Breast Augmentation
Serving patients in Fairfield County, Westchester County, and New York City
Many women consider breast augmentation to restore volume lost after pregnancy, address natural asymmetry, or simply to achieve a more proportional figure. While it is one of the most popular aesthetic procedures, the key to a successful outcome lies in the details of the surgical plan. Dr. Leo Otake crafts each surgical plan around the patient’s unique goals, focusing on how the enhancement will harmonize with your unique body contours and natural breast tissue.
Dr. Otake’s world-class training and techniques ensure your care is grounded in clinical excellence, a deep understanding of tissue biology, and aesthetic principles. With over 17 years of experience in complex plastic and reconstructive surgery, Dr. Otake provides a sophisticated and highly personalized standard of care for patients across Fairfield County, Westchester, and NYC.
Breast augmentation is a surgical procedure designed to enhance the volume and contour of the breasts. The overall purpose is to create a more balanced frame that feels authentic to the patient’s lifestyle and body type. Dr. Otake offers several sophisticated options, including the latest generation of silicone "gummy bear" implants, traditional saline implants, and autologous fat grafting for those seeking a more modest, implant-free enhancement.
During your consultation, we discuss the nuances of implant placement, either over or under the muscle, and incision locations. By integrating his academic background in biochemistry, Dr. Otake helps you navigate the technical choices that lead to long-term comfort and a more natural-looking result.
On the day of your surgery, your safety and comfort are our primary priorities. The procedure is performed under general anesthesia in a specialized surgery center. Dr. Otake begins by creating a precise incision in a discreet location, such as the natural crease beneath the breast, to ensure that any resulting scars are well-hidden.
Using meticulous microsurgical principles, Dr. Otake creates a pocket for the implant and precisely positions it to achieve a symmetrical, balanced result. If fat grafting is used, he utilizes gentle liposuction to harvest your own tissue before purifying it for injection. Because Dr. Otake is an expert in wound healing, he uses advanced suturing techniques to minimize tension at the incision site, promoting a smooth and graceful recovery.
Breast augmentation is commonly performed to enhance the size and shape of naturally small breasts, or to address involution, which is the loss of breast volume that often occurs following significant weight loss or breastfeeding. It is also the definitive solution for correcting noticeable breast asymmetry, ensuring both breasts are in harmonious balance.
Breast augmentation helps women bring the size, shape, and symmetry of their breasts into better proportion with their silhouette by providing fuller, feminine contours. Many women find that this change leads to a renewed sense of confidence in social, professional, and personal settings.
The breast augmentation procedure is highly customizable, with a wide range of implant sizes, shapes, and materials available to choose from. For patients seeking a more modest volume increase, fat grafting breast augmentation offers a natural option that uses your own tissue. Dr. Otake prioritizes education and collaboration during the planning process, guiding you carefully through your options to create a treatment plan aligned with your unique needs and goals.
Candidates for breast augmentation should be in good general health and have realistic expectations for the procedure, recovery, and results. Patients should be at a stable weight, as significant weight changes can impact how the results of augmentation complement your frame. During your consultation, Dr. Otake will perform a thorough exam to ensure you have sufficient breast tissue and skin elasticity to support your desired enhancement.
The recovery process after breast augmentation is designed to be as comfortable as possible. For the first few days, you may experience some tightness and mild soreness, which is typically well-managed with prescribed medication. You will wear a supportive surgical bra to minimize swelling and protect your new contours.
Dr. Otake provides detailed instructions on when you can resume exercise and daily activities. Most patients find they can return to non-physical work within a week. As a specialist in wound healing, Dr. Otake monitors your progress closely during follow-up visits to ensure your incisions are healing beautifully.
While you will see an immediate change in your volume, your final results will settle over the first 8 to 12 weeks as the implants "drop and fluff" into their natural position. You will notice a significantly more balanced and feminine profile that reflects your unique aesthetic goals.
These results are designed to be long-lasting. While breast implants are not lifetime devices and may eventually need replacement, modern implants are highly durable. By maintaining a healthy lifestyle and following your aftercare plan, you can enjoy your enhanced silhouette for many years to come.
Dr. Leo Otake is a board-certified plastic surgeon whose academic background includes an MD and PhD from Yale and fellowship-level training in microsurgery and reconstructive techniques. His world-class credentials are coupled with a deep commitment to providing attentive, patient-focused care. His understanding of the biochemical aspects of healing and the complex anatomy of the chest wall allows him to offer a level of precision that is rare in aesthetic surgery. At our White Plains practice, we provide a high-touch, personalized experience, ensuring that your journey to a more confident self is as safe as it is beautiful.
Silicone implants are filled with a cohesive gel that many patients feel more closely mimics the feel of natural breast tissue. Saline implants are filled with sterile saltwater and can be inserted through smaller incisions. Dr. Otake will help you weigh the benefits of each type of breast implant based on your anatomy and desired outcome.
While breast augmentation adds volume, it does not significantly lift the breast. If you have a significant amount of sagging skin, Dr. Otake may recommend a breast lift (mastopexy) in combination with an implant to achieve the best possible result.
Breast implants are very durable, but they are not intended to last a lifetime. On average, they may need to be replaced after 10 to 15 years due to natural wear or changes in your body, although they have been known to last longer in some cases. Regular follow-ups with Dr. Otake will ensure your implants remain in excellent condition.
Dr. Otake is an expert in scar management. He typically places incisions in the inframammary fold (the crease under the breast) where they are naturally hidden. Over time, these fine lines fade significantly and are easily concealed by swimwear or undergarments.
In most cases, women can breastfeed successfully after breast augmentation. Dr. Otake uses surgical techniques designed to preserve the milk ducts and nerves. If breastfeeding is a priority for you, be sure to discuss this during your consultation.
Dr. Otake uses a sophisticated sizing process during your consultation. We consider your current breast tissue, your chest wall dimensions, and your lifestyle goals to find a size that provides a beautiful enhancement without looking "overdone" or straining your natural tissues.
