Breast Augmentation in Albany NY

dr-barach-breast-augmentationBreast augmentation is an ideal choice when you want to increase the size of your breasts, restore their shape after pregnancy, or balance out uneven cup sizes. Breast augmentation surgery, also called breast enhancement or breast enlargement surgery, is one of the most popular plastic surgery procedures available today. For many women, it is an effective means of enhancing their sense of femininity and, thus, their confidence and self-esteem.

To get a better idea of what can be accomplished with surgical breast enhancement, view our Breast Augmentation Patient Gallery.

Reasons to Seek Breast Enhancement

Women seek breast augmentation for many reasons, including:

  • The desire to enhance small or asymmetrical breasts, which are often the result of a genetic predisposition
  • The desire to address breast laxity or flat-looking breasts due to the natural aging process or major weight loss
  • The desire to correct mildly drooping or sagging breasts after child bearing and breastfeeding

What to Expect During Consultation

Dr. Bruce Barach and his caring staff strive to ensure that you feel comfortable throughout the entire plastic surgery process. During consultation, Dr. Barach listens attentively to your aesthetic concerns, surgical goals, and cosmetic desires to gain a thorough understanding of what you are looking to achieve with your breast augmentation procedure.

Dr. Barach also evaluates your unique anatomy — including your skin health, body fat content and existing breast tissue — so he can recommend appropriate treatment options (including breast implant size) that will yield natural-looking results that are in line with your aesthetic goals for surgery.

Aside from breast implant size, additional treatment options include the available types of breast implants, your incision pattern options and your implant placement options, all of which Dr. Barach explains during consultation. When making decisions about your treatment options, your individual body type and frame as well your cosmetic desires must be considered. You can also “try on” different implants using our sizing system to get an idea of which looks best on you. Most patients really like doing this and find it very helpful.

He then collaborates with you to create an aesthetic plan that enhances your natural beauty, so you look and feel like the best version of yourself. In some cases, Dr. Barach may need to recommend a breast lift in conjunction with your breast augmentation procedure, to provide optimal results.

Thanks to his extensive experience performing over a thousand breast augmentations for satisfied patients over the years, you can rest assured that Dr. Barach will be able to help you achieve your desired results.

Am I a Candidate for Breast Augmentation?

dr-barach-breast-augmentation-2Ideal candidates for breast augmentation:

  • Have breast size, shape, or symmetry issues that they would like to correct
  • Would like to restore lost breast volume or firmness following pregnancy or breastfeeding
  • Are in good overall physical health

It is important to discuss any future pregnancy plans with Dr. Barach before moving forward with your procedure.

Types of Breast Implants

Again, Dr. Barach explains all your treatment options in detail — including their advantages and potential disadvantages — during consultation. The three types of breast implants that are FDA approved for use in the United States are saline implants, traditional silicone gel implants, and highly cohesive, form-stable silicone gel implants.

Incision Patterns

Dr. Barach is well versed in the three main incision patterns used for breast augmentation surgery. They are:

  • The periareolar approach.

    This incision technique involves making a circular incision around the outer circumference of the areola (the darker-colored skin surrounding the nipple). Although this incision pattern leaves a scar that is well concealed within the darkly pigmented areola skin, it might not be a suitable treatment option for women who are concerned with preserving nipple sensation or the ability to breastfeed, as the incision is placed close to the nipple and, therefore, close to the nerves and milk ducts in this area. (Although permanent changes in nipple sensation and breastfeeding ability are rare risks.) Some implants are too big to use this approach.

  • The inframammary approach.

    This incision pattern involves placing a horizontal incision underneath the natural breast crease. With this approach, nipple sensation and breastfeeding ability are typically preserved, and one avoids the milk ducts that communicate with the skin surface. This is the most commonly used incision.

  • The transaxillary approach.

    This incision method involves positioning the incision under the arm, in the armpit area. The transaxillary approach usually does not interfere with the ability to breastfeed, nor with normal nipple sensation; however, it’s usually only used for the submuscular placement of saline implants. Unfortunately, this incision can sometimes be visible in a bathing suit or other sleeveless attire.

Find out more about the available breast augmentation incision options.

Placement Options

Depending on your unique anatomy and aesthetic goals for surgery, you will choose one of the following implant placement options: subglandular or submuscular positioning.

With subglandular placement, Dr. Barach positions the breast implants under the breast glandular tissue, but over the pectoralis (chest) muscle. This placement method is the least invasive approach, as it leaves the chest muscle intact. However, it is not necessarily an appropriate treatment option for women with thin skin and little body fat, as the implants might be visible underneath the surface of the skin.

With submuscular placement, the Schenectady breast augmentation surgeon positions the implants underneath the chest muscle. This approach may lead to a slightly longer or more intense recovery period. Nevertheless, it yields natural-looking results, especially in women with thin skin or little body fat, as the implants are properly covered and supported with the overlying musculature and tissues. This is the best position for the majority of patients, but may be suboptimal for women who participate in bodybuilding competitions.

Learn more about your breast incision placement options.

The Breast Augmentation Procedure

Breast augmentation surgery generally takes about 1 ½ hours to complete and is performed under general anesthesia, in the safe environment of the hospital’s operating room suite. Dr. Barach places the implant in a pocket created under your breast tissue or underneath your chest muscle. After a recovery period of an hour or two, you can go home wearing a sports bra, returning one week later for removal of your sutures. It is important to follow Dr. Barach’s breast augmentation after-care instructions carefully to ensure proper healing.

Learn More About Breast Augmentation

To learn more about enhancing the size or shape of your breasts with breast implant surgery, please contact our Albany plastic surgeon today to schedule your initial breast enlargement consultation.

Frequently Asked Questions

1. Should I choose silicone or saline implants?

dr-barach-breast-augmentation-3Excellent results can be accomplished with either type implant, but in most cases, silicone is now considered the “Cadillac” implant. They are particularly advantageous in certain anatomical situations, particularly for women that are very thin and have very little of their own breast tissue. Saline implants tend to look or feel less “natural” than silicone, and, in very thin women, one can sometimes feel the implant through the skin and feel the subtle ripples in the surface of the implant.

Silicone implants came under scrutiny by the FDA a few years back but were found to be safe; therefore, there is no evidence of any significant safety issues with either implant. Some people still feel more comfortable with saline implants, and women under the age of 22 are limited to saline implants only, per the FDA.

2. Are silicone breast implants safe?

You may be aware that a number of years ago questions were raised about the safety of silicone implants, and they were removed from the market for a number of years. During this time, extensive studies were made of these implants, and no evidence of any significant safety issue was revealed. The implants were therefore returned to the market and have been extensively used ever since. Their safety continues to be closely monitored and, to date, they continue to be regarded as safe and effective devices by the FDA. I suspect few medical devices have been scrutinized to the extent that breast implants have been; while no device can be regarded as 100-percent safe, I am comfortable in saying that the evidence suggests that these devices are as safe as anyone could ever provide.

3. What is the recovery from breast implant surgery and when can I return to work and sports?

I tell my patients that I’d like them to keep their upper body “quiet” for 3 weeks. So I prefer that any vigorous activity involving the upper body and pectoralis area is avoided for the first 3 weeks after surgery. Most people whose occupations are not particularly physical are able to return to work in just a few days.

While everyone is different, most people are fairly comfortable within a day or two. Generally, just a small amount of oral pain medication is needed temporarily after surgery to manage any discomfort. Breast augmentation patients are usually seen for the first postop visit 3-5 days after their surgery. If all is going well at that time, they are seen again in a week and then again 3 weeks after that. By the time of that visit, they are usually well healed, happy, and back to just about everything.