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Breast augmentation is one of the most popular procedures, and for good reason. Breast augmentation provides a way to enhance the size and appearance of the breasts and bring balance to the appearance of the figure. Many women are unhappy with the natural size and appearance of their breasts which can negatively affect their confidence and comfort with their appearance.

At Shafer Clinic in New York City, our goal is to understand your reasons for choosing to undergo breast augmentation and what your aesthetic goals are so that we can provide you with your ideal results. 

Is a Breast Augmentation Right for Me?

It is not uncommon for a woman to want to change her breast size, shape or position to achieve a more natural appearance. Reasons for choosing surgery are highly personal and many women consider the option of breast surgery for years before deciding to proceed. Potential candidates should discuss with plastic surgeon Dr. Shafer the options, risks and anticipated results of breast surgery.

Women who have small breasts or whose breasts are smaller and less firm following pregnancy may be interested in increasing the size and proportion of their breasts. Some women may have mildly saggy breast skin while others desire to bring a significantly smaller breast into balance with the other.

In some cases, a breast lift may be performed along with a breast augmentation in order to provide the patient with better overall results. This is to ensure the breasts have a nice shape and sit higher up on the chest for a more youthful appearance. 

Key Facts

Anesthesia: Intravenous sedation or general anesthesia
Length of procedure: 1 to 2 hours
Length of stay: Home the same day
Discomfort: Depending upon placement, may be mild to moderate to severe controlled with prescription pain medications
Anticipate: Swelling may last up to 6 weeks, and depending upon implant placement, some bruising is likely and some temporary numbness is possible
Final result: 3 months
Duration of results: Years

The Goal of Breast Augmentation

It is important that patients discuss with Dr. Shafer their reasons for wanting breast enlargement and their expectations of the results. The goal of the procedure is improvement of appearance and proportion, not perfection. For example, breast enlargement will not improve stretch marks on the breast or change breast nipple position. A slightly droopy breast may be improved with enlargement, but the improvement may only be temporary. A breast lift procedure mastopexy may be necessary to address droopy breasts.

Choosing the Right Breast Implant

Patients need to talk with Dr. Shafer about the advantages and disadvantages of the various surgical options, including the size of the implant, its surface texture and shape, placement of the incision and position of the implant.

The more clear and open patients are about their goals and concerns, the more likely that they will be pleased with the results.

Take time to get used to the new appearance and sensations of implants. They may feel slightly firmer than a natural breast. Breast implants are not permanent and will need replacement. How often varies with each patient.

Before photo - Breast Augmentation
After Photo - Breast Augmentation

View Breast Augmentation Gallery

Implant considerations include:

  • Shape
  • Implant surface (smooth or textured) 
  • Implant position
  • Incision placement
  • Implant size
  • Implant filling

What to Expect 

The breast consists of milk ducts and glands, surrounded by fatty tissue that provides its shape and feel. Situated beneath the breast is the pectoralis major muscle. Incisions may be made under the breast in the inframammary crease, at the border of the areola the colored skin around the nipple, or in the axilla armpit. A saline implant, filled to the desired volume during surgery, can be positioned under the breast tissue or under the pectoralis muscle.

Breast implants filled with saline, a sterile salty solution, are almost rarely used now that silicone implants are approved by the FDA.

The procedure may be performed using intravenous sedation or more commonly with general anesthesia.

Vectra 3D Imaging 

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Vectra 3D Imaging

A perfect fit for today’s aesthetic practice, the VECTRA M3 delivers extraordinary performance in an advanced 3D imaging solution. High-resolution capture assures photorealistic rendering of the finest details, while the elegant design complements any setting. Click here for more information

My Beautiful Breasts – New York

5 5 Star Rating

Dr. Shafer did not rush me. We had a very comfortable and realistic discussion about my hopes for the augmentation. My new breasts are beautiful and I am now the envy of dear friends who chose other surgeons years ago. I don’t believe I was a straightforward case as my natural breasts seemed to ‘look’ in different directions. Thank you Dr. Shafer for your surgical abilities and caring manner.


by HollyM58

RealSelf Q&A with David Shafer, MD

Schedule a Consultation 

Contact Shafer Clinic in New York City today to schedule a consultation with Dr. Shafer. He can address any question and concerns you may have and can provide you with excellent results from your breast augmentation. 

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