Enhance Your Curves and Achieve a Shapelier Bust Line with Breast Augmentation

Are you unhappy with the size of your breasts or self-conscious about their appearance? The size and shape of a woman’s breasts can play a critical role in her self-image. Our board-certified plastic surgeon, Dr. David Passaretti, offers a variety of breast enhancement procedures, including breast augmentation, at our Darien office. Using advanced techniques, he can give your breasts a more balanced, symmetrical appearance, while allowing them to look natural and beautiful. Contact us to today schedule a consultation with Dr. Passaretti and discuss breast augmentation, its costs, and if it is right for you.

Breast Augmentation Procedure

The breast augmentation procedure is performed by placing either silicone or saline implants under their breast tissue or chest muscles to augment the appearance of their bust line. Each implant and surgical option will be chosen based on the patient's individual needs.

What is Breast Augmentation?

Breast augmentation is a surgical procedure used to enhance the size and shape of a woman’s breasts. Breast volume can be lost following pregnancy and nursing, after weight loss, and during the natural aging process, and some women are genetically predisposed towards having small or uneven breasts. While breast augmentation will make the breasts larger, the surgery will not move the breasts closer together or lift sagging breasts. During your consultation, Dr. Passaretti can explain the difference between the various procedures available and help you determine the best option. 

Candidates 

If you are in good health and have realistic expectations of what cosmetic surgery can do for you, you are likely a good candidate for breast augmentation. You might want larger breasts for cosmetic reasons, if weight loss has affected the size and shape of your breasts, or your breast shape has changed due to pregnancy or age. If you have been surgically treated for breast cancer, you may be a candidate for reconstructive breast augmentation to restore your breasts. 

Factors to Consider

One of the most important steps in any plastic surgery is your initial consultation. During this time, you will speak with Dr. Passaretti about your goals and learn more about what options are available to you. When it comes to breast augmentation, you have many choices, including the:

These factors can be combined in several various ways that ultimately produce different end results. Whether you choose submuscular or subglandular implant placement will affect both the final look of your newly enlarged breasts and your healing time.

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The Procedure

The breast augmentation procedure takes about one to two hours and involves placing a saline or silicone implant to change both the shape and size of the breast. First, anesthesia will be administered for your comfort – either intravenous sedation or general anesthesia. Dr. Passaretti will use one of several incision options to place your implants. After the incision is made, an implant is placed into a pocket either above or below the chest muscle. After the implant is in place, the incision is closed with sutures or surgical tape. Although your appearance will improve in the upcoming weeks as any slight swelling goes down, the results of breast augmentation are immediately visible.

Common Types of Incisions

Inframammary

Inframammary incisions are created beneath each breast, in the crease where the tissue meets the ribs. This type of incision can be used to place both saline and silicone implants. 

Although saline implants can be rolled or folded up for insertion, and then filled after they are placed within the breasts, silicone implants are pre-filled. Inframammary incisions are typically the only incision large enough to accommodate a silicone implant.

During an in-depth consultation, Dr. Passaretti can help you understand what type of incision is best for your needs.

Although they are generally larger than other types of incisions, Dr. Passaretti is able to conceal any scarring within the natural contours of the breast. Inframammary incisions can be used to place implants either above or below the breast muscle, depending on a patient's goals. This type of incision can be reused in the future for revision augmentation or implant replacement.

Periareolar

Periareolar incisions are created around a patient's areola, which is the colored area that surrounds the nipple. This technique is especially helpful for Dr. Passaretti to carefully hide the appearance of any scarring. Periareolar incisions are typically restricted for saline implants, although some surgeons can place silicone implants using this technique if the areola is large enough.

Periareolar incisions are located close to where the implants will rest, so Dr. Passaretti is able to place the implant with great precision. Like inframammary incisions, periareolar implants can be used in the future for revision surgery.

Illustration of breast augmentation incisions
Each type of incision pattern is designed to minimize visible scarring.

Other Types of Incisions 

Transaxillary 

Transaxillary breast augmentation is performed by inserting deflated saline implants through the armpit. Dr. Passaretti uses endoscopic tools to create a pathway to the breast, where he can place the silicone shell either above or below the pectoral muscle. Next, he fills the implants according to your aesthetic goals.

This type of incision is one of the most discreet since any visible scarring is hidden while your arms are down. Since a greater amount of tissue will be affected, this type of augmentation results in a slightly longer recovery time than periareolar and inframammary incisions.

Transumbilical

During transumbilical breast augmentation (TUBA), incisions are made through the navel. Through this incision, Dr. Passaretti reaches up to the breasts using endoscopic tools, where he places saline implant shells and fills them.

This method results in very little scarring, which is hidden in the navel and is completely unnoticeable. Because this incision is the furthest from the breasts, it is very important to select a surgeon with a great level of skill and training.

Illustration of breast implant placement
Your breast implants can be placed in front of or behind the pectoral muscle.

Submuscular Placement

Many patients and doctors alike believe submuscular breast implants look and feel more natural than subglandular implants since the chest's natural muscle covers some of the implant. This way, the implant adds volume while still being partially concealed with natural tissue. Dr. Passaretti can place either saline or silicone implants using this technique.

Recovery

While they may look and feel more natural, the recovery for submuscular implant surgery is longer than subglandular implant placement, as Dr. Passaretti will need to manipulate a greater amount of tissue during the surgery.

Benefits

Submuscular implants generally have a lower occurrence of capsular contracture than subglandular implants. Capsular contracture occurs when scar tissue grows around an implant, constricting it and causing pain and a variety of other symptoms. Submuscular implants also have a lower rate of "bottoming out," in which the implants sit too low on the chest and make the nipples look high.

Submuscular Placement

Many patients and doctors alike believe submuscular breast implants look and feel more natural than subglandular implants since the chest's natural muscle covers some of the implant. This way, the implant adds volume while still being partially concealed with natural tissue. Dr. Passaretti can place either saline or silicone implants using this technique.

Recovery

While they may look and feel more natural, the recovery for submuscular implant surgery is longer than subglandular implant placement, as Dr. Passaretti will need to manipulate a greater amount of tissue during the surgery.

Benefits

Submuscular implants generally have a lower occurrence of capsular contracture than subglandular implants. Capsular contracture occurs when scar tissue grows around an implant, constricting it and causing pain and a variety of other symptoms. Submuscular implants also have a lower rate of "bottoming out," in which the implants sit too low on the chest and make the nipples look high.

Breast Augmentation

Breast augmentation is offered at the Fairfield, Connecticut practice of Dr. David Passaretti. The Procedure provides a solution to women who are dissatisfied with their bust. Using breast implants, Dr. Passaretti can increase the volume and size of your breasts.

Breast Augmentation Benefits

The benefits of breast augmentation go beyond enhancing your self-image and self-confidence. Besides increasing the fullness and projection of the breasts and improving the balance of a woman’s figure, patients have experienced an overall increase in satisfaction in their appearance, and as a result, an improved quality of life. 

Choosing Your Breast Implants

Breast implants can give a woman a full bust, allow clothes to fit better, and boost self-confidence. There are two types of breast implants available: saline and silicone. While both have an outer silicone shell, they differ in material and consistency. Saline implants are filled with sterile salt water. They are inserted empty, and filled once they are in place. Silicone implants are pre-filled with silicone gel, a thick, sticky fluid, and many women prefer them because they look and feel more like natural breast tissue.

Breast Augmentation Recovery

To ensure the best-looking results, Dr. Passaretti will provide you with detailed instructions on how to achieve a comfortable and successful breast augmentation recovery. Additionally, our team is happy to answer any questions you may have, and we will be with you every step of the way. 

Immediately After Surgery

After undergoing a breast augmentation, Dr. Passaretti will examine the surgical site before helping you put on your compression garment. This garment is specially designed to minimize side effects of surgery, lower the risk of complications, and decrease recovery time. When you can comfortably walk, a friend or family member will need to drive you home. For the first 48 hours following surgery, you should get plenty of rest and avoid any activities or exercises that can put strain on your pectoral muscles or disturb the surgical site. Your breasts may feel sore, sensitive, or swollen during these first few days. To help manage any discomfort, Dr. Passaretti can prescribe painkillers, and you can apply ice packs to your breasts for 15-minute intervals to reduce any swelling. 

Your Remaining Recovery Timeline

It can take several months to completely recover from breast augmentation surgery and enjoy the full benefits of your procedure. While every patient is different, recovery typically spans a six-month timeline: 

  • The first week: You will continue to wear your compression garment, and inflammation and bruising should be significantly reduced. You will undergo a follow-up appointment at our office so Dr. Passaretti can evaluate your breasts and remove any sutures or drains as necessary. Many patients are able to return to work, school, or gentle activity by the end of the first week.
  • Weeks two to three: You should experience only minor soreness and swelling at this point. You can begin gentle activities such as light walking to improve circulation. However, strenuous activities should still be avoided. Additionally, Dr. Passaretti may instruct you to stop wearing your compression garment. 
  • Weeks four to six: Your breasts should have stopped swelling entirely and the results of your procedure should become more apparent. Patients should seek Dr. Passaretti’s approval before resuming any physically demanding activities.
  • Three to four months after your procedureYour breast implants should have settled, providing a more natural-looking result. The appearance of your scars from the incisions should also begin to diminish.
  • Six months to one year after your procedure: By this time, you should be completely healed, and you can enjoy the full results of your breast augmentation. Dr. Passaretti may continue to see you for follow-up visits, and you should undergo regular physical exams and mammograms to monitor the health of your breasts and pectoral muscles.

If you have any questions or concerns throughout the healing process, we will be happy to help.

Choosing Breast Implants

Choosing the right type of breast implants is important. Both saline and silicone breast implants are offered at our Fairfield County, Connecticut office and we can help you select the one best suited for your goals.

Breast Implant Revision Surgery

A breast implant revision, also known as breast implant replacement, shares the same goal as a breast augmentation – to restore a youthful breast contour and appearance. The surgery involves removal and replacement of implants and is performed to change the size or type of the implants, or correct any complications from a previous breast augmentation.

Breast implant revision may be recommended if you want a different breast size, your implants have shifted in position or the scar tissue has tightened uncomfortably around the implant, the breast tissue has changed due to skin stretching from a weight loss or gain, your saline breast implants have deflated, or an X-ray or MRI indicates a silicone implant has a shell leak.

“Dr. Passaretti and his team went above and beyond my expectations. From the first time I walked into his office I knew I was in good hands. His knowledge and craft at what he does is just amazing. He got to know me and my goals and worked to give me just what I wanted... Without a doubt I would recommend Dr. Passaretti for anyone looking into plastic surgery!” Brianna L.
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Schedule Your Consultation to Learn More

Dr. Passaretti’s patients can benefit from beautiful surgical results, the expertise of an experienced plastic surgeon, and the comfort of an office that feels like home. If you are interested in breast augmentation or have any questions regarding the procedure, contact our office to schedule an appointment with Dr. Passaretti today. 

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Aesthetic Surgery Center of Connecticut

722 Post Rd
Ste 201
Darien, CT 06820

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