Dr. Guarino specializes in breast augmentation surgery and offers this procedure to patients throughout Allentown, PA. This procedure is performed to enhance the size and shape of the breasts with the placement of either silicone or saline implants. Breast augmentation enhances breasts that are naturally small, asymmetrical, or have lost volume after pregnancy or weight loss. Results following this surgery include a fuller, shapelier breast appearance. This surgery is the most popular cosmetic procedure in the United States with over 350,000 surgeries performed each year.
Breast Augmentation Reviews
"Doctor Gaurino and his staff ,Andrea and Karen, are wonderful! I had undergone a breast augmentation surgery. I was always very small chested (an A cup, maybe less) and that was a source of major insecurity for me. The surgery went smoothly and the results are phenomenal. I was going for a very natural look but something that would make me feel confident in a bikini. I am in love with the results. Everyone at the office is very friendly and make you feel right at home. Highly recommended! "- P. / Healthgrades / Sep 02, 2017
"I wish I could give Dr. Guarino and his staff 10 stars. Dr. Guarino changed my life. I’m a 44 year old female. I’ve had 2 kids and breastfed both for a year each. So my breasts were pretty deflated (Big B-Small C cup). 20 years ago, I went to a doctor that gave me breast implants that were entirely too big (3 cup sizes bigger). I carried them around for 2 decades terrified to go back and have to endure another surgery to fix it. Over the years, the weight pulled them down over my rib cage and "- D.T. / Healthgrades / Apr 21, 2018
"Dr. Guarino and his staff are so knowledgeable and caring! My breast enhancement could not have been better, from the consult to the procedure to the recovery. They were very straightforward and honest, no surprises other than the final results being even better than i anticipated!!!!"- K.H. / Google / Oct 24, 2020
"The Beverly Hills of the Lehigh Valley - I've been going to Dr. Guarino for 20 years now which pretty much speaks for itself. He is the best of the best!! Beverly Hills right in the Lehigh Valley. Dr. Guarino cares about every patient and their concerns. He's so gentle, kind and compassionate and a true master of his craft. I've sent more people to him than I can count,from breast implants to face lifts and everything in between and they all remain his patients. One visit and you know that's where you should be. The staff is fantastic the office is beautiful and everything is immaculate at all times. I can't say enough good. I will continue to refer friends, family and acquaintances to him for any and everything they desire. If you want the best it's Dr. Guarino. You'll be happier than you can imagine. I will remain his patient forever and am grateful I found him 20 years ago."- M.P. / RealSelf / Oct 16, 2017
"I wish I could give Dr. Guarino and his staff 10 stars. Dr. Guarino changed my life. I’m a 44 year old female. I’ve had 2 kids and breastfed both for a year each. So my breasts were pretty deflated (Big B-Small C cup). 20 years ago, I went to a doctor that gave me breast implants that were entirely too big (3 cup sizes bigger). I carried them around for 2 decades terrified to go back and have to endure another surgery to fix it. Over the years, the weight pulled them down over my rib cage and upper abdomen. It caused me to have extremely low self esteem and zero confidence. 3 years ago I got breast cancer and had to get a lumpectomy which left my breast uneven, scarred and disfigured. I became very depressed. I felt more like a monster than a woman. I met with Dr. Guarino and his staff. Every appointment I had with him, He took time to talk to me, discussed honest options with me and what he felt would work best for me, He didn’t try to upsell me with things I didn’t need, he listened to me intently, and looked at me when he talked to me. Doctors like this are rare these days. His staff is exceptionally friendly and Dr. Guarino’s bedside manner, professionalism, skill and eye for perfection were so on point. The girls in the office are very supportive, helpful, efficient and knowledgeable. Each of them treated me with respect and compassion. The day of surgery I was a nervous wreck, but Dr. Guarino made sure that my entire experience was flawless and comfortable. I am 6 weeks post op now and the results of my surgery (removal of implants and complete breast lift without implants) have undoubtedly exceeded all my expectations. The bruising was minimal and faded quick, the incisions are paper thin and some are barely noticeable now. The shape and fullness of them make me look and feel like a 21 year old young woman again. I am a brand new person. My confidence is sky high and for the first time in my adult life I am having a blast trying on clothes I never thought I could wear. I don’t feel like a monster anymore. I feel like a beautiful woman now thanks to Dr. Guarino."- D.G. / Google / Mar 19, 2019
Saline VS. Silicone
Saline Breast Implants
Saline breast implants are filled with a sterile saltwater solution and offer no risk to the patient in terms of extracapsular spread or silicone leakage. Saline implants are appealing to many because they generally cost less than silicone implants. In some patients, silicone may be a better option due to the rippling that may occur along the edges of the saline implant that can be visible in thin-chested women. Patients considering saline implants must be at least 18 years of age.
Silicone Breast Implants
Silicone breast implants are filled with a gel substance that looks and feels similar to natural breast tissue. They are ideal for women who are thin-chested. Silicone implants are specially engineered so that if the shell should become compromised (a surface crack), the silicone will remain intact within the implant (known as cohesive gel implants). Silicone implant defects are rare and can only be found through an MRI, unlike saline implants which will deflate. Patients must be at least 22 years of age to receive silicone implants.
Other Implant Information
- Saline: MENTOR® or Allergan (branded as Natrelle®)
- Silicone: Allergan (branded as Natrelle® Gel), Mentor (branded as MemoryGel®) and Sientra, known simply as Silicone Gel Breast Implants
An implant profile depicts the distance the breast will project forward from the chest wall. Implants are made in low, moderate, high and extra high profiles.
Breast implants come in two shapes. Round implants tend to offer more fullness on the top of the breast, while teardrop implants are touted to mimic the shape and look of natural breasts.
Breast implants are made with a smooth or textured surface. Round implants can be chosen with either surface, while teardrop implants are made with a textured surface only.
- Submammary (Retromammary): Under the mammary gland, over the muscle (sometimes called 'subglandular')
- Subfascial (Retrofacial): Under the fascia of the muscle
- Dual Plane: Along two planes/layers
- Submuscular (Retromuscular): Mostly under the muscle
- Complete Submuscular (Full retromuscular): Completely under the muscle
- Transaxillary: The incision is made in the armpit (Recommended)
- Inframammary: The incision is made in the breast crease where the breast meets the torso
- Periareolar: The incision is made just under and along the areola
- Transumbilical: The incision is made in the belly button (Not Recommended)
Breast augmentation is performed under general anesthesia in an accredited surgical facility and typically takes between 1-2 hours to complete. It is considered an outpatient procedure. After surgery, patients will need to rest for a couple of days, but will be encouraged to move around in order to promote circulation. As the skin adjusts to the new breast size, it is normal to feel tightness in the chest area. Patients may resume their normal exercise routines within 4-6 weeks. It typically takes around 6 months for the breasts to fall into their final position. The result is a softer, natural looking breast appearance.
The cost for breast augmentation surgery will vary depending on whether saline implants or silicone implants are used. The average cost for breast augmentation using saline implants is about $5,400-$5,700. Silicone implants generally run about $1,000 more.
Plan Your Procedure
- Average Cost
- $6,900 - $8,000
- Recovery Time
- 1 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- Procedure Recovery Location
Breast Augmentation FAQs
Saline or Silicone?
Both saline and silicone implants are popular choices among surgeons and patients. In general, patients with a decent amount of breast tissue are good candidates for saline implants, while those with limited tissue and thin chest walls will benefit from silicone.
Is Silicone Safe?
Patients sometimes have concerns about the safety of silicone breast implants because of the attention they received in the media years ago. However, the FDA did approve their safety. In addition, no evidence has ever been found to link silicone breast implants to cancer, auto-immune deficiency disease, or any other illness. Ultimately, 62% of today’s breast augmentation patients choose silicone over saline. For reconstruction cases, they choose them 3 times more often.
Breast Aug or Lift?
Breast augmentation will help with size, but it will not correct sagging. If you are happy with the shape and laxity of your breasts, then implants alone may meet your cosmetic goals. If sagging is what is most bothersome to you, then you may be considered for a breast lift. During your consult, we will determine if you are better suited for breast augmentation, a lift, or a combination of the two.
Risk of Rupture?
Modern engineering creates strong and durable implants. With proper care and regular check-ups, the risks for rupture are rare. If a saline implant does rupture, the solution will be absorbed by the body and the implant will deflate, becoming visibly noticeable. If a silicone implant ruptures, the cohesive gel will stay intact and will not leak into the body. An MRI will be necessary to detect a silicone defect.
How Long do They Last?
Most implants will last about 10 to 15 years. Some can last even longer. If there is no rupture, leakage, deflation, or any other visible defects (such as rippling), then there is no need to change the implant or have any type of secondary surgery.