BREAST AUGMENTATION IN FAIRFIELD COUNTY

Considering breast augmentation in Fairfield County? Breast enlargement, also known as breast augmentation mammoplasty, is a very popular type of plastic surgery used to enhance a woman's breast size and shape. Dr. Margoles has extensive experience in breast augmentation and can enhance your silhouette with either saline or silicone implants and even offers a third solution, a natural solution called fat grafting. In the past, implants were the only option for augmentation but those patients who have an adequate area to harvest their fatty tissue may be good candidates for fat grafting breast enhancement. Dr, Margoles will listen to your desires and to needs to determine which technique will give you the best possible result.

Breast Augmentation Fairfield County
 

Benefits

The best candidates for breast augmentation are women looking to improve their physical breast appearance, but not perfect it; those that are dissatisfied with the size, shape or fullness of the breast, or exhibit breast asymmetry. Some women have breasts that never developed proportionately and many women who lost breast volume after pregnancy and nursing want to restore what was lost. Many patients are concerned that they will have unnatural looking results, but Dr Margoles will take careful measurements, and help you to choose the implant type and size that will give you breasts that are natural and beautiful. There are many options to choose from at her Fairfield County plastic surgery center and Dr Margoles can discuss these options with you to achieve the best possible result.

Breast augmentation surgery is best for:

  • Contour enhancement for personal desires
  • Restore breast volume due to weight loss or pregnancy
  • Achieve symmetry
  • Improve the shape of sagging breasts
  • Provide a foundation or improve the appearance of a breast that has been removed or disfigured due to trauma, heredity or breast cancer.
Breast Implants Before and After GreenwichBreast Implants Before and After Greenwich

Before and After Breast Augmentation Photos Greenwich & Fairfield County

Implant Surgery with Dr. Margoles

The operation involves the placement of an implant either under or over the chest wall, pectoralis muscle or under the gland itself.

Breast Implants Diagram

Incisions can be placed in a variety of locations either in the inframmary fold, the natural crease that occurs just below the breast, around the nipple or through the axilla.

Breast Implant Incision Diagram

The incision is closed with special absorbable sutures. The procedure is done under general anesthesia, but local and anesthesia with IV sedation is an option in certain cases. The average time of surgery is usually 1-2 hours. This can often be performed in the comfort and privacy of my Ambulatory Surgical Facility, in Greenwich Ct, avoiding the need to enter the hospital. There are no external stitches and only steri strips are used to insure the most favorable and finest wound healing. You are placed in a bra after surgery, can shower the next day and wash right over the incisions. I ask that you wear the bra 24 hours a day except for showering, for 3 weeks after surgery. The recovery is described as a pressure or feels like a hard work out, and most patients can usually return to work after a few days. You should refrain from exercise or strenuous lifting for 3 weeks to help ensure a successful post-operative course.

Silicone Breast Implants vs. Saline Breast Implants

Although there is only one fundamental difference between the two types of implants, the U.S. Food and Drug Administration's extensive research has proven both to be safe for use. While saline implants contain a sterile solution of water and salt, silicone implants have a rubber shell filled with a cohesive gel. The most significant difference lies in how the implants feel to the patient.
Silicone gel implants are made of a silicone rubber shell filled with cohesive gel that closely mimics natural breast tissue. A large number of our patients are choosing silicone implants for the natural results they consistently provide. Some key benefits of silicone gel implants are as follows:

  • Implant is lighter
  • Gel feels like real breast tissue
  • Less likely to be visible beneath skin

The most advanced generation of silicone implants available today are the cohesive silicone gel implants. They have been called the “Gummy Bear” implants because the older silicone gels feel like honey while the new gels are more like jello. The gel in the older silicone implants would flow like honey so in the vertical position the gel would move to the bottom of the implants like honey and the top/upper pole of the implant would collapse resulting in loss of upper pole fullness and visible or palpable rippling

BreastAug Pre
 

This new generation of gel implants has a stable form and will maintain its shape in the upper pole of the breast with minimal rippling and has been shown to have less rate of capsular contraction and reduced incidence of leakage.

 

Silicone Breast Implant

Advantages

Natural consistency
Lighter in weight than saline implants
Less visible wrinkling

Disadvantages
More expensive than saline implants
Nonadjustable volume
Larger incision
Per FDA regulation must be at least 22 years old

In 2006 after large amounts of research, the FDA lifting their restriction on silicone implants. All studies have found that there was no association between silicone implants and connective tissue disorders. We are now fortunate to have many choices in silicone gel implants, and their popularity has increased

Saline Breast Implants

Offer some advantages over silicone implants

Advantages:

  • Less expensive
  • Smaller incision
  • Easy to detect rupture

Disadvantages

  • Heavier than silicone implants
  • Firmer than silicone implants
  • Higher risk of visible implant rippling
  • Increased risk of capsular contraction

Summary of differences between saline and silicone

 

Saline

Silicone

Incision length

Approximately 2.5 cm

Approximately 3.5 to 4 cm

Outer shell

Silicone

Silicone

Implant Fill

Saline

Silicone

Implant Surface

Smooth and textured surfaces available. Dr. Margoles places all implants in a submuscular pocket and uses primarily smooth implants.

Smooth and textured surfaces available. Dr. Margoles places all implants in a submuscular pocket and uses primarily smooth implants.

Risk of “rippling”

Rippling more common than with silicone implants especially in very thin patients

Less rippling than with saline implants

Feel

Soft particularly in patients that are not very thin. In thin patients, may feel firmer and ripple more than silicone implants.

Soft and more natural feeling than with saline implants. Consistency more like breast tissue.

Average implant lifespan

Implants are made to last a lifetime and are warrantied by the implant company for life. Patients are told there is .5% chance per year of having an implant-related issue.

Implants are made to last a lifetime and are warrantied by the implant company for life. Patients are told there is .5% chance per year of having an implant-related issue.

Rupture

Easy to detect

Harder to detect

Cost

Cost less than silicone

Costs slightly more than saline implants

Breast Augmentation with Fat Grafting

Breast augmentation or breast reconstruction with fat grafting is a natural, rejuvenating and minimally invasive alternative to implants. This exciting new procedure in breast augmentation has the added benefit of removing fat from one area of your body with liposuction and using that fat for augmentation of your breast. During your initial surgery, Dr. Margoles will use a gentle form of liposuction and fat processing to assemble living fat cells from a harvest site on your body. The fat harvested is commonly removed from your abdomen, thighs and/or hips by liposuction and injected into the breasts to achieve the desired contour and shape.

For some patients who desire a larger breast, there is the use of the BRAVA system, an external tissue expander, The BRAVA system assures long term survival of the transferred fat and is worn a few weeks prior and after to surgery. The device stretches the breast tissue, both external and internal to create a matrix into which the fat is injected. For the right candidate.

BreastAug Pre
 

Dr. Margoles may be able to rebuild an entire breast with the patients own fat and the tissue expander BRAVA.

Advantages of Fat Grafting

There are many benefits to using fat transfer for your breast augmentation procedure, including the avoidance of difficulties and complications involving implants

  • Your own fat is easily reabsorbed by the body
  • The results look and feel natural, because it is your own fat
  • No incisions, no stitches
  • Can be done without general anesthesia
  • No loss of nipple sensation
  • No breastfeeding difficulties
  • Only minimal discomfort
  • Contours and removes excess fat from the donor site

Depending on the severity or degree of size increase, more than one round of fat grafting may be necessary.

Augmentation

Breast Augmentation Recovery Chart

Preoperative

Patient’s Patient’s preoperative testing and mammogram (if needed) is reviewed. Patient will have filled prescriptions for pain medications, antibiotics and muscle relaxants. Meet with Dr. Margoles, our anesthesiologist and nurses.

Day of Surgery

A primary augmentation takes between 45 and 60 minutes. Patient receives an intravenous antibiotic prior to beginning procedure.

Recovery Room

Approximately 1 hour - you must be sent home with a responsible adult who should plan on spending the night with you.

After Surgery

Patients are sent home in a surgical bra with incisions covered with steristrips and gauze. No heavy lifting or exercising. ABLE TO SHOWER 24 hours after surgery after removing the gauze but leaving the steristrips in place (usually the night after)

Postoperative Visit #1

Typically 5-7 days after surgery. Any sutures requiring removal are removed. Steristrips are replaced on the incisions as needed. Continue to wear a soft bra or underwire bra depending on implant position.

Postoperative Visit #2

Typically 18-21 days after surgery. Incisions are checked. Able to return to gym. Typically underwire bra during day and soft supportive bra at night.

Postoperative Visit #3

Patient’s typically seen 3-4 months after surgery and then yearly.

What to Expect After Your Surgery

After your surgery, patients can expect swelling, bruising and redness at both the removal and injection sites. Recovery of fat grafting for breast augmentation is shorter than with implants. You can expect to have gauze around the treated areas and you may be given a surgical bra to wear to help with support. Dr. Margoles will provide you with specific care instructions for your situation

While most women report higher self-esteem and confidence after the augmentation surgery, there are some risks to balance when deciding if surgery is right for you. Complications such as bleeding, infection, scar tissue around the implant, or rupture of the implant may occur. At some point, you may require a revision surgery; and during a mammogram, the breast tissue needs to be pulled forward away from the implant for extra views called displacement views. You will not be at higher risk for breast cancer.

Contact Us to Learn More About Breast Augmentation Surgery in Fairfield County

In Greenwich, CT and throughout Fairfield County, Dr. Margoles specializes in providing women with breast augmentation using saline, silicone, and fat grafting techniques. Currently, her highly specialized team of professionals treat patients from Stamford and Greenwich, New Cannan, Darien, Westport and Westchester, NY. Contact our office today 203-869-2939 to schedule your consultation to learn more about breast augmentation fat grafting, or our other popular procedures including tummy tuck and facelift surgery.

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