Breast Augmentation

Breast Augmentation

Breast augmentation is a personal decision. If you feel as if your breasts are too small and you want to increase your cup size and/or shape of your breasts, augmentation is a safe procedure to achieve your body shaping goal.

Breast augmentation is used by thousands of women each year to increase their breast size and achieve a more proportionate look. At Princeton Center for Plastic Surgery, Dr. Thomas Leach a Board Certified Plastic Surgeon, Medical Director, will review the many individualized options you have for changing the size and shape of your breasts. Since cosmetic breast enhancement surgery has been available for approximately 50 years, there have been many surgical techniques and breast implant improvements.

Today’s breast augmentation procedures are not only safe but the surgery is less invasive and recovery time is faster.


At Princeton Center for Plastic Surgery, we find that many women choose to have breast augmentation for the following reasons:

  • To augment the size of their breasts
  • To balance their breast size to their body shape
  • To correct uneven breasts that may be different sizes
  • To restore breast volume that can be lost due to weight loss, pregnancy or aging
  • To reconstruct their breasts after a mastectomy
  • To improve their self-image.

Breast augmentation should be considered by those women who have completed their development. If you are interested in learning more about breast augmentation don’t hesitate to discuss your options with Dr. Leach or the professionals at Princeton Center for Plastic Surgery.


During your consultation, Dr. Leach will review the types of implants and the surgical procedures available to augment your breasts. Perhaps, you have heard of the terms which describe the surgical techniques used to insert the implants: breast, armpit, areola or belly button. The following information is a brief description of the implants and types of augmentation procedures.


Dr. Leach will review and show you the various shapes and sizes of implants. Dependent upon your preferences, you may want a round or contoured implant. Breast implants can be filled with silicone gel or saline. Many of our patients are confused about the difference between saline-filled versus silicone gel-filled implants.


Peri-areolar (through the nipples) is an incision technique used for breast augmentation.
Specifically, the incision is made on around the pigmented area surrounding the nipple and is hidden within the breast tissue. With this technique a pocket is made and the breast implant is inserted through the incision into the breast cavity.

Inframammary augmentation is an incision technique where the incision is made through the lower portion of the breast where the crease of your breast meets your chest. This location conceals the small scar.

Transaxillary or axillary is another technique where the incision is made in the armpit.

Transumbilical or umbilical – Incision is made through the belly button. This technique is used infrequently.


Below the Muscle: Submuscular or subpectoral implants are placed under the pectoralis muscle. This implant placement is one of the most popular.

Dr. Leach, after making the incision beneath the chest at the crease of your breast, securely places the breast implant and closes the incision with sutures. The sutures and any scar are completely hidden in the fold of the breast. This type of placement is done in an outpatient surgical center and requires a general anesthetic. The procedure takes less than 2 hours.

Above the Muscle: Subglandular implants are placed above the pectoralis muscle and below the breast tissue or gland. This type of placement is done under general anesthesia in an outpatient surgical center. The procedure takes less than 2 hours.


Breast augmentation recovery is fairly rapid and any pain and soreness can be minimized. Some women experience mild swelling and very minor bruising. Within a week these symptoms begin to disappear. Some women report some numbness of their nipples. This diminished sensitivity of the nipples can happen after surgery and is usually temporary.

You will be asked to wear a sports bra and you can return to work within a few days. Avoid any strenuous work and activities. All of your pre and post operative instructions will be given to you at your pre-operative visit.

If you have been wanting to see if you are a candidate for breast augmentation we recommend you contact our office today to schedule a personalized consultation with Dr. Leach he can answer all of your questions. Call 609.921.7161 today.

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