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The physicians at Einstein's Division of Plastic and Reconstructive Surgery are highly experienced in the surgical specialty of breast and gluteal implants to increase the fullness and improve the appearance of breast and buttocks.

How Do Breast Implants Work?

Breast implants can increase fullness and projection of the breasts. During the procedure, the surgeon makes incisions in areas of the breast that will minimize visible scarring and inserts or places the implant under the pectoral muscle or directly behind breast tissue - over the muscle- before suturing the incisions. There are several types of implants:

  • Saline breast implants are filled with sterile salt water, provide a uniform shape, firmness and feel, and are FDA-approved for augmentation in women age 18 or older.
  • Silicone breast implants are filled with silicone gel, which feels a bit more like natural breast tissue. If you choose silicone implants, you may need to visit your surgeon regularly to make sure the implants are functioning properly. These implants are FDA-approved for augmentation in women age 22 or older.
  • Form-stable implants, sometimes referred to as gummy bear breast implants, maintain their shape even when the implant shell is broken. The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants, and they're firmer. They require a longer incision in the skin.

What Can I Expect During and After the Procedure?

Your physician will provide you with detailed information about your procedure, but in general:

  • During the procedure, you'll either be under sedation and numbed with local anesthesia or under general anesthesia so you won't feel pain as your implants are inserted.
  • After your surgery, you will likely experience some discomfort- similar to a pulled muscle - which can be treated with pain medications.
  • Your surgeon will likely recommend you take about a week off from work and refrain from strenuous exercise until you're given the all-clear.
  • Incision scars should fade, though you will have some permanent scarring, which your surgeon will hide as much as possible.

How Do Gluteal Implants Work?

During the procedure, the surgeon places a gluteal implant under each gluteus maximus muscle through a mid-line incision over the tailbone. Augmentation with a gluteal implant is most effective for enlarging the buttocks of a man or woman whose body has few stores of excess adipose fat in the buttocks and thighs.

What Can I Expect During and After the Procedure?

  • Your physician will provide you with detailed information about your procedure, but in general:
  • You will be sedated or under general anesthesia for the procedure, which usually takes about two hours.
  • The surgery may be outpatient, or you may have to stay in the hospital overnight.

Given the nature of the surgical incisions to the gluteus maximus muscles, healing usually takes six to eight weeks-with pain management through medication - before you can return to normal activities.

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