural-feeling breasts post-surgery, but the answer may vary, depending on who you ask. The short answer is “Yes”! You should feel very comfortable with your new breasts, and they should have a natural touch to you and your partner; that being said – it really depends on the implant type. After the swelling subsides, your breasts will begin to feel more like a natural part of your body. If your implants were placed under the muscle, they may take a few months to feel normal as they “drop and fluff.” Until then, they may feel unnaturally high on your chest and you may experience a sensation of tightness. Some people will tell you they feel like water balloons, but that’s not quite right. The thick silicone shell gives them a little bit of the resilience of natural breast tissue. The newer gummy bear implants tend to feel a little less natural because they are significantly firmer.

Can I combine Breast Implants with other procedures?

Yes, you can. Most patients combine Breast Augmentation with Liposuction , which is the most common procedure done at the same time. If you are interested in combining another surgical procedure, such as a Tummy Tuck or Body Lift , please talk it over with Dr. Nikfarjam during your consultation, as there are some procedures he advises against combining. Each of our surgical procedures comes with its risks and benefits, which must be discussed and weighed up before making your final decision.

What are the risks associated with Breast Augmentation?

As with any surgery, there are associated risks you need to be aware of so that you can make an informed decision. Some of the most common risks associated with Breast Augmentation include: Bleeding Swelling Bruising Fluid buildup The possibility that some of the transferred fat cells will leave the breast area Infection Dissatisfaction with the results You can discuss the option of touch-up injections to retain your improved shape if you choose this surgery. Having a breast augmentation is a very personal decision, and each patient must balance realistic goals with the potential risks, to attain the best outcome possible.

Can Breast Augmentation prevent breast cancer?

There have been some studies and clinical trials that suggest that most women who have undergone breast augmentation have a lower risk of breast cancer. There is a partial belief that the reason the risk is lower is not because of the surgery itself, but because of the type of women who choose to get breast augmentation surgery, such as thin patients, so the risk is already inherently low. Although rare, there is a possible link to ALCL (Anaplastic large-cell lymphoma), which is a form of cancer of the cells of your immune system. While it’s not “breast cancer”, it will occur in the breast tissue, with the odds of affecting three in every 100 million women.

Should I get Breast Implants if I plan on having more children?

While Breast Augmentation surgery won’t affect your child, pregnancy can change the size and shape of your breasts, regardless if you’ve had a breast enlargement procedure or not. It is widely suggested to wait about six months after having children before committing to any breast procedure or cosmetic surgery.

Breast Augmentation

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Introduction
Breast Augmentation

Breast Augmentation surgery can be a life-altering experience if done for the right reasons. Breast augmentation, also commonly referred to as breast implants or a “boob job”, is a popular surgical procedure for many women. Breast implants can enhance a woman’s self-confidence in her appearance. If you are dissatisfied with how your breasts look, you may want to consider this procedure to help you feel more comfortable with your body. If you are interested in breast augmentation in Long Island and the greater New York metropolitan area, trusting a renowned aesthetic plastic surgeon such as Dr. Jeremy Nikfarjam – a board-certified surgeon with years of experience – will ensure great results. Come and visit New You Surgery to find out how a breast augmentation can benefit you.

New You Plastic Surgery has multiple locations across New York and New Jersey, providing breast augmentation to patients from their offices in Roslyn (Long Island), Manhattan, Poughkeepsie, NY, and Englewood (New Jersey).

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Breast Augmentation before and after | New You Plastic Surgery in New York

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What is Breast Augmentation?

Breast Augmentation (Augmentation Mammoplasty) is a surgical procedure that places saline or silicone implants inside the chest to boost the size and appearance of the natural breasts. The plastic surgeon lifts breast tissue to create a pocket for the implants beneath the nipples. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape, or improve natural breast size asymmetry. The surgery takes a few hours to complete and may result in permanent scarring, but Dr. Nikfarjam and Dr. Goulart will make every effort to make them as inconspicuous as possible.

There are many important decisions to make when you undergo breast augmentation that you must consider. We will be sure to go over all of these decisions during your consultation and discuss the pros and cons to allow you to make an informed decision. Below, are some of the important factors that you will need to consider:

Implant Filler: Breast implants have an exterior silicone shell, filled with either saline or a silicone gel. Saline implants tend to ripple, have the potential to leak, and can have a different feel to both the patient wearing them and the person touching them, whereas Silicone gel breast implants will ripple less, are usually softer to the touch, and tend to have a more natural feel.
Implant Covering: Breast implants have two types of coverings – textured and smooth. Textured implants can lead to significant rippling on the skin and can become very hard, whereas smooth implants will settle quicker and drop a little more, giving a more natural appearance of breast symmetry.
Implant shape: The two shapes that modern breast implants have are teardrop and round. Teardrop implants (also called anatomic) tend to rotate and have a textured covering, while round implants can eventually achieve the teardrop shape when partially placed under the pectoral muscle. Your muscle ends up pushing on the upper 2/3s of the implant, leaving the lower third unaffected by muscle bulges, eventually creating a teardrop profile.
Implant insertion/ incision: The location of your incision will depend on the implant type you are choosing and the size you are looking to achieve.
Implant Positioning: Breast Implants can be placed above or below the pectoral muscle, with some being placed partly above chest muscles AND partly below. Every patient will have different requirements, but having the implants below the chest muscle helps the silicone gel breast implants to stay softer and produce better mammogram results. Your provider will help you choose the best option for you and your body type during your consultation.
Cup Size: While this is often our patient’s favorite decision that has to be considered, it is also a more difficult category to discuss because, unfortunately, there’s no solidarity in the cup-size community. For example, a B could be a standard B from one brand, but for another, a B could be closer to a C. This is why we encourage our patients to focus more on the visual appearance of an implant size, and not necessarily about which letter it is associated with.

Types of Breast Enhancement

Breast enlargement surgery requires various methods, each tailored to an individual’s unique goals and body characteristics. Two of the most common methods include breast augmentation with implants or fat transfer. Your plastic surgeon will discuss the benefits of our breast procedures and help you determine which is best for you.

Saline implants are filled with a sterile saline solution, very similar to the saltwater that’s in the human body. Unlike silicone implants, saline implants can either be pre-filled or filled during the implant operation.

The silicone implant is composed of an outer silicone shell filled with silicone gel that feels like jelly.

Also known as Cohesive Gel Implants, “Gummy Bear” implants are a term used for a type of silicone breast implant known as “form-stable” or “highly cohesive” implants. These implants are made of a thicker, more cohesive silicone gel that retains its shape even if the silicone outer shell is cut or ruptured.

Fat transfer breast augmentation, also known as autologous fat transfer or natural breast augmentation, is a surgical procedure that involves using a person’s fat cells to enhance the size and shape of the breasts. In this procedure, fat is typically harvested from areas of the body where there is excess fat, such as the abdomen, thighs, or hips, through liposuction.

Smooth-walled silicone and saline breast implants are the most common choice for breast augmentations. Great for round implants, these are made of silicone gel or saline implants and have a smooth outer surface, creating a natural look and feel of natural breast tissue with a lower risk of rippling. When possible, silicone breast implants are placed beneath the chest muscle to provide better coverage, less chance of visibility, and less risk of capsular contraction.

Dr. Nikfarjam holding breast implant | New You Plastic Surgery in New York

Mini Breast Augmentation

Sometimes called small breast augmentation, the mini-augmentation procedure has been increasing in popularity thanks to the comfort it can provide for those with more active lifestyles. Many women opt for a mini-breast augmentation because it subtly improves the appearance of breasts without significantly enlarging them or “looking fake,” which allows clothing to fit tighter and creates a more athletic appearance.

This surgery can be performed by inserting smaller implants or using fat transfer, which can also help slightly contour other areas of your body. The downtime lasts only three to seven days, tends to hurt less than a traditional breast augmentation, and produces stunning long-term results.

What are the benefits of Breast Augmentation?

When considering whether to get a Breast Augmentation in Long Island and New York City, it is important to weigh up the pros and cons. Here are some of the benefits of breast augmentation:

Corrects breast asymmetry (naturally uneven breasts)
Increases breast fullness and projection
Improves the balance between breast and hip contours
Enhances your self-image and self-confidence
Restores volume after weight reduction or pregnancy
Corrects a congenital breast defect

It is important to note that breast augmentation cannot correct severely drooping breasts. To learn more about the benefits of breast augmentation, call us today to schedule a consultation.

Who are the best candidates for the Breast Augmentation procedure?

If you feel your breasts are too small or have lost their natural shape, you may be an ideal candidate for breast augmentation. You must be in good physical health, maintain realistic expectations, and not be currently nursing or pregnant. A consultation with Dr. Nikfarjam and Dr. Goulart can determine if you are an ideal candidate. He will review your medical history and discuss your available options.

If you are an ideal candidate, you will be able to choose the type and size of breast implant that is right for you. You may want to consider bringing in photos of the breast sizes you are considering. Dr. Nikfarjam will help you develop a surgical treatment plan to best achieve your goals.

What’s the
first step?

Dr. Nikfarjam consultation | New You Plastic Surgery in New York

black marble | New You Plastic Surgery in New York

Breast Augmentation First steps

The first step to getting a Breast Augmentation in Long Island or the New York City area is to book a consultation with Dr. Nikfarjam or Dr. Goulart. You can call our office directly or contact us on our website. By scheduling a consultation, you will get to meet Dr. Nikfarjam, learn more about breast augmentation, and decide whether this is the right procedure for you.

While performing their evaluation, Dr. Nikfarjam or Dr. Goulart will take everything into account, including your body type and desired aesthetic. You will also be asked questions about your medical history and lifestyle, which not only provides more insight into your life but also helps avoid any unnecessary risks.

The next part is what most of our patients find to be the most fun, which is getting to choose the size and shape of their breast implant surgery themselves. You can see some before and after photos, see mold examples, and listen to the pros and cons of each option. Once you and Dr. Nikfarjam have agreed on the techniques, types of breast implants, and a few additional details, he will create your personalized surgical plan.

Once this plan is made and the two of you agree to it, our Patient Coordinator will be able to help you pick your surgery date and provide you with some important instructions to follow pre-surgery.

Types of Implant Incisions

Depending on the woman’s breasts, the degree of change, and the patient’s body type, your surgeon will need to make incisions that are not only as discreet as possible but will also allow him to successfully perform breast enhancement procedures.

Each one of these incisions is designed to accommodate an implant while hiding any resulting breast augmentation scars, but keep in mind that not every incision location is available for every type of implant. Your breast augmentation specifics, such as the style and type of implant, will also help determine the best location for an incision.

The most common types of incisions for cosmetic breast surgery include:

Inframammary incision: also called a crease incision, this is one of the most common incision types. When performing breast augmentation using this technique, your surgeon will make an incision in the crease below the breast in the inframammary fold, where the breast and the chest wall meet. This approach allows for greater control and extremely precise positioning of the breast implant, however, the main drawback is that this technique does allow the scar to be more visible, especially when lying down.

Periareolar incision: the incision runs around the areola (the area around the nipple) allowing the implant to be inserted through the opening and placed into position. There are numerous benefits to this approach, including small openings, faster healing, and well-concealed or practically invisible scar tissue that blends in with the skin’s color. Unfortunately, this incision will not work for patients who have very small nipples.

Transaxillary incision: the opening is made under the armpit and is great for women who have not had prior breast enhancement, do not need a breast lift, and prefer a saline implant. After making the incision, your surgeon will place the implant into a pocket in the chest wall, and then fill the implant with saline to the prediscussed measurements. While this technique is great for hiding scarring, the armpit can no longer be used for future surgeries.

plastic surgery | New You Plastic Surgery in New York

What to expect on the day of Breast Augmentation surgery

Before your surgery, Dr. Nikfarjam may give you a set of pre-operative instructions. These may include fasting for a certain amount of time and avoiding medications such as blood thinners.

On the day of your Breast Augmentation surgery, Dr. Nikfarjam will walk you through the steps of the procedure as you are being prepped for surgery.

To begin, a type of anesthesia will be administered, so that you do not feel any pain or discomfort throughout the procedure. Next, Dr. Nikfarjam will make the incision on the specific part of the breasts as discussed in your consultation. Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference.

Once the incision has been made, a breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement). The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type, and Dr. Nikfarjam’s recommendations.

After the implant is in place, the incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive, or surgical tape to close the skin.

Breast Augmentation recovery

Before leaving our care, Dr. Nikfarjam and his team will prepare you with a list of instructions to help you through the recovery and healing process to achieve the best breast augmentation results. Since this is an outpatient procedure, it is recommended that you arrange transportation to and from our practice so you can rest after your surgery. You will be given a specialized surgical bra to wear throughout your recovery, to ensure proper healing without too much movement. You can expect to experience some bruising and swelling throughout the breast area.

Dr. Nikfarjam will advise you to rest and avoid strenuous activity for the first two weeks, after which you may be able to do some very low-impact activities. We also recommend taking some time off work or regular commitments to give yourself ample time to heal, before resuming regular daily activities.

How much does a Breast Augmentation cost in Long Island, NY?

The cost of a Breast Augmentation in Long Island and NYC will depend on your surgery. During your consultation, Dr. Nikfarjam will thoroughly go over all the steps and assess your intended focus areas and problems. You will discuss your intended goals and concerns so that he can give you an accurate picture of what will be possible for your procedure. It is important to ask as many questions as possible so that you feel comfortable about the procedure and make an informed choice.

dr. nikfarjam surgeon | New You Plastic Surgery in New York

Why choose New You?

Dr. Nikfarjam is a board-certified plastic surgeon providing patients in New York with Breast Augmentation surgery for a larger bust size or correcting asymmetrical breasts. He is the founder and Medical Director of New You Plastic Surgery and is an active member of the most prestigious societies in plastic surgery, including but not limited to ASPS (American Society of Plastic Surgeons, and ASAPS (The Aesthetic Society). Through years of dedication, and with expert training from world-renowned leaders in the plastic surgery field, Dr. Nikfarjam and and Dr. Goulart are sought out by patients from across the United States and abroad for his specific technique and expertise in nearly every aspect of plastic and reconstructive surgery including breast reductions, abdominoplasties, rhinoplasties, silicone/biopolymer removal, and complex revisionary surgeries.

Schedule a
Consultation

If you desire larger breasts, we encourage you to schedule a Breast Augmentation consultation with Dr. Nikfarjam and Dr. Goulart, you can call our practice directly, or you can also contact us via the patient portal on our website, and share your details so our staff can guide you through the process. Dr. Nikfarjam and his team are excited to meet with you and help you restore your body and your life.

Schedule a Consultation

Breast Augmentation FAQ’S

Patients are administered a type of anesthesia before all breast augmentation procedures. We offer local or general anesthesia, depending on your comfort level and we will discuss it during your consultation.

During your recovery, you will experience symptoms such as swelling, bruising, and discomfort around the surgical site, which is entirely normal. Dr. Nikfarjam can recommend some pain medication types to help you feel comfortable, and assist in your healing process.
Breast enhancement surgery is completed in one surgical appointment. We schedule a follow-up appointment for Dr. Nikfarjam to check your progress and healing. The follow-up appointment is also important for you to share how you are feeling and what your recovery experience has been like thus far.

For some patients, there may be a need for additional surgery, depending on the results or how satisfied you are. These follow-up appointments also allow Dr. Nikfarjam to determine when you can remove bandages, gauze, etc.
While Breast Augmentation yields larger breasts right away, the final results may take a few weeks as the swelling subsides and the skin stretches. Some patients may need to wear a bandeau to help shape their breasts, especially if they have underlying asymmetry or very small breasts to start with. Incision lines may take several months, even a couple of years, to fade. You will achieve optimal breast augmentation results by following Dr. Nikfarjam’s recovery plan.

Something important to consider after your surgery: breast implants are not considered to be lifetime devices, and they may need to be replaced. You can see Dr. Nikfarjam for an annual examination to evaluate your breast health and implant integrity.
Dr. Nikfarjam and his team strive to deliver the most natural-feeling breasts post-surgery, but the answer may vary, depending on who you ask. The short answer is “Yes”! You should feel very comfortable with your new breasts, and they should have a natural touch to you and your partner; that being said – it really depends on the implant type.

After the swelling subsides, your breasts will begin to feel more like a natural part of your body. If your implants were placed under the muscle, they may take a few months to feel normal as they “drop and fluff.” Until then, they may feel unnaturally high on your chest and you may experience a sensation of tightness.

Some people will tell you they feel like water balloons, but that’s not quite right. The thick silicone shell gives them a little bit of the resilience of natural breast tissue. The newer gummy bear implants tend to feel a little less natural because they are significantly firmer.
Yes, you can. Most patients combine Breast Augmentation with Liposuction, which is the most common procedure done at the same time. If you are interested in combining another surgical procedure, such as a Tummy Tuck or Body Lift, please talk it over with Dr. Nikfarjam during your consultation, as there are some procedures he advises against combining.

Each of our surgical procedures comes with its risks and benefits, which must be discussed and weighed up before making your final decision.
As with any surgery, there are associated risks you need to be aware of so that you can make an informed decision. Some of the most common risks associated with Breast Augmentation include:
- Bleeding
- Swelling
- Bruising
- Fluid buildup
- The possibility that some of the transferred fat cells will leave the breast area
- Infection
- Dissatisfaction with the results
You can discuss the option of touch-up injections to retain your improved shape if you choose this surgery. Having a breast augmentation is a very personal decision, and each patient must balance realistic goals with the potential risks, to attain the best outcome possible.
There have been some studies and clinical trials that suggest that most women who have undergone breast augmentation have a lower risk of breast cancer. There is a partial belief that the reason the risk is lower is not because of the surgery itself, but because of the type of women who choose to get breast augmentation surgery, such as thin patients, so the risk is already inherently low.

Although rare, there is a possible link to ALCL (Anaplastic large-cell lymphoma), which is a form of cancer of the cells of your immune system. While it’s not “breast cancer”, it will occur in the breast tissue, with the odds of affecting three in every 100 million women.

Resources
New you resources

We know that the decision to undergo plastic surgery can be a big one. There are many things to consider before your procedure, regardless of whether you live in the greater New York City area or are traveling from out of state. Our knowledgeable and friendly team wants to make your experience as seamless and effortless as possible, which is why we provide some informational resources to make your journey to a new you a little less stressful.

Patient Resources