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Breast Augmentation

Dr. Cutolo explaining breast augmentation

Year after year in the United States, the most popular cosmetic surgery procedure is breast augmentation. In Staten Island and Brooklyn, an increasing number of women are also opting for that breast enhancement choice. Whether they always wanted larger breasts or have that "deflated" appearance from pregnancy or weight loss, these women recognize that breast augmentation can provide them with the results that they want.

Dr. Cutolo explaining breast augmentation

Take the first step to achieving those fuller, beautifully shaped breasts. Request a complimentary consultation online, or call us today at (718) 720-9400 to schedule a visit.

Breast Augmentation Before & After

Before
After
This 20-year-old woman got round, smooth, saline implants to achieve the fullness she had long desired. View more cases in our breast augmentation gallery.

Who is a Good Candidate?

Women considering breast augmentation vary in age, reasons for choosing this procedure, and expectations. What they share, however, is their goal: to enjoy full, natural-looking breasts to enhance their body's contours. Women often choose breast augmentation to:

  • Restore volume after pregnancy or weight loss
  • Create balance between asymmetrical breasts (different sizes)
  • Improve breast shape and size
  • Look and feel more attractive

If you also want to elevate your breasts to a more youthful position, Dr. Cutolo may recommend combining breast augmentation with a breast lift (mastopexy) – an option many women choose.

Meet Dr. Louis C. Cutolo Jr.

A board-certified plastic surgeon in Staten Island, Dr. Louis Cutolo, Jr. is an active member of both the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery and a Fellow of the American College... Read On

Request Your Consultation Photo Gallery

Dr. Louis C. Cutolo Jr.

A board-certified plastic surgeon in Staten Island, Dr. Louis Cutolo, Jr. is an active member of both the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery and a Fellow of the... read on

Meet Dr. Cutolo Request Your
Consultation
View Before &
After Photos

Your Options

Prior to the surgery, Dr. Cutolo provides a complete consultation to discuss choices related to breast implants and other options available at his Staten Island practice. You'll talk about such factors as implant size, shape, and material, as well as where your incisions will be and whether your implants will be above or below your chest muscle. Read on to learn more about these options.

Understand What's Possible: Crisalix 3-D Imaging

Dr. Cutolo offers his breast augmentation patients the opportunity to preview their potential results using Crisalix 3-D imaging. With Crisalix, you can see how your breasts may look with different size and implant placement options. We find that it helps make those decisions more tangible for your breast augmentation, and patients often have more peace of mind about the direction of their procedure. You can also choose to share your 3-D images with loved ones online.

Dr. Cutolo uses the Crisalix system exclusively for breast augmentation patients. He uses the VECTRA® 3-D imaging system for facial plastic surgery patients.

Implant Size & Shape

Dr. Cutolo offers a wide range of sizes to suit your preference. These are measured in cubic centimeters, or cc, rather than bra cup sizes, which can vary. It's helpful to bring in photos of other women with the size of breasts you'd like to have. Dr. Cutolo can take measurements and make a recommendation to meet your goals.

While we offer both round and anatomically shaped implants, the round moderate profile is the implant of choice for almost every breast augmentation. Round implants are dome-shaped, and they provide even fullness all around the breast, which creates a more dramatic transformation and more cleavage. Anatomically shaped, or "teardrop-shaped" implants, have more fullness at the bottom and provide a more subtle enhancement. It's important to note that anatomically shaped implants can move after surgery, resulting in an uneven appearance.

Implant Material: Silicone vs. Saline

Dr. Cutolo offers both saline-filled and silicone-filled breast implants. Check out some of the advantages of each:

Silicone
Approved for patients 22 and older
Typically a bit more expensive than saline
Require slightly longer incisions because they are pre-filled
More natural look and feel, so appropriate for placement either above or below the muscle
Saline
Approved for patients 18 and older
Typically a bit less expensive than silicone
Require shorter incisions because they are filled after being inserted
Slightly less natural look and feel, so usually better for placement below the muscle

Incision Placement

Dr. Cutolo can use different incisions, depending on your goals.

  • Inframammary: in the fold beneath the breasts
  • Periareolar: along the lower border of the areola
  • Transaxillary: in the armpit

Dr Cutolo generally recommends the inframammary incision. He will go over all of the options with you during your consultation.

Implant Placement

Your breast implants can be placed either above or below your pectoral muscle. The best choice for you depends on how much existing breast tissue you have, your goals for recovery, and which type of implants you choose. Dr. Cutolo can talk you through each factor.

Your Procedure

Dr. Cutolo performs this surgery on an outpatient basis at a hospital or in a state-of-the-art surgical facility. The patient is under general anesthesia and asleep during the procedure. To insert the implants, Dr. Cutolo makes a small incision in each breast. He inserts the implants and adjusts them to ensure symmetry and a natural look before closing the incisions with sutures. The procedure usually lasts from 1 to 2 hours.

Recovery

During your consultation, Dr. Cutolo will discuss your post-operative instructions. In general, he recommends that you rest and limit your movements to speed up the healing process and recovery time. After your surgery, he applies bandages to facilitate your healing. Some patients experience moderate pain, which can be treated with prescription medication from Dr. Cutolo. To minimize swelling and provide support to your breasts as they heal, you will need to wear an elastic ACE bandage for the first 4 days, and then a sports bra for the next 3 weeks.

Results and Benefits

After they have healed, most of Dr. Cutolo's patients report feeling more self-confident and satisfied with their transformed figure. From shopping for new tops, bras and bikinis to enjoying an enhanced body image, these women say that they love their new proportions and shape.

Frequently Asked Questions

Are there any non-surgical alternatives?

Besides using silicone bra inserts to create the illusion of a fuller bust, there's no non-surgical option for significantly increasing the size of your breasts. Surgical breast augmentation is the only proven long-term solution. Moreover, today's breast implants are more durable, safer, and more customizable than ever, not only adding volume but also improving the shape and projection of breasts for a result that's tailored to your exact specifications.

How long does it take for breast implants to settle?

Immediately after surgery, your implants may appear to sit high on your chest. Additionally, the skin around them may look and feel tight. This effect is perfectly normal, especially among patients who have a small amount of natural breast tissue or those who choose large implants. Your body needs time to acclimate to the presence of the implants. Over time, your skin and tissue will naturally expand to accommodate them, and they'll soften and "drop" to a lower, more natural-looking position. This process can take several months to complete, so patience is important. Your results should be clear after about 6 to 8 months. Dr. Cutolo evaluates the shape and position of your implants during your follow-up appointments to ensure you're healing on schedule.

I work out a lot. What are my activity restrictions during recovery?

Any activities that require you to put undue stress on your chest muscles, including heavy lifting and upper-body strength training, should be avoided for up to a month after breast augmentation. This gives your body the opportunity to heal and ensures you get the best results possible. You should hold off on all vigorous activity, even that which doesn't affect the chest, for at least 2 weeks after surgery. This is because exercise elevates your heart rate and blood pressure, which can exacerbate swelling, bruising, and bleeding. Dr. Cutolo understands that it can be difficult for very active people to delay exercise after surgery, but it's important to listen to your body and not overexert yourself. Instead of high-intensity workouts, he recommends taking light, short walks a few times a day.

For more answers to your questions about breast augmentation, visit our Breast Augmentation FAQ page.

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