Introduction

Breast augmentation is a highly sought - after cosmetic procedure, especially in a vibrant city like New York. Among the various techniques, breast augmentation through axillary incisions has gained popularity due to its advantage of hiding scars. In this article, we will explore the top 4 plastic institutions in New York City that excel in this procedure, providing a comprehensive guide for those considering enhancing their breasts.

Importance of Axillary Incision Breast Augmentation

The axillary incision technique offers several benefits. Firstly, it allows for a nearly scar - free appearance on the breast itself, which is a major concern for many women. By making the incision in the armpit area, the scar is well - hidden, enabling patients to enjoy the results of breast augmentation without the worry of visible marks on their breasts. Additionally, this method can provide a more natural - looking outcome, as the implant can be inserted with precision, following the body's natural contours.

Top 4 Plastic Institutions for Axillary Incision Breast Augmentation in NYC

Rapaport Plastic Surgery

Dr. David P. Rapaport at Rapaport Plastic Surgery is a world - recognized expert in breast augmentation and breast implant revision. With over 27 years of experience in underarm, endoscopic breast augmentation, he is a pioneer in endoscopic breast surgery.

Technique: Dr. Rapaport uses an endoscope to perform the scarless breast augmentation procedure. This advanced approach allows for precise division of the muscle under magnified endoscopic visualization, reducing the risk of implant malposition and enabling better control of bleeding. The use of an endoscope also ensures accurate implant positioning, contributing to a more natural - looking result.

Implants: He offers both saline and silicone implants. For axillary incision breast augmentation, saline implants are often used as they can be filled after insertion, making it possible to use a small incision under the arm. However, he also provides silicone implants for patients less concerned about scarring. Each type of implant has its own unique advantages, and Dr. Rapaport will work with patients to determine the best option based on their anatomy and aesthetic goals.

Recovery: Patients with non - physical jobs can typically return to work about five days after surgery. Pain medication is prescribed for the first two to three days. Strenuous activities, including aerobic exercise and sexual activity, are restricted for ten days, and full aerobic activity can be resumed after three weeks.

Patient Satisfaction: Many patients are drawn to Dr. Rapaport from around the world due to his expertise and the successful outcomes of his procedures. They often report increased confidence and satisfaction with their more feminine and fuller breasts.

Dr. Barry Weintraub

Dr. Barry Weintraub is a board - certified plastic surgeon, ivy league educated at the Weill - Cornell Medical Center, and a national spokesperson for the American Board of Plastic Surgery. He has over two decades of experience in the field.

Technique: Dr. Weintraub prefers the transaxillary subpectoral approach for breast augmentation. He makes a small incision in the armpit and places the implant behind the pectoralis major muscle. This approach has several advantages, such as no jeopardy to nipple sensation, no hindrance to future breastfeeding, and no visible scars near the breast. It also results in less pain, less post - operative downtime, and less swelling and bruising.

Implants: He uses implants from well - known companies in the United States, such as Allergan and Mentor, which offer both saline - filled and silicone - filled implants with a smooth silicone shell.

Patient - Centered Care: During the consultation, Dr. Weintraub takes the time to understand each patient's specific needs and desires. He provides a comfortable and inviting office environment and ensures that patients feel heard and their fears are allayed. He believes in the importance of building a trusting relationship with his patients.

Success Rate: Breast augmentation surgery in general has a high patient satisfaction rate of 98% according to industry statistics, and Dr. Weintraub's attention to detail and skill contribute to positive outcomes for his patients.

Dr. Adam Kolker

Dr. Adam Kolker is a double - board certified plastic surgeon in New York City. His education and training 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.

Breast Augmentation Approach: In breast augmentation, Dr. Kolker emphasizes the concept that "beautiful" should be more important than "size." He takes the time to establish each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results. He offers a variety of breast procedures, including breast augmentation through axillary incisions, and has extensive experience in handling different cases.

Patient Testimonials: Many patients have reported positive experiences with Dr. Kolker. They praise his artistic vision, skill, and attention to detail. For example, some patients have been extremely satisfied with how he corrected their asymmetrical breasts, giving them a new sense of confidence and self - esteem.

Industry Recognition: Dr. Kolker 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 in 2021 - 2024 by Newsweek. His numerous awards and media features are a testament to his high - level expertise in the field of plastic surgery.

Dr. Nadia Afridi

Dr. Nadia S. Afridi is a fellow of the Royal College of Surgeons in Canada, an associate fellow of the American College of Surgeons, and an active member of the American Society of Plastic Surgeons. She has a special interest in women's health issues as they relate to plastic surgery.

Procedure Considerations: When performing breast augmentation, Dr. Afridi takes four important considerations into account: the site of breast implant placement, the site of the incision to insert the breast implant, the type of implant (silicone or saline), and the size of the breast implant. For axillary incision breast augmentation, she carefully selects the appropriate techniques and implants to ensure the best results for her patients.

Patient - Friendly Services: Dr. Afridi is known for her professionalism and patient - centered care. She and her staff are very helpful and accommodating, treating patients like royalty. She is always ready to answer patients' calls post - operation, providing them with peace of mind during the recovery process.

Patient Outcomes: Patients who have undergone breast augmentation with Dr. Afridi often report being very satisfied with the results. The incisions are usually made in unnoticeable areas like the armpit, ensuring that any potential scars are well - hidden, and the overall appearance of the breasts is natural and in harmony with the body.

What to Consider When Choosing a Plastic Institution

Surgeon's Experience and Expertise

The experience and expertise of the surgeon are crucial factors. Surgeons with a long - standing reputation and extensive experience in axillary incision breast augmentation are more likely to perform the procedure with precision and achieve optimal results. They are better equipped to handle any potential complications that may arise during or after the surgery.

Implant Options

Different institutions may offer a variety of implant options, including saline and silicone implants. It is important to understand the characteristics of each type of implant, such as their feel, durability, and potential risks. A good plastic institution should be able to provide detailed information and help patients make an informed decision based on their individual needs and preferences.

Patient Reviews and Testimonials

Reading patient reviews and testimonials can give you an insight into the experiences of previous patients. Positive reviews often indicate high - quality care, satisfactory results, and a good patient - doctor relationship. However, it is also important to approach these reviews with a critical eye and look for common themes and patterns.

Cost and Payment Options

The cost of breast augmentation can vary depending on various factors, such as the type of procedure, the type of implants used, and the surgeon's fees. It is important to get a clear understanding of the total cost and any additional fees that may be involved. Some institutions may offer payment plans or financing options, which can make the procedure more accessible for patients.

Follow - up Care

Good follow - up care is essential for a successful recovery. A plastic institution should provide comprehensive post - operative care, including regular check - ups, monitoring of the implants, and addressing any concerns or complications that may arise during the recovery period.

Preparing for Axillary Incision Breast Augmentation

Consultation

During the consultation, the surgeon will conduct a physical examination, discuss your medical history, and understand your aesthetic goals. It is important to be honest and open about your expectations and any concerns you may have. The surgeon will also explain the procedure, including the risks, benefits, and expected recovery time.

Medical Clearance

You will need to obtain medical clearance from your family physician. This may involve a general physical examination, blood tests, and other relevant diagnostic tests to ensure that you are in good health and suitable for the surgery.

Pre - operative Instructions

The surgeon will provide you with pre - operative instructions, which may include avoiding certain medications, such as blood thinners, for a specified period before the surgery. You may also be advised to stop smoking and limit alcohol consumption to reduce the risk of complications.

Arrangements for Recovery

You will need to make arrangements for someone to accompany you to and from the surgery and to stay with you for the first night after the procedure. You should also prepare your home for your recovery, ensuring that you have a comfortable place to rest and easy access to essential items.

Recovery Process After Axillary Incision Breast Augmentation

Immediate Post - operative Period

After the surgery, you will be monitored in a recovery area until the anesthesia wears off. You may experience some pain, swelling, and bruising in the breast and armpit areas. The surgeon will prescribe pain medication to manage the discomfort.

Short - term Recovery

In the first few days after surgery, it is important to rest and limit your activities. You will need to wear a surgical bra or compression garment to support the breasts and reduce swelling. You should also follow the surgeon's instructions regarding wound care and taking any prescribed medications.

Long - term Recovery

Swelling and bruising will gradually subside over the next few weeks. You will need to avoid strenuous activities and heavy lifting for a period of time, as recommended by the surgeon. Most patients can return to work within a few days to a week, depending on the nature of their job. It may take several months for the breasts to fully settle into their final shape.

Follow - up Appointments

You will need to attend regular follow - up appointments with the surgeon to monitor your recovery. The surgeon will check the incisions, the position of the implants, and your overall healing progress. These appointments are also an opportunity for you to ask any questions or raise any concerns you may have.

Potential Risks and Complications

Infection

As with any surgical procedure, there is a risk of infection. The surgeon will take precautions to minimize this risk, such as using sterile techniques during the surgery and prescribing antibiotics if necessary. Signs of infection may include fever, redness, swelling, and pain at the incision site.

Implant Rupture or Leak

Although rare, implant rupture or leak can occur. This may be due to trauma, aging of the implant, or other factors. Saline implants will deflate if they rupture, while silicone implants may require an MRI to detect a leak. In the case of rupture or leak, the implant may need to be replaced.

Capsular Contracture

Capsular contracture is a condition where the body forms a thick scar tissue capsule around the implant, which can cause the breast to feel hard and look distorted. The surgeon will take steps to minimize the risk of capsular contracture, such as using proper surgical techniques and minimizing bleeding during the procedure.

Changes in Sensation

Some patients may experience changes in nipple or breast sensation after breast augmentation. This can be temporary or permanent. The risk of sensation changes is generally lower with the axillary incision technique, but it is still a potential complication.

Conclusion

Breast augmentation through axillary incisions is an excellent option for those seeking to enhance their breasts while minimizing visible scarring. The top 4 plastic institutions in New York City - Rapaport Plastic Surgery, Dr. Barry Weintraub, Dr. Adam Kolker, and Dr. Nadia Afridi - offer high - quality services, experienced surgeons, and a range of implant options. When considering breast augmentation, it is important to carefully research and choose the right institution based on factors such as surgeon expertise, patient reviews, and cost. Remember to have a thorough consultation with the surgeon, follow all pre - operative and post - operative instructions, and be aware of the potential risks and complications.

If you are interested in learning more about axillary incision breast augmentation or scheduling a consultation with one of these top plastic institutions, don't hesitate to take the next step. Contact the institution of your choice today to start your journey towards achieving the breast appearance you desire.