Breast Augmentation (Augmentation Mammaplasty)


Breast augmentation is a very popular procedure for women and among the most commonly performed cosmetic surgery procedures. If you are dissatisfied with your breast size, breast augmentation may be the procedure for you.  A saline or silicone-filled implant can be placed under the breast tissue or beneath the chest wall muscle. After surgery, breasts will have increased fullness and projection.
Breast augmentation can improve the balance of your figure, enhance your self-image and self confidence.

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Goal Of Surgery Prior To Your Surgery Risks of Surgery Include
Increase fullness of breasts

Increase projection of breasts

Improve balance of your figure

Enhance self-image

Get medical evaluation and lab  studies

Get  mammogram

Stop smoking

Avoid aspirin, anti-inflammatory drugs

Unfavorable scarring                   Infection

Change nipple sensation           Implant leakage

Capsular contracture                   Poor healing

Skin wrinkling over implant          Need for revision



During your initial consultation with Dr. Olivier, she will thoroughly discuss your desires and expectations for breast augmentation with you. After a comprehensive history and physical examination, Dr. Olivier will review the surgical options including types of breast implants, and recommend the one that she thinks is best of your body type. Dr. Olivier will discuss specific instructions for preparing for surgery, including diet and medication requirements. She will also clearly explain your post-surgery needs so that you can prepare in advance.


Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia. Dr. Olivier will recommend the best choice for you. Incisions are made in inconspicuous areas to minimize visible scarring. Incision options include: inframammary, periareolar, transaxillary.

Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type. Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body. Silicone breast implants are filled with an elastic gel. The gel feels and moves much like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel may not collapse. If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of breast implants. Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.  Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older. Currently Silicone breast implants are FDA-approved for augmentation in women 22 years of age and older.

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After the incision is made, a breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement), or directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement). The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations.


A surgical bra and implant stabilizer will be worn for two weeks, and for several weeks longer at night. Although many factors are involved  with determining your actual recovery time for breast augmentation, you will likely experience a post-surgical recovery period  of 24 to 48 hours and an additional reduced-activity period of a few days, you will likely experience soreness and swelling for a few weeks. Exercise and normal activity can resume at the direction of Dr. Olivier. Over time, post-surgical swelling will decrease and incision lines will fade.

You will be given specific instructions that may include: How to care for your breasts following breast augmentation surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing.


Breast augmentation is most often performed as an isolated procedure. However, it most commonly may be performed with  Breast Lift / Mastopexy.


If you would like to learn more about Breast Augmentation in New York, we invite you to meet with Dr. Olivier who is a female, board certified plastic surgeon for a private consultation at our Brooklyn office, located at One Hanson Place.  Contact us by calling 718-783-0934.
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