Breast Augmentation

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.