Breast Augmentation

Breast Implants are under warranty. Every manufacturer has a different warranty. We utilize Sientra implants that have the best warranty in the industry.

Yes, sometimes breast implants can cause pain, usually secondary to the development of scar tissue. This can also happen later in life due to the deterioration of the shell of the implant.

Yes, they can last 30 years and we see patients with older implants frequently. It is recommend that they are monitored throughout the years to confirm no complications.

Yes, fat can be transferred to the breasts. The difference between fat grafting vs. breast implants, is that fat grafting is not as predictable. Patients with expectations of certain outcomes may be disappointed by fat transfer. If the patient wants a modest outcome and the most natural look, this is a great option. You can pair both fat transfer and breast augmentation as a composite procedure. This is best for women who are incredibly thin with little to no skin and/or fat tissue to cover the implant.

Yes. We highly recommend returning to motion following a breast augmentation. We do not recommend repetitive motion for 6 weeks. But active use of arms leads to quicker recovery.

Yes, however, not all patients can breastfeed, whether they have implants or not. There is no reason to believe that because of implants you are at a higher risk of being unable to breastfeed.

There is no data to state that they cause autoimmune disease. Some patients do not feel well after having a breast augmentation. It is unclear if it is directly related to the breast implants or secondary to other things such as normal aging.

Patients often get confused with implants & natural breasts. If you have natural breasts that are prone to sagging they can still sag with an implant and this is known as a waterfall defect. In some instances patients may require a lift at the time of implant placement or a lift down the road as their breasts age.

No, these are guideline recommendations based on historical medical information. Some people have implants that last for 20 years while others have some that last for 4. Breast implants should always be monitored to confirm no complications.

Insurance covers the treatment of breast cancer which can sometimes include implant placement. Rarely will insurance cover congenital deformity or gender reassignment that involve implant placement. Insurance will never cover cosmetically placed implants.

Its impossible to put a percentage or hard number to the risk. What we can say in our practice is the augmentation takes 30 minutes and we utilize anesthesia similar to that of a colonoscopy. Patients can expect to feel like their normal self within 24-48 hours with slight modifications to their daily routine to limit disruption to the pocket.

There are some signs of leaking implants such as hardening of scar tissue and/or increased pain. If the patient has saline implants, there may be volume decrease. Only way definitively determine a leak is if the implant is removed or an MRI is completed. An ultra sound can potentially show leaks but is not as accurate as a MRI.

Our practice has a thorough process for preparing a patient for their breast augmentation. This is a complex question as their are multiple decisions being make prior to going into surgery such as, size/shape of the implant, implant placement (above or below the muscle) and a blanket rec. would be inappropriate and contrary to our customized process.

Every patient has a capsule- a capsule is not always a capsular contracture as a capsule is just scar tissue around the implant. Capsular contracture is when the scar tissue is smaller than the implant which causes it to feel firm and hard around the implant, making the implant less soft.

Typically these are sore for less than one day.

Breast augmentations have a range which reflects skill set and experience of your surgeons as well as demographics. Our practice costs are around $10k.

Breast augmentation pain varies from patient to patient. We typically perform these surgeries on Thursday or Friday and patients feel good by Monday.

There are some vacuum technology but we do not utilize those at our practice.

Breast augmentation is all about expectations. If you are self conscious about the size of your breasts then most likely your expectations will be met. If you are pursuing it for any other reason then you should reconsider other options such as a breast lift or fat grafting. Women that are post partum are often the most satisfied patients because the volume is able to be restored.

Yes, fat grafting or auto-augmentation which is rearrangement of a patients breast tissue to add volume.

Cohesivity refers to how glued together a substance it. So you have one extreme water (least cohesive) or ice (most). Gel implants that are cohesive can range from softer to firm and you want cohesivity that is in the middle for the most natural outcome & lower risk of leakage.

Gummy bear implants are gel implants

The most common issues are scar tissue formation (capsular contracture) and implants can also displace over time.

The most common implant size is around 350cc.

When selecting implants for your breast augmentation at AW Plastic Surgery in Portsmouth, NH, we consider your frame, proportions, and desired outcome. During your consultation, our board-certified plastic surgeon will take detailed measurements to determine the implant size that will look most natural on your body. We offer sizers that allow you to experience how different implant volumes feel before making your decision. We offer silicone implants, which provide a softer, more natural feel. We encourage patients to bring photographs showing their desired results to help communicate their aesthetic goals.

Recovery after breast augmentation at AW Plastic Surgery in Portsmouth typically involves several phases. Most patients can return to desk jobs within about one week following their procedure. Youll likely need to wear a surgical compression bra for the first week to reduce swelling and support the healing process. Light activities can be resumed gradually, but you should avoid strenuous exercise for approximately three weeks after your breast enhancement surgery. While initial healing occurs within these first few weeks, its important to understand that the final results of your breast augmentation wont be visible until the implants have fully settled, which typically takes about six to twelve weeks. During your recovery in the Portsmouth and Dover area, our team will provide comprehensive post-operative instructions and support to ensure optimal healing.

Yes, most women who undergo breast augmentation at AW Plastic Surgery in Portsmouth can successfully breastfeed after their procedure. Our surgical techniques are designed to preserve the milk ducts and glandular tissue, minimizing impact on future breastfeeding ability. The placement of incisions and implants is carefully planned to avoid disrupting the breasts natural function. During your consultation in our Portsmouth office, well discuss your future plans for breastfeeding so we can tailor your breast enhancement procedure accordingly. Its important to share any plans for pregnancy with your surgeon, as this information helps us develop the most appropriate surgical approach for your long-term needs and goals.

While breast implants dont have a specific expiration date, they are not considered lifetime devices. At AW Plastic Surgery in Portsmouth, we generally advise patients that implants may need replacement approximately every 10 years. Various factors can influence this timeline, including implant type, body changes, and personal preferences. Some women experience complications like capsular contracture (excessive scar tissue around the implant), implant rupture, or simply desire a change in size or type of implant. Regular check-ups with your Portsmouth plastic surgeon are important for monitoring your implants condition. Many patients in the New Hampshire seacoast area who initially received breast augmentation later opt for implant replacement, removal, or revision surgery as their bodies and aesthetic goals evolve over time.

Motiva implants are a modern option known for their natural movement, smooth surface, and advanced safety features. They may be ideal if you’re looking for implants that feel soft, reduce the risk of complications, and adapt to your body. During your consultation, Dr. Wilson can help you decide whether Motiva or another implant style best fits your goals.

Yes, breast implants—particularly modern silicone implants—are considered safe and effective for breast augmentation. At AW Plastic Surgery in Portsmouth, we use FDA-approved silicone implants that have undergone rigorous testing for safety and performance. Silicone implants are filled with a cohesive gel that holds its shape and minimizes leakage risk, even if a rupture occurs. Our board-certified plastic surgeon takes every precaution to ensure proper placement and long-term implant stability. During your consultation at our Portsmouth office, we will review your medical history, explain the latest implant technology, and help you understand the potential risks and benefits so you can make an informed decision about your breast enhancement.