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What is a Breast Augmentation?

Our NJ breast augmentation procedure, or breast enhancement with implants, is a breast surgery procedure that enhances the breasts by placing implants under the breast tissues and/or the chest muscles.

This is not always a simple procedure, and significant preparation will determine the correct approach for your breast enhancement. According to the American Society of Plastic Surgeons, breast augmentation ranks #1 among the top plastic surgery procedures chosen by women in the United States. The experienced breast surgeons at Associates in Plastic Surgery are among the best, and will take time with each patient during their consultation and decide which procedure is ideal.

Dr. Haramis and Dr. Heller specialize in body and breast surgery, and they dedicate their time to breast augmentation, breast reduction, and body sculpting in New Jersey. They cumulatively have more than 50 years of experience and have performed thousands of breast surgeries. This allows our surgeons to be comfortable with the latest techniques to give you the best result possible. If you're considering an augmentation procedure, please call 732-548-3200 to arrange a private consultation.

A Word From Our Breast Surgeon, Dr. Harry Haramis

"Breast augmentation remains extremely popular. Many women are either naturally small or have had breast changes over time. Unfortunately, pregnancy, hormone changes, and aging can adversely affect a woman's breasts despite diet and exercise. Theses concerns are more evident without the support of a bra, bathing suit or clothing and may affect self esteem causing avoidance of activities. An attentive plastic surgeon will review these concerns in detail with the patient to best address them. Breast augmentation is not merely inserting the biggest implants to enlarge the breasts. There is an art to the process before, during and after the procedure.

Outstanding results will not focus only upon her breasts, but upon their unique relation to the rest of the patient. This will include present size, shape, position in relation to her body proportions, chest wall, any right to left asymmetries as well as skin and tissues. In some instances, a breast lift may also be beneficial at the time of augmentation. Of course, every patient is different and it is up to the plastic surgeon's artistic judgment and expertise to best match the outcome to the patient's desires.

Many options for implants, access incision, technique and plane will be reviewed. Implant style and size depends upon examination. Smooth round gels are the mainstay, usually under the muscle. In some cases, partially under the muscle (dual plane) or completely above the muscle may give a more natural look. Access is usually from under the breast crease while around the nipple areola or the axilla may be considered.

Most importantly, a patient must feel comfortable with her plastic surgeon. This usually requires more than one consultation with her plastic surgeon."

- Dr. Harry T. Haramis, MD, FACS, Board-Certified Plastic Surgeon

 
Breast Augmentation NJ

Getting Started with Breast Augmentation

Our breast enhancement in NJ can help to change the size and fullness of your breasts, but can also be performed to even out your appearance and the balance of your figure and to improve your self-confidence.

In order to ensure that this type of procedure goes properly, analysis of the breasts is very important. Dr. Heller and Dr. Haramis will make very precise measurements of not only the breasts, but their relation to the rest of the body. Some breasts are small to begin with so only a symmetric enlargement is needed.

Occasionally, the breasts are asymmetrical and therefore need to be enlarged and made equal in size. This is where the expertise of our surgeons becomes so vital, as they can evaluate your breasts and determine exactly how much to add to one of your breasts so you can be comfortable with even, beautiful breasts.

Breast implant types

You will be able to choose between saline or silicone gel implants. Both are safe, FDA-approved, and present no health risks. Silicone implants are currently the most popular because they tend to look and feel more natural. However, they can sometimes be more expensive.

Saline implants, which are less expensive, can be placed through smaller incisions in different locations such as the underarm and then filled.


Silicone breast implants

Our silicone breast implants in NJ have a silicone exterior and are filled with a silicone gel. They have undergone extensive testing and leakage should be extremely rare. Even with the rare occurrence of leakage, the silicone gel is cross-linked to make it more cohesive and less likely to spread throughout the body, possibly leading to pain or, rarely, infection. Silicone breast implants are approved for women 22 and older.

Saline breast implants

Saline breast implants are made of a silicone shell and filled with sterile saline (salt-water). They are inserted, then filled to the desired size and volume that you and our plastic surgeons have agreed would look best for you. Saline breast implants still have a natural look and feel, though many women agree that silicone breast implants often look more natural than saline. Saline breast implants are approved for women 18 and older.

Breast Augmentation Before and After Examples


Breast Augmentation NJ

This is a 26-year-old female who wanted to enhance the size of her breasts. She was a small B size and wanted to become a full C. Since she had some breast tissue to begin with, an inframammary incision was used and worked very well. Bilateral 300 cc saline filled implants were used, and the implants were placed into the submuscular plane. The patient was very happy with her natural result.

New Jersey Breast Implants

This is a 29-year-old female who wanted to enlarge her breasts. She was a size B and wanted to become a full C. An inframammary incision was used and worked very well. Bilateral 350 cc silicone implants were used, and the implants were placed into the submuscular plane. There is a nice natural shape to her breasts postoperatively.

Top Breast Augmentation in NJ

This is a 34-year-old woman who has already had 2 children. She is currently a small B and would like to be a C. You can see a small amount of droopiness of the breasts as well. She underwent breast augmentation using an inframammary incision. 350cc silicone gel filled implants were placed into the dual plane to give a little lift as well as enlarge the size. The patient was very happy with our breast implants in NJ procedure because they are now a better shape plus the silicone feels very natural.


The important thing is to remember your goals and priorities. A clear sense of what you want to achieve will enable you to make informed, reasoned decisions.


Recovery after your breast augmentation procedure

Your breast augmentation in New Jersey will be performed in our accredited surgery center in New Jersey under IV sedation or general anesthesia. Our facilities are Medicare certified and accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) to ensure the highest level of safety and comfort. We employ the best technologies and rely up on our experienced plastic surgeons to ensure your well-being.

Immediate Breast Augmentation Post-Op Info

You will be discharged after your surgery on the same day with a bandage and wrap in place. Some soreness, swelling, and bruising may occur, and muscle relaxants, painkillers, and antibiotics will be prescribed.

The breasts will often appear too high to begin with, but will fall nicely into position in subsequent weeks. Patients can typically return to work in 10 days, with no strenuous activity for 2-3 weeks.


Cost of breast augmentation

The price of breast implants varies among different areas of the country and different surgeons. In general, a basic breast enlargement using saline implants through a standard incision will be about $5000 plus the cost of anesthesia. If silicone implants are used, the price usually rises by $1000.

If different incisions are used, the case presents a higher degree of difficulty than others, or if a breast lift is also needed then the price will be higher.

At your free consultation, you will receive a detailed explanation of the costs involved for the entire procedure so there will be no surprises.

Patient Testimonial

"Dr. Haramis is absolutely excellent. I had a breast augmentation and lift done at Associates in Plastic Surgery's Edison office and could not be happier. From start to finish this has been such a great experience. The staff was so warm and nice and my initial consultation went great. I felt so comfortable speaking with Dr. Haramis and never got a pushy feeling. I hardly had any questions because he had already answered everything.

I also loved that when I asked if follow up appointments were included in the pricing he said yes, he also followed up with you can come back as many times as you would like which I loved. As far as surgery, I went in expecting to leave having a pretty decent amount of pain, but my recovery was excellent. I felt sore but really had no pain and 2 weeks later I had started back in the gym. A month later, I am now lifting the same weight as I was prior to surgery. I would 100% recommend Dr. Haramis to anyone."

- M.M

Patient Testimonial Videos

Breast Augmentation NJ

Tami talks about her breast augmentation plastic surgery experience with Associates in Plastic Surgery.

Breast Augmentation NJ

Ashley talks about her breast augmentation plastic surgery experience with Associates in Plastic Surgery.

Breast Augmentation NJ

Hear Eileen talk about her Smart Lipo & Breast surgery experience.


Choosing the right plastic surgeon

The breast augmentation procedure is several decades old, and millions of these procedures have been performed during that time. The procedure has been honed and improved, and we understand more about it than ever.

Because of this, increasing numbers of doctors feel confident offering the procedure without proper cosmetic surgery training. This isn't right for you. Make sure you choose an experienced plastic surgeon for your procedure.

Those statistics about the safety of the breast augmentation procedure are valid when the doctor performing your augmentation is properly trained and educated. The risk of this procedure – any procedure – increases greatly when the surgeon lacks experience and training.

Dr. Haramis MD, FACS, board-certified plastic surgeon, has extensive training, certification, and experience with breast augmentation procedures. Couple this with his amazing bedside manner and artistry, and you can be assured that you’ll get the best available care NJ has to offer.


Customizing your Breast Augmentation Procedure

With arguably the best breast augmentation NJ has to offer, we continually strive for perfection and boast an impressive safety record. This fact isn’t changed by any of the decisions you’ll be able to make. We don’t move forward with any procedure unless we know it can be performed safely and effectively.

Customizing your breast augmentation procedure includes choosing the right type of breast implant for you, selecting the ideal placement of your breast implant, and deciding how to best hide your breast augmentation incisions. Below, we further outline each of these important decisions.

Breast Implants Sizes

When considering a breast augmentation with breast implants, size matters. Many women want their breasts to appear larger without looking disproportionate. Others feel that they want to go as large as they can. The most popular sizes of breast implants range between 350cc to 400cc which adds up to an extra two cup sizes.

Common Sizes of Breast Implants

Common sizes range between 300cc to 500cc, although you can go as small as 100cc for a slight increase in volume, or as high as 800cc. Most women are looking to achieve a boost in volume of about two cup sizes and so range in the 300cc to 400cc area. Common sizes in this range include 330cc, 360cc, and on up to 400cc. You may also want to consider two different sizes of implants if you have one breast that is larger than the other, which is common for many women.

How many CC's in a cup size?

Cup sizes ranging from an A cup on up are measured in cubic centimeters, or cc’s. Every cup size goes up by roughly 130cc to 150cc depending on the band size of the bra. So, if you are currently wearing a B bra cup, then getting an implant of roughly 150cc will likely achieve a C cup size. When attempting to determine the size of your breasts, however, do not use the size of your bra as an accurate representation of your breast size as bra sizes vary between manufacturers.

Determining my Implant size

This will take detailed discussion during the consultation phase, so that both you and the surgeon have a clear idea of your exact cosmetic goals. Key factors to consider will be:

  • Your height
  • You width
  • Rib cage circumference

These will help to establish which implant sizes would best match your figure, look natural, and achieve the increase in breast size that enhances your quality of life.

Breast Augmentation - Frequently Asked Questions

Who is a Candidate for Breast Augmentation?

Women who are dissatisfied with the size of their breasts who wish to enhance their curves can benefit from breast augmentation. In general, women who seek breast augmentation should:

  • Be in good health
  • Have fully-matured breasts
  • Not be pregnant or breastfeeding
  • Have realistic expectations for the outcome of breast augmentation

How Long will the Results of Breast Augmentation Last?

Breast augmentation results are long-lasting. You should have your breast implants monitored by your physician each year to watch for changes both in your body and the implant. Natural changes in your body as it ages, your own personal preference, or aging implants may cause you to consider implant revision surgery in the future.

Will I be Able to Breastfeed Following Breast Augmentation?

Your ability to breastfeed following breast augmentation is determined by the placement of your implants. Women who choose to have their implants placed under the muscle tissue have a greater possibility that they will be able to breastfeed following their augmentation procedure.

Why Should I Choose Associates in Plastic Surgery for my Breast Augmentation?

At Associates in Plastic Surgery, we are dedicated to your physical and emotional well-being. From the moment you enter our New Jersey offices, you will be greeted warmly and welcomed into our practice. Our surgeons produce lovely results and have vast experience in breast augmentation, performing each procedure with skill and artistry.

Breast implant placement options

The sub-muscular implant position is almost always used for breast augmentation. The muscle coverage offers more support and camouflage of the implant. The placement of the implant in the sub-glandular plane is only done occasionally in the situations of strange anatomy or in people who will be using their pectoral muscles a lot, such as women body builders.

In some circumstances, a dual-plane placement, in which the implant is placed partially beneath the muscle wall and partially beneath the breast tissue, is used in patients who need a little more fullness in the upper part of the breast. This can help avoid the need for a breast lift in some patients.

Infographic explaining breast implant location options

Breast Augmentation NJ

Dual Plane Breast Augmentation

The dual plane technique was developed for women with minimal breast droop, or ptosis - as well as those desiring a more natural, lower fullness in their final result. The dual plane approach produces more of a teardrop effect, as opposed to upper pole fullness that looks more like a dome.

During a dual plane augmentation, the breast implant is placed under the pectoral muscle at the upper part, and over the pectoral muscle at the lower part. There are varying degrees of muscle coverage based on the patient’s current breast shape and desired result. For this reason, it’s important to choose a surgeon who can aptly determine the correct degree of coverage.

Breast augmentation incision options

Once you’ve chosen that you would like to undergo our breast implants in NJ surgery, where you would like the implants placed, and the type of breast implant, it is important to discuss breast augmentation incision options with our plastic surgeons.

Here are your choices:


Inframammary incision

This is placed in the natural crease under the breast and is about one to one and a half inches long. This approach is easy and the incision usually heals to the point where it is almost invisible.

TUBA (trans umbilical breast augmentation)

A hidden incision in the belly button is used to place the implants so no scar is seen around the breast itself. This is a wonderful way to enhance the breasts with minimal evidence that a surgery was even performed.

Axillary incision

A small incision is made under the muscle in each armpit. The breast implant is placed into the pocket created and the incision heals extremely well. This is another great way to perform breast augmentation with no incision on the breast at all.

Areolar incision

An incision is made around part of the areola and nipple. After healing occurs the incision blends in well and is very difficult to see.

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Possible complications associated with breast augmentation

In 2015, the American Society of Plastic Surgeons (ASPS) reported that breast augmentation was the most popular plastic surgery procedure with 279,000 procedures performed. Because of how common breast augmentation has become, the likelihood of complications is minimal. However, with any surgical procedure, there is always some chance of complications.

The breast augmentation procedure has an excellent safety record, but there are still risks. We believe that it's crucial for you to understand those as part of your research into the procedure. Potential complications include:

  • Infection
  • Loss of sensitivity in the breast
  • Anesthesia complications
  • Capsular contracture – a hardening of breast tissue after breast implants due to scar tissue

We will walk you through the procedure and its risks well before you undergo your breast augmentation surgery. Our plastic surgeons are committed to ensuring that you know as much as possible before committing to any procedure.

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"I feel so confident now after having my breasts done. Thank you, Dr. Haramis, for giving me that."

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