A guide to breast enhancement plastic hospitals in New York City!

Introduction

From puberty through adulthood, breasts are a natural and significant part of a woman's body. In society, they are symbolic of many aspects of womanhood. How a woman feels about her breasts can be complex, impacting both her health and self - esteem. For those in New York City who wish to change the appearance of their breasts, whether by making them larger, smaller, or altering their shape, there are numerous plastic hospitals and experienced surgeons to choose from. This guide will provide an in - depth look at breast enhancement plastic hospitals in New York City, including the procedures they offer, the considerations involved, and the recovery process.

Common Breast Enhancement Procedures

Breast Augmentation

Breast augmentation, technically known as augmentation mammoplasty, is one of the most popular breast enhancement procedures. It is a surgical procedure to enhance the size and shape of a woman's breast for several reasons. Women may opt for breast augmentation to enhance the body contour if they feel their breast size is too small, to correct a reduction in breast volume that occurs naturally or with age after pregnancy, to balance a difference in breast size (uneven or asymmetrical breasts), to correct a congenital deformity, or as a reconstructive technique following breast surgery.

At Mount Sinai in New York, their plastic surgeons have extensive experience in performing breast augmentation. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. Before scheduling the surgery, they take into account the patient's desires for enhancing their breast size, and help them decide on the size and shape that will look best for their body. Rapaport Plastic Surgery in New York also specializes in breast augmentation. Dr. David P. Rapaport, a board - certified plastic surgeon, is a world - recognized expert in this field.

There are different types of implants used in breast augmentation. The typical form involves using an implant, a curved silicone shell filled with a flexible substance, either silicone gel or saline (a solution of salt and water). Silicone breast implants look and feel natural in the breasts, while saline breast implants are firmer and rounder. There is also a non - implant option called NaturalFill®, a fat transfer technique pioneered and perfected by Mount Sinai surgeons. In this procedure, fat is removed from the buttocks or abdomen with liposuction and then inserted into the breasts.

The incision for breast augmentation can be placed in different locations. It can be in the underarm, under the breast itself, or within the areola (the pigmented skin surrounding the nipple). Top New York City plastic surgeon Dr. Rapaport uses an endoscope to perform a scarless breast augmentation procedure through an underarm incision, which precisely divides the muscle under magnified endoscopic visualization for better control of bleeding and implant positioning.

Breast augmentation can be performed with general anesthesia or IV sedation (twilight anesthesia). The patient is usually monitored briefly after the anesthesia wears off and can go home the same day, but must have an adult stay with them for the first night. Full recovery takes approximately two to three weeks, and patients can often return to work in just a few days, depending on the nature of their job.

Breast Implant Revision

Over time, breast implants may need to be revised. There could be various reasons for breast implant revision, such as changes in the patient's aesthetic goals, implant rupture, capsular contracture (a tight ridge of scar tissue that can form around a breast implant), or changes in the breasts due to factors like pregnancy or weight loss. Surgeons at facilities like New York Group for Plastic Surgery and others in the city are experienced in handling breast implant revision cases. They will carefully assess the patient's situation and determine the best approach for the revision, which may involve replacing the implants, changing their placement, or addressing any associated issues.

Breast Lift (Mastopexy)

A breast lift, also known as mastopexy, is a procedure that raises and reshapes sagging breasts. Pregnancy, breastfeeding, weight loss, and the natural aging process can all cause the breasts to lose their firmness and shape. A breast lift repositions the nipples and breast tissues superiorly, giving the breasts a more youthful and perky appearance. It can be performed with or without breast enlargement. For example, some patients may choose to combine a breast lift with breast augmentation to achieve the desired result. Dr. Olivia Hutchinson, a female board - certified plastic surgeon in Manhattan, performs minimal incision procedures for breast lift, aiming to limit the length of scars as much as possible.

Breast Reduction

Breast reduction surgery is beneficial for women with large breasts that cause physical discomfort, such as back pain, shoulder grooving, and poor posture. This procedure removes extra breast tissue and skin, producing perkier, more youthful breasts. NewYork Presbyterian offers breast reduction surgery as part of their cosmetic breast surgery options. Their plastic and reconstructive surgeons work with patients to understand their goals and provide the appropriate care. After the surgery, patients can experience relief from the physical symptoms associated with large breasts and may also notice an improvement in their self - confidence.

Choosing the Right Plastic Hospital and Surgeon

Credentials and Experience

When considering breast enhancement surgery in New York City, it is crucial to choose a plastic hospital and surgeon with the right credentials and experience. Surgeons should be board - certified by the American Society of Plastic Surgeons (ASPS). For example, Mount Sinai has a highly qualified and talented team of board - certified plastic surgeons. Dr. David P. Rapaport at Rapaport Plastic Surgery is also board - certified and has extensive experience in breast augmentation and breast implant revision. It is advisable to choose a surgeon who has at least 10 years of experience in breast plastic surgery. Additionally, seeking a surgeon with breast reconstructive experience can be an advantage, as they are likely to have a more comprehensive understanding of breast anatomy and surgical techniques.

Communication and Comfort Level

The relationship between the patient and the surgeon is essential. A good surgeon will take the time to listen to the patient's goals, concerns, and expectations. They will explain the different procedures, the associated risks, and the expected outcomes in a clear and understandable way. For instance, during the consultation at Pearlman Aesthetic Surgery, patients can expect to have an in - depth discussion with their surgeon. They should feel welcome, have their concerns addressed, and receive feedback and guidance. The comfort level between the patient and the surgeon is crucial, as it will affect the patient's confidence throughout the entire surgical process.

Technology and Facilities

Modern technology can play a significant role in breast enhancement surgery. Many plastic hospitals in New York City use advanced imaging systems to help patients visualize the expected results. The New York Group for Plastic Surgery uses the Vectra XT imaging system to capture ultra - high - resolution 3D images and show patients the projected results of their breast enhancement procedure. Facilities should also be well - equipped and meet high standards of safety and hygiene. Surgeries are often performed at accredited outpatient surgery centers, such as the Vanguard Surgical Center in Bergen County, NJ, which ensure proper care and monitoring during and after the surgery.

Patient Reviews and Before - and - After Photos

Patient reviews can provide valuable insights into the quality of care and the patient experience at a particular plastic hospital. Reading reviews from other patients can give an idea of the surgeon's skills, the staff's professionalism, and the overall satisfaction of the patients. Additionally, most plastic hospitals have before - and - after photo galleries that showcase the results of actual patients. These photos can help patients understand what is realistically achievable through the surgery and make more informed decisions. For example, the New York Group for Plastic Surgery encourages patients to browse their before - and - after photo gallery to see the results of their breast enhancement procedures.

Considerations Before Breast Enhancement Surgery

Overall Health

Patients considering breast enhancement surgery should be in overall good health. They may need to undergo a physical exam and provide their medical history to the surgeon. Certain health conditions, such as heart disease, diabetes, or a weakened immune system, may affect the eligibility for surgery or increase the risks associated with it. For example, patients with a history of smoking may be advised to quit smoking before the surgery, as smoking can impair the healing process.

Realistic Expectations

It is important for patients to have realistic expectations about the results of breast enhancement surgery. While the surgery can significantly improve the appearance of the breasts, it may not achieve perfection or completely transform the body. For instance, breast augmentation can enhance the size and shape of the breasts, but it may not fully address issues like severe breast sagging without a concurrent breast lift. Patients should have an open and honest discussion with their surgeon about what they hope to achieve and what is realistically possible.

Lifestyle and Timing

Patients should consider their lifestyle and the timing of the surgery. It is ideal to wait until after having children and finishing breastfeeding before undergoing breast implant surgery, as pregnancy and weight changes can affect the appearance of the breasts. Many patients choose to schedule their breast surgeries in the fall and winter, as holidays make it easier to take time off work for recovery and allow for enough time to fully heal before warm weather and swimming season.

Cost

Breast enhancement surgery can be a significant financial investment. The cost can vary depending on the type of procedure, the surgeon's fees, the location of the hospital, and any additional fees for anesthesia and post - operative care. Patients should obtain a detailed cost estimate from the plastic hospital and understand what is included in the price. Some patients may also explore financing options or insurance coverage if the surgery is for reconstructive purposes.

The Consultation Process

The consultation is a crucial step in the breast enhancement process. It allows the patient to meet the surgeon, discuss their goals, and learn more about the procedure.

Initial Meeting

During the initial meeting at a plastic hospital like Mount Sinai, the surgeon will listen carefully to the patient's goals for the breast enhancement. They will also evaluate the patient's physical characteristics, such as the amount of natural breast tissue, the shape of the breasts, and the overall body type. The surgeon will then use advanced technology, like the 3D imaging system at Mount Sinai built specially by Microsoft and Touch MD, to help the patient visualize what they are asking for.

Discussing Options

The surgeon will discuss the different options available for breast enhancement, including the type of procedure (breast augmentation, breast lift, etc.), the type of implants (silicone or saline), and the incision location. For example, at Pearlman Aesthetic Surgery, patients can expect to have a detailed discussion about these options during their consultation. The surgeon will also provide recommendations based on the patient's goals and physical condition.

Reviewing Medical History

The surgeon will review the patient's medical history to assess any potential risks associated with the surgery. They may ask about previous surgeries, allergies, medications, and any existing health conditions. This information is crucial for ensuring the safety of the patient during the procedure.

Answering Questions

Patients should take this opportunity to ask any questions they may have about the procedure, the recovery process, the expected results, and the potential risks. The surgeon should provide clear and detailed answers to help the patient make an informed decision. For example, at New York Group for Plastic Surgery, the surgeons take the time to answer all of the patient's questions during the consultation to ensure a shared understanding of the treatment objectives.

The Surgical Process

Once the patient has decided to proceed with the breast enhancement surgery, the surgical process will begin.

Pre - operative Preparations

Before the surgery, the patient may need to follow certain pre - operative instructions. This may include stopping certain medications, fasting for a specific period before the surgery, and arranging for someone to accompany them to the hospital and stay with them after the surgery. The patient will also have a final pre - operative check - up to ensure they are in good health for the procedure.

Anesthesia

Breast enhancement surgery can be performed with different types of anesthesia, such as general anesthesia or IV sedation (twilight anesthesia). A board - certified anesthesiologist will administer and monitor the anesthesia to ensure the patient's safety and comfort during the procedure. For example, at Rapaport Plastic Surgery, Dr. Rapaport's board - certified anesthesiologist is responsible for the anesthesia management.

The Surgery

Depending on the type of procedure, the surgeon will make incisions in the appropriate locations. For breast augmentation, the implants will be inserted through the incisions and placed either over or under the pectoral muscle. The surgeon will then close the incisions with sutures. The entire surgery can take several hours, depending on the complexity of the procedure. For example, a breast lift combined with breast augmentation may take longer than a simple breast augmentation.

Post - operative Monitoring

After the surgery, the patient will be monitored in a recovery area until the anesthesia wears off. The medical staff will closely monitor the patient's vital signs, pain level, and overall condition. Once the patient is stable, they will be allowed to go home, but they will need to have an adult stay with them for the first night.

The Recovery Process

The recovery process is an important part of the breast enhancement journey.

Immediate Post - operative Care

Immediately after the surgery, the patient will experience some swelling, bruising, and soreness. They will be prescribed pain medication to manage the pain. The patient will also need to wear a support garment or bra as instructed to support the breasts during the healing process. For example, at Pearlman Aesthetic Surgery, patients are provided with detailed written aftercare instructions to help them navigate their breast augmentation recovery.

Activity Restrictions

Strenuous exercise and aerobic activity, including sexual activity, are restricted for the first ten days after breast augmentation. Dr. Rapaport typically permits mild aerobic activity after ten days and full activity after three weeks. Patients should also avoid lifting heavy objects and bending over excessively during the early stages of recovery to prevent complications.

Follow - up Appointments

The plastic hospital will schedule follow - up appointments to monitor the patient's recovery progress and check the results of the surgery. At these appointments, the surgeon will examine the breasts, remove any sutures if necessary, and provide further instructions on the recovery process. For example, at New York Group for Plastic Surgery, they will set up follow - up appointments to ensure the patient's recovery is going smoothly.

Long - term Considerations

While breast enhancement results can last for many years, there are some long - term considerations. Over time, factors such as pregnancy, weight loss or gain, and the natural aging process can affect the appearance of the breasts. In some cases, patients may need to consider additional procedures, such as a breast lift or implant replacement, in the future.

Potential Risks and Complications

Like any surgical procedure, breast enhancement surgery carries some potential risks and complications.

Infection

There is a risk of infection at the incision site. Surgeons take precautions to minimize this risk, such as using sterile techniques during the surgery and prescribing antibiotics if necessary. Patients should also follow proper wound care instructions at home to reduce the risk of infection.

Capsular Contracture

Capsular contracture occurs when the capsule that forms around the breast implant contracts and squeezes the implant. This can result in breasts that appear round and high and may feel very hard to touch. Surgeons take steps to minimize this risk, such as exercising extreme care in minimizing bleeding during the surgery and using the “no touch” technique for augmentation whenever possible.

Implant Rupture

Breast implants can rupture over time. Saline implants have the advantage of a visible rupture, as the saline solution will be absorbed by the body. Silicone implants may require additional imaging tests to detect a rupture. If an implant ruptures, the patient may need to undergo a revision surgery to replace the implant.

Asymmetry

There is a small risk of asymmetry in the breasts after surgery. This can be due to factors such as uneven healing or differences in the way the body responds to the implants. Surgeons will try to minimize this risk during the surgery, but in some cases, additional minor adjustments may be needed.

Conclusion

Breast enhancement surgery in New York City offers women the opportunity to improve the appearance of their breasts and enhance their self - confidence. There are a variety of procedures available, including breast augmentation, breast implant revision, breast lift, and breast reduction. When choosing a plastic hospital and surgeon, it is important to consider factors such as credentials, experience, communication, technology, and patient reviews. Patients should also have realistic expectations, consider their overall health, lifestyle, and the timing of the surgery. The consultation process, surgical process, and recovery process all play important roles in the success of the breast enhancement journey. While there are potential risks and complications associated with the surgery, choosing a qualified surgeon and following proper pre - and post - operative care can help minimize these risks.

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