Breast Augmentation New Jersey

With Silicone or Saline Breast Implants

Breast Augmentation with Implants - Manhattan & NJ

According to the study, Female Sexual Quotient in Patients after Breast Augmentation[1], Brazilian doctors found that a substantial number of women experience a heightened level of sexual satisfaction and arousal after their surgery.

Another study, Effect of breast augmentation mammoplasty on self-esteem and sexuality: a quantitative analysis[2], reported that patients also had more self esteem. Research proves that this augmentation procedure not only enhances your feminine curves by enlarging your breasts, but it can also positively impact your self perception and life. We perform Breast Augmentations at both our New Jersey offices and our Manhattan, NYC location. View our Breast Augmentation before and afters done on our own patients below:

  SEE BEFORE AND AFTER PHOTOS  

What breast enhancement, informally known as a boob job, can do for you

  • Give you a more proportionate body contour.
  • Address mild to moderate sagging.
  • Add fullness to the upper portion of your breasts.
  • Make your breasts project more, if desired.
  • Create a rounder breast contour if desired.
  • Enhance your cleavage.
  • Enlarge your breasts to achieve the more feminine body contour that you want.
  • Enjoy the numerous benefits of your improved appearance.

Breast augmentation with implants

Breast augmentation with implants is currently the most popular method of enlarging breast size. The procedure involves placing saline or silicone filled implants into the chest. Our double board certified plastic surgeon Dr. Gartner uses the best breast augmentation methods by using the latest cutting-edge and minimally invasive techniques.

  • Choose from a variety of implant textures, shapes and sizes to achieve your desired expectations.
  • You can have your implants placed via the armpit, areolae, breast fold, or belly button.
  • You have the option of undergoing your surgery under general or local anesthesia.
  • Pre-emptive anesthesia allows you to block any pain and discomfort even before your surgery begins.
  • Your care, from the first time you contact us through to your full recovery, is closely monitored by Dr. Gartner and our staff.

Watch this patient as she has a consultation and makes a decision between silicone and saline breast implants as well as the correct size. Follow her through to her surgery and the final results after 3 months.

See how silicone gel breast implants are put in while the patient is wide awake. Dr. Michael Gartner demonstrates his unique method of performing breast augmentation surgery under local anaesthesia.

Quick Look at Breast Augmentation with Implants

Performed
1,000+
procedures
Surgery
awake
while
Silicone
$8,000
from
Saline
$6,000
from
Optional
TUBA
Method

What makes your breast augmentation with implants procedure
at Gartner Plastic Surgery unique

Dr. Gartner administers pre-emptive anesthesia. Pre-emptive anesthesia involves administering medication before your surgery begins in order to reduce your sensitivity. It has the ability to reduce post-operative pain and discomfort, both short and long term, making it more effective than delivering medication after the surgery has been completed, according to the study, Preemptive analgesia II: recent advances and current trends[3]. Simply put, pre-emptive anesthesia “blocks pain from the get go”. In fact, the recovery room nurses at the university hospital where Dr. Gartner has privileges often remark that his patients tend to have a far easier recovery marked by less discomfort than those who are operated on by other surgeons. In addition, less anesthesia is administered overall.

General anesthesia can be administered, which is what most surgeons offer to patients. However, Dr. Gartner is one of the very few plastic surgeons in the country who can also perform your procedure under local anesthesia with some oral sedation. Because it is such a comfortable surgical experience with a faster recovery, about half of patients opt for local anesthesia. You won’t have to deal with any of the risks or side effects related to general anesthesia, and your recovery will be faster. Some patients can have their surgery on a Thursday, then get back to their desk job by Monday!

Dr. Gartner can perform transumbilical breast augmentation (TUBA) under general anesthesia, after being personally trained by Dr. G. Johnson, the originator of the technique. This involves placing a minute incision in the belly button, measuring mere milimeteres, making your scars virtually “invisible” and leaving the surface of your breast skin untouched. Applying the TUBA technique, you can choose to have saline implants placed above or below the muscle in a procedure that is far less traumatic than that of any other incision placement. For this reason, you’ll heal faster so you can enjoy your results faster!

Dr. Gartner has refined his surgical techniques to minimize the risk of capsular contracture, a common complication that can occur in many patients, according to the FDA. By doing such things as practicing strict infection control protocols and wiping the nipples with gauze then applying nipple shields during surgery, Dr. Gartner has reduced his rate of capsular contracture to a minimal margin.

Dr. Gartner has extensive knowledge of cohesive gel silicone breast implants because he participated in investigational studies before they were deemed safe for the public by the FDA. For this reason, he can better determine the most suitable implant size and shape that will achieve your desired results, based on his highly informed opinion.

Lowering the inframammary fold involves cutting significant ligaments that support the breast, adhering it to the chest wall. This has been found to increase the risk of “bottoming out”, a complication that causes the implants to become displaced and move unfavorably downward in the chest, making revision surgery necessary. In fact, this complication is one of the most common problems Dr. Gartner sees and fixes in patients who have had breast augmentation performed by other surgeons. For this reason, Dr. Gartner never lowers the inframammary fold, preventing bottoming out. You can retain your original breast fold for a more natural-looking result. This also makes wearing an uncomfortable compression garment or bra right after your surgery 24/7 unnecessary, since there’s no concern about the breasts dropping too low. The discomfort from breast augmentation is often related to the pressure of the implant lifting up muscle, and wearing a bra just creates more pressure and hurts more. You’ll only have to wear a bra once your breasts settle into position, and this is usually two to four weeks after surgery.

Sizers are used during surgery to shape the area. This minimizes the risk of your implants going too far to the sides. Because your inframammary fold remains intact as well, you won’t need to wear a bra right after your surgery unless otherwise advised. Instead, an ace wrap is placed over the top of yoru chest, which you’ll remove the next day. Once your implants have settled in the right spot, you can then start wearing a bra regularly to maintain your long-term results (this is generally at two to four weeks after surgery). For this reason, you won’t have to deal with the discomfort and pain of wearing a constricting compression bra for weeks after your surgery, something that is commonly advised by other doctors.

Patients report higher self esteem and an increase in body confidence following the surgery.

Dr. Gartner made me feel very relaxed and he answered all my questions. I love the results of my breast augmentation! I recommend Dr. G highly and his staff is wonderful!

G. Palmer, NJ

What makes your breast augmentation with implants procedure
at Gartner Plastic Surgery unique

Are you a candidate for breast augmentation?

Breast augmentation is the most popular cosmetic procedure performed at our state-of-the-art cosmetic surgery facility. We have helped thousands of women improve their body contour and achieve highly satisfying results. However, it is not suitable for every woman who wants it. You should consider these things to help you determine whether the surgery is right for you:

  • You are generally healthy, both physically and psychologically. Some medical conditions can make the surgery unsafe. For example, you may not be a candidate if you have cancer, suffer from autoimmune disorders or experience issues with bleeding. Women with Body Dysmorphic Disorder are also unsuitable candidates. Consultation with Dr. Gartner followed by lab work can help clarify your suitability.
  • You are not pregnant or breastfeeding. For your safety and to prevent disruption of breastfeeding, breast augmentation should only be performed about 6 months or so after pregnancy and after you’ve stopped breastfeeding.
  • You are having the surgery because you have made the choice to do it for your own reasons, and not for anyone else’s. Don’t let anyone force you into having the surgery because it’s your body and your health. You’ll have to live with the results because they are permanent.
  • You understand the risks and complications related to this cosmetic procedure. This allows you to make an informed decision on whether the surgery is right for you.
  • You are at least 18 years old if you’re considering saline implants, and 22 years old if you’re considering silicone cohesive gel implants.
  • You are of normal weight or close to it. Being underweight or overweight may increase surgical risks and complications. Results tend to be better when patients are of a healthy weight.
  • You don’t have an infection at the time of your surgery. Having an active infection at the time of your surgery can increase the risk of complications. This goes for other surgeries as well, such as liposuction.
  • You understand that to achieve a highly satisfying surgical outcome, you should follow all pre and post surgical care instructions as outlined by Dr. Gartner. These guidelines include what to do and not to do. For example, you’ll need to refrain from smoking and drinking alcohol for a couple of weeks before and after your surgery.

However, the only way to really know if you’re a suitable candidate for surgery is by talking to Dr. Gartner in your private medical consultation.

Your consultation

Your first consultation is with Dr. Gartner, a Double Board Certified plastic surgeon and general surgeon. During your private medical appointment, you’ll talk about your aesthetic concerns regarding your breast size. Dr. Gartner will provide you with options on how to adequately address your concerns, as sometimes it may be more than breast enlargement or something else that’s required (for example, a breast lift may also be needed to achieve a pleasing improvement). You’ll find out more about the procedure and the recovery period. We take your safety seriously, which is why you’ll also find out about the risks and complications related to your surgery so you can make an informed choice on whether the benefits of your potential treatment outweigh the risks. You can ask any questions or express any concerns you may have. Dr. Gartner will not rush you through the consultation process because he wants to make sure you know and understand everything your breast augmentation entails.

We recommend you bring a list of questions and concerns with you, so that you won’t forget to bring them up during your consultation. Here are some questions and concerns that many patients have asked, and that you may want to add to your list:

About Dr. Gartner

  • How long have you been practicing?
  • Do you have hospital privileges?
  • Do you keep up to date in the aesthetic medical field?
  • Can I see your before and after photos?

About our facility and staff

  • Is the Gartner Plastic Surgery facility accredited? If yes, what accreditation does it have?
  • Is your equipment well maintained?
  • Are all of your medical staff members licensed and experienced?
  • How much does breast augmentation cost? Do you offer financing?
  • What are your refund policies?

About Breast augmentation surgery

  • What kind of anesthesia is administered?
  • How long does the surgery take?
  • Where will it be performed?
  • What techniques are right for me?
  • What kind of implants should I get?
  • What are the side effects, risks and complications related to this surgery?

About your recovery and results

  • How is the recovery like? Will I need help?
  • When can I expect to see my results?
  • What will happen if I gain/lose weight or become pregnant? Can I breastfeed?
  • How will aging affect my results?
  • What if I don’t like my results?

Part of the consultation will be to briefly discuss your medical history and current condition. This helps Dr. Gartner to determine whether breast enlargement is safe for you.

Once it’s been determined that breast augmentation can safely and effectively achieve your goals, you can now move on to choosing your implants and booking your surgery date!

Choosing size

Choosing the right size is one of the most important factors in a successful outcome. To help better visualize your predicted results, you’ll find that a “Try On Session” is extremely helpful.

Your “Try On Session”

We’ll give you a bra in the size you want to be along with a fitted t-shirt. Then, we’ll give you a range of implant testers, called sizers, that you can fit into your bra to see how you look. Unlike visualization software, you can then see it in “real life” and even move around to determine whether you like how they feel. If you find that they aren’t large enough, you can try on a larger size. If you find that they get in the way or make you look disproportionate, you can downsize. Like our patients, you’ll find this to be far more helpful than any visualization software available today.

Often, patients come to us with a predetermined cup size that they are adamant about getting. However, choosing implant size based on cup size alone can lead to disappointing results. This is because there is no standardization in cup sizes; bra manufacturers don’t follow any guidelines and create cup sizes on what they believe to be accurate. What you think is a C cup may actually be a B or D cup from another bra manufacturer. That’s why the Try On Session is an essential part of your pre-surgery planning process—it helps Dr. Gartner get an accurate idea of what you envision your improvement to be without relying on non-standardized cup sizes.

A breast implant size is measured by the amount of saline or cohesive silicone gel that is inside the silicone shell, in cubic centimeters (CCs). There are several sizes available, from 100CC up to 600CC and over. You can choose whichever is the most suitable for you. To get a better understanding of implant sizes before you even come in to see us, simply fill a small baggie with water or dry rice at home. The amount of water or rice you put into the bag can be measured in milliliters, which is essentially the same amount in CCs. You can then place these baggies in your bra and put on tight fitting shirt over to see how you look in what is informally called, “The Rice Test”. You’ll get a general idea of what size you’d like to be.

Silicone breast implants come prefilled, while saline implants are normally filled to the desired amount after they are placed inside the body.

Choosing the right shape: round or teardrop/anatomical?

Breast implants come in either a teardrop shape, also known as anatomical, or round shape. The right shape for you is determined by the expert medical opinion of Dr. Gartner, after considering your body measurements and desired results.

Round

Round implants have been available to the public for a far longer time than teardrop implants and are more commonly used. They come in saline or cohesive silicone gel filling, the latter generally being softer and more palpable than what is used for teardrop implants, and have either a textured or smooth surface. They have narrow to wide base widths to suit the unique physiology of any patient (also known as projections or profiles).

Round implants change their shape subtly depending on your position. They will flatten out a bit when you’re leaning back or lying down, and assume more of a teardrop shape when you’re upright.

There is minimal risk of rotation and the resulting deformity or seroma this can cause.

They can add a bit more fullness in the upper portion the breast if desired.

Teardrop

Teardrop implants are available with either saline or cohesive silicone gel filling but all have textured surfaces to minimize the risk of rotation (the friction created by a textured surface is how it minimizes rotation). If silicone filled, they tend to be a little firmer than their round counterparts so that they can retain their shape. Like round implants, teardrops also come in a variety of profiles.

Teardrop implants are designed to mimic the natural sloped shape of the breast, with a pleasing contoured fullness in the lower portion. This shape is maintained even when you’re lying on your back.

They can sometimes provide a mild to moderate lift in suitable patients, making an additional breast lift surgery unnecessary.

They may be a better option if you have little of your own breast tissue or are slim and want natural-looking results.

However, one of the biggest issues with teardrop implants is the risk of rotation. While this risk is dramatically reduced when the pocket is created to accurately fit the implant, there is still a minute possibility that rotation may occur, causing the breast to deform and a seroma to possibly form. To resolve this issue, revision surgery would be necessary. The risk of rotation is *minimal*, according to the study, Breast implant stability in the subfascial plane and the new shaped silicone gel breast implants.

Dr. Gartner will discuss the merits and drawbacks of each shape with you. You can then decide which one is right for you.

Saline or cohesive silicone gel?

When we ask whether you’d like saline or cohesive silicone gel, we’re referring to the substance that is inside the shell. (All implants are made from a silicone rubber shell.)

Saline implants

From 1992 to 2006, these were the only option available to the public in the US. Their construction hasn’t changed much over the years, remaining as a silicone shell filled with a sterile saltwater solution that is much like what you have naturally in your body. You can choose from a variety of sizes and profiles, with the option of having a textured or smooth surface.

Saline implants can be placed via any incision and positioned above or below the chest muscles.

They are typically filled to the desired size after being placed inside the body, automatically sealing itself upon removal of the fill-tube. This means that incisions to insert the implant tend to be smaller. For this reason, they are the only choice when using the transumbilical method and are preferred for transaxiliary incisions (through the armpit).

They can be filled with as many cubic centimeters of saline as you want, and more can be added in a subsequent procedure if desired.

In the rare event a rupture occurs, deflation can happen quickly and dramatically reduce breast size so you’ll be able to resolve the situation faster. The released saline will be harmlessly absorbed by your body and eliminated.

Saline implants tend to cost less.

However, before you make your decision, you may want to consider these drawbacks:

  • They have a firmer feel and are less pliable than silicone gel implants. This could contribute to a result that feels less natural.
  • They have a higher risk of rippling and wrinkling, particularly if you have little of your own breast tissue or are thin.
  • They are a tad bit heavier than silicone cohesive gel implants.

Silicone implants

After extensive research and testing, the next generation of silicone implant was created and approved for public use in November 2006. Today’s silicone implants are constructed with a filling that takes the form of cohesive gel, which is solid, but soft and palpable. Unlike the liquid silicone of older implants, it doesn’t “run”. Cohesive silicone gel implants come in your choice of size or shape, with either a textured or smooth surface.

Cohesive silicone gel implants provide a far more natural feel that better resembles your breasts, making them more popular.

The risk of visible rippling and wrinkling is lower than saline implants.

These are common concerns related to silicone implants:

  • They require a longer incision since they come pre-filled. Therefore, they cannot be used for transumbilical breast augmentation.
  • If a patient’s areolae are too small, then the incisions may need to be in the breast fold (inframammary) or, if the implant isn’t too large, in the armpit (transaxillary) instead.
  • Ruptures can remain undetected for years, since the filling remains intact. An MRI may be required to accurately detect a rupture. However, the rate of rupture is lower than saline.
  • They cost more because implant manufacturers charge more for them.
  • They are associated with a slightly higher rate of capsular contracture.

Don’t worry—you’ll be able to figure out which implant type is for you after you’ve talked to Dr. Gartner. You can choose from Mentor, Allergan or Sientra. However, we prefer to use Mentor because they are all made in the USA and closely monitored by the FDA.

Choosing the right implant profile: low, medium, high or ultra high?

How far do you want your breasts to project from your chest? Answering this question will help you figure out what implant profile you want. Profiles refer to the amount of forward projection achieved. A variety of profiles are available.

Breast implant profiles are related to the distance at which your breasts project forward from your chest wall. More projection is achieved with a narrower base width, so that they take on more of a domed shape. This means that implants with a lower profile have a wider base width so that there is more of it lying flat against your chest. On the other hand, a higher profile implant of the same volume would have a smaller base circumference so that less of it would be lying flat against your chest.

Generally speaking, higher profiles achieve a more rounded, pointier contour that may be perceived as more youthful. Because of their height, the risk of rippling may also be reduced somewhat. Lower profiles tend to create a softer, sloped breast that is perceived as more natural.

The terms used to classify profiles depend on breast implant manufacturer.

Mentor silicone implants:

Moderate
Moderate Plus
High
Ultra High

Mentor saline implants:

Moderate
Moderate Plus
High

Allergan Natrelle silicone implants:

Moderate
Moderate Plus
High
Extra High

Natrelle 410 silicone implants:

Moderate
Full

Allergan Natrelle saline implants:

Low
Moderate
High

Sientra silicone implants:

Low
Moderate
High

The most suitable profile for you depends on a variety of factors. These include the following:

  • Your breast width
  • Your chest width
  • Your implant size
  • Your overall body proportions
  • Your desired results

In the past, breast implant manufacturers did not produce implants of varying profiles, giving the patient a choice of size only. Fortunately, today you have more freedom of choice, giving you the ability to better achieve the results you want. During your consultation with Dr. Gartner, you’ll be able to discuss the variety of profiles available and which would be most suitable for you.

Where should you have your incisions placed?

Incision placement is an essential factor to consider for your breast augmentation. There are four incision sites:

1. Inframammary: This incision is placed in the fold underneath your breast. This site is the most popular and makes positioning the implants easier. The same incision can be used again in the event a subsequent procedure is performed. However, it also leaves a more noticeable scar which, when properly cared for, will remain as a thin and faint silvery line that remains well hidden by clothing.

2. Periareolar: Almost as popular, this incision is placed partially around the areola. It is preferred for women who are concerned about scarring or have a history of irregular scarring because the resulting scar is well hidden by the natural texture and color of the areola. It also allows for easier implant positioning. However, it is associated with a higher risk of breastfeeding difficulties and changes in nipple sensation. Infection is also a concern because of the presence of harmful bacteria in the milk ducts of the nipple. Fortunately, Dr. Gartner takes great measures to reduce the risk of infection by sterilizing the area and using nipple shields, a practice that may lower the risk of capsular contracture as well, which is believed to be caused by bacterial contamination according to the study, Risk of breast implant bacterial contamination from endogenous breast flora, prevention with nipple shields, and implications for biofilm formation[4].

3. Transaxillary: This type of incision is placed in the armpit. It is generally shorter, therefore it is only appropriate for smaller cohesive silicone gel implants or saline implants. No mark is left on the breasts, and scarring is well hidden in a natural crease in your armpit, although it can sometimes remain visible when wearing sleeveless tops. The technique involves the use of an endoscope to allow for full visibility of pocket creation and implant placement.

4. Transumbilical (TUBA): This involves placing the incision in the belly button, leaving your breast skin untouched. It is associated with a lower risk of infection and faster recovery rate because it is less invasive than other approaches. However, it is not commonly performed by surgeons because it requires special training and a high level of skill.

Dr. Gartner is specializes in this technique and is one of the very few surgeons in the country who can accurately position the implants either underneath the breast tissue or the muscle. In fact, to date, only a fraction of surgeons in the country specialize in the TUBA approach. Please note that general anesthesia must be administered during this procedure.

You will discuss each incision placement with Dr. Gartner during your consultation, and the most suitable incision site will be determined depending on your body and goals. Factors to consider in deciding on the most suitable incision placement for you include the size of the implant, implant type and concerns regarding scarring.

Which implant placement is right for you?

Your breast implants can be placed in two positions inside your body: above your chest muscle but under your breasts, known as sub-glandular, or under your chest muscles, known as sub-muscular. Several factors are considered when selecting the most suitable implant position for you.

Sub-glandular placement (“over”)

Sub-glandular placement, also known as sub-mammary, is when the implant is placed under your breast tissue but over your chest muscle.

Less discomfort during recovery: This is less invasive than sub-muscular placement, which is why you’ll probably feel less discomfort following surgery.

Faster recovery: Because your chest muscles are left untouched, you’ll probably experience a faster recovery.

If revision surgery is necessary, the implants can be more easily accessed.

These are some of the drawbacks associated with sub-glandular breast implant placement:

If you have less of your own natural glandular tissue or have a smaller frame, the outline of your implants may be more visible. This could increase the risk of rippling and wrinkling.

Because the implant does not have the extra support of the chest muscles, sagging may occur at a faster rate.

Sub-muscular placement (“under”)

True sub-muscular placement refers to implants positioned entirely under the chest muscle. However, this is typically reserved for breast reconstruction patients because it is related to a higher incident of complications that make it unsuitable for other women. Therefore, when most surgeons talk about sub-muscular placement, they’re really talking about dual plane.

Dual plane placement is when only the upper portion of the implant is placed underneath the chest muscle. The lower portion is positioned under sub-glandularly.

Because the implants are partially covered by the muscles, they are less palpable and visible. This reduces the risk of rippling and wrinkling.

It is associated with a lower risk of capsular contracture. In fact, according to the study, The correction of capsular contracture by conversion to “dual-plane positioning: technique and outcomes[5], *majority of patients who had capsular contracture and switched to the dual plane position no longer experienced this complication*.

The implant has the extra support of the chest muscle, which means the rate at which you sag with age is slowed.

Mammograms are easier to read because the implant interferes less with glandular tissue.

Dual plane placement is associated with the following drawbacks, however:

  • The implant may distort when the pectoral muscles are flexed, particularly if the muscles are highly developed (as is the case for athletes and body builders).
  • More discomfort may be experienced because the chest muscle is affected.
  • A lengthier recovery may be necessary.

So, which implant position is right for you? Talk to Dr. Gartner to find out.

How to prepare for your surgery

The best thing that you can do to help make your surgical experience a more satisfying one is to follow the care instructions that are given to you by Dr. Gartner. The time before your surgery may be stressful, but following these instructions will better prepare your body for surgery, make it a smoother experience, and improve your rate of recovery.

Some lifestyle changes you may have to make include the following:

  • You’ll be asked to stop smoking about two weeks before your surgery. This is because smoking can hinder your body’s ability to heal and make it more susceptible to infection.
  • You’ll need to stop taking certain medications and supplements that may increase your risk of developing complications, such as bruising and bleeding. These include Aspirin, St. John’s Wort and Vitamin E.
  • It’s advised that you eat a healthy diet so your body has the sustenance it needs to recover.
  • You can continue to exercise up until two days before your surgery. Don’t do any vigorous physical activity the day before your surgery, however.

Some things you may want to do to help make your recovery a more comfortable one:

  • Arrange for childcare since you probably won’t have the energy to take care of young children.
  • Prepare food so you won’t have to cook in the days after surgery.
  • Fill all prescriptions and have them in a convenient location.
  • Prepare the area in your home where you’ll spend your time recovering.
  • Make sure you have pillows, blankets, comfortable clothing, books, and anything else you need nearby for your convenience.
  • Clean the house since you won’t have the energy to do that as you’re recovering.

In the few hours before your surgery:

  • You’ll have to stop eating or drinking anything, including water, eight hours before your surgery.
  • Take a shower the night before your surgery, using antibacterial soap. Do not apply any skincare products or makeup.
  • Arrive at our surgical facility wearing comfortable clothing. A button-up shirt is preferred since it’s easier to put it on or change out of.
  • Make sure you have a trusted family member or friend who can take you home after your surgery is finished.
Your surgery

Your surgery will be performed at our state-of-the-art surgical facility. Our facility is fully accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). AAAASF medicare certification is considered the gold standard in accreditation and one of the highest certifications any ambulatory center can obtain in the country.

The specifics of your surgery are planned after your consultation, based on your unique physiology and desired results. However, the following is a general outline of what you can expect.

1. Anesthesia is administered: At the beginning of your surgery, you will receive pre-emptive anesthesia. You can then choose to have local with some oral sedation or general anesthesia. Dr. Gartner is one of the few plastic surgeons in the country who can achieve beautiful, natural-looking results under local anesthesia. Your surgery is an hour and 20 minutes under local, or one hour under general.

2. An incision is created in your armpit, in the breast fold, partially around the areola or in the belly button.

3. Using the no-touch technique to minimize the risk of infection, a pocket is meticulously created under the breast tissue only (sub-glandular) or partially underneath your chest muscle (dual plane). The exact location will be decided upon before surgery, during your consultation.

4. A sterile sizer is placed in the pocket and inflated to the desired size, adjusting it if necessary. This helps to stretch the skin as well and make room for the actual implant.

5. The sizer is removed and replaced with the selected implant.

6. The incisions are closed with sutures and dressed. You will then be taken to our recovery room to be closely observed by Dr. Gartner and a dedicated team of recovery room nurses.

After a few hours, you will be released to return to the comfort of your home to finish your recovery, although you may stay longer if necessary. If you receive local anesthesia, then you’ll probably be able to return home sooner. You’ll have a series of followup appointments with Dr. Gartner so that he can monitor your recovery and address any concerns you may have.

Your recovery

Congratulations, within a few months you’ll be able to see the results of your breast augmentation surgery! All you have to do is to follow the post-surgery care instructions provided to you by Dr. Gartner and wait for your breasts to settle. With a smooth recovery, you’ll be able to see your results in about four months or so.

  • Follow Dr. Gartner’s care instructions.
  • Wait a few months for optimal results to appear.
  • Dr. Gartner and our friendly medical staff will be happy to answer any questions you may have to help with your recovery.

Once you are released from our state-of-the-art surgical facility, you will need the assistance of an adult who you can trust. They should drive you home and accompany you for the first 24 hours after your surgery. You’ll be wearing an ace wrap over the top of your breasts and your incision sites will be covered with dressings. Dissolvable sutures are used so they won’t have to be removed. The day after your surgery, you can remove the wrap and shower, then go bra-less unless Dr. Gartner advises you to wear a bra. This helps your implants settle into position, with the help of gravity.

How you’ll look while you recover

Right after your surgery, your breasts will appear larger than you may like and will have an odd appearance. They may look flattened out, your nipples may be pointing downward and there won’t be much fullness in the lower portion. This is because of two reasons: swelling and unsettled implants. Swelling (and bruising) is caused by the trauma of surgery and will decrease with time. Your implants will gradually drop into position as well with the force of gravity and natural tissue expansion, which occur to accommodate the additional volume of your implants. This happens over the course of a few months.

You’ll be advised to start wearing a bra two to four weeks after your surgery, depending on how fast your implants settle. During this time, if you dislike the appearance of your nipples through your clothing, silicone disc pasties can be worn to hide them. These are available at Victoria’s Secret, among other stores.

Keeping clean

You’ll be able to take a shower the day after your surgery. Remove the ace wrap. Use mild soap on the incisions as well, and wash thoroughly without rubbing the area. Gently pat dry. This will help the incisions remain clean and reduce the risk of infection. Baths cannot be taken until about two weeks after your surgery.

When you can go back to work

Individual recovery rates can vary; most patients resume a sedentary office job in one week with a gradual resumption of normal activity, although some return much sooner. You will probably have to wait a month or two if your job is physically demanding, particularly if it involves lifting heavy things. Typically, you can expect to recover faster if you received local rather than general anesthesia.

When you can get back to the gym

Strenuous exercise can be resumed in four weeks. Please start slowly and gradually increase intensity.

These guidelines are very general. You will receive specific instructions that are designed for your recovery from Dr. Gartner.

Your results

You’ll enjoy a more proportionate body contour that makes you feel more feminine and attractive. Our patients love their new look, and so will you!

*Disclaimer: No guarantees of any kind unless they are money-back guarantees. No claims of permanent results. No "Miracle cures" for medical ailments.*

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All rights reserved. Any subsequent further processing, publication or permanent storage for commercial or other purposes without the explicit prior permission of Think Basis Inc. is prohibited.

Article credits

  • Reviewed By:Dr.MichaelGartner
  • Place:3 Winslow Pl, Paramus, NJ, US, 07652
  • Created: 10 May 2015
  • Published: 10 May 2015
  • Last Modified: 26 Sep 2015
  • Reviewed: 19 May 2015

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