Breast Augmentation FAQ

Breast surgery is a big decision, so it’s only natural to have a lot of questions about what to expect. Board-certified plastic surgeon Dr. John Stratis strives to thoroughly educate his patients; therefore, he has prepared answers to some of the questions he most often asked about breast augmentation by women from Lancaster and York, PA, and surrounding areas. Dr. Stratis is known for warmth and compassion that puts patients at ease, allowing them to feel comfortable asking even their most intimate questions when they visit him for breast augmentation in Harrisburg.

Breast Augmentation
 Before & After Photos


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Dr. Stratis Answers Your Questions

How Do I Decide Between Saline and Silicone Implants?

There are several factors involved in deciding which type of breast implant to choose. When choosing the best breast implants for my breast augmentation patients, I will ask a number for questions about their cosmetic goals and lifestyle. I will explain the pros and cons of the various types of implants, and together we will decide whether silicone or saline is best. We also have samples of both to see and feel.

Are Saline Implants Safer Than Silicone?

Saline implants are filled with sterile saltwater, so if they should leak, there is no health risk. The liquid is naturally absorbed and eliminated by the body. In the past, there was concern about the safety of silicone implants, however, a lot has changed in recent years. The latest generation of silicone gel implants that are approved by the FDA are much different than the old ones. Modern silicone gel implants have a thicker, more cohesive texture, so if the implant were to be damaged, the filling material would stick to itself and not travel through the body. As a result, women can be assured that their silicone gel implants not only create a very natural look and feel, but are also extremely safe and FDA-approved.


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Board-certified plastic surgeon Dr. John Stratis specializes in breast and body procedures is a leader in modern body contouring methods.

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How Do I Decide How Big My Breast Implants Should Be?

Every woman has her own idea of “the perfect look.” I recommend starting by identifying pictures of women whose breast proportions you admire. Before you come in for a consultation, I suggest that you go to our gallery of before-and-after photos and see if you can find an example of the breast proportions you are looking for. I will also have you try on implant sizers so you can visualize the results. These and my years of experience with breast augmentation procedures make it easy for me to determine what size, shape and style of implant should be used to best achieve your specific goals.

Can Implants Help if My Breasts Are Flat and Saggy After Pregnancy?

Definitely. However, depending on your individual situation, additional procedures may be necessary. For women with sagging breasts, I often recommend that they combine their breast augmentation surgery with a breast lift. During a breast lift, excess, sagging skin is removed, and in some cases the nipple is repositioned to create a firmer, younger-looking appearance. When you come in for your consultation, I will evaluate your breasts and we will decide together what will be the best way to create the look you want.


Drs. Stratis & Gayner are now offering Vectra® 3D Imaging, an innovative system that lets you visualize your problem areas and truly customize your cosmetic experience.

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What Should I Expect After Breast Augmentation Surgery?

Right after surgery, your breasts will be swollen, so they may appear larger and higher than expected. Women who aren’t prepared for this are sometimes shocked and express concern that maybe their breasts are “too big.” However, I have found that after the swelling subsides and the implants settle into place, most women are extremely happy with the choices they have made. This is why the planning and consultation process is so essential to ensuring a good outcome. We will work together, and I will use my years of experience and expertise to help you have the fuller, yet natural-looking, figure that you’ve always wanted. Your breasts may feel tender for a few weeks, but any discomfort can be easily controlled with medication. I will supply you with a special supportive bra will also help with comfort and support while your breasts heal.

Do Breast Augmentation Scars Go Away?

While scars never completely go away, how noticeable your scars are will depend on the type of incision that is used. I typically use one of three incision patterns that leave well-concealed scars. Which one I use depends primarily on the type of implant and the woman’s body type and personal preference. If the incision is made under your breast, the scar will be hidden within the breast crease. If the incision is made in your armpit, the scar will be concealed and not on the breast itself. In some cases, the incision is made on the areolar border, which produces an almost undetectable scar, particularly as it fades over time.

Are Breast Implants Safe?

Breast implants are some of the most studied devices, and the FDA has approved them for increasing breast size, reconstructing breasts after breast cancer surgery or trauma, and addressing developmental issues. However, breast implants do come with some risks, so you should talk openly with your surgeon about what you can expect from breast implants.

Can You Still Breastfeed After a Breast Augmentation?

Yes, most women can still breastfeed after they’ve had breast augmentation. Some incision patterns are better than others for preserving the breastfeeding structures, so make sure you discuss your future breastfeeding plans with your doctor.

Will My Breast Implants Need To Be Replaced at Some Point in the Future? 

Yes, you will likely need to replace your breast implants since they do not last a lifetime. However, you can probably expect your implants to last 10 to 20 years, and you won’t need to replace them unless you are experiencing problems or find that the size or style no longer suits your lifestyle.

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