Breast Augmentation

Breast Augmentation in New Jersey

If you feel that your breasts are small or losing their youthful shape, a breast augmentation can help restore volume, improve breast size and symmetry, and boost your self-confidence! Breast augmentation surgery, or augmentation mammoplasty, uses breast implants or a fat transfer (your own fat) to enhance your breast size. 

With 27 years of experience, I specialize in breast augmentation surgery, taking the opportunity to improve the balance of your figure and fulfill your desire for fuller breasts. Breast augmentation is a highly customized procedure, and, to me, every patient is special and unique. I infuse an artist’s vision with every surgical plan and procedure to optimize each result. People have traveled here from more than 25 states and 17 different countries because of my excellent reputation. We want every patient to remember us for having been a positive, life-changing influence.

Schedule a consultation by calling (973) 736-5907 or complete our online form to learn more.

Breast Augmentation gallery

View our Breast Augmentation before and after photographs to see our patients’ extraordinary body transformations! Request a consultation today for beautiful, natural results.

Breast Augmentation Candidates

Ideal candidates for breast augmentation:

  • Are physically healthy & and are not significantly overweight
  • Have fully developed breasts
  • Are not pregnant or breastfeeding
  • Have realistic expectations for their results

If you smoke, vape, or use any nicotine, cannabinoid, and/or ADHD medication, you must be willing to stop for several weeks before and after your surgery.

Meet Scott SpiRo, M.D., F.A.C.S.


I am a board-certified plastic surgeon specializing in breast cancer reconstructive surgery and cosmetic procedures of the breast, body, and face. To me, every patient is unique and deserves results tailored to their concerns. You can understand my approach to care by reviewing the testimonials and before and after galleries on this site and learning about the many “Top Doctor” awards I have won.


Art is my other passion, and my artist’s vision guides my work as a surgeon. I have done technical illustrations for many journal articles, book chapters, and patient resource pamphlets for national societies. I am also an accomplished painter, sculptor, and photographer. When you visit our office, you’ll see a gallery of reproductions of many of my pieces in oil, graphite, and photography.

Why You Might Consider Breast Augmentation

You might benefit from breast augmentation if you feel that your breasts are small in proportion to your body, your breasts are asymmetrical, or you are unhappy with changes in the shape and volume of your breasts due to aging, pregnancy, or weight loss.

Ultimately, the decision to have breast augmentation surgery is a personal one to help you feel proud of your body and better about yourself.

What to Expect During a Breast Augmentation Consultation

During your breast augmentation consultation, I will talk to you about your surgical goals, medical history, medications, and drug allergies. My team and I will also go over potential complications and expected outcomes of the surgery and evaluate your breasts. During the evaluation process, I will examine your underlying torso shape, which critically impacts not only breast appearance but also implant selection and surgical outcomes. Whether it’s asymmetries, undulations, depression (pectus excavatum), or chest wall peaking (pectus carinatum), we must consider these conditions when planning and executing breast augmentation surgery. I will also review your many options for size, shape, material, and placement and recommend the safest and most effective approach to achieve your desired results.

Breast Augmentation Options

I customize all cosmetic surgeries to each patient’s anatomy and desired results. Breast augmentation offers some of the most opportunities for personalization. Implants are available in different materials and come in a range of sizes and shapes. I place these devices below the pectoral muscle. You may wish to have fat transfer instead of implants. I will help you make all these decisions during your consultation. Here’s a brief overview of the options.

Implant types

While silicone implants consist of a gel, saline implants come as empty shells, which I will fill with a sterile solution after placement. “Gummy bear” implants use a thickened form of silicone that holds its shape and doesn’t “leak” if the shell were to rupture. Both choices offer noteworthy advantages and disadvantages in terms of their appearance and potential health risks. 

Implant shapes and sizes

Round or contoured (“teardrop”) implants are available. I will help you choose a width and thickness that complement your anatomy and give your breasts the desired amount of projection.

Implant placement

Implants are typically placed below the pectoral muscles, (subpectoral placement). The best choice for you will depend on your anatomy and lifestyle.

Incision location

Breast augmentation incisions in the creases below the breasts (inframammary incision) for the safest and most predictable outcomes.

Fat transfer

For a more modest increase in breast volume, you may choose to get a fat transfer instead of implants. In this procedure, I’ll remove fat from a “donor” part of your body (such as your abdomen) via liposuction, then purify it and inject it into your breasts. 

How to Prepare for Breast Augmentation

Preparing for breast augmentation surgery will require you to get a blood test, avoid vitamins, supplements, and medications, quit smoking, and not take over-the-counter anti-inflammatory drugs or aspirin that may increase bleeding. After your procedure, it is not safe for you to drive yourself home. Please plan to have a relative or close friend take you to and from your surgery.

Breast Augmentation Surgery

I usually perform breast implant surgery while my patients are under general anesthesia. During your procedure, I will make an incision under the breast fold. After I make the incision, I insert the breast implant into a pocket under the pectoral muscle. The way I insert and position your implants depends on your body type and the implant type and size. Once the implants are in, I close the incisions with layered sutures in the breast tissue and skin adhesive or sutures. Breast implant surgery usually takes about two hours.

In breast augmentation using fat transfer, I make only minimal incisions for liposuction on the part of the body where I am removing fat. I usually perform a fat transfer using general anesthesia.

Breast Augmentation Recovery

Before you leave, my team and I will give you post-operative instructions to follow, including how to care for your breasts and medications to take orally. For the first few days, you may experience soreness, swelling, and bleeding in the pockets around the breast implants. Over time, swelling will decrease, and your incision lines will fade. Recovery time for breast augmentation varies by patient, but, on average, it takes approximately six weeks to heal fully. 

Breast Augmentation Results

Breast augmentation surgery produces long-lasting results that can improve your body image and self-esteem. Each patient will notice enhanced breast size, improved shape, and a more symmetrical profile. You can expect to see your final results after a few months, when the implants have settled and the last of the swelling has subsided. Remember, your breasts will continue to age, which can influence their appearance. Maintaining a healthy lifestyle, avoiding significant weight gain or loss, and abstaining from specific chest exercises will ensure you remain satisfied with your breasts’ appearance.

Breast Augmentation FAQs

Breast implants usually last for 10 years but sometimes longer. You only need to get them removed or replaced for medical reasons if they rupture or another problem occurs. Of course, you can also have your implants taken out or exchanged if your enhanced breasts are no longer compatible with your lifestyle and aesthetic goals.

When a saline implant leaks, it deflates, and the breast loses its added volume. Your body will naturally absorb the saline solution, so there are no adverse health effects when this happens. Still, the cosmetic effect will be noticeable, as the affected breast will look flat and deflated. 

When a silicone implant ruptures or leaks, it doesn’t always change the breast’s appearance, but you will still need to have the affected implant taken out to prevent the leaked silicone from spreading into the surrounding tissue over time. The FDA recommends annual mammograms for women with silicone implants – as a health screening and to check implant integrity. 

Typically, yes. Breast implants should not interfere with your ability to breastfeed. Neither the surgery to place the implants nor the implants themselves will alter or injure the breast glands or milk ducts. Studies have also shown that implants don’t affect the quality of breast milk. If this is a concern for you, be sure to bring it up in your consultation with Dr. Spiro.


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Graphite/Pencil Hybrid-Painting by Dr. Scott Spiro