About This Patient
This patient came to Dr. Racanelli's New Jersey practice looking to increase breast volume with a result that felt as natural as it looked. After evaluating her chest wall dimensions, existing breast tissue, skin elasticity, and aesthetic goals during consultation, Dr. Racanelli recommended a silicone implant in the high profile configuration. High profile implants are the appropriate choice for patients with a narrower chest base width who want meaningful forward projection without the implant extending beyond their natural breast footprint.
Silicone was selected over saline for this patient because of its softer feel and the way it more closely mimics the weight and movement of natural breast tissue, particularly important for patients with a thinner tissue envelope where implant characteristics are more detectable. The 375 cc volume was confirmed intraoperatively using sizers placed before the permanent implant was introduced, allowing Dr. Racanelli to assess how that volume actually sat against her frame, chest wall, and skin before committing to the final implant.
Procedure Details
Implant: Mentor Smooth Round High Profile Silicone
Volume: 375 cc
Placement: Submuscular dual-plane
Incision: Inframammary fold
Facility: Hospital operating room
Anesthesia: General anesthesia administered by a board-certified anesthesiologist
The Outcome
The before and after photos show a substantial improvement in breast volume and overall breast shape, with a result that sits naturally on the chest and maintains proportion with the patient's frame. The high profile silicone implant delivered clear upper pole fullness and forward projection while avoiding the widened, laterally spread appearance that can occur when an implant with too broad a base is placed on a narrower chest.
The dual-plane submuscular placement provided muscle coverage across the upper pole, which contributes to the natural transition from chest to breast visible in the after photos. The inframammary incision keeps any scarring in the fold beneath the breast, out of the visible breast surface. Silicone implants in this configuration tend to move and respond in a way that is difficult to distinguish from natural tissue, which is reflected in the softness and contour visible in the results.
About Dr. Joseph A. Racanelli
Dr. Joseph A. Racanelli is a board-certified plastic and reconstructive surgeon with offices in Morristown, Newark, and New York City. He has performed more than 10,000 breast augmentation procedures over more than two decades of practice, with breast surgery remaining the foundation of his clinical work.
Every procedure at this practice is performed personally by Dr. Racanelli in a fully accredited hospital operating room, with general anesthesia administered by a board-certified anesthesiologist. He operates one major case per day, and implant size is always confirmed intraoperatively rather than locked in pre-operatively. Every postoperative follow-up visit is with Dr. Racanelli himself.
If you are considering breast augmentation in New Jersey or New York, schedule a consultation with Dr. Racanelli to discuss your goals and receive a treatment plan built around your specific anatomy.