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Breast Procedures

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Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

Breast Augmentation FAQ

Breast augmentation involves many decisions. Dr. Romanelli, Dr. Pincus, and Dr. Layliev understand that you have many questions, and they want to provide the information you need. This page is dedicated to answering some of the questions our surgeons are most frequently asked by their Long Island patients about breast augmentation and implants.

Request your surgical consultation online with Dr. Romanelli, Dr. Pincus, or Dr. Layliev or call their office now at (631) 424-3600.

Can I combine breast procedures?

Yes. Some breast procedures can be combined to achieve multiple goals during one operation. Many women choose to combine procedures such as a breast lift and breast augmentation to enhance breast size, position, and shape. Whether Dr. Romanelli, Dr. Pincus, or Dr. Layliev will combine your procedures depends on your goals, anatomy, and health.

Do I need breast augmentation or a lift?

Breast augmentation and breast lift achieve different effects. One elevates the breast while the other adds volume. In some cases, women who have drooping or sagging breasts find that a breast lift alone gives them the shape they want, as their own breast tissue is lifted into a more youthful position. However, many of our breast lift patients opt for the additional volume an implant provides. Breast augmentation alone cannot always correct sagging breasts, but in cases of minimal to no sagging, breast augmentation may be the right choice. Your surgeon will help you decide which procedure is best to meet your goals.

How do I choose my implant size?

Implant size is a very personal decision that is affected by several factors, including the amount of breast tissue you have, the size you want to be, your skin elasticity, and the shape of your chest. To help you choose the right size, Dr. Romanelli, Dr. Pincus, or Dr. Layliev will perform a thorough evaluation, let you try on implant sizers, and use VECTRA® 3D imaging to help you visualize how different size breast implants will affect your results. Learn more about your options for choosing the right implants.

Should I have silicone or saline breast implants?

As long as you are 22, you can choose saline or silicone implants (women under 22 can only use silicone implants if the surgery is reconstructive). Saline and silicone implants each have their benefits. Which one to choose depends on your individual preference. Almost all of our patients choose silicone implants because they feel more like natural breast tissue. Some other women prefer saline implants because they are less expensive, or because they want a very round "implant look". Dr. Romanelli, Dr. Pincus, and Dr. Layliev want you to learn more about your options for breast implants, and they will help you make your decision.

Should I wait to have children before having breast augmentation?

Some women choose to wait until they've had children before undergoing breast augmentation surgery, although it is not necessary. Weight and hormone fluctuations during pregnancy may affect the appearance of your breasts, so in some cases, additional breast enhancement surgery may be needed. Most breast enhancement procedures including breast augmentation should not affect your ability to breastfeed. However, if you are considering having children within a year or so of your breast surgery, you should discuss your plans with your surgeon.

To get answers to your questions in person, request your surgical consultation with Dr. Romanelli, Dr. Pincus, or Dr. Layliev, or call (631) 424-3600 to schedule your appointment.

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