Columbia, SC

Brittany in her bikini top smiling on the beach.

Breast Implants

If you have ever thought of increasing your size, or if pregnancy or weight loss has resulted in the loss of breast volume and shape, breast implants may help you regain the figure you once had or have always desired. Saline or silicone implants can help you enhance your beauty while maintaining a natural look and feel.

Before & After Photos Available In-Office
To respect patient discretion, we offer a full gallery of before and after photos for review in-person at your consultation appointment.

About the Procedure

During your initial consultation with Dr. Lefkowitz, you will discuss your specific desires and aesthetic goals. After conducting a full health history, he will carefully examine your breasts and body, taking measurements of your breasts to determine your current size, shape, nipple position and overall proportion to your body. He will also examine your skin quality and thickness, and assess any ptosis (or breast droop) you may have.

Based on your specific aesthetic desires and tissue characteristics, Dr. Lefkowitz will advise you on the implant type, method, and placement of the breast implant that will best suit your needs and expectations. During your consultation, you will also be able to see, feel, and try on various implant types and sizes to aid in your decision making process.

Surgery is generally performed using one of three different incisions: a small straight incision beneath the breast mound within the natural crease (Inframammary Fold), a gently curving incision around the bottom of the areola at the junction of the light and dark skin (periareolar), or a small incision in the underarm (transaxillary). The breast implants are usually placed beneath the pectoralis chest muscle, resulting in a natural shape and appearance. This technique is least likely to lead to the formation of scar tissue around the implant. Depending on your particular tissue characteristics and desires, Dr. Lefkowitz may choose to place them in a position where the implant is above the muscle. Dr. Lefkowitz will thoroughly discuss with you the best incision location, as well as the implant type, size, and shape for surgery.

Complementary Procedures

Depending upon your desired results, Dr. Lefkowitz may recommend a breast lift in conjunction with your implant procedure. A breast lift will restore the areola to a more youthful position and restore your natural perkiness.


Breast implant surgery typically takes one to two hours and is performed as an outpatient procedure. Most clients experience only mild discomfort following the procedure. Some swelling is expected and normal after surgery, and your breasts will appear full. You will be given prescriptions to help ease the healing process.

Clients are encouraged to go out to dinner the night after surgery. You can wear a sports bra 48-72 hours following the procedure. Most patients allow five to seven days for recovery, although some patients may return to work in as few as three to five days. Returning to light aerobic exercise after five to seven days is recommended with a gradual increase in activity over the next two to three weeks.

Dr. Lefkowitz believes continuing care is essential. He will advise you through all phases of the recovery process and general breast health issues, including self-examination and future mammographic needs.

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American Society of Plastic Surgeons


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