In the past, breast augmentation involved pain and a long recovery. Advances have nearly eliminated the pain and recovery is remarkably short… just days. Breast augmentation is performed as an out patient in Dr. Studin’s accredited surgical facility. It is done while lightly asleep and takes only about half an hour! In a few hours you are back home. If you prefer, hotel accommodations are right across the street. The incisions are usually only at the bottom of the areola, although occasionally it is recommended to use the fold beneath the breast. The axillary or arm pit incision and the TUBA (trans- umbilical breast augmentation) will be explained in your consultation. The implants are almost always placed beneath the chest muscle, called sub pectoral breast implants. This is better for future mammograms and a natural look and feel.
20 Min Procedure
The extensive consultation and the time spent picking your implants is often longer than the procedure itself! Most breast implant cases take less than half an hour and within a few hours you are comfortably at home.
Pain after surgery and a long recovery is just not necessary anymore with the specialized techniques used by Dr. Studin. Long–acting local anesthetics prevent the need for excessive anesthesia both during surgery and narcotics after surgery. Most patients are remarkably pain-free and back to work in about 5 days.
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If you would like larger, shapelier, higher or more symmetrical breasts, through breast augmentation, the exclusive, private practice of Dr. Studin can provide you with the results you have been dreaming of!
Breast augmentation is a very common plastic surgery procedure that enhances the breasts (and, if necessary, lifts them as well) in order to achieve the desired aesthetic result. Women who are unhappy with their breast size, symmetry, or the "droop" of their breasts are the most popular candidates for breast augmentation surgery.
Women of all ages seek breast augmentation, ranging from 18 to over 70 years old. If you want your breasts to be larger, more shapely, or more symmetrical, then you are probably a good candidate for breast augmentation.
Dr. Joel Studin is is an innovator and leader in the field of plastic surgery, has over 40 patents that have been issued related to plastic surgery and the breast implant procedure, and is known for utilizing the most advanced, cutting edge techniques. In his experienced hands, the procedure usually takes a hakf an hour or less and you are home, virtually pain-free within hours. He is on staff at North Shore University Hospital and St. Luke’s-Roosevelt Hospital, in addition to running his own private practice. He He is proud to be board certified by The American Board of Plastic Surgery and has trained or worked at Columbia University Medical Center, NYU, Harvard Medical School and The Mount Sinai Medical Center.
Dr. Studin tailors each breast augmentation procedure to the patient's unique body as well as their breast type and shape. Reach out to us to schedule a breast augmentation consultation.
Dr. Joel Studin, a Fellow of the American College of Surgeons, has worked in the field of plastic surgery since 1985. He is particularly lauded for his work as a breast augmentation surgeon and has received widespread acclaim for his accomplishments in this field, including having a patent issued elated to breast implants.
As a result of his incision choice and technique, the majority of his patients experience minimal visible scars after the procedure. When it comes to breast augmentation surgery, there are different incision locations that can be used. Options include transaxillary incision, which is made in the armpit; periareolar incision, which runs along the line between the dark-colored areola and the lighter surrounding skin; inframammary incision, which sits in the crease below the breast; and transumbilical incision, which allows the surgeon to insert an implant via the navel.
Types (Select One)
The inframammary approach, often called the crease incision, was the first approach for breast enhancement surgery. The opening is created in the crease under the breast, called the inframammary fold, where the breast meets the chest wall. In most women, breasts of even moderate volume will conceal this crease, when standing. However, when lying down or in a bikini, this incision can be very visible. The surgeon creates an opening along the fold under the breast, forms a pocket, and then places and positions the implant.
Inframammary Incision Advantages
Some plastic surgeons prefer this approach because it is easier to place and position the breast implant. Many patients prefer it because they believe that this approach does not affect nipple sensation, and they do not have to worry about whether they will experience breastfeeding complications after the surgery. Both of these concerns should be discussed with Dr. Studin and often they are not a factor to worry about.
Inframammary Incision Disadvantages
The main drawback of the inframammary approach is that the scar can be very visible, especially when lying down or wearing a bikini or halter top
This approach involves placing an incision in a semi-circle at the lower half of the areola (periareolar). The implant is then inserted through the opening and placed into position.
Areolar/Periareolar Incision Advantages
The benefits to this kind of approach are numerous: the openings are typically small and heal well, creating a well-concealed or nearly invisible scar that blends in with the color and texture variations of the nipple itself. Remember, if you cut your lip it heals really well. If you cut your cheek you see a visible scar. The inframammary incision is like the cheek, the areola is like the lip. Usually, the scar is barely visible, and any remaining scar tissue is visible only without clothing. Also, because of the central location, during surgery the surgeon can easily and precisely position each implant so that it is placed in the most attractive location. Future breast surgeries can be performed from the same opening.
The incision DOES NOT involve the nipple or underlying milk ducts. It is at the junction between the areola and skin, far from the nipple. It does not prevent breast feeding, unlike what some think.
It is NOT in the path of the nerves to the nipple. These nerves follow the 4th rib coming around from the spine, go through the armpit and enter the nipple from the upper side towards the arm.
Dr. Studin is able to place the implants this way even in patients with very small areolas! This is simply not an issue.
Like any incision anywhere in the skin, the scar can overgrow and be visible. This is unusual for this incision and is hidden under the clothing in those few cases where it does.
The transaxillary approach requires placing an incision in the crease of the armpit. For women who have not had prior breast enhancement, do not need a breast lift, and prefer a saline implant, this can be used for breast augmentation incision placement. The surgeon creates a small incision in the armpit and then forms a pocket in the chest wall for each implant. The implant is filled with saline after it has been placed in the chest pocket. It si not appropriate for silicone implants.
Transaxillary Incision Advantages
Some patients ask for this approach because they do not want any scarring on or near their breasts.
Transaxillary Incision Disadvantages
The cons of this procedure relate to the fact that the surgeon cannot directly visualize or feel the breast tissue, resulting in less control and precision when placing the implant. In addition, some patients have noted that the armpit scar is visible when wearing sleeveless tops and can make shaving more difficult. MOST IMPORTANTLY, the nerve that supplies feeling to the nipples goes right through the armpit and loss of nipple sensation following this surgery is a significant concern.
The Transumbilical Breast Augmentation (TUBA) or Belly Button Incision is made on the upper-inside edge of your belly button. From there, empty, rolled-up implants are pushed through a tube up to the breasts and inflated once they’ve been positioned.
Transumbilical Incision Advantages
The primary benefit of the transumbilical incision is that the scar is hidden in the navel, so you can’t see it.
Transumbilical Incision Disadvantages
That said, there are a number of negatives involved with transumbilical incisions. For one, the surgeon has to control the procedure from the belly button area–far away from the breasts–which makes it difficult to position the implants. Furthermore, the implants cannot be filled until after they’ve been inserted, so you can only use saline implants. These two facts make it much more difficult to achieve natural-looking results with the TUBA incision. It also alters the fold under the breasts which can make them look unnatural.
Book a consultation with Dr. Studin today to learn more about which is best for you.
Silicon Vs. Saline Implants
When planning a breast augmentation treatment, there are a lot of crucial factors to take into consideration, one of which is whether or not to get silicone or saline breast implants. There are very clear reasons why one would choose silicone or saline implants.
There is no significant difference in illnesses or complications associated with choosing silicone or saline implants. Many people feel they only want the “more natural” saline implants. However, saline implants have a silicone shell. The part that touches you is actually the same. There is no such thing as a saline implant without a silicone surround.
Silicone and saline implants actually weigh the same. They look the same. But they do not feel the same.
Teardrop Breast Implants
Teardrop implants, sometimes referred to as shaped or anatomic implants, have a shape that was designed to simulate the look of a natural breast. This particular kind of implant has an asymmetrical form, with a thin upper portion that gradually slopes into a fuller, rounder base. The lower section of the implant contains the greater portion of its total volume. While this seems like it should be a good idea, it is really not. The reason is, that while shaped like a teardrop at first, over months and years the weight of the gel will stretch the bottom a little bit. In these implants, the top was almost empty when you started. By a few years later, it is totally empty on top making it look saggy. Not a great idea.
Since teardrop implants are asymmetrically shaped, they carry a risk of rotating within the breast pocket. This implant rotation issue can compromise the shape and symmetry of the breasts and requires corrective surgery to fix. Round implants are perfectly symmetrical, and thus they carry no risk of rotating.
Round Breast Implants
Breast augmentation procedures typically involve the use of round implants because they are the most natural-looking option. A round implant does not give you a phony looking round breast. The way you get a phony looking round breast is by putting the implant over the muscle when someone has poor skin, fat and breast tissue coverage over it. Since the implant takes the shape of the surrounding tissue, these look very natural when they have settled into place. This shape avoids the emptiness on top often seen with teardrop implants. In fact, round implants have a tendency to look more natural when the patient is lying down because their filler gets equally distributed throughout the implant, whereas teardrop implants continue to be constrained to their original shape.
Round implants often have a uniform viscosity that is more natural-feeling and are made of either saline or silicone. They are available in a wide range of projections (the distance they extend outward from the front of the chest wall) and diameters.
Gummy Bear Implants
The semi-solid gels used in the construction of teardrop implants, sometimes known as "gummy bear implants," are another option (cohesive silicone gel). As a result of the relative firmness and stability of these materials, they keep their teardrop shape whether you are sitting, standing or sitting. Natural breasts do not behave this way. Therefore, these can look unnatural. Since Gummy Bear implants keep their shape no matter what, they can rotate in the pocket and look very asymmetrical. They are not a popular choice among plastic surgeons at all.
A comprehensive discussion on breast augmentation is given by Dr. Studin. You will be given instructions on all preparatory precautions to ensure that you feel completely comfortable throughout the procedure. Dr. Joel Studin feels that every patient's treatment plan, from the choice of implant material to the precise placement of the implants, be customized to the patient's individual anatomy and the cosmetic goals. You will review a lot of photos of past patients and learn about all of the different choices that you have. You will also learn about the operative procedure and Dr. Studin’s patients’ very short recovery time after you leave the accredited ambulatory surgery facility attached to his office. Some people stay overnight with a nurse, however, most feel it is not necessary and they are very comfortable after the surgery. That is an individual choice you make after your discussion with doctor student.
Breast Implant Sizes
Figuring out what cup size you would like to be after breast augmentation is not the same thing as selecting the appropriate implant size for your breasts. Today, cup- size doesn't work at all. Some clothing manufacturers cut things big so people could brag that they're a small size and some bra manufacturers purposely put larger labels on smaller cup size bras so people could brag they have large breasts. It's really all marketing.The size of an implant is determined by its volume, not its cup size, and there are a wide variety of considerations to take into account when selecting the most suitable one to match your desired look. Further, Dr. Studin’s vast experience has taught him that measurements don't work at all. Instead, this is pretty simple. You need your eyes, a mirror and implant sizers. Your breast plus the implant in a sports bra placed properly by the doctor will show you pretty much exactly what you are going to look like once you have healed, as long as there is no abnormal healing.