Leo J. Urbinelli, MD, Board Certified Plastic Surgeon *Top Plastic Surgeon in CNY* Bringing his expertise from NYC and Los Angeles back home to Upstate NY
Leo J. Urbinelli, MD, Board Certified Plastic Surgeon *Top Plastic Surgeon in CNY* Bringing his expertise from NYC and Los Angeles back home to Upstate NY
Breast augmentation adds volume using implants or your own fat. The decisions that matter are size relative to your frame, implant type and position, and whether a lift is needed as well. All of that is settled at the consultation. See the gallery or book now.
Implants give a predictable increase in volume and suit most people wanting a meaningful change. Silicone feels closer to breast tissue. Saline is filled after placement, allowing a smaller incision, and a leak is obvious immediately. Both are reviewed at the consultation, along with the follow up that implants require over a lifetime.
Fat transfer uses liposuction to harvest fat from elsewhere and grafts it into the breast. It gives a modest increase, roughly half a cup to a cup, and some grafted fat is reabsorbed, so the final volume is not known for several months. It suits a small change, or shape rather than size.
Size is chosen against your chest width, your existing tissue and how you dress, not against a cup letter. Cup sizing is not standardized between manufacturers, which makes it unreliable. Sizing is done with implant sizers and photographs.
Implants are placed either under the breast tissue or under the chest muscle. Muscle placement gives more soft tissue cover over the upper edge, which matters for thin tissue, and tends to interfere less with mammogram imaging. Tissue placement avoids the animation movement muscle placement can cause in people who train heavily. Neither is universally better.
Incision options are under the breast fold, around the areola, or in the armpit, each trading scar visibility against how precisely the pocket can be made.
An implant adds volume. It does not raise a breast that has descended. Surgeons grade this by where the nipple sits against the fold beneath the breast. Above the fold, an implant alone is usually enough. Level with it and with little loose skin, an implant can still be enough. Below it, an implant alone will usually make the shape look heavier rather than better, and a breast lift is needed with it. This is the single most common point of disappointment in breast surgery, and it is settled at the examination rather than afterward.
Most people take about a week off a desk job. Upper body exercise waits four to six weeks and a support garment is worn initially. Soreness is most noticeable in the first few days, particularly with muscle placement. Swelling takes several months to resolve, so the shape at two weeks is not the shape at six.
Capsular contracture, where scar tissue around the implant tightens, is the most frequently reported complication and a common reason for later revision. Changes in nipple sensation can occur and are sometimes lasting. The FDA is clear that implants are not lifetime devices, and roughly one in five augmentation patients has an implant removed or replaced within eight to ten years. That is a planning fact rather than a complication. BIA-ALCL, a rare cancer of the immune system, occurs more often with textured implants than with smooth ones, and is discussed at the consultation.
Dr. Urbinelli trained at NYU School of Medicine and Bellevue Hospital and is an Active Member of the American Society of Plastic Surgeons, and all services sets out the full range. The practice also performs breast reconstruction after cancer surgery, so reconstructive and aesthetic breast work are handled by the same surgeon. You will be given a written estimate separating surgeon, anesthesia and facility fees, and told plainly if what you are asking for will not sit well on your frame. See financing or get in touch.
If you have been looking for neck lift surgery in Syracuse, NY, Premier Aesthetics offers a direct place to start with our expert surgeon, Dr. Leo J. Urbinelli. You will get honest guidance, a thoughtful surgical plan, and care focused on natural-looking results from him.
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