Quatela Center For Plastic Surgery | Rochester, NY
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TEL: 585.244.1000
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Breast Augmentation


Many women are self-conscious about the size and/or shape of their breasts.  Women who choose to have breast augmentation have many motivations.  Some feel their breasts are out of proportion to the rest of their figure, while others are uncomfortable wearing swimsuits or form-fitting clothes because of small or disproportionate breasts.  Many women lose breast volume with pregnancy and breast feeding or weight loss and want to regain volume and improve the shape of the breast.  Breast augmentation can improve breast volume and size, give proportion, and restore a feminine shape to the body.

Dr. William Koenig has partnered with the Quatela Center for Plastic Surgery since 2003, bringing patients breast augmentation procedures in a private, safe environment.  To provide flexibility and meet the unique needs of each patient, Dr. Koenig offers three types of implants: saline, silicone gel-filled and form stable silicone.  Every breast augmentation procedure is performed on-site at the Quatela Center’s state-of-the-art, accredited surgical center. To ensure long-lasting, beautiful results, Dr. Koenig offers a comprehensive follow-up care schedule.

Breast Augmentation Before and After Photos

The Breast Augmentation Consultation

The first step when considering breast augmentation is a consultation with Dr. Koenig.  During this appointment, he will review your medical history, including past medical conditions, current allergies and medications, as well as your personal or family history of breast cancer and any other breast issues.  After a brief examination, Dr. Koenig will discuss your current breast size, and listen to your goals and desired changes.  Breast implant sizers will be available to try on at your consultation appointment.  Dr. Koenig ’s highly trained staff will assist you in choosing your desired implant size.  Dr. Koenig supports the implant choice by taking actual measurements of your chest to ensure that the implant you have chosen is proportionate for your body type and in alignment with your desired goal.

Finally, Dr. Koenig will discuss any limitations for the breast augmentation procedure, and all potential risks or complications.  If breast augmentation is right for you, Dr. Koenig will create an individualized surgical plan.  You will also speak to a Patient Consultant to discuss scheduling the procedure, cost, and payment options.

The Ideal Candidate for Breast Augmentation

Any woman who is unhappy with the size or shape of her breasts may be a good candidate for breast augmentation.  Those who have natural breast tissue that is out of proportion with their build and body size, or have experienced a decrease in breast volume after having children or with aging, can find correction with an implant.  The ideal patient will be in generally good health, understand the breast augmentation procedure, and hold realistic expectations for the surgical results.  During the consultation appointment, Dr. Koenig will determine if breast augmentation is the right procedure to meet the individual patient’s needs and desires.


Before the Breast Augmentation Procedure

Once your breast augmentation has been scheduled, there are a few things that you can do to prepare for the surgery and recovery period.  By taking time several days before your procedure to prepare, you can be assured of the best results and a smooth recovery.

  • Your breast augmentation will be performed as an outpatient procedure, so you must have a ride home from the surgery center, or if you spend the night at our Carriage House, you must have a ride the next morning.
  • Prior to surgery, have all prescriptions filled.
  • Plan to take off about a week from school or work after the procedure to heal and rest at home.
  • Arrange for assistance during the first few days after your breast augmentation.
  • Carefully review the post-surgical instructions from Dr. Koenig.  If questions arise, contact the office immediately.
  • Keep important phone numbers and all emergency contact information in an easy to reach location.
  • Put all follow-up appointments with Dr. Koenig on your calendar – these are very important to attend, even if you don’t have any questions.
  • Stop Aspirin and any specified herbal supplements two weeks before your breast augmentation.

Commit to stop smoking at least two weeks prior to your breast augmentation procedure.

The Breast Augmentation Procedure

Dr. Koenig offers breast augmentation with three types of breast implants: saline, silicone, and form stable silicone.  All can improve the contours of a woman ’s body and bring proportion to her silhouette.  The saline, silicone, and form stable implants will come in a wide variety of sizes (noted as CCs), shapes (round or teardrop), and textures (smooth or textured).  These can be placed over or under the chest muscle (subglandular or submuscular), depending on the existing breast tissue present.  The best implant will depend on each woman’s aesthetic goals.

Saline Implants

Saline implants enjoy a long history of satisfaction and safety. This type of implant is constructed of a silicone shell, filled with saline or salt water. It has the lowest rate of capsular contracture, when compared to silicone implants.  Saline implants are typically placed in the submuscular space.  The best candidates will be those women with a large amount of their own natural breast tissue. The disadvantage for saline implants is how they feel.  As there is little viscosity in the implant, filled with water, it can often be felt against the surrounding tissue.  This can also result in rippling, which on a rare occasion, can be seen, as well.

Silicone Gel-Filled Implants

After returning to the market in 2006, silicone gel-filled implants have been hailed as safe for use in breast augmentation. They are very popular because of their natural feel, as they are difficult to distinguish from the surrounding breast tissue. They also can be placed above or below the muscle. Furthermore, current silicone implants have a thicker and more cohesive gel. The disadvantage is there is a higher rate of capsular contracture compared to saline implants.

Form Stable (Gummy Bear Implants)

Available since 2013, this new implant is form stable. This means it is a true teardrop shaped implant. As a result, they may offer a more natural shape to the breast in some patients. The gummy bear implants are firmer to the touch than other silicone implants and have a textured shell. To insert the implant, a larger incision is needed. Some patients will find more size and shape options resulting in a more custom result.  The disadvantage of cohesive gel implants is the slight chance of rotation, which may require surgical correction.

Breast Augmentation Before and After Photos

Natrelle INSPIRA™

INSPIRA™ is a revolutionary new line of silicone gel-filled implants with over 200 size and shape options for a fully-customizable result. Filled to be more round and full, these implants maintain optimal fullness in the upper half of the breast. Despite their soft feel, the implants hold their shape to lessen the occurrence of rippling and wrinkling. INSPIRA™ offers options to provide a tailored fit based on individual body type, size, and goals.

Recovery after Breast Augmentation

Patients should expect the recovery from a Breast Augmentation to take around one week.  There may be some soreness and mild pain immediately after surgery, which is well controlled through appropriately prescribed pain medications.  Dr. Koenig’s advanced technique means there is very little pain associated with his breast augmentation procedure.  There may be some burning around the nipples or incision sites, as well as minor bruising, but if these occur, they will resolve over the first five days.  Swelling is normal, but may take up to four weeks to fully disappear.  A sports bra can be worn for the weeks following the breast augmentation procedure, which provides support during the healing process. Some patients are more comfortable not wearing any bra for the first three weeks.

While there is little risk from today’s breast augmentation procedure, problems do occasionally occur.  These may include bleeding, infection, breast asymmetry, and numbness.  Dr. Koenig prides himself in his low complication rates with breast augmentation, as reported in a study he presented at the Northeastern Society of Plastic Surgeons.

Choosing the Right Breast Augmentation Surgeon

The key to a successful breast augmentation procedure is choosing the right surgeon. Dr. William J. Koenig is a Board Certified plastic surgeon with over 23 years of experience, specializing in breast and body procedures.  He has performed over 1,600 breast augmentations over the past 12 years in Rochester at the Quatela Center for Plastic Surgery.  Breast augmentation is by far his most requested procedure.

If you are interested in breast augmentation, contact the Quatela Center for Plastic Surgery at 585.244.1000.  We will be happy to answer your questions, and to assist in scheduling a consultation appointment with Dr. Koenig in our Rochester, New York plastic surgery office.

Breast Augmentation Frequently Asked Questions

What is a breast augmentation?

Breast augmentation is a surgical procedure designed to improve the size and shape of the breasts through the use of implants.

Who is a good candidate for the breast augmentation procedure?

The best candidate for breast augmentation is a patient in good health who is looking to improve the size and/or shape of her breasts.  She should fully understand the procedure and have reasonable expectations for her breast augmentation results.

What types of implants are available?

Saline, silicone, and form stable silicone implants are available for breast augmentation at the Quatela Center for Plastic Surgery.

When can I return to work after my breast augmentation?

Depending on the nature of the job, patients without a physically demanding position may return to work or school within 2-5 days after their breast augmentation.

Are there risks involved in breast augmentation?

Dr. Koenig’s breast augmentation is considered extremely safe, although with any surgical procedure there is a rare chance for bleeding, infection, asymmetry, capsular contracture, or loss of sensation to occur.

Ideal Candidates
  • Concern with size or shape of breasts
  • Realistic goals and expectations
  • Physically and psychologically healthy

Am I a candidate?

Frequently Asked Questions
  • Do I need to have my breast implants replaced every 10 years?
  • Is it mandatory that I have an MRI if I have breast implants?

Get the answers to these and other questions on our breast augmentation FAQ page


Dr. Koenig has refined his technique for breast augmentation so there is very little pain associated with the procedure. His overall goal is to have no real down time and most patients are surprised how comfortable they are with minimal medication. Normal activity can be resumed quickly after surgery and most patients return to work in 3-4 days.

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