Introduction
Prosthetic breast augmentation is a popular cosmetic procedure that has helped numerous women achieve their desired breast size and shape. In New York City, there are several institutions offering 4000cc prosthetic breast augmentation. This article aims to evaluate five selected institutions in the city, taking into account various factors such as the types of implants offered, the expertise of the surgeons, patient satisfaction, and the overall patient experience. Before delving into the evaluation, it's essential to understand the significance of breast augmentation and the different aspects that contribute to a successful procedure.
According to the American Society of Plastic Surgeons, breast augmentation has been one of the most commonly performed cosmetic surgeries in the United States for many years. The desire for fuller, shapelier breasts is widespread, and advancements in technology have made it possible to achieve more natural - looking results. When considering 4000cc prosthetic breast augmentation, patients need to choose an institution that can provide safe, effective, and personalized care.
General Information about Breast Augmentation
Types of Implants
There are mainly two types of breast implants: silicone and saline. Silicone implants are filled with silicone gel and are known for their natural feel. As per research, they more closely mimic the texture of natural breast tissue. Saline implants, on the other hand, are filled with sterile saline (saltwater). If a saline implant ruptures, the saline is harmlessly absorbed by the body. Each type has its own advantages and disadvantages, and the choice depends on factors such as the patient's age, body type, and aesthetic goals.
Some institutions also offer other options like fat transfer. Mount Sinai offers a new way to augment breasts using a fat transfer technique - known as NaturalFill®, which involves removing fat from the patient's buttocks or abdomen with liposuction and inserting it into the breasts. This option can provide a more natural - looking and - feeling result and has the added benefit of body contouring.
| Implant Type | Advantages | Disadvantages |
|---|---|---|
| Silicone | Natural feel, longer - lasting, less visible rippling | May require MRI surveillance, higher cost, if rupture occurs, it may not be immediately obvious |
| Saline | Smaller incisions possible, rupture is easily detectable as the saline is absorbed, lower cost | May have more visible rippling, firmer feel compared to silicone |
| Fat Transfer | More natural - looking and - feeling, body contouring | Some fat may be reabsorbed, limited volume increase, multiple sessions may be required |
Implant Sizes and Shapes
Implant sizes are measured in cubic centimeters (cc), and for a 4000cc prosthetic breast augmentation, it represents a significant increase in breast volume. Implant shapes include round and anatomical (teardrop - shaped). Round implants offer more fullness at the top of the breast and can create a more youthful appearance. Anatomical implants are designed to mimic the natural slope of the breast and are often preferred for a more subtle and natural look. The choice of shape also depends on the patient's body type and personal preferences.
Implant Placement and Incisions
Implants can be placed either submuscular (under the pectoral muscles) or subglandular (above the pectoral muscles). Submuscular placement may reduce the risk of capsular contracture and is often recommended for patients with less natural breast tissue. Incision options include inframammary (under the breast), periareolar (around the areola), transaxillary (under the armpit), and transumbilical (through the belly button). Each incision has its own advantages and disadvantages in terms of scarring, visibility, and access to the implant pocket.
Evaluation of the Five Selected Institutions
1. Dr. Rapaport's Practice
Dr. Rapaport is one of only 250 doctors nationwide offering the Ideal Implant. This implant is an FDA - approved, saline - filled dual - chamber device. It has several advantages, including low rates of capsular contracture and other complications, low rates of rupture, and the ability to detect malfunctions by simply looking in the mirror, eliminating the need for MRIs to diagnose rupture.
Dr. Rapaport, trained at Harvard and New York University, has over 25 years of experience in the field. He performs procedures on - site at his fully accredited office surgical suite on Fifth Avenue in Manhattan. For breast augmentation, he can use an endoscope underarm approach, which leaves the patient without any breast scar. His consultation process is thorough, involving a detailed examination of the patient's breasts, recording of medical history, and evaluation of the patient's goals. He also uses an advanced 3D imaging system to project the expected results and provides patients with actual implants to hold and feel.
Patient satisfaction is likely to be high due to the unique implant option, the doctor's experience, and the personalized consultation process. However, the limited availability of the Ideal Implant may be a drawback for some patients. The cost of the procedure may also be relatively high considering the specialized implant and the doctor's expertise.
2. Dr. John E. Sherman's Practice
Dr. Sherman is an experienced and acclaimed plastic surgeon. He has worked closely with Allergan and was a select investigator during the development of the Natrelle 410 cohesive gel breast implants. These FDA - approved devices feature an anatomically shaped silhouette and are popular for augmentation and breast reconstruction.
He provides patients with a wide range of choices when it comes to breast implants, including considering the material (silicone or saline), shape (round or anatomical), size, and texture. During the consultation, he reviews the patient's medical history, examines the breasts, and discusses the patient's aesthetic goals in detail. He then devises a personalized treatment plan.
The procedure is performed at an accredited surgical facility or a nearby hospital. After surgery, patients are provided with detailed instructions for recovery. The hospital - based options may provide a higher level of safety and access to additional resources in case of complications. However, the variety of choices may be overwhelming for some patients, and the process of deciding on the best implant may take more time.
3. Dr. Darrick Antell's Practice
Dr. Antell is a renowned breast augmentation surgeon in New York City. He has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He addresses common complications like capsular contracture and has techniques to prevent them, such as using an acellular dermal matrix (ADM).
He offers both saline and silicone implants and tailors each breast augmentation to achieve the patient's desired look. His breast augmentation procedure has many benefits, including enhanced confidence, improved proportions, customized volume and shape, and corrected asymmetry. He has privileges in numerous hospitals throughout New York City, and most patients prefer for the procedure to take place in his discreet, private operating room located near Lenox Hill Hospital.
Dr. Antell's reputation and extensive experience are significant advantages. His ability to address complications and provide personalized care is likely to result in high patient satisfaction. However, due to his high demand, patients may face longer waiting times for a consultation or the procedure.
4. Mount Sinai
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies, such as advanced 3D imaging technology, to help patients visualize how their larger breasts will look before the surgery. This technology allows patients to virtually try on different sizes of breasts on a computer monitor, which can aid in the decision - making process.
They offer two types of implants (silicone and saline) and a non - implant option using fat transfer (NaturalFill®). The doctors consult with patients, listen to their desires for breast size enhancement, and help them decide on the best option for their body. They also perform a physical exam and ask health - related questions to confirm the patient's suitability for the procedure.
The use of advanced technology and the variety of options are major strengths of Mount Sinai. The fat transfer option can be particularly appealing to patients who want a more natural approach. However, the hospital environment may be more crowded and less personalized compared to a private practice.
5. Dr. David L. Cangello's Practice
Dr. Cangello is a board - certified plastic surgeon known for his artistic approach to breast surgery. He offers personalized treatment plans to meet the patient's aesthetic goals, whether it's a subtle look or bold cosmetic enhancements. He has experience in a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer.
During the consultation, he addresses the patient's questions and concerns, determines the patient's suitability based on medical history and current health, and works with the patient to develop a treatment plan. He has a state - of - the - art, fully accredited operating room at his NYC office, and for patients who prefer a hospital setting, he has operating privileges at the Manhattan Eye, Ear, and Throat Hospital.
Dr. Cangello's artistic touch and personalized approach are likely to attract patients looking for unique and natural - looking results. The option of having the surgery in either an office or a hospital setting provides flexibility. However, his specialized services may come at a higher cost.
Comparative Analysis of the Institutions
Expertise of Surgeons
All five institutions have highly qualified surgeons. Dr. Rapaport has unique expertise in offering the Ideal Implant, while Dr. Sherman has experience with developing specific cohesive gel implants. Dr. Antell's vast experience in performing breast augmentations and his ability to address complications set him apart. The plastic surgeons at Mount Sinai have extensive training and use advanced technologies. Dr. Cangello's artistic approach and wide range of breast surgery services are also notable. In terms of overall surgical expertise, patients can expect high - quality care from any of these institutions.
Implant Options
Dr. Rapaport's Ideal Implant is a distinct option. Dr. Sherman offers a variety of implants, including the Natrelle 410. Dr. Antell provides both saline and silicone implants. Mount Sinai offers silicone, saline, and the fat transfer option. Dr. Cangello also uses both silicone and saline and has experience with fat grafting. Mount Sinai and Dr. Cangello stand out for the additional fat transfer option, which may be appealing to patients seeking a more natural approach.
Patient Experience
Dr. Rapaport's personalized consultation process with the 3D imaging system and the opportunity to hold actual implants provides a unique patient experience. Dr. Sherman's detailed review of implant options and personalized treatment plans contribute to a good patient experience. Dr. Antell's private operating room and high - level of patient care are positive factors. Mount Sinai's use of advanced technology for visualization and its comprehensive evaluation of patients are beneficial. Dr. Cangello's warm and welcoming office environment and his artistic approach can enhance the patient experience. However, each institution may have its own waiting times and facility - related characteristics that can affect the overall experience.
Cost
The cost of breast augmentation can vary among the institutions. Factors such as the type of implant, the surgeon's expertise, and the facility used can influence the cost. Specialized implants like the Ideal Implant or the Natrelle 410 may be more expensive. Private practice facilities may have different cost structures compared to hospital - based procedures. Patients should inquire about the total cost, including any additional fees for consultations, anesthesia, and post - operative care.
Factors to Consider When Choosing an Institution
Surgeon's Experience and Reputation
It's crucial to choose a surgeon with extensive experience in breast augmentation, especially in handling 4000cc prosthetic implants. Research the surgeon's background, training, and patient reviews. A surgeon with a good reputation is more likely to provide high - quality results and handle any complications that may arise.
Implant Options
Consider the types of implants offered and whether they meet your aesthetic goals and medical needs. If you prefer a more natural - looking and - feeling result, silicone implants or fat transfer may be suitable. Saline implants may be a better option if you are concerned about rupture detection or cost.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an insight into the patient experience at the institution. Look for feedback on the surgeon's communication, the quality of care during and after the procedure, and the overall satisfaction with the results.
Cost and Insurance
Understand the total cost of the procedure and whether your insurance will cover any part of it. In most cases, breast augmentation is considered a cosmetic procedure and is not covered by insurance. However, it's still important to clarify with your insurance provider and the institution.
Location and Facility
Consider the location of the institution and the quality of the facility. A convenient location can make it easier for follow - up appointments. A well - equipped and accredited facility is essential for a safe and successful procedure.
Conclusion
When considering 4000cc prosthetic breast augmentation in New York City, the five institutions evaluated - Dr. Rapaport's Practice, Dr. John E. Sherman's Practice, Dr. Darrick Antell's Practice, Mount Sinai, and Dr. David L. Cangello's Practice - each have their own strengths and weaknesses. These institutions offer a wide range of implant options, have experienced surgeons, and provide various levels of patient care and technology. The choice of institution ultimately depends on the patient's individual needs, preferences, and priorities.
If you are considering breast augmentation, it is recommended that you schedule consultations with multiple institutions. During these consultations, you can discuss your goals, ask questions, and get a better sense of the surgeon's approach and the overall patient experience. By carefully evaluating these factors, you can make an informed decision and choose the institution that is right for you. Remember, your safety and satisfaction are of the utmost importance, so take the time to do your research and choose wisely.
