Quatela Center for Plastic Surgery
973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000
Fax: (585) 271-4786
Monday–Friday: 8:30 a.m.–5 p.m.
Whether you want dramatic cleavage, subtle enlargement, or enhanced symmetry, our breast enhancement specialists have the talent, skill, and experience to make your vision a reality. They help you attain the look you want using the latest silicone or saline breast implants or natural augmentation with fat transfer.
| Anesthesia: | General |
| Recovery: | 2 to 5 days |
| Resume strenuous activities: | 3 weeks |
| Final results: | 3 to 6 months |
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Any woman who wants larger, shapelier breasts may be a good candidate for breast augmentation. The benefits of breast augmentation at the Quatela Center include:
With their beautiful, natural-looking results, our breast augmentation patients feel more confident and feminine in clothing, swimwear, and intimate settings.
Ideal breast augmentation candidates are women who meet the following criteria:
During an in-depth consultation, Dr. Amalfi, Dr. Koenig, or Dr. Krasniak will help you determine if breast augmentation matches your unique needs and cosmetic goals.
Many women are unsure of whether to have breast augmentation or a breast lift. There are distinct differences between these breast enhancement procedures, including:
Our surgeons often combine breast augmentation and breast lift surgery to add fullness and restore a more youthful position to the breasts.
Want to learn more about breast implants and breast augmentation? Download our free eBook, Your Guide to Breast Augmentation Surgery, for a comprehensive overview of the most important aspects of breast implant surgery. Topics in our eGuide include breast implant size, shape, and material, incision site, implant placement, risks and complications, plus a handy surgery prep list.
Submit the form below to receive a link to our free eGuide.
The Quatela Center in Rochester is the choice for women who value safety and beautiful breast augmentation results. Many come here from Syracuse, Buffalo, and cities throughout Upstate New York. They also travel throughout the U.S. and worldwide to have our renowned specialists perform their procedures.
DOUBLE BOARD-CERTIFIED PLASTIC SURGEON
Dr. Koenig is a double board-certified plastic surgeon who has dedicated his practice to breast and body procedures. He has performed more than 6,000 breast augmentations throughout his decades of experience. Dr. Koenig presented a study at the Northeastern Society of Plastic Surgeons documenting his exceptionally low complication rate for breast augmentation (0.8% compared to the national average of 15%). He is an Allergan Top 250 Doctor for breast augmentation, placing him in the top 2% of physicians nationwide. Dr. Koenig’s warm, reassuring bedside manner puts patients at ease and helps them feel confident and excited about their decision to have surgery at the Quatela Center.
BOARD-CERTIFIED FEMALE PLASTIC SURGEON
Dr. Amalfi is a board-certified plastic surgeon specializing in breast and body cosmetic surgery. Respected for her expertise and attention to detail, Dr. Amalfi often instructs industry leaders in the careful planning and execution of breast augmentation procedures and has presented at national conferences on advanced breast techniques. She is popular with patients who want more natural breast enlargements and attracts complex cases from outside the area. As a woman and mother, Dr. Amalfi develops a special bond with her breast enhancement patients and works alongside them to choose the right procedure and implant to achieve their unique cosmetic goals.
HIGHLY TRAINED PLASTIC SURGEON
Dr. Krasniak is a highly trained plastic surgeon who completed a 6-year integrated plastic surgery residency and published research in patient-centered care. A specialist in breast and body surgery, Dr. Krasniak finds it gratifying to enhance his patients’ appearances and their physical and emotional comfort.
Consultations at the Quatela Center are thorough and highly personalized, lasting about 30 minutes to an hour. A member of our clinical staff and one of our plastic surgeons will meet with you to:
Your consultation includes a detailed sizing session to ensure your implants are proportionate for your body type and meet your desired cosmetic goals.
If you are a good candidate for breast augmentation, your surgeon will create an individualized surgical plan, and a Patient Consultant will go over procedure cost, payment options, and scheduling.
Our surgeons use only FDA-approved implants, all of which have silicone outer shells. You must be at least 22 years old to have silicone-filled implants, the most popular choice at our practice. Saline-filled implants are available to patients age 18 and older. The best implants for you depend on your aesthetic goals and personal preferences. Options include:
Saline implants require the smallest incision because they are inserted rolled up and filled with sterile saline after placement. The surgeon can fine-tune the amount of saline in each implant while it is in place.
Silicone gel implants feel more like natural breast tissue than saline and come in a range of pre-filled sizes. These implants require a slightly larger incision than saline implants; using the Keller Funnel® minimizes incision length.
These highly cohesive silicone implants are firmer to the touch than other silicone implants. They are often called “gummy bear” implants because, like the colorful candy, they retain their shape when cut.
These smooth, round silicone gel implants come in 3 levels of “gumminess” (firmness), 5 profiles, and a range of sizes for a fully customizable result. Because they are rounder and fuller than other implants, INSPIRA implants are a good choice for enhancing the upper breasts.
| Consideration | Saline | Silicone |
| Fill material | Sterile salt water | Silicone gel |
| Advantages |
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| Disadvantages |
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| Best for |
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*Compared to saline implants
Breast implant sizes are measured in cubic centimeters (cc), not bra cup size. Our surgeons account for the base width of your breasts, existing breast tissue, and distance between your breasts and recommend a range of implant sizes that would be appropriate for your body. Because breast asymmetry is very common, you may need a different size implant for each breast.
Breast implants can have a smooth or textured shell (outer surface). Smooth implants, the most commonly used type, move around freely within the breast. Shaped implants have textured surfaces to prevent them from rotating.
Breast implants come in the following shapes:
An implant’s profile describes how far it protrudes (sticks out) from the chest wall. Implants of the same volume come in a range of profiles to fit various chest widths and cosmetic goals. While the names of implant profiles differ between manufacturers, they generally are:
Implants can be placed over or under the chest muscle (subglandular or submuscular), depending on your current breast volume, the quality of your breast skin, and other factors.
| Consideration | Subglandular | Submuscular | Dual-plane |
| Implant placed | In front of the chest muscle | Behind the chest muscles | Upper portion behind the chest muscle (submuscular); lower portion on top of the chest muscle (subglandular) |
| Benefits |
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| Good for | Patients with sufficient natural breast tissue to hide the implant border | Patients of all types | Patients who want the most natural look |
Dr. Koenig, Dr. Amalfi, and Dr. Krasniak perform breast augmentation as an outpatient procedure at our private, onsite, accredited surgery center. While you will be released to go home on the day of surgery, you can choose to spend the night under medical supervision at our on-site Carriage House.
Once you are resting comfortably under general anesthesia, your surgeon makes an incision along the crease under each breast (inframammary placement) and creates a space, called a pocket, for each implant according to your surgical plan. Our surgeons use the inframammary incision technique because it gives them direct access to the surgical area and hides the resulting scar. The surgeon prepares the pocket and inserts each implant using a Keller Funnel® device for a safer, “no-touch” technique. When the surgeon achieves the desired breast size and shape, they insert a long-lasting local anesthetic and carefully suture the incisions closed.
While experiences vary, most breast augmentation patients recover along the following general timeline:
Day of surgery:
Return home in the care of an adult friend or family member. Long-acting local anesthetic will keep you comfortable for the first few days.
3 to 5 days
Return to work, school, and nonstrenuous activities. Swelling peaks.
5 to 7 days
Sensitivity of the nipples and incision sites subsides.
4 weeks:
Swelling fades.
6 weeks:
Resume high-impact activities without restriction.
3 to 6 months
Implants soften and ease into a natural position. Final results achieved.
6 to 12+ months:
Scars fade.
It’s important to listen to your physician pre-operatively and post-operatively; she/he has your best interests in mind throughout the recovery process.
The cost of breast augmentation with implants in the Rochester, Buffalo, or Syracuse, New York, area varies, depending on your choice of implants and your specific needs and goals. After you consult with one of our exceptional plastic surgeons, you will receive an all-inclusive price quote that covers pre- and post-operative appointments, surgeon’s fees, surgery center fees, and anesthesia costs. For more information, see our page on Plastic Surgery Costs.
For optimal improvement with a single surgery and recovery period, women often combine breast augmentation with other procedures, including:
Removes stretched skin to restore curves and raises the breasts to a youthful position.
Tightens sagging skin, repairs separated abdominal muscles, and reshapes the belly button.
Removes pockets of fat from the hips, belly, waist, thighs, and other areas.
Combines breast and body procedures to reverse changes caused by pregnancy, breastfeeding, and weight changes.
If you are ready to meet with one of our breast and body specialists, request a consultation online, or call us at (585) 244-1000 to schedule your appointment.
There is very little pain associated with breast augmentation because of the refined, advanced techniques used by our surgeons. Their overall goal is to have no real downtime; most patients are surprised by how comfortable they are with minimal medication. In most cases, any discomfort is well controlled through appropriately prescribed pain medications.
Post-surgical bra recommendations vary with the specifics of the surgery and the patient’s needs. In general:
Do not wear a bra with underwires or push-up pads until cleared by your doctor. We suggest wearing bras that zip up or clasp in the front because they are easy to put on and remove during early recovery.
While excessive scarring is uncommon, your surgeon will discuss your options for scar treatments. Keeping your incisions out of the sun for at least a year after breast implant surgery will decrease the potential for hyperpigmentation (redness).
Natural breast augmentation enlarges the breasts using the patient’s own body fat. This fat is collected with liposuction, purified, and injected into the breasts to add volume. This procedure, also called breast augmentation with fat transfer, provides a subtle change in breast size of about 1 cup size. Fat transfer can also be used to fill out and shape the upper breast and cleavage when combined with implants.
No medical device is considered permanent; however, breast implants do not need to be replaced every 10 years. If you are pleased with your implants and not experiencing any issues, we do not recommend replacing them. Each Natrelle implant is covered individually in the case of rupture or deflation and carries a lifetime warranty. If this occurs within the first 10 years after surgery, the manufacturer may offer financial assistance to have them replaced.
The national average for breast augmentation complications is 15%; at the Quatela Center, it is significantly lower. Possible short-term complications include bleeding, infection, and problems with anesthesia. Possible long-term complications include capsular contracture (may be affected by implant placement) and breast implant illness (BII). During your consultation, your surgeon will talk with you about the risk of complications and ways to prevent them.
When considering breast surgery, there are many benefits and risks to think about. The following documents are provided by the manufacturers of breast implants for patient education in accordance with the FDA. This information should be reviewed prior to your consultation. Our doctors are up-to-date in their knowledge about the science and safety of breast implants, and they will review these documents with you and answer any and all of your questions at your consultation.
Allergan Natrelle Patient Decision Checklist
Our surgeons will not perform breast augmentation if you are currently pregnant, breastfeeding, or lactating. We recommend waiting 6 months after you stop breastfeeding before having a breast procedure. Breastfeeding can typically be done after breast augmentation as the production of milk is not compromised. Sometimes patients experience the loss of sensation in the nipples, in which case breastfeeding can be affected.
Dr. Amalfi and Dr. Krasniak perform a type of revision breast surgery called explant surgery to remove breast implants without replacing them. They may recommend a breast lift as well to improve breast shape without implants.
As a destination practice offering world-class care, the Quatela Center attracts patients from around the globe. Our virtual consultations and support program take the effort out of travelling for surgery.
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