Introduction
Breast augmentation has become an increasingly popular cosmetic procedure, especially in a bustling metropolis like New York City. For many women, it's a way to enhance their self - confidence, improve body proportions, and address concerns related to the size and shape of their breasts. However, choosing the right plastic surgery hospital for breast augmentation is a critical decision that can significantly impact the outcome of the procedure and the patient's overall experience. In this comprehensive guide, we will explore the key factors to consider when selecting a plastic surgery hospital for breast augmentation in New York City, providing you with the information you need to make an informed choice.
Understanding Breast Augmentation
What is Breast Augmentation?
Breast augmentation, often referred to as a “boob job,” is a reconstructive or cosmetic surgical procedure that aims to increase the size and improve the shape of the breasts. There are several ways to achieve this, including using breast implants (such as saline or silicone) or a fat transfer technique (NaturalFill®). The procedure can enhance a woman's body contour, correct a reduction in breast volume due to pregnancy, aging, or weight loss, balance uneven or asymmetrical breasts, or correct a congenital deformity.
Types of Breast Implants
There are two main types of breast implants available: silicone and saline. Each has its own set of advantages and disadvantages:
Type of Implant | Advantages | Disadvantages |
---|---|---|
Silicone | Look and feel more natural in the breasts. Have a lower risk of rippling compared to saline implants. | May require a larger incision for insertion. If the implant ruptures, it may be more difficult to detect immediately. |
Saline | Can be filled after placement, allowing for a smaller incision. Easier to adjust for size. In case of rupture, the saline is absorbed by the body. | May feel firmer and less natural than silicone implants. Have a higher risk of rippling, especially in thinner patients. |
Fat Transfer (NaturalFill®)
Some plastic surgery hospitals offer a fat transfer technique, like NaturalFill®, pioneered and perfected by Mount Sinai surgeons. This two - step procedure involves removing fat from the buttocks or abdomen using liposuction and then immediately inserting that fat into the breasts. It has the advantage of using the patient's own body fat, reducing the risk of rejection, and offering a more natural - looking result. However, not all patients are suitable candidates, and the amount of fat that can be transferred may be limited.
Factors to Consider When Selecting a Plastic Surgery Hospital
Surgeon Qualifications and Experience
- Board Certification: It is crucial to choose a board - certified plastic surgeon. Board certification indicates that the surgeon has completed the appropriate training and passed a comprehensive examination about surgery. For example, a board - certified plastic surgeon like Dr. Eric K. Cha is updated with the latest scientific research from organizations such as the American Society of Plastic Surgeons, the Aesthetic Society, and the New York Regional Society of Plastic Surgeons.
- Specialization: Look for a surgeon who specializes in breast augmentation. Specialized surgeons may have access to new and revolutionary procedures and techniques. They are likely to have more experience in performing breast augmentation surgeries and may have better aesthetic judgment. For instance, if you're interested in a specific type of breast augmentation, such as using a particular brand of implants or a fat transfer technique, a specialized surgeon will be more knowledgeable.
- Years of Experience: A surgeon with more years of experience in breast augmentation is generally more likely to have encountered a wide range of cases and be better equipped to handle any complications that may arise. Ask about the number of breast augmentation surgeries they have performed over the course of their career. For example, Dr. David P. Rapaport, a world - recognized expert in breast augmentation, has extensive experience performing this procedure at his New York plastic surgery facility.
- Education and Training: Inquire about the surgeon's educational background, including where they went to medical school and where they completed their residency training. Surgeons with advanced training or fellowships in breast surgery may offer a higher level of expertise. For example, Dr. Adam Kolker graduated with honors from the highly selective accelerated six - year biomedical education program at Union College and Albany Medical College and is board - certified in plastic and general surgery.
Hospital Reputation and Accreditation
- Online Reviews and Testimonials: Check online reviews and patient testimonials to get an idea of the hospital's reputation. However, be cautious as some reviews may be fake. It's best to speak directly with past patients, if possible. You can ask the hospital or surgeon to provide references. For example, Dr. Nadia Afridi has received impressive reviews from clients due to her quality of work and the way she handles patients.
- Accreditation: Ensure that the plastic surgery hospital is accredited by recognized organizations such as the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), or the International Medical Quality Standards (IMQS). Accreditation indicates that the hospital meets certain standards of safety, quality, and patient care.
- Hospital Privileges: Find out if the surgeon has hospital privileges. This means that the surgeon is allowed to admit patients to a hospital and perform surgeries there. Hospital privileges can be important in case of emergencies or if additional medical resources are needed.
Facility Quality and Safety
- Equipment and Technology: A good plastic surgery hospital should have state - of - the - art equipment and use the latest technologies. For example, some hospitals use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique body. This technology can show different sizes and shapes of breasts on a computer monitor, allowing patients to virtually try on different options before making a decision.
- Emergency Preparedness: The facility should have key life support systems in place in case of emergencies. Ask about the hospital's emergency response plan and whether they have trained staff to handle medical emergencies during and after the surgery.
- Cleanliness and Hygiene: Visit the hospital if possible to assess its cleanliness and hygiene. A clean and well - maintained facility reduces the risk of infections and other complications.
Range of Services and Treatment Options
- Implant Options: The hospital should offer a variety of breast implant options, including different types (silicone and saline), shapes (round or anatomically contoured), and sizes. This allows patients to choose the option that best suits their body type and aesthetic goals. For example, at 740 Park Plastic Surgery, Dr. Stafford Broumand provides both saline and advanced silicone gel implants, including the popular ‘gummy bear’ type.
- Additional Procedures: Some patients may want to combine breast augmentation with other procedures, such as a breast lift or a tummy tuck. A hospital that offers a comprehensive range of cosmetic and reconstructive procedures can provide a more customized treatment plan. For example, many breast augmentation patients choose to combine a breast lift with augmentation to achieve a fuller and more natural breast contour.
- Alternative Options: In addition to traditional breast implants, some hospitals may offer alternative options such as fat transfer breast augmentation. This can be a suitable choice for patients who want a more natural approach or who have concerns about using implants.
Cost and Payment Options
- Transparent Pricing: Understand the total cost of the breast augmentation procedure, including the surgery itself, the cost of the implants, anesthesia, follow - up appointments, and any other associated fees. A reputable hospital should provide a detailed breakdown of the costs and be transparent about any potential additional charges.
- Payment Plans: Since breast augmentation is usually not covered by health insurance (except in some cases where it is done for medical reasons), consider the hospital's payment options. Many hospitals accept credit cards, checks, and some may offer financing plans. For example, CareCredit is a popular financing option in New York City, offering no - interest plans up to 24 months or extended payment plans for 24, 36, 48, or 60 months.
Patient - Surgeon Communication and Comfort
- Consultation Process: The initial consultation is an important opportunity to discuss your goals, ask questions, and get to know the surgeon. A good surgeon will listen carefully to your concerns, explain the procedure in detail, and provide realistic expectations about the results. They should also address any potential risks and complications. For example, during a consultation at Pearlman Aesthetic Surgery, patients can discuss their goals, review “wish pics,” and use 3D imaging to visualize the expected results.
- Comfort Level: Consider your comfort level with the surgeon and the hospital staff. You should feel at ease asking questions and sharing your concerns. The surgeon and staff should be professional, courteous, and responsive to your needs. If you don't feel comfortable with the surgeon or the staff, it may be a sign to look for another option.
Top Plastic Surgery Hospitals for Breast Augmentation in New York City
Mount Sinai
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies, such as 3D imaging, to help patients visualize the results. The hospital offers both implant options (silicone and saline) and a fat transfer technique (NaturalFill®). The surgeons take the time to understand the patient's desires and help them choose the best option for their body type and aesthetic goals. Before scheduling the surgery, they perform a physical exam and ask a series of health - related questions to ensure the patient is a suitable candidate.
Fifth Ave Plastic Surgery
Dr. Eric K. Cha at Fifth Ave Plastic Surgery is a board - certified plastic surgeon with decades of experience in breast augmentation. He is updated with the latest scientific research and takes time to improve his skills through continuous training and practice. The hospital provides a comprehensive consultation process, where patients can ask questions about the procedure, view before - and - after photos, and discuss the surgeon's experience. The facility is well - equipped and has key life support systems in place in case of emergencies.
740 Park Plastic Surgery
Dr. Stafford Broumand at 740 Park Plastic Surgery excels in cosmetic breast procedures. He offers a wide range of breast implant options, including saline and advanced silicone gel implants. During the consultation, he delves into the advantages and drawbacks of each implant choice and guides patients in selecting the option that aligns best with their goals. The hospital also offers different incision options and provides detailed information about the risks and potential results of the surgery.
Preparing for Breast Augmentation
Pre - operative Instructions
Before undergoing breast augmentation, patients will typically receive pre - operative instructions from their surgeon. These may include maintaining a healthy lifestyle, such as eating a balanced diet, exercising regularly, and avoiding smoking and excessive alcohol consumption. Patients may also be advised to stop taking certain medications and supplements that can increase the risk of bleeding, such as aspirin and anti - inflammatories. As the surgery date approaches, patients should arrange for transportation after the operation and have someone to assist them during the initial recovery days. They should also set up a comfortable recovery space at home with essentials like ice packs and comfortable clothing.
Emotional Preparation
Undergoing breast augmentation is not just a physical change but also an emotional one. It's important for patients to have realistic expectations about the results and to be mentally prepared for the recovery process. They may experience a range of emotions, including excitement, anxiety, and anticipation. It can be helpful to talk to friends, family, or a support group about these feelings. Some patients may also find it beneficial to consult a therapist or counselor before and after the surgery.
The Breast Augmentation Procedure
Anesthesia
Breast augmentation is usually performed under general anesthesia or IV sedation (twilight anesthesia). The anesthesia is administered and monitored by a board - certified anesthesiologist. This ensures that the patient is comfortable and pain - free during the procedure.
Incision Placement
There are several incision options for breast augmentation, each with its own advantages and disadvantages:
Incision Type | Advantages | Disadvantages |
---|---|---|
Periareolar | The resultant scar often blends well with the natural transition of color between the areola and the surrounding breast skin, making it less conspicuous. Provides direct access to the breast pocket for precise implant placement. | There is a possible risk to breastfeeding capability and nipple sensation. |
Inframammary | Allows the surgeon a direct view and access to the breast tissue for precise implant placement. The scar is typically concealed in the natural fold beneath the breast and remains hidden even when wearing low - cut clothing or swimwear. Has a lower risk of affecting breastfeeding as it is farther from the milk ducts. | The scar is larger compared to some other incision types. |
Transaxillary | Leaves no scar on the breast itself. | Has limited visibility and precision during implant placement. There are potential risks of implant limitations, nerve damage, and implant malposition. |
Implant Placement
There are two primary placement options for breast implants: submuscular and subglandular. Submuscular placement involves positioning the implant beneath the pectoral muscle on the chest wall. This can provide a more natural appearance and feel, especially for women with little natural breast tissue. It also reduces the risk of capsular contracture and may cause fewer interferences with mammogram readings. Subglandular placement situates the implant directly behind the breast tissue but above the pectoral muscle. This can allow for a slightly simpler and quicker surgery with less postoperative discomfort. The best approach depends on the patient's anatomy, the type of implant chosen, and the desired aesthetic outcome.
Recovery and Aftercare
Initial Recovery
After breast augmentation, patients can expect an initial period of discomfort and swelling, which usually subsides within a few days to a week. Pain can be managed with prescribed pain medications, and surgeons may recommend wearing a surgical bra or compression garment to support the breasts and reduce swelling. Patients should avoid strenuous activities, heavy lifting, and certain movements that strain the chest muscles for at least a few weeks. Some patients may be able to return to work within a week, while others may need more time, depending on the nature of their job.
Long - term Recovery
Full recovery and final results can take several months to manifest. Over time, the implants will settle into their natural position, and scars will begin to fade. Patients should attend regular follow - up appointments with their surgeon to ensure the healing process is progressing as expected. It's important to follow the surgeon's instructions regarding wound care, activity restrictions, and any other aftercare recommendations.
Potential Risks and Complications
As with any surgical procedure, breast augmentation carries some risks and potential complications. These may include:
- Capsular Contracture: This occurs when the capsule of scar tissue that forms around the implant contracts and squeezes the implant. It can cause the breasts to appear round and high and feel hard. Surgeons take precautions to minimize this risk, such as using the “no - touch” technique for implant placement and advising patients to avoid aerobic activity for a certain period after surgery.
- Infection: There is a risk of infection at the incision site or around the implant. Symptoms of infection may include redness, swelling, pain, and fever. If an infection occurs, it may require treatment with antibiotics and, in some cases, removal of the implant.
- Rupture or Leakage: Although breast implants are designed to be durable, there is a risk of rupture or leakage over time. Saline implants will deflate if they rupture, and the saline is absorbed by the body. Silicone implants may require more advanced imaging techniques to detect a rupture.
- Changes in Nipple or Breast Sensation: Some patients may experience changes in nipple or breast sensation after breast augmentation. This can be temporary or permanent.
- Unsatisfactory Results: There