Introduction
Breast augmentation is a popular cosmetic procedure that many women in New York City consider for various reasons, such as enhancing their body contour, regaining breast volume after pregnancy or weight loss, or correcting congenital deformities. When it comes to breast augmentation, the choice of incision is crucial, and the axillary incision is a favored option for those who desire to minimize visible scarring on the breasts. This article will explore some of the top hospitals and surgeons in New York City that are well - known for performing breast augmentation with axillary incisions.
Understanding Axillary Incision Breast Augmentation
What is Axillary Incision Breast Augmentation?
Axillary incision breast augmentation, also known as transaxillary breast augmentation or scarless breast augmentation, is a technique where the surgeon makes a small incision in the underarm area. Through this incision, an endoscope may be used to guide the placement of breast implants behind the breast tissue or chest muscles. This method leaves only a small, hard - to - detect scar in the natural crease of the armpit, as opposed to more visible scars around the nipple or in the breast fold associated with other incision techniques.
Benefits of Axillary Incision Breast Augmentation
- Minimal Scarring on the Breasts: Since the incision is made in the underarm, there are no visible scars on the breast tissue, resulting in a more natural - looking result.
- Well - Hidden Scars: The scar in the underarm is easily concealed by clothing and the natural crease of the armpit.
- Natural Results: Surgeons can place the implant behind the chest muscle for a full and soft result, creating a more natural breast shape.
- Optimal Healing: The incisions in the underarms are not under excessive stress or tension, which can lead to quicker healing and lower rates of infection.
- Easier Recovery: With endoscopic techniques, there is minimal blood loss and high accuracy in dissection, leading to a quicker recovery and less postoperative discomfort.
Top Hospitals and Surgeons for Axillary Incision Breast Augmentation in New York City
Dr. William Lao
Dr. William Lao is a renowned double - board - certified plastic surgeon in both the USA and Taiwan. He has extensive experience in performing transaxillary breast augmentations in New York City. His comprehensive understanding of the aesthetic ideals of both the East and West, along with over a decade of education and training in plastic surgery, allows him to provide personalized care and stunningly natural results.
Procedure Process
- Consultation: The first step is to call his clinic to schedule a consultation. During this session, patients discuss their goals, use 3D simulation software to select the best implant size, and address any questions or concerns. Dr. Lao assesses the breast shape, maps out the incisions, and provides information on potential risks, recovery, and expected results.
- Surgery: On the day of surgery, patients receive pre - operative instructions. After filling out paperwork, they are taken into the surgical room. Anesthesia is administered first. Then, Dr. Lao makes the incision along the armpit's natural skin fold, inserts an endoscope to view the internal structures, creates an implant pocket behind the chest muscle, inserts the implant, and finally closes the incisions with sutures to minimize scarring. The surgery typically takes one to two hours.
- Recovery: After surgery, patients recover from the anesthesia. Most can return home after a few hours. They are educated on proper breast care and follow - up instructions. Rest is required for a few days, and exercise and heavy lifting should be avoided for four to six weeks, while patients can usually return to work after one week. They also need to avoid shaving their armpits during the initial healing period.
Cost
The cost of transaxillary breast augmentation with Dr. Lao varies based on the complexity of the surgery and the time needed to complete the procedure. He provides a detailed price during the consultation and offers financing options to make the procedure more accessible.
Dr. Nina S. Naidu
Dr. Nina S. Naidu, a female plastic surgeon, understands that breast augmentation is more than just enlarging the breasts. She is dedicated to providing her patients in Manhattan with beautifully - contoured, natural - looking breasts by creating meticulously tailored surgical plans.
Personalized Treatment Plan
When creating a treatment plan, Dr. Naidu considers several factors:
- Type of Breast Implant: Options include saline, silicone gel, and Ideal Implants®. Saline implants are inserted empty and then filled with salt water, while silicone gel implants are pre - filled. Ideal Implants® have nested silicone shells and two chambers holding saline and are approved for women aged 18 and above.
- Incision Placement: Along with other incision options, she offers the axillary incision. The choice of incision depends on factors such as the natural shape of the patient's breasts, areola size, desired increase in size, definition of the inframammary fold, and the type of implants being inserted.
- Positioning of the Breast Implant: She can place the implant above the pectoralis muscle (subglandularly) or beneath the pectoral muscle (submuscularly). Submuscular placement has several advantages, including better implant stability, coverage, and a more natural appearance.
- Style of Breast Implant: Implants come in various profiles (high, moderate plus, low/moderate), shapes (round or teardrop), and textures (textured or smooth). Dr. Naidu selects the appropriate style based on the patient's anatomy and desired outcome.
Recovery
Patients receive general anesthesia during the surgery. After surgery, they stay in the recovery area until they wake up. Immediately after, they may feel tightness in the arms and chest and need to follow arm exercise instructions. They are given pain medication and information on recovery restrictions. In the first 48 hours, they need pre - arranged transportation home and someone to stay with them for the first 24 hours. Strenuous activity should be avoided for at least two weeks, and final results become visible within six months.
Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in breast augmentation. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look, ensuring patients are happy with the results.
Treatment Options
They offer two main types of implants (silicone and saline) and a non - implant option called NaturalFill®. Silicone breast implants look and feel natural, while saline implants are firmer and rounder. NaturalFill® is a fat transfer technique where fat is removed from the buttocks or abdomen via liposuction and then inserted into the breasts. During the consultation, surgeons help patients choose the best option based on their body type and desired outcome.
Although the source doesn't specifically detail the axillary incision process, as it is a well - established breast augmentation method, it is likely that their surgeons are proficient in performing breast augmentation with axillary incisions to minimize visible scarring.
Dr. David P. Rapaport
Dr. David P. Rapaport is a board - certified plastic surgeon and a world - recognized expert in breast augmentation and breast implant revision. Many patients prefer the underarm incision for breast augmentation with him as it removes all scarring from the breast.
Procedure
Dr. Rapaport uses an endoscope to perform the scarless breast augmentation procedure through the axillary incision. Instead of bluntly tearing the muscle, he precisely divides it under magnified endoscopic visualization, allowing for better control of bleeding and precise implant positioning. He offers both saline and silicone implants, and patients can choose based on their preferences and anatomy. The surgery can be performed with general anesthesia or IV sedation, and implants are typically placed under the muscle for a natural - looking result.
Recovery
Full recovery takes about two to three weeks, but patients with non - strenuous jobs can return to work in a few days. Pain medication is prescribed for the first few days, and swelling, bruising, and soreness are normal during recovery. Strenuous exercise and sexual activity are restricted for the first ten days, and mild aerobic activity can be resumed after ten days, with full activity allowed after three weeks.
Dr. Theodore Diktaban
Dr. Theodore Diktaban has over 35 years of experience as an upper - east - side plastic surgeon. He is especially attuned to the needs of Asian patients who are often more concerned about scarring after breast augmentation. He has a vast experience of over 25 years with the transaxillary incision approach.
Asian - Specific Considerations
For Asian patients, he prefers the transaxillary incision to minimize scarring, as many Asian patients are prone to dark or thick scar tissue. He also takes into account the patient's overall size and frame, and may recommend smaller or lower - profile breast implants for petite patients to maintain a natural and balanced proportion.
Procedure and Recovery
The breast augmentation can be done with either saline or silicone gel implants. Implants are usually placed below the muscle for patients with less natural breast tissue to create a more natural appearance. The incisions are closed with absorbable sutures. After surgery, patients should have someone to drive them home and take care of them in the early stages of recovery. Minor swelling, bruising, redness, and soreness are expected. Most patients can return to non - strenuous routines one to two weeks after surgery.
Dr. William Samson
Dr. William Samson is a board - certified plastic surgeon with over a decade of experience, specializing in various breast surgeries, including breast augmentation. He aims to provide his patients with the best results while prioritizing patient safety.
Procedure Details
On the day of surgery, patients receive medications for comfort and the agreed - upon anesthesia. Dr. Samson makes incisions in predetermined locations, including the axillary incision, to minimize visible scarring. The implant is then inserted either under the pectoral muscle or behind the breast tissue. He also offers a natural tissue or fat transfer augmentation. After surgery, the incisions are closed, and the breasts are wrapped with a gauze dressing and elastic bandage. The surgery can take 1 - 5 hours depending on the technique.
Recovery and Results
After surgery, patients are closely monitored in the recovery area and then discharged to go home. They are given medications, postoperative instructions, and a follow - up appointment. Acute pain typically subsides after 1 - 5 days, and soreness and swelling can last for a few weeks. The average time to start seeing results is around 3 - 4 months as the breasts settle into their resting position.
Dr. Barry Weintraub
Dr. Barry Weintraub prefers the trans - axillary, subpectoral approach whenever possible. He has designed his own medical instrumentation and is an expert at using a patient's own fat for breast augmentation, known as organic breast augmentation.
With his technique, the implants are placed under the pectoralis major muscle and inserted through a tiny incision in the underarm, resulting in no visible scars near the breast. This approach allows for a more natural - looking breast augmentation with minimal scarring.
Comparing the Surgeons and Hospitals
Surgeon/Hospital | Experience | Special Considerations | Cost Considerations | Recovery Process |
---|---|---|---|---|
Dr. William Lao | Double - board - certified, over a decade of education and training | Comprehensive understanding of East - West aesthetic ideals | Varies based on surgery complexity, offers financing | Rest for a few days, avoid exercise 4 - 6 weeks, return to work in 1 week |
Dr. Nina S. Naidu | Plastic surgeon, focuses on personalized plans | Considers multiple factors for treatment plan | Not specified in detail | Avoid strenuous activity for 2 weeks, results visible in 6 months |
Mount Sinai - New York | Experienced plastic surgeons, uses 3D imaging | Offers implant and non - implant options | Not specified | Not detailed for axillary specifically |
Dr. David P. Rapaport | Board - certified, world - recognized in breast augmentation | Endoscopic axillary approach for scarless augmentation | Not specified | Full recovery 2 - 3 weeks, restrictions on activity |
Dr. Theodore Diktaban | Over 35 years of experience | Special attention to Asian patients' scarring concerns | Not specified | Return to non - strenuous in 1 - 2 weeks |
Dr. William Samson | Over a decade of experience, board - certified | Offers natural tissue augmentation option | Varies based on implant choice and size | Acute pain 1 - 5 days, results in 3 - 4 months |
Dr. Barry Weintraub | Designed own medical instrumentation | Trans - axillary, subpectoral approach, organic augmentation | Not specified | Not detailed |
Pre - consultation Tips
- Research: Learn about the different types of breast implants, incision methods, and the recovery process. Understand what to expect from the surgery and its potential risks.
- Medical History: Compile a detailed medical history, including any previous surgeries, medications you are currently taking, and any existing medical conditions. Be honest with your surgeon about your medical history as it is crucial for a safe and successful surgery.
- Set Realistic Expectations: Breast augmentation can enhance your appearance, but it is important to have realistic expectations about the results. Discuss your goals with your surgeon during the consultation.
- Questions: Prepare a list of questions to ask your surgeon during the consultation. This may include questions about the surgeon's experience, the specific procedure, the type of implants, the cost, and the recovery process.
Conclusion
When considering breast augmentation with an axillary incision in New York City, there are several excellent hospitals and surgeons to choose from. Each surgeon has their own unique experience, expertise, and approach to the procedure. Dr. William Lao, Dr. Nina S. Naidu, Mount Sinai - New York, Dr. David P. Rapaport, Dr. Theodore Diktaban, Dr. William Samson, and Dr. Barry Weintraub are all well - respected in the field and have a track record of providing high - quality results.
Before making a decision, it is essential to schedule consultations with multiple surgeons to discuss your goals, understand the procedure in detail, and assess which surgeon is the best fit for you. By doing so, you can increase your chances of achieving the desired results and a successful breast augmentation experience.
If you are considering breast augmentation with an axillary incision, we encourage you to take the next step. Contact the surgeons mentioned in this article to schedule a consultation. During the consultation, you can ask all your questions, learn more about the procedure, and start your journey towards enhancing your appearance and confidence.