Small or unevenly sized breasts can cause you to feel self-conscious about your appearance and even take a toll on your quality of life. Dr. David Passaretti can provide an enhancement using silicone or saline Mentor® implants, improving the size and shape of your breasts. Can breast implants benefit you?

Breast Augmentation Before & Afters

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Implants Offer Life-Changing Results

FOR THE RIGHT PATIENTS

Enhance Your Bust

You can choose the size and shape of your breast implants to achieve the precise goals you desire. Dr. Passaretti will carefully guide you to experience the most flattering results.

Create Symmetry

Most breasts are not naturally even but some are especially disproportionate. Breast implants can help you achieve symmetry for a more balanced bust line and proportions.

Restore Breast Tissue

If you have lost breast tissue due to an injury or mastectomy, breast implants can be placed to restore natural-looking shape and volume.

Improve Self-Confidence

After treatment, you can expect to feel more comfortable with your body. Many patients enjoy improved self-confidence that translates to many areas of their lives.

Factors to Consider

Overall Health

Patients should be in good overall health as certain conditions can increase your risk of serious complications.

Pregnancy

You should not undergo breast implant surgery while pregnant or breastfeeding as breasts often change size and shape.

Unhappy with Bust

Breast implants are recommended for patients who are genuinely unhappy with their bust, specifically the size and shape of their breasts.

Expectations

Before undergoing breast implant surgery, you should set realistic expectations and be aware of the limitations of treatment.

Severe Sagging

If you have severely sagging breasts, you will likely need a breast lift to address your goals. A lift can be combined with implants.

We Prioritize

YOUR COMFORT & SAFETY

Many patients have concerns about undergoing an invasive procedure such as breast surgery. Choosing a reputable and experienced surgeon is the first step toward addressing these fears. Dr. Passaretti is a board-certified Fairfield County plastic surgeon with more than a decade of experience. He is trained in the most advanced techniques and adheres to the highest standards of care.

During augmentation with breast implants Fairfield County patients can rest assured that safety is our team's utmost priority. You will be placed under general anesthesia, often administered with IV (intravenous) sedation, which will be closely monitored. This will allow you to remain relaxed and comfortable throughout treatment. Additionally, our operating room is state-licensed and certified by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).

Depending on your goals, implants will be placed one of two ways...

IV Sedation for Breast Augmentation Fairfield County

The Treatment Process

In Fairfield County breast implant surgery is an outpatient procedure that usually takes about one to two hours.

Incisions

Dr. Passaretti will begin by creating discreetly placed incisions.

Implant Placement

The doctor will then insert each implant behind or in front of the pectoral muscle.

Close Incisions

The incisions will be carefully closed to minimize scarring.

Place Dressings

Bandages and contouring garments will be applied to hold the breasts in place.

Types of Breast Implants

The two basic types of implants are silicone and saline.

Saline Implants

Saline breast implants consist of saline solution (salt water) contained within a silicone collapsible shell. Saline breast implants can be filled after insertion, so the empty shell can be inserted through small incisions in the:

Nipple
Navel
Armpit
Crease below the breast

After they are placed within the breast, Dr. Passaretti will fill these implants using a tube, which means the implants' size can be adjusted during surgery for a more even, symmetrical appearance.

Silicone Implants

Silicone breast implants consist of silicone gel contained within a silicone shell. Many women feel that silicone implants provide a more natural appearance and texture than saline implants. Silicone implants are designed to replicate the feel of natural breast tissue. They require larger incisions than saline implants and offer fewer insertion options because they must be filed prior to placement. The appropriate size is determined during preliminary consultations. For these reasons, it often takes women longer to heal from augmentation using silicone implants.

Gummy Bear Implants

In addition to silicone and saline breast implants, a new type of breast implant, known as gummy bear implants, has emerged. Dr. Passaretti does not use these implants because they feel more solid than traditional silicone and saline implants, and cannot provide the natural appearance that silicone and saline implants can

Implant Shapes: Round And Teardrop

Just like saline and silicone implants are preferred for their different benefits, the shape of your implant is an important consideration. Before your breast augmentation procedure, Dr. Passaretti will provide a complete consultation and help you choose the breast implant shape that will best suit your body type and aesthetic goals.

Originally, round breast implants were the only available shape. Although teardrop-shaped implants have enjoyed a rise in popularity, round implants still remain the most common choice. These implants are symmetrical and have an even diameter. Round implants come in varying sizes, or projections. Women with a naturally small build or those who are looking for more subtle enhancement may choose a lower profile, while women who desire a dramatic boost and more noticeable cleavage may prefer a higher projection.

Teardrop-shaped implants are fuller at the bottom than they are at the top. Also known as anatomically shaped implants, this shape strives to mimic the appearance of a natural breast. Some women feel that these implants offer more natural-looking results. However, round implants have a natural flexibility, which means that they naturally assume a kind of teardrop shape when a woman is standing or sitting upright. Therefore, both shapes can have a highly lifelike appearance.

Advantages of Round Implants

Dr. Passaretti prefers to use round saline and silicone implants for a number of reasons. First, round implants can increase volume at the top of your breast, as well as the bottom.

This means that you could enjoy more dramatic results, while still retaining a proportionate, natural figure. Second, if a round implant rotates, your breast will still retain its natural shape. If a teardrop-shaped implant rotates, it will give your breast a distorted appearance, which will require revision surgery. To prevent rotation, teardrop-shaped implants are textured, so they do not feel as natural as their round counterparts. Lastly, many women feel that teardrop-shaped implants do not move as naturally as round implants when they lay down.

Breast Implant Revision

Dr. Passaretti has worked with many patients who have required implant revision surgery. This treatment can address:

Improper placement of implants
Rupture or leaking of the implants
Capsular contracture, a condition in which scar tissue surrounding the implant contracts, distorting the shape of the breast

It is expected that at some point in a breast augmentation patient's life, breast implants will require revision.

Breast Implants Cancer

Recently, the Food and Drug Administration (FDA) discovered that there is a link between certain types of breast implants and the development of anaplastic large cell lymphoma. This breast implants cancer (T-cell lymphoma) is an incredibly rare but aggressive type of cancer. However, lymphoma should not be confused with breast cancer. Whereas breast cancer is cancer of the tissue within the breast, lymphoma is cancer of the blood. While T-cell lymphoma is aggressive, it is slow-growing and—when caught early—most cases are curable with implant removal and chemotherapy and radiation treatments. Dr. David Passaretti can help shed light on this type of cancer when discussing your breast implant options.

Signs and Symptoms of Lymphoma

According to recent studies, the FDA has received a total of 359 reports of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) as of February 1, 2017. Of those 359 reports, nine deaths have occurred as a result of BIA-ALCL. In addition, 231 reports included information on the implant surface, with 203 including textured implants and 28 as smooth implants.

Patients with late-onset lymphoma may experience persistent peri-implant seroma (fluid retention around the surgical site). Other symptoms may include:

Pain
Swelling
Lumps
Breast asymmetry

Early Detection of Breast Implants Cancer

Before undergoing any form of breast implant procedure, patients should educate themselves on all the available options with their surgeon. Breast implants come in a variety of shapes, sizes, textures, and are sourced from many different providers. BIA-ALCL is much more likely to develop in women with textured implants than those with smooth-surfaced implants. At our practice, Dr. Passaretti only offers smooth-surfaced implants.

Patients who currently have breast implants should get a routine mammography screening from a technologist specifically trained in performing this procedure on patients with breast implants. In addition, patients with silicone gel-filled breast implants should get periodic MRIs to detect ruptures, with the first MRI occurring three years after implant surgery and every two years afterwards. If you notice any changes in the shape or size of your implants followed by pain and swelling, you should contact your healthcare provider immediately to schedule an appointment.

In cases where a patient develops breast implants cancer, she should remove both the implants and capsule (scar), as well as undergo any necessary chemotherapy and radiation as directed by an oncologist. It is imperative to wait for complete healing before proceeding with additional breast augmentation. Once you have fully healed, Dr. Passaretti can discuss restoring breast volume with fat grafting.

Should You Have Your Breast Implants Removed?

BIA-ALCL is much more likely to develop in women with textured implants than those with smooth-surfaced implants. At our practice, Dr. Passaretti offers only smooth-surfaced implants. Patients with existing breast implants should continue with regular checkups and should not remove their implants as a preventive measure, unless they develop any of the symptoms listed above.

Breast Feeding with Implants

It is possible for most women to breastfeed with implants. However, when you are designing your custom treatment plan, you must take into consideration several factors that can affect the supply of milk.

Position of Implant

The placement and size of your implant can affect the pressure within your breast, interfering with milk flow and reducing milk production. Implants that are smaller and located under the chest muscle are better for breastfeeding. Those placed between the glands and muscles of your breast are more likely to affect flow. If you know you plan to have children before you receive breast augmentation, opting for a submuscular implant can improve your chances of normal milk production. *

Location of Incision

The location of the incision may also interfere with breastfeeding. Incisions made under the breast or near the armpits rarely affect milk supply. If incisions are made across the areola or nipples, there is a higher chance that milk ducts and nerves may be affected, especially if the nipple was moved during the procedure. While having the incision near your areola or nipples does not mean you are unable to produce milk, it can cause significant issues when attempting to breastfeed.*

Scarring around the Milk Ducts

Scarring may form around your implants after surgery. This scar tissue may cause your breast to become firm or distorted, which can restrict milk ducts and affect milk supply.

Some women who undergo breast augmentation require revision surgery to address excessive scar tissue. If you have any concerns about breastfeeding with implants, Dr. Passaretti would be happy to address questions and discuss your best options. It is our goal to make sure you feel as comfortable and confident as possible.

Increasing Milk Flow

If you have difficulty producing milk with implants, there are several methods that can help increase your milk flow. Keep in mind that your milk production is dependent on how much milk is demanded. Nursing frequently and pumping can stimulate milk production and increase milk flow. In some cases, an herbal or prescription galactagogue can increase milk production. If you are concerned your baby is not receiving the nutrition they need, speak to a lactation expert. Remember, women without implants can experience difficulty breastfeeding as well, so low milk production may not be connected to your implant. *

Breast Implants in Fairfield County, Connecticut

Breast Augmentation Before & Afters

Implants Offer Life-Changing Results

FOR THE RIGHT PATIENTS

Enhance Your Bust

Create Symmetry

Restore Breast Tissue

Improve Self-Confidence

Factors to Consider

Overall Health

Pregnancy

Unhappy with Bust

Expectations

Severe Sagging

We Prioritize

YOUR COMFORT & SAFETY

You Can Choose

SALINE OR SILICONE IMPLANTS

The Treatment Process

Incisions

Implant Placement

Close Incisions

Place Dressings

What to Expect during

THE RECOVERY PROCESS

Types of Breast Implants

Saline Implants

Silicone Implants

Gummy Bear Implants

Choosing Breast Implants

Implant Shapes: Round And Teardrop

Advantages of Round Implants

Breast Implant Revision

Providing A Positive Experience

Ruptured Implants

Breast Implants Cancer

Signs and Symptoms of Lymphoma

Early Detection of Breast Implants Cancer

Should You Have Your Breast Implants Removed?

Breast Feeding with Implants

Position of Implant

Location of Incision

Scarring around the Milk Ducts

Increasing Milk Flow

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