Breast Augmentation New York City

What to expect on the day of surgery

On the day of your Breast Augmentation, you will begin by having medications administered to you for comfort, as well as the anesthesia (either intravenous sedation or general anesthesia) that you and Dr. Samson discussed during your consultation.

Once under sedation, Dr. Samson will make incisions in predetermined locations that will minimize any visible scarring. Depending on what was discussed, these incision options include a peri-areolar incision (along the areolar edge), the inframammary fold (the fold under the breast), or an axillary incision (in the armpit). There is also the option for a belly-button incision, however, it is associated with a higher complication rate, and is not something Dr. Samson advises. The availability of these incisions will vary based on the type of breast implant, the degree of enlargement desired in your particular anatomy, and the preference of you and Dr. Samson.

After the incision is made, your breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue and over the pectoral muscle (a submammary/ subglandular placement). Just like the incision placement, the insertion method and breast implant position will depend on the type of implant, degree of enlargement desired, your body type, and Dr. Samson’s recommendations.

If you are getting a Natural Augmentation (a.k.a. Fat Grafting), a color-coded blueprint is used to mark strategic areas of your body which indicate where the fat will be harvested and placed. This procedure begins by harvesting fat from your body, either from one location or multiple. If one area has a particularly large amount of excess fat, that might serve as the only harvest site.

The average areas that fat is removed from are from:

• Abdomen
• Arms
• Calves
• Flank
• Inner thighs
• Knees
• Love handles
• Outer thighs

Dr. Samson uses manual liposuction to harvest the fat and removes it by hand. Once harvested, a machine called a centrifuge is used to refine and concentrate the tissue by rapidly spinning and using centrifugal force to separate it from blood, oil, and water. This refined tissue is then used to carefully sculpt each breast, creating a very natural look. Tiny amounts of fat are placed at a time, which in turn makes thousands of passes through small entrances in the lower fold of the breast and areola.

Finally, the incisions are closed using layered sutures in the breast tissue and closing the skin with sutures, skin adhesive, or surgical tape. Dr. Samson will also wrap your breasts with a gauze dressing and elastic bandage (called a bandeau) to minimize swelling and provide additional support to your breast as they heal. With his permission, you can also switch to a support bra rather than the compression bandage.

Depending on the technique performed, your surgery could take anywhere from 1 – 5 hours, with a Natural Tissue augmentation requiring the most amount of time.

Finally, the incisions will be closed using either sutures, skin adhesives, tapes, or clips.

What’s the First Step?

The first step in getting Breast Augmentation in NYC is to contact the office of William Samson, MD, and request a consultation. When you come in for your appointment, you will get to meet with Dr. Samson and discuss your goals for the operation. He will be able to answer any questions you may have, ask you his own questions regarding your medical history, and examine your breasts and body type. When discussing your medical history, it is very important to be open and honest with Dr. Samson, as this information helps him make the best decisions to avoid any unnecessary risks and provide you with optimal results.

After you get through this portion of your consultation and you are determined to be a viable candidate for breast augmentation, you will then move on to what many of our patients consider to be the fun part! You and Dr. Samson will decide which form of implant is best for you, the size you would like, and even the shape you’d prefer. Once you have made your selections, a surgical plan will be crafted just for you.

If you agree with the plan, you will then get with our Patient Coordinator and schedule your surgical date. Before you leave, you will also be given important directions to follow before your operation that will aid in an effective, safe, and comfortable procedure.

Breast Augmentation Recovery

Following your Breast Augmentation surgery, you will be taken into a recovery area for close monitoring, and after an hour or so when you are stable, you will be discharged to go home and recover comfortably. You should arrange for a friend or family member to drive you home. You will also be given specific postoperative instructions for your recovery and a follow-up appointment.

You will receive medications or a prescription, which may include pain pills and an antibiotic to prevent infection. You will also need to continue wearing the gauze dressings and elastic bandage (or support bra) around the clock as you heal; Dr. Samson will inform you how long you will need to wear it. You may also be asked to cleanse the incision sites and apply ointment for a healthy recovery.

It is possible to bleed into the pockets around the breast implants for the first several days, so you should take it easy until you have permission to increase your activity level. Most acute pain will typically subside after 1 – 5 days, but you can expect to experience soreness and swelling for up to a few weeks. Over time the incision lines will fade, with the quality of the scar will depending on several things, including your genetics, exposure of your body to nicotine, and infection.

Dr. Samson will inform you as to when you can resume exercise and normal activity.

How Much Does Breast Augmentation Cost in New York City?

The cost of Breast Augmentation in New York City will vary on a multitude of factors, such as the choice of implant type and size of your augmentation. After you meet with Dr. Samson and discuss your options, he will create your surgical plan which will provide our Patient Coordinator with the information needed to give you a breakdown of the total price.