The New Silicone Gel Breast Implants

Breast augmentation surgery can be performed to increase breast size at any age, or to restore the fullness that is often lost after pregnancy and with aging. Breast implants have been vastly improved over recent years, and the latest silicone gel implants are available in various shapes, projections and consistencies for safe, natural looking and feeling breast enhancement.

Dr. Schwartz usually recommends silicone gel implants over saline-filled implants due to the improvements in how they feel, reduced rippling and better aesthetic outcomes. These implants now come in three consistencies ranging from softest to “gummy bear” or cohesive gel implants. What is unique about this design is the gel texture, much like gummy bears, which is where that name originates. These implants have been well studied and are considered extremely safe and durable for most women.

In addition to the different implant options, Dr. Schwartz will recommend the ideal incision and implant placement to further customize each breast augmentation procedure. It is most common to have an incision placed under the breast or in the nipple areolar complex, the pigmented skin around the nipple where it is easily concealed.

During the one- to two-hour procedure (which is typically performed under “twilight” anesthesia), the implants can be placed under or over the pectoral muscles. This decision may be based on the patient’s level of body fat or the thickness of their skin, as the goal is to produce the most natural-looking outcome. In general, Dr. Schwartz prefers to place the implants underneath the muscle since these give the most natural appearance and make future mammograms easier to read.

Board certified plastic surgeon Dr. Mark Schwartz personalizes each procedure based on each patient’s desired outcomes, as well as your body’s unique anatomy. Recovery after breast augmentation surgery is generally easy, and most patients report feeling tired and sore (similar to after an intense workout) for a few days after the procedure. Although you can go back to work and usual lifestyle rather quickly, it is important to avoid lifting or strenuous activity for two weeks after surgery. Any pain, swelling or sensitivity usually resolves within the first few weeks, and New York plastic surgeon Dr. Mark Schwartz uses dissolvable sutures so there’s no need for removal.

The color and texture of scars begin to improve over time and their appearance will continue to fade over the next year.

Interested in learning more? Schedule a consultation with board-certified New York plastic surgeon, Dr. Mark Schwartz, at 212.737.9090.