Breast augmentation is a prevalent cosmetic surgical procedure that allows women to enhance the size and shape of their breasts. In New York City, a hub of plastic surgery, there are numerous options for breast implants. This article will conduct a strength evaluation of the top ten breast implants in New York City, covering aspects such as types of implants, surgeons, and patient considerations.
Types of Breast Implants
Saline Implants
Saline implants consist of an empty silicone outer shell that is inserted into the breast pocket through a tiny incision and then filled with a sterile saline liquid. They are often less expensive than silicone implants. However, they typically have a less organic feel compared to silicone - gel implants, and there is a greater potential for a noticeable rippling effect through the skin, especially in thinner patients. Some surgeons, like Dr. Douglas Senderoff in Manhattan, offer saline - filled adjustable breast implants. These relatively new implants allow the plastic surgeon to adjust the size of the breast following surgery through a simple injection for up to several months, but they require an additional incision and thus an additional scar.
Silicone Implants
Silicone implants are pre - filled with a silicone gel that provides a more natural look and feel. They have a lesser chance of producing a rippling effect and create a more natural movement. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. Cohesive silicone gel implants, also known as gummy bear implants, were developed in the 1990s. They are thick enough to keep their form and minimize the risk of leakage if the implant becomes compromised. Dr. John E. Sherman worked closely with Allergan during the original development of the Natrelle 410 cohesive gel breast implants, which feature an anatomically shaped silhouette and are popular for augmentation and breast reconstruction.
Ideal Implant
The ideal implant is a new, FDA - approved saline - filled dual chamber device. It has several advantages, including low rates of capsular contracture and other complications, low rates of rupture, and the ability to detect malfunctions by simply looking in the mirror, eliminating the need for MRIs to diagnose rupture. Dr. Rapaport in New York City is one of only 250 doctors nationwide offering this implant. It has a unique structure that controls movement and supports implant edges, creating a naturally curvaceous look.
| Implant Type | Advantages | Disadvantages |
|---|---|---|
| Saline Implants | Less expensive, can be adjusted (adjustable type), ruptures are easily detectable | Less organic feel, higher potential for rippling (especially in thin patients), adjustable type requires additional incision |
| Silicone Implants | More natural look and feel, less rippling, cohesive gel type minimizes leakage risk | Higher cost, larger incision required, ruptures can be harder to detect without MRI |
| Ideal Implant | Low complication rates, easy rupture detection, natural look | Relatively new, limited number of providers |
Top Surgeons for Breast Implants in New York City
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. His education and training span prestigious medical institutions such as Harvard Medical School, New York University, and the University of Melbourne in Australia. He is an associate clinical professor of surgery at the Mount Sinai School of Medicine. Dr. Kolker is highly experienced in breast augmentation and cosmetic surgery procedures addressing all aspects of the body. He has been featured as a top plastic surgeon in New York Magazine's Best Doctors issues from 2008 - 2024 and in Newsweek's America's Best Plastic Surgeons in 2021 - 2024. His patients praise his ability to deliver beautiful, natural, and proportional results.
Dr. William Lao
Dr. William Lao is a double - board - certified plastic surgeon in both the USA and Taiwan. He is a double major graduate of Johns Hopkins University and has a doctorate of medicine from Johns Hopkins. Dr. Lao is on a shortlist of surgeons in the country who specialize in the scarless breast augmentation technique, where implants are inserted through the armpit, leaving no visible scar. He has successfully performed over 500 breast surgeries throughout his career. He was voted top doctor in 2022 by New Beauty and is a member of multiple professional organizations related to plastic surgery.
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants. Dr. Sherman takes a personalized approach, working closely with patients to develop individualized treatment plans. He is well - versed in all aspects of breast implants, including material, shape, size, and texture selection. His patients can expect to receive detailed information and guidance throughout the breast augmentation process.
Dr. Douglas Senderoff
Dr. Douglas Senderoff is a top - rated breast implants plastic surgeon in Manhattan. He offers free breast implants consultations and uses FDA - approved saline - filled or silicone breast implants. Dr. Senderoff has extensive experience in breast augmentation and breast implant revision surgery. He takes the time to discuss with patients their goals, and during the consultation, patients can view hundreds of before and after pictures, hold different types of implants, and see digital images of how they will look with various implant options.
Dr. Daniel Maman
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He completed a Harvard fellowship in aesthetic breast surgery and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. Dr. Maman has appeared on the New York Times Top Doctors and Super Doctors in Plastic Surgery lists. He offers a 90 - minute consultation that includes a thorough review of the patient's medical history, a physical assessment, and a comprehensive operative plan.
Dr. Lara Devgan
Dr. Lara Devgan is a female plastic surgeon based in New York City. Many women seek her out because they prefer a female surgeon who will be discreet about this sensitive topic. She offers beautiful, natural results in breast augmentation. During the consultation, she examines, measures, and photographs the patient's breasts, discusses medical history and desires for surgery, and allows patients to "try on" different sizes of implants. Her patients have reported short recovery times and high satisfaction with their results.
Dr. Mark Sultan
Dr. Mark Sultan, rated 4.20 out of 5 stars on Healthgrades, has experience in performing breast augmentation procedures. He is located at 1100 Park Ave #1b in New York, NY 10128. While specific details about his approach may vary, his patient ratings indicate a certain level of satisfaction among those who have undergone breast augmentation with him.
Dr. Evan Matros
Dr. Evan Matros, with a 4.80 - star rating on Healthgrades, is another well - regarded surgeon for breast augmentation in New York City. He is located at 1275 York Ave, New York, NY 10065. His high rating suggests that he provides quality care and achieves good results for his patients.
Dr. Jeffrey Ascherman
Dr. Jeffrey Ascherman has a 4.90 - star rating on Healthgrades. He is located at 51 West 51st Street Suite 380, New York, NY 10019. A high rating like this indicates a high level of patient satisfaction, which could be due to his surgical skills, bedside manner, and overall patient care during the breast augmentation process.
Dr. Renata Khelemsky
Dr. Renata Khelemsky has a perfect 5.00 - star rating on Healthgrades. She is located at 58 Prospect St, Brooklyn, NY 11201. This excellent rating suggests that she provides exceptional care to her patients undergoing breast augmentation, from the initial consultation to the post - operative recovery.
Patient Considerations for Breast Implants
Personal Goals
Patients should have clear personal goals for their breast augmentation. Some may want to increase breast size for a more proportionate body, while others may want to restore breast volume after pregnancy or weight loss. For example, younger women with small breasts may be self - conscious about their appearance and desire a boost in confidence, while mothers may want to regain their pre - pregnancy figure. Surgeons like Dr. William Lao and Dr. John E. Sherman work closely with patients to understand their goals and develop personalized treatment plans.
Physical Health
Good physical health is essential for breast augmentation. Patients should be in overall good health, without breast - related health concerns or other underlying health issues. Non - smokers or those willing to quit until completing recovery are better candidates. Surgeons will review the patient's medical history and may perform physical examinations to determine their suitability for the procedure. For instance, patients with certain medical conditions may face higher risks during surgery and recovery.
Realistic Expectations
It is crucial for patients to have realistic expectations about the outcome of breast augmentation. Breast implants can enhance the appearance of the breasts, but they may not completely change a person's body image. Complications can occur, and implants may need to be replaced over time. Surgeons such as Dr. Daniel Maman and Dr. Lara Devgan take the time to discuss these aspects with patients during the consultation process, showing them before and after photos to give them a better understanding of what to expect.
Implant Selection
Patients need to consider factors such as implant material, size, shape, and texture. As mentioned earlier, saline and silicone implants have different characteristics. The size of the implant should be proportional to the patient's body type, and the shape can be round or anatomical. Texture can affect the implant's performance over time. Surgeons help patients make these decisions based on their individual anatomy and goals. For example, patients with less breast tissue may be recommended to place implants below the muscle for a more natural look.
Incision Location
There are several options for incision location, including inframammary (under the breast), periareolar (around the areola), transaxillary (under the armpit), and umbilical (through the belly button). Each option has its advantages and disadvantages. For example, transaxillary incisions can leave no visible scars on the breast, but they may be more challenging to perform. Surgeons like Dr. William Lao, who is skilled in the scarless breast augmentation technique through the armpit, can offer this option to suitable patients.
Potential Complications of Breast Implants
Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing BIA - ALCL. It is a form of non - Hodgkin's lymphoma that can be effectively treated. It appears to be associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). To date, there have only been two cases associated with smooth implants, and those patients had previously placed textured implants. Surgeons should inform patients about this risk during the consultation process.
Breast Implant Illness (BII)
Breast implant illness is a term used to refer to a broad variety of symptoms that women report after having implants placed, such as memory loss, “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated. Patients should be aware of this potential issue and discuss any concerns with their surgeons.
Capsular Contracture
Capsular contracture is a rare but possible complication that can occur following breast implant surgery. It is the body's reaction to the foreign object (the implant), where the capsule around the implant thickens, causing the breast to harden and malposition. Some implants, like the ideal implant, have been shown to have low rates of capsular contracture.
Other Complications
Other potential complications include bleeding, changes in nipple or breast sensation, fluid accumulation (seroma), hematoma, implant leakage or rupture, infection, persistent pain, poor scarring, possibility of revision surgery, and wrinkling of the skin over the implant. Surgeons take precautions to minimize these risks, but patients should be informed about them and know what to expect during the recovery process.
Recovery and Aftercare
Recovery from breast augmentation varies from patient to patient. In general, patients can expect some swelling, bruising, and discomfort in the initial days after surgery. Pain medication is usually prescribed to manage discomfort. Most patients take around a week off work to allow their bodies to heal. Normal activities can usually be resumed in 2 - 3 weeks, but heavy lifting and strenuous activities should be avoided for 4 - 6 weeks. Surgeons like Dr. Daniel Maman provide multiple pre - op appointments to ensure patients are fully informed about the recovery process and offer custom - ordered post - surgical bras and scar treatment regimens. Regular follow - up visits are also important to monitor the healing process and address any concerns.
Conclusion
In New York City, there are numerous options for breast implants, with different types of implants available and many highly skilled surgeons. When considering breast augmentation, patients should carefully evaluate their personal goals, physical health, and have realistic expectations. The choice of implant and surgeon is crucial for achieving the desired results. Potential complications should also be considered, and patients should be well - informed about the recovery and aftercare process. By doing thorough research and consulting with a qualified surgeon, patients can make an informed decision that is right for them.
If you are considering breast augmentation in New York City, take the time to explore your options, meet with different surgeons, and ask questions. You can also look at patient testimonials and before - and - after photos to get a better sense of the surgeon's work. Remember, this is a significant decision that can have a long - term impact on your appearance and self - confidence. So, make an informed choice and take the first step towards achieving your desired breast profile.
