Westchester & NYC Plastic Surgeon

Harrison & Valhalla: (914) 761-7070

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Considering Breast Implants? What You Need To Know

Considering Breast Implants? What You Need To Know

Do you wish your breasts were bigger, fuller and firmer? Would you like to feel sexier in bathing suits and lingerie? Are your breasts two different sizes or shapes? If the answers to any or all of these questions is yes, this might be the right time to consider breast augmentation with breast implants, not only to enlarge the size of your breasts but also the way you feel about yourself as a woman.

Deciding to have breast augmentation surgery is a big decision, impacting how your breasts look and feel for the rest of your life. I feel strongly that the best patient is an informed patient, and therefore I would like to share information about this plastic surgery procedure so you will have realistic expectations and will be satisfied with the results. To learn more about the range of breast surgical procedures I offer to help you get the breast size and shape you're looking for, click here.

I offer three types of breast implants, all of them safe

  1. Silicone breast implants—filled with silicone gel.
  2. Saline breast implants—filled with saline (sterile saltwater).
  3. Natrelle® gummy breast implants—filled with silicone gel. Choose from five profiles (low to extra full), four degrees of fullness (minimal to maximum) and three levels of cohesivity (gumminess).

Most women—and most plastic surgeons, myself included—prefer the look and feel of silicone implants rather than saline. Silicone implants are generally considered to look and feel more like real breast tissue, while saline implants are more prone to cause rippling of the skin. Women are also reporting high satisfaction rates with the new gummy versions because they can choose the size and shape of their implants for a more customized, unique look.

Learn more about breast implants in this short video

Watch my video about your breast implant options by clicking on
 the image below.

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What is involved in breast augmentation surgery

Breast augmentation surgery involves surgically inserting an implant filled with either silicone or saline (sterile saltwater) solution behind each breast. The most common site for the incision through which the implant will be inserted is in the crease just underneath the breast. It can also be performed around the areola. The incision is very small and inconspicuous in these locations.

Typically, a pocket is created for the implant behind the muscle between your breast and chest wall. Placing the implant behind the muscle creates a very natural appearance and makes it easier for you to obtain accurate mammograms in the future and reduces the risk of capsular contracture.

The risks of breast implants

Although silicone, saline, structured and gummy breast implants are all considered safe, there are some risks associated with each, including:

  • Ruptures
    Ruptures are a risk with either silicone or saline implants and are most commonly caused by wear and tear of the implant. Over time, the outside shell can fail, causing the implant to lose its integrity. If a saline breast implant leaks, the saltwater inside the implant is harmlessly absorbed into the body. When a silicone breast implant fails, the cohesive gel almost always remains within the pocket. In either case, a ruptured implant is almost always replaced. In general, a rupture becomes more likely as breast implants age. The FDA estimates that breast implants should last at least ten years, but studies have shown that some breast implants last much longer than that, while others may last less.  

  • The need for further surgeries
    As years pass, the shape of your breasts change. For some women, this is a loss of tissue or sagging skin. For others, it can be the development of asymmetrical breasts (one larger than the other or lower than the other). Pregnancy and breast feeding can also result in changes to breast shape. These changes cause many women to choose to have further surgeries to reshape their breasts as they age.

Are you a good candidate for breast augmentation?

As well as improving a woman’s confidence, self-esteem and body image, the most common reasons for breast augmentation are:

  • Small breasts
  • Asymmetrical breasts
  • Drooping or sagging breasts after pregnancy and breastfeeding
  • Changes in breast size or shape due to weight loss
  • Reconstruction after surgery to treat breast cancer
  • Cosmetic improvements after breast reconstruction

You are not a good candidate for breast augmentation if:

  • You have had previous radiation therapy
  • You are under 18 years old
  • You do not fully understand breast augmentation surgery and/or breast implant procedures
  • You do not have realistic expectations about breast augmentation surgery
  • You are pregnant, breastfeeding or have an infection

I perform breast implant surgery at Surgical Specialty Center

I perform breast augmentation procedures at the Surgical Specialty Center of Westchester located in Harrison, NY. Each of the Center’s four operating rooms is fully equipped with state-of-the-art anesthesia (provided by a board certified anesthesiologist), emergency equipment and everything else I need to provide excellent care to each of my patients. To learn more, click on the image below.

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If you have breast implants, especially textured ones, you should call your plastic surgeon or come see me for an exam

If you have any type of breast implant — saline, silicone, textured or gummy — it’s important to get them checked for ruptures, slippage, leakage, swelling, the above-mentioned rare cancer or any other potential problems. For my patients with implants, I strongly recommend getting them checked once a year. If you have textured implants which are part of the Allergan recall, you should act even sooner — get them checked right away.

Symptoms of potential problems include:

  • Pain
  • Lumps
  • swelling
  • breast asymmetry

If you are experiencing of these symptoms, consult your plastic surgeon right away. However, if there are no symptoms, there is no reason to remove the implants.

See the beautiful results for yourself

To see unretouched “before and after” photos of actual patients of mine who have had successful breast implant surgery, please visit the Breast Augmentation page in the Photo Gallery section of my website.

To learn more about breast implants, I recommend these 3 blogs

So that you can be fully informed about this important decision, I’ve written several blogs explaining the many aspects of breast implant surgery:

Considering breast augmentation?

If you are thinking about breast augmentation and would like to schedule a free consultation, please contact me and I will send you additional information prior to your appointment. During our consultation, I will assess the current appearance of your breasts, your reasons for wanting surgery, and your expectations. Then together, we will decide which breast procedure will bring you the results you’re looking for. I specialize in the most advanced techniques of breast augmentation surgery and am ready to help you achieve your goals. 

For more information on the many types of breast procedures I offer, please visit these pages on my website

You can find a good deal of information on my website about the many breast procedures available to you: 

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Board certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS), and a Fellow of the American College of Surgeons (FACS), Samuel J. Beran, MD is a highly accomplished plastic surgeon with offices in Manhattan, Harrison and Mount Kisco, NY. With more than 20 years’ experience and a thorough command of the most advanced techniques and technologies, Dr. Beran consistently provides his patients with the highest level of plastic, cosmetic and reconstructive surgery of the breast, face, skin and body. Recently, Dr. Beran was named a “Top Doctor” by RealSelf for his dedication to responding to consumer questions and patient feedback. The “Top Doctor” designation is awarded to less than 10% of the RealSelf physician community.

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"Dr. Beran is a board certified plastic surgeon, specializing in cosmetic surgery procedures such as breast augmentation. He is amazing and I definitely recommend him."

-Olivia