Cosmetic breast surgery is a procedure that enlarges the breasts to create a fuller look. It is often considered to be one of the most sought after cosmetic surgeries, offering women who dislike their breast shape many opportunities for improvement. With the help of implants or a fat transfer, this procedure improves breast shape, size, and symmetry, and creates a desirable and natural-looking outcome. New Jersey board-certified plastic surgeon Dr. Smita Ramanadham is skilled in implementing this surgery and performs countless breast augmentations each year. When you have your consultation at our practice, Dr. Ramanadham will listen to your aesthetic desires and concerns and educate you on all of the choices available while also creating a treatment plan to attain your personal goals.


During your consultation with Dr. Ramanadham, the appropriate implant will be recommended based on your body size and shape, as well as your cosmetic goal. Implants are made in different shapes, sizes, profiles, and textures — each of which is considered carefully in order to attain the wanted aesthetic goal. Still, the most common implants are silicone or saline, both widely popular and safely approved by the Food and Drug Administration (FDA). An important fact is that patients considering saline implants must be at least 18 years old while patients must be at least 22 years old in order to undergo augmentation with silicone. Other options include a form-stable implant known as a gummy bear implant and a fat transfer. In addition to the type of implant used, there are other important factors to decide.


Breast implant size is determined based on the cubic centimeters (CCs) of saline or silicone used. To decide on the appropriate volume, Dr. Ramanadham will look at how much native breast tissue exists and the size you desire to be. In the operating room, it is normal for Dr. Ramanadham to temporarily switch out several implants to get a better idea on a suitable fit.


Implants are made in either a teardrop or round shape. Both of these shapes are widely used; however, a large majority of our patients go with a round-shaped implant. It generally looks more natural while adding a fullness to the upper breast that so many patients desire.


Implant profile refers to how far out the implant looks (projection). In other words, this is what one sees from the side angle. Most projections include low, intermediate, high, or extra high.


We understand all of the considerations may appear overwhelming, but determining the correct implant is somewhat easy once the goals are understood during the consultation. These considerations, combined with the experience of Dr. Ramanadham, ensure the anticipated outcome is attained.


The decision to have cosmetic breast surgery is personal. If you are contemplating this treatment, it is essential you do it for the right reasons. You should be physically healthy with breasts that are developed and be the appropriate age to get implants. If you are unhappy with the size of your chest because they appear small or asymmetrical, you could benefit from breast augmentation surgery. Moreover, if your breasts have changed due to weight loss or pregnancy, this procedure can give them life with increased shape and fullness. It is a welcomed solution if you lift weights or have an overall lack of natural breast mass.


Incision placement, as well as implant location, are considerations that are made before surgery. During breast augmentation, the chosen incision is created and then the implant will be placed into its position. There are two techniques that may be used for implant placement. These are either under the pectoral muscle or behind the breast tissue but over the pectoral muscle. Where to insert the breast implant depends on varying factors, including the type and degree of implant enlargement, as well as the expertise of Dr. Ramanadham. Regardless of the incision, scarring is generally unnoticeable. Placement and location are based upon your implant size, activity level, and body type.


Breast enhancement surgery is an outpatient procedure with the patient under general anesthesia. Once the incision is made, the silicone or saline implant will be inserted through the incision opening and deposited into a pocket created for it, and then secured into its correct position. After this process, the incision is carefully secured with skin adhesives or sutures. Each patient will be taken into recovery and carefully monitored prior to being released. You will be instructed to continue wearing a compression garment to help reduce swelling. Several days after surgery, the swelling and bruising will begin to decrease, and the breasts will start to look and feel normal as they settle into their new position. Patients can return to everyday activities within the first week; however, physical exertion, such as exercise, should be delayed for roughly a couple of months. Breast implant surgery creates gorgeous outcomes that feel and appear natural. This procedure oftentimes can be a life changer for many patients, offering them the opportunity to feel more self-assured.


  • How much does breast augmentation cost?
    Your total cost for breast augmentation surgery will vary, depending on your implant choices and whether you are getting any other surgeries. Once your treatment plan is made, Dr. Ramanadham will go over estimated costs, as well as financing. To make sure you are happy with your results and they last a long time, it is better to focus on quality over low costs.
  • Do I need a breast lift or augmentation?
    Your treatment plan might include implants, a breast lift, or both. Breast lift surgery removes loose skin and raises the position of the breasts while implants enhance the shape and size. In your consultation with Dr. Ramanadham, she will listen to your concerns and goals before discussing your best treatment options. An augmentation and lift are usually included in a mommy makeover to revitalize the breasts after breastfeeding and pregnancy.
  • Can I breastfeed with implants?
    If you might want to breastfeed after augmentation surgery, talk to Dr. Ramanadham during your consultation. It is usually possible to breastfeed after augmentation surgery with the right placement and technique. Breastfeeding and pregnancy can affect your results, which is why it is better to wait until your family is complete to get breast surgery.
  • Can I have my implants removed?
    You might decide at some point that you would like to remove or replace your implants. Should this happen, Dr. Ramanadham offers breast revision surgery. In revision surgery, your old implants will be either replaced with different implants or simply removed. If you want to have your implants removed, you might need to have a breast lift because larger implants may stretch your skin. For any concerns or questions after your breast augmentation surgery, schedule a consultation at our facility to learn more about your options.
  • Do implants cause breast cancer?
    The FDA (Food and Drug Administration) is still investigating a possible link between breast implants and ALCL (anaplastic large cell lymphoma). This is not breast cancer – it is a cancer of the immune system. According to WHO (World Health Organization), breast implant-related ALCL is very rare and if caught early, it is highly treatable. Dr. Ramanadham encourages all patients with breast implants to get frequent screenings for breast cancer. You should contact our practice if you see any concerns, like swelling.


Breast augmentation surgery is notorious for many excellent reasons. This procedure is safe and effective and creates exciting results. With numerous augmentation considerations, you can create the look you have always wanted. Our practice is excited to offer this proven procedure, and we welcome you to learn more. Contact us in New Jersey to plan your private consultation with Dr. Smita Ramanadham.