Breast Augmentation

Breast Enhancement

Breast Augmentation in Montclair, NJ with Dr. Caroline Szpalski

Breast augmentation is one of the most popular plastic surgery procedures in the U.S. For women who have naturally small breasts or have experienced breast changes due to pregnancy or weight loss, breast augmentation can enhance breast appearance, positively impact their overall figure, and renew their self-image.

You deserve to feel unique and comfortable in your skin. Fellowship-trained female plastic surgeon Dr. Caroline Szpalski and her team want to help you achieve your vision. Together, you will develop a customized procedural plan to realize your aesthetic goals, making her your choice as one of the best breast augmentation surgeons in the tri-state area of NJ.

Contact us today at (646) 777-0170 or complete our online form to schedule your breast augmentation consultation today!

What Is Breast Augmentation?

Breast augmentation is a procedure that uses implants or fat grafting to increase the volume and enhance the appearance, tone, projection, and shape of the breasts. To create optimal, natural-looking results suited to your unique anatomy, Dr. Szpalski offers a variety of implants ranging in material, size, and placement.  As a woman plastic surgeon, Dr. Szpalski intimately understands how a woman’s feelings about her breasts can influence her self-image and feelings of femininity. Most women seeking breast augmentation find that their breasts are comparatively smaller when compared to the rest of their body proportions or that their breasts have become deflated after having children. Most women seeking breast augmentation in our practice want to avoid an obvious and unnatural fake look. Our goal is always to create a beautiful, natural breast augmentation result that looks, in most cases, like you were just born that way.

Breast augmentation enhances the appearance of the breasts by:

  • Increasing fullness and projection
  • Restoring lost volume or increasing the size of naturally small breasts
  • Correcting asymmetrical breasts
  • Improving overall proportions
  • Boosting confidence and restoring self-image

Breasts can be enhanced with breast implants (silicone or saline), fat transfer, or both.

Am I an Ideal Candidate for Breast Augmentation in New Jersey?

Good candidates for New Jersey breast augmentation are looking to enhance the shape, size, projection, asymmetry, or fullness of their breasts to become comfortable in their own skin. Candidates interested in a Montclair, NJ breast augmentation should:

  • Be in good physical and mental health, living a healthy lifestyle
  • Not smoke, or be willing to quit at least six weeks prior to and after surgery
  • Be at a healthy, stable weight for at least six months
  • Have no conditions that impair healing
  • Have realistic expectations
  • Understand the surgical risks and benefits

How Will My Breast Implant Size be Determined?

The most appropriate implant size for breast augmentation is individualized to each woman on a case-by-case, personalized basis. The precise implant choice suits her height, weight and lifestyle, and fits her frame, remaining proportional to her body curvature.

Breast augmentation involves much more than just choosing an implant size in the office and expecting that you will have your desired results. It is a dynamic process that involves careful planning, multiple discussions with your surgeon, having your surgeon exercising sound surgical judgment in the operating room and an aesthetic eye for what “looks right” in your body.

The objective for each of our patients is to provide a beautiful, natural result as close as possible to your specific goals. After your initial consultation, Dr. Szpalski will ask you to bring images of breasts that you would love to have. Images that correspond to breast sizes, shapes and projection, details of the nipple and areola, and other features that you specifically like are called “Wish Pictures”. Pictures that illustrate what you want to avoid and don’t like are called “Don’t Pictures”.

Both types of images are equally important to elucidate what you are hoping to achieve and also avoid in actual visual examples. 

At your second visit to the office, we ask you to bring your Wish Pictures (and Don’t Pictures) with you so that we can further discuss your anticipated goals and properly determine the best surgical plan. Although there can never be an absolute guarantee that you will look exactly like these pictures, this process enables everyone (including you) to have a better understanding of what’s in your “mind’s eye” and to more completely appreciate details of the result you are seeking.

Your Breast Augmentation Consultation with Dr. Szpalski in New Jersey

Patient consultations are a critical element of Dr. Szpalski’s practice. During your consultation, Dr. Szpalski identifies your goals and realistic expectations to determine whether she is the right surgeon for you. With a focus on providing patients with exemplary care, Dr. Szpalski has created a warm, welcoming, nonjudgmental environment where you will feel safe sharing your concerns.

During your New Jersey breast augmentation consultation, Dr. Szpalski will conduct a thorough physical assessment, including:

  • Current breast size and shape
  • Desired breast size and shape, including implant size, type, and placement
  • Quality of breast tissue and skin
  • Allergies and medical conditions
  • Previous surgeries and medical treatments
  • Current medications and supplements
  • Current mammogram results
  • Family history of breast cancer

By educating patients about possible complications, risks, and outcomes, Dr. Szpalski empowers each patient to make choices about their cosmetic procedures, making her one of the best breast rejuvenation surgeons in New Jersey.

Choosing Dr. Caroline Szpalski as Your NJ Breast Augmentation Provider

Fellowship trained in microsurgery and the most complex cases in the world at MD Anderson, Dr. Caroline Szpalski is a female plastic surgeon born into a family of medical professionals and caregivers. She knew from an early age she wanted to become a surgeon. Growing up in Africa and Europe, Dr. Szpalski brings an international flair and sophisticated European sense of style to her practice. With this distinct multicultural perspective and a unique Ethnic identity, Dr. Szpalski recognizes that there are many standards of beauty, identity, color, and culture, so she doesn’t offer a single approach for all patients.

As a busy surgeon, wife, mother, and New Yorker, Dr. Szpalski understands the diverse challenges many of her patients face. With a less is more philosophy, Dr. Szpalski tailors her approach to each patient’s needs with meticulous detailing to provide natural-looking, long-lasting results for a sense of timeless elegance.

Meet Caroline Szpalski, MD

Female Plastic Surgeon in New Jersey

Rediscover your identity with the help of Dr. Caroline Szpalski, a board-certified and fellowship-trained plastic surgeon in New Jersey. With a unique multicultural upbringing and a European flair, Dr. Szpalski crafts elegant sophistication into every natural-looking patient transformation. Dr. Szpalski takes a less-is-more approach to plastic surgery to help patients maintain and appreciate their unique appearance and cultural beauty. No matter your aesthetic goals, start your journey toward a more confident you by scheduling your consultation with Dr. Szpalski and her expert team today!

Breast Augmentation with Breast Implants in NJ

Women considering breast implant surgery in the United States have the option of choosing either saline-filled or silicone gel-filled breast implants. All breast implants have a silicone shell. Silicone is a natural element and an inert solid which is biochemically most similar to carbon (the element that makes us “organic”) that is used safely in countless implantable medical devices.

The fill material of breast implants can be either Saline (sterile salt water) or silicone gel. Both can create equally beautiful breast augmentations, and all have been approved by the FDA (United States Food and Drug Administration) as safe and effective options for women undergoing breast augmentation, breast reconstruction, or implant revision surgery.

Breast implant volume sizes range from as small as 50 cc up to 800 cc, and implants may be smooth-walled or textured, round, or shaped. Dr. Szpalski only uses smooth round implants in her practice. The most appropriate implant for your unique situation depends on many factors including your age, your breast volume and density, your skin tone, your weight and your aesthetic goals. When you meet with Dr. Szpalski, she will go over all the options for you and help to determine which implant is most appropriate for you. For most women seeking breast augmentation, we usually recommend silicone gel implants over saline. Gel-filled implants tend to have a more natural look, feel more like breast tissue, and have less chance of “rippling” (seeing waves of the implant through the skin if you are thin and have little tissue padding). Saline-filled implants have a slightly increased incidence of rippling and “palpability” (the ability to feel the implant). The overall rate of complications when comparing saline to silicone gel implants is equivalent.

What Exactly Is (Free) Fat Grafting?

Fat grafting, also named fat transfer or liposfilling, refers to the process of “harvesting” fat cells from a part of the body where they are in excess, using liposuction as a reconstructive tool. The area where fat is harvested is called the fat graft “donor site,” similar to the concept of a free flap donor site used in breast reconstruction. The most common areas where the fat graft is harvested are the abdomen, thighs, and/or buttocks or wherever a patient stores their stubborn fat.

Fat cells are removed using tiny incisions that are generally hidden in natural creases of the body, such as the belly button, the groin crease, buttock folds, or an existing scar (such as after a DIEP or TUG flap). Using a blunt-ended wand called a cannula – just like for cosmetic liposuction – fat cells are vacuumed out of the body via these tiny incisions. The fat cells are collected in a sterile container in the operating room and then washed and further prepared by gentle washing and straining to be next reinjected into a different part of the body.

Fat transfer for breast augmentation can help restore lost volume or increase the volume of naturally small breasts to enhance the appearance of the breasts and overall figure and to improve confidence.

The first step of the procedure involves extracting unwanted fat from a donor location, such as the abdomen, buttocks, flanks, or thighs, and then purifying it. Commercial fat graft collection systems allow fat cells to remain sterile and be gently washed and concentrated before being injected back into the body.

After processing the fat while the patient is still asleep, the fat cells are injected into a new part of the body – for instance, into a hollow or contour depression at the top of the chest, either resulting from a mastectomy or related to a congenital condition such as Poland Syndrome or loss of volume with age and ptosis. The purified fat is then strategically injected into the breasts.

Transferred fat establishes a healthy blood supply during recovery; 50 to 70% of transferred fat will survive. As such, Dr. Szpalski may transfer more fat than necessary to ensure your desired results.

The free-floating fat cells, after being removed from the body, have lost their blood supply and are free-floating – hence the term “FREE fat grafting”. As opposed to a free flap, which carries its own blood supply via small arteries and veins that are disconnected and then reconnected using Microsurgery, a free fat graft does not have an attached blood supply, and the cells are therefore called a GRAFT (no associated blood supply) as opposed to a FLAP (which comes with a blood supply).

New Jersey Breast Augmentation with Fat Transfer

Breast augmentation with fat transfer provides subtle, natural-looking results without breast implants. Autologous fat transfer, also known as fat grafting, is a two-part surgical procedure that removes fat from undesired areas of the body with liposuction to augment and enhance the contours of the breasts.

Breast Augmentation in NJ Procedure Overview

Dr. Szpalski performs all breast augmentation procedures in fully accredited facilities at Freedom Surgical Center, St. Joseph’s Health University Medical Center, or Hudson Regional Hospital.

On the day of your procedure, you’ll arrive approximately an hour prior to your scheduled surgery to meet with Dr. Szpalski and your anesthesia provider. Dr. Szpalski will review your surgery details and answer any final questions you have.

Breast augmentation with implants

According to your procedural plan, Dr. Szpalski will use the appropriate breast augmentation incision technique based on your anatomical needs. During a breast augmentation, an incision is made in the inframammary fold of the breast and a “pocket,” or space is created for the breast implant. This space is usually beneath the breast tissue but on top of the pectoralis major muscle or beneath the pectoralis muscle depending on you anatomy.

Next, a temporary implant “sizer” is inserted into the breast pocket. In the sitting up position, the specific volume and dimensions that best match your aesthetic goals are ascertained by adjusting the sizer while you are asleep, precisely determining which implant volume will be used, one breast at a time. Together, your preoperative photos, discussions with your surgeon and your “Wish Pictures” are used to create the most beautiful, natural breast augmentation.

Occasionally, different implant sizes are used from one breast to the other to accommodate for differences (asymmetry) between your breasts or to adjust for other physical circumstances such as scoliosis, tubular breasts or Poland syndrome.

Individualized planning for your specific situation takes place at your initial consultation, at your preoperative appointment, and again on the day of surgery. Once the proper implant has been selected, the sizer is removed and the permanent implant is inserted.

Depending on the extent of the procedure, breast augmentation may last for one to two hours.

Breast augmentation with Fat transfer

The first step of the procedure involves extracting unwanted fat from a donor location, such as the abdomen, buttocks, flanks, or thighs, and then purifying it. Commercial fat graft collection systems allow fat cells to remain sterile and be gently washed and concentrated before being injected back into the body.

After processing of the fat while the patient is still asleep, the fat cells are injected into a new part of the body – for instance, into a hollow or contour depression at the top of the chest either resulting from a mastectomy or related to a congenital condition such as Poland Syndrome or loss of volume with age and ptosis. In the case of a breast augmentation, the purified fat is then strategically injected into the breasts. 

Depending on the extent of the procedure, breast augmentation may last for one to two hours.

Timeless Elegance

Breast Augmentation Recovery in New Jersey

Breast augmentation surgeries are typically performed as outpatient procedures, so you will need someone to drive you to and from the surgical facility and stay with you for at least 24 hours.

Following your breast augmentation, incision sites will be dressed, and you may also be fitted with a surgical bra to minimize swelling and support your new breast contours. You will need to wear a supportive bra without an underwire for at least six weeks. 

For several days following your procedure, you should expect swelling, bruising, tenderness, or numbness in the treated areas. You may experience discomfort or pressure in the area, and you may find it difficult to lift your arms.

Breast augmentation recovery depends upon the extent of the procedure. Most patients need one week off work for the initial recovery. For at least four to six weeks, you should get plenty of rest and avoid strenuous activities like exercise and heavy lifting. Instead, take short walks to promote circulation and healing. During your follow-up appointments with Dr. Szpalski, she will guide you as to when you can resume all activities. 

How Soon Will I See My New Jersey Breast Augmentation Results?

Typically, following breast augmentation, most patients may notice immediate enhancements to their overall figure. However, you should also expect swelling and bruising that may temporarily obscure your results. It may take three to four months for your implants to settle and for residual swelling to resolve, revealing your full results.

You’ll experience long-lasting results from your Montclair, NJ breast augmentation by maintaining your healthy diet and exercise routine and following post-operative instructions. As breast implants are not considered lifelong devices, they should be replaced every 10 to 15 years, or as recommended by Dr. Szpalski.

Enhance Your Overall Figure with Glen Ridge, NJ Breast Augmentation!

Increase your breast size and boost your confidence when you partner with one of the best breast augmentation surgeons in New Jersey—Dr. Caroline Szpalski! Learn about breast augmentation near me options in Glen Ridge, NJ by calling (646) 777-0170 or completing our online form to schedule your consultation today!

Glen Ridge, NJ Breast Augmentation FAQs

Prior to your breast augmentation, it is essential to be in good physical and mental health. While each breast rejuvenation procedure will be unique, here is some general information to help you prepare.

  • Before surgery is not a good time to diet. You should be at a stable weight and avoid crash dieting or weight fluctuations. Stick to a consistent exercise regimen and well-rounded diet.
  • Proper nutrition supports a successful recovery. Eat healthy, balanced meals with plenty of proteins to optimize results and recovery.
  • Stay well-hydrated before and after your procedure.
  • See your primary physician for a full examination and appropriate testing, such as bloodwork or a mammogram, to ensure you are medically fit for surgery.
  • For two weeks prior to and after surgery, refrain from medications, vitamins, and supplements that increase bleeding or bruising risks.
  • If you currently smoke, vape, or use nicotine products, you should quit. As smoking is detrimental to your health, especially during recovery from surgery, patients should stop smoking at least six weeks before and after surgery. Dr. Szpalski orders a nicotine test for all patients who smoke to help avoid complications caused by smoking or the use of nicotine products. 
  • Prepare your home and schedule for recovery. Take time off work, purchase necessary supplies, fill pain medication prescriptions, freeze meals for easy preparation, and arrange a clean, comfortable place to rest.
  • Arrange for a trusted friend or family member to drive you home from your procedure and assist you with household management or childcare.

When considering breast implant surgery, you have options. These include choosing a plastic surgeon, an implant type, and an implant size. Dr. Szpalski helps women achieve optimal results for their breast surgery by creating a more shapely and fuller bustline that both looks natural and feels right. While you may have a cup size in mind, it’s not uncommon for a woman’s initial choice to be unfavorable for her body type.

Choosing implants proportional to your body is critical to achieving natural-looking results. A patient’s frame—including her weight and height—and breast anatomy are crucial when selecting breast implant size. In addition, the volume of existing breast tissue, your skin quality, and your breasts’ current shape and position are paramount when identifying the appropriate range of implant sizes.

When reviewing your implant options, Dr. Szpalski will examine the width of your chest wall or base width and compare it to that of potential implants. For a narrow chest base, you may consider smaller implants with a matching base width for a more natural-looking result. In addition, base width is crucial to determine the cleavage you will have after surgery.
While sizing may be the primary concern during breast augmentation discussions, you need to consider other factors when selecting your implants, and projection is one of them. Projection refers to how far the implant extends forward from your chest wall. Breast fullness covers overall volume. Projection is important because it determines the breast fullness and perkiness you will display. Higher-profile implants create a perkier, upward-turn appearance many patients desire.

Dr. Szpalski encourages his patients to bring photos of women with breasts they would like for themselves. But you must realize this is a starting point and should not be considered your surgical goals. Often, the desired breasts are unattainable because of body type and frame. But these photos can be a valuable tool to determine your ultimate sizing goal.

Breast augmentation in Glen Ridge, NJ costs vary by patient, depending on implant choice, surgical technique, each patient’s anatomical needs, and aesthetic goals. During your consultation, Dr. Szpalski will determine the scope of your procedure and estimate your breast augmentation in New Jersey cost.

When considering implant size, it is not a matter of what breast size you want but what size your body can support without discomfort. Three primary considerations are your current breast size, the width of your chest and shoulders, and the condition of your breast tissue and skin.

In addition, your chest and shoulder sizes are critical to determining breast implant shape and size. An implant too large will look disproportionate on your frame, whereas one too small may not give you your desired results. Dr. Szpalski can assess your existing frame, take measurements, make calculations, and plan with you to determine the implant size that will deliver natural-looking, proportionate, and safe results. Again, While you may have a cup size in mind, it’s not uncommon for a woman’s initial choice to be unfavorable for her body type. Placement above the existing breast tissue can result in bigger breasts than inserting implants below the chest muscles. However, this technique is not available to all patients. Dr. Szpalski will advise which placements are optimal for your particular body type and existing tissue.

All breast implants have a shell made from inert polymer silicone. The outer surface can be smooth or textured. Smooth-walled implants roll around subtly in their breast pocket, mimicking the movement of a natural breast. In contrast, textured implants encourage soft tissue ingrowth into their small surface interstices, keeping the implant more stiffly in place. Dr Szpalski does not use textured implants due to the risk of BI ALCL.
She uses silicone round smooth gummy bear implants, which yield the most natural and beautiful results. Gummy bear implants are softer than saline implants, resembling the texture and feel of natural breasts. They have a higher cohesive gel density. Gummy bear implants are slightly safer than traditional silicone implants because there’s no risk of leakage if the shell is ruptured.

Breast implants can be placed either behind the breast tissue (known as the Subglandular Position) or behind the breast tissue and the pectoralis major muscle (the Submuscular Position). In the medical literature, sometimes a partial submuscular position is described (the “subpectoral” or “dual plane”). There are proponents for each technique, based on opinion, surgical training and professional experience. The Subglandular Position is recommended in most instances for breast augmentation in our practice if there is enough glandular tissue to cover the implant otherwise we will use the dual plane technique which raises the pectoralis muscle to cover most of the implant while the lower pole of the breast tissue covers the bottom of the implant.

Breast lifts are a procedure that moves the nipple, and areola lifts the breast, eliminating excess skin. The end result is a perkier look and is particularly appreciated among those with sagging breasts.

Combining a breast lift with implants is a good way to get the most from your surgery. You don’t need to add as much volume to the implant when you also have a breast lift, which will position the breasts correctly and give them shape. When these two procedures are combined, your breasts will increase in cup size but also look better than with just one procedure.

More and more people are realizing that it’s not necessary to put up with breasts that they don’t enjoy. Whether they sag, are uneven in shape, or are too small, having a breast lift with implant augmentation can give you the look and feel you want. You’ll feel and look younger, and it’s a great boost in confidence.

If your ideal breast enhancement involves both lifting the breasts and restoring (or adding) volume, a breast lift with implants may be the ideal solution. This combination procedure can provide a fuller and lifted breast appearance, particularly in the upper pole of the breast

Breast implants can be inserted through different incisions: the Inframammary Fold (IMF) Incision (in the natural fold beneath the breast) is used in most instances of breast augmentation, for a number of reasons: Inframammary fold (IMF) incisions best preserve the two major functions of the breast:

(1) Breastfeeding and (2) Pleasure! When an incision is made in the fold under the breast, the scar lies in a natural crease and does not tend to stretch or become raised, as can happen in other areas. All vital anatomic structures of the breast that lead to the nipple and areola (milk ducts, nerves and blood vessels) remain intact, preserving breast function. No breast tissue is transected during surgery. Therefore this incision also has the least theoretical interference with future breast feeding and/or mammogram readings.

Furthermore, once an implant is inserted into the breast, there is the potential that another surgery may be required at some point during your lifetime. The inframammary incision is most commonly used for future breast surgeries such as implant exchange, breast revision or breast lift. The IMF incision is the easiest to reuse and minimizes potential breast deformity without creating any additional incisions if the implants are ever removed.

Inframammary scars are hidden when viewing the breasts from above or from the front, are concealed in bras and even triangle-top string bikinis, and are generally only visible on careful inspection up close when the breasts are lifted. Most other incisions used for breast augmentation are a “one-time option” only, with an IMF incision required in the future.

Yes, Dr. Szpalski will perform the surgery under general anesthesia in an accredited surgical center or hospital facility.

So long as breast tissue and ducts are not divided during surgery, all structures that lead to the nipple including milk ducts, sensory nerves and vital blood vessels will remain intact. Preservation of these critical structures is a major reason why the inframammary incision is usually recommended for breast augmentation in our practice.

After breast augmentation surgery, your nipple sensation should gradually recover over time (allow many weeks to months for full recovery). You should maintain the ability to breast feed, assuming you would have been able to nurse before having surgery.

In most cases, patients should refrain from strenuous exercise, lifting, and other activities for about 6 – 8 weeks or until cleared by their surgeon. Light walking is recommended as soon as you are discharged home. Low-impact activities are recommended as early as four weeks or sooner if cleared by Dr Szpalski.

Although returning to work after breast augmentation depends on each patient’s unique ability to heal, there is a benchmark you can refer to when making your decision. We suggest you plan to be away from work for at least one week. This timeframe will allow your incisions to heal so you can move around with minimal discomfort. If your job involves strenuous lifting and moving around, plan to stay away longer, at least another week. If you have an active job, you will need two weeks, if not more, before returning to work. All patients are prohibited from lifting anything over five pounds for at least one month after breast augmentation surgery.

Regardless of the location of implant placement (under the muscle or not), the fill material (silicone or saline) and the implant size, having a breast augmentation does not interfere with breast self-examination, physician breast exams, mammograms, ultrasound, MRI or any other cancer detection techniques.

Breast augmentation will not change your personal risk of breast cancer, nor will implants interfere with cancer screening. If you are over the age of 40 years, you should have a baseline preoperative mammogram before breast augmentation (or any surgery of the breast).

If you are under 40 years, routine mammography screening is not recommended as long as there is no history of breast or ovarian cancer in your immediate family. Your surgeon will take a complete history at your consultation and will make recommendations for breast imaging or other referrals, if necessary.

When you have implants in place, please notify the mammogram technician and they will perform additional images (known as “Eklund displacement views”) to ensure that all breast tissue is fully visualized around the implant.

If you have silicone implants, the FDA recommends getting an MRI three years after your initial breast augmentation and then every two years following. The reason is to make sure there is no “silent” rupture or leak. If your breasts suffer trauma and you’re not sure if there is damage to the implant, you should seek an MRI to make sure.

Breast augmentation surgery remains one of the most popular plastic surgery procedures in the United States. As millions of women seek out professional aesthetic alterations, plastic surgeons and medical researchers are continuously developing better technologies and techniques to make plastic surgery more effective and even safer for patients.

One such development has improved the breast augmentation procedure substantially: the Keller Funnel Method. The Keller Funnel is a device approved by the FDA to assist plastic surgeons in effectively placing silicone gel implants.

Your plastic surgeon uses the Keller Funnel by inserting the soft, narrow tip of the device into the incision. Holding the Keller Funnel steady, still inserted into the incision, a nurse places the implant into the Funnel, transferring it directly from the original packaging. The surgeon then places the pre-filled implant into the breast pocket by gently squeezing the device; the inside of the Funnel is coated in a slippery substance that allows the implant to slide into the pocket and the breast.

The no-touch technique when placing implants during breast augmentation was developed to prevent microbial contamination and reduce the risk of infection. Many people wonder how you can place an implant without touching it directly. The “No Touch” procedure uses a Keller Funnel. The Keller Funnel allows plastic surgeons to place silicone implants in the breast without a doctor’s physical touch. A saline solution is also used to facilitate implant placement. The procedure ultimately includes a lower contamination risk that may limit infection and post-surgical complications, including capsular contraction.

The GalaFLEX internal bra provides support to the breast during surgical recovery and takes tension off of the healing tissues. Skin with extensive collagen damage does a poor job of remaining tight or lifted. Stretch marks on your breasts from puberty, pregnancy, or weight changes indicate torn dermis (damaged collagen in your skin). Stretch marks form when your skin tears because it cannot expand or stretch fast enough.

As a result, the dermis literally tears underneath the intact, pigmented epidermis. Damaged collagen loses strength and struggles to hold up your breast over time. To address this, women with extensive stretch marks may benefit from a Breast Lift with an internal bra. The GalaFLEX mesh can support their breast from the inside out.

Another group of women who could benefit from an internal bra are women who have had breast implants in the past and developed capsular contracture. After removing the firm capsule and inflamed tissues, the GalaFLEX mesh provides internal support as an internal bra. It also helps prevent the capsule from thickening or contracting again.

If you have breast implants, sometimes we recommend GalaFLEX to support the lower pole of your breast and stabilize the implant if there are tissue quality concerns. This approach keeps the implant from making your breast sag from the weight of the implant on thin and stretched-out skin.

It’s best to have someone with you for at least the first 24 hours after general anesthesia. You may continue to be sleepy, and your judgment and reflexes may take time to return to normal. If you had general anesthesia, you will not be able to drive yourself home after the surgery. Moreover, if you are taking opioids for pain after your procedure, you won’t be able to drive until you stop taking them.

You will be placed in a bra at the end of your procedure by Dr Szpalski. Indeed, bras after surgery are essential for everyday life and activities. Bras also help with recovery, swelling, and avoiding unnecessary movement. Wear bras for 6-8 weeks while avoiding strenuous lifting and other activities. At this point, speak with the surgeon about going braless.

Breast implant ruptures happen for a variety of reasons. The longer you have saline or silicone implants, the greater the risk of rupture or leaks. Saline and silicone implants can also rupture because of trauma — anything from a car accident to a needle insertion during a biopsy.

Saline implant rupture signs 

When a saline implant ruptures or its valve fails, the saline leaks out quickly — typically taking a few days — and the breast appears somewhat deflated, so you know immediately that it’s ruptured. The body absorbs the saltwater. 

Silicone implant rupture signs 

When a silicone implant ruptures, the gel leaks out slowly because it’s thick. Silicone gel is not absorbed into the body. Signs that your silicone implant has ruptured can include changes in breast shape and size, and increasing pain, firmness, and swelling over a period of weeks. Rupture can also cause capsular contracture. You might not realize that your implant has ruptured for a while, if at all. Silicone implant rupture that doesn’t cause any noticeable symptoms is called silent rupture.

The U.S. Food and Drug Administration (FDA) recommends that people with silicone breast implants receive breast MRI screening for silent rupture three years after having breast implant reconstruction surgery and every two years after that. If you think your implant has ruptured, have your plastic surgeon check it as soon as possible. An ultrasound or MRI is typically the best way to see whether an implant is leaking.

Dr. Szpalski does not place a drain after a classic breast augmentation.

Scarring is an inevitable result of any surgical procedure, including breast augmentation surgery. Still, with the right approach and diligent aftercare, the impact of breast implant scarring can be minimized. Dr. Szpalski uses the inframammary fold incision. The inframammary fold incision, located right beneath the breast, where the breast meets the chest wall, is the most commonly used location for breast implant surgery incisions due to the discreet scar placement. They are well hidden in the breastfold. Their inconspicuous location is the reason why they are so popular among plastic surgeons. Moreover, these incisions typically have a minimal impact on nipple sensation and breastfeeding ducts, making them a preferred choice among breast implant surgeons.

No. Dr Szpalski uses resorbable sutures, which are hidden in the skin and do not need to be removed.

Sensitivity changes are very common after breast augmentation, but luckily, they don’t usually stick around. Right after surgery, you find that your nipples have less sensation than normal or more sensation than normal. Typically, these changes resolve, and nipple sensation returns.

It takes time for muscle, breast tissue, and skin to adjust to your implants; until these tissues have healed sufficiently, you can expect to feel (possibly intense) tightness in the chest area, particularly if your implants are placed beneath the muscle. Normal postoperative swelling, which peaks about 3 to 5 days after surgery, will amplify feelings of chest pressure. Some women also report that their breasts feel engorged (tender, heavy and inflamed).

Typically, the more intense discomfort from tightness dissipates over the first one to two weeks after surgery; however, you may experience mild feelings of stiffness and tightness in the chest muscles for a month or longer. The bulk of swelling should subside within about three weeks, although you can expect modest swelling to last about 3 months.

Breast augmentation poses various risks, including:

  • Scar tissue that distorts the shape of the breast implant (capsular contracture)
  • Breast pain
  • Infection
  • Changes in nipple and breast sensation
  • Implant position changes
  • Implant leakage or rupture

Correcting these complications might require more surgery to either remove or replace the implants.

For the vast majority of patients, breast implants can last for up to ten years or longer without any issues. However, it is important to understand that breast implants, whether saline or silicone gel, are not meant to last indefinitely. Most patients will likely require implant replacement or removal at some point, whether due to complications, malfunction, or simply a change in personal taste. In fact, some women may undergo multiple breast implant replacement procedures throughout their lifetime. For the vast majority of patients, breast implants can last for up to ten years or longer without any issues. However, it is important to understand that breast implants, whether saline or silicone gel, are not meant to last indefinitely.

Why do breast implants need to be replaced? 

There are a variety of potential scenarios that can lead to the need for breast implant replacement or, in some cases, the removal of breast implants. Common reasons for breast implant replacement include:

  • Breast implant rupture
  • Implant displacement
  • Breast implant bottom out
  • Implant malfunction
  • Capsular contracture
  • Previous surgical error
  • Change in personal taste
  • Change in lifestyle
  • Breast implant-related illness 

Depending on the situation that prompts your breast implant replacement, as well as certain personal factors, Dr Szpalski will be able to recommend an appropriate course of action. For some patients, breast implant replacement is an effective way to maintain the look they have become used to. Other women may choose to replace their implants with a different size or type, such as going from saline to silicone gel or reducing their breast size. Finally, there are some conditions that may make breast implant removal a more appropriate option than replacement. For example, women who experience symptoms of breast implant-related illness often opt to have their breast implants removed, as implant replacement may result in a recurrence of symptoms.

During your lifetime, you may require at least one additional procedure related to your implants. This may consist of implant removal, replacement, or adjustment of size, based on changes in your wants, needs or personal situation. However, breast implants are not like tires and do not need to be changed “every 10,000 miles”!

Your surgeon will follow up with you in the long term and ensure that you are still looking good and feeling good many years after your surgery. There is no reason to undergo any additional surgery unless you are experiencing a problem or you wish to have another procedure in the future.

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