Achieve Beautiful Proportion

Dr. Hutchinson's breast augmentation surgery in NYC allows women with small, underdeveloped, or unevenly sized breasts to achieve a fuller, firmer, better proportioned look with saline or silicone implants.

Breast Augmentation with a Top Plastic Surgeon in New York City 

Breast augmentation consistently ranks among the most frequently performed aesthetic procedures in the U.S. It is designed to enhance a woman’s appearance by increasing breast volume, restoring breast fullness after childbearing and breastfeeding, and improving the contour of the breasts. Cosmetic breast surgery is one of Dr. Olivia Hutchinson’s main areas of focus at her Upper East Side practice.

Why Choose Breast Augmentation?

Patients choose breast augmentation in Upper East Side for many different cosmetic or aesthetic reasons. These reasons may include:

  • Obtaining larger, more shapely breasts
  • Balancing asymmetrical breasts
  • Correcting a congenital breast defect or malformation (tuberous breast deformity, breast hypoplasia, etc.)
  • Compensating for reduced breast volume after pregnancy or surgery to remove a breast mass

How is Breast Augmentation Performed?

Breast augmentation with implants can achieve beautiful results in many patients as a standalone procedure by itself or it can be performed in conjunction with other surgical, minimally invasive, or noninvasive aesthetic procedures. Depending on the shape of your breasts and the look you’re trying to achieve, Dr. Hutchinson may also recommend combining breast augmentation with a breast lift (mastopexy)or liposuction of the chest area for enhanced results.

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Fully Customized Breast Augmentation

Dr. Hutchinson knows that every woman is unique in both her desires and her body shape. With that in mind, she will spend a significant amount of time with you during a preoperative consultation to learn what you hope to gain from your breast augmentation — and to decide which implant type and implant placement is ideal for you. In this way, every one of our patients enjoys completely customized treatment designed with her specific goals in mind.

Low profile silicone breast implant

Medium profile silicone breast implant

High profile silicone breast implant

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What are Breast Implants?

Breast implants are sterile prostheses that are either round or teardrop shaped to match your natural breast shape. They are composed of an outer shell made of solid silicone elastomer and are filled with either saline (saltwater) or silicone gel. The outer silicone shell is available either as a smooth or textured surface. Both saline and silicone implant types are scientifically proven to be very safe, they come in a variety of sizes, and each confers its particular advantages. During your breast augmentation in NYC, the implants will be inserted behind each breast, either directly underneath breast tissue (subglandular or submammary position) or under the pectoralis major muscle (subpectoral or submuscular position) on the chest. During your preoperative visits, Dr. Hutchinson will help you decide which specific breast implant and which placement location are right for you.

Types of Breast Implants

Breast implants were originally brought onto the plastic surgery scene several decades ago. Now, after years of research and evolution in implant characteristics, women have hundreds of possible choices for breast enhancement. The volume, projection, shape, fill material, and shell surface structure variations allow for hundreds of different permutations, which offer women the possibility of finding a truly unique look to fit their desired results. Currently, breast implants are available in three main types: saline-filled implants, IDEAL IMPLANT Structured Breast Implants, and silicone gel-filled implants. All implants consist of an outer, solid silicone shell — but the internal component is what primarily differentiates the many types of breast implants.

Saline Implants

Saline implants are round, consist of a single outer shell, and are filled with varying amounts of saline solution. The body can absorb saline in the event of a rupture.

IDEAL IMPLANTs

IDEAL IMPLANT Structured Breast Implants are round, contain two chambers and a layered system of external shells, and are filled with a variable amount of saline solution.

Silicone Gel Implants

Silicone gel implants have a single outer shell and come pre-filled with different types of silicone gel in a specific volume. The silicone gel ranges in density to produce a different feel and shape retention. The most cohesive gel implants, also called “gummy bear” implants, are available in both round and teardrop shapes.

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Getting Ready for Breast Augmentation Surgery

In order for your breast augmentation to go smoothly, Dr. Hutchinson will provide you with detailed and precise instructions to be followed prior to surgery. This includes recommendations for breast imaging, including mammogram, sonogram, and/or MRI as necessary, as well as requirements for medical clearance and bloodwork prior to surgery.

She will also discuss how you should maintain a healthy lifestyle, diet, and weight; how you can avoid smoking if you’re a smoker; and advice on not taking medication that can increase risk of complications.

If you have any questions about preparing for breast augmentation surgery in NYC, please bring them up with Dr. Hutchinson. 

Breast Augmentation Incisions and Technique

The breast augmentation procedure lasts 1-1.5 hours and is usually performed under general anesthesia. In some patients who undergo subglandular breast augmentation, the procedure may also be performed safely using local anesthesia with intravenous sedation. Incisions are made in inconspicuous places on the breast to minimize scar visibility. These may be located in the armpit (transaxillary); in the crease on the underside of the breast (inframammary); or around the areola (periareolar).

The incision allows for access to the breast tissues and for creation of the surgical plane where the implant will be positioned. Using meticulous technique, Dr. Hutchinson dissects a pocket under the breast or below the pectoralis muscle into which the implant is inserted.

Breast Implant Placement

Breast implants may be placed either under the breast itself or below the pectoralis major muscle. Implant placement beneath the muscle of the chest offers some advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (postoperative tightening around the implant) and the least degree of interference with mammogram examinations. Disadvantages include potentially greater patient discomfort in the first few days following surgery and a slightly longer recovery phase. During your consultation with Dr. Hutchinson, she will discuss which option may be right for you.

After the implants have been inserted into their respective pockets and positioned beneath each nipple, the incisions are sutured closed, then taped and bandaged. The bandages may be removed after two days, at which point a surgical bra or strap may be worn depending on the placement and type of implants.

Recovery

Most patients feel somewhat tired and sore after breast augmentation surgery, but this usually resolves in a day or two. You should be able to return to work within the week, but vigorous exercise should be avoided for at least 2-4 weeks, depending on the specific type of breast augmentation surgery you underwent. Stitches are absorbable, and your body will gradually break them down during the weeks after your breast augmentation in NYC.

Postoperative pain, swelling, and sensitivity will subside over the first few weeks. The scars from your incisions will begin to fade in a few months and will continue to fade for months after surgery.

You will have several visits with Dr. Hutchinson during the postoperative period, where she will follow up with you to make sure your recovery is going as it should.

What Patients are Saying

“Dr. Hutchinson is a terrific plastic surgeon. She walked me through the whole process of my breast augmentation and made sure I was completely comfortable and knew exactly what to expect. I am thrilled with the results and would recommend her to everyone.” H.H.

“So happy with my new breasts. I had been thinking about having a breast augmentation for years, and I finally decided on silicone breast implants. I did a lot of research before choosing Dr. Hutchinson, and I couldn’t be happier. She is a wonderful plastic surgeon, and I look amazing. Thank you for doing such a fantastic job!” MJK

“Great surgery experience! I was completely flat chested and felt embarrassed to wear any sort of tank tops, not to mention swimsuits. It took me two years to make up my mind, and I am extremely happy with the outcome.” Activeinthecity

“Almost six years ago, but still love my results. Dr. Hutchinson is an amazing doctor and surgeon. I had my silicone implants in 2010 and they still look great…One of the things that stuck out to me when meeting with Dr. Hutchinson was the thorough history and the amount of time she spend with me and my fiancé (at the time now husband) answering questions. I had met with some other doctors prior and that was not the case. Her assistant at the time was so kind and sweet. I’m glad I met Dr H and had great results.” plasticlady

“Would do it all over again, WITH DR. HUTCHINSON! I felt very comfortable and confident the minute I met Dr. Hutchinson. I not only felt at ease with her, but also felt that she had to be the one for my procedure. I did SO MUCH research on so many doctors and their work “out there” and really Dr. Hutchinson is the best of the best. I felt like she was not there to sell anything, but to make me feel happier. I felt like I was in great hands since the beginning. Also, LOVE her staff! Great team! Thank you SO MUCH! I’m so happy with my procedure!” Forceful3683

Read more breast augmentation patient testimonials here.

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Candidates for Breast Augmentation 

Women who make excellent breast augmentation patients are those who:

  • Have breasts that are completely developed
  • Feel that their breasts look too small 
  • Have lost breast tissue volume after pregnancy and/or breastfeeding
  • Are unhappy with their overall body image because of their breasts
  • Have low self-esteem due to small breasts
  • Have breast asymmetry 
  • Are non-smokers in overall good health
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What Should I Expect During My Breast Augmentation Consultation?

Before your breast augmentation in NYC, you will have a consultation with Dr. Olivia Hutchinson to determine if you are an appropriate candidate for the procedure and to help her understand your goals. This consultation will include the following:

  • A comprehensive discussion with Dr. Hutchinson where she will go over your medical history 
  • The chance for you to explain what bothers you about your breasts and what results you want to achieve with the surgery
  • A private exam where Dr. Hutchinson will evaluate your unique physical features
  • A showing of the different breast implants with different characteristics (volume, projection, and saline/silicone gel fill) in order to help educate you on the many options available to you 
  • Medical “before” photographs, which will provide additional information when discussing your surgery
  • The formation of a customized surgical plan created especially for you to achieve your personal cosmetic goals
  • A conversation about what is required of you before and after your surgery to ensure a successful operation and smooth recovery
  • The opportunity for you to voice any questions or concerns you have about the procedure, risks, recovery, and results
  • The option for you to schedule your surgery if you decide to proceed

In order to help you understand what results can be achieved with breast augmentation surgery and what is the best possible option for you, Dr. Hutchinson will discuss specific details of your current breast size and physical characteristics. Factors that may impact your results include the following:

  • Your current breast size, including breast volume, breast width, and the amount of breast sagging 
  • The position of your nipples
  • Skin features, such as the amount of excess or loose skin and skin quality (elasticity and tone)
  • Pectoral muscle development and tone
  • Inframammary fold position and tightness
  • Breast asymmetry or differences between your breasts in terms of breast volume, shape, and width; breast sagging, and nipple position 

Breast Revision: Removing and Replacing Breast Implants

Some women with breast implants may consider a revision surgery if they are not completely satisfied with the appearance or size of their breasts or if they are experiencing complications from their initial surgery. 

Why Undergo Revision?

Breast implant revision or removal is not mandatory simply based on the length of time a patient has had implants. Often a woman’s breasts will change with time due to many factors such as pregnancy, breastfeeding, and merely the passage of time with the normal changes in skin quality, breast shape, and relative composition of gland tissue and fat as she ages. Some patients will require surgery due to capsular contracture, implant malposition or rupture, or other issues related to their original surgery.

How Breast Revision Works

Dr. Hutchinson provides plastic surgical evaluations and consultations for patients who already had breast implant surgery performed elsewhere or abroad, and who may be considering revision surgery for a variety of reasons. Surgical revision may include any number of procedures, including changing the size, type (saline or silicone, smooth or textured,) or placement (under the breast or under the muscle) of the implants. In some cases, implants may be removed altogether, or additional surgery may be advisable. 

Other Procedures to Enhance Revision 

Additional procedures may include surgery on the capsule around the breast implants, with either repositioning or removing part or all of the capsule (capsulectomy). In some patients, fat injections may be performed to correct minor irregularities or contour deformities to provide additional breast volume or to create coverage of visible or palpable implants. Alternatively, a breast lift procedure may be performed concurrently to provide a better cosmetic result. Dr. Hutchinson will discuss all the options for breast augmentation revision available to you and will discuss with you whether or not surgery is needed — and if so, which one is best for you.

Breast Revision

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A Note on Textured Breast Implants

Dr. Hutchinson is proud to offer patients many options of breast implants — including silicone gel-filled breast implants, with a softer texture and more natural feel — as well as saline-filled implants, which contain natural saline solution. 

All currently available breast implants used for plastic surgery in the U.S. have been subjected to extensive research and clinical studies and have all been cleared by the FDA as safe and effective medical devices that may be safely used for both breast reconstruction and aesthetic breast augmentation.

One specific type of breast implant made by Allergan, namely implants with textured shell surfaces, were recalled worldwide as of July 24, 2019. These textured shell breast implants are no longer available for implantation due to the associated risk of developing a very rare complication known as Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL). 

At this time, the FDA recommends that textured shell implants be removed only in patients who have symptoms or issues with their implants, such as swelling, a mass, or fluid around the implant. However, many patients who have textured implants prefer to have their implants replaced with smooth implants regardless in order to avoid the potential development of BIA-ALCL.

All currently available breast implants used for plastic surgery in the U.S. have been subjected to extensive research and clinical studies and have all been cleared by the FDA as safe and effective medical devices that may be used for both breast reconstruction and aesthetic breast augmentation in NYC

BIA-ALCL

In addition to the more common reasons for revision breast augmentation, a rare form of breast implant associated tumor called Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL) has recently been identified in a relatively small subset of patients. BIA-ALCL is distinct from and unrelated to breast cancer and usually presents as a mass or fluid accumulation (seroma) that manifests late — usually several years after the initial surgery — and is mostly treatable with surgical removal of the tumor, capsule, and breast implant.

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Fat Transfer Breast Augmentation 

For women who would prefer to avoid breast implants altogether and only want a subtle increase in breast size (one cup or less), fat transfer breast augmentation may be the best option. This technique uses a patient’s own fat to add volume to the breasts for an extra-natural look and feel. 

The procedure involves healthy fat being taken from a part of the body where it can be spared (usually the stomach, buttocks, flanks, or thighs) using a technique similar to liposuction and then purifying and injecting that fat into the breasts to add natural looking volume. There are many advantages to fat transfer breast augmentation. 

It is minimally invasive (therefore requires less recovery time); it’s all natural; there is no risk of any kind of breast implant illness, rupture or other complications resulting from implants; scarring is very minimal, and you also have unwanted fat taken away from an area of the body. For many women, fat transfer breast augmentation is the very best and most natural choice. 

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Why Choose Dr. Hutchinson for Breast Augmentation?

Board certified plastic surgeon Dr. Olivia Hutchinson strives to provide all her NYC breast augmentation patients with the individualized results that they are seeking — with great looking, natural-feeling breasts that complement their individual body and physique. Having been in practice for over two decades on Manhattan’s Upper East Side, she has extensive experience in determining which type of implant is best suited for each patient and in working with each patient to deliver optimal results. Breast augmentation surgery is both one of Dr. Hutchinson’s most popular cosmetic surgeries and one of her areas of specialization and expertise. She aims to exceed her patients’ expectations and provide the absolute highest level of care for each one. If you’re interested in breast augmentation with Dr. Hutchinson, contact us online or call us at (212) 452-1400.

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