Why Breast Augmentation?

Many patients who come to NYBG Plastic Surgery do so because they have recently lost weight, either by surgical means or through diet and exercise alone.  Unfortunately, many women who have found success on their weight loss journeys are dismayed to find that their breasts are one of the areas shrinking in size as fat melts away. Some women also find themselves unhappy with their breast volume after childbirth or breastfeeding.

During pregnancy, breasts swell to significantly larger than their usual size, and they continue to fluctuate, sometimes dramatically, through childbirth and breastfeeding. While some women experience uncomfortably large breasts for some time following pregnancy, others find their breasts deflated and drooping. Breast augmentation can also be used to correct unevenly sized or misshapen breasts.

Before & After Breast Augmentation in Long Island

How The Procedure Is Performed

Breast augmentation is typically performed by inserting an implant made of silicone or another similar material. Alternatively, there is also a "fat transfer" method wherein liposuction is used to remove fat from other parts of the body to then be injected into the breasts. This form of breast augmentation is good for giving a natural look and is only effective in slightly increasing breast size. For breast implants, a few different types of incisions can be used:


A crescent-shaped incision is made along the lower edge of the areola (the colored patch surrounding the nipple). This allows for direct placement of the implant with easy visibility, and makes it easy for subsequent surgeries to be performed if necessary. The main disadvantages of this technique are that the scar may be visible at the focal point of the breast, and that it carries the greatest risk of complication for future breastfeeding.


In this technique, an incision is made in the armpit, and the procedure is then performed endoscopically. This has the advantage of leaving no scarring on the breast itself, and what scarring does occur is usually hidden in the natural crease of the armpit. The endoscope allows for a high degree of precision, but it can be more difficult to perform corrections or additional surgeries with transaxillary augmentations.


This incision is positioned in the fold beneath the breast, making it easy to hide, except perhaps when lying flat, for women with deep breast folds. It also provides easy and direct access for accurate positioning of implants.

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Plastic Surgery For Breasts And More

At NYBG Plastic Surgery, we are proud to perform breast augmentations and other cosmetic procedures in our comfortable New York office. If you are dissatisfied with small or uneven breasts, you have options. To learn more about what we can do for you, contact our office to schedule an appointment.

Kevin Small Md Publications (Breast Augmentation)

The Process of Breast Augmentation with Special Focus on Patient Education, Patient Selection and Implant Selection

The critical analysis of breast augmentation and its associated complications has driven our surgical practice to redefine our approach. We have scrutinized factors that influence patient outcomes and have acknowledged key characteristics that shape the successes of this common surgical procedure.

Read More About Breast Augmentation

The Inframammary Fold (IMF) Fixation Suture: Proactive Control of the IMF in Primary Breast Augmentation

Previous reports have suggested that inferior implant malposition following primary breast augmentation is secondary to violation of the inframammary fold (IMF) and subsequent poor reconstitution of the scaffold during the initial surgical procedure.

Read More About Breast Augmentation

Three-Dimensional Surface Imaging in Plastic Surgery: Foundation, Practical Applications, and Beyond

Three-dimensional surface imaging has gained clinical acceptance in plastic and reconstructive surgery. In contrast to computed tomography/magnetic resonance imaging, three-dimensional surface imaging relies on triangulation in stereophotography to measure surface x, y, and z coordinates.

Read More About Breast Augmentation
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