Breast Augmentation New Jersey
"I am very pleased with the professionalism and courtesy displayed by your office. The breast augmentation procedure that you completed exceeded my expectations"
EAC Seabright , NJ
"My whole experience at Weinstein Plastic Surgery Center has been great from day one, and I wouldn't hesitate for a second to recommend them to anyone who was looking for a great staff, office and Doctor." KD NJ
If you're considering breast augmentation
Breast augmentation, technically known as augmentation mammaplasty, is a breast enhancement procedure to alter the size and shape of a woman's breast for a number of reasons:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, New Jersey breast augmentation surgeon, Dr. Weinstein is able to increase a woman's bust line by one or more bra cup sizes. If you're considering breast augmentation, this website will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please ask the staff at the Weinstein Plastic Surgery Center if there is anything you don't understand about the procedure.
The best candidates for breast augmentation
Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Weinstein.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate.
Breast augmentation is usually done to balance a difference in breast size, to improve body contour, or as a reconstructive technique following surgery.
Types of implants
At the Weinstein Plastic Surgery Center, with offices in Chester , New Jersey , there are over 100 breast implants used as sizers to determine the best proportional breast enhancement. Please bring a tight sports bra to your consultation to try on different sized and shaped implants.
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All surgery carries some uncertainty and risk
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure. The incidence of these complications are rare in Dr. Weinstein's practice.
Slight changes in sensation, loss of sensation, infection, bleeding, hematoma, seroma, scarring, asymmetry, capsular contracture, rupture, pneumothorax have been reported.
Capsular contracture is rare in saline filled smooth implants placed beneath the muscle that are massaged on a regular basis. The specific problem, capsular contracture, more common in silicone implants above the muscle, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Some women like the look of capsular contracture because it causes the breast to have more projection. Capsular contracture can be treated in several ways, and is sometimes helped by either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood. In Dr. Weinstein's practice since 1988, no women have developed an infection around an implant for breast augmentation. This may occur at any time, but has been reported within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, and are rarely permanent.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body. Smooth saline implants have the lowest incidence of rupture 3.7% in 7 years. Dr. Weinstein's rupture rate is less then 0.3% per year. Textured implants have a higher incidence of rupture, as they tend to stay in one position at all times, develop waviness and consequent have a higher incidence of fatigue rupture.
If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate locally. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur. New fourth generation silicone implants have a low incidence of rupture. The fourth generation implants have thicker shells and have gel of higher viscosity.
A few women with older silicone breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as "connective-tissue disorders,".
There is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.
While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.
Planning your breast augmentation surgery
In your initial consultation for breast augmentation at our offices in New Jersey , Dr. Weinstein will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, he may also recommend a breast lift.
Be sure to discuss your expectations frankly with Dr. Weinstein. He will be equally frank with you, describing your alternatives and the risks and limitations of each. A copy of the manufacturer's insert that comes with the implant he may use-just so you are fully informed about it. Of course, during your consultation, you will be sure to tell Dr. Weinstein if you smoke, and if you're taking any medications, vitamins, or other drugs. Dr. Weinstein strongly recommends you stop smoking. Dr. Weinstein has done research on the effects of smoking on wound healing and recovery. Smoking adversely effects recovery.
New Jersey breast augmentation surgeon, Dr. Weinstein will explain the type of anesthesia to be used and the type of facility where the surgery may be performed. The costs involved will be explained by one of the patient care coordinators of the Weinstein Plastic Surgery Center. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers do not cover the cost of this procedure.
Preparing for your breast augmentation surgery
Dr. Weinstein and/or his staff will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed. Dr. Weinstein and his staff would like to meet your significant other so that personal contact can be made to insure your easiest possible recovery.
Where your breast augmentation surgery will be performed
Dr. Weinstein prefers to perform breast augmentation in an outpatient surgery facility. He operates at Morristown Surgery Center at 111 Madison Ave. , Morristown Memorial Hospital , New Jersey , Overlook Medical Center , Hackettstown Community Hospital , New Jersey and St. Barnabus Medical Center, New Jersey.
Types of anesthesia
Dr. Weinstein prefers general anesthesia so you'll sleep through the entire operation. An anesthesiologist will administer anesthesia to insure the highest standard of safety. Occasionally, in a slight breast augmentation, a local anesthesia combined with a sedative to make you drowsy, may be used so you'll be relaxed but awake.
The breast augmentation surgery
The method of inserting and positioning your implant will depend on your anatomy. Dr. Weinstein most commonly performs the procedure through a less than one inch tiny incision incision in the crease where the breast meets the chest. In patients with no crease he prefers the incision around the areola (the dark skin surrounding the nipple).Alternative incisions include the armpit, the umbilicus or through a low abdominal incision when performing the tummy tuck. Every effort will be made to insure that the incision is placed so resulting scars will be as inconspicuous as possible.
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After your surgery
After your surgery you're likely to feel tired and sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.
Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by Dr. Weinstein. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.
Getting back to normal
You should be able to return to work within a few days, depending on the level of activity required for your job.
Follow Dr. Weinstein's advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.
Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely. Dr. Weinstein's usually have barely visible scars.
Routine mammograms should be performed at age 35, 40 and every other year until age 50. Your breasts should be examined by yourself monthly, and by your gynecologist yearly. The mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier. (All surgery carries some uncertainty and risk.)
Your new look
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.
Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your surgery is a success.