Introduction
Breast augmentation is a popular cosmetic procedure in New York City, and Allergan is one of the well - known brands in the field of breast implants. In 2025, many women in New York City are considering Allergan breast augmentation to enhance their body contours, boost their confidence, and address various concerns related to breast size and shape. This comprehensive guide will provide detailed information about Allergan breast augmentation, including implant options, surgical procedures, recovery, and potential risks.
Allergan: An Overview
Allergan Inc. is a major player in the breast implant market. It started selling breast implants in 2006, and in 2020, AbbVie acquired Allergan and its aesthetics portfolio. Its biggest markets include the United States, Canada, and Latin America. Allergan's flagship breast implant brand is Natrelle, and it previously sold implants under its subsidiaries Inamed and Mcghan. However, in July 2019, the company issued a worldwide recall of its textured implants after the FDA linked these devices to a rare cancer called breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), a type of non - Hodgkin lymphoma. When AbbVie bought the company, it was rebranded as Allergan Aesthetics, and it no longer sells textured implants.
Types of Allergan Breast Implants
1. Natrelle Inspira Smooth Round Gel Implants
These implants have a smooth outer shell and are filled with silicone gel. The smooth shell allows the implant to move more freely under the skin or muscle, mimicking the natural movement of breast tissue. They are a popular choice for women seeking a natural - looking and feeling breast augmentation. The cohesive silicone gel inside provides a soft and realistic texture.
2. Natrelle 410 Anatomical Gel Implants
These are highly cohesive anatomically shaped silicone - filled breast implants. They are designed to mimic the natural curve of a woman's breast, with a teardrop shape that provides a more natural look, especially when the patient is standing. They offer the advantage of more cross - linking compared to earlier versions of Allergan's silicone implants. The greater the cross - linking bonds, the firmer the silicone gel in the implant, which helps the implant maintain its shape over time.
3. Natrelle Saline - Filled Smooth Round Implants
These implants have a smooth outer shell and are filled with sterile saline, a saltwater solution. One of the advantages of saline implants is that they can be filled after being placed in the breast, which can be beneficial for certain surgical techniques. However, compared to silicone implants, they may have a less natural feel in some cases.
| Implant Type | Shell | Filler | Shape | Advantages |
|---|---|---|---|---|
| Natrelle Inspira Smooth Round Gel Implants | Smooth | Silicone Gel | Round | Natural movement, soft and realistic feel |
| Natrelle 410 Anatomical Gel Implants | Textured (before recall, now may be different considerations) | Silicone Gel | Anatomical (teardrop) | Natural look, firmer gel, shape retention |
| Natrelle Saline - Filled Smooth Round Implants | Smooth | Saline | Round | Fillable after placement |
Factors to Consider When Choosing Allergan Breast Implants
1. Body Frame and Existing Breast Tissue
Your body frame, including your height, weight, and chest width, as well as the current size and condition of your breast tissue, play a crucial role in determining the appropriate implant size and type. For example, women with a smaller body frame may find that smaller implants are more suitable to maintain a natural and proportionate look. Women with less breast tissue may benefit from silicone implants, which can provide a more natural - looking fullness compared to saline implants.
2. Surgical Goals
Your surgical goals are an important consideration. Are you looking for a subtle increase in breast size, or do you want a more significant transformation? Do you also want to correct breast asymmetry or sagging? Different implant types and surgical techniques can be used to achieve various goals. For instance, anatomical implants may be a better choice for correcting asymmetry, while a combination of breast augmentation and a breast lift may be necessary to address sagging breasts.
3. Personal Preferences
Personal preferences regarding the look and feel of the breasts also matter. Some women prefer the more natural feel of silicone implants, while others may choose saline implants for their fill - after - placement advantage or other reasons. The shape of the implant, whether round or anatomical, is also a matter of personal taste. Additionally, some women may have concerns about scarring and may prefer certain incision locations based on their preference for scar concealment.
The Breast Augmentation Procedure
1. Consultation
The first step in Allergan breast augmentation is a consultation with a qualified plastic surgeon in New York City. During this consultation, the surgeon will listen to your goals and concerns, perform a physical examination, and take measurements of your breasts. The surgeon will also discuss the different implant options, including the size, shape, and type of Allergan implants, and help you choose the most appropriate one based on your body characteristics and preferences. You can expect to see before - and - after photos of previous patients to get an idea of the potential results. 3D imaging technology may also be used to show you how your breasts will look after the procedure.
2. Pre - operative Preparation
Approximately two weeks before the surgery, you will have a comprehensive preoperative visit. The surgeon will review a complete list of "dos and don'ts." You will be advised to avoid anything that has a blood - thinning effect, such as aspirin and ibuprofen, for two weeks before surgery. Basic blood work for preoperative testing will be ordered, and any necessary breast imaging studies will be obtained. Prescriptions for postoperative medications will be given, and the pre - and postoperative instructions will be reviewed in detail.
3. Surgical Procedure
Breast augmentation with Allergan implants is typically an outpatient procedure performed under general anesthesia administered by a board - certified anesthesiologist. The procedure can take anywhere from one hour to several hours, depending on the patient and the implant. There are several steps involved:
- Incision Placement: There are three common incision sites for Allergan silicone implants:
- Periareolar: Around the nipple. This incision can be more concealed but has a higher likelihood of breastfeeding problems, a higher risk of change in sensation in the nipple, and a higher risk of infection.
- Inframammary: In the breast fold. It is the most commonly used incision by surgeons as it provides best access and control of the implant pocket, and has fewer breastfeeding difficulties. However, it is less concealed.
- Axillary or Transaxillary: Under the arm. It results in fewer breastfeeding problems but is less concealed, more difficult, and may increase the risk of damage to and unexpected location of the implant.
- Implant Placement: There are two main ways to place the Allergan implant:
- Submuscular: The surgeon places the implant under the chest muscle (pectoralis). This technique can reduce the risk of capsular contracture, makes breast tissue easier to see in mammograms, and is preferred in women with weakened or thin breast tissue. However, surgery and recovery are longer and may be more painful, and reoperation may also be more difficult.
- Subglandular: The implant is placed on top of the muscle and under the breast glands. This method has a greater likelihood of capsular contracture and makes it more difficult to see breast tissue in mammograms. Women with thin or weakened breast tissue might not do well with this surgery, but the surgery and recovery may be shorter and less painful, and it is easier to perform revision surgery on these implants.
- Closing the Incisions: After the implant is placed, the surgeon will close the incisions with sutures.
Recovery Process
1. Immediately After Surgery
After the anesthesia wears off, you will be monitored briefly in a private recovery room by a licensed registered nurse. You will typically be discharged home with a friend or relative when you are fully awake and comfortable, which is usually about 1 to 2 hours after the completion of surgery. You will be instructed to wear a post - surgical bra provided by the office. In some cases, a compressive strap may also be recommended.
2. Short - term Recovery
Most women can return to work in a few days, depending on the nature of their job. Those with non - strenuous or desk jobs can typically resume work in five days, while those with more physically demanding jobs may need more time. Dr. Rapaport, for example, prescribes pain medication for the first few days after surgery, and patients should rest and limit activity during this time. Ice packs may also be helpful to reduce swelling and discomfort. Swelling, bruising, and soreness are normal during recovery. Strenuous exercise and aerobic activity, including sexual activity, are restricted for the first ten days after breast augmentation.
3. Long - term Recovery
Full recovery from breast augmentation takes approximately two to three weeks, although it can vary from person to person. After one week, the post - surgical bra may be replaced by a standard sports bra. Normal bras and bathing suits may be worn after approximately two weeks. The breasts may appear firm and swollen for the first seven days, generally subsiding by 14 days, with the shape and size settling into the final position by 12 weeks. You will be instructed on how to perform implant displacement exercises at your 7 - day follow - up visit.
Potential Risks and Complications
Like any surgical procedure, Allergan breast augmentation has its risks. The FDA classifies breast implants as class III, high - risk devices. Some of the potential risks and complications include:
1. Capsular Contracture
This occurs when the capsule of scar tissue that forms around the implant contracts and squeezes the implant. It can cause pain, hard and misshapen breasts, and put women at risk for implant rupture. To minimize the risk of capsular contracture, surgeons may take precautions such as minimizing bleeding during surgery, using a "no - touch" technique for augmentation, and avoiding contamination of the operation with particles or bacteria.
2. Implant Rupture or Deflation
Silicone implants can rupture, and saline implants can deflate. In the case of silicone implants, a rupture may not be immediately obvious, as the cohesive gel may stay within the capsule. Regular MRI screenings every two years are recommended to detect possible silicone implant ruptures. If an implant is removed and not replaced, undesirable changes to the breast may be permanent and may include dimpling, puckering, or wrinkling.
3. Nipple and Breast Sensation Changes
There is a risk of changes in nipple and breast sensation, which can be temporary or permanent. This can occur due to nerve damage during the surgical procedure.
4. Infection
Infection can occur at the incision site or around the implant. It is important to follow the surgeon's post - operative care instructions to reduce the risk of infection. If an infection occurs, it may require antibiotics or, in severe cases, removal of the implant.
5. Asymmetry
There is a possibility of the breasts appearing asymmetrical after the surgery. This can be due to differences in implant placement, healing, or tissue response.
Long - term Considerations
Allergan breast implants are not lifetime devices. Women with breast implants will require monitoring and care for the rest of their lives. As mentioned earlier, MRI screenings are recommended every two years to detect possible implant ruptures. If you wish to nurse, you should know that breast implants can affect your ability to breastfeed. You should also tell all health care providers who treat you about your implants to reduce the risk of damaging the implant. Over time, factors such as pregnancy, nursing, weight gain or loss can cause the breasts to change, and you may need to consider additional procedures such as a breast lift or implant replacement.
Finding the Right Plastic Surgeon in New York City
Choosing the right plastic surgeon is crucial for a successful Allergan breast augmentation. Here are some tips to help you find a qualified surgeon in New York City:
1. Credentials and Experience
Look for a surgeon who is board - certified and has extensive experience in performing breast augmentation surgeries. A double - board - certified, Harvard - trained plastic surgeon like Dr. Adam Kolker, who has a clinical focus on aesthetic breast surgery, may be a good choice. Check the surgeon's track record and ask to see before - and - after photos of their previous patients.
2. Patient Reviews and Testimonials
Read patient reviews and testimonials to get an idea of the surgeon's reputation and the quality of their work. You can also ask for referrals from friends, family, or other healthcare professionals.
3. Communication and Rapport
During the consultation, pay attention to how well the surgeon listens to your goals and concerns. A good surgeon will take the time to explain the procedure, answer your questions, and make you feel comfortable. You should feel confident in the surgeon's ability to understand your desires and achieve the results you want.
Conclusion
Allergan breast augmentation in New York City can be a life - changing procedure for many women. By carefully considering the implant options, surgical procedure, recovery process, and potential risks, you can make an informed decision about whether this is the right choice for you. It is essential to choose a qualified plastic surgeon who can guide you through the process and help you achieve your desired results. Remember, breast implants are not a one - time solution, and long - term monitoring and care are necessary.
If you are interested in learning more about Allergan breast augmentation in New York City, schedule a consultation with a reputable plastic surgeon today. Take the first step towards enhancing your appearance and boosting your confidence.
