Breast Implant / Augmentation

Breast Augmentation

When small, uneven or droopy breasts are causing a loss of self confidence or embarrassment, breast augmentation offers a way to bring balance and contours to your body. Breast augmentation is the surgical enhancement or enlargement of the breast, and it is one of the most popular cosmetic surgeries in the United States. The procedure is designed to increase the fullness or projection of the breast and is most commonly done with the use of an implant.

The procedure is designed for one of several reasons: to it increase the size of a naturally smaller breast, to restore lost volume after pregnancy, weight loss or breastfeeding, or help achieve improved symmetry.

What is Breast Augmentation?

Breast augmentation is a surgical procedure that increases the size and projection of your breasts while reshaping the breast and correcting asymmetry. It can also reverse a deflated appearance in the breast that may have been caused by pregnancy, age, or weight loss..

The role of a breast augmentation procedure is simple: to enhance the projection and fullness of the breasts. In most cases, this can increase self-confidence and self-image, therefore increasing the comfort the patient feel in their own skin.

Reasons to Consider a Breast Augmentation

While the reasons why someone may want a breast augmentation are dependent on the individuals personal needs and wants.  The most common reasons for a patient to undergo a breast augmentation surgery are:

  • Size: The number one reason women undergo breast augmentation surgery is an increase in breast size and physical projection
  • Shape: Breast augmentation can achieve fuller, rounder, and more voluminous breasts.
  • Asymmetry: If a women’s breasts are asymmetrical in size or shape.  Breast augmentation can increase the attractiveness of the breasts by creating a balanced, more symmetrical silhouette.
  • Age: Over the course of a lifetime, the breasts may appear to deflate and lose volume. A breast augmentation can help to turn back the hands of time by providing enhancement to the atrophic tissues by reintroducing the loss volume.
  • Weight loss:. Breast augmentation surgery can address the loss of breast volume caused by significant weight loss.
  • Post-Pregnancy: Pregnancy causes a lot of changes to a woman’s body, including changes to the breasts—a breast augmentation can be part of a “Mommy Makeover” to help mother’s bodies bounce back to their youthful silhouette.

While able to increase the volume and projection of the breast, breast augmentation cannot correct the appearance of ptosis (drooping or sagging breasts). If this is the case, a breast lift (also known as a mastopexy) may be needed in conjunction with a breast augmentation procedure for drooping breasts to look fuller and more youthful.  Dr. Soto can assist you in making a decision that is best suited for for your desired goals.

Choosing the Right Implants

When considering which implants will be the most beneficial, the implant size, profile, material, and texture are all options to take into consideration. When making the decision for what enhances the natural you, make sure to consider both your body and your desired result. While the influx of information related to your implant may seem daunting, Dr. Soto can assist you in making the best decision for your individual needs.

The types of implants vary, as well as their advantages and disadvantages in use. Implants range in size and profile, may be filled with saline or silicone, and may be smooth or textured. Both silicone and saline implants are encased in a silicone shell, developed to resist punctures and ruptures.


Implant Composition

Saline Implants

Saline implants are filled with a solution of sterile salt water, encased in silicone. One of the main advantages of saline implants is that it can be filled with saline at the time of surgery therefore allowing Dr. Soto the ability to customize the size and volume of the implant to best suit the patient’s needs. A second main advantage of a saline implant is its cost efficiency. Saline implants cost less than silicone implants.

Silicone Implants

Silicone implants have a silicone shell, filled with a thick silicone gel. Silicone implants have several advantages over saline implants. One advantage is the fact that silicone implants have much less chance of rippling, appearance of lines in the breast skin, than saline implants. A second advantage of silicone implants is the natural feel of the implant. The thick silicone inside the implant’s silicone shell more closely resembles the feel and texture of a natural breast when compared to saline implants

Implant Size, Projection, and Profile

Implants come in a variety of sizes and shape profiles, with each designed to create a different type of result when used. The implant profiles are referred to as: a low profile, a moderate plus profile, and a high profile. Low profile implants create a wider and rounder breast, with a small amount of extra projection.  The moderate plus profile, on the other hand, is the most common implant used in breast augmentation. This is because the moderate plus implant creates what is considered to be a more natural-looking result. The third option, a high profile implant, provides a very round and full shape to the augmented breast.


Implant Texture

The shell of the implant can have a surface that is either smooth or textured.

Smooth silicone implants are smooth to the touch. On the other hand, textured implants have a surface with a coarser shell, similar to a velvety feel. These implants have tiny, microscopic bumps on the surface which give it a texture.

These implants are intended to reduce the chance of capsular contracture, a hardening of the scar around the implant. Textured implants are much less likely to turn or rotate after insertion, as scar tissue holds onto the implant through its microscopically textured shell and can assist in keeping the implant in its proper position.

Incision Options

  • Inframammary – Near the natural crease under the breast
  • Axillary – In the underarm area
  • Periareolar – At the edge of the areola

The Procedure

Breast augmentation can be performed through a variety incisions. Other common incisions including periareolar and transaxillary incision. The most commonly chosen is the inframammary incision. This is a small incision on the underside of the breast within the natural crease.  The implants can be placed either above or below the pectoralis muscle. Once the incision is made, the implants will be inserted into a pocket created by Dr. Soto. The surgeon then continues then work to obtain the desired shape and size of the bust. After this has been achieved, he will close the incisions using sutures and place a surgical bra around the breasts to reduce swelling and bruising during the recovery stage.


The recovery after breast augmentation is relatively short with most patients returning to work within 7 days. The patient should massage the breast as instructed by Dr. Soto and limit physical activity for the first several weeks after the procedure. Finally, results tend to be optimal about 4 to 6 months after the surgical procedure.

Dr. Soto has assisted hundreds of women from the Northern New Jersey, New York and the greater tri-state area achieve the breasts they have always wanted. If you live in New York, Manhattan, or Northern New Jersey or anywhere else in the area, then you will want to choose the best board-certified surgeon for your breast augmentation. Please contact Dr. Soto to book a complimentary consultation and make the look you have been dreaming of a reality.

Breast Augmentation Cost

The cost for a breast augmentation will include the hospital cost, anesthesia cost and the costs of the breast implant themselves.  Breast augmentation costs vary from patient to patient based on their specific needs. The best way to obtain a breast augmentation quote is to contact Dr. Soto for an appointment and his staff can provide all the information you need about costs and possible financing options.

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