Breast Implants

Breast Augmentation is one of the most common aesthetic procedures that Dr. Bastidas performs in his New York and New Jersey locations.  Our goal is to create fuller but naturally appearing breasts that are customized perfectly for your body type.  On our initial consultation, a thorough exam will be performed and the various options will be discussed.  Implant type (saline or silicone), Implant shape (smooth round or anatomic) and incision placement (around the areola or underneath the breast) will be determined. 

 

Breast Implants Before

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

 

Breast Implants After

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

 

Breast Implants After

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

Saline Breast implants are round silicone shells filled with salt water.  They are mandatory for patients younger then 22 years old.  Saline breast implants can be placed using a smaller incision since they are not filled they are placed in the pocket.  When a saline breast implant ruptures the augmented breast will deflate and the asymmetry will soon be obvious.  Saline breast implants may sometimes cause rippling under the skin of very thin patients. Dr. Bastidas places saline breast typically in a sub-pectoral or sub-fascial plane to allow for proper tissue coverage

Silicone Breast implants offer superior texture and form to typical saline breast implants.  They can be round shaped or tear-dropped (anatomic).   They come in different sized and are preformed, therby requiring a typical 2 inch (5cm) incision in the breast fold for placement.  Today’s silicone is much more cohesive then previous years and a rupture would not likely lead to silicone “oozing out” like the previous generation models.  Dr. Bastidas uses smooth silicone implants, which have not been associated with ALCL.  That being said, Dr. Bastidas still recommends and offers routine exams and surveillance for any implant associated issues. 

Today’s breast implants have a more cohesive silicone gel structure and are often guaranteed not to rupture by the company (as a warranty).  I tell all patients that at some point in your life they will need to be exchanged or removed due to capsular contracture (typically 10-12 years).  Larger implants cause the breasts to sag faster, and Dr. Bastidas will often choose a smaller size for you if he thinks the results will look more natural and last longer. 
 
The surgery itself takes 1.5 -2 hrs (approx 3-3.5hrs if a breast lift is also performed) and is conducted as an outpatient. Recovery can be as simple as 1-2 days with minimal pain medication.
 
Breast Implants Before
 

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

 

Breast Implants After

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

 
 

Lift

 
After child-bearing, many women will often need a breast lift in addition to the implant placement.  Stretching and sagging of the skin needs to be corrected by excising the excess skin, tightening the envelope under which the implant is placed.  This will allow us to create the desired natural look and maximize our results.
 
A breast lift may involve a lollipop like incision (circumvertical) which goes around the nipple and down the face of the breast.  The nipple areolar complex is elevated to the new position and the excess skin is removed to tighten up the breast envelope.  For larger lifts, an anchor pattern (wise pattern) may be necessary and would add an additional incision underneath the breast. 
 
Breast lifts may often be combined with a breast augmentation, effectively making the breast bigger and more perky and elevated.  Dr. Bastidas recommends using smaller implants in these augmentation/mastopexy procedures to achieve natural youthful looking breasts. 
 
Breast Lift Before
 

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.

 

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   

 

Breast Lift After

Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.   Dr. Bastidas, a plastic & reconstructive surgeon in New York & Long Island, is experienced in Breast Implants & Lifts.