Introduction
Silicone breast augmentation has become a popular choice for women in New York City who wish to enhance the size and shape of their breasts. The question of whether plastic hospitals in the city have good techniques for this procedure is a valid one, especially considering the high - stakes nature of cosmetic surgery. In this article, we will explore the techniques used by plastic hospitals in New York City for silicone breast augmentation, examining the procedures, technologies, and expertise involved.
Overview of Silicone Breast Augmentation
Silicone breast augmentation is a surgical procedure designed to increase the volume and improve the shape of a woman's breasts using silicone - filled implants. This type of augmentation is sought after for various reasons, including enhancing body contour, correcting breast asymmetry, and restoring breast volume lost due to pregnancy, weight loss, or aging.
Benefits of Silicone Breast Implants
- Natural Look and Feel: Silicone implants are known for their ability to mimic the natural look and feel of breast tissue. As reported by Rapaport Plastic Surgery, approximately 70% of their patients choose silicone implants for this reason. Dr. Rapaport states that silicone implants are softer than saline implants, allowing for more natural movement.
- Low Risk of Rupture: Compared to saline implants, silicone implants are much less likely to rupture. According to the FDA, ruptured silicone implants are not associated with breast cancer or other diseases. However, removing a ruptured silicone implant may require a more complicated surgery.
- Variety of Options: Silicone implants come in different shapes (round or anatomical), textures (smooth or textured), and sizes, allowing patients to achieve their desired aesthetic results.
Techniques in New York City Plastic Hospitals
Consultation and Patient Assessment
One of the first steps in silicone breast augmentation is a thorough consultation with a plastic surgeon. At Mount Sinai, plastic surgeons take the time to understand the patient's desires for enhancing their breast size. They use the latest 3D imaging technology to help patients visualize how their larger breasts will look on their unique body. This allows patients to virtually try on different sizes of breasts and make more informed decisions.
Dr. John E. Sherman also emphasizes the importance of the consultation. He reviews the patient's medical history, examines the breasts, and takes measurements. This information helps him develop an individualized approach and determine the best implant options for the patient.
Implant Selection
When it comes to implant selection, New York City plastic surgeons offer a range of options. There are different types of silicone implants, including cohesive silicone gel implants (also known as gummy bear implants). These implants are popular because they provide a natural and proportionate breast shape and feel. Dr. Sherman worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants, which are FDA - approved and have an anatomically shaped silhouette.
Surgeons also consider the patient's body type, breast tissue, and aesthetic goals when recommending implants. For example, thin women with little breast tissue may be advised to choose silicone implants over saline implants because they are less likely to show rippling. At Rapaport Plastic Surgery, Dr. Rapaport prefers to use smooth implants as he believes they are safer and longer - lasting.
Incision Techniques
There are several incision techniques available for silicone breast augmentation in New York City hospitals. These include:
- Inframammary Incision: This incision is made in the breast fold, where the bottom of the breast meets the chest. It provides direct access to the breast pocket and is often used for both silicone and saline implants. However, it may leave a visible scar in some cases.
- Transaxillary Incision: The incision is placed in the armpit. Many patients prefer this option as it removes all scarring from the breast. Top New York City plastic surgeon Dr. Rapaport uses an endoscope to perform this scarless breast augmentation procedure, which allows for precise muscle division and implant positioning.
- Periareolar Incision: This incision is made in a “U” shape on the bottom half of the areola. It offers a hidden scar location but may be associated with a higher risk of nipple - related complications.
Implant Placement
Implants can be placed either under the breast tissue (subglandular) or under the pectoral muscle (submuscular). Submuscular placement has several advantages, including reduced risk of capsular contracture and less interference with mammogram examinations. However, it may also cause more pain in the first few days following surgery and may require drainage tubes. Dr. Monasebian at Park Avenue Plastic Surgery discusses with patients which option may be best for them based on their anatomy, age, and vocation.
Technological Advancements in New York City Plastic Hospitals
3D Imaging Technology
As mentioned earlier, 3D imaging technology is widely used in New York City plastic hospitals. At Mount Sinai, it helps patients visualize the potential results of their breast augmentation. Similarly, New York Group for Plastic Surgery utilizes Vectra XT 3D - imaging, a high - resolution imaging technology that processes images of the patient's figure. It considers factors like exact measurements, skin texture, and volumetric analysis to provide a 3D simulation of the breast augmentation results. This technology takes the guesswork out of the procedure and allows patients to make more confident decisions.
Advanced Anesthesia Techniques
Breast augmentation can be performed with general anesthesia or IV sedation (twilight anesthesia). In New York City hospitals, board - certified anesthesiologists are responsible for administering and monitoring the anesthesia. They ensure the patient's safety and comfort throughout the procedure.
Expertise of New York City Plastic Surgeons
Plastic surgeons in New York City are highly trained and experienced in silicone breast augmentation. Many of them have received training from globally acclaimed medical leaders and experts.
Dr. Jordan Jacobs at New York Group for Plastic Surgery has an impressive academic background, including training at Jefferson Medical College in Philadelphia, residency in reconstruction at NYU, and fellowship training in craniofacial surgery at NYU. He has also been recently awarded as a top doctor as featured in New York Magazine.
Dr. Monasebian at Park Avenue Plastic Surgery is an expert in his field and has a reputation for providing a calming experience throughout the entire breast augmentation process. His patients often praise his skills and the natural - looking results he achieves.
Patient Experience and Satisfaction
Patient experience and satisfaction are important indicators of the quality of silicone breast augmentation techniques in New York City plastic hospitals. Many patients who have undergone the procedure report high levels of satisfaction.
At Millennial Plastic Surgery, patients who have had silicone breast implant surgery have been delighted with the results. The hospital has a proven track record and years of experience in performing this type of surgery.
However, it's important to note that every patient's experience is unique, and results may vary. Plastic surgeons in New York City strive to manage patient expectations by providing clear information about the procedure, potential risks, and expected outcomes.
Possible Complications and How New York City Surgeons Address Them
Capsular Contracture
Capsular contracture occurs when the capsule around the implant contracts and squeezes the implant. This can result in breasts that appear round and high and may feel very hard to touch. Dr. Rapaport at Rapaport Plastic Surgery takes every precaution to minimize this risk. He advises patients not to engage in aerobic activity for ten days following surgery to minimize the risk of small bleeding, as blood around the implant can lead to capsular contracture. He also uses the “no touch” technique for augmentation whenever possible and uses a Keller funnel to insert the implant without touching the surgeon's glove or the patient's skin.
Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
Although the risk is small, women with breast implants may have an increased risk of developing BIA - ALCL. New York City plastic surgeons stay informed about the latest research on this topic and discuss the potential risks with their patients. Research shows that it is more commonly associated with textured implants and patients who develop a seroma. There have been very few cases associated with smooth implants.
Breast Implant Illness (BII)
Breast implant illness is a term used to refer to a broad variety of symptoms that women report after having implants placed. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated. Plastic surgeons in New York City discuss this possibility with patients and provide information about ongoing research.
Cost and Insurance Considerations
The cost of silicone breast augmentation in New York City varies depending on several factors, including the surgeon's experience, the type of implant used, the complexity of the procedure, and the location of the hospital. At New York Group for Plastic Surgery, the price is determined based on the patient's unique anatomy and aesthetic goals. Eligible patients may have several options for financing their procedure.
Cosmetic breast augmentation is not typically covered by healthcare insurance. However, some providers will cover or partially cover breast augmentation with implants when performed as part of breast reconstruction following mastectomy or qualifying injury. Patients are advised to review their insurance policy coverage before scheduling their breast augmentation.
Conclusion
In conclusion, plastic hospitals in New York City generally have good techniques for silicone breast augmentation. The combination of advanced technologies, experienced plastic surgeons, and a focus on patient care contribute to positive outcomes for many patients. Surgeons use a variety of techniques for implant selection, incision placement, and implant positioning, tailored to each patient's unique needs. They also stay informed about the latest research on potential complications and take steps to minimize risks.
If you are considering silicone breast augmentation in New York City, it is recommended that you schedule a consultation with a board - certified plastic surgeon. During the consultation, you can discuss your goals, ask questions, and get a better understanding of the procedure. You can also view before - and - after photos of previous patients to see the surgeon's work. Don't hesitate to reach out to multiple surgeons to compare their approaches and make an informed decision about your breast augmentation journey.
