Breast Augmentation

Breast Augmentation


I went to Dr. Margoles for Liposuction of my stomach and Breast Augmentation. She did a fantastic job! Minimal scarring and my breasts came out better than expected and look so real - not too high up - just right! When I first got them, I felt a lot of pain…Dr. Margoles came into the office on her day off just to check me and make sure everything was ok… which it was! The day of my surgery I was so nervous, Dr. Margoles was so calming and made me nice and relaxed. I would definitely not only recommend her but go back to her if I need any other cosmetic surgery! -M.C.

Breast Augmentation Benefits

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. Whether your breasts never developed proportionately or you wish to restore breast volume that was lost following pregnancy and nursing, breast augmentation surgery will improve your physical breast size, shape, fullness, and symmetry. Dr. Margoles has extensive experience in breast augmentation that will enhance your silhouette using saline or silicone implants, or through a natural solution called fat grafting.

What to Expect for your Breast Augmentation

1-2 hours
Potential Risks
bleeding, infection capsular contraction, implant failure
back to work 3 days, strenuous activity 2-3 weeks
Side Effects
swelling, bruising, minimal – moderate discomfort
Final Results
6-8 weeks
Duration of Results
long lasting; Lifetime warranty on implants
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Breast Augmentation Surgery Improves:

  • Contour enhancement
  • Restoration of breast volume following weight loss or pregnancy
  • Creation of breast symmetry
  • Improving the shape of sagging breasts

Who Is The Best Candidate For Breast Augmentation Surgery?

The best candidates for breast augmentation are women who:

  • Are in good overall health
  • Want to improve their physical appearance
  • Are dissatisfied with the size, shape, or fullness of their breast
  • Exhibit breast asymmetry
  • Want to improve the shape of sagging breasts
  • Wish to restore volume lost following pregnancy and nursing
  • Have underdeveloped breasts
  • Wish to improve the appearance of a breast that has been removed or altered due to trauma, heredity or breast cancer
  • Patients who have an adequate area to harvest their fatty tissue may be good candidates for fat grafting breast enhancement

During your initial consultation Dr. Margoles will listen to your desires and needs to determine which implant type and size will provide the most natural and beautiful results. She will discuss your procedure in detail, including cost, recovery time, follow up appointments, and medications. She will also be happy to show you before and after pictures to give you a clearer idea of what to expect from your procedure. Dr. Margoles and her Greenwich staff are always available to answer any questions you may have.

Silicone Gel & Sailine Breast Implants

Dr. Margoles Patient

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. The FDA began lifting their restriction on silicone implants in 2006. 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. While saline implants contain a sterile solution of water and salt, silicone implants have a rubber shell filled with a cohesive gel. This new generation of gel implant 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. 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. Many of our patients choose silicone implants for the natural results they consistently provide. Some key benefits of silicone gel implants are:

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

Breast Augmentation Surgery Details

breast aug surgery chartBreast Augmentation takes approximately 1-2 hours and is performed using local or general anesthesia, or sedation. You will be in the recovery room for approximately 1 hour after which you will be sent home. You must be sent home with a responsible adult and should also plan to have a responsible adult stay the night with you.

Typically patients have their first post-op follow up visit 5-7 days after surgery. Steristrips are replaced on the incisions as needed. Patient will continue to wear a soft bra for approximately 3 weeks and are able to return to their normal exercise routines within 18-21 days.

Breast Implant Surgery Aftercare & Recovery

After surgery, patients can expect swelling, bruising and some discomfort. 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. Recovery time is generally 1-2 weeks.

Breast Augmentation Recovery Chart

paper tapes on incision, a small outer dressing that may be removed in 24 hours. May shower in 24 hours. If a support bra is given wear for 1-2 weeks to help with support and swelling
1-2 weeks
limit exericse to walking
3-4 weeks
Other sutures begin to dissolve. Swelling and brusing have subsided.
1-2 months
may start to wear a supportive soft bra, sutures will begin to dissolve
Final Result
still some swelling, but start to get an idea what the final result is, but they can continue to settle for the next few months. Can begin to exercise
Duration of Results
In most cases,will see the final breast augmentation results at 3 months

While most women report higher self-esteem and confidence after their augmentation surgery, there are some risks to consider when deciding if surgery is right for you including complications such as bleeding, infection, scar tissue around the implant, or rupture of the implant. 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.


breast augmentation surgery in NYC & fairfield ct

Click to View Before And After Photos


Breast Augmentation FAQs

How do I decide which implant is right for me?

Hundreds of thousands of women in America choose breast augmentation surgery each year, and its popularity continues to steadily increase. Plastic surgeons have responded to the demand with a variety of new options and innovations, including new choices for implants. It is important to remember that implants are not one-size-fits-all. There is a wide range of sizes and shapes to match your individual body type and your own expectations. The key to choosing the right material, shape and size for your procedure is to share your goals with your surgeon, ask plenty of questions, review your surgeon’s before-and-after albums and visualize in your mind, or with practice bras, how you will look after breast augmentation.

Will I need to stay in a hospital?

Trusted plastic surgeon Dr. Sandra Margoles has performed hundreds of breast augmentation surgeries as an outpatient procedure in her Manhattan and Greenwich, Connecticut locations, using general anesthesia or “twilight” IV sedation. Depending on individual circumstances, the operation takes one to two hours. There is no need for an overnight stay. Your comfort, convenience and satisfaction are always priorities for Dr. Margoles.

Will there be scarring?

Some scarring is inevitable, but new techniques have made it possible to position implants in ways that ensure that scars are less noticeable. The transaxillary technique uses incisions that are made under the armpit. In an inframammary procedure, the incision is made under the breasts; a periareolar procedure locates the incision around the nipple. Although less common, a transumbilical breast augmentation procedure involves insertion of implants via the belly button. Dr. Margoles always plans incisions for the least noticeable areas, and works closely with patients to understand their preferences. The good news about scarring is that any surgical marks will gradually fade for at least a year after the procedure.

What should I expect with swelling?

Breast aug placement chart
Pain, soreness and swelling are the natural result when an implant is inserted into a sensitive area of your body, especially if it has been placed beneath chest muscles. Swelling crests within 48 hours, but won’t completely subside for months. Because of swelling, your breasts will appear elevated on your chest; it will take time for them to drop into their final position. 

One of the best ways to manage swelling is to give your body time and space to recover fully and efficiently. Avoid physical stresses that tax the muscles, ligaments and skin that are attempting to heal. Walking, however, is recommended as a practical way to reduce your risk of developing a blood clot. Walking and increasing fluid consumption help reduce swelling of the breasts, as well.

How will the feel and firmness of my breasts change?

Silicone gel implants provide the most natural feel, although your surgeon may achieve a similar consistency with saline implants by inserting them behind the chest muscle and stretching the implant shell by filling it with additional saline. Implants will add strength and firmness to your breasts, which may actually help them resist sagging, although the extra weight of a large implant can increase the likelihood of sagging as the body ages and skin loses elasticity.

I interviewed many PC’s for my BA but none of them made me feel at ease like I did the moment I walked in Dr. Margoles’s office. The staff is wonderful. Her calm, soothing voice and ability to listen to your needs and explain BA in layman’s terms was what made me decide to go with her. I didn’t feel rushed at any time during our visit. Dr. Margoles is an exceptional PC AND MD. You should definitely consider this with regard to your safety. The results? So natural! SPECTACULAR! I am thrilled!

Learn More About Breast Augmentation & Schedule A Consultation

If you are interested in learning more about Breast Augmentation surgery and would like to schedule your consultation with Dr. Margoles, please call our office: (203) 869-2939. Our Greenwich office is located minutes from I-95 and the Merritt Parkway, easily accessible for those traveling from anywhere in Fairfield County, CT or Westchester County, NY.

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