Introduction
Breast augmentation plastic surgery has become a popular choice for many women in New York City. Whether it's to enhance their self - confidence, correct physical asymmetries, or restore breast volume after pregnancy or weight loss, finding a reliable and high - quality hospital is crucial. In this article, we will explore some of the well - known public and potential Class - III Grade - A equivalent hospitals and clinics in New York City that offer breast augmentation services. We'll delve into the details of their services, expertise, and what patients can expect during the process.
Mount Sinai - New York
Surgeon Expertise
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They are well - versed in the latest techniques and are committed to helping patients achieve their desired results. These surgeons take the time to understand each patient's unique needs and aesthetic goals.
Visualization Technology
One of the notable features at Mount Sinai is the use of advanced 3D imaging technology. Before scheduling the surgery, this technology allows patients to 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, which helps them make more informed decisions.
Treatment Options
- Breast Implants: There are two main types of breast implants available - silicone and saline. Silicone breast implants look and feel natural in the breasts, while saline breast implants are firmer and rounder. The surgeons at Mount Sinai will advise patients based on their body type and desired outcome.
- NaturalFill: A new way to augment breasts, the NaturalFill® technique, is a two - step procedure. First, fat is removed from the buttocks or abdomen using liposuction. Then, this fat is immediately inserted into the breasts to enlarge them. This method uses the patient's own fat deposits, which is a win - win situation as it removes unwanted fat from one area and enhances the breasts.
Pre - operative Evaluation
Before the surgery, the plastic surgeon will perform a physical exam and ask a series of health - related questions to confirm that the patient is a candidate for breast augmentation. During the consultation, the surgeon will also explain the procedure in detail and answer any questions the patient may have.
Long - term Considerations
While breast augmentation results at Mount Sinai can last for years, factors such as pregnancy, nursing, and significant weight gain or loss may cause natural drooping over time. In such cases, the hospital offers options like breast lift or implant replacement to enhance the breasts again.
NewYork - Presbyterian
Passionate Surgeons
NewYork - Presbyterian's plastic and reconstructive surgeons are passionate about helping patients feel their best. They start with an in - depth initial consultation to understand the patient's goals and discuss the best options tailored to their needs.
Range of Cosmetic Breast Surgery
The hospital provides a full range of cosmetic breast surgery options. This includes:
Procedure | Description |
---|---|
Breast Reduction Surgery | Reduces the size of the breasts for patients who may be experiencing discomfort due to large breasts or who desire a more proportionate figure. |
Breast Lift Surgery (Mastopexy) | Lifts and reshapes sagging breasts, giving them a more youthful appearance. |
Breast Augmentation with Implants | Enhances the volume and shape of the breasts using implants. |
DIEP Flap Surgery | A form of breast reconstruction that uses tissue from the abdomen to create a new breast. |
High - Quality Care
Whether patients visit the hospital in person or through a video visit, they can be assured of the highest standards of care with compassion. The hospital's team has taken every step to keep the facilities safe for patients to continue their care.
NYU Langone Health
Reconstructive and Cosmetic Expertise
NYU Langone's plastic surgeons are experts in both reconstructive and cosmetic breast surgery. They reconstruct the breast after breast cancer surgery and also improve the overall appearance of the breast for non - cancer related cosmetic reasons.
Latest Reconstruction Techniques
- Breast Reduction using Short Scar Method: This method involves a smaller incision than traditional techniques, resulting in more cosmetically appealing results.
- Breast Lift Surgery (Mastopexy): Helps lift and reshape sagging breasts.
- Secondary Breast Reconstruction and Augmentation Surgery: Performed as a separate procedure after surgery to remove all or part of the breast.
- Breast Reconstruction using Perforator Flaps: In this procedure, tissue from the stomach or buttocks is used to create a new breast. Techniques include the deep inferior epigastric perforator (DIEP) and superior gluteal artery perforator (S - GAP).
Breast in a Day
An innovative surgery for women diagnosed with breast cancer or at increased risk for cancer. It involves performing a nipple - sparing mastectomy and breast reconstruction using implants at the same time in one day. This reduces the number of surgeries and the time spent in the hospital, which can play a significant role in the patient's physical and emotional recovery.
Pre - operative Planning and Follow - up
The hospital uses three - dimensional imaging to assist in preoperative planning, long - term evaluation, and follow - up care after breast reduction, reconstruction, or augmentation. The breast surgical oncologists and plastic surgeons at NYU Langone maintain ongoing communication throughout the planning process to create a customized surgical plan for each patient.
Dr. John E. Sherman
Experienced Plastic Surgeon
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and excellent results. He works closely with patients to develop an individualized approach for breast augmentation.
Breast Implant Knowledge
Types of Implants
Over the years, breast implants have undergone many improvements. 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, are increasingly popular. These implants feature better projection, can be manufactured in a larger range of dimensions, and provide a natural and proportionate breast shape and feel.
Choosing the Right Implant
- Material: Saline implants are filled during the procedure, while silicone implants are pre - filled. Dr. Sherman will guide patients in choosing the most suitable material based on their needs.
- Shape: Round implants add volume higher on the chest, while anatomical implants are teardrop - shaped to replicate the form of the natural breast.
- Size: Implant sizes are measured in cubic centimeters, and the appropriate size depends on the patient's existing breast tissue and desired results. Sizes range from 120cc to 800cc, and implants also come in various widths, heights, and projections.
- Texture: A textured surface allows the tissues to heal more closely around the implant, preventing it from rotating or becoming displaced.
Benefits and Complications
Benefits
Breast augmentation can boost self - confidence, correct pectus excavatum (a congenital disorder where the chest is sunken), and open up a new wardrobe. It allows women to present themselves to the world in the way they desire.
Complications
- BIA - ALCL: There is a small but increased risk of developing breast implant associated anaplastic large cell lymphoma (BIA - ALCL), especially with textured implants and in patients who develop a seroma. However, it is a form of non - Hodgkin's lymphoma that can be effectively treated.
- Breast Implant Illness: A term used to refer to a variety of symptoms reported by women after having implants placed, such as memory loss, joint pain, and fatigue. The cause of these symptoms and their link to synthetic implants is still being investigated.
Patient Consultation and Procedure
During the consultation, Dr. Sherman will review the patient's medical history, examine the breasts, and answer any questions. He will then devise a personalized treatment plan. The breast augmentation procedure is typically an outpatient procedure that takes 1 - 1.5 hours. Incisions can be made in different locations, such as under the breast, around the areola, or under the armpit. Implants can be placed either under the pectoral muscles or above them.
Recovery
In the initial days after surgery, patients may experience fatigue, discomfort, swelling, and bruising. They will be given pain medication and a surgical compression bra. Light activities can be resumed in 2 - 3 weeks, and more strenuous activities in 6 - 8 weeks. It takes a few months for the implants to settle into place and for the final results to be visible.
Dr. Simone - Park Plastic Surgery Center
Comprehensive Consultation
At the consultation, Dr. Simone will review the patient's entire medical history, including family history of breast cancer and results of any mammograms or previous biopsies. He will listen to the patient's concerns and desired results, examine the breasts thoroughly, and discuss the treatment options, implant type and size, likely outcome of surgery, and any risks or potential complications. He will also discuss the use of anesthesia during the procedure.
Surgery Details
The surgery is usually performed on an ambulatory/same - day basis at the accredited Park Plastic Surgery Center or the ambulatory center at Lenox Hill Hospital. It is done with full monitoring under local anesthesia with sedation administered by an anesthesiologist. Incisions are made in inconspicuous areas to minimize visible scarring, and the choice of incision depends on the type of implant, degree of enlargement desired, the patient's anatomy, and patient - surgeon preference. Options include sub - mammary, peri - areolar, and axillary incisions.
Implant Choice
Implants can be either saline or silicone. Saline breast implants are filled with sterile salt water and can be filled with varying amounts of fluid, which affects the shape, firmness, and feel of the breast. Silicone implants are filled with silicone gel and are fixed in size. Both types come in a variety of shapes and profiles. Dr. Simone will determine the best implant choice after a physical examination.
Implant Placement
Implants can be placed either under the pectoral muscle (submuscular placement) or directly behind the breast tissue, over the pectoral muscle (subglandular placement). The method depends on the type of implant, degree of enlargement desired, the patient's body type, and the surgeon's recommendations. Breast implants do not interfere with mammography or routine breast cancer screenings, and there is no association of cancer or autoimmune diseases with their presence.
Potential Complications
Although uncommon, potential complications after breast augmentation may include unfavorable scarring, bleeding, infection, poor healing of incisions, changes in nipple or breast sensation, capsular contracture, implant leakage or rupture, and wrinkling of the skin over the implant with saline implants.
Dr. Barry Weintraub
Experienced and Qualified Surgeon
Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He has more than two decades of experience and is a national spokesperson for the American Board of Plastic Surgery.
Preferred Surgical Approach
Whenever possible, Dr. Weintraub performs breast augmentation by inserting the implant through the armpit (transaxillary subpectoral approach). This approach has several advantages, including no jeopardy to nipple sensation, no hindrance to future breast - feeding, no visible scars near the breast, less pain, less post - operative downtime, and less swelling and bruising.
Implant Safety
According to professional organizations, breast implants have not been shown to impair breast health. Silicone breast implants, which were scrutinized in the past, were found to be safe and effective by the FDA in 2006. Regular examinations are required for breast health and to evaluate the condition of the implants.
Patient Consultation and Requirements
Breast augmentation should not be considered before the age of 18. During the consultation, patients should check for the surgeon's board certification, ensure that the physician attends a major hospital in the community, confirm the surgeon's reputation, and speak to the surgeon's patients who have undergone similar procedures. Good candidates for breast augmentation are well - balanced, in good general health, and have realistic expectations.
Surgical Process
Dr. Weintraub prefers his patients to be in a comfortable state of twilight sleep during the surgery. He insists on the most sterile conditions in the operating room, with board - certified anesthesiologists and state - of - the - art monitoring equipment. The surgery is performed with precision and care, and all wounds are sewn in multiple layers by his own hand.
After - surgery Care
There may be a short period of minimal swelling and sometimes bruising after surgery. Patients must follow all instructions provided by Dr. Weintraub for the best results. He believes in early showering and will advise patients on when they can return to their normal lifestyle and exercise routine.
NewYork - Presbyterian Brooklyn Methodist Hospital
Comprehensive Plastic Surgery Services
The plastic surgeons at NewYork - Presbyterian Brooklyn Methodist Hospital are specialists in improving a patient's quality of life through a range of cosmetic and reconstructive surgeries. They address problems related to trauma, cancer, or congenital defects and also provide extensive options for elective cosmetic procedures.
Specializations
In the field of breast - related surgeries, they have expertise in breast augmentation and reduction. Their reconstructive surgery specializations include breast reconstruction, cleft lip and palate repair, skin cancer treatment, and major flap procedures.
Dr. Adam R. Kolker
Highly Qualified Plastic Surgeon
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. He has received education and training from some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia. He is also an associate clinical professor of surgery at the Mount Sinai School of Medicine.
Range of Breast Procedures
- Breast Augmentation: Dr. Kolker focuses on attaining a proportionate outcome and the most natural results. He establishes each individual woman's aesthetic goals distinct to her body type.
- Breast Lift: Addresses sagging, drooping, or deflating breasts due to weight loss, pregnancy - related changes, or genetics. The best techniques for each individual are determined during a private consultation.
- Breast Reduction: Not only reduces the size of the breasts but also adjusts breast projection, position, and shape. It relies on sculptural artistry to achieve beautiful, natural breasts.
Patient Testimonials
Many patients have left positive testimonials about Dr. Kolker's work. They praise his ability to make the impossible possible, change their lives, and provide the best results. His work has also been recognized in media, and he has been featured in many prominent lists, such as New York Magazine's Best Doctors, Newsweek's America's Best Plastic Surgeons, and Castle Connolly's Top Doctors.
Conclusion
In New York City, there are several excellent hospitals and clinics that offer breast augmentation plastic surgery. From well - known medical institutions like Mount Sinai, NewYork - Presbyterian,