The A-List: Guide to Finding the Best Breast Augmentation Surgeon

Beginning Your Change Journey

Finding the best breast augmentation surgeon requires careful research and informed decision-making. Here are the five essential steps to guide your search:

1. Verify Board Certification – Look for American Board of Plastic Surgery (ABPS) certification and ASPS membership
2. Evaluate Experience – Review the surgeon’s years of practice and volume of breast procedures performed
3. Examine Before-and-After Photos – Study their portfolio for natural-looking results similar to your goals
4. Read Patient Reviews – Check testimonials across multiple platforms (Google, RealSelf, surgeon’s website)
5. Schedule Consultations – Meet with surgeons to assess communication style, comfort level, and personalized care

Breast augmentation remains one of the most highly requested cosmetic procedures in both the United States and Canada. It’s more than just a physical improvement—for many patients, it’s about restoring confidence, addressing changes after pregnancy or weight loss, and finally feeling comfortable in their own skin.

The decision to move forward with breast augmentation isn’t one to take lightly. It involves important choices about implant type, size, and surgical approach. Most critically, it requires selecting a surgeon who combines technical expertise with artistic vision and genuine care for patient safety. A skilled surgeon listens to your goals, analyzes your unique anatomy, and crafts a personalized surgical plan to deliver natural, beautiful results.

I’m Dr. Allen Rosen, and for over two decades, I’ve been recognized by Castle Connolly Medical as one of America’s premier plastic surgeons. My experience in breast augmentation has taught me that finding the best breast augmentation surgeon means finding someone who prioritizes your safety, understands your vision, and possesses the technical skill to bring it to life.

At The Plastic Surgery Group in New Jersey, I am proud to partner with Dr. Ablaza and Dr. Cece, both specialists in breast augmentation surgery.

Step 1: Defining Your Goals and Understanding the Procedure

Before searching for the best breast augmentation surgeon, it’s crucial to understand what the procedure entails and how it aligns with your aesthetic goals. This step involves defining your objectives and familiarizing yourself with the procedure’s various aspects to prepare for your consultations.

Who is an Ideal Candidate for Breast Augmentation?

Breast augmentation is a personal decision. The ideal candidate is physically healthy, emotionally ready, and has realistic expectations. Many of our patients seek breast augmentation for a variety of reasons, including:

• Enhancing Breast Size: For women who desire a fuller, more proportionate figure.
• Restoring Volume After Pregnancy or Weight Loss: To restore a more youthful contour after volume and firmness are lost.
• Correcting Asymmetry: To create a more balanced and even appearance.
• Improving Body Proportions: To create a more harmonious silhouette.
• Rebuilding Breasts After a Mastectomy: As part of a reconstructive process following breast cancer surgery.

Beyond these goals, an ideal candidate is in good overall health, a non-smoker (or willing to quit), and has realistic expectations about what surgery can achieve. A successful breast augmentation can significantly improve quality of life and self-esteem, as highlighted by various studies. You can learn more by visiting our page on Study: Quality of Life Improves After Breast Augmentation.

Understanding Your Implant Options

Choosing the right implants is an exciting part of breast augmentation. We offer a range of options, and your surgeon will guide you to find what’s best for your body and goals.

The primary types of breast implants are:

• Saline Implants: A silicone shell filled with sterile salt water, approved for women 18 and older.
• Silicone Gel Implants: A silicone shell pre-filled with cohesive silicone gel that feels more like natural breast tissue, approved for women 22 and older.

Here’s a quick comparison of saline vs. silicone implants:

Many prefer silicone gel implants for their natural feel and reduced rippling risk. “Gummy bear” implants are a highly cohesive silicone option that maintains its shape even if the shell is compromised. You can find more details on our pages: More info about Saline Implants for Breast Augmentation and More info about Cohesive Gel Breast Implants.

Implants also come in different shapes and profiles:

• Shape:
  • Round Implants: The most common type, giving a fuller, “perkier” look to the upper breast.
  • Teardrop (Anatomical) Implants: Shaped like a natural breast, fuller at the bottom for a more discreet improvement.
• Profile (Projection): This is how much the implant projects forward. Options range from low to high profiles, and your surgeon will help you choose based on your anatomy and goals.

Surgical Techniques: Incisions and Placement

Your surgeon’s surgical approach affects scar visibility and implant placement. We customize techniques to your anatomy and goals.

There are three primary incision locations:

• Inframammary Fold: In the crease where the breast meets the chest, often resulting in a discreet, hidden scar.
• Periareolar Incision: Along the edge of the areola, well-concealed by the natural color transition.
• Axillary (Armpit) Incision: In the armpit, leaving no scar on the breast itself.

Once the incision is made, the implant can be placed in one of two main positions:

• Submuscular (Under the Muscle) Placement: Beneath the pectoralis major muscle, which can offer a more natural look and may reduce certain risks.
• Subglandular (Over the Muscle) Placement: Directly behind the breast tissue, which can provide a fuller upper pole contour.

The choice of incision and placement depends on your anatomy, desired outcome, and surgeon’s recommendation. We prioritize techniques that offer optimal results with minimal scarring.

Considering a Breast Lift with Your Augmentation

If you have breast sagging (ptosis), adding volume alone may not be enough. Combining a breast lift (mastopexy) with augmentation can deliver transformative results. A breast lift addresses skin laxity and repositions the nipple to a more youthful position. Combined with implants, this procedure restores volume and lifts the breasts for a sculpted, perky appearance. This is especially beneficial after:

• Pregnancy and breastfeeding
• Significant weight loss
• Aging

Your surgeon will assess your anatomy to determine if a combined procedure is the best approach for you, ensuring a harmonious result. To learn more, visit our page on More info about Breast Augmentation with Lift.

Step 2: How to Find the Best Breast Augmentation Surgeon

Choosing your surgeon is arguably the most critical decision in your breast augmentation journey. This person will be your guide, your artist, and your medical professional. Here’s how we recommend you find the best breast augmentation surgeon for you.

The Non-Negotiable: Board Certification and Credentials

When seeking the best breast augmentation surgeon, board certification is not just a recommendation; it’s a non-negotiable requirement. This credential ensures your surgeon has met the most rigorous standards of training, expertise, and patient safety.

We proudly emphasize that our surgeons are certified by the American Board of Plastic Surgery (ABPS). This is the only board recognized by the American Board of Medical Specialties (ABMS) that certifies plastic surgeons. There are many “cosmetic surgery” boards out there, but none have the same stringent requirements or recognition. When a surgeon is ABPS certified, it means they have:

• Completed at least six years of surgical training following medical school, with a minimum of three years dedicated to plastic surgery residency training.
• Graduated from an accredited medical school.
• Passed comprehensive oral and written exams.
• Committed to annual continuing medical education, including patient safety.
• Perform surgery in accredited, state-licensed, or Medicare-certified surgical facilities. This ensures the highest safety standards for the operating environment.

Being a member of the American Society of Plastic Surgeons (ASPS) is another strong indicator of a surgeon’s commitment to excellence. ASPS Member Surgeons adhere to a strict code of ethics and stay abreast of the latest advancements in the field. This commitment to ongoing education and patient safety is paramount.

To verify a surgeon’s credentials, always check the official websites of the ABPS and ASPS. This simple step provides immense peace of mind. As the ASPS advises, choosing a board-certified plastic surgeon is the first and most important step in your journey. You can find more information on Choosing a board-certified plastic surgeon is the first step.

Evaluating the Experience and Portfolio of the Best Breast Augmentation Surgeon

Beyond certification, the experience and artistic eye of your surgeon are vital. The best breast augmentation surgeon will have a proven track record of successful outcomes and a portfolio that resonates with your aesthetic goals.

Look for a surgeon with many years of experience specifically in breast augmentation. While overall surgical experience is valuable, specialization matters. An experienced surgeon will have performed a high volume of breast procedures, demonstrating their familiarity with various anatomies, implant types, and potential challenges.

Reviewing a surgeon’s before-and-after galleries is an essential step. We encourage you to study these photos carefully, looking for patients with similar starting points to your own and results that align with your desired outcome. Pay attention to:

• Natural-Looking Results: Do the augmented breasts appear proportionate to the patient’s body? Do they look and feel natural, rather than obviously “done”?
• Consistency: Does the surgeon consistently achieve high-quality results across various body types?

Our own Breast Augmentation gallery showcases the natural, beautiful results we strive for.

Patient testimonials and reviews also offer invaluable insights into a surgeon’s practice. Look for reviews across multiple platforms (the surgeon’s website, Google, RealSelf, etc.). These often highlight not just the surgical results, but also the overall patient experience, communication style, and the level of care provided by the surgeon and their team. A surgeon who consistently receives positive feedback about their bedside manner, clear explanations, and attentive post-operative care is often a strong candidate.

The Consultation: Your Final Step to Choosing the Best Breast Augmentation Surgeon

Once you’ve narrowed down your list of potential surgeons based on credentials and portfolios, the consultation is your opportunity to connect on a personal level and make your final decision. This is where you truly find if you’ve found the best breast augmentation surgeon for you.

During your consultation, you should feel a strong sense of rapport and trust. This is your chance to ask every question you have, no matter how small. A good surgeon will:

• Listen Actively: They will take the time to understand your aesthetic goals, concerns, and lifestyle.
• Provide Clear Explanations: They will explain the procedure in detail, including implant options, surgical techniques, potential risks, and recovery expectations.
• Discuss Realistic Outcomes: They will help you set realistic expectations, ensuring your vision aligns with what is surgically achievable for your unique anatomy.

We believe in leveraging advanced technology to improve your consultation experience. Utilizing 3D imaging technology, such as Vectra, allows us to take a 3D picture of your current anatomy and simulate potential surgical results. This means you can “try on” different implant sizes and shapes, giving you a clearer visualization of your post-surgery appearance and helping us create a truly personalized surgical plan together.

The goal of the consultation is for you to feel completely comfortable and confident in your choice. You should feel heard, respected, and assured that your surgeon has both the skill and the compassion to guide you through this transformative journey. We invite you to Meet Our Team of expert surgeons at The Plastic Surgery Group of New Jersey to experience this personalized approach firsthand.

Step 3: Preparing for Surgery and Recovery

Once you’ve chosen your surgeon and finalized your surgical plan, the next phase focuses on preparation and understanding the recovery process. Proper planning is key to a smooth experience and optimal results.

Your Pre-Surgery Checklist

Preparation for breast augmentation begins well before your surgery date. Your surgeon will provide a detailed checklist, but it will generally include:

• Medical Evaluation and Tests: To ensure you are in good health for surgery, this may include blood tests, a mammogram, and an EKG.
• Arranging for Post-Op Help: You will need someone to drive you home and assist you for at least the first 24-48 hours.
• Stopping Certain Medications and Supplements: You will likely be advised to stop taking blood-thinning medications (like aspirin or ibuprofen) several weeks before surgery to minimize bleeding risks.
• Preparing Your Recovery Space: Set up a comfortable area at home with pillows, entertainment, and essentials within easy reach.
• Maintaining a Healthy Lifestyle: Eating nutritious foods, staying hydrated, and avoiding smoking can significantly improve your healing.

The Recovery Process: What to Expect

Recovery is a crucial part of your journey, and knowing what to expect can help you manage it with confidence.

• Initial Healing Period (1-2 weeks): Expect some discomfort, swelling, and bruising. Pain medication will be prescribed to manage soreness. Rest and avoid strenuous activities. You’ll likely wear a surgical bra for support.
• Managing Discomfort and Swelling: Swelling will gradually subside over several weeks. Cold compresses (as advised) can help. Listen to your body and don’t push yourself.
• Wearing a Surgical Bra: This specialized bra is essential for supporting your breasts as they heal. You’ll typically wear it continuously for several weeks.
• Timeline for Returning to Activities:
  • Work: Most patients with non-strenuous jobs can return within a week to 10 days.
  • Light Exercise: Light walking can be resumed within a few days.
  • Strenuous Exercise: Avoid cardio and heavy lifting for 4-6 weeks to allow proper healing.
• Following Post-Op Instructions: Adhering strictly to your surgeon’s instructions is paramount for a smooth recovery and optimal results.

Understanding Risks, Long-Term Results, and Special Considerations

While breast augmentation is highly successful, it’s important to be informed about potential risks and long-term considerations. Your best breast augmentation surgeon will discuss these with you in detail.

Potential risks, though rare with an experienced, board-certified surgeon, include:

• Capsular Contracture: Scar tissue around the implant tightens, making the breast feel firm.
• Implant Rupture or Leak: Saline implants deflate if ruptured. Silicone ruptures are often silent and require imaging for detection.
• Infection: As with any surgery, this is a risk that can be treated with antibiotics.
• Changes in Sensation: Some patients experience temporary or, rarely, permanent changes in nipple or breast sensation.
• Hematoma: A collection of blood that may require drainage.

Long-Term Implant Monitoring and Potential Replacement: Breast implants are not lifetime devices. They may need to be replaced after 10-20 years. Regular follow-up with your surgeon is important for monitoring implant integrity.

Impact on Breastfeeding Capabilities: Most women with implants can successfully breastfeed, especially with submuscular placement. Discuss your plans with your surgeon.

Getting Mammograms with Implants: Mammograms can still be performed. Inform your technician that you have implants so they can use specialized techniques for thorough screening.

For a comprehensive overview, we recommend reading our Breast Implants 101 Guide.

Frequently Asked Questions about Breast Augmentation

We understand you likely have many questions as you consider breast augmentation. Here are some of the most common inquiries we receive:

What factors influence the cost of breast augmentation surgery?

The cost of breast augmentation can vary significantly based on several factors. When you’re looking for the best breast augmentation surgeon and facility, quality and safety are investments. Key factors include:

• Surgeon’s Fee: This reflects the surgeon’s experience, reputation, and the complexity of your case. Dr. Rosen and Dr. Ablaza, for instance, are highly experienced, board-certified surgeons.
• Anesthesia Costs: The fee for the anesthesiologist and the type of anesthesia used.
• Surgical Facility Fees: This covers the use of the operating room, nursing staff, and medical supplies. We operate in a state-of-the-art, accredited facility to ensure your safety and comfort.
• Type of Breast Implant Selected: Silicone implants are generally more expensive than saline implants. Different brands (like Sientra or Allergan Aesthetics) and specific models of implants may also have varying costs.
• Geographic Location: Costs can differ based on where the practice is located, for example, between Montclair, NJ, Livingston, NJ, or Manhattan, New York City.
• Complexity of the Procedure: If a breast lift is combined with augmentation, or if it’s a revision surgery, the cost will be higher.
• Post-Operative Expenses: This includes things like prescribed medications, surgical garments, and follow-up appointments.

During your consultation, we provide a detailed, personalized quote so you understand all aspects of the investment.

Are there non-surgical alternatives to breast augmentation?

While traditional breast augmentation with implants remains the gold standard for significant and lasting volume improvement, some patients inquire about non-surgical alternatives. The most common alternative is fat transfer breast augmentation.

• Fat Transfer Breast Augmentation: This procedure involves liposuction to remove fat from one area of your body (like the abdomen or thighs) and then injecting that purified fat into your breasts to increase volume.
• Limitations of Non-Surgical Methods: Fat transfer offers a more subtle increase in breast size (typically one cup size or less) compared to implants. Not everyone has enough excess fat for a substantial transfer, and some of the transferred fat may not survive, leading to unpredictable results.
• Suitability for Modest Improvement: This option is best suited for individuals seeking a very modest increase in size, correction of minor asymmetry, or a slight improvement in contour.
• Comparing Permanent Implants to Fat Grafting Results: Implants provide a more predictable and significant volume increase. Fat grafting, while natural, may require multiple sessions to achieve desired results and some fat reabsorption is expected.

It’s important to discuss your goals thoroughly with your surgeon to determine if fat transfer is a viable option for you, or if implants would better achieve your desired outcome. For a deeper dive into this comparison, please see our page on Fat Transfer Breast Augmentation vs. Breast Implants.

How do I choose the right breast implant size for my body?

Choosing the right breast implant size and shape is a collaborative process between you and your surgeon. It’s not just about a number; it’s about achieving a harmonious look that complements your unique body frame and meets your aesthetic desires.

• Surgeon’s Analysis of Your Body Frame: Your surgeon, like Dr. Rosen or Dr. Ablaza, will take precise measurements of your chest width, breast tissue, and skin elasticity. They will consider your height, weight, and overall physique to recommend a size that looks natural and proportionate.
• Using Implant Sizers During Consultation: During your consultation, you’ll have the opportunity to “try on” various implant sizers. These are external sizers that you place in a bra to get a visual and tactile sense of different volumes. We encourage you to bring a form-fitting top or even a favorite outfit to see how different sizes look under clothing.
• 3D Imaging to Visualize Results: As mentioned, our advanced 3D imaging technology (like Vectra) is invaluable here. It allows us to simulate different implant sizes and shapes on your unique anatomy, providing a realistic preview of your potential results. This helps bridge the gap between imagination and reality.
• Aligning with Your Personal Aesthetic Goals: Do you want a subtle improvement or a more dramatic change? Do you prefer a rounder, fuller look or a more natural, teardrop shape? Your personal preferences are paramount.
• Considering Your Lifestyle: We also discuss your lifestyle. For example, if you’re very athletic, an overly large implant might interfere with certain activities.

The goal is to find a size that not only looks fantastic but also feels comfortable and improves your confidence. We believe that the best breast augmentation surgeon is one who helps you make an informed decision that you’ll be thrilled with for years to come.

Taking the First Step Towards Your Change

Starting on the journey of breast augmentation is a significant decision, and finding the right surgeon is the most critical part. By prioritizing board certification, extensive experience, and a strong patient-doctor connection, you set yourself up for a safe procedure and beautiful, natural-looking results. The expert team at The Plastic Surgery Group of New Jersey, including highly regarded, experienced plastic surgeons like Dr. Rosen and Dr. Ablaza, is dedicated to providing this level of care. We guide you from your initial consultation in our state-of-the-art facility to a confident new you, offering an ultimate body change experience.

We are committed to delivering natural, beautiful results for our patients in Montclair, NJ, Livingston, NJ, Manhattan, and New York City. Your journey to improved confidence and aesthetic harmony begins with an informed choice.

Learn more about our Breast Augmentation procedures and schedule your consultation today.