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Breast Augmentation in Buffalo, NY

Breast augmentation can be performed if you are dissatisfied with the size and/or shape of your breasts. There are a number of things that can contribute to unsatisfactory breasts. The breasts can be naturally too small or asymmetrical. In other cases, pregnancy, nursing, and/or the aging process may have distorted the pleasing appearance of the breasts. Breast implants can be used to increase breast size and improve breast shape.

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The Benefits of Breast Augmentation

  • Look better in and out of your clothing
  • Creates more attractive proportions
  • Builds confidence
  • Improves self-image

Implant Type


  • A silicone shell filled with a saltwater solution
  • Appears rounder, firmer, and more conspicuous
  • Requires a smaller incision
  • Offers a variety of profiles
  • More likely to develop visible rippling and folds


  • A silicone shell filled with either cohesive or highly cohesive silicone gel
  • Has a more natural look and feel
  • Requires a longer incision
  • Offers a variety of profiles
  • There are two types of silicone implants:
    • Cohesive gel implant
      • Round in shape
    • Highly cohesive gel implant
      • Tear-drop shaped
      • “Gummy bear”
Your implant choice can affect the way your breasts look and feel after surgery. Implant type plays an important role in achieving breasts that have a natural appearance, but implant size is just as vital. The VECTRA XT is a 3D imaging system that simulates your possible results. By analyzing patient anatomy and measurements, this system allows you to see what you would look like with implants of various sizes. Imaging technology is a crucial part of your initial consultation because it provides a glimpse at your post-surgery body. This realistic image allows you to choose an implant size that will give you the look that you desire.
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Before & After


Immediately After

Immediately After

You will be placed in a sports bra, and you will most likely feel a pressure-like discomfort in the chest area. There may be some mild bruising and swelling. Most pain resolves within 48 hours, and pain medication will be prescribed to alleviate any further discomfort. Most patients feel good enough to return to work after a few days of downtime.

2 Weeks After

2 Weeks After

Patients can return to light physical activity. Swelling will continue to gradually resolve over the coming weeks.

6 Weeks After

6 Weeks After

Patients can resume all normal activities, such as swimming, chest exercises, and yoga. Breasts are beginning to assume their final appearance.


  • Where will my incisions be placed?

    There are three common incision placement options:

    • Periareolar: where the bottom part of the areola meets the breast skin
    • Inframammary: along the lower breast fold
    • Transaxillary: in the armpit
  • Where will my implants be placed?

    There are four implant placement options:

    • Subglandular: under the breast tissue and on top of the pectoral muscle
    • Submuscular: under both the breast tissue and pectoral muscle
    • Subfascial: under the muscle covering, known as the fascia (between the gland and the muscle)
    • Dual-plane: half under the muscle and half under the breast tissue
  • What is the difference between a textured and a smooth implant?

    A smooth implant moves freely within the breast pocket, while a textured implant creates more adherence to the pocket. Texturing may decrease the risk of capsular contracture and implant displacement.

  • How long will my results last?

    With a successful breast augmentation surgery, the results are long lasting. However, breast implants do not last forever. Weight loss, pregnancy, and aging can all affect the appearance of your breasts over time. It is best to maintain a relationship with your surgeon to address any problems that may occur.

  • What are the possible complications?

    Like all surgeries, there are possible complications associated with breast augmentation. Common risks include scarring, bleeding, infection, capsular contracture, implant leaks, implant rippling, and implant displacement. Following your surgeon’s after-care instructions will help minimize your risk of developing any of these complications.

  • Will breast implants correct sagging?

    Breast implants will correct mild degrees of sagging. However, a breast lift may be required to correct more extensive sagging. A breast lift can be combined with your breast augmentation to improve the size and shape of your breasts.

  • Can I breastfeed after my breast augmentation?

    There is no specific correlation between breast implants and the ability to breastfeed. Many women without implants have difficulties nursing. In some cases, periareolar incisions may disrupt the underlying milk ducts. Each patient is unique and will recover from surgery differently. During your consultation, you can discuss your concerns with Dr. Koch.

  • Will my breast implants affect my mammogram?

    Breast implants won’t affect your ability to have an accurate mammogram, but they may make it more difficult. You should consider getting your mammogram performed by a technician with implant experience. It is also important to remember that you should not skip a mammogram; these screenings are an important part of protecting your health.

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