Introduction
Accessory breasts, also known as axillary breast tissue, can be a source of discomfort and self - consciousness for many individuals in New York City. The presence of this extra breast tissue outside the normal breast area, often in the armpit region, can lead to both physical and aesthetic concerns. Fortunately, several hospitals and clinics in NYC are equipped with advanced technology and skilled surgeons to perform effective accessory breast removal procedures. In this article, we will explore these institutions, the procedures they offer, and other relevant information related to accessory breast removal in the city.
Understanding Accessory Breast Tissue
What is Accessory Breast Tissue?
Accessory breast tissue, or axillary breast tissue, occurs when breast tissue develops outside the typical breast area, most commonly in the armpit. It can be present from birth and might become more noticeable during hormonal changes such as puberty, pregnancy, or menopause. For some people, it's just a cosmetic issue, but for others, it can cause discomfort, especially during physical activities or when wearing tight - fitting clothes. It can lead to pain, irritation, and even restrict movement.
Prevalence and Causes
While the exact prevalence of accessory breast tissue is not fully known, it is a relatively common condition. Dr. Preminger explains that it is often genetic, with family members like mothers and daughters having the same problem. Hormonal imbalances and certain lifestyle factors can also contribute to its development or exacerbation.
Hospitals and Clinics with Advanced Technology for Accessory Breast Removal in NYC
Dr. Preminger's Practice
Dr. Preminger, a Manhattan plastic surgeon, offers accessory breast tissue surgery. She uses a minimally invasive method for axillary breast tissue removal. Instead of the old general open surgery that left long, ugly scars, a minimal incision is made, and the tumescent liposuction technique is used to aspirate the breast and fat tissue. When nipples or areolas are present, they are excised after the liposuction portion. Dr. Preminger also offers CoolSculpting and other treatment options depending on the patient's needs. The procedure length is usually 1 - 3 hours, and it is performed under local anesthesia as an outpatient procedure.
Dr. Casian Monaco's Practice
Located in the upper east side of New York City, Dr. Casian Monaco provides advanced and compassionate care for axillary breast tissue removal. His expertise in aesthetic and reconstructive surgery ensures personalized results tailored to each patient's body shape and aesthetic goals. The procedure is typically performed under general anesthesia. Dr. Monaco may use various liposuction techniques, and in some cases, direct excision may be required. Post - operative care is minimal, and patients often experience a relatively fast recovery.
The Accessory Breast Removal Procedure
Consultation
As with any surgical procedure, the process starts with a one - on - one consultation with the surgeon. For example, Dr. Preminger will ask questions regarding the patient's medical history to determine if they are at risk for complications. The surgeon will also answer any questions the patient may have regarding the procedure itself, the recovery, or payment options. This is a crucial step as it allows the patient to understand the process fully and make an informed decision.
Surgical Techniques
- Liposuction: This is a common technique used for accessory breast removal. Tumescent liposuction, as used by Dr. Preminger, involves injecting a solution into the tissue to break up the fat and make it easier to remove through a small tube. It is less invasive than traditional excision methods and can result in less scarring.
- Excision: In cases where the accessory breast tissue is more extensive or when there are nipples or areolas present, direct excision may be necessary. The surgeon will carefully remove the excess tissue and may need to re - shape the area for a more natural appearance. Dr. Monaco may use this technique when liposuction is not sufficient.
Anesthesia
Accessory breast removal can be performed under local anesthesia, as in Dr. Preminger's practice, which allows the patient to be awake but numb in the area of the surgery. General anesthesia may also be used, such as in Dr. Monaco's procedures, where the patient is put to sleep during the operation. The choice of anesthesia depends on various factors, including the extent of the surgery and the patient's preference and medical history.
Recovery and Aftercare
Immediate Post - Operative Period
After the surgery, patients are typically monitored in a recovery room for a short period. They may feel groggy, especially if general anesthesia was used. Dr. Preminger may prescribe Tylenol with codeine to help with pain in the first few days. The original operation dressing can be changed after 48 hours, and a nurse will usually assist with this. Patients are advised not to drive or work during this time and should rest, eat well, and drink plenty of water.
Recovery Timeline
- Back to Work: Most patients can return to work in as little as 1 week, although 3 weeks is ideal. However, this depends on the nature of the work and the extent of the surgery.
- Exercise: Light exercise can usually be resumed at 1 week, while strenuous activity should be avoided until 4 - 6 weeks as directed by the surgeon.
- Swelling Resolution: Swelling typically resolves within 2 weeks, but it may take several months for the final results to be fully visible.
Long - Term Aftercare
Patients should follow up with their surgeon regularly to monitor the healing process. They may need to avoid certain activities that could put stress on the incision site for an extended period. Additionally, scar care is important. The surgeon may recommend using moisturizing lotions or silicone sheets to help minimize scarring.
Benefits and Risks of Accessory Breast Removal
Benefits
- Improved Comfort: Removing accessory breast tissue can relieve physical discomfort such as pain, irritation, and restricted movement, especially during physical activities or when wearing certain types of clothing.
- Enhanced Aesthetics: It can improve the appearance of the underarm area, leading to increased self - confidence. Many patients report feeling more comfortable wearing sleeveless or form - fitting clothes after the procedure.
- Lasting Results: The results of accessory breast removal are typically long - lasting, with full improvement visible at six months.
Risks
- Scarring: Although modern techniques aim to minimize scarring, there is still a risk of visible scarring, especially with excision procedures. The appearance of scars can vary depending on individual healing factors such as skin type and genetics.
- Infection: As with any surgical procedure, there is a risk of infection. Patients are usually given antibiotics post - operatively to reduce this risk, and they need to keep the incision site clean.
- Persistent Arm Tightness: Some patients may experience persistent tightness in the arm, which could be due to tissue damage during the surgery. This may require physical therapy or other treatments to resolve.
- Other Side Effects: Bruising, inflammation, lymphedema (swelling due to lymphatic system issues), and numbness are also possible side effects, which usually subside over time.
Choosing the Right Surgeon
Qualifications
When considering accessory breast removal, it is essential to choose a board - certified plastic surgeon. Surgeons like Dr. Preminger, Dr. Monaco, and Dr. Darrick Antell (although he is well - known for breast implant removal, the principles of choosing a qualified surgeon apply) are board - certified and have extensive experience in performing relevant procedures. Board certification ensures that the surgeon has met certain standards of training and competence.
Experience
Look for a surgeon who has a significant amount of experience in accessory breast removal. Surgeons with more experience are likely to be more familiar with different anatomical variations and can handle potential complications more effectively. You can ask the surgeon about the number of accessory breast removal procedures they have performed and request before - and - after photos of their patients.
Patient Reviews
Reading patient reviews can give you an idea of the surgeon's reputation and the quality of care they provide. Online review platforms can be a valuable source of information. Patients often share their experiences, including the level of comfort during the procedure, the results, and the overall satisfaction with the surgeon and the staff.
Comparison with Other Breast - Related Procedures in NYC
Breast Implant Removal
Breast implant removal is a different procedure but also relevant in the context of breast - related surgeries in NYC. There are several experienced plastic surgeons in the city, such as Dr. Darrick Antell, who perform breast implant removal. Reasons for breast implant removal can include medical complications, personal preferences, or simply no longer wanting the implants. There are different techniques for breast implant removal, such as en bloc removal (removing the entire implant and its surrounding capsule in one piece), capsulectomy (removing only the capsule), explantation with mastopexy (removing the implant and excess skin and lifting the breast tissue), and explantation with fat transfer (using the patient's own fat to reshape the breasts). The recovery process and risks also differ from accessory breast removal.
Breast Reduction
Breast reduction is another procedure offered in NYC, for example, at Mount Sinai and Rapaport Plastic Surgery. It is designed for women with overly large breasts who experience physical pain, discomfort, and aesthetic concerns. The surgical techniques for breast reduction are more complex and often involve the removal of a significant amount of breast tissue, as well as reshaping and lifting the breasts. The eligibility criteria, recovery time, and expected results are different from those of accessory breast removal.
Conclusion
In conclusion, there are several hospitals and clinics in New York City that offer advanced technology and experienced surgeons for accessory breast removal. Procedures like those offered by Dr. Preminger and Dr. Casian Monaco provide solutions for individuals dealing with the discomfort and aesthetic issues caused by accessory breast tissue. However, it's important to understand the procedure, the recovery process, and the associated risks before making a decision. Choosing the right surgeon based on qualifications, experience, and patient reviews is crucial for a successful outcome. If you're considering accessory breast removal, we encourage you to schedule a consultation with a qualified surgeon to learn more about your options and make an informed choice that is right for you.
