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Dr. Weinstein looks forward to helping you. Please contact us with any questions or comments you may have. Please call our office at 908 879 2222 or use the contact form below.

 
 

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Breast Augmentation in New Jersey

Many women choose to have their breasts enlarged in order to satisfy their own desire for a fuller bust line. Your breasts may not have developed to a size that meets your expectations, or one breast may be significantly smaller than the other. You may have been happy with your breasts in the past, but feel that they look different now. Often, after weight loss, childbirth or as a result of aging, the breasts lose volume and their shape changes. Breast augmentation can enhance your breast size and shape, and give you the more proportional figure that you always wanted. Contact Us

Breast augmentation is the second most popular cosmetic surgical procedure (just behind lipoplasty) for women, according to statistics from the American Society for Aesthetic Plastic Surgery (ASAPS). Nearly 217,000 breast augmentation procedures were performed last year, and the number of breast enlargements has gone up 114 percent over the past five years.

We know that breast augmentation in New Jersey is popular, but how satisfying are the results? A recently published study looked at the experiences of 360 women who had undergone breast augmentation. Psychological testing was done before surgery, and at intervals of six, 12 and 24 months following breast enlargement. Researchers reported that “throughout the two-year period, over 90 percent of the women were satisfied with the surgery and their resultant body-image changes.”

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation in New Jersey:

You are bothered by the feeling that your breasts are too small

Clothes that fit well around your hips are often too large at the bust line

You feel self-conscious wearing a swimsuit or form-fitting top

Your breasts have become smaller and lost their firmness after having children

Weight loss has changed the size and shape of your breasts

One of your breasts is noticeably smaller than the other

Breast augmentation in New Jersey can be performed at any age after the breasts are fully developed. A good candidate for breast enlargement is emotionally mature, understands her personal motivations and has realistic goals for the procedure.

The inframammary fold, periareolar, axillary, transumbilical and abdominoplasty approaches for breast augmentation can be utilized. The inframammary approach is very reliable, with extremely low incidence of malposition or loss of sensation. In younger patients, without a well-developed fold,  the periareolar approach for saline implant breast augmentation maybe preferred.

In older patients with abdominal stretch marks, excess abdominal strain or weak abdominal fascia the breast augmentation maybe combined with an abdominoplasty {tummy tuck}  through one low bikini line incision. Before and after photos and more information about breast augmentation can be accessed here. Accurate, quick recovery, safe and natural breast augmentation are the goals of our plastic surgeons associated with BreastImplantDocs.Com.

Synthetic Implants
All breast implants are surrounded by a firm, silicone elastic (elastomer) shell. The envelope of the implant may be smooth or textured. Obtain as much information about the different types of breast implants when you discuss your particular situation with the surgeon. Manufacturers also provide information about their products which can be obtained from your surgeon or the manufacturers website. Implants have different warranties available.

Implant Fillers
There are two basic types of breast implant fillers available: Saline-filled and silicone gel-filled.

Saline
Filled with a salt and water solution of similar concentration to that found in body tissue. May be pre-filled or filled through a valve at the time of surgery.

Long history of use

Available in either round or anatomical (breast shaped) designs

Filled with a solution which can be absorbed and excreted by the body

Silicone Gel
Filled with a soft - firm silicone substance. Only higher viscosity firm filled implants, or cohesive implants, contain a firmer gel which does not spill if the shell ruptures are used by Dr. Weinstein. At the present time, silicone gel-filled breast implants are available.

Long history of use.

The soft silicone filler is the softest implant available. It is less prone to wrinkling and feels more natural than some other implants

Available in either round or anatomical (breast shaped) designs

The 1998 IRG found no evidence that silicone implants pose a danger to women's health

Types of Envelope
Breast implants are made with silicone elastomer (rubber).

Smooth
Smooth-surfaced implants have a slightly softer shell, have less wrinkling and are less likely to be felt through the skin and tissue. Choosing the implant surface that is right for you should be discussed by you and your physician.

Textured
Textured surface implants were designed to reduce the chance of capsular contracture (a hardening of the breast), and promote tissue adherence, which may help to maintain proper implant positioning. They have a higher incidence of wrinkling and may have a higher incidence of rupture.

Shape of Implant
Depending on the desired shape you wish to achieve, you and your surgeon may choose a round or contoured implant shape. Generally, the larger you want your cup size, the larger the breast implant the surgeon will consider (measured in cubic centimeters, or cc's). You should be aware that contoured implants that are placed sub muscularly may assume a round shape after implantation.

Rounded
Round Breast Implants are round in design. They enhance breast size are made in low profile, moderate profile and high profile shape. Each profile is used on an individual basis to enhance an individual woman's profile.

Shaped
Shaped implant is designed to reflect the slope of a breast. With its upper area gently sloping downward and outward. Shaped implant is more likely to shape the upper part of your breast with a gentle slope. They have a higher incidence of malposition, hardness and possibly rupture.

Natural Tissue
By the time a female is 16 to 18 years of age, her breasts are completely formed. Over time, with weight gain or loss, pregnancy or the use of oral contraceptives, breast size will change.

While it is possible to move areas of body tissue, the use of body tissue is rarely an appropriate solution for breast enlargement. This is a long and complicated operation which is seldom used for cosmetic purposes and is commonly used in breast reconstruction. Additionally, the injection of fat does not result in a satisfactory increase in breast volume. The fat can also calcify and cause problems with mammography.

In addition to the Core Clinical Studies sponsored by manufacturers of silicone gel-filled breast implants, hundreds of scientific studies have been completed to evaluate the effectiveness and safety of silicone and silicone gel-filled breast implants. The FDA considered data from many of these studies during their review of silicone gel-filled breast implants.

  • "Non-clinical" reviews conducted by independent governmental bodies, such as the Institute of Medicine (IOM): The IOM evaluated specific safety concerns related to silicone gel-filled breast implants. These included cancer, connective tissue disease, neurological disease, the effects on pregnancy, lactation, and the children of women with silicone gel-filled breast implants.
  • Independent Panel Reviews: Various governments, third-party organizations and professional associations have also convened advisory groups to examine existing data from a wide range of studies, and make determinations about the safety of particular medical devices. Following review of study protocols and results, individual panels usually issue a final, unbiased and objective determination regarding the safety of the device at hand. In the instance of silicone gel-filled breast implants, experts scrutinized the wealth of existing safety data, and also closely reviewed how researchers conducted the studies and collected data. It is important to note that independent panels have no interest in the outcome of their conclusions.
  • Toxicology and biocompatibility testing indicated that the silicone materials used in breast implants do not cause toxic reactions, even when large amounts were administered to test animals. In addition, studies have demonstrated that the type of platinum found in silicone gel-filled breast implants in very small quantities is metallic platinum, similar to that found in approved medical devices, rather than the form of platinum that is more active in the body, platinum salts.
  • Independent epidemiologic studies published in medical journals: These studies evaluate if there is any relationship between silicone gel-filled breast implants and potential safety complications or health concerns.
  • FDA Panel Reviews: These advisory groups are put together by the United States Food and Drug Administration (FDA) to provide independent, professional expertise and technical assistance on the development, safety and effectiveness, and regulation of medical devices. Each panel consists of experts with recognized expertise and judgement in a specific field. Members have the training and experience necessary to evaluate information objectively and to interpret its significance. These persons are not regular employees of the FDA, but are paid as "special government employees" for the days they participate as members of a panel. The purpose of these panels is to examine existing data from a wide range of studies and make an overall determination of the safety of a particular medical device. Following the panel's review of the data and information, it makes a final, unbiased and objective determination regarding the safety and effectiveness of the device under consideration. In the instance of silicone gel-filled breast implants, experts on the panel scrutinized the abundance of existing safety and effectiveness data, closely reviewed how the studies were conducted and how the data were collected, and listened to public testimony from patients, advocates, physicians, scientists and special interest groups. It is important to note that the panels are advisory – they provide their expertise and recommendations – but final decisions are made by the FDA.

Results of Key Safety Studies Conducted on Silicone and Silicone Gel-Filled Breast Implants

National Academy of Sciences' Institute of Medicine (IOM) Report

Established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine (IOM) provides independent, objective, evidence-based advice to policy makers, health professionals, the private sector and the public. In the 1990s, the IOM convened an independent committee of 13 scientists to launch a comprehensive examination into the safety of silicone gel-filled breast implants. In 1999, the committee released a 400-page report summarizing its conclusions, based on review of the evidence reported in peer-reviewed, published scientific literature, for the association of silicone gel-filled breast implants with human health conditions.

In its report, the IOM committee stated, "A review of the toxicology studies of silicone and other substances known to be in breast implants does not provide a basis for health concerns." The report also noted, "evidence suggests diseases or conditions such as connective tissue diseases, cancer, neurological diseases or other systemic complaints or conditions are no more common in women with breast implants than in women without implants."

Independent Third-Party Research

 

In addition to data derived from the Core Clinical Studies provided by the manufacturers of breast implants, the FDA examined literature reviews of scientific data published by independent experts. This is significant, because independent data are collected and analyzed with no input or oversight from the device manufacturers. Therefore, these data might be considered to be the most objective available. Several highly respected groups of medical experts have conducted studies or analyzed data assessing the safety of breast implants, including:

Each of these independent groups reviewed a broad range of scientific information regarding the potential risks associated with silicone gel-filled breast implants. Collectively, these independent panels and review groups reached individual, but ultimately similar, conclusions about the safety of silicone gel-filled breast implants. The consensus among these groups, as described by the National Science Panel, was that there is "no link between silicone breast implants and any established connective tissue diseases, rheumatologic disorders, abnormalities of the immune system or increased toxicity in the body."

In addition, independent groups issued the following conclusions that further reinforce the safety of silicone gel-filled breast implants: