Breast Augmentation New Jersey
Dr. Brian Glatt combines exceptional skills with knowledge of the most current medical techniques in order to achieve beautiful, natural-looking breast enhancement. Through careful consideration of your breast and body size and shape, as well as placement of breast implants, he consistently produces natural-looking breast augmentation results for his patients throughout New Jersey, including Livingston, Morristown, Short Hills, and Madison, as well as the entire tri-state area. Certified by the American Board of Plastic Surgery, Dr. Glatt has been recognized for his high standard of care and treatment.
Your first step when considering breast augmentation is to contact Dr. Glatt at the Premier Plastic Surgery Center of New Jersey to schedule an initial consultation. After you schedule an appointment, you will receive an initial packet of information about our practice as well as detailed information about breast augmentation surgery. During the consultation with Dr. Glatt, you will discuss your goals for breast enhancement, and together you will create a treatment plan to achieve the look you envision.
Breast Implant Options
There are several breast implant options to consider before undergoing breast enhancement surgery. The size, shape, and type of breast implants that are used can determine the overall outcome of your breast enhancement. During your initial consultation at his New Jersey practice, Dr. Glatt will help you determine which options will create the most natural results for your specific body type.
Saline vs. Silicone Breast Implants
Until recently, saline implants were the only choice for breast enhancement. The FDA has finally approved the use of silicone gel filled breast implants for cosmetic use and Dr. Glatt’s patients have the choice of using either saline or silicone breast implants for their enhancement. Dr. Glatt is fully trained and certified to perform silicone gel breast implant augmentation with both INAMED® as well as Mentor implants.
Saline implants are usually placed in the breast deflated, and filled with the appropriate amount of saline solution during surgery to achieve the desired volume. Silicone breast implants are pre-filled with a silicone gel which often looks and feels more natural than saline. You are encouraged to discuss both breast enhancement options with Dr. Glatt during your consultation at his New Jersey practice, and decide which option is best for you.
Under the muscle or over the muscle?
Dr. Glatt will usually place your implants behind the chest muscle. Breast implants placed behind the chest muscle often look more natural than those placed in front of the muscle. Although patients who choose to have their breast implants placed in front of the muscle can recover more quickly, they are at a higher risk of suffering long term ptosis (pronounced toe-sis) or droopiness, of the implant over time. This method also may not be as ideal for very thin patients, as the implant can be much more visible without the extra soft tissue covering of the muscle. During your breast augmentation consultation at his office in New Jersey, you and Dr. Glatt will decide which area of placement may be best for you.
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Breast Augmentation Incision Options
The location of the incisions made during breast augmentation will determine the visibility of resulting scars. Dr. Glatt understands that scarring is a concern for most women considering breast enhancement with implants. For this reason, he only uses incision techniques that result in minimal scarring or scars that can easily be hidden by bathing suits and clothing.
This method includes one small horizontal incision along the crease under the breast, where the scar can be completely hidden. This is the simplest, most straightforward method of breast augmentation.
This semi-circular incision is made around the lower edge of the areola (the pigmented area surrounding the nipple). Any resulting scars tend to blend into the darker area of the areola and are virtually unnoticeable.
Transaxillary Endoscopic Breast Augmentation
Dr. Glatt is one of the only plastic surgeons in the region to offer breast augmentation through incisions in the axilla, or armpit. When placing saline breast implants, Dr. Glatt prefers to use the transaxillary endoscopic method. During this procedure, a small incision is made in the armpit and the deflated saline implant is placed into the breast, under the muscle, with the use of an endoscope: a thin tube with a tiny camera at the end. The implant is then filled with saline solution to achieve the desired size. This method eliminates incisions on the breasts, and the resulting scars are well hidden in a crease within the armpit.
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Breast Augmentation and Breast Lift
Dr. Glatt can incorporate a breast lift with the placement of implants for a comprehensive enhancement that not only makes breasts look fuller, but also lifted. This combination is often done as part of Dr. Glatt’s comprehensive “mommy makeovers”. Typically scars can be limited to around the areola, however depending on your size and shape, you may require a small vertical scar as well. If you have very droopy breasts and need a more extensive lift, you may need to have a small horizontal scar added within the lower crease under your breasts. Dr. Glatt will discuss your options during your initial consultation.
For Exceptional Breast Enhancement and Augmentation, Contact Dr. Glatt
Dr. Glatt’s exceptional sense of proportion and aesthetic vision allows him to create stunning breast augmentation results. If you are ready to learn more about breast enhancement with implants, contact the New Jersey practice of Dr. Glatt to schedule a consultation.
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What is breast augmentation surgery?
Breast augmentation surgery involves placing breast implants through a very small incision, which is located either most commonly in the fold underneath the breast (inframammary fold), or in a small incision located on the border between the areola and normal breast skin (periareolar). The inframammary fold incision is usually located just within the breast crease or slightly higher depending on the patient’s preference, both heal so well and become barely perceptible once fully healed. The periareolar incision for breast augmentation surgery is usually done through an incision which goes from 3 o’clock to 9 o’clock , just along the lower edge of the areola thus camouflaging the scar beautifully. The purpose of breast augmentation surgery serves only to enlarge the breasts. Breast implants do not lift the breasts and placing a larger implant for the purpose of potentially giving the breast an actual lift is not an idea that works; however, many plastic surgeons do for some reason occasionally recommend this practice. Regardless of which incision is utilized, breast implants are typically placed underneath the breast tissue itself as well as underneath the muscle, which is the pectoralis major muscle located directly underneath the breast tissue.
What kind of breast implants?
There are many options with regards to what kind of breast implant may be used for breast augmentation surgery. Implants can be filled with either saline (salt water) which consists of sterile IV fluid (salt water) or a cohesive silicone gel material. Current day silicone gel-filled breast implants are drastically advanced from prior devices of the past which were made of a weaker outer shell and a less stable gel material filling. Silicone gel implants today are highly cohesive and many have compared these to gummy bears. Think of them as gummy bears, which have been left out in the sun; in other words, they are soft and squishy; however, when cut they do not actually leak, they stay very cohesive. There are advantages to each type of implant. Saline implants tend to provide slightly more projection for women who prefer that look and saline implants also have the advantage of not requiring as much surveillance. This is becuase if a saline implant were to ever rupture, it is immediately obvious because the breast will deflate. The will body absorb the saline fluid and the implant can then be easily replaced. Saline implants do, however, tend to show a lot more visible rippling in the overlying skin of the breast and tend to look and feel somewhat less natural than silicone gel-filled breast implants. Silicone gel-filled breast implants are generally considered to look and feel more natural and it is typically difficult to get a sense of where the breast ends and where the implant begins. Silicone gel-filled breast implants do, however, require some aspect of maintenance as it is nearly impossible to tell if these implants are intact or ruptured. The good news is that if these implants are ruptured, they pose no health risk and do not drip or leak out into the patient’s tissues or body. The cohesive gel material stays safely contained within the capsule, which is a protective layer formed around the breast implant. Given this, some aspect of surveillance is recommended with silicone gel-filled implants including, but not limited to, annual exams, regular mammograms, and/or ultrasounds and potentially even MRIs in the future for surveillance every couple of years depending on your physician preference.
What is a capsule?
Anytime you put something foreign in the body whether it be an artifical knee and artifical hip or artificial breast, the body forms a wall scar tissue around it and this is called a capsule. The capsule is the body’s way saying you are you, we are us, we are going to build this wall and we all are gong to live happy together in this space. The capsule is the reason why you can lay on your belly at the beach and your breast implants do not shoot over to your neck or to your thigh. Breast implants tend to stay just in the pocket that was created at the time surgery and the capsule is the reason why. The capsule is very effective barrier and separates the contents of the implant very well from the rest of your body. The capsule tends to be soft, viable, thin, and no one should ever know that a capsule is present. Every single woman with a breast implant in her body does indeed have a capsule surrounding it, although they should not be aware of the capsule being present. This capsule is a reason why if a silicone gel-implant were to rupture, the contents of the implant stay very nicely within the confluence of the capsule and therefore, it is difficult to tell if these implants are indeed ruptured or intact. There are times, however, when this capsule can for reasons unknown, contract or squeeze the implant causing the implant to become hard, misshaping or displaced and this is called capsular contracture.
How do you treat capsular contracture?
Capsular contracture can be a serious complication and at its extreme can actually cause patient discomfort and pain. There have been several developments in trying to treat capsular contracture with medications such as Singulair or Accolate; however, these have only been shown to be effective in very small studies and further widespread studies need to be performed in order to prove the definitive effectiveness of these modalities. The mainstay of treatment for capsular contracture remains surgical intervention which is typically not covered by your insurance; therefore, the prevention of capsular contracture is the key to every single breast augmentation which is performed. There are several ways that we know we can try to prevent a capsular contracture and these include:
- Maintaining a bloodless field at the time of surgery which is why it is so important to have an absolute meticulous surgeon perform your breast augmentation surgery who believes in a completely bloodless operation that is performed in a controlled fasion under direct vision.
- There should be an absolute avoidance of any kind of infectious complications. In my practice, patients receive IV antibiotics during the course of breast augmentation surgery and also placed on prophylactic antibiotics for five days following the surgery. In addition, the breast implants are soaked in a triple antibiotic solution at the time of surgery and the patient’s tissues and pocket are thoroughly and copiously irrigated with triple antibiotic containing solution prior to placing the implants into it. In addition, the implants should be placed carefully only by the surgeon in a “minimal or no touch technique” thus exposing the implant to the outside air for the most minimal amount of time possible.
- Finally, activity restrictions following surgery will minimize trauma to the tissues and the pocket thereby reducing the amount of inflammation postoperatively. This includes restrictions on lifting, aerobic exercise, and use of a chest muscles for period of three to six weeks, as per your surgeon preference.
Although we cannot 100% eradicate capsular contracture, we can minimize its occurrence by following these principles as much as possible and the incidence of capsular contracture has drastically decreased over the last few years secondary to improvement of techniques.
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What to expect following your Breast Augmentation
- You will have a surgical wrap that will be placed on you in the operating room immediately following your procedure which should be worn until your first visit with Dr. Glatt. You may begin to shower after your first appointment with Dr. Glatt. After your first visit, a sports bra is to be worn constantly (24 hours a day), except when showering, for several weeks following surgery. You should purchase a sports bra (any bra with no underwire) before surgery, and this bra should be brought to your first postoperative appointment. Patients have found it helpful to buy several different kinds of bras of different sizes and styles and to keep them together in a bag with the receipt. You will try them on with Dr. Glatt at your first visit and he will help you decide which one(s) work the best for you and you can then return the rest.
- You will experience some bruising and swelling, a feeling of tightness in your chest, and possibly some changes in nipple sensation. All of this will get better and gradually resolve over time. The tight feeling in your chest should resolve over the first 24-48 hours.
- You may notice swelling throughout your body and your abdomen may seem bloated. This swelling will resolve over about 1 week. You may also develop constipation from the anesthesia and/or medications. Feel free to treat this aggressively with laxatives (Dulcolax or Exlax) – do not let it go on for too long.
- You may experience some pain or discomfort for a few days following your breast surgery. It is normal to feel as if there is pressure in your chest or as if someone is “sitting” on your chest. Do not hesitate to take medication for this. Remember that pain medication will make you drowsy. DO NOT DRIVE while taking this medication. Pain medicine may also make you constipated, so you may need a mild over-the-counter laxative or Dr. Glatt will prescribe you a stool softener. You will also be prescribed valium which will help relax the stretched out muscle and discomfort from this. You may take the pain medicine and the valium at the same time.
- You will be given a prescription for an antibiotic. Please take this medication as indicated on the bottle and finish the whole course – this is very important!
- You may shower and wash your hair after your first postoperative appointment. Dr. Glatt will remove your dressings at this visit and glue tapes will be left over your incisions. These tapes are water proof and can get wet in the shower– just pat them dry afterwards.
- It is best to sleep on your back with the head of your bed elevated for about 1 week after surgery. Sleeping on your side is allowed and encouraged after 1 week. Laying directly on your stomach/chest should be avoided for 3 months following surgery.
- You will feel tired. This is a common side effect from anesthesia, and it may be 2-3 weeks before you feel that your energy level has completely returned to normal. Strenuous activity and exercise should be avoided for 3 weeks. You should NOT do any heavy lifting, pushing, pulling, high reaching, vacuuming or strenuous activities like aerobics, tennis, or swimming for 6 weeks. Walking is permitted provided it is not strenuous.
- It is usually 5-7 days before you can safely and comfortably drive. You can begin driving again when you can move your arms comfortably and when you are not taking any prescription medications.
- Please call our office with any abnormal reactions to the prescribed medications, such as hives or itching. Let us know if you develop a temperature of over 101 or any excessive pain or swelling.
- Please feel free to call our office with any questions or concerns. We want you to be as comfortable as possible during the healing process!
For Exceptional Breast Enhancement and Augmentation, Contact Dr. Glatt
Dr. Glatt’s exceptional sense of proportion and aesthetic vision allows him to create stunning breast augmentation results. If you are ready to learn more about breast enhancement with implants, contact the New Jersey plastic surgeon Dr. Brian S. Glatt to schedule a consultation.
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