Breast Augmentation Surgery


Dr. Oren Lerman performs two different breast augmentation techniques at our Manhattan practice: augmentation with implants or augmentation with natural tissue. This second technique involves liposuction in a targeted area of the body and the transfer of harvested fat into the breasts to enhance volume. Both options have their advantages—get in touch with Dr. Lerman to see which might be best for you.

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0:00:03.200 --> 00:00:06.960 A breast augmentation is a procedure to 00:00:06.990 --> 00:00:10.500 enhance the size of your breast and improve the shape of your breast. 00:00:10.520 --> 00:00:12.660 There's basically two different ways of doing it. 00:00:12.690 --> 00:00:15.280 You can use a breast implant, which is one 00:00:15.300 --> 00:00:18.600 of the more common ways, or one of the newer ways that we do breast 00:00:18.630 --> 00:00:24.140 augmentation now is to use your own fat and to enhance your breast size and shape 00:00:24.170 --> 00:00:27.700 with liposuction fat that's grafted from another part of your body. 00:00:27.730 --> 00:00:32.740 A breast augmentation, or a boob job that some people call, is to restore the shape 00:00:32.770 --> 00:00:36.140 of your breast, enhance the volume of your breast. 00:00:36.170 --> 00:00:38.720 In some patients, that's done when you've 00:00:38.750 --> 00:00:41.780 lost volume, either after weight loss or pregnancy. 00:00:41.800 --> 00:00:43.760 In other patients, it's because they were 00:00:43.760 --> 00:00:46.500 never satisfied with the size of their breasts to begin with. 00:00:46.520 --> 00:00:49.980 And those are the patients that are really good candidates for breast augmentation. 00:00:50.010 --> 00:00:54.120 There are different kinds of breast implants that we can use: there's saline 00:00:54.150 --> 00:00:57.180 breast implants, which are filled with saline, or water, 00:00:57.200 --> 00:01:00.500 and then there's silicone breast implants, which are filled with a silicone gel. 00:01:00.520 --> 00:01:02.520 You can also choose not to have a breast 00:01:02.550 --> 00:01:05.850 implant at all and to use your body's own natural fat. 00:01:05.880 --> 00:01:07.660 The differences between saline and 00:01:07.690 --> 00:01:11.520 silicone are going to be in the way they feel and the way they look, and some 00:01:11.550 --> 00:01:14.050 patients are really good candidates for either. 00:01:14.080 --> 00:01:18.040 Some patients would be better off if we used one or the other, and we go through 00:01:18.070 --> 00:01:22.360 all of those choices when you come in for a consultation to figure out what is 00:01:22.390 --> 00:01:25.290 really the approach that we should use for you. 00:01:25.320 --> 00:01:26.980 When you're choosing a breast augmentation 00:01:27.010 --> 00:01:30.850 surgeon, it's really important that you find someone that has a common vision 00:01:30.880 --> 00:01:34.260 in terms of the esthetic that you're looking for. 00:01:34.290 --> 00:01:38.740 There's a lot of different approaches to doing breast augmentation. 00:01:38.770 --> 00:01:43.460 Specifically, we use a more natural approach, a more natural esthetic. 00:01:43.490 --> 00:01:46.240 It's very important that your goals and 00:01:46.270 --> 00:01:49.060 the surgeon's goals are in line with each other. 00:01:49.090 --> 00:01:53.660 A typical breast augmentation takes about two hours, two and a half hours. 00:01:53.690 --> 00:01:56.420 Basically, it's about a half a day of your time. 00:01:56.450 --> 00:02:00.260 You go home the same day, you're feeling fine the very next day. 00:02:00.280 --> 00:02:02.100 You'll have some soreness in your chest. 00:02:02.130 --> 00:02:05.900 Most people can go back to work after a few days or a week, 00:02:05.930 --> 00:02:09.680 and we require that you avoid any strenuous physical activity or exercise 00:02:09.710 --> 00:02:13.100 for a couple of weeks, but you'll be feeling fine after a few days. 00:02:13.130 --> 00:02:19.220 In our practice, we like to use 3D virtual imaging, and virtual 00:02:19.250 --> 00:02:25.220 surgical software to give you a virtual 3D preoperative assessment of 00:02:25.250 --> 00:02:29.780 what you're going to look like after the breast augmentation surgery. 00:02:29.810 --> 00:02:35.000 That's one of the most advanced tools that we can use to really figure out what you 00:02:35.030 --> 00:02:40.360 like and get your vision in line with our vision so that we know what your 00:02:40.360 --> 00:02:42.720 expectations are, and how to achieve the best result.

Dr. Oren Lerman

Oren Z. Lerman, MD

Dr. Oren Lerman performs a variety of cosmetic and reconstructive procedures with a specialty in reconstructive breast surgery. In fact, he is the director of breast reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care as well as the Microvascular and Cosmetic Breast Fellowship. In addition to the hospital, Dr. Lerman is affiliated with:

  • The New York Regional Society of Plastic Surgeons (Past President)
  • The American Board of Plastic Surgery (Diplomate)
  • The American College of Surgeons (Fellow)
  • The American Society of Plastic Surgeons
  • The American Society of Reconstructive Microsurgery

You can schedule a consultation with Dr. Lerman by filling out our online form or calling (212) 434-6980.

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"The one thing that is most important when we're doing cosmetic surgery and aesthetic surgery of the face or the body is to make sure that the patient is happy afterwards..." Dr. Oren Lerman

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