Introduction
Breast augmentation is a surgical procedure that can significantly enhance a woman's self - confidence and body image. In New York City, a hub of medical excellence and cosmetic surgery innovation, there are numerous hospitals and clinics offering high - quality breast augmentation services. This guide will provide comprehensive information about breast augmentation, the top hospitals in NYC, the procedures involved, and what to expect before, during, and after the surgery.
Understanding Breast Augmentation
What is Breast Augmentation?
Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure aimed at increasing the size, shape, and symmetry of a woman's breasts. It can involve the use of breast implants, which are either silicone gel - filled or saline - filled, or a fat transfer technique. The surgery can be used for various reasons, such as enhancing a woman's figure, correcting volume loss after pregnancy or weight loss, or reconstructing the breasts after a mastectomy or due to a congenital deformity.
Reasons for Breast Augmentation
- Enhancing Body Contour: Many women feel that their breasts are too small and wish to enhance their overall figure. Breast augmentation can add volume and curves, giving a more proportionate appearance.
- Restoring Volume: Pregnancy, breastfeeding, and weight loss can cause a reduction in breast volume. Augmentation can help restore the fullness and shape that may have been lost.
- Correcting Asymmetry: Some women have breasts that are different in size or shape. Breast augmentation can help balance the breasts and create a more symmetrical appearance.
- Reconstructive Purposes: After breast cancer treatment or other breast - related injuries, augmentation can be used to reconstruct the breasts and help the patient regain her sense of femininity and self - confidence.
Types of Breast Implants
Silicone Implants
Silicone implants consist of a silicone elastomer shell filled with a cohesive silicone gel. They are known for their natural look and feel, closely mimicking the texture of natural breast tissue. These implants come in various shapes and profiles to suit different body types and aesthetic goals. For example, at Mount Sinai, their plastic surgeons may recommend silicone implants for patients who desire a more natural appearance. However, one potential drawback is that if the implant ruptures, it may not be as easily detectable as with saline implants, and additional imaging may be required to diagnose the rupture.
Saline Implants
Saline implants have a silicone shell filled with a sterile salt - water solution. They can be filled after being placed in the breast, which allows for a slightly smaller incision during surgery. Saline implants are generally firmer and rounder than silicone implants. In the case of a rupture, the saline solution is harmlessly absorbed by the body, and the breast will deflate, making the rupture easily noticeable. At Rapaport Plastic Surgery, saline implants are one of the options offered, and they are suitable for the scarless breast augmentation technique performed by Dr. Rapaport.
Gummy Bear Implants
Also known as form - stable implants, gummy bear implants are a type of silicone implant. They hold their shape well, even if the implant shell is broken, due to the highly cohesive silicone gel inside. These implants are often recommended for patients who want a more natural teardrop shape and better projection. Dr. Adam Kolker, a double - board - certified, Harvard - trained plastic surgeon in NYC, offers gummy bear implants as part of his breast augmentation options.
| Implant Type | Advantages | Disadvantages |
|---|---|---|
| Silicone Implants | Natural look and feel, various shapes and profiles available | Difficult to detect rupture, potential for silent rupture |
| Saline Implants | Easily detectable rupture, can be filled after placement, smaller incision possible | Firmer and rounder appearance, may have more visible rippling |
| Gummy Bear Implants | Holds shape well, natural teardrop shape, better projection | Relatively new, limited long - term data, may be more expensive |
Top Breast Augmentation Hospitals 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 advanced 3D imaging, to help patients visualize how their larger breasts will look. Before the surgery, patients have a detailed consultation where the surgeon listens to their desires and helps them decide on the size and shape that will look best for their body. Mount Sinai offers both silicone and saline implants, as well as a natural fill fat transfer technique pioneered and perfected by their surgeons. This technique involves removing fat from the buttocks or abdomen and inserting it into the breasts for a more natural augmentation.
Rapaport Plastic Surgery
Dr. David P. Rapaport, a board - certified plastic surgeon, is a world - recognized expert in breast augmentation and breast implant revision. He offers scarless breast augmentation using an endoscope through an underarm incision, which eliminates visible scarring on the breast. Dr. Rapaport provides patients with multiple choices regarding implants, including different shapes, sizes, and textures. He offers both saline and silicone implants and takes the time to discuss the advantages and disadvantages of each to help patients make an informed decision. The recovery process at Rapaport Plastic Surgery is well - structured, with pain medication prescribed for the first few days and clear instructions on activity restrictions.
Pearlman Aesthetic Surgery
Dr. Brian Bassiri - Tehrani at Pearlman Aesthetic Surgery specializes in breast enhancement. The consultation process is in - depth, covering all aspects of the surgery, including goals, expected results through 3D imaging, and a review of medical history, risks, and considerations. The breast augmentation surgery is performed under general anesthesia, and the incisions are made in inconspicuous areas to avoid visible scarring. The recovery period at Pearlman Aesthetic Surgery typically takes 4 to 6 weeks, and the team provides detailed aftercare instructions to ensure a smooth recovery.
William Samson, MD
Dr. William Samson is a board - certified plastic surgeon who has been providing breast augmentation services in NYC for over a decade. He offers both implant - based augmentation and natural tissue or fat transfer augmentation. Dr. Samson is dedicated to patient safety and takes the time to understand each patient's goals during the consultation. He carefully considers factors such as the patient's body type, medical history, and aesthetic preferences when planning the surgery. The after - surgery care at Dr. Samson's office includes close monitoring in the recovery area, pain management, and clear instructions on wound care and activity restrictions.
Dr. Adam Kolker
Dr. Adam Kolker is a double - board - certified, Harvard - trained plastic surgeon with a focus on aesthetic breast surgery. He believes in achieving a gorgeous, natural, and proportional outcome in breast augmentation. Dr. Kolker uses a comprehensive approach, considering factors such as the type of implant, access incisions, implant position, and style. He offers a wide range of implant options, including gummy bear implants, and uses advanced techniques to minimize the risk of complications. The recovery process at Dr. Kolker's practice is well - supported, with detailed instructions on exercise progression and regular follow - up appointments.
The Breast Augmentation Procedure
Consultation
The consultation is the first and most crucial step in the breast augmentation process. During this appointment, the patient meets with the plastic surgeon to discuss their goals, expectations, and concerns. The surgeon will perform a physical examination, review the patient's medical history, and take measurements of the breasts. They will also discuss the different types of implants, incision options, and implant placement. Some surgeons, like those at Pearlman Aesthetic Surgery, offer 3D imaging to help patients visualize their expected results. It is important for patients to be open and honest about their desires and to ask any questions they may have during this consultation.
Pre - operative Preparation
Once the patient and the surgeon have agreed on the surgical plan, the patient will need to prepare for the surgery. This may include undergoing a medical evaluation, such as blood tests and mammograms, to ensure they are in good health for the procedure. The patient may also be asked to stop taking certain medications, such as aspirin or ibuprofen, which can increase the risk of bleeding. They will need to arrange for someone to drive them home after the surgery and to stay with them for the first night. At some hospitals, like Dr. Antell's, patients are provided with detailed instructions on eating, drinking, smoking, and taking or avoiding vitamins and specific medications before the surgery.
Surgery
Breast augmentation is typically performed under general anesthesia or intravenous sedation. The surgeon will make an incision in one of several locations, including under the breast, under the arm, or around the areola. The choice of incision depends on factors such as the type of implant, the patient's body type, and personal preferences. Once the incision is made, a pocket is created either behind the breast tissue or under the pectoral muscle, and the implant is placed into the pocket. The incision is then closed with sutures. The surgery usually takes between one to two hours, depending on the complexity of the procedure.
Recovery
After the surgery, the patient will be taken to a recovery area for monitoring. They may experience some pain, swelling, and bruising, which is normal. The surgeon will prescribe pain medication to manage the discomfort. Patients will need to wear a surgical bra or a supportive bandage to help with healing and reduce swelling. Most patients can return home the same day as the surgery but will need to rest and avoid strenuous activities for a few weeks. The full recovery period can take 4 to 6 weeks, during which time the patient will have follow - up appointments with the surgeon to monitor their progress. At Rapaport Plastic Surgery, patients are advised to avoid strenuous exercise and aerobic activity for the first ten days and can gradually resume normal activities over the next few weeks.
Potential Risks and Complications
As with any surgical procedure, breast augmentation carries some risks. Some of the potential complications include:
- Capsular Contracture: This occurs when the scar tissue around the implant tightens, causing the breast to feel hard and look distorted. Dr. Antell uses techniques such as placing an acellular dermal matrix (ADM) to help prevent capsular contracture. If it does occur, the implant and scar tissue may need to be removed or replaced.
- Bleeding: There is a risk of bleeding during or after the surgery, which may require additional treatment or surgery to control.
- Infection: Infections can occur at the incision site or around the implant. Antibiotics are usually prescribed to prevent and treat infections, and in severe cases, the implant may need to be removed.
- Implant Rupture or Leakage: Both silicone and saline implants can rupture or leak. Saline implants will deflate if they rupture, while silicone implants may require imaging to detect a rupture. If a rupture occurs, the implant will need to be replaced.
- Changes in Sensation: Some patients may experience a change in nipple or breast sensation, which can be temporary or permanent.
- Scarring: While surgeons try to place incisions in inconspicuous areas, scarring is a natural part of the healing process. The appearance of the scars can vary depending on factors such as the patient's skin type and how well they follow the post - operative care instructions.
Cost of Breast Augmentation in New York City
The cost of breast augmentation in New York City can vary widely depending on several factors. These include the surgeon's experience, the type of implant, the complexity of the procedure, and the hospital or clinic where the surgery is performed. On average, the cost can range from $5,000 to $10,000. This cost usually includes the surgeon's fee, the cost of the implants, anesthesia fees, hospital or clinic fees, and pre - and post - operative care. It's important to note that breast augmentation is typically considered a cosmetic procedure and is often not covered by insurance.
Choosing the Right Surgeon
Selecting the right plastic surgeon is crucial for a successful breast augmentation outcome. Here are some tips to help you make the right choice:
- Board Certification: Ensure that the surgeon is board - certified in plastic surgery. This indicates that they have completed the necessary training and meet the standards set by the American Board of Plastic Surgery.
- Experience: Look for a surgeon who has extensive experience in performing breast augmentation surgeries. You can ask about the number of procedures they have done and request to see before and after photos of their previous patients.
- Reviews and Testimonials: Read reviews and testimonials from previous patients to get an idea of their experiences with the surgeon and the results they achieved. You can also ask for referrals from friends, family, or other healthcare professionals.
- Communication: The surgeon should be a good communicator and take the time to listen to your goals and concerns. They should be able to explain the procedure in detail and answer all of your questions.
- Hospital or Clinic Quality: Consider the reputation and quality of the hospital or clinic where the surgery will be performed. Look for a facility that is accredited and has a good track record of patient safety and satisfaction.
Conclusion
Breast augmentation can be a life - changing procedure for many women, enhancing their self - confidence and body image. In New York City, there are numerous top - notch hospitals and clinics offering high - quality breast augmentation services. By understanding the different types of implants, the procedure itself, the potential risks, and how to choose the right surgeon, you can make an informed decision about whether breast augmentation is right for you.
Call - to - Action
If you are considering breast augmentation in New York City, we encourage you to schedule a consultation with one of the reputable surgeons mentioned in this guide. Take the time to do your research, ask questions, and make sure you are comfortable with your choice. You can also share this article with friends or family who may be interested in learning more about breast augmentation. For more information on breast augmentation and other cosmetic procedures, continue exploring our website for additional resources and expert advice.
