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Breast Surgery Breast Augmentation

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Dr. Perrotta and Dr. Pellegrino routinely perform breast augmentation on an outpatient basis.  They have vast experience in breast implant surgery, and their advanced surgical techniques provide for aesthetically beautiful, natural results with minimal scarring.  Breast augmentation is one of the most popular plastic surgery procedures today.

before and after patient photos

 Candidates for Breast Implants

• Women with small breasts who desire larger breasts

• Women with breasts that have lost volume after childbearing

• Women who have breast asymmetry (uneven breasts)

• Women who have small breasts due to significant weight loss

• Women with mild cases of breast ptosis (droopy breasts)

The Goals of Breast Augmentation

• Breasts that are in proportion with the rest of your body

• Breasts that are shapely and symmetrical

• Improvement in body contour

• A more positive self image

Initial Consultation for Breast Enlargement

Drs. Perrotta and Pellegrino have developed a discreet and sensitive process for preparing you for breast augmentation. Your consultation is important because you and your plastic surgeon must be “on the same page” regarding the results you want. This is why Dr. Perrotta or Dr. Pellegrino will devote as much time as necessary to discuss your individual goals and needs with you. Dr. Pellegrino or Dr. Perrotta performs a focused physical examination to provide preliminary recommendations and determine whether you would also benefit from a breast lift.

Once the doctor determines his surgical plan, our aesthetic coordinator will produce a written quote which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.

Pre-Op Visit

Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications, and how the breast implants will be inserted.

Dr. Perrotta or Dr. Pellegrino will then obtain a more complete medical history from you and perform a final pre-op physical examination. Your chest will be measured, and your vital functions will be checked to ensure that you are physically fit for surgery.

Read more specific information about the selection of breast implants.

Prior to releasing you from your pre-op visit, your doctor and our staff will give you detailed instructions for the time leading up to your surgery, as well as for the time immediately following it.

The Breast Enlargement Surgery

During surgery, some patients prefer heavy IV sedation with local anesthesia, while others require general anesthesia. As a patient of Peninsula Plastic Surgery, you have the luxury of undergoing surgery in the most private and convenient of settings – the operating room suite located inside our Salisbury office complex. This operating room has the distinction of being fully accredited by AAAHC and certified by Medicare.

During breast augmentation, Drs. Perrotta and Pellegrino place their incisions inside or just above the inferior mammary creases (breast folds) or around the areolas of the nipples. Both of these approaches provide excellent exposure for the surgeon and increase the likelihood of perfect results. Some surgeons place incisions inside the arm pits or use the belly button as the site of entry. Unfortunately, these entry areas do not provide good exposure that would allow the surgeon to do the best possible job.

Dr. Perrotta or Dr. Pellegrino then creates a pocket under the pectoralis major muscle to receive the implant.  This approach allows for a more natural look and reduces the risk of capsular contracture, allowing the implant to remain intact long-term. For an accentuated look, the occasional patient will request to have the pocket created above the muscle, however.   In order to limit the length of the skin incisions, and therefore the eventual scars, Doctors Perrotta and Pellegrino now offer the Keller Funnel.

To reduce the risk of infection, Drs. Pellegrino and Perrotta soak all implants in antibiotic solution. The incisions are then closed with multiple layers of stitches, after which the nursing staff applies dressings and a post-operative garment.

Post-Op Recovery

After your breast enlargement surgery, you will go home with an elastic bra that applies gentle pressure to prevent bleeding. This bra also provides support to reduce uncomfortable bouncing during your ride home.

Most patients experience some pain for three days and some discomfort for two weeks thereafter. Oral pain medications can control this pain, however.

You will be scheduled for a follow-up visit within one week after your surgery, at two to three weeks after your surgery, at six to eight weeks after your surgery, and annually thereafter. These visits are complimentary.

Long-Term Monitoring

Both doctors monitor all patients closely. They offer complimentary annual check-ups, during which the breasts are assessed for capsular contracture or any migration of the breast implants.

Our doctors also order routine mammograms for our patients from the age of 35.

Breast Augmentation Before and After Photos

Click here to see Breast Augmentation Before and After photo gallery.

We are grateful to our patients for granting us the privilege of posting their before and after photos on our website. While we greatly value their privacy, we also salute their eagerness to share their life-changing results with other individuals considering plastic surgery. Every patient on this website has enthusiastically provided his or her written consent for us to show the world his or her results.

Contact us today to discuss our advanced breast enlargement surgery.