What you need to know about selecting your Breast Implants

Breast Augmentation surgery is a procedure to increase the size of the breasts by inserting breast implants. Breast Augmentation with breast implants is the most popular procedure performed by Board Certified Plastic Surgeons.  There were over 280,000 breast augmentations performed in the United States during 2019, making it the number one procedure. Breast augmentation procedures have been the most popular cosmetic surgery for many years.  The advancing implant technology, combined with improved surgical techniques that offer a more rapid recovery, are some of the reasons why this procedure continues to be so popular.


If you are considering breast augmentation with breast implants, there are some important things to consider. These include: the type of implant, implant size, incision placement, implant placement, and surgeon selection.  Continue reading to learn more about these issues.



Type of Breast Implants


Breast Implants generally fall into the category of SALINE or Silicone.  This refers to the internal contents of the implant. All implants have a thin silicone rubber shell, but some are filled with saline fluid (salt-water) and some are filled with a silicone gel. It is this fill material that classifies it as either saline or silicone. Let’s discuss the differences


Saline implants are essentially a water balloon. This means that the can show rippling and wrinkling.  Some women report a sensation of “sloshing” and the implants can feel firmer than natural breast tissue. Silicone gel, however, is more like a slime, so sloshing will not occur and rippling and wrinkling is less common.  Most patients and plastic surgeons would agree that silicone gel filled implants tend to look and feel more like a natural breast.  During your consultation with a board certified plastic surgeon, he or she may recommend one type of implant over another based on your desired appearance, and amount of native breast tissue. You should be sure you are comfortable with whichever type of implant you choose.


Implant Size


The increase in breast size that you desire will dictate the implant size that you choose.  The larger the implant, the larger your breasts will be after the surgery. This is very obvious. However, when selecting an implant size, you need to consider the amount of breast tissue that you are starting with. For example, placing 300cc breast implants in a woman who has A cup breasts, will give a very different result than placing the same 300cc implants in a woman with a C cup breast. This is why when using online photos to help select you implant size can be misleading. You need to make sure that you focus on their “before” photo as well.


The other thing to consider about implant size is what size will fit your body. As implants get larger, they also get wider. This means that a woman with a narrow chest, may not do well with large implants, since they will likely touch in the center (synmastia) or hang off the side of the chest wall (“side-boob”).  Your surgeon will take measurement of your breasts and these measurements will be important in deciding which size breast implants fits you.


Additionally, if you have small breasts with tight skin, it will limit the size of the implant that you can get. If an implant stretches your skin, it can give a very unnatural appearance and can cause complications later. This is why your surgeon will do a “pinch test”, to determine how much you skin is able to stretch when the implant is placed.


In cases of breast asymmetry, where one breast is larger than the other, it is common to place implants of different volumes. For example, a larger implant can be placed in the smaller breast, and a smaller implant can be placed in the larger breast.



Incision Placement


The choice of incision is important because the incision will determine where the scar will be.  There are several choices for incisions when having breast augmentation with implants. These include: around are areola, within the breast crease, and in the underarm.  Each has advantages and disadvantages.


The incision around the areola provides an opportunity for a well concealed scar, since the scar will be along the border of the darker areolar skin. However, if the areola is very small, it may not be possible to use this incision.  Also, if someone is a poor healer and they make thick and raised scars, this would leave a bad scar right in the center of the breast. Some also report that the risk for nipple numbness is increased with this approach.


The breast fold incision is a very versatile approach. It provides direct access to the space beneath the breast tissue or beneath the chest muscle.  When the incision heals, the scar is well hidden in the breast fold, although this can be seen when the breast is lifted and sometimes when a bikini top rides up.  The incision can vary in length depending on the size of implants being placed. This is the preferred incision for most plastic surgeons.


A third incision option for breast implant placement is the underarm. This is intended to provide the most hidden scar when healed. This approach is more technically difficult and there is a higher incidence of implants being in the incorrect position (malposition).  Proper placement usually requires the use of a small camera to allow the surgeon to see what he/she is doing.  This approach may be impossible for very large implants. Also, some women do find that if the scar becomes slightly raised, it is irritating when they shave their underarms.


Implant Placement


Implant placement refers to the relationship between the breast implant and the chest muscle. Breast implants can be placed under or over the chest muscle (pectoralis major).  This in independent of implant type, size and incision.


When an implant is placed under the chest muscle, the muscle offers an additional layer of covering to the implant. This means that on top of the implant is skin, breast tissue, and muscle. The more hidden the implant is, the more natural it looks. Placing an implant under the muscle, however, does increase the post-operative pain of the procedure and does extend the recovery time and activity restrictions after surgery. For women with very little breast tissue, placing an implant under the muscle is preferred. Also, there are several studies that show that placing an implant below the chest muscle reduces the rate of capsular contracture and infection.


When an implant is placed over the muscle, it is in the space between the breast tissue and the chest wall. This mean that the chest muscle is not disrupted during the surgery, so recovery is less painful and there are fewer restrictions.  Because there is less tissue covering the implant, the implant will be more visible. This means that you will see more roundness to the breast which can be perceived as more “unnatural”.  In women with a lot of breast tissue, placing an implant over the muscle may still look very natural.




Choosing your Surgeon


When selecting your surgeon for your breast augmentation with implants, you want to make sure you select a Board Certified Plastic Surgeon who is experienced with breast augmentation. You should take a look at the results your surgeon has achieved and make sure you are in agreement with his or her aesthetic. You also want to be sure that your surgeon has experience with the various implant types, sizes, incisions, and implant placements. This will help ensure that he or she can appropriately guide you and allow you to choose the best options for your body and desires. You also want to be sure that your surgeon will allow you adequate time to select your implant size.  I personally think you should avoid any surgeon who tells you that he or she will pick a size for you while you are in the operating room. You also want to find out where your surgeon performs their surgeries – in an office operating room, ambulatory surgery center, or a hospital.


Combining your Breast Implants with other procedures


It is very common to combine breast augmentation with breast implants together with other procedures such as tummy tuck, liposuction, and Brazilian Butt Lifts.  In some cases, your breasts also require a lift, and a breast lift can be performed as well.  When combining multiple procedures into a single operation, it is commonly referred to as a “Mommy Makeover”.


Schedule your Consultation


To learn more about breast augmentation surgery with Dr. Matthew Schulman, a board certified plastic surgeon in New York City, contact our office today by phone or through our website.

Do You Need to Change Your Breast Implants Every 10 Years?

Breast augmentation with implants is among the most popular cosmetic surgery procedure performed worldwide. Women want to know if they need to change their breast implants every 10 years. This is a very common question asked by women who have breast implants, or women who are thinking about getting breast implants.  The quick answer is “No.”  Implants are not car tires that have an “expiration date”. They are carefully studied medical devices that you can technically live with forever. They don’t “stop working” or “fall apart” 10 years after they are placed.


What Type of Issues Can I have with My Breast Implants?

Like with anything, issues can occur. There is a small chance that your breast implant can rupture or leak.  The shell of the implant may develop a small hole or tear over time.  Also, some abnormal thickened scar tissue may develop around the implant, making the implant feel hard. This is called capsular contracture and can vary from very mild to more severe.  Mild capsular contracture can result in an implant that feels slightly “harder”.  As the severity increases, the scar tissue can distort the shape of the implant, making is appear more oval than round.  Severe capsular contracture can cause painful breasts.


Other issues with breast implants can occur, such as implant malposition or “shifting”.  The implant may appear to shift upwards or even into sideways into the armpits.  The may also be visible folding or rippling of the implant, or bottoming out where the implant seems to drop below the breast fold.  These would be reasons to change, or remove, your breast implants.  So, as you can see, there are certainly reasons why you may need to have another surgery on your breasts after breast augmentation surgery.



Where Did The 10-Year Recommendation Originate?

Where did the “ten-year” thing come from and why does everyone focus on this time frame?  “Ten-years” exists for a variety of reasons.  The FDA studies that were done on breast implants were incredibly detailed and carefully followed women for 10 years. The studies found that although the rate of all complications was relatively low, the risk increases the further out you get from the date of surgery. So that means that you are more likely to experience an implant-related complication at 10 years after your surgery then you would only 3 years after your surgery. This does not mean that you WILL experience a complication at 10 years. It just means that the longer you have your breast implants, the higher the likelihood. The vast majority of women, however, do not experience any problems at 10 years after surgery. I have met some women, including some of my own patients, who have had breast implants for 20 years and have absolutely no adverse issues.


What Do I Tell My Patients?

So what does this mean and what recommendations do I give to my patients who are thinking about getting breast augmentation with breast implants? I tell all my patients that breast implants are not considered a “lifetime” device. In fact, the FDA specifically says that breast implants should not be considered a lifetime device. If you have breast implants placed when you are young, there is a very high likelihood that you will have another surgery (or surgeries) on your breasts in your lifetime. However, it will usually be because you “want” another surgery, not because you “need” another surgery.


Why Would You Want Another Breast Surgery?

There are several reasons why you may choose to have another breast implant surgery, even if you are not having any complications like rupture, rippling, malposition, or capsular contracture. Perhaps you decide that you want a different size. Maybe you want them to be made a little larger or a little smaller. This would require that you schedule a surgery to exchange the implants.  Maybe your body changes as you age, or after childbirth, and your breasts change in size or shape. It would not be uncommon to require a breast lift, or breast reduction, after aging, weight fluctuations, or pregnancies.  This would require and additional breast surgery.  You may also just want to “upgrade” your breast implants.  Technology is always changing and improving, and breast implants improve.  The implants we have today are significantly better than the implants we offered just a few years ago.  It is also true that the implants we will offer in the future will be even better in terms of safety, comfort, and appearance. In this case, you may want to “upgrade” in the future to an improved implant.


Why Would I Want to Upgrade My Implants in the Future?

There are many women coming in today to have their older implants changed to current implants that are more advanced.  For example, 10 years ago, most women were getting breast augmentation surgery with saline, or salt water, filled implants. These implants are satisfactory and have been placed in millions of women. However, they have a higher rate of visible rippling and also tend to look and feel a little more “fake” than silicone alternatives.  The data also shows that these implants have a higher rate of rupture, or leaking, than current silicone implants.  Many women who have saline implants, are electively asking to change to silicone implants now.  Also, even women who received silicone implants years ago, are requesting that their implants are changed. This is because the silicone implants of the past are very different than the silicone implants of today. Older silicone was a liquid consistency. Today’s silicone is a cohesive gel, or a “gummy bear” consistency.  The more cohesive silicone tends to look and feel more natural as compared to older, liquid silicone.  New, cohesive silicone implants have a lower incidence of leaking, rupture, and capsular contracture.



What if I Am Not Willing to Have Another Surgery in The Future?

It is indisputable that if you are considering breast implant surgery, you should accept that at some point you may have more surgery. If you are 100% opposed to any future surgeries, then breast augmentation with implants is not the procedure for you, since additional procedures are likely. It is possible that additional surgery will be needed because of an implant-related complication, but more likely it will because you desire a change or an upgrade.  The 10-year mark is a fabricated number, but it is a reasonable guide for you to be aware of.  It serves as a good mental reminder that you may want to consider a change or upgrade. But, if you are happy with your size, and you are not experiencing any implant-related issues, you do not have to schedule a routine procedure after 10 years.  So, while you may find that you want to change your breast implants after 10 years, you are not required to.


Learn More About Breast Augmentation

You can learn answers to more Frequently Asked Questions about breast augmentation here.


When you’re ready to discuss your plastic surgery goals with Dr. Schulman and specifically discuss breast augmentation, feel free to give our New York City office a call at (212) 289-1851. We’d be pleased to help you schedule an appointment and get you in for your initial consultation with Dr. Schulman.

Could You Benefit From Botox-Assisted Breast Augmentation?

Breast augmentation is the most popular plastic surgery procedure in the United States, accounting for over 300,000 procedures annually, most of which are performed in fairly standard way. A plastic surgeon places an implant, made either from saline or silicone, behind either the breast tissue or the chest wall, often tightening and lifting the skin and muscles in the area in the process. But what if there was a better way to perform breast augmentations?


Dr. Matthew Schulman has pioneered a new approach to breast augmentation that uses Botox to speed recovery. Though not yet practiced widely, Dr. Schulman’s approach can also make post-surgery recovery less painful and can help patients realize their new appearance sooner.


Botox-Assisted Breast Augmentation: How It Works


To understand why Botox-assisted breast augmentation is so beneficial, it’s important to look more closely at how the procedure works. Though largely similar to conventional breast augmentation, Dr. Schulman begins this version of the procedure by injecting Botox into the chest wall to weaken the muscles, applying the chemical properties of botulinum toxin – commonly used to reduce wrinkles – in a new context. Post-surgery, the temporarily weakened muscles are less likely to spasm, reducing post-surgical pain and allowing patients to get back to their typical activities more quickly.



Though Dr. Schulman is one of just a few plastic surgeons using Botox in the breast augmentation process, he has seen great success because he uses it in a highly targeted way. The procedure uses no more Botox than would be appropriate for facial wrinkles, well within the known safe range. The dose of Botox wears off within three months, the ideal time frame for patients healing from breast augmentation, well after concerns about post-operative spasms have faded.


Who Makes A Good Candidate?


Botox-assisted breast augmentation doesn’t necessarily change surgical outcomes, but given how long surgery can leave women out of commission, many women consider Dr. Schulman’s approach worth pursuing. A certain subset of patients, however, may particularly benefit from this approach, including those who want to avoid the need for opioid pain relievers and who work physical jobs and need to shorten recovery time. In an era marked by the opioid epidemic and concern over prescribing such medications, more doctors should aim to reduce their use. Botox can also reduce the uncomfortable feeling of tightness that many patients experience after breast augmentation.


Another group that can benefit from Botox-assisted breast augmentation are patients who want to achieve final results on a short timeline – for an upcoming wedding or vacation, for example. That’s because in a typical breast augmentation, the implant isn’t placed in its final position, but rather into a pocket in the chest, from which it will eventually drop into its final, natural placement. In Botox-assisted breast augmentation, however, the weakened muscles allow the implants to drop into their final position within three to four weeks. This can allow women to see the final results of the procedure within three to four weeks, rather than the three to six months it would typically take. It can be hard to wait to see the end result of such procedures, and Botox helps patients get there faster, without substantially changing the procedure.


While using Botox can speed the aesthetic aspects of recovery, it can also be a powerful tool for patients who work physical jobs or have a limited amount of time off. Though these patients still need to be very careful about being too active after surgery, by reducing pain and helping the implants settle, patients can safely get back to their normal routines more quickly. Many athletes who want to get back to training sooner also prefer this type of breast augmentation.



Are There Concerns About Off-Label Use?



Botox isn’t approved for use in breast augmentation, meaning that Dr. Schulman’s approach is considered to be “off-label” use – but patients shouldn’t be put off by that fact. Many medications are used off-label with great success, and Botox is actually used off-label to treat hyperhidrosis and jaw issues leading to teeth grinding, among other applications. Once a medication has been approved, doctors have significant freedom to use it as they see fit.


Many people worry that injecting Botox into the chest wall might interfere with the patient’s ability to breathe, but the injection does not impact the diaphragm, nor does it fully paralyze the muscles. Rather, when used in breast augmentation surgery, Botox simply weakens structural muscles in the area of the rib cage, a harmless application.


Regarding the use of Botox for breast augmentation, then, as long as a doctor approaches the procedure with care and monitors their patients throughout, there are no major concerns – and Dr. Schulman is the leading practitioner of Botox-assisted breast augmentation. He has found Botox-assisted augmentations to be no riskier than standard breast augmentations, while actually being easier on the body during the recovery process. There is no greater risk involved in adding Botox to the main procedure than in using Botox for any other purpose.


Preparing For Botox-Assisted Breast Augmentation


Overall, preparing for Botox-assisted breast augmentation is not unlike preparing for the more conventional version of the procedure. Patients will need proper support at home during the first few days of recovery, including arranging for childcare and pet care, and should plan a modified fitness routine, as exercise can facilitate the healing process. Individuals who have previously had this procedure also recommend arranging for help with housekeeping and other chores.


In addition to arranging for help during the first week or two after surgery, patients will also need someone to pick them up after surgery, which is generally performed as an outpatient procedure, not requiring a hospital stay. Botox-assisted breast augmentation will get patients back on their feet faster, but it’s still important to be gentle with your body during the recovery process.


Get The Best Results With Dr. Schulman


If you’re considering undergoing breast augmentation, you need an expert on your side, and in the case of Botox-assisted breast augmentation, there’s no one as experienced as Dr. Matthew Schulman. To learn more about his technique and whether it may be right for you, contact our offices today to set up a consultation. We look forward to helping you find the best procedure for your needs.

Everything You Should Know About Breast Augmentation

According to new data released by the American Society of Plastic Surgeons (ASPS), breast augmentation was the top cosmetic surgical procedure performed in 2018. In that year, 313,735 breast augmentation procedures were performed — up 4% from the previous year.

For the top plastic surgeons in New York City, these stats are unsurprising. Breast augmentation is a consistently requested procedure among female patients who are looking for more enhanced, even, and proportional breasts.

If you are considering breast augmentation New York City is certainly the place to have your procedure performed. Here’s everything you need to know about the surgery.



What Is Breast Augmentation?

Breast augmentationBreast Augmentation New York (augmentation mammoplasty) can be defined as “surgery to increase breast size.” The procedure “involves placing breast implants under breast tissue or chest muscles.”

It’s not uncommon to confuse breast augmentation with similar procedures like breast lifts. While similar, these two surgeries actually target different results. In nearly all cases, breast augmentation aims to increase the overall size of a woman’s bust with the use of implants. Another term for this surgery is breast implant surgery. 

On the other hand, breast lifts do not use implants at all. Instead, the existing breast tissue is lifted or altered in such a way as to tighten and lift each breast. The result of a breast lift is perkier, more symmetrical breasts that no longer sag or droop. 

In some cases, both breast augmentation surgery and breast lift surgery are performed together. For example, this is common with Mommy Makeovers.

How Is Breast Augmentation Performed?

Breast implants are a type of medical prosthesis. The implants used in breast augmentation procedures are filled with one of two substances: either silicone or saline (sterile salt water). 

Once you are sure breast augmentation is the right procedure for you, your surgeon will help you decide on the ideal size and shape of your new breasts. This will be dictated by the implants you choose. Considerations such as firmness, overall shape, and overall feel will be discussed between you and your surgeon. Sometimes, it can be a good idea to wear different implants around in your bra for a few days. This will help give you a better idea of which implants you like best.

Other choices such as how the incisions will be made and how the implants will be placed will be decided by your surgeon. These decisions will be based upon the previous choices you’ve made concerning implant size and shape.

Most of the time, breast augmentation is an outpatient procedure. Still, you will need to meet certain requirements before the procedure. For example, you may need to stop taking certain medications or alter your dosage. You may need to stop smoking. And finally, you will need to arrange for someone to pick you up and be with you after surgery.

During the procedure, medications will be administered to keep you comfortable and may include general anesthesia. Post-surgery, you’ll need to take it easy for several days. Special garments will need to be worn, and detailed steps will need to be followed in order to keep the surgical site clean and healing well. For at least the first few weeks, some swelling and soreness may be present, but this will dissipate with time.



Who Is a Good Candidate for Breast Augmentation?

The best candidates for breast augmentation surgery are non-smokers and are physically and mentally healthy. You should not be pregnant or breast-feeding, and you should be a non-smoker. Although your breast augmentation surgery will aim to increase your confidence and ultimately remedy concerns you have about the size, shape, or evenness of your current breasts, you should have realistic expectations when it comes to your results. Breast augmentation can certainly increase your confidence and help you feel better about yourself and the way you look. At the same time, you should not expect breast augmentation or any other type of plastic surgery to completely change your life and fix all of your problems.

Before your surgery, you will meet with your chosen surgeon to discuss your options. At this appointment, you should have a concrete idea of what you’re looking for in your future physique.

Speak with your surgeon about the size of breasts you hope to achieve and what you want them to look like. If you have photos of celebrities or other women who have breasts that you like the look of, you can bring these photos with you. You should also bring a list of any questions or concerns you may have about the surgery, surgery preparation, and recovery. It’s important to be as prepared as possible at your initial consultation appointment so that you can ultimately achieve the exact results you desire.

Choosing a Surgeon for Your Breast Augmentation in New York City

Once you’ve confirmed your decision to undergo breast augmentation surgery, it’s important to find a capable surgeon to perform the procedure. Here, you’ll want to take several factors into consideration, including each candidate’s:

  • Education and training
  • American Board of Plastic Surgery certification status (they should be board certified)
  • Years of experience
  • Patient satisfaction

This last factor can be assessed by perusing each surgeon’s breast augmentation before and after gallery and reading reviews from previous patients. 

Dr. Matthew Schulman is the plastic surgeon New York City women count on when it comes to breast augmentation in New York. Dr. Schulman is board-certified and a member of both The American Society of Plastic Surgeons and of The American Society for Aesthetic Plastic Surgeons. His New York City office features a fully certified and accredited operating facility, meeting the absolute highest standards for safety.

If you’re ready to take the next step and begin discussing breast augmentation surgery with one of the best board-certified surgeons of breast augmentation New York City has to offer, contact Dr. Schulman at (212) 289-1851. The sooner you book your consultation appointment, the sooner you’ll be able to enjoy the new breasts and body you’ve always dreamed of.

How to Choose the Right Implant Size for Your Breast Augmentation?

It’s often the case that making the decision to have breast augmentation surgery in New York City in the first place is “the easy part.” Deciding on the size of the augmentation, on the other hand, can be a bit more of a challenge.

Of course, this decision doesn’t have to be stressful. Undoubtedly, you want to spend time thinking about it and investigate your options. But there’s no reason to let yourself be consumed with anxiety. Breasts implants are available in a variety or sizes, from very small to very large, so with the help of a skilled board certified plastic surgeon, you can get exactly what you want.

The guide ahead will help you make a well-informed decision that you’ll surely be happy with when you see your results.



Tips for Choosing the Right Size for Your Breast Augmentation


1.      Start with your own measurements.

It’s important to get exactly what you want out of your new breast implants, but you also must work with the body you have. In other words, you need to choose an implant size that matches your body size and shape.

This means starting with your own measurements. What is your current cup size? Band size? Bra size? Are you small framed? What is the width of your chest frame? Do you have large hips? Ideally, you’ll choose a breast implant size that is complementary to your overall frame.   During your consultation, your board certified New York City plastic surgeon will take measurements of your breast width. This will help you in your decision.


2.      Understand the “Look” you are going for.

You should be aware of the ultimate “look” you want to achieve. Are you going for “curvy” or “voluptuous”? Or are you hoping for an “athletic” appearance?  This will also help guide you to the appropriate breast implant size. Smaller implants tend to look more “natural” and “athletic”, while larger volume breasts implants will give more curves.  Again, this is a very broad generalization and you must consider your body measurements as discussed in #1.  This means that if you have a board build to begin with, you will likely be able to still achieve a natural appearance with a large implant. Very narrow body types or very thin women, may still look overly curvy with even a small implant.


3. Understand the limitations of your own breast tissue

If you’d like your new breasts to be much bigger than your current size, remember that you still must consider the limitations of your breast tissue. After all, your breast and skin still have to accommodate the implant. There’s no way to stretch the breast tissue beyond its limits, nor would you want to try. Implants that are too large for your own breast tissue can cause long-term damage to the tissues and place you at increased risk for implant-related complications or the need for future surgeries.

At your consultation appointment, your surgeon will address this issue by assessing the amount of breast tissue you have available to possibly accommodate larger implants. Your surgeon will perform a “pinch test” by pinching your breast tissue and skin, in order to determine how large an implant you can hold. In some cases, you can “work your way up” to a larger cup size by starting with one surgery that takes your cup size from an A to a C, for example, and then waiting a few more years before moving on from a C to a D or DD, for instance.


4.      Look in Magazines and Online to see what type of results you want…or don’t want.

Just as you might take a picture of a celebrity’s hair style and take it to your salon, you can find pictures of celebrities’ overall shapes and take them to your plastic surgeon for reference when it comes to the breast implant size you want to try.

Go online or flip through magazines to find someone who has a similar overall body shape to you. If you like the way their breasts look, this may be a good model to shape your new implants on. The pictures should also greatly help your surgeon determine the best course of surgery to undergo. For example, in some cases, a breast lift New York City  may also be warranted while it won’t be necessary for other women. Keep in mind though, that everyone is different and it is often impossible to totally replicate a look you see in a photo. But again, surgeons will find this helpful since it is easier for patients to show what they want with photos then explain what they want in words. You should also include photos of results that you do NOT want. These photos are equally helpful to your surgeon.


5.      Remember that bigger implants can be heavy.

If you’re thinking about getting implants on the bigger side, don’t forget that they’re going to be heavier, and sometimes the weight can be significant. Some women who get very large implants end up complaining of back, neck, and shoulder pain. After all, the heavier your breasts are, the more weight your spine needs to support. Indeed, back, neck, and shoulder pain, are a primary reason for breast reduction surgery. Furthermore, breasts that are heavy tend to cause problems with ptosis (drooping caused by aging) or sagging later on because the weight of a large implant will stretch the breast tissue.

To rule out any potential problems with excessively heavy implants, Dr. Schulman routinely tells his patients to try out some differently sized implants before taking the plunge on a chosen pair.

You may be able to take a sample pair of implants home with you. You can then try them out by wearing them for a few days.  You can wear them in your bra to work or out to dinner at night with your favorite outfit and set of heels. If it’s uncomfortable to wear the larger pairs or if you don’t end up liking the size you’re wearing when you look in the mirror, this is a good way to find this out before getting the actual surgery.



6.      Forget about the volume number.

A lot of women are obsessed with the volume or number of “CCs” of their future implants, but this number is rather irrelevant in the grand scheme of things.

To clarify, all breast implants are measured by their volume in CCs or cubic centimeters. When an implant has a higher number of CCs, it’s going to be bigger and make your breasts appear larger as a result. The truth is, however, the exact number of CCs doesn’t really matter as much as you may think. Once you start talking volume changes of at least 50 CCs, then yes, someone will be able to tell the difference. But if you’re trying to decide between a set of implants that are 350 CCs vs. a set of implants that are 330 CCs, this is really not an important difference that will be noticeable by anyone except your actual plastic surgeon and yourself.  The difference is only 1-2 millimeters and virtually undetectable to all but a trained surgeon.

Also, modern breast implants come in a variety of shapes and profiles. This means that there are important characteristics besides just volume. Some implants are wider and flatter, while others are more narrow and project more……even if they are the exact same volume.  These nuances are part of what your surgeon will discuss with you.


7.      Meet with a Board Certified Plastic Surgeon for breast augmentation in New York City.

All of the above tips are great places to start when it comes to choosing the ideal implant size for your breast augmentation surgery. But the very best way to find an optimal implant size is to meet with your plastic surgeon for an in-office consultation. The best New York City breast augmentation surgeon will spend a significant amount of time with you, helping you to determine an optimal implant size for your desired results.

At your consultation appointment, be sure to speak up and be vocal about what you want. Your surgeon will not only assess your body to determine the optimal size range of implants that will be available to you, but they’ll also speak with you about your specific needs and desires. Tell them what you want in your new breasts, and show them any pictures that help exemplify what you hope to look like when your surgery has healed.

Your surgeon will be able to tell you what your options will be and can guide you through what to expect before, during, and after your surgery as well. Dr. Matthew Schulman of Schulman Plastic Surgery is available to consult with you about your upcoming breast augmentation surgery any time you’re ready. Dr. Schulman is one of the leading plastic surgeons in New York City and is board certified, specializing in breast augmentation.



Are You Considering Breast Augmentation Surgery in New York City?

Dr. Schulman has extensive experience providing amazing breast augmentation surgery outcomes for his patients. He’ll give you exactly the breasts you’ve always dreamed of having.

The ideal breast augmentation New York City women want needs to be efficient and to meet all the goals of the patient. Recovery time should be as short as possible, and the process itself should be safe, efficient, and effective. These are all things that Dr. Schulman offers at his New York City practice.

Are you ready to take your body to the next level and get the brand-new breasts of your dreams? Call Schulman Plastic Surgery at (212) 289-1851 today, or contact us online to schedule your breast augmentation surgery!

Top Questions to Ask Your Breast Surgeon

Are you considering breast augmentation surgery?  Often called a “boob job,” breast augmentation is the enlargement of your breasts through the transfer of your own fat or the placement of saline or silicone breast implants.

Before undergoing breast augmentation in New York City, you will have a consultation with surgeon so that you can be properly evaluated.  It’s not a bad idea to schedule consultations with two or three different surgeons, so that you can get multiple options about what is best for you. At these appointments, you will be examined and have the opportunity to ask questions. The answers you receive will help you select the right surgeon for you.

Below is a list of the most important questions to ask your plastic surgeon before undergoing breast augmentation.



1. Are you board certified in Plastic Surgery?

The plastic surgeon you choose should be certified by The American Board of Plastic Surgery. Many patients simply assume that all plastic surgeons are board certified, however, this isn’t necessary true. In order to be board certified, surgeons must undergo years of training, difficult written and oral exams, ongoing education by attending national meetings and educational courses, maintain admitting and operating privileges at a nearby hospital, and operate in fully accredited surgical facilities. You want to select a Board Certified Plastic Surgeon, and not a “Cosmetic Surgeon”.

2. What is your training and experience?

It’s important to only put your trust in a surgeon with adequate training and experience. In addition to choosing a surgeon who is board certified, you should look for one who has several years of breast augmentation experience. Ask them about where they went to school, where they did their residency, and how long they’ve had their own practice. In general, you want to select a surgeon who has done “several hundreds” of the procedure you are requesting.

3. Can I see before and after pictures from previous patients?

All plastic surgeons should have a gallery of before and after pictures from their previous patients. Take a look at these pictures, and look for those patients who have had the breast augmentation procedures you’re looking to have.

Examine the photos with care. You should look for after photos that look like something you would be satisfied with as a patient. You also need to to understand that every patient is different so pay attention to the before photos as well. If the before doesn’t look like you, then it is not fair for you to expect to look like that particular after. It’s important to remember that every plastic surgeon has a distinct aesthetic to their work. In other words, not every plastic surgeon will facilitate the same outcome, even when they’re given the same patient goals. Before and after photos can be a great way to see how your procedure will likely turn out when working with a particular plastic surgeon.

4. What individual procedures would you recommend for my augmentation procedure?

Depending on your goals for surgery, breast augmentation may include a single procedure or several procedures.

For example, some women choose to get breast augmentation as part of a “Mommy Makeover New York City” procedure. A Mommy Makeover is a potentially full-body makeover meant to address physical issues that may occur during aging, pregnancy, weight changes, and breastfeeding. If you choose to have a Mommy Makeover, breast augmentation may be part of this procedure. Other singular procedures that may be involved include tummy tucks, liposuction, or buttock augmentation.

You may also do better with a breast augmentation (implants) and a breast lift New York City. The breast augmentation procedure can make the breasts appear fuller and better shaped while the breast lift can eliminate excess skin and make the breasts appear perkier and less droopy.

Ask the potential surgeons you are speaking with how they would approach your individual procedure. From surgeon to surgeon, you may hear different approaches that can help you decide which is best for you. Does your surgeon prefer saline or silicone implants? Is fat transfer an option for you as an alternative to implants?

5. How long is the surgery?

Breast augmentation as a procedure is a fairly standard surgery. Most of the time, the augmentation itself takes just over an hour. But naturally, you’ll want to get a time estimate from your surgeon. There are various factors that will influence the overall time, such as your breast volume, the thickness of your skin, your body type, and the type of implant selected. Of course, the surgery time will also depend on whether you’re going to have other procedures at the same time such as tummy tuck, liposuction, or Brazilian Butt Lift.

6. Where is the surgery performed?

Your surgery may be performed in a hospital, an ambulatory center, or an accredited office operating room.

7. What nearby hospital are you affiliated with?

If your surgery is not being done in a hospital, it is important to ask what nearby hospital your surgeon works at. This is so you know where you will be sent in the rare event of an emergency. Your surgeon should have admitting and operating privileges at a reputable, nearby hospital.

8. What should I expect during my recovery from breast augmentation surgery?

The recovery period for breast augmentation surgery should be relatively easy. Naturally, if you plan on having more procedures (tummy tuck, liposuction, etc.) at the same time, your recovery will be more extensive. A simple breast augmentation, however, should allow you to be back at work and carrying out light activities within a relatively short period of time. Your surgeon will be able to tell you exactly how long you need off from school or work.

There are also ways that your surgeon can speed and recovery. Dr. Schulman, for example, offers Botox-assisted breast augmentation to some patients. The addition of a small and precise amount of Botox can make recovery easier and quicker.

9. Will I have any scars from the procedure?

Ask your surgeon what types of scars you can expect from the procedure. Naturally, some scarring is inevitably with this type of surgery. However, a good surgeon will know how best to minimize scarring and create a smooth and natural appearance you can feel good about. The specific scars may vary depending on exactly what you need done and your surgeon should be able to draw those scars on you, so you can see exactly how long they will be and where they will be located on your body.

10. How do I pick the size of my implants?

Does he or she pick the size for you or do you pick it yourself? Your surgeon should certainly guide you, but your selection should be a personal one. You want to be sure that you are clear about your implant size. This is usually done prior to surgery since you don’t want to wake up from surgery and wonder what size implant was used. Ask your surgeon how he or she specifically makes this size determination.

11.What if I am unhappy with my results?

You should be aware of what will happen in the event you are unhappy with your results. Each surgeon should have a “revision policy” and you should ask about this. If you need a revision procedure, how are the fees determined? Is there a certain amount of time you must wait before undergoing a revision? This revision policy should be provided to you in writing.

12. How much will my breast augmentation surgery cost?

After your consultation, the surgeon’s coordinator will be able to give you an exact price for your procedure. This price will depend on several factors, including the specific procedure your need, the time in the operating room required, anesthesia and facility fees, and post operative care. It should go without saying that you should never choose a breast augmentation surgeon just because they offer the lowest price. In fact, if you receive an estimate that seems unusually low, you should see this as a red flag. Keep in mind that the surgeon will likely choose to not discuss price with you during the consultation, since surgeons prefer to have medical and surgical discussions with you, and leave the financial discussions to their coordinators.



Schedule Your Breast Augmentation Consultation Today

Dr. Schulman is a New York City board certified plastic surgeon, operating one of the top practices in New York City. If you are considering breast augmentation, contact Dr. Schulman today to schedule your consultation!

Top 3 Cosmetic Procedures Most in Demand by the New Generation

In this new age of social media, everyone wants to look their best. Everyday millions of people post images on Facebook, Twitter, and Instagram that showcase their best selves to the world. That includes this new generation of millennials who are signing up for plastic surgery procedures in record numbers.

According to the American Society of Plastic Surgeons in their 2019 Plastic Surgery Statistics Report, an estimated 17.7 million cosmetic procedures took place. Many of those procedures were requested by the “new generation”, a subset of Millenials who are 20-39 years old. Of the procedures that were most requested, the top of the list include breast augmentation, liposuction, and rhinoplasty.

Let’s look at a little bit more about these top 3 cosmetic procedures most in demand by the new generation and why people are exploring these options in body improvements. Plus, the best part of this new generation is that they aren’t afraid to talk about the body and face improvements they want a plastic surgeon to make for them. It’s a whole new world of full transparency.



Breast Augmentation New York City is the #1 Requested

Breast augmentation in New York City is by far the most requested cosmetic procedure by this new generation. This is also called an augmentation mammoplasty or more informally referred to as “breast implants” or “breast enlargement”. During this procedure, a plastic surgeon inserts implants that are filled with either silicone or saline under a patient’s existing breast tissue. The goal with implants is to get the most natural looking and feeling results as possible. The latest implant technology allows a combination of durability and natural appearing and feeling.

There are many reasons that people decide they want to enhance their body in this way. It may be that they like their breasts but desire a larger cup size. Other times it could be to even out differences in size and shape between each breast. Asymmetry is very common and is a big reason why people decide they want to undergo breast augmentation surgery with breast implants.

Some people have this type of procedure after surgery to treat breast cancer. This would be reconstructive surgery. A mastectomy to remove one or both of the breasts after cancer can contribute to the desire for implants. The rebuilding of this area with a breast implant can make a person’s recovery feel more complete by restoring their body to the form they want.

Millennials Want to Feel More Confident

As a confidence booster many women feel that having breast augmentation will make them happier with their figure. This subset of millennials is very outspoken about their desire to better themselves in any way they see can. There is less stigma associated with this surgery than ever before. With social media, the new generation isn’t afraid to document their own plastic surgery journeys to their friends, family, and followers. 

Past generations might have been more close-mouthed and secretive about visiting a plastic surgeon, but that’s not the case anymore. It’s a very accepted way to better your appearance if that’s what you choose to do. People are proud of the improvements that a plastic surgeon can do for them. It’s evident on television shows that highlight and explore the benefits of plastic surgery.

What to Expect After Breast Augmentation Surgery

After the surgery there can be some pain and swelling. It is done on an outpatient basis, with the patient being allowed to go home the same day. The stitches used for the incision are dissolvable and will be absorbed into the body within six weeks. To relieve the pain and discomfort an over-the-counter medication such as acetaminophen can be taken. Most patients are back to normal daily activities within a few days.

The patient will have to be careful to avoid strenuous activities for about 3-4 weeks, wear a special supportive bra, and may have to do some post-operative exercises to relieve pain and increase arm movement.

The #2 Cosmetic Procedure is Liposuction New York City

Liposuction is one of the oldest cosmetic procedures and it’s still very popular among the new generation to tone and tweak their figures. This procedure removes extra pockets of fat from various areas in the body. Those places can include the stomach, thighs, hips, neck, or arms. It’s not meant to be a weight loss solution, but rather the procedure can help to streamline and slim those hard to lose places where exercise isn’t doing the trick. It is a body contouring procedure.

This procedure is also done as an outpatient, and you are able to go home the same day, There can be soreness, bruising, and swelling after the surgery. The discomfort will vary depending on the extent of liposuction and the number of areas.

Compression garments are worn after the surgery to help minimize the pain and reduce swelling. Over-the-counter medications can also be taken as well.



The Long Term Results of Liposuction

For different people the long term results of liposuction can vary. If the person gains significant weight, the fat deposits will come back in certain areas. You have to be very careful to maintain a healthy lifestyle after having liposuction done and your body may change as you continue to age. 

Rhinoplasty New York City is the #3 Top Procedure

Finally, the third most popular procedure is rhinoplasty or what is commonly called a “nose job.” This allows the plastic surgeon to slim down, reshape, or fix bumps and asymmetry in the nose area. It can enhance the entire facial structure for a person when it’s done the right way.

The nose is one of the most common areas for improvement that makes a big difference in a person’s overall appearance. In this age of “selfies” being taken all the time, the new generation has mastered this way of taking their own photo for showing off on social media. That’s why a cosmetic procedure involving the face is still such a popular surgery for millennials to have.

Many older teens also request this surgery before they head off to college as a graduation present from their parents. This rite of passage has been popular for decades.

After a Rhinoplasty Cosmetic Procedure

This surgery is also done on an outpatient basis.  After a rhinoplasty procedure, the patient can expect to be bandaged with some swelling and pain. Over-the-counter medication can also be taken to deal with some of the minor pain that happens after the procedure. Splints will be worn on the face around the nose area for about a week after the surgery.

You will also have to be careful about any activities where something could potentially injure your face. Hardcore exercise should be avoided for a few weeks and it’s also not advisable to wear glasses or sunglasses during this time while the nose area is healing.

Dr. Matthew Schulman is Ready to Serve the New Generation of Millenials

Dr. Matthew Schulman is a board certified New York City plastic surgeon who is more than ready to serve this new generation of patients. If you are ready to make serious improvements to your face and body, this New York City based physician is going to be there for all your aesthetic goals. Be the beautiful person you want to be inside and out with any of these top 3 cosmetic procedures and all others he offers. Contact Dr. Schulman’s office with any questions or to schedule an appointment to explore how you ideally want to look today.

Why Smaller Breast Implants are Getting Bigger in Popularity

Fashion trends are always shifting, and the biggest one lately is going small; not just smaller clothing, but smaller breasts. Some of the most popular celebrity busts are shrinking: Pamela Anderson, Victoria Beckham, Tamra Barney, Heidi Montag are some examples of celebrities who have clearly had smaller implants or reductions done, but they are not the only ones. If you have been researching breast augmentation trends for yourself, you have probably seen some of the recent before and after pictures of these and other female celebrities who have chosen a smaller cup size.

For years, women undergoing breast augmentation surgeries have subscribed to the “go big or go home” and “bigger is better” mantras, but the celebrity trend of having bigger implants replaced by smaller breast implants—or having them removed completely—is starting to catch on with women across the country. Every day, I am working with…

  • Women who need to have their silicone breast implants updated and are opting for smaller replacements
  • Women who are getting implants for the first time who are choosing a more modest augmentation than they might have chosen in previous years
  • Women who previously had larger breast implants, but are now choosing to get them downsized as a matter of taste.

As a New York City Board Certified Plastic Surgeon, I talk to at least a dozen women each week who want breast augmentation surgery. They bring in magazine clippings of Jennifer Aniston, Halle Berry and Meghan Fox—women with the most popularly-requested celebrity bust lines in breast augmentation surgery. During these initial visits, I’ve clearly noticed a decrease in the percentage of women requesting D and DD cups, but an increase in the percentage of women requesting beautiful, but more modest C and full B cups.

Factors behind the Smaller Breast Augmentation Trend

Of course, one of the important things I have to discuss with my patients is the fact that their breast augmentation really needs to “fit” them, whether it’s a considerable size increase, or just a modest one. And frankly, my patients are very savvy and already have a good idea of what type of augmentation will enhance their figure without looking awkward and unnatural. In fact, looking natural is one of the biggest reasons behind the “smaller is better” trend in breast implant surgeries. These are some of the things women are considering as we discuss their own breast augmentation possibilities:

  • Smaller breast implants appear more natural. The larger the breast implant, the more “artificial” it will look, particularly on a woman with a smaller frame. A smaller breast implant will have a more natural shape and texture while still being larger than the originals. Another thing that surprises many women who get larger implants is the stretch marks that might occur on the skin; the risk of needing to deal with stretch marks is dramatically reduced with smaller implants.
  • Enhancement without unwanted gawking. Many women want breast augmentations to enhance their overall appearance without drawing excessive or unwanted attention to themselves. They don’t want to hear the loud whispers of, “Those can’t be real,” or worse behind their backs. A smaller implant helps you avoid these awkward moments.
  • Thinking about the future surgeries. A smaller, more natural breast augmentation surgery is less likely to look “dated” years down the line when fashions change. One of the reasons I’m seeing an increase in breast enhancement procedures is that women are going back under the knife to have larger implants reduced to smaller ones. Of course, there is always the chance that a woman who got smaller implants may want larger ones down the line. But that is why I always spend a lot of time working with my patients before surgery to make sure we plan augmentation procedures that they will love for a long time to come.
  • Medical reasons for smaller breast implants. Smaller implants mean smaller incisions, smaller scars and fewer back problems—yes, back problems. Many women who request larger breast implants have to adjust to the new chest weight, which can cause muscle strains in the neck, shoulders and back.
  • Smaller breast implants enable more versatile clothing options. As I mentioned earlier, fashion is constantly changing; a smaller breast augmentation surgery will keep you within the range of normal for looking great in most prêt-à-porter clothing options as styles change.
  • Smaller implants don’t interfere as much with athletic activities. More and more women are concerned not just with staying in shape at a baseline level; many want to compete in serious athletic competitions of their choice. The smaller the breast implant, the easier it will be to find proper support wear and to engage in rigorous activity with minimal discomfort. And as I mentioned earlier, smaller breasts look more natural on slim, fit bodies.

In the end, our ultimate goal with any breast augmentation surgery is to help you look your very best. Don’t get your heart set on a specific cup size just because it looks great on Pamela Anderson or Jennifer Aniston, or even just your best friend. Your body is unique and we need to discuss options that will work best for your shape, your lifestyle and your desired appearance goals.

I suggest looking through our breast augmentation surgery FAQ and the other pages in our
library to learn more about the surgery and what is involved. You may also find out a lot by
visiting my Instagram page (@nycplasticsurg) and my Snapchat plastic surgery channel (@nycplasticsurg) where you can see the surgeries, office visits, recoveries and results, almost as they happen, on a daily basis. Of course, the best way to get started on your breast augmentation journey is to schedule an appointment for a consultation online or just call us at 212-289- 1851 today. We look forward to hearing from you.

Newest Implant Options for Breast Augmentation

Breast implants have evolved quite significantly since they were first introduced in the 1960s. They have gone from thin shells filled with liquid silicone that ruptured frequently and were thought to cause systemic health issues, to thicker shells filled with salt water that still ruptured but the salt water content was thought to be “safer” when a leak or rupture did happen. More recently in 2007, the FDA approved a newer generation of silicone implants. These newer implants had a silicon gel, not a liquid, and were thought to provide a safer and more cosmetic alternative to the older silicone implants. These implants were certainly a huge advance and the surgical results were tremendous. Little had changed since 2007 until very recently. Read more

Top 3 Most Requested Celebrity Breasts

As a specialist in breast augmentation, I see over a dozen women per week requesting breast augmentation. Some want that very natural girl-next-door look, while others want that voluptuous curvy figure. No matter what they want, women undoubtedly will bring a photo with them to show me what they want – and what they don’t want. Read more