woman holding breast


Dr. Elsa Raskin offers breast augmentation at our Greenwich practice. This popular cosmetic surgery procedure uses either saline or silicone* implants to enhance the shape and size of a woman’s breasts. Women choose this procedure in order to create a more proportional body, to make up for volume lost due to pregnancy, to make their breasts symmetrical, or simply because they want a more ample bosom.


Breast augmentation surgery typically takes about an hour to two hours to perform and requires general anesthesia. To insert an implant, an incision will be made along the underside of the breast or around the areola and a pocket is created behind the breast tissue or underneath the chest muscle for the implant to be placed. The incisions will then be stitched up and the area will be applied with bandages.

45-year-old female before/after submuscular breast augmentation with 325 cc moderate profile silicone implants

This is a 45-year-old patient who desires to increase her breast size naturally. She is 5’11” and 145 lbs. She is tall and stressed that she wanted her chest to match her hips, in a proportional yet natural manner. Implants: 350cc Mentor Smooth Moderate Profile with insertion around the nipple under the muscle. The patient went from a 34 B to a 34 C.


After your breast augmentation, small drainage tubes may need to be inserted into each breast. The surgical dressing will be removed within a few days and sutures should dissolve on their own in about a week. Swelling typically last for about three to five weeks, or for three to five months if implants were placed under the chest muscle. During the first two weeks after your procedure, you may experience a burning sensation in your nipples. Patients usually can return to work after a few days but are encouraged to avoid any strenuous activity for about two to three weeks. Scarring will occur with breast augmentation, but it will fade over time.


Like all surgical procedures, breast augmentation comes with potential risks. These risks include excessive bleeding, adverse reaction to anesthesia, infection, or oversensitive, undersensitive, or numb nipples. The most common issue from breast reconstruction surgery is capsular contracture, which happens when the scar around the implant begins to tighten, causing the breast to feel hard. There is a chance that the implant will break, which will require a second operation to replace the leaking implant. There is no evidence connecting breast implants with cancer, arthritis-like conditions, or immune system diseases. Breast implants may affect the way a mammography is performed but train radiologists can perform a special displacement technique to perform an accurate mammogram.

*The FDA has conducted several studies on the effects of silicone gel implants and has determined that they are safe for use in breast augmentation surgery. Women over the age of 22 will be given a choice of what type of implant they’d prefer.