Many women in Connecticut look to breast augmentation to bring their bodies into better balance. Pregnancy often leaves breasts looking deflated, or some women simply feel their natural frame is a bit small for their proportions. Some find that their clothes don't fit the way they used to, or they feel they need extra padding in swimsuits just to feel normal. Whatever the reason, the goal is to find a look that fits your body naturally. Breast surgery is a way to make your silhouette match how you feel on the inside and can lead to improved self esteem.
At The Aesthetic Center, Dr. David Passaretti builds his cosmetic surgery around how your body is actually put together. He uses a private, state-licensed surgery center in Darien to keep patients safe. His record proves it: he has performed over 600 breast procedures with a 0% infection rate. You get a plan based on your specific anatomy and Dr. Passaretti’s years of experience as a plastic surgeon. He takes the time to explain the medical side of things so you feel comfortable with every choice you make before the day of your surgical procedure.
View our gallery of breast augmentation before and after photos to see the beautiful results Dr. Passaretti has achieved for his patients. Each image reflects the high level of care and precision Dr. Passaretti brings to every procedure.
Breast augmentation, or augmentation mammoplasty, is a surgery that uses breast implants to add fullness and shape to your breasts. This cosmetic surgery procedure involves placing a medical-grade shell filled with either salt water or silicone gel into a pocket behind your natural breast tissue. The process depends on how the implant sits with your existing tissue, skin, and chest muscles. Dr. Passaretti creates a pocket for the implant insertion that works with your body’s natural cover so the results look and feel right.
He chooses implants based on your chest width and how much skin you have. This includes measuring the distance across your breast and looking at the thickness of your soft tissue coverage. This helps him pick an implant type and size that fits your frame perfectly and prevents the breasts from looking artificial or like a "boob job." Instead, the new shape follows your natural curves and moves more like real tissue when you walk or exercise. By focusing on the dimensions of your chest wall, he makes sure the results look great for years to come.
A breast augmentation surgery changes how you look in clothes and how you feel about your self image. Many women find that they stand taller and feel more at ease in social situations once their body feels balanced.
Nursing and pregnancy often stretch out the abdominal skin and breast tissue as the body prepares to feed a baby. When you stop breastfeeding, the tissue inside can shrink back down, but the skin stays stretched out. This leaves the top of the breast looking hollow. An implant fills that empty space to bring back a full, youthful shape.
Some women feel their breast size is too small for their hips and shoulders. This is often just due to genetics and has nothing to do with health or fitness. Augmentation balances out your figure, giving you more of an hourglass shape. It helps your frame look the way you’ve always wanted it to.
Most women have one breast that is slightly different than the other, which is perfectly normal. However, a big difference makes it very hard to find bras that fit both sides at the same time. Dr. Passaretti uses different-sized breast implants to make your breasts look more even and symmetrical.
When you experience substantial weight loss, your body burns fat from everywhere, including your breasts. This can lead to a deflated look where the breasts lose their roundness. Breast surgery replaces that lost volume so you can celebrate your weight loss with a figure that looks full.
The ideal breast augmentation patient in Connecticut is someone who is healthy and stays at a stable weight. This procedure works best if you are already near your goal weight and plan to stay there. Many women wait until they are done having children to have this surgery so that a future pregnancy doesn't change their results. Being in a good place mentally and physically helps ensure a smooth healing process.
You must be a non-smoker to have this surgery. Smoking and nicotine slow down healing by tightening your blood vessels, making it much more likely that you will have poor wound healing, deep scar tissue, or infections. Also, if you have sagging breasts, meaning the nipple points down, an implant alone might not be enough. In that case, Dr. Passaretti might suggest a breast lift along with the augmentation. You will also need a clear mammogram if you are over a certain age to make sure you don't have breast cancer before the operation starts.
Every breast augmentation surgery is different because every body is different. Dr. Passaretti looks at your chest wall, skin thickness, and existing tissue to build your plan. He measures how much pinchable tissue you have to see how well implants will be covered. He also looks at your lifestyle, like whether you are a competitive athlete or if you have a desk job. He chooses the right materials and implant placement to make sure the results look like they belong to you.
The material inside the implant changes how the breast feels, moves, and holds its shape over time. Dr. Passaretti uses high-quality plastic surgery materials to keep you safe and give you a natural feel. Each implant type has its own set of pros and cons that you will discuss before signing the informed consent.
Silicone breast implants are the most popular choice for a natural feel. They are filled with a thick viscous silicone gel that feels very similar to real tissue. The gel stays together even if the outer shell happens to break, which is a big safety feature. Most women choose silicone implants because it is very hard to tell the difference between the implant and real tissue.
These are a special type of silicone implants that hold their shape very well. They are called gummy bear implants because of their unique texture. Even if you cut them in half, the gel inside remains in one piece. They often have a textured surface to help them stay exactly where they are placed.
Saline breast implants are made of a strong silicone shell filled with sterile salt water. One benefit is that they can be put in empty and filled once they are in place, which allows for a small incision. If saline implants leak, the body simply absorbs the salt water safely and the breast looks flat right away. They feel a bit firmer than silicone, but they are a very safe choice.
If you want a very small increase without using breast implants, you can use your own fat cells. Dr. Passaretti takes fat from your stomach or thighs using autologous fat grafting and moves it to your breasts. This fat graft or fat transfer is a good way to fix small gaps or refine the shape without implants.
Choosing a breast size is about more than just a cup letter. Dr. Passaretti measures your chest wall to see the footprint of where the implant will sit. If an implant is too wide for your frame, the edges might be felt under the skin. He looks at your anatomy to make sure the implant stays within the borders of your natural tissue. The goal is to get larger breasts without stretching the skin so thin that it becomes uncomfortable.
The profile is how far the implant sticks out from your chest wall. This determines how you look from the side.
High-profile implants are narrow at the base but stick out further from the chest. These are great if you have a narrow frame but want a significant increase in cup size. They provide the most dramatic change in projection.
These are a special type of silicone implants that hold their shape very well. They are called gummy bear implants because of their unique texture. Even if you cut them in half, the gel inside remains in one piece. They often have a textured surface to help them stay exactly where they are placed.
These are wider at the base and flatter against the chest. They give a more subtle, gradual slope from the top of the chest down to the nipple. They are often used for women with broad chests who want a little volume without making their breasts stand out too much.
Dr. Passaretti can place the implant in two different spots relative to your pectoral muscle.
Dr. Passaretti usually puts the implant partially beneath the pectoralis major chest muscle. This adds an extra layer of tissue over the top of the implant, which makes the edges harder to see or feel. It creates a smoother slope and helps lower the risk of capsular contracture, which is when the tissue gets hard. This is the most common choice for a natural look.
The implant sits on top of the chest wall muscle but behind your natural tissue. This might be better for women who already have plenty of their own tissue to cover the implant. It is a slightly faster surgery and involves a quicker recovery for the pectoral muscle.
Your first visit is a check-up where Dr. Passaretti looks at your skin and tissue. He listens to what you want to achieve and checks your medical record. He will tell you exactly which size your body can safely handle. He also explains where the periareolar incision or other scars will be, usually in the inframammary fold under the breast where they are hidden.
You have to follow specific rules to get ready for surgery. You must quit all nicotine products weeks before the date. You also need to stop taking aspirin or certain vitamins that cause extra bleeding. Since you will be under general anesthesia, you need a friend or family member to drive you home and stay with you for the first 24 hours.
Healing is a process of letting the breast implants settle into their new home. While every person heals at their own pace, following the rules helps you get back to your life faster.
You will see the change in your size immediately after surgery, but the final tummy tuck results take a few months to show up. At first, the implants sit high and feel firm. Over the next few months, they go through the drop and fluff phase. This is when the chest wall muscle relaxes and the implants settle into a natural position. Staying at a steady weight helps keep them looking good.
To keep your results looking their best, you need to protect your breast tissue. Always wear a high-impact sports bra when you run or do cardio so the skin doesn't stretch. Dr. Passaretti wants to see you once a year for a quick check-up. If you have silicone, you might need an ultrasound every few years just to make sure the silicone breast implants are still perfect.
Dr. David Passaretti has over twenty years of experience as a board-certified plastic surgeon. He specializes in both plastic and reconstructive surgery. He went to Tufts University and worked at Massachusetts General Hospital. He also teaches at Yale and Columbia.
Dr. Passaretti believes that no one should ever look as if they had surgery. He keeps you safe in his own surgical center, where he has a perfect record of 0% infections for breast surgeries. He gives you an honest medical opinion instead of a sales pitch.
Yes. Dr. Passaretti uses techniques that leave your milk ducts alone, so most patients have no trouble breastfeeding.
If the sag is minor, implants can help. If you have significant sagging breasts, you will likely need a breast lift to move the nipple back up.
You can walk right away, but you must wait six weeks before doing any heavy lifting or intense exercise routine.
It’s the time it takes for your pectoral muscle to relax so the implants can settle into their final, natural shape.
Both are FDA-approved and safe. Silicone implants feel more like a real breast, while saline implants can be put in through a smaller incision.
No. You only need to replace them if you want a different size or if the breast implant rupture occurs.
Capsular contracture is when the scar tissue around an implant gets tight and hard. Dr. Passaretti uses specific techniques to help prevent this.
Once they are inside your body, they stay at your normal body temperature. They are surrounded by tissue and blood vessels, so they don't feel cold.
Dr. Passaretti uses sizers that you can try on in the office to see how different volumes look on your frame.
Dr. Passaretti usually puts the scar in the inframammary fold under your breast. It is a small line that is hidden by bras and swimsuits.
If you are considering plastic surgery in Darien, CT, or anywhere around Fairfield County, contact us to schedule a one-on-one consultation with top plastic surgeon Dr. Passaretti.
722 Post Rd, Ste 201, Darien, CT 06820