Enhancement Specialist

Breast Augmentation - New Bern

Also known as augmentation mammaplasty, breast enlargement or breast implants

Breast augmentation surgery increases or restores breast size using silicone gel implants or saline implants. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a proven safety record and long history of successfully satisfying women who wish to enhance or restore balance to their figures. North Carolina breast augmentation can help you achieve the beautiful breasts you’ve always wanted.  We are proud to be considered one of the top breast augmentation centers on the East Coast.

When to Consider Breast Augmentation:

  • If you want a better proportioned or more appealing figure
  • If you wish your clothes fit better
  • When pregnancy, weight loss or aging has affected the size and shape of your breasts
  • To restore symmetry if one of your breasts is smaller than the other

The Procedure

In breast augmentation using implants, Dr. Zannis makes an incision, lifts the breast tissue, creates a pocket in the chest/breast area and places an implant in the pocket. The entire process is done very meticulously and takes approximately one hour to perform. Dr. Zannis utilizes the rapid recovery technique which minimizes tissue trauma and recovery time.





Although several options exist, Dr. Zannis has shown consistently great results with the inframammary fold incision (crease beneath the breast). A scar placed here hides very well and has less potential side effects such as decreased nipple sensation, decreased ability to breastfeed and capsular contracture of the implant associated with the areolar incision. Over 95% of patients choose this incision.

Implant Placement
An implant can be placed either:

  • Underneath the pectoral muscle, which is located between the breast tissue and chest wall.
  • Underneath the breast tissue and on top of the pectoral muscle.

Placement of the implant underneath the pectoral muscle is preferred for many reasons. Under the muscle may interfere less with mammograms and breast-feeding. The implant is also well protected and less obvious in this position, with less potential for rippling or palpability. Additionally, the scar tissue formed around the implant is typically less when it is beneath the muscle. Dr. Zannis will discuss all of the pros and cons with you at your consultation and devise a surgical plan that makes the most sense for you.

Implant Options

There many choices of implants for breast augmentation. The following options are available, depending on your medical history, body shape and aesthetic goals.

Saline-filled breast implants are filled with sterile salt water. They are filled at the time of surgery. Potential drawbacks are a less natural feel and possible visibility of ripples.

Silicone-filled breast implants are filled with soft, elastic gel and are available in a variety of shapes. All silicone breast implants are pre-filled and may require a slightly longer incision for implant placement. Cohesive gel silicone implants, also known as “gummy bear” implants, are filled with a cohesive gel, made of cross-linked molecules of silicone, which makes them a bit thicker than traditional silicone implants. This enables them to hold their shape better and provide a more natural feel and long-lasting result. Over 95% of Dr. Zannis’ patients choose this option. The FDA advises silicone breast implants only be used in women over the age of 22 and that regular MRIs are undergone to evaluate the implants. In practice, these guidelines are rarely followed by patients country-wide, and it is your choice whether or not to comply.

Potential Risks

Nearly 300,000 women have breast augmentation surgery each year in the United States. Most recover quickly and easily, experiencing just a temporary disruption of their usual routines for a short time. As a surgical procedure, however, breast enlargement does pose potential complications and risks you should know about. Dr. Zannis will spend time discussing these with you during your breast enlargement surgery consultation in Eastern North Carolina.

Capsular Contracture
Occasionally, patients experience an outcome that calls for additional surgery. One undesirable result is capsular contracture. All breasts form scar tissue “capsules” around implants; a small minority of these eventually contract and squeeze the implants. Most cases are mild and don’t require surgery, but in rare cases of distortion, it’s necessary to remove the scar tissue, and occasionally replace the implants. Zannis Center for Plastic Surgery patients experience much fewer capsular contractures than the national average. Dr. Zannis utilizes the most advanced techniques and current innovations to minimize the risk for such complications. These include triple antibiotic rinse of the breast pocket and implant prior to insertion, a meticulous “bloodless” field, and “no-touch” technique where Dr. Zannis is the only one to briefly touch the implants with sterile gloves before they are inserted.

Other Possible Complications
Dr. Zannis takes every possible precaution to minimize risks associated with North Carolina breast enlargement surgery, but you must be aware that complications are possible.

Infection can occur after any surgery, but is uncommon after breast augmentation. These rare infections are treatable with antibiotics and very seldom require further surgery.

Seroma, a pocket of fluid around the implant, and hematoma, a collection of blood at or near the incision site, are two other possible breast augmentation complications. These two conditions most often resolve themselves as the body re-absorbs the fluid. Occasionally, a large seroma or hematoma may need aspiration to remove the fluid and promote proper healing.

Scarring – All surgeries leave scars, breast augmentation included. Most women find their scars, which fade with time, completely acceptable and usually imperceptable. Many women will choose to use a scar cream to help speed up the fading of their scar.

Nipple Sensation – A small number of women notice their nipples become more or less sensitive after breast augmentation in New Bern. This is usually temporary, but in very rare cases a permanent decrease in nipple sensation can occur.


After a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a few days, you can return to most daily activities (including work). This is considered a rapid recovery process. You will likely experience a little soreness and swelling for a few weeks. Exercise and vigorous activity can resume at the direction of your plastic surgeon, usually at one month. Over time, post-surgical swelling will decrease and incision lines will fade. Your final breast shape is usually seen by 3 months.

Frequently Asked Questions

Will implants interfere with mammograms?
Your implants should not affect future mammograms or breast cancer screening. Make sure to inform your mammogram technician of your implants so that they may position you properly when taking the x-ray.

Can I breastfeed after breast augmentation?
Breastfeeding is rarely a problem after augmentation, especially if the implant is placed beneath the muscle. It is important to discuss any future childbearing plans with your doctor to hear about the potential impact of pregnancy on your breasts and implants.

How long do implants last?
Although it is impossible to predict, most implant last about 20 years. Sometimes, the devices fail after only a few years, and sometimes they last a lifetime. The odds are that you will need to address your implants with possible replacement at some point in your life.

Are silicone breast implants safe?
Silicone gel−filled breast implants have been under scrutiny for years, but after gathering detailed and meticulous research and data, the FDA has approved them for use in cosmetic breast enhancement surgery, finding no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems. In addition, the FDA has approved three companies to develop and market breast implants and continue to collect data on their long-term safety and efficacy. Current silicone implants use a cohesive gel, rather than liquid silicone, and do not leak.  Today, they are the most commonly-used breast implant.

Can my breasts be enlarged with fat grafting?
Fat transfer from one part of the body to another is very common in plastic surgery (example: Brazilian Butt Lift). However, for breast augmentation, the procedure is currently considered experimental. Dr. Zannis strongly advises his North Carolina patients against the technique of fat grafting for breast enhancement as it may require multiple surgeries to attain an acceptable result, and it also prevents women from obtaining screening mammograms for breast cancer. Breast implants are considered much safer for the cosmetic enhancement of your breasts.

Can I have a breast lift at the same time implants are placed?
Known as an augmentation-mastopexy, this is a good option for women who desire more fullness of their breasts but also require a lift to correct droopy breasts. Dr. Zannis typically recommends the combination implant-lift surgery over performing it in stages.

Breast Augmentation Total Price:


Covers silicone gel “gummy bear” implants, surgeon fee, anesthesia, and facility fee.


0091-1of4 Before                                                                                              After

Schedule an Appointment

Come visit us


I agree to the Terms of Use