At Age Focus in Long Island, NY, awake breast augmentation offers a refined approach that blends precision with comfort, allowing patients to remain conscious while benefiting from local anesthesia. This technique supports subtle breast adjustments during surgery, contributing to natural-looking results tailored to individual anatomy. The procedure emphasizes a balance between aesthetic goals and patient safety, avoiding the complexities of general anesthesia. With careful attention to detail, each case is managed to optimize recovery and long-term satisfaction from larger breasts.
Awake breast augmentation is a type of augmentation mammoplasty performed while the patient remains conscious but comfortable under local anesthesia. This approach allows for real-time communication between the patient and surgeon during the procedure. Often chosen by those seeking subtle enhancements or correction of asymmetrical breasts, it offers a safer experience. The surgery typically lasts about one to two hours, depending on the complexity of the case. While the patient stays awake, they do not feel pain due to the numbing effects of the anesthesia.
Silicone breast implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. Many patients prefer these implants for their soft, natural texture and realistic appearance. The silicone gel inside the shell is designed to stay intact even if the implant ruptures, maintaining its shape. These implants are available in various sizes and profiles to suit different body types and aesthetic goals. They are commonly used in both cosmetic and reconstructive breast surgeries.
Saline implants are filled with sterile salt water. They are inserted empty and then filled to the desired size during surgery. Saline implants are a popular option for women seeking increased breast volume with a slightly firmer feel. Because they are filled after placement, they allow for smaller incisions and minor size adjustments. In the rare event of a rupture, the body safely absorbs the saline. Such implants remain a well-established choice for augmentation and reconstruction.
Gummy bear implants are a type of form-stable silicone implant known for their ability to maintain shape even when cut. They have a thicker gel consistency, providing a firmer feel than traditional silicone implants. Most patients choose gummy bear implants for their durability, natural contour, and reduced risk of rippling. These implants often come in a teardrop shape that mimics the slope of a natural breast. Their cohesive gel interior contributes to a stable and long-lasting result.
Fat transfer breast augmentation uses a patient’s own fat, harvested from areas like the abdomen or thighs, to enhance breast size and shape. This method appeals to those looking for a more subtle, natural enhancement without implants. The transferred fat blends seamlessly with natural breast tissue, creating a soft, organic look and feel. It is also a popular option for correcting minor asymmetries or adding volume after implant removal. Because it uses the body’s own tissue, results can vary depending on how much fat survives the transfer process.
Preparation for awake breast augmentation begins with a thorough pre-operative consultation, during which Dr. Gargiulo reviews the patient’s medical history and discusses aesthetic goals. These consultations are essential for determining candidacy and planning the surgical approach. The implant type, size, and placement options are carefully evaluated during this phase to match the individual’s anatomy and preferences. Many patients also undergo routine lab work and are advised to avoid certain medications that could increase bleeding risk. This detailed planning ensures a safe and personalized surgical experience.
The awake breast augmentation procedure is performed under local anesthesia combined with mild sedation, allowing the patient to remain conscious but relaxed and pain-free. This approach eliminates the need for general anesthesia and reduces the risks commonly associated with it.
Depending on the surgical plan, Dr. Gargiulo may use one of several incision options to insert the implants:
The incision choice is based on anatomy, implant type, and personal preferences.
Once the incision is made, a pocket is created either above or below the chest muscles for implant insertion. Placement beneath the muscle, known as submuscular placement, may offer a more natural contour and lower the risk of visible implant edges. Placement above the muscle, or subglandular, can be suitable for individuals with adequate natural breast tissue coverage. Our plastic surgeon carefully makes the decision to balance aesthetics and long-term outcomes.
Saline or silicone implants are used during the procedure, depending on the patient’s goals and body type. Silicone implants are pre-filled with cohesive gel, while saline implants are filled after insertion, allowing for minor size adjustments. Both options can be tailored in size and profile to correct unevenly sized breasts or enhance overall symmetry.
After the implant is positioned and symmetry is confirmed, Dr. Gargiulo makes final adjustments to ensure proper alignment with the chest wall and optimal shape. The incisions are then closed with layered sutures, and sterile dressings are applied. Throughout the procedure, care is taken to preserve nipple sensation and maintain the natural proportions of the breast.
Patients return home the same day following the awake breast augmentation, typically accompanied by a responsible adult. Mild to moderate post-operative pain is common during this period and is usually managed with prescribed pain medication. Rest is strongly encouraged, and strenuous activity should be avoided to support early healing. Clear post-operative instructions are provided to help reduce swelling and ensure proper implant positioning.
During the first week, swelling and bruising gradually begin to subside. Most women can resume light daily activities within a few days, but lifting or exercise is still restricted. It is essential to wear the recommended surgical bra to support healing and maintain shape. A follow-up appointment is typically scheduled within this period so the surgeon can assess early recovery and ensure there are no complications.
Many patients feel significantly better by one month and return to most regular activities. Continued improvement in shape and sensation is expected as the healing process progresses. The final results become more visible as the swelling resolves and implants fully integrate with the body’s natural contours. Most restrictions are lifted by six weeks, though the timeline may vary depending on the implant type and placement.
A tummy tuck, or abdominoplasty, is a cosmetic surgery that tightens abdominal muscles and removes excess skin and fat from the midsection. It is especially popular among many women who have experienced changes in their bodies due to pregnancy or significant weight loss. A tummy tuck can significantly enhance body contours and restore a firmer, flatter abdomen when paired with breast surgery. The procedure creates long-lasting results when supported by a stable weight and a healthy lifestyle.
Schedule your breast augmentation consultation to discuss your goals and explore personalized options for beautiful, natural-looking results.
Awake breast augmentation may be appropriate for individuals seeking a customized approach to enhancing breast shape or volume without general anesthesia. Ideal candidates typically fall into one or more of the following categories:
Awake breast augmentation offers unique advantages that appeal to many individuals seeking a personalized and less invasive approach to breast enhancement. The benefits include:
The cost of awake breast augmentation in Long Island, NY, ranges from $5,000 to $9,000, depending on various factors, such as implant type, surgical technique, and facility fees. Board-certified plastic surgeons charge higher fees due to their credentials, extensive training, and experience. Additional costs may include anesthesia, post-operative care, and follow-up visits. Patients should consider these factors carefully when evaluating overall expenses.
Dr. Gargiulo provides accurate price quotes during the initial consultation.
At Age Focus, the approach to awake breast augmentation reflects the depth of Dr. Gargiulo’s multidisciplinary expertise and commitment to precision. Dr. Gargiulo is an experienced plastic surgeon whose extensive background in anesthesiology and pain management allows him to skillfully tailor anesthesia and pain control, enhancing patient comfort throughout the procedure. Our focus extends beyond augmentation to include breast reduction and other procedures, offering comprehensive solutions that address a wide range of body contouring needs. This breadth of knowledge is matched by a dedication to patient education, ensuring that each individual fully understands their options and can make informed decisions aligned with their goals. The result is a surgical experience grounded in medical excellence and personalized care.
Breast augmentation is a surgical procedure that primarily focuses on increasing breast size by inserting implants or transferring fat. In contrast, a breast lift reshapes and raises the breasts by removing excess skin and tightening surrounding tissue without significantly changing breast size. While augmentation adds volume, a lift improves sagging and contour, and these procedures can sometimes be combined for enhanced results.
Yes, breast augmentation can be an essential part of breast reconstruction. During reconstruction, the choice of implant size is carefully considered to restore symmetry or create larger breasts if desired. Combining augmentation with reconstruction helps achieve a more natural appearance and improves overall balance following mastectomy or injury.
Potential risks include capsular contracture, which is the tightening of scar tissue around the implant that can cause discomfort or changes in shape. Injury or movement of the implant near the pectoral muscle may also occur, depending on implant placement. Other risks include implant leakage and displacement. Advances in surgical techniques have reduced complications, but patients should be informed about all possible risks before proceeding.
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