Introduction
Breast augmentation is a highly sought - after cosmetic procedure in New York City. Women often consider this surgery to enhance their body contour, restore breast volume lost due to various factors such as pregnancy or aging, or correct asymmetries. One of the critical aspects of breast augmentation is the choice of incision, which can significantly impact the scar's appearance, implant placement, and potential side - effects. In this guide, we will explore some of the top plastic surgery hospitals in New York City for breast augmentation incisions and the different incision options available.
Top Plastic Surgery Hospitals in New York City for Breast Augmentation
Mount Sinai
Mount Sinai is renowned for its comprehensive breast augmentation services. Their plastic surgeons have extensive experience in performing breast augmentation procedures. They understand that every patient is unique, and thus, they focus on personalized treatment plans. Before scheduling the surgery, they use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts.
The hospital offers multiple options for breast augmentation. There are two main types of breast implants available - silicone and saline. Silicone breast implants look and feel more natural in the breasts, while saline breast implants are firmer and rounder. Additionally, they have a unique fat - transfer technique called Natural Fill®. This two - step procedure involves first removing fat from the buttocks or abdomen through liposuction and then immediately inserting that fat into the breasts to enlarge them. It's a win - win as it uses the patient's own fat deposits and removes unwanted fat from other areas.
Regarding incisions, the surgeons at Mount Sinai will take into account the patient's body type, desired outcome, and personal preferences to determine the best incision location. Whether it's an inframammary incision, periareolar incision, or another option, they aim to ensure the best possible results with minimal scarring.
Rapaport Plastic Surgery
Dr. David P. Rapaport at Rapaport Plastic Surgery is a world - recognized expert specializing in breast augmentation and breast implant revision. Breast augmentation is one of the most popular procedures performed at his facility. He understands the importance of this surgery in enhancing a woman's femininity and body confidence.
For breast augmentation candidates, he assesses whether a patient is overall healthy and has realistic expectations. It's important to note that while breast augmentation can improve the size and shape of the breasts, it may not always address sagging, which might require a breast lift in combination with the augmentation.
When it comes to incisions, Dr. Rapaport offers several options. The incision can be placed in the underarm, under the breast itself, or within the areola. Many patients prefer the underarm incision as it removes all scarring from the breast. Dr. Rapaport uses an endoscope to perform this scarless breast augmentation procedure, allowing for precise muscle division and implant positioning, reducing the risk of implant malposition.
He also provides both saline and silicone implants. Saline implants can be filled after placement, which makes them suitable for the scarless breast augmentation technique. On the other hand, silicone implants typically have a more natural look and feel. Dr. Rapaport will discuss these options with the patient and help determine the best type of implant based on the patient's anatomy and aesthetic goals.
Steven Wallach MD, FACS
Dr. Steven Wallach is well - known for his expertise in providing personalized breast augmentation procedures. He understands that the choice of incision and implant placement is crucial for attaining a fully natural breast enhancement result. He helps patients make these decisions through personal consultations leading up to the surgery.
There are multiple incision patterns he offers for breast augmentation:
- Inframammary incision (in the breast crease): This is the most commonly used incision pattern. It provides very good access to visualize the pocket and treat bleeding points, resulting in higher precision and better results with low risks of complications. Both saline and silicone gel implants can be placed through this incision. However, the scar can be more noticeable due to stretching, and tattooing may be required to camouflage it. There is also a slightly higher tendency for the inframammary fold to be undermined and create a "double bubble" deformity.
- Periareolar incision (around the areola): This approach makes it less likely to create a "double bubble" deformity. The final scar usually blends well with the change in color from the areola pigment to the surrounding breast skin. It gives good visualization of the pocket, allowing the treatment of many breast deformities and asymmetries. But sometimes the scar is noticeable and may require scar care, and if the areola is too small, it may not be adequate for implant placement, especially for silicone implants.
- Axillary incision (in the armpit): This approach creates a pathway to the breast tissue without leaving any visual scar on the breast itself. However, the scar can be noticeable when the patient raises their arm. It is also more likely to result in bad positioning, especially without endoscopic visualization, and it can be difficult to control potential bleeding sources. Using this incision for placing silicone breast implants can be very challenging, and tattooing of the scar may be necessary.
- Transabdominal breast augmentation (TABA): In rare cases, patients may be eligible for an incision in the upper abdomen, perhaps when combined with an abdominoplasty. There are no incisions on or near the breast, and there is usually good visualization of the pocket and bleeding points. However, this surgery is only performed in women without significant breast drooping who also desire a full tummy tuck.
- Transumbilical breast augmentation (TUBA): This method utilizes an incision in the belly button instead of on the breasts. The advantage is that there are no incisions on or near the breast. But it is difficult for the plastic surgeon to visualize the breast implant pocket, and if there is any bleeding, an inframammary or periareolar incision needs to be performed for treatment. Also, only saline implants can be placed through this incision.
740 Park Plastic Surgery (Dr. Stafford Broumand)
Dr. Stafford Broumand at 740 Park Plastic Surgery excels in cosmetic breast procedures and provides tailored treatments aligned with patients' aesthetic aspirations. He offers a comprehensive range of options for breast augmentation.
For breast augmentation incisions, he offers periareolar and inframammary incisions. The periareolar incision is made along the circumference of the areola. The resultant scar often blends well with the natural color transition between the areola and the surrounding breast skin, making it less conspicuous. It also provides direct access to the breast pocket for precise implant placement. However, there is a potential risk to breastfeeding capability and nipple sensation. The inframammary incision is made in the natural crease beneath the breast. It offers the surgeon a direct view and access to the breast tissue, facilitating precise implant placement. The scar is typically concealed in the natural fold and remains hidden even when wearing low - cut clothing or swimwear. It also has the advantage of being at a distance from the milk ducts, reducing potential future issues with breastfeeding.
Regarding breast implant placement, he offers submuscular and subglandular options. Submuscular placement positions the implant beneath the pectoral muscle, providing a more natural appearance and feel, especially for women with little natural breast tissue. It can also reduce the risk of capsular contracture and interfere less with mammogram readings. Subglandular placement situates the implant directly behind the breast tissue but above the pectoral muscle, allowing for a slightly simpler and quicker surgery with less postoperative discomfort.
Pearlman Aesthetic Surgery (Dr. Brian Bassiri - Tehrani)
Dr. Brian Bassiri - Tehrani at Pearlman Aesthetic Surgery specializes in breast enhancement. He combines his love of aesthetics and surgical expertise to provide patients with optimal outcomes that leave them feeling confident, feminine, and beautiful.
During the consultation process, he ensures that patients are well - informed about the entire breast augmentation journey. The consultation covers the patient's goals for surgery, including size, using 3D imaging to show expected results, looking at before - and - after photos of previous patients, taking measurements, reviewing medical history, risks, and considerations, discussing scheduling and follow - ups, and answering questions about recovery.
For the surgery, he makes incisions in inconspicuous areas to avoid visible scarring. The choice of incision depends on various factors and is discussed during the consultation. After making the incisions, he inserts and places the implant in the breast pocket, either under the pectoral muscle or between the muscle and the breast tissue, based on the patient's body type. The recovery process is closely monitored, and detailed aftercare instructions are provided to ensure a smooth recovery.
Gotham Plastic Surgery
Gotham Plastic Surgery offers a variety of breast implant options and expertise in breast augmentation. They understand that breast augmentation is a great option for women who are unhappy with their breast size or have experienced changes due to pregnancy, breastfeeding, weight loss, or aging. It can also help create balance and symmetry in asymmetrical breasts or be used for breast reconstruction after a mastectomy.
Their available breast implant options include saline implants, which are filled with sterile saline water after placement and are the most economical option. Silicone implants are pre - filled with silicone gel and look and feel more like natural breast tissue. Cohesive gel implants, also known as gummy bear implants, have a firmer consistency and won't leak in case of a tear or rupture but require a slightly longer incision. Implants come in both round and tear shapes, and the surfaces can be smooth or textured.
For incisions, they typically place them in the breast crease or around the areola to minimize visible scarring after surgery. Implant placement can be either over the chest muscle in the breast tissue (subglandular) or directly under the muscle (submuscular), depending on various factors such as the type of implant, implant size, the patient's natural breast size, and the patient's and surgeon's preferences.
Cohen/Winters Aesthetic & Reconstructive Surgery
This facility emphasizes the importance of finding the right surgeon for breast augmentation. A good surgeon will take the time to understand the patient's needs, goals, medical history, and physical characteristics. They should have at least 10 years of experience in breast plastic surgery, be board - certified by the American Society of Plastic Surgeons (ASPS), and have surgical privileges at a nearby hospital.
When it comes to breast augmentation decisions, they advise patients on several crucial aspects, including:
- Timing: It's ideal to wait until after having children and breastfeeding to have breast implants, as pregnancy and hormonal changes can affect the appearance of the breasts. However, the surgeon will take steps to ensure breastfeeding is possible if future plans change.
- Incision location: Depending on the amount of augmentation and natural breast tissue, incisions in the fold below the breast, around the areola, or under the arm may be suitable. In some cases of breast lift, a breast - fold incision may be connected to the areola incision vertically.
- Breast implant placement: Under - the - muscle placement may look more natural, have less risk of capsular contracture, and less visible rippling, but over - the - muscle placement has a shorter recovery period.
- Choice of implant type: Saline implants have a silicone outer shell, and the advantage of a visible rupture. They may also have less tendency for capsular contracture and may require a smaller incision in some cases. Silicone implants are favored for their more natural feel and less visible rippling.
- Desired size: Implants are measured in cc's, and the surgeon can help translate the patient's desired look into the appropriate cc size, taking into account the patient's frame size and lifestyle.
- Preferred implant shape: Round implants are common, but teardrop - shaped implants can add volume to the upper chest area.
- Implant surface texture: Textured implants can prevent the implant from moving within the breast pocket.
- Implant profile: Manufacturers offer medium or higher profile implants, and the choice depends on the patient's body frame and the desired projection of the breasts.
Factors to Consider When Choosing a Plastic Surgery Hospital and Incision Option
Surgeon's Experience and Reputation
The experience of the plastic surgeon is of utmost importance. A surgeon with extensive experience in breast augmentation is more likely to perform the procedure safely and achieve optimal results. You can check the surgeon's credentials, such as board certification, years of experience in breast surgery, and patient testimonials. A reputable surgeon will also be transparent about the risks and benefits of the procedure and will take the time to understand your goals and concerns.
Incision Visibility
The visibility of the incision scar is a major concern for many patients. Different incision locations result in varying levels of scar visibility. For example, an inframammary incision may be more noticeable if not well - hidden in the breast crease, while an axillary or transumbilical incision can leave the breast area scar - free. However, these less - visible incisions may have other drawbacks, such as difficulty in implant placement or limited visualization for the surgeon.
Impact on Breastfeeding and Nipple Sensation
If you plan to breastfeed in the future, the choice of incision and implant placement can impact your ability to do so. A periareolar incision has a higher risk of affecting nipple sensation and breastfeeding capabilities, while an inframammary incision is generally considered to be less likely to cause these issues as it is farther from the milk ducts.
Type of Implant
The type of implant you choose can also influence the choice of incision. Silicone implants may require a larger incision compared to saline implants, especially if they are pre - filled. Some incisions, like the transumbilical incision, are only suitable for saline implants.
Personal Aesthetic Goals
Your personal aesthetic goals play a significant role in determining the incision and implant placement. If you want a more natural look, the surgeon may recommend certain incision locations and implant placements. For example, submuscular placement is often preferred for a more natural appearance, especially for women with little natural breast tissue.
Conclusion
Breast augmentation is a life - changing procedure for many women in New York City. Choosing the right plastic surgery hospital and incision option is crucial for achieving the desired results. Hospitals like Mount Sinai, Rapaport Plastic Surgery, Steven Wallach MD, FACS, 740 Park Plastic Surgery, Pearlman Aesthetic Surgery, Gotham Plastic Surgery, and Cohen/Winters Aesthetic & Reconstructive Surgery offer a range of services and expertise to meet the diverse needs of patients.
By considering factors such as the surgeon's experience, incision visibility, impact on breastfeeding and nipple sensation, type of implant, and personal aesthetic goals, you can make an informed decision. It's important to have in - depth consultations with the surgeons at these hospitals to discuss all your concerns and understand the options available to you.
If you're considering breast augmentation, take the next step and schedule a consultation with one of these top plastic surgery hospitals in New York City. Start your journey towards enhanced confidence and a more beautiful you today!
