For many women in Boston, breast augmentation is more than just a cosmetic procedure—it’s about finally feeling in sync with your body. Whether you’ve lost volume from weight loss, pregnancy, or simply never felt confident in your natural shape, breast augmentation offers a way to restore or redefine your figure in a way that feels right to you.
At the practice of Dr. Joseph Russo, one of the top board-certified plastic surgeons in Massachusetts, breast augmentation is designed around your unique goals and anatomy. With decades of experience in cosmetic and reconstructive surgery, Dr. Russo is known for natural results, safe outcomes, and a patient-centered approach that supports breast augmentation patients before, during, and after surgery.
Many patients choose Dr. Russo for his personalized approach and successful outcomes.
Dr. Russo performs breast augmentation to enhance breast size, shape, and volume. Breast augmentation, also referred to as breast implant surgery or breast augmentation surgery, is a cosmetic procedure that enhances breast size, shape, and volume using implants or fat transfer. It’s one of the most frequently performed plastic surgery procedures nationwide and consistently ranks among the most satisfying for patients.
The surgical procedure involves careful planning and precision to achieve the desired results.
Most breast augmentation procedures are done using saline or silicone breast implants. However, a growing number of patients are also exploring fat transfer breast augmentation (also called natural breast augmentation), where excess fat is harvested from areas like the abdomen or thighs and grafted into the breasts.
Breast augmentation can help address:
Choosing the right surgeon for your breast augmentation is crucial for achieving the results you desire and ensuring your safety throughout the process. It’s important to select a board-certified plastic surgeon with extensive experience in breast augmentation procedures. A qualified surgeon will have a deep understanding of breast anatomy, various implant options, and the latest surgical techniques.
When researching potential surgeons, look into their credentials and read reviews from previous patients. Personal referrals from friends or family members who have undergone breast augmentation can also be invaluable. During your consultation, don’t hesitate to ask questions about the surgeon’s experience, the types of implants they recommend, and the surgical techniques they use. Feeling comfortable and confident in your surgeon’s abilities is essential for a successful outcome.
Silicone gel implants are soft, flexible, and closely mimic the look and feel of natural breast tissue. They’re often preferred by patients who want a more organic breast appearance and minimal risk of rippling. Modern silicone gel implants are highly cohesive, meaning they maintain their shape even if the shell ruptures. The integrity of the implant shell is crucial for maintaining the shape and safety of silicone breast implants.
Saline implants are filled with sterile saltwater after being inserted. They’re a good option for patients who prefer smaller incisions or worry about silicone gel. If a saline implant ruptures, the body safely absorbs the saltwater, although shape loss is immediate.
These are form-stable silicone implants filled with a thicker gel. They retain their teardrop shape even when cut and are less prone to leakage or shifting. Gummy bear implants are ideal for patients looking for structure, shape stability, and a firmer breast feel.
Breast implants come in a variety of shapes, profiles, and textures:
Smooth implants move more naturally within the breast pocket, while textured implants are designed to stay in place but have largely fallen out of favor due to associations with rare conditions like BIA-ALCL. Dr. Russo exclusively uses smooth, round implants for optimal patient safety and aesthetics.
Implant profiles determine how far the breast projects from the chest wall:
Dr. Russo performs breast implant placement using the following surgical techniques, emphasizing the importance of implant placement in relation to the chest muscle:
Sufficient breast skin is essential for optimal implant coverage and minimizing potential issues such as scar tissue formation and skin rippling.
The breast augmentation procedure typically takes one to two hours to complete, depending on the complexity of your case. To ensure your comfort and safety, the surgery is usually performed under general anesthesia.
The surgeon will make an incision in one of three possible locations: the inframammary fold (under the breast), periareolar (around the nipple), or transaxillary (in the armpit). Through this incision, the implant is inserted and placed either under the pectoral muscle or on top of it, depending on your anatomy and desired outcome. Once the implant is in place, the surgeon will close the incision with sutures or staples and apply a dressing to protect the area.
Breast augmentation can be done on its own or as part of a combination procedure for more comprehensive results. The most common pairing is with a breast lift, especially for patients with skin laxity or drooping (ptosis). This is known as augmentation mastopexy and helps reshape and elevate the breast while adding volume.
Other popular pairings include:
Recovery and Scars
Most patients recover comfortably at home and return to non-strenuous activities within one week. You’ll wear a supportive garment and avoid upper body activity while healing. Dr. Russo uses the inframammary incision technique—placing the incision under the breast fold—which helps minimize visible scarring.
Breast augmentation scars will mature and change in appearance over time, with proper care minimizing their visibility.
Common recovery symptoms include tightness, swelling, moderate soreness, and changes in sensation. All of these improve over time.
Patients should avoid lifting, cardio, and upper body exercises for at least 4–6 weeks. Scar tissue may form around the implant, known as capsular contracture, and while uncommon, it’s one of the risks discussed at your consultation.
After your breast augmentation surgery, it’s normal to experience some pain and discomfort. Your surgeon will prescribe pain medication to help manage this, and it’s important to follow their instructions carefully. Rest is crucial during the initial recovery period, so avoid strenuous activities for several days to allow your body to heal.
Using ice packs or cold compresses can help reduce swelling and ease discomfort. Be sure to attend all follow-up appointments with your surgeon to monitor your healing process and address any concerns or complications that may arise. With proper care, most patients find that their discomfort diminishes significantly within the first week.
You’ll see initial results immediately, but your final breast shape takes a few months to settle. As the implants drop and the skin adjusts, your breast appearance becomes softer and more natural. Increasing breast volume does not automatically lead to more cleavage; the placement of implants relative to the nipples plays a significant role in the outcome.
Most patients feel comfortable in fitted clothing again within 4–6 weeks. For best results, wear your support bra as directed and follow all post-op instructions. Proper implant placement can help minimize skin rippling, contributing to a more natural look. Dr. Russo will guide you through implant sizer options during your consultation so that your desired breast size and shape are clear from the beginning.
The breast augmentation cost depends on several factors, including:
You’ll receive a full quote during your breast augmentation consultation. A personalized treatment plan will be provided during the consultation, detailing the specific procedural and financial aspects. While most health insurance plans don’t cover breast implant surgery unless part of breast reconstruction, financing and payment plans are available.
Breast augmentation in Boston is a deeply personal decision. Whether you're just starting your research or ready to move forward, Dr. Russo and his team are here to help you make an informed, confident choice.
Dr. Russo has performed thousands of successful breast augmentation procedures, combining safety, surgical precision, and aesthetic harmony. Start your journey with a one-on-one consultation today.
📍 575 Boylston Street, Newton Centre, MA 02459📞 (617) 964-1440
Most patients describe the sensation as pressure or soreness, particularly in the first few days. Oral pain medication manages discomfort well.
Dr. Russo performs revision procedures for patients needing implant exchange, removal, or updates to a previous cosmetic or reconstructive surgery.
Temporary changes are common. Some patients experience heightened sensitivity, while others have numbness. Sensation typically returns within several months.
Yes, but placement and technique matter. Dr. Russo avoids the periareolar incision and prioritizes techniques that preserve the breast’s natural function.
Symptoms can vary, but may include breast shape changes, pain, or systemic symptoms. These are rare, but you’ll be monitored and educated on what to watch for.
Fat grafting uses your body’s own fat cells to provide volume. It’s more subtle and ideal for small enhancements or refining implant results.
Reviewing your medical history is crucial for assessing your candidacy for breast augmentation. It helps ensure that any underlying medical conditions are considered, facilitating a successful recovery and personalized care.
Saline implants are filled with sterile salt water and can be adjusted for size during surgery. Silicone implants are filled with a silicone gel that feels more like natural breast tissue. Both have benefits and potential complications, so it's important to discuss these with your surgeon to make an informed decision.
Choosing the appropriate implant size involves considering your body frame and desired outcome. Tools and consultations are available to help you visualize and determine the most suitable implant size, aiming for a natural and aesthetically pleasing result.
575 Boylston Street, Newton Centre, MA 02459
Your body is constantly changing. Gravity, age, and the elements are constantly pulling at you. But you are not alone in this fight. The doctors and aesthetic experts at Joseph A Russo, MD are also in constant motion, relentlessly innovating better ways to overcome the entropic effects of time and gravity.
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