Breast Augmentation: With and Without Implants

Breast Augmentation With Implants

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. and one of our most popular services in Dr. Afridi’s Manhattan office. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants behind the breast. Alternatively, patients can also consider subtle and “targeted breast augmentation” with the use of their own fat removed from areas of stubborn accumulation. Dr. Afridi’s patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect.

Under Dr. Afridi’s expert care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation. When you meet with Dr. Afridi for a breast augmentation consultation in her New York City or Manhasset office, she will discuss your goals and expectations in order to determine whether implants or fat grafting is the better augmentation option for you. If implants are the best choice, then she will discuss different types of breast implants in great detail, providing you with all the information you need to make an informed decision.  Dr. Afridi offers the opportunity to “try on the look” during the initial consultation to help select the implant size that’s right for them.

Factors to Consider for Breast Augmentation Surgery

Dr. Afridi emphasizes the importance of considering several key factors when planning breast augmentation surgery:

  • Pre-existing Breast Shape and Size: The natural shape and size of your breasts play a crucial role in determining the most suitable augmentation approach.
  • Level of Physical Activity: Your lifestyle and physical activity level can influence the choice of implant size and type, as well as the surgical technique.
  • Personal Preferences: Your aesthetic goals and personal preferences are central to the planning process, ensuring that the results align with your expectations.


Carefully evaluating these factors is essential for achieving the best possible outcome for each individual patient.

Breast Implant Placement Options

Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. Possible disadvantages include elevated pain in the first few days following surgery and long term displacement of the implant with pressure from the overlying muscle. It is also difficult to achieve the same degree of midline cleavage with the implants under the muscle as compared to under the breast. In the case of patients with deflated breasts after pregnancy, implants under the muscle will not achieve the goal of filling the emptied-out breast as well as under the gland. Dr. Afridi will discuss which option may be best for you.

Selecting the Appropriate Implant Size

Choosing the appropriate implant size is crucial to achieving your desired look. Dr. Afridi will listen to your concerns and recommend the appropriate implant size to help you reach the desired cup size. You can also try different implant sizes in a bra to determine the look and feel that suits you best. Dr. Afridi will consider your chest size, body type, and goals when selecting the right implant size

Saline and Silicone Gel Breast Implant

Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both are different types of breast implants but are very safe, and each offers its advantages. Dr. Afridi is offers her patients the option of silicone gel-filled or saline breast implants. Each has its benefits. While silicone gel implants are much softer and feel more natural, saline implants have the benefit of requiring smaller incisions and can be adjusted during the surgery.

Dr. Afridi has extensive experience with both saline breast implants and silicone implants for breast augmentation. Dr. Afridi will help you decide whether silicone breast implants with saline or silicone gel are right for you. (At this time, silicone implants are only FDA approved for 22 and older)

Nipple Reconstruction

Nipple reconstruction addresses inverted or stretched nipples that can make the breasts look aged or unattractive. This procedure reshapes one or both nipples to achieve a pleasing and youthful appearance. Several techniques can be used, including tissue and cartilage flaps, and skin grafts. Nipple reconstruction can be performed independently or as a second- or third-stage procedure in breast reconstruction in individuals who have already undergone surgery.

Achieving a natural and symmetrical result requires precision and expertise. During your consultation, Dr. Afridi will discuss your specific concerns and recommend the most appropriate technique based on your anatomical needs and aesthetic goals. Whether utilizing tissue flaps, which involve reshaping and repositioning a small portion of breast tissue, or opting for skin grafts to achieve realistic pigmentation, each method is meticulously planned to ensure optimal results.

Recovery from nipple reconstruction is typically swift, allowing patients to return to their normal activities shortly after the procedure.

Breast Augmentation With Breast Lift

  • Enhanced breast shape and volume: The combination corrects both sagging and volume loss, creating a more youthful and fuller breast appearance.
  • Improved symmetry: A breast lift alongside augmentation can address asymmetry, ensuring a balanced and natural look.
  • Longer-lasting results: The supportive breast lift can help maintain the position of the implants, reducing the risk of future sagging.
  • Single surgery, multiple improvements: Patients can achieve their desired breast appearance through one comprehensive procedure, minimizing recovery time and cost.
  • Customized outcomes: Dr. Afridi’s approach tailors the combination to each patient’s unique needs, delivering results that align with their desired aesthetic goals.

For patients solely interested in augmentation through fat grafting and who prefer to avoid implants

Breast Augmentation Without Implants by Dr. Nadia Afridi

What is Autologous Fat Grafting?

Autologous Fat Grafting (AFT) harvests fat from stubborn areas through liposuction and transfers it to the breasts. Common donor sites include the abdomen, thighs, and flanks. The purified fat is injected into the breasts to enhance volume and shape.

Benefits of AFT

Body Contouring: It slims donor areas, offering a more toned appearance.
Minimal Scarring: Small incisions result in minimal scarring compared to implants.
Upper Breast Fullness: Achieving a more youthful look.
Medial Cleavage: Improving cleavage appearance

Considerations

Fat Absorption: Some fat is absorbed by the body, requiring multiple sessions. Realistic Expectations: AFT is suitable for modest enhancements and contouring but not for dramatic changes. Patients seeking significant size increases may need multiple sessions, spaced several months apart, to allow fat integration and stabilization. Dr. Nadia Afridi’s Autologous Fat Grafting offers natural breast augmentation with added body contouring benefits. Consult with Dr. Afridi to see if AFT aligns with your aesthetic goals and create a personalized treatment plan.

Benefits of Tuberous Breast Correction

Tuberous breasts, also known as tubular breasts, are a congenital condition characterized by breasts that have a narrow, constricted base and often appear elongated or droopy. This condition can cause asymmetry, enlarged or puffy areolas, and underdeveloped lower breast quadrants, leading to a less aesthetically pleasing appearance and potential psychological distress.

  • Enhanced Aesthetics: Achieve a more natural, symmetrical, and aesthetically pleasing breast shape.
  • Boosted Confidence: Improved breast appearance can significantly enhance self-esteem and body confidence.
  • Customized Treatment: Dr. Afridi tailors each procedure to the individual patient’s anatomy and aesthetic goals, ensuring personalized and optimal results.

Benefits of Tuberous Breast Correction

Tuberous breasts, also known as tubular breasts, are a congenital condition characterized by breasts that have a narrow, constricted base and often appear elongated or droopy. This condition can cause asymmetry, enlarged or puffy areolas, and underdeveloped lower breast quadrants, leading to a less aesthetically pleasing appearance and potential psychological distress.

  • Enhanced Aesthetics: Achieve a more natural, symmetrical, and aesthetically pleasing breast shape.
  • Boosted Confidence: Improved breast appearance can significantly enhance self-esteem and body confidence.
  • Customized Treatment: Dr. Afridi tailors each procedure to the individual patient’s anatomy and aesthetic goals, ensuring personalized and optimal results.

Dr. Afridi's Approach to Tuberous Breast Correction

Dr. Afridi employs a specialized approach to correct tuberous breasts, focusing on creating a natural, balanced, and aesthetically pleasing breast shape. The procedure typically involves:

  1. Breast Tissue Expansion: Expanding the constricted breast tissue to create a more rounded and natural breast shape.
  2. Areola Reduction: Reducing the size of the areolas if they are disproportionately large or puffy.
  3. Implant Placement or Fat Grafting: Enhancing breast volume and symmetry using either implants or autologous fat grafting, depending on the patient’s preference and suitability.
  4. Lower Pole Development: Developing the lower breast quadrants to achieve a fuller, more natural appearance.