Breast enlargement can increase the size of small breasts or restore volume to breasts that have decreased due to age or pregnancy.

The FDA has approved saline-filled breast implants for breast augmentation. Silicone-gel filled implants are currently approved for use only in reconstruction after cancer surgery (or in special cases of implant replacement). The safety of breast implants has been well demonstrated, and Dr. Wiener will discuss the known risks. Mammograms used for screening for breast cancer will require special views to adequately assess the breast tissue.

Incisions can be placed in the fold beneath the breast, around the edge of the aereola, or in the armpit. A pocket is created for the implant behind the breast tissue or behind the chest muscle.

After surgery, there will be some degree of bruising and swelling. A recent addition is the use of a small thread-like catheter implanted at the time of surgery into each breast pocket. A local anesthetic is infused through this catheter by a small (4 inch) pump while recovering at home. This decreases the discomfort considerably and the catheters are removed painlessly at your first post-operation office visit at two to three days. You will also have a dressing on the incision and a special support bra. Most patients return to work in one week. More strenuous activities should be avoided for 4 to 6 weeks.