Breast augmentation surgery is one of the most popular cosmetic surgical procedures performed in the United States. Dr. Jones and Dr. Loffredo both completed aesthetic surgery fellowships following their plastic surgery fellowships that had a strong emphasis on breast augmentation. If you are considering breast augmentation with Dr. Loffredo or Dr. Jones, you should call Cape and Islands Plastic Surgery to set up a consultation. Your Breast Augmentation consultation at Cape and Islands Plastic Surgery is a very complete and comprehensive process.
Incision and Placement Choices
Implant incision sites
Our incisions for breast augmentation are usually very small. The incision size is usually 4.0 cm. There are three common incision sites for breast augmentation surgery: within the breast fold (inframammary), around the nipple (periareola), or under the arm (axillary).*
Dr. Loffredo and Dr. Jones primarily perform breast augmentation surgery using the inframammary approach. Occasionally, they will perform breast augmentation using the periareolar approach or axillary approach, if the patient desires this incision and her breast anatomy is appropriate for this approach.
The inframammary approach is popular with many surgeons. The incision is typically concealed very well in the skin fold, especially after the patient’s breasts have been made larger with implants. The scar is usually very well hidden looking straight on at the breasts. The inframammary approach also gives the surgeon good visual access to perform the surgery well.*
Implant Placement Choices
Submuscular implant placement
Subglandular implant placement
There are two placement choices for breast implants. The most popular is under the chest muscle (submuscular). The other placement is on top of the muscle and under the breast glands (subglandular). Each option has it’s benefits and possible downsides, therefore our surgeons will discuss which option is best for you.
Types of Breast Implants
- Allergan Breast Implants
- Mentor Breast Implants
Your Surgery with Dr. Loffredo and Dr. Jones
Dr. Loffredo and Dr. Jones perform breast enlargement surgery in a hospital under general anesthesia (so you’re asleep), and you go home the same day. Our surgeons use special techniques to keep postoperative discomfort to an absolute minimum. Most patients are able to return to work in 2 or 3 weeks, depending, of course, on what type of work you do. Although most swelling is gone by 2 months, it generally takes 6 months before what you see can be considered a final result.*
Breast Augmentation Sizing: “Experience the Result Before the Surgery”
The implant size is determined before surgery in a “sizing” consultation. Your new breast size will be selected by you with guidance from Dr. Loffredo, Dr. Jones, and their trained staff using actual implants. Time has been set aside for you during your initial consultation to have your “preliminary sizing.” The purpose of this first sizing is to allow you to experience and become familiar with what your new appearance would be with breast implants. Many patients find this the most interesting and exciting part of the consultation. Patients also find that the “preliminary sizing” is most helpful in their decision as to whether they want to proceed with surgery.
Dr. Loffredo, Dr. Jones, and their highly trained staff provide a Breast Augmentation Sizing experience that is most informative and complete. The office is equipped with a variety of breast implant “sizers,” surgical bras, and a variety of t-shirts that will allow you to “experience the result before the surgery.” These sizers are placed inside the cups of the bra to provide a realistic idea of what a patient will look like after breast augmentation surgery.
During your initial sizing, our surgeons will discuss with you what you want your new appearance to look like. They will guide you towards a range of implant sizes that will most likely satisfy the look you want. You are not expected to choose your implant size at your initial consultation and “preliminary sizing.” You will also be shown actual breast implants and be allowed to touch and feel them.
When you decide that you want to schedule surgery at Cape and Islands Plastic Surgery, you will be provided an opportunity to have another sizing. Occasionally, a patient will know the size she wants from the “preliminary sizing.” Most patients, though, want to return for another sizing before choosing their final implant size. At this second sizing, our staff will review what sizes a patient was initially enthusiastic about. Dr. Loffredo or Dr. Jones will examine you again and answer any questions that you might have. You will find that choosing the size of your implants is much easier on your second visit. You will be encouraged to bring your favorite articles of clothing with you so that you can visualize what you will look like after the surgery in your own clothes.
Our staff at Cape and Islands Plastic Surgery will spend considerable time with you as you make this important decision. You choose your breast size! *
*Individual results may vary from person to person.