Introduction

Breast augmentation with prosthetics is a popular cosmetic procedure in New York City. Whether you're looking to enhance your curves, restore volume lost due to pregnancy or weight loss, or simply achieve a more balanced figure, it's crucial to have access to a comprehensive guide that includes a ranking of expert doctors and a price list. This article aims to provide you with in - depth information about breast augmentation in New York City, including the procedure, risks, costs, and top doctors.

What is Breast Augmentation with Prosthetics?

Breast augmentation is an umbrella term that encompasses a range of procedures to increase the size and volume of the breasts. The most common method is using prosthetics, which come in two main types: silicone and saline. Silicone implants are pre - filled with a cohesive silicone gel and tend to look and feel more natural. They are approved for patients aged 22 and above. Saline implants, on the other hand, are filled with sterile salt water once they are placed in the treatment site. They are available for patients aged 18 and older. Another option is fat transfer, which involves taking fat from other parts of the body and grafting it into the breasts to increase volume.

Benefits of Breast Augmentation

• Restores fullness to breasts that have lost volume due to pregnancy, weight loss, or aging.
• Rejuvenates breasts that have changed shape over time.
• Improves symmetry and balance between the breasts.
• Adds balance to a feminine figure.
• Enhances the size and shape of smaller breasts, boosting self - confidence.

How the Procedure Works

Implant Placement

Breast implants can be placed either under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement). Submuscular placement has several advantages. It looks more natural, especially on thin patients or those with little breast tissue, as the muscle provides an extra layer to hide the implant. It also decreases the risk of capsular contracture and allows for better cancer detection during mammograms. However, it may cause the implants to move slightly when using the pectoralis muscles, and patients cannot do pectoralis workouts for 3 months after augmentation to allow the implant to settle. Subglandular placement generally results in less post - operative pain but may have a higher incidence of capsular contracture and less natural - looking results in some cases.

Incision Options

There are several incision options for breast augmentation:

• Periareolar Incision: Made around the lower half of the areola. This approach requires an adequate sized areola. The scars are often well - hidden due to the natural color and texture changes in the areola area.
• Inframammary Incision: Located in the crease between the breast and the chest wall. Recent medical studies show that this incision leads to a lesser risk of capsular contracture. It is also a popular choice as the scar is usually well - concealed by clothing.
• Transaxillary Incision: Made in the armpit. Some surgeons avoid this method as it has a higher rate of implant malposition. However, it can provide a scar - free breast appearance.
• Umbilical Incision: Only available for saline implants. It offers a hidden scar but has limitations in terms of implant placement and control.

Risks Associated with Breast Augmentation

While breast augmentation is generally considered safe, it is not without risks. Here are some of the potential risks associated with the procedure:

Capsular Contracture

This is a condition where scar tissue forms around the implant and can shrink and harden over time. It is rated on a scale from Baker 1 (soft) to 4 (rock hard). In severe cases, the capsule may need to be surgically corrected, which involves additional fees for anesthesia, facility use, and the surgeon's time and skill, as well as extra recovery costs.

Implant Rupture

Breast implants are not designed to last a lifetime. Silicone implants may rupture without being immediately visible as the gel stays in place, while saline implants deflate immediately when they rupture. Replacing a ruptured implant is a separate procedure with new implant and surgical costs similar to a primary breast augmentation.

Infection

A post - op breast infection could require oral or intravenous antibiotics. In some cases, if the infection is persistent, the removal of implants may be necessary. Treatment and medication costs increase with the severity of the infection.

Implant Malposition

If an implant shifts out of its intended breast pocket location over time, another surgical procedure may be needed to reposition it, which incurs additional costs.

Hematoma

Internal bleeding and swelling can occur after surgery, sometimes requiring drainage in the operating room. There are additional time - under - anesthesia and facility fees for this potential but uncommon risk, although there is generally no surgeon's fee.

Changes in Sensation

Some patients may experience temporary or permanent changes in nipple or breast sensation after the surgery.

Factors Affecting the Cost of Breast Augmentation in New York City

Implant Type

Implant Brand

Reputable brands like Mentor, Sientra, and Allergan charge similar rates to ensure safety and quality. Board - certified surgeons usually only use implants that meet the highest industrial and ethical standards. Less established companies may offer lower - priced alternatives, but the quality and safety may be a concern.

Surgeon's Fee

The experience and credentials of the plastic surgeon greatly impact their fee. Surgeons with fellowship training in aesthetic surgery and those certified by the American Board of Plastic Surgery tend to charge higher rates. However, choosing an experienced surgeon with a proven track record can reduce the risk of complications and ensure more satisfying results, which is a valuable investment in the long run.

Anesthesia Fee

The anesthesia fee depends on the anesthesia provider, the type of anesthesia provided, the length of the surgery, and the location. Anesthesia for breast implant surgery performed in a private surgical center is generally less expensive than in a hospital setting.

Facility Fee

The facility fee covers the materials and staff involved in the procedure, excluding anesthesia. It includes the cost of the operating room, recovery area, and necessary supplies and equipment. Hospital facilities tend to be more expensive than private surgical clinics, and longer surgeries or the need for an overnight stay can further increase the facility fee.

Geographical Location

New York City is a metropolitan area with high living costs, which are reflected in the breast augmentation expenses. Quotes can vary widely, from around $12,000 for less experienced surgeons to $22,000 for highly sought - after, experienced professionals.

Additional Procedures

Many patients choose to combine breast augmentation with other cosmetic surgeries such as a tummy tuck, breast lift, or lipo 360 as part of a mommy makeover. Combining procedures can reduce recovery time and may save money in some cases.

Additional Costs

• Consultation Fee: Most reputable practices charge an initial consultation fee, which may be applied to the surgery cost if the patient proceeds with the procedure.
• Post - surgery Care: This includes follow - up visits, garments, scar remedies, and possible adjustments. These costs are usually included in the surgical pricing, but it's important to confirm.
• Breast Revision Surgery: If adjustments to the implant positioning or size are needed in the future, there will be additional costs. Each clinic handles these costs differently.
• Recovery Expenses: Prescription medications, specialized bras, and time off work should be considered in the overall cost calculation.

Historical Cost Data in New York City

Over the years, the cost of breast augmentation in New York City has varied. Here is a summary of the average costs from 2002 - 2018:

It's important to note that these are historical data and the costs in 2025 may be different due to factors such as inflation, advancements in technology, and changes in the market.

Top Doctors for Breast Augmentation in New York City

Evaluating Surgeons

When choosing a surgeon for breast augmentation, it's essential to consider several criteria:

• Medical Credentials: Look for a surgeon who is board - certified in plastic surgery. This indicates that they have completed the necessary training and education and are committed to ongoing learning in their field.
• Surgical Skills: Assess their skills by looking at before and after photos of past patients. Some surgeons may specialize in a particular type of breast augmentation, which can be an important consideration depending on your needs.
• Experience: A surgeon with many years of experience performing breast augmentations is more likely to handle potential complications effectively.
• Knowledge of Advancements: The field of plastic surgery is constantly evolving. A top surgeon should be knowledgeable about the latest techniques and technologies, such as 3D imaging for surgical planning and new implant materials.
• Patient Reviews and Feedback: Read reviews from past patients to get an idea of the surgeon's bedside manner, the quality of care, and patient satisfaction.

Some Reputable Surgeons in New York City

Dr. David L. Cangello

Dr. Cangello is a board - certified plastic surgeon who is experienced in cosmetic breast surgery. He offers personalized treatment plans and has a reputation for delivering elegant, natural - looking results. He has worked with professional models from top agencies. Dr. Cangello uses both silicone and saline implants and is one of only two surgeons in the world trained in fat grafting techniques by one of the pioneers in the field. His office has a state - of - the - art, fully accredited operating room, and he also has privileges at the Manhattan Eye, Ear, and Throat Hospital.

Dr. Darren M. Smith

Dr. Smith is a well - known board - certified plastic surgeon in New York City. He has years of proven experience in breast augmentation surgery and can show prospective clients before and after photos of previous procedures. He offers a range of payment options and performs 3D imaging during the consultation to help patients visualize the results. His clinic is located in a luxurious setting in Manhattan.

Surgeons from Other Clinics

• Dr. Sophie Bartsich: A top - notch cosmetic surgeon in Manhattan. Her clinic offers breast augmentation with a focus on customized results and attention to detail. It has received high ratings from patients.
• Surgeons at Forest Hills Plastic Surgery: Based on the belief of providing high - quality and affordable cosmetic, plastic, and reconstructive surgery. Patients have reported positive experiences with the procedures here.
• Dr. Leonard Grossman: The first plastic surgeon in the world focusing on organic plastic surgery (OPS) techniques, which use the patient's own tissues. His approach may offer unique benefits for breast augmentation.

Recovery and Aftercare

Recovery Time

After breast augmentation surgery, a recovery period of one to two weeks is generally required, with follow - up visits to the surgeon. It's normal to experience swelling and discomfort in the first few days, which should gradually subside. Most patients can resume non - strenuous activities within a week and return to work within a few days if their job is not physically demanding. Strenuous physical activity should be avoided for at least four to six weeks to allow for proper healing.

Aftercare Instructions

• Medication: Take prescribed medications as directed to alleviate pain and prevent infection.
• Compression Garment: Wear a compression garment to support the breasts and reduce swelling.
• Healthy Lifestyle: Maintain a healthy diet and get enough rest to aid in the recovery process.
• Follow - up Appointments: Attend all scheduled follow - up appointments with your surgeon to ensure proper healing and address any concerns.

Conclusion

Breast augmentation with prosthetics can be a life - changing procedure for many women in New York City. However, it's important to approach the decision with careful consideration. Understanding the procedure, risks, costs, and choosing the right surgeon are crucial steps. By weighing all the factors and doing thorough research, you can make an informed decision that is right for you. If you're considering breast augmentation, take