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How is a breast augmentation surgery performed?

Breast augmentation surgery involves the use of artificial breast implants. Two primary options for breast implants include silicone and saline implants. Dr. Edmund Kwan prefers to use silicone implants rather than saline. The silicone implant feels more natural, is more resilient, and it can last for a lifetime. The implant is done either under or over the muscle, depending on the patient’s needs. For younger people who do not suffer from sagging breasts, Dr. Kwan prefers to do it under the muscle. Under the muscle is the best location if it is done well.

Dr. Kwan usually prefers to do it through the armpit, but also performs the procedure around the nipple area or just below the breast. This is known as the inframammary approach, or surgery underneath the breast. These are the locations where the breast implants can be placed. Sometimes it depends on the patient’s choice, or sometimes it is the anatomy of the patient that allows one area to be easier to place the implant. In most cases, Dr. Kwan recommends that it should be done under the muscle.

The over the muscle location should be used only for patients who have sagging breasts. If the implant is placed under the muscle, in such cases, it can lead to a situation where the implant rides very high, while the breast sags low. This will still make the breasts look bigger, but not necessarily shapely. But again this is a case of optimizing the shape. An optimized shape over the muscle will give the patient a more lifted appearance and a bigger breast that is aesthetically more pleasing.

The breast augmentation procedure can be performed at an outpatient facility. In most cases, the patient is able to go back home the same day. The procedure is generally performed under local anesthesia and sedation. But some surgeons may also opt for general anesthesia to perform the surgery.

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What our patients say


I have been using Dr. Kwan for over 10 years now. I have had many different procedures and all of them have turned out great. One of the breast augmentations had a crimp in the left breast and he had no problem going in to revise it to assure my satisfaction. I have always liked the way he answers each of my concerns and we go over everything for each procedure I've done several times to assure we are on the same page :)
Take a list of any questions or concerns an I guarantee you will love your results no matter what procedure he is doing for you!
More Reviews
Best Plastic Surgeon NYC, Edmund Kwan, M.D for facelift surgery
Dr. Edmund Kwan, M.D. is a board certified plastic surgeon in New York specializing in plastic and reconstructive surgery. Dr Kwan is committed to performing non surgical and surgical procedures to help his patients restore a more youthful appearance with natural and beautiful results. Connect with Dr. Edmund Kwan, M.D. on Linkedin