Breast Augmentation

Breast augmentation is a popular procedure that enhances the size and shape of the breasts. For many women, it provides an exciting opportunity to achieve aesthetic goals and gain a significant boost in self-confidence. Board-certified plastic surgeon Scott Newman, MD, FACS, performs breast augmentation (boob job) for Westchester, Long Island, and NYC, NY, women who want to enhance their appearance, either dramatically or subtly.

Dr. Scott Newman is one of the premier breast augmentation specialists in the nation, having performed more than 4,000 cosmetic breast procedures. As one of the most experienced and qualified plastic surgeons in metro New York, Dr. Newman is always striving to perfect his technique and deliver ever more satisfying results by pioneering cosmetic breast procedures.

Am I a candidate for breast augmentation?

Ideal candidates for breast augmentation should be in good overall health, understand the risks and benefits involved in the procedure, and have realistic expectations for the outcome of the surgery. Women who are dissatisfied with the size, shape, or symmetry of their breasts are ideal candidates for breast enhancement surgery. However, the decision to undergo any cosmetic breast surgery is deeply personal and should only be made after you have done extensive research about both your procedure and your doctor.

At your initial consultation, Dr. Newman will talk with you about your aesthetic goals to help determine whether you are a suitable candidate for the procedure.

Breast Enhancement and Pregnancy

While the desire to become pregnant down the road does not rule you out as a candidate for breast implant surgery, it is a factor that should be considered when deciding whether to undergo the procedure. Future pregnancies can potentially impact your results, diminishing the effectiveness of your procedure.

In general, if you are planning to have children in the very short term, it is a good idea to wait until you are done with childbirth before undergoing breast augmentation. To ensure that you fully understand the impact of future pregnancies on your results, you should discuss these plans with Dr. Newman at your initial consultation.

Breast Implants and Teenagers

The FDA has approved saline breast implants for use in women age 18 and over and silicone breast implants for use in women who are at least 22. However, meeting these minimum age requirements does not necessarily ensure that you are a suitable candidate for breast augmentation. There are multiple factors that must be evaluated when breast augmentation is being performed on a teenager or young adult.

18 years of service

Meet Our Surgeon
Dr. Scott Newman

Board-certified plastic surgeon Dr. Scott Newman is a nationally recognized specialist in breast and body surgery. His refined expertise extends to reconstructive and facial plastic surgery, as well as nonsurgical aesthetics. The innovator of the technology that became VECTRA® 3-D imaging, Dr. Newman is always looking for ways to improve his patients’ safety, comfort, and results. This drive has made Newman Plastic Surgery one of the most technologically advanced practices in the country.

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Doctor Newman's Credentials and awards
Doctor Newman's Credentials and awards

How much does breast augmentation cost in Westchester, Long Island, & NYC?

For breast augmentation performed by Dr. Newman, the typical fees range from $7,500 to $9,500. These costs include everything necessary for surgery, such as Dr. Newman’s surgical fees, anesthesiologist fees, all facility fees, and the cost of the implants themselves. The price also includes all visits before and after surgery, surgical photography (before and after photos), and the surgical bra you will need. The only costs not included in these fees are for prescription medicines. Learn more about breast augmentation cost at our practice.

What are some aesthetic issues addressed by breast augmentation?

Breast augmentation can be a life-changing experience, improving your self-confidence and overall body image. Shapely, proportionate, and attractive breasts can increase feelings of femininity, desirability, and overall self-esteem.

Breast augmentation is commonly performed to:

  • Increase the size of small breasts
  • Correct breast asymmetry
  • Restore lost fullness and volume due to pregnancy or weight loss
  • Correct mild sagging issues
  • Restore lost firmness

Generally, a breast augmentation alone will not be effective for correcting significant sagging issues. In these situations, Dr. Newman may recommend a breast lift in conjunction with your breast augmentation. There are cases where Dr. Newman can lift the breast significantly just with augmentation, but these are specific situations, and not everyone is a candidate for this approach.

Respected Authority
Featured in the Media

Expertise and innovation attract attention. Dr. Newman has performed thousands of cosmetic breast, body, face, and skin procedures over his decades in practice. He has earned awards from The Aesthetic Society® (ASAPS) for his innovative techniques and has spoken about emerging technologies to respected colleagues at national meetings. Both the New York and national media trust Dr. Newman for his specialized expertise in both surgical and nonsurgical aesthetics.

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What can I expect at a breast augmentation consultation?

During your initial consultation, you will meet with Dr. Newman for 30 to 45 minutes. He will discuss the procedure and the many options available to you, including breast implants. He will use VECTRA® 3D imaging to help you visualize your possible breast augmentation results with various implant types and sizes. You will learn about the disadvantages or advantages of certain techniques and implant types. Together, you will be able to determine which options best suit your goals.

Dr. Newman will then examine you and review many before-and-after photos from previous cases he has performed. These photos will be of individuals who have similar characteristics to you so you can see how their particular cases were approached. You can feel free to bring in photos from the web or magazines to discuss as well.

After meeting with Dr. Newman, you will meet with Kerri. She will review the office policies with you, including appointment and surgery scheduling. Also, as cosmetic breast surgery is Dr. Newman’s specialty, you will likely see other patients in the office who have already had their surgery. Patients will likely be happy to speak with you and to discuss their experience with you as they were usually given the same opportunity to meet with someone before their breast augmentation surgery.

During your breast augmentation consultation, you can voice your goals and expectations for the procedure. You will find the consultation is very complete and that many of your questions will be answered without even having to ask. Still, it is important to get all your questions answered. Patients who do not write down a list of questions will usually forget them, so feel free to bring a list with you.

Dr. Newman’s Perspective: About the Consultation

“It is much easier to make a patient happy when they are well-educated about the procedure, the options, and the entire experience. As a surgeon, I understand that being in the surgical environment is an everyday routine for me, but it isn’t for you. I have learned to be sensitive to the fact that no one looks forward to surgery. You look forward to the results, but not the experience itself! My staff and I will do what it takes to make this uncomfortable experience as comfortable as possible.

“During your consultation, I will review a lot of information–about the surgery, about the choices available today, and most importantly, how this all pertains to your individual case. It is most important that I learn what you want; after all, in the end, you need to be happy.

“Like it or not, even the best surgeons have patients who are unhappy with their results. The trick to avoiding this is through patient education and me giving you the personal time you need so I can truly understand your objectives. Together we will then make the best decisions for you and give you the best chance that you’ll love your result.”

I have wanted breast augmentation for years and I hadn’t found a dr who I was sure about. My friend had recommended Dr. Newman. He is very knowledgeable, professional, took his time discussing the procedure and what it was I wanted. Dr. Scott Newman made me feel very comfortable and I knew right then and there he was going to do my surgery. I am so happy with the outcome of my surgery, he and his staff are absolutely wonderful and took great care of me! I really appreciate everything they did to make me feel comfortable and look great. I highly recommend him and his staff for others who are interested in having breast augmentation. He is the best and a great surgeon!

Stefania7

Where is the incision for breast implants?

Many breast augmentation patients worry about the visibility of the scars after healing is complete. Dr. Newman usually uses very small incisions, only about an inch long, which are easily hidden. He usually places the incision in one of the following locations:

  • In the fold beneath the breast (inframammary incision)
  • Under the arm (transaxillary incision)
  • Along the edge of the areola—the darker skin around the nipple (periareolar incision)

Some procedures will require more incisions, and if this is the case with your procedure, Dr. Newman will discuss incision placement with you during your breast augmentation consultation.

Where is a breast implant placed?

Another important consideration for breast augmentation is the placement of the implant. Depending on the shape and size of your breast, Dr. Newman will determine whether the implant should be placed beneath the chest muscle (submuscular placement) or on top of the chest muscle and beneath the breast’s glandular tissue (subglandular placement).

  • Submuscular placement of the implant is the most common. Placing the implant beneath the muscle reduces the likelihood that the implant itself will be visible. It also reduces the occurrence of rippling, which occurs more commonly in saline implants, because the implant is covered by the muscle tissue.
  • Subglandular placement is sometimes used when the breasts are small and there are insufficient tissue and skin available to cover the implant if it is placed beneath the muscle. Rippling is more likely with this placement. It is also more likely that the implant will be visible beneath the skin.

In some cases, Dr. Newman uses a supportive mesh called GalaFLEX as an internal “bra” to support the implants and maintain upper breast fullness. The meshing is a very thin material inserted into the breast pocket to support tissues and encourage the production of collagen and elastin. Within 12 to 18 months, the meshing dissolves, much like absorbable sutures.

What kind of anesthesia is used for breast augmentation?

Breast augmentation can be performed by Dr. Newman using general anesthesia, IV sedation (“twilight”), or local anesthesia. The choice of anesthesia is based mostly on the patient’s preference, as well as Dr. Newman’s decision.

At Dr. Newman’s private surgical facility, anesthesia other than local anesthesia is administered by board-certified anesthesiologists with extensive experience specifically in anesthesia of the ambulatory surgery patient.

Does breast augmentation require general anesthesia?

Dr. Newman believes breast augmentation surgery should only be performed using general anesthesia for several reasons. Most importantly, he believes you will get a better result using general anesthesia for your procedure. Other points are:

  • Contrary to popular opinion, general anesthesia administered by an experienced board-certified anesthesiologist is very controlled and safe. Most anesthesiologists would agree that general anesthesia, administered in the proper environment, is actually safer and better controlled than IV sedation.
  • IV sedation will make you sleepy but won’t stop you from feeling pain and discomfort the way general anesthesia can. Therefore, a local anesthetic must be given as well. It is difficult to anesthetize the entire breast using local anesthesia, especially when the procedure involves implants placed under the pectoralis muscle.
  • Typically, at least 50cc of local anesthetic is needed to anesthetize each side adequately. Dr. Newman believes that the local anesthesia alone changes your breast size and shape significantly. Simply administering the local anesthetic additionally causes immediate swelling and bruising that also changes the appearance of your breast.
  • Even though local anesthetic is used when breast augmentation is performed using IV sedation, most patients will shift their weight every few minutes. A mere half-inch move of one shoulder changes the position of one breast compared to the other by a full inch.

Dr. Newman’s Opinion: About Anesthesia

“My ability to give you the best result possible depends critically on my ability to judge your appearance in the operating room. It’s my opinion that using local anesthesia for cosmetic breast procedures changes your appearance so significantly that it affects my ability to give you a reliable result. There is no question that avoiding an anesthesiologist for your breast augmentation surgery will lower the cost of the surgery. I feel strongly, especially for breast augmentation, that the benefits of having an anesthesiologist present for your surgery are definitely worth the cost.

“From the perspective of safety, I can tell you that I have operated on family, friends, other doctors, and their families in this facility using this same anesthesiology staff. In fact, I had surgery in this facility myself.”

How do I prepare for breast augmentation?

Once you have scheduled a date for your breast augmentation with Dr. Newman, you may still have questions about the details of what else to do. We encourage you to ask as many questions as you need so that you are as comfortable as possible on the day of your breast augmentation. Below are some of the more practical answers to a few of the questions you may have.

Christine Jewell, R.N., the Director of Surgical Nursing, will contact you the day before surgery with an exact time to arrive at the center. If our office is arranging transportation for you, then she will give you all the necessary information.

What should I wear to the surgery center or hospital for breast augmentation surgery?

  • Wear sweatpants or loose-fitting jeans.
  • Wear a button-down or zip-up top; avoid tops that pull over your head.
  • If possible, wear underwear that is 100% cotton.
  • Bring socks and comfortable shoes that slip on.
  • A surgical bra will be provided for you and is usually already on when you wake up from surgery.

Can you have breast augmentation while on your period?

If you have your period on the day of surgery, please bring several tampons or pads.

Can I take my normal medication on the day of surgery?

Dr. Newman will give you prescriptions during your pre-operative visit. Please get these filled and bring all medications with you on the day of surgery. If you take medication other than what Dr. Newman has prescribed, please bring a list of your medications with you on the morning of surgery. This includes vitamins, over-the-counter medications, and supplements. We need to know everything you take. The anesthesiologist will ask you for this information when they call you a day or two before your surgery.

Should I wear my glasses/contact lenses on the day of surgery?

If you wear contact lenses, please do not wear them on the day of surgery. Please wear your glasses and bring a case with you.

Forms

The consent forms required for surgery will be given to you during your pre-operative visit. Please read them and bring them back with you on the day of surgery. Dr. Newman will review them and answer any questions you have before you sign them.

How long does it take to recover from a breast augmentation?

Dr. Newman’s breast augmentation patients are typically back to work and a relatively normal routine by the third post-op day. Experiences vary among individuals, but in general, most soreness will disappear within 2 to 3 months. In cases where the implant is placed beneath the chest muscle, soreness might continue for 6 months to a year, particularly during exercise. Since the breasts will be heavier after breast augmentation, wearing a comfortable bra that fits well can help support the breasts and contribute to faster, more comfortable healing. Visit our Breast Augmentation Recovery page for more information.

Breast augmentation is a big decision that can improve your self-confidence and overall appearance. Dr. Newman is one of the nation’s most experienced breast surgery experts and can help you decide if this procedure is right for you.  Request a complimentary consultation today using our online form or call (914) 423-9000 for an appointment.

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