Dr. Rothaus, board certified plastic and cosmetic surgeon in Manhattan and Westchester, specializes in cosmetic and reconstructive breast surgery. Throughout his extensive career, Dr. Rothaus has mastered surgical techniques and treatments to help achieve the best results for patients seeking a breast augmentation.
Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure designed to enhance the size and shape of your breasts. It involves the use of breast implants or fat transfer techniques to increase the fullness and projection of your breasts, ultimately achieving a more balanced and proportionate appearance.
In our Westchester cosmetic practice, the procedure itself is typically performed under sedation given by a board certified anesthesiologist in an outpatient surgical facility (OBS or office based surgery center). There are several options for the incision placement, including in the inframammary fold (the natural crease beneath the breast), periareola (along the edge of the darker skin around the nipple) or axillary (in a crease in the armpit). We will discuss these options and select the one that best suits your needs.
Once the incision is made, we carefully create a pocket either beneath the breast tissue (subglandular pocket) or beneath the chest muscle, known as the pectoralis muscle (submuscular pocket). The placement of the pocket depends on factors such as the type of implant chosen and your individual anatomy. The two primary types of implants used are saline-filled and silicone gel-filled implants. Both types have their own advantages, and we will discuss which one is most suitable for you based on your desired outcome, body type, and other considerations.
After creating the pocket, we will insert a temporary, sterile implant, carefully position it to make sure we have achieved the desired shape and symmetry, and make any changes to the pocket that are necessary. Once the final implants are chosen, they are carefully placed in the pocket using a “no-touch” technique to minimize handling. Once the implants are in place, we close the incisions with sutures, and the procedure is complete.
Recovery time varies from patient to patient, but you can expect some swelling, bruising, and discomfort in the first few days. You will be provided with post-operative instructions, including guidelines for pain management, dressings, and wearing a supportive bra. It is important to follow these instructions closely to ensure proper healing. During the initial consultation, we will discuss your goals and expectations, as well as conduct a thorough examination of your breasts. This will help us determine the most suitable approach for your unique anatomy and desired outcome.
Over time, the swelling will subside, and you will start to see the results of your breast augmentation. The final outcome may take several weeks or months to fully appreciate as your breasts settle into their new shape and position.
It’s essential to understand that breast augmentation is a highly personalized procedure, and the specifics may vary based on your individual circumstances. During your consultation, we will thoroughly address your concerns, answer any questions you may have, and tailor the procedure to achieve the results you desire while prioritizing your safety and well-being.
Dr. Rothaus is on staff at The New York Presbyterian Hospital-Weill Cornell and at The Hospital for Special Surgery. His Manhattan office and office-based surgery center are located on the Upper East side of Manhattan. Dr. Rothaus has, however, maintained for his Westchester and Connecticut patients a conveniently located Westchester office for almost two decades. He and his staff are available in their White Plains office to provide consultations and take care of all your pre-operative and post-operative care. If you have any questions or concerns about the facelift procedure, we are here to address them and guide you through the process. Contact our office to schedule an appointment for a breast augmentation.