Breast Implants Overview

Breast augmentation helps women achieve a more balanced and proportionate body. By increasing breast size, it also gives women a shapelier contour. The procedure, performed by Dr. Rothaus, a plastic surgeon in New York City, involves the placement of saline or silicone breast implants beneath or over the chest muscle to add volume. In most cases, the incision for this procedure is made either around the lower half of the nipple or under the breast crease, which leaves practically no visible scar.

Candidates should be in overall good health and should not smoke. If the patient has smoked in the past, she needs to have permanently quit smoking at least two months prior to the procedure. Women who are a good fit for breast implants may have:

  • Micromastia – an atrophic or poorly developed breast,
  • Assymetry or differences in breast size,
  • Tuberous Breasts,
  • Breasts that have become smaller and lost their firmness after having children


While saline and silicone breast implants are both popular choices among women today, the type of implants chosen should only be decided after a consultation with Dr. Rothaus reviewing the advantages and disadvantages of each. During surgery, saline implants are filled with saltwater and the amount of saline can be adjusted at that time. This type of implant can feel slightly firmer than silicone implants. Silicone breast implants are filled with a prearranged amount of cohesive gel and tend to look and feel more natural. Patients who have less breast tissue and lower body weight are better candidates for silicone implants. A new implant to the market, the IDEAL IMPLANT combines many of the advantages of both the traditional saline and silicone implants. The IDEAL IMPLANT is a saline implant that mimics the feel of silicone implants when placed in the breast. In clinical studies, the IDEAL IMPLANT also had lower rupture, leakage and capsule rates than the corresponding silicone implants.

The structured IDEAL IMPLANT offers a natural feel and beautiful look with only saline inside.

What to Expect with Breast Implants

In addition to the patient’s current breast size and breast shape, the patient’s overall health, personal and family history of breast disease, results of mammography for patients over 35 and goals for surgery will be discussed during the initial consultation. We will also evaluate and examine the shape of the chest wall and the breasts, width of the sternum, the looseness of breast skin, location of the nipple-areolar complex and how proportional the breasts are to the current body shape. After taking breast and chest wall measurements we can develop a more customized and individual plan by determining an implant size that’s best for each patient.

About Dr. Rothaus

Dr. Kenneth O. Rothaus, offers both saline and silicone breast implants depending on each unique patient case and their individual aesthetic goals. He is a master at his craft, and blends a surgeon’s skill and years of experience to create gorgeous results.

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Things To Consider

Each breast implant offers a varying profile, volume, base width and degree of projection which must be taken into consideration when choosing the best implant to patient’s individual breast and chest wall anatomy. Our goal is to choose an implant that will offer a projection that the patient can be happy with while still naturally filling the base width. Implants come in a variety of shapes such as round or tear shaped and with smooth or textured surfaces. The implant is inserted in one of 3 pockets, under the pectoralis major muscle, under the breast tissue and above the muscle, or a combination of the two (biplanar or dual). Commonly, the incision is placed within the crease under the breast (inframammary), around the areolar (periareolar) or in the arm pit (axillary). They are all placed to minimize any scarring and offer natural looking results.

After Surgery

Following a breast augmentation procedure, patients are dressed in a support bra or wrap. While swelling and bruising is expected after surgery, both will start to dissipate after 1-2 weeks depending on the patient. Recovery time varies, but most patients can return to work within 3-5 days and resume regular activities in 2 to 3 weeks.

Achieve The Look You Want

Breast surgery is one of the most common cosmetic procedures performed among plastic surgeons in New York City. It is a surgery that produces gorgeous, natural results and the majority of women are thrilled with their outcome. If you desire shapelier breasts, please call our plastic surgery office and schedule your complimentary consultation with our doctor today. Click here to learn more.

Plan Your Procedure

Recovery Time: 10-14 Days
Average Procedure Time: 1-2 Hours
Procedure Recovery Location: Out-Patient