Breast Augmentation

Breast enlargement surgery, or augmentation mammaplasty, is a procedure in which saline or silicone gel breast implants are used to increase breast size.

The women who come into our Philadelphia plastic surgery office tell us that they want to stop being self-conscious about their underdeveloped breasts, to regain their pre-pregnancy bustline or restore their breast shape after significant weight loss. They are having surgery to feel confident in a bathing suit, to fit into their clothes better, and to feel as good about themselves on the outside as they do on the inside.

Cara McCollum (left), Miss New Jersey 2013 and a student at Princeton University, talks to Ruth Weisberg, a former Miss Philadelphia, about why she decided to get a breast augmentation and why she chose Dr. Ted Eisenberg to do it.

The Consultation

We allow about an hour for your free breast implant surgery consultation so you have plenty of time to get answers to all of your questions.

Dr. Ted Eisenberg will examine you in the presence of one of his office staff, and if you desire, your significant other. He will take your medical history, discuss your specific health considerations, measure your breasts, and talk to you about the surgical approach that’s best for you. You’ll be able to discuss your expectations and find out what breast enlargement surgery can accomplish. Dr. Eisenberg can also tell you whether or not a breast lift is needed.

Next, you’ll look at our before & after photo albums. You’ll get to see at least a dozen women similar to you in height, weight, and starting breast size, as if you were looking at yourself in a mirror. We also have post-op pictures showing how women look in their bras, shirts and tank tops. You will be able to see how you would look after surgery and pick the size you like best. Your pre-op pictures are taken the morning of surgery. All pictures are from neck to waist; no faces are shown. You do not have to be in a before & after photo album or on the website photo gallery. Dr. Eisenberg, an expert in breast augmentation surgery, will then help guide you in choosing the appropriate size implants for you.

If you are interested in proceeding with surgery, you can select a date. Depending on your age and family history, you may be asked to get a mammogram (breast x-ray) before breast surgery.

Whether or not you choose to have surgery, we guarantee that you’ll leave our office with accurate and honest information. And if you want more information, you can read the answers to hundreds of actual patient questions in Dr. Eisenberg’s award-winning book, The Scoop On Breasts: A Plastic Surgeon Busts the Myths. Read more about it here.

When you are ready for your free consultation, call us at 1-888-SHAPE-12 or complete our initial virtual consultation form. Dr. Eisenberg will review your form and photos and call you promptly to answer your preliminary questions.

“I feel gypped. I’ve been a size 34A since eighth grade.” – Samantha T.

 

Breast Implant Incisions and Placement

Although breast implants can be inserted through an incision made around the nipple or in the armpit, Dr. Eisenberg inserts them through an incision under the breast near the crease. There are fewer vital structures to go through, unlike an underarm incision, which may involve blood vessels and nerves to the arm, and an incision through the nipple, which could interfere with milk ducts and healthy breast tissue.

When the incision is made beneath the breast, the pocket behind the muscle where the implant will be placed can be seen and reached easily without touching the breast tissue. This placement allows the incision to be fairly well hidden.

Dr. Eisenberg places saline implants and silicone implants behind the pectoral (chest) muscle, not in front of it, for the following reasons:

  • The muscle blunts the part of the implant that peeks out of a tank top, bra or bathing suit, creating a more natural look. There is less chance of seeing or feeling the rim of the implant.
  • There may be less chance of infection and capsular contraction (hardness).
  • There is less shadow cast by the implants during a mammogram.
  • Manual breast exams are still possible after the augmentation.

Dr. Eisenberg has used this approach for more than 6,000 breast augmentation patients and has found it to be safe and successful.

“My breasts look and feel so natural. My new boyfriend didn’t know that I had implants until he saw old pictures of me in a bikini, which had been taken before surgery.”  – Barbara S.

 

Breast Augmentation Surgery

Your procedure is done in the safety of the operating room at Nazareth Hospital. On the day of surgery, your support person can stay with you until you are transferred to the operating room. That means he or she can be by your side when you meet the anesthesiologist and when Dr. Eisenberg marks the incision site, takes pictures for you and your records, and reviews your postoperative medications and diet. Then you’ll have to say goodbye – or ta-ta!

Breast enlargement surgery takes less than one hour. After surgery, you will be cared for in the recovery room by compassionate nurses until you are ready to go home later the same day. You must arrange for someone to drive you home.

 

Recovery

The first three days after surgery, women who have had children commonly say they feel like they did when their breasts were fully engorged with milk after childbirth. Women who have not had children describe the feeling as some tightness, burning or pressure. Dr. Eisenberg will prescribe medications to make you more comfortable during this period. The discomfort usually starts to ease up on the fourth day after surgery. More than 90 percent of the patients say they are back to work in an office setting on the fifth day.

  • Three-quarters of our patients report no nausea and vomiting from the day of surgery on; the rest report minimal symptoms.
  • You can take a shower the day after surgery.
  • By the third day, many women are able to comfortably lift their children; they can also drive a car if they are not taking narcotics. Patients can generally return to aerobics in three weeks and upper body weightlifting in six weeks.
  • Your first postoperative visit is usually within a week. Your stitches are dissolvable, so there are no stitches to remove at this visit — or ever. There are no drains to be removed either; they are never used.
  • It may take between three and nine months for your augmented breasts to achieve their final shape, so we recommend that women wait at least eight weeks before making a major investment in new bras.

“I couldn’t be happier with the results of my breast augmentation surgery. Thank you for making my dream come true; this is what I’ve always wanted! Based on my results and the care I received from your staff, I would recommend anyone to your office. My mother also says thank you for taking care of me as if I were your own!” – Kristina