About This Patient
This patient presented to Dr. Racanelli's New Jersey practice seeking a meaningful increase in breast volume while maintaining a proportionate, natural-looking result. After a thorough consultation evaluating her chest wall anatomy, existing breast tissue, skin quality, and aesthetic goals, Dr. Racanelli determined that a saline implant in the high profile configuration would best serve her frame. High profile implants are appropriate for patients with a narrower chest base width who want more forward projection without widening beyond their natural breast footprint.
The final implant selection of 400 cc was confirmed intraoperatively using sizers placed before the permanent implant was introduced, a standard part of Dr. Racanelli's surgical process. This allows the size decision to be made based on how the actual tissue, skin, and chest wall respond in real time rather than based solely on pre-operative measurements.
Procedure Details
Implant: Mentor Smooth Round High Profile Saline
Volume: 400 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 significant improvement in breast volume and upper pole fullness, with a result that reads as proportionate to the patient's overall frame rather than surgically overdone. The smooth round high profile configuration delivered the forward projection the patient was seeking while the dual-plane submuscular placement provided natural coverage across the upper pole and reduced the risk of visible implant edges.
Saline implants in this profile and volume range are well-suited for patients who want a defined, full look and have adequate tissue to support the implant without rippling. The inframammary incision, placed in the fold beneath the breast, keeps any resulting scar discreet and outside the visible breast surface.
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, making breast surgery the cornerstone of his clinical work.
Every breast augmentation procedure at this practice is performed personally by Dr. Racanelli in a fully accredited hospital operating room. He operates one major case per day, giving each patient his complete focus. Implant size is confirmed intraoperatively using sizers rather than fixed pre-operatively, and all postoperative follow-up visits are conducted by 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 develop a treatment plan based on your specific anatomy.