A Plastic Surgery Guide for Prosthetic Silicone Breast Augmentation Hospitals in New York City!

Introduction

Breast augmentation is a highly sought - after plastic surgery procedure, especially in a bustling metropolis like New York City. Women opt for breast augmentation for numerous reasons, such as enhancing their body contour, restoring breast volume lost due to pregnancy or weight loss, or correcting breast asymmetry. Silicone breast implants are a popular choice among many patients because of their natural look and feel. In this comprehensive guide, we will explore everything you need to know about prosthetic silicone breast augmentation in New York City hospitals, including top hospitals, implant options, surgical processes, recovery, and more.

Top Hospitals for Silicone Breast Augmentation in New York City

Mount Sinai - New York

Mount Sinai's plastic surgeons have vast experience in breast augmentation surgeries. They utilize advanced 3D imaging technology, allowing patients to visualize how their larger breasts will look on their unique bodies. During the consultation, surgeons carefully listen to patients' desires for breast - size enhancement and help them choose the best size and shape for their bodies. They offer a variety of options for breast enlargement, including two types of implants (silicone and saline) and a non - implant option called NaturalFill®.

Steven Wallach MD, FACS

Dr. Steven Wallach provides a quick guide to silicone implant options in Manhattan and nearby areas. He presents patients with a range of FDA - approved silicone implants, such as Allergan’s Natrelle silicone - filled breast implants, Mentor’s Memorygel silicone - filled breast implants, Sientra’s silicone gel breast implants, Allergan’s Natrelle 410 highly cohesive anatomically shaped silicone - filled breast implants, and Mentor Memoryshape silicone - filled breast implants. His team offers in - depth consultations to help patients understand the pros and cons of each implant type and make an informed decision.

Rapaport Plastic Surgery

Board - certified plastic surgeon Dr. David P. Rapaport offers a wide range of breast implant options, including both saline and silicone. He prefers smooth implants, believing them to be safer and longer - lasting. Approximately 70% of his patients choose silicone implants for their breast augmentation due to the natural look and feel. He takes great care in explaining all the options to patients and providing experienced recommendations based on a thorough evaluation of their anatomy and aesthetic goals.

Pearlman Aesthetic Surgery

Dr. Brian Bassiri - Tehrani of Pearlman Aesthetic Surgery specializes in breast enhancement. He uses smooth, round silicone gel implants to achieve a natural shape and feel. The clinic offers a detailed consultation process that includes 3D imaging to help patients visualize their expected results. Patients can also hold sample implants during the consultation. The surgical team provides comprehensive after - care instructions to ensure a smooth recovery.

Gotham Plastic Surgery

At Gotham Plastic Surgery, a variety of breast implant options are available, including saline, silicone, and cohesive gel (gummy bear) implants. Implants come in different shapes (round and tear) and surface textures (smooth or textured). The surgeons customize the procedure to each patient's precise desires and body proportions. They also offer options for implant placement (subglandular or submuscular) and may combine breast augmentation with other body enhancement procedures like a breast lift, liposuction, or a tummy tuck.

740 Park Plastic Surgery (Dr. Stafford Broumand)

Dr. Stafford Broumand, a board - certified plastic surgeon, excels in cosmetic breast procedures. He provides both saline and advanced silicone gel implants, including the popular ‘gummy bear’ type. The clinic offers multiple incision options (periareolar and inframammary) and carefully discusses the advantages and disadvantages of each with patients. Dr. Broumand uses the Keller funnel™ “no - touch” method for silicone implant placement to reduce the risk of complications.

New York Group for Plastic Surgery

Dr. Jordan Jacobs at the New York Group for Plastic Surgery has an extensive background in plastic surgery, having received training from globally acclaimed medical leaders. The clinic offers breast implants (silicone and saline) and autologous fat transfer for breast augmentation. They use Vectra XT 3D - imaging technology to help patients visualize their augmentation results and determine the appropriate breast size.

Silicone Breast Implant Options

FDA - Approved Silicone Implants

There are several FDA - approved silicone implants available in New York City hospitals:

Benefits of Silicone Breast Implants

• Natural Look and Feel: Silicone implants are softer and have a more natural feel compared to saline implants. They allow for more natural movement, mimicking the look and feel of real breasts. In many cases, when a patient has adequate fat and breast tissue, the differences between silicone and real breasts are subtle and may not be noticeable to most people. For example, Dr. Rapaport likens a silicone implant to the feeling of squeezing a down pillow.
• Less Risk of Ripple Visibility: Silicone implants are less likely to cause visible rippling under the skin compared to saline implants. This is especially beneficial for patients with little breast tissue or body fat, as they are more prone to seeing the ripples of an implant through the skin with saline implants.
• Lower Rupture Risk: Silicone implants have a lower risk of rupture than saline implants. According to the FDA, ruptured silicone implants are not associated with breast cancer or other diseases. However, it's important to note that removing a ruptured silicone implant requires a more complicated surgery than removing a ruptured saline implant.

Am I a Candidate for Silicone Breast Augmentation?

Determining if you are a candidate for silicone breast augmentation involves several factors. Generally, ideal candidates should meet the following criteria:

• Physical Health: You should be in good overall physical health. This means having no uncontrolled medical conditions, such as heart disease, diabetes, or high blood pressure. Being at a stable weight is also important, as significant weight fluctuations after surgery can affect the results.
• Age and Pregnancy Status: You should be at least 22 years old, as this is the FDA - approved age for silicone breast implants for augmentation purposes. If you are currently pregnant or breastfeeding, it is recommended to wait until after you have finished breastfeeding and your breasts have stabilized. Typically, it is advisable to wait 1 - 2 months after stopping breastfeeding.
• Realistic Expectations: You should have realistic expectations about the outcome of the surgery. Breast augmentation can enhance the size and shape of your breasts, but it cannot completely change your appearance or solve psychological issues. You should understand that while the results can be long - lasting, breast implants are not lifetime devices and may need to be replaced or removed in the future.
• Breast Conditions: You may be a candidate if your breasts are flattened, asymmetrical, or lacking volume. Whether due to pregnancy, weight loss, genetics, or the natural aging process, if you are dissatisfied with the size and shape of your breasts, silicone breast augmentation could be an option.

It's crucial to have a personal consultation with a trusted plastic surgeon to confirm your candidacy. The surgeon will perform a physical examination, review your medical history, and discuss your goals and concerns to determine if silicone breast augmentation is the right choice for you.

The Breast Augmentation Process

Step 1: In - Depth Consultation Process

The consultation is the first and most important step in the breast augmentation process. It sets the tone for the entire surgical experience. During the consultation, you should:

• Find a Comfortable Surgeon: Make sure you find a doctor you feel comfortable with. The surgeon should make you feel welcome, listen to your concerns, and offer helpful feedback.
• Discuss Your Goals: Clearly communicate your goals for the surgery, including the desired size, shape, and overall look you want to achieve. You can bring “wish pics” to help the surgeon understand your ideal outcome.
• Undergo 3D Imaging: Many clinics, such as Mount Sinai and the New York Group for Plastic Surgery, offer 3D imaging technology. This allows you to visualize how your new breasts will look on your body with different implant sizes, shapes, and textures.
• Review Medical History: The surgeon will review your medical history, including any previous surgeries, allergies, and current medications. This is important to identify any potential risks or complications.
• Discuss Implant Options: The surgeon will explain the different types of silicone implants available, their pros and cons, and which one may be the best fit for your body type and aesthetic goals.
• Talk about Incision Placement and Implant Position: You will discuss the available incision options (such as periareolar, inframammary, or transaxillary) and the placement of the implant (subglandular or submuscular). The surgeon will consider your preferences, body type, and the type of implant when making these recommendations.
• Understand the Risks and Considerations: The surgeon will inform you about the potential risks and complications associated with breast augmentation, such as capsular contracture, infection, changes in nipple or breast sensation, and rupture.
• Discuss Scheduling and Follow - ups: You will schedule the surgery date and learn about the follow - up appointments that will be necessary for your recovery and to monitor the results.

Step 2: Breast Implant Surgery

On the day of surgery, you will arrive at the hospital or surgical facility. The process typically includes:

• Pre - operative Preparations: You will be introduced to the operating room staff. The surgeon will go over the pre - op details, including the planned incision, implant type, and placement. You will change into a surgical gown, and all necessary consents will be reviewed.
• Anesthesia: Breast augmentation is usually performed under general anesthesia, although some surgeons may also offer local anesthesia with sedation. The anesthesiologist will administer and monitor the anesthesia throughout the procedure to ensure your comfort and safety.
• Incision and Implant Placement: The surgeon will make the chosen incision (such as in the breast crease, around the areola, or in the armpit) and carefully place the silicone implant into the breast pocket. The implant will be either placed under the pectoral muscle (submuscular) or between the muscle and breast tissue (subglandular). The placement depends on factors such as your body type, the type of implant, and the desired aesthetic outcome. Some surgeons, like Dr. Broumand, use the Keller funnel™ “no - touch” method for silicone implant placement to reduce the risk of complications.
• Closure: Once the implant is in place, the surgeon will close the incisions with sutures. The incisions are carefully made to minimize visible scarring, and techniques are used to ensure proper healing.

The entire surgical procedure usually takes about 1 - 1.5 hours. After the surgery, you will be taken to the recovery room where you will be monitored until the anesthesia wears off. You will typically be able to go home the same day, but you must have an adult accompany you and stay with you for the first night.

Step 3: The Recovery Process

The recovery process after breast augmentation varies from patient to patient, but there are some general guidelines:

• Initial Discomfort and Swelling: You can expect some discomfort, swelling, and bruising in the first few days to a week after surgery. Pain can be managed with prescribed pain medications. Most surgeons recommend wearing a surgical bra or compression garment to support the breasts and reduce swelling.
• Activity Restrictions: You should avoid strenuous activities, heavy lifting, and certain movements that strain the chest muscles for at least a few weeks. Light activities can often be resumed within a few days, but rigorous exercises, especially those involving the chest, should be avoided for 4 - 6 weeks. Your surgeon will provide specific instructions based on your individual case.
• Wound Care: Keep the incision sites clean and dry. Follow your surgeon's instructions on how to care for the incisions, which may include applying antibiotic ointment or changing dressings. Report any signs of infection, such as increased pain, redness, swelling, or discharge, to your surgeon immediately.
• Follow - up Appointments: Regular follow - up appointments are essential to monitor your recovery progress and ensure that the implants are healing properly. Your surgeon will check for any complications, assess the scarring, and provide further instructions on your recovery.
• Final Results: It may take several months for the implants to settle into their natural position and for the swelling to completely subside. The final results of your breast augmentation will be visible over time, and you will be able to enjoy the enhanced size and shape of your breasts.

Cost and Insurance Considerations

The cost of silicone breast augmentation in New York City can vary depending on several factors:

• Surgeon's Fee: Experienced and well - known surgeons may charge higher fees. The complexity of the surgery and the surgeon's level of expertise play a role in determining the cost.
• Type of Implant: Different silicone implants have different costs. For example, more advanced or specialized implants may be more expensive than standard ones.
• Facility Fee: The cost of using the surgical facility, including the operating room, equipment, and nursing staff, is included in the overall cost. High - end facilities may charge more.
• Anesthesia Fee: The anesthesiologist's fee for administering and monitoring the anesthesia during the surgery is another component of the cost.
• Additional Procedures: If you choose to combine breast augmentation with other procedures, such as a breast lift or liposuction, the cost will be higher.

It's important to note that breast augmentation is typically considered a cosmetic procedure and is not covered by insurance. However, in some cases, if the surgery is performed for reconstructive purposes, such as after a mastectomy, insurance may cover a portion of the cost. Before undergoing the surgery, it's recommended to contact your insurance provider to understand your coverage and any potential out - of - pocket expenses.

Potential Risks and Complications

While breast augmentation is generally a safe procedure, there are potential risks and complications that you should be aware of: