Breast Augmentation


Breast augmentation is one of the most common aesthetic procedures performed annually. Breast implants can achieve a more proportional shape and may improve self esteem.



There are two decisions which you should reach while consulting Dr. Warfel.


Choosing the implant. 

Dr. Warfel is a trained artist as well as a plastic surgeon. Working together you will choose whether to use a saline or silicone implant, the size and shape of the implant, and the placement above or below the pectoral muscle. Working with Dr. Warfel and drawing on his experience and trained eye, you will decide upon a plan best suited for your own goals and body type.


The site of the incision.

There are several ways of placing the implants: from the armpit (axilla), from beneath the breast (at the crease), from the umbilicus, or from a small incision at the lower edge of the nipple-areola. Each of these approaches has certain advantages and the decision is based on your breast shape and any problems your breast may have. The incision will be discussed and agreed upon with Dr. Warfel prior to surgery. Unless there is a reason otherwise, Dr Warfel prefers the armpit incision for the following reasons:


The scar is nearly undetectable

The breast tissue and glands are not disturbed

No scar on the breast

Positioning in the sub muscular plane is precise and controlled

Complications are rare



You will be placed in a special superior pole compression bra immediately after your surgery. This garment helps keep the implants in the proper position, The goal is to push the implant down to the new position of the breast crease. Although it can be taken off temporarily, this garment must stay in place for 3 weeks. You may feel stiff and sore in the chest for the first 2-5 days after your breast augmentation. You may take a shower after 3 days. Any dressings will be removed several days later at a follow up examination. Normal post-procedure sensations include breasts which feel tight and sensitive, warm, or itchy. Some discoloration and swelling will occur initially but will disappear quickly, most residual swelling will resolve inn less than a month. Rare but possible complications of the procedure include numbness of the skin over the triceps which is usually temporary, hematoma, seroma, bleeding, infection and capsular contracture. If you experience any complication after surgery, it is important to keep your doctor informed so that it can be treated appropriately.