Introduction
Prosthetic breast augmentation has become a popular cosmetic procedure for women in New York City who wish to enhance the size, shape, or symmetry of their breasts. With numerous hospitals and clinics offering this service, it can be challenging to determine which ones are the best. In this article, we will provide comments on the top 5 prosthetic breast augmentation hospitals in New York City, based on factors such as doctor expertise, patient satisfaction, and service offerings.
Understanding Breast Augmentation
What is Breast Augmentation?
Breast augmentation, also known as a boob job, is the enlargement of the breasts either through transfer of fat from a part of the body or through surgical procedures which use breast implants or saline for enlargement of the breast. The most common one which is well - practiced is the surgical method. It mainly helps in enlarging or restoring symmetry to the breast. It provides a solution to those who have had reduction in breast size either due to weight loss, pregnancy or breastfeeding as well as those who want a balance in their physical appearance. In 2020 alone, nearly 200,000 women in the United States underwent breast augmentation, despite the onset of a global pandemic (American Society of Plastic Surgeons).
Types of Breast Implants
There are several types of breast implants available, each with its own advantages and disadvantages:
- Saline Implants: Saline implants are placed in the breast pocket and are filled to the patient’s desired volume during the procedure. They are the least expensive breast augmentation procedure, and a smaller incision may be necessary to place them. Should a rupture or leak occur, you will know almost immediately due to near - instant deflation. However, in thin women with small amounts of breast tissue, visible rippling at the implant edges may be seen. They are approved for patients who are at least 18 years old.
- Silicone Implants: Silicone implants are pre - filled by the manufacturer with a cohesive, silicone gel. Many patients find that they feel more natural to the touch and aesthetically look more natural too. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. However, the FDA suggests MRI scans every few years to monitor the condition of the implant shell. They are approved for patients who are at least 22 years old.
- Gummy Bear Implants: Gummy bear implants, also known as cohesive silicone gel implants, were developed in the 1990s. Scientists sought to create a breast implant that featured better projection and could be manufactured in a larger range of dimensions. These implants are thick enough to keep their form and would eventually minimize the risk of leakage if the implant became compromised. They are increasingly popular because of their ability to provide a natural and proportionate breast shape and feel, and they feature an extensive variety of shapes and sizes that can mimic most breast shapes and fit a wider range of chest dimensions.
- Fat Transfer: Breast augmentation via fat transfer (commonly known as autologous fat transfer to breasts) is a potentially permanent method of enhancing and enlarging the breasts. When expertly performed, some of the fat cells survive and become part of the breast tissue. This method has the advantages of not requiring breast implants, having breasts that feel completely natural, and helping to balance the figure by liposuction of the hips, thighs, and abdomen. It also results in less scarring as only tiny incisions are required for the fat transfer by injection.
Choosing the Right Implants
When choosing breast implants, several factors need to be considered:
- Material: As mentioned above, the choice between saline, silicone, gummy bear, or fat transfer depends on personal preferences, body type, and medical considerations.
- Shape: Patients can choose between round and anatomical (teardrop - shaped) implants. Round implants are frequently chosen for their ability to add volume higher on the chest, while anatomical implants have a slight slope to replicate the form of the natural breast.
- Size: Implant sizes are measured in cubic centimeters, not bra cup size. The appropriate implant size depends on the amount of breast tissue a patient has before the augmentation and the desired results. Sizes range from 120cc to 800 cc, and implants also come in various widths, heights, and projections. High - profile breast implants are suitable for women looking to make a statement, while a smaller projection is better for women seeking a more subtle effect.
- Texture: A textured surface allows the tissues to heal more closely around the implant and prevents the implant from rotating or becoming displaced. Smooth implants, on the other hand, may be more suitable in some cases.
Possible Complications
While the majority of patients are able to enjoy their implants in perfect health, there are a small percentage of patients that experience complications:
- BIA - ALCL: Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing breast implant associated anaplastic large cell lymphoma (BIA - ALCL). While the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. This is not breast cancer but rather a form of non - Hodgkin’s lymphoma that can be effectively treated. It appears to be associated with implants that are textured and in 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.
- Breast Implant Illness: Breast implant illness (BII) is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss and “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.
- Other Complications: Other possible complications include breast pain, breast numbness, loss of sensation in nipples, implant leak, issues with breastfeeding, and allergic reactions. Surgery or total removal of the implant can be employed to handle some of these complications.
Top 5 Prosthetic Breast Augmentation Hospitals in New York City
1. Dr. Adam R. Kolker's Practice
Doctor Expertise
Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City. His education and training in plastic surgery span some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia. As an associate clinical professor of surgery at the Mount Sinai School of Medicine, he remains on the cutting edge of advancements in the science and art of plastic surgery in New York City. He is board - certified by the American Board of Plastic Surgery, the American Board of Surgery, and is a fellow of the American College of Surgeons, among other prestigious memberships. He has been featured as a top plastic surgeon in New York Magazine's Best Doctors issues from 2008 - 2024, and as one of America's Best Plastic Surgeons by Newsweek in 2021 - 2024.
Service Offerings
Dr. Kolker specializes in breast augmentation and a wide range of cosmetic surgery procedures addressing all aspects of the body. His services include facial procedures such as brow lift, eyelid surgery, facelift, and rhinoplasty; breast procedures like breast asymmetry correction, breast lift, breast reconstruction, and breast reduction; body procedures such as arm lift, liposuction, lower body lift, and tummy tuck; and non - surgical treatments including injectables & fillers, laser & light treatments, and skin health services. In breast augmentation, he emphasizes that true artistry is based on the concept that "beautiful" should be more important than "size." He establishes each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results.
Patient Satisfaction
There are numerous real - patient testimonials attesting to Dr. Kolker's skills. For example, one patient said, “I could not believe my eyes. Dr. Kolker had done something all other surgeons had told me was not possible. He made the impossible, possible i could not believe it took a possibility and turned it into my reality! I will forever be thankful to him for correcting my asymmetrical breasts and making me so happy.” Another patient stated, “Dr. Kolker changed my life. He truly pays attention to your individual case, and I'm so happy with my results. While my surgery has already made an incredible impact on my life, I look forward to this coming summer when for the first time in a long time, I will enjoy a day at the beach without a worry in the world.”
2. Dr. Steven M. Levine's Practice
Doctor Expertise
Dr. Steven Levine is an award - winning top board - certified NYC plastic surgeon. He offers silicone breast implant surgery, saline breast implant surgery, gummy bear breast implant plastic surgery, and fat transfer breast augmentation. All breast implant plastic surgeries are customized to the unique desires of the patient, with the main goal of providing natural - looking breasts. He also offers revision breast implant plastic surgery for patients who are unhappy with previous results or have complications.
Service Offerings
His practice provides a comprehensive range of breast augmentation options. For silicone breast implants, they look and feel natural, are less likely to ripple, and will not rupture. Saline breast implants are the least expensive option, may require a smaller incision, and a rupture can be easily detected. Gummy bear implants retain their shape better and are suitable for those who want more volume without the limited shapes of other implants. Fat transfer breast augmentation offers the advantages of using the patient's own fat, resulting in natural - feeling breasts and less scarring.
Patient Satisfaction
Patients have expressed high levels of satisfaction with Dr. Levine's services. One patient said, “He did my mom’s breast surgery. He removed her old silicone breast implants and reformed her breast again. Excellent surgeon! Eternally grateful. Highly recommend.” Another patient who had a consultation for a botched implant procedure wrote, “I didn’t think any one can fix what was done to me. He examined me and said he felt bad for what was done to me. He was so kind and patient! I felt so comfortable with him. He said he will do his best to fix me up and, that I will be happy with the results. I liked him immediately! So, I had the procedure done. It’s now 7 weeks after my procedure and I can’t be happier with my results! He is unbelievable! I am so happy I decided on Dr. Levine, in my opinion he is one of the best and worth every penny.”
3. Dr. Lara Devgan's Practice
Doctor Expertise
Dr. Lara Devgan, MD, MPH, FACS, is a well - known plastic surgeon in New York City. Many women in the area seek her out for breast augmentation, especially those who prefer a female plastic surgeon who will be discreet about this sensitive topic.
Service Offerings
During the consultation, Dr. Devgan examines, measures, and photographs the patient's breasts, discusses the medical history and desires for surgery, shows samples of silicone and saline breast implants for the patient to feel the difference, allows the patient to "try on" different sizes of implants, and shows many before and after photographs so the patient can get a sense of the typical results. The surgery typically takes one hour and can be performed either in her fully accredited private office operating room or at one of the top local hospitals on the upper east side. The recovery process is relatively fast. In the first 24 - 48 hours, patients may have a small amount of swelling, bruising, and discomfort, and most patients need to take pain medicine during this time. After 48 hours, patients can shower normally. If the patient has a desk job that does not require strenuous activity, they will likely be able to return to work by the 3rd or 4th day after surgery. By one month after surgery, the vast majority of patients say they feel "back to normal," and by 6 - 8 weeks, they will be cleared to do all types of physical activity again.
Patient Satisfaction
Patient testimonials highlight the positive experiences with Dr. Devgan. For example, one patient said, “I did the big reveal... and I love them!!” Another patient who had a “mommy makeover” (breast augmentation, abdominoplasty, liposuction) stated, “As a mother of five, my breasts no longer existed - I went from a full b to a negative a after breastfeeding my children. Between my stomach and my breasts, seeing myself naked was scary. Thanks to Dr. Devgan, that's a thing of the past... I was scared of what to expect, but I can honestly say it was worth it. I had very little pain and in about three to five days I was back to myself and in love. It's now six weeks later and the scars are almost invisible. Thanks again Dr. Devgan. You did an awesome job!”
4. Dr. David L. Cangello's Practice
Doctor Expertise
Dr. David L. Cangello is a board - certified plastic surgeon experienced in the art of cosmetic breast surgery. He is known as a highly skilled surgeon who delivers elegant, natural - looking results. His superior results have earned the trust of professional models from some of the world’s top agencies, including Wilhelmina Models, IMG Models, and Next Management. He has perfected the art of breast surgery through extensive experience, meticulous surgical techniques, and an eye for artistic detail. His expert opinion on this topic has been featured in several media segments, particularly highlighting how he excels at maintaining natural proportions of the body while still allowing for the desired enhancement.
Service Offerings
Dr. Cangello offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer. He guides patients through the process of deciding on the size and shape of their implants, where they’ll be placed, and whether silicone or saline will be used. He is one of only two surgeons in the world trained in fat grafting techniques by one of the pioneers in the field, Dr. Sydney Coleman. He uses both silicone and saline to deliver exceptional results. When it comes to implant placement, he can place implants under the pectoral muscle (submuscular placement) or the breast tissue (submammary / subglandular placement). For incisions, he avoids the transaxillary technique due to its higher rate of implant malposition and prefers the “no touch” method during breast augmentation with silicone, which utilizes a Keller funnel for easier implant insertion and a smaller incision size, and may also help to minimize infection risk.
Patient Satisfaction
Patients have been very satisfied with Dr. Cangello's services. One patient said, “My experience was amazing. Dr. Cangello took his time, I asked many questions. He answered everyone. Very satisfied with the size and results. I get lots of complements and I can't wait to go shopping for new clothes. BTW the value of this breast augmentation special in New York City is unbelievable. He is well - trained and his facility is super nice. I am telling all my friends!”
5. Dr. John E. Sherman's Practice
Doctor Expertise
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon renowned for his commitment to patient care and excellent results. He worked closely with Allergan, the leading name in cosmetic pharmaceuticals and devices, and was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants. These FDA - approved devices feature an anatomically shaped silhouette, with contours that closely resemble the curve of a woman’s breast and are popular choices for augmentation and breast reconstruction.
Service Offerings
Dr. Sherman provides comprehensive services for breast augmentation. He offers detailed consultations where he reviews the patient's medical history, examines the breasts, takes measurements, and discusses implant options. The breast augmentation procedure is performed at an accredited surgical facility or a nearby hospital as an outpatient procedure, typically taking 1 - 1.5 hours. After the surgery, he provides patients with a prescription for pain medication and a surgical compression bra. In 2 - 3 weeks, patients can resume light activities and work, and at 6 - 8 weeks, they can continue more strenuous activities. He also discusses corresponding & complementary procedures such as breast lift during the consultation to enhance the results of breast augmentation.
Patient Satisfaction
While specific patient testimonials may not be as abundantly provided in the references, the fact that Dr. Sherman is well - respected for his work with advanced breast implants and his individualized approach to patient care suggests a high level of patient satisfaction. His long - term work in the field and involvement in the development of cutting - edge implants indicate his ability to deliver quality results.
Comparison of the Top 5 Hospitals
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