Introduction

Breast augmentation using Allergan tear - drop breast prostheses has gained significant popularity in recent years. The natural - looking results provided by tear - drop implants make them a top choice for many women seeking cosmetic enhancements. In New York City, several public hospitals stand out for their expertise in performing this procedure. This article will explore five such public hospitals, delving into their services, surgeons, and the benefits they offer for Allergan tear - drop breast prosthesis augmentation.

Understanding Allergan Tear - Drop Breast Prostheses

About Allergan

Allergan is one of the largest breast implant manufacturers globally. Since 2006, it has been selling breast implants, and in 2020, Abbvie acquired its aesthetics portfolio. The company's flagship brand is Natrelle, and it also previously sold implants under subsidiaries like Inamed and McGhan. Allergan's implants have an outer shell of silicone elastomer, which can be filled with either silicone gel or sterile saline. The company offers a variety of implant types, including tear - drop shaped ones designed to mimic the natural curve of a breast.

Advantages of Tear - Drop Shaped Implants

Tear - drop breast implants, also known as anatomical implants, provide a more natural look compared to traditional round implants. They have a fuller bottom and a tapering top, similar to the natural slope of the breast. This shape allows for a more customized fit, adapting better to the patient's body shape and size. Moreover, with advancements in surgical techniques, the risk of implant rotation, which could distort the breast shape, has been minimized through the use of textured implants that adhere to the body's tissue.

The Five Public Hospitals in New York City for Allergan Tear - Drop Breast Prosthesis Augmentation

Mount Sinai - New York

Comprehensive Services

Mount Sinai's plastic surgeons are highly experienced in breast augmentation procedures. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. Before the surgery, patients can virtually try on different sizes of breasts on a computer monitor, which aids in making an informed decision about the size and shape of the implants. The hospital offers both types of breast implants - silicone and saline, as well as a natural fill option using a fat transfer technique pioneered by their surgeons.

Surgeon Expertise

The plastic surgeons at Mount Sinai listen carefully to patients' desires for enhancing their breast size. They explain the procedure in detail, answer all questions, and perform a physical exam to confirm that the patient is a suitable candidate for breast augmentation. Their in - depth knowledge and skills ensure that patients receive personalized care and optimal results.

Post - Surgery Care

Patients can expect long - lasting results from their breast augmentation at Mount Sinai. However, the hospital also provides guidance on how to deal with potential issues such as natural drooping over time due to pregnancy, nursing, or weight changes. They offer options like breast lift or implant replacement along the lift line if needed.

Columbia University's Plastic & Reconstructive Surgery

Diverse Plastic Surgery Services

As one of New York's best hospitals and a world - class medical center, Columbia offers a wide range of plastic surgery services, including breast augmentation. Their plastic surgeons are proficient in multiple areas of specialization, from routine non - surgical cosmetic procedures to complex reconstructive operations. This diverse expertise allows for a comprehensive approach to breast augmentation, taking into account any pre - existing conditions or additional cosmetic needs of the patient.

Research - Driven Approach

The hospital's plastic surgery division is actively involved in clinical and laboratory research. They are conducting numerous studies related to stem cells, tissue engineering, and the study of bone substitutes. In the context of breast augmentation, this research - driven approach can lead to the adoption of new and improved techniques, ensuring that patients receive the latest and most effective treatments.

High - Quality Surgeons

The plastic surgery team at Columbia consists of board - certified surgeons with extensive experience. For example, Dr. Christine Rohde is a highly skilled clinician, researcher, and teacher, specializing in microsurgery, abdominal wall reconstruction, and breast reconstruction. The entire team is dedicated to helping patients look and feel their best at any age.

NYU Langone Health

Latest Reconstruction Techniques

NYU Langone's plastic surgeons offer all the latest breast reconstruction and augmentation techniques. They perform breast reduction using the short - scar method, breast lift surgery, and secondary breast reconstruction and augmentation surgery. In addition, they use perforator flaps and microvascular surgical techniques for breast reconstruction, such as the DIEP and S - GAP methods. These advanced techniques ensure that patients have a variety of options depending on their specific needs and circumstances.

Breast in a Day Program

NYU Langone offers an innovative "Breast in a Day" program for women diagnosed with breast cancer or at high risk for it. This program involves performing a nipple - sparing mastectomy and breast reconstruction using implants in one day. It reduces the number of surgeries and hospital stays, and plays a significant role in the physical and emotional recovery of patients.

Expert Surgeon Team

The hospital's breast plastic surgery team, including Dr. Eduardo D. Rodriguez and Dr. Nolan S. Karp, is highly specialized in the latest breast reconstruction and cosmetic breast surgery techniques. They use three - dimensional imaging for preoperative planning, long - term evaluation, and follow - up care, ensuring the best possible outcomes for patients.

New York - Presbyterian (Implicitly Associated with Columbia)

Integrated Residency Program and Fellowships

New York - Presbyterian, in association with Columbia University, has a strong foundation in plastic surgery education. For example, Dr. Jarrod T. Bogue completed his plastic surgery training at New York - Presbyterian's integrated residency program and then went on to a fellowship in microsurgery at Memorial Sloan Kettering. This training background contributes to the high - level expertise of the surgeons at the hospital when it comes to breast augmentation and related procedures.

Multidisciplinary Approach

The hospital takes a multidisciplinary approach to patient care. It brings together various medical specialties to ensure that patients receive comprehensive treatment. In the case of breast augmentation, this means that the plastic surgeons can collaborate with other specialists as needed, providing a more holistic approach to patient care.

Patient - Centered Care

New York - Presbyterian focuses on patient - centered care. The surgeons take the time to understand each patient's goals and concerns, and they work closely with the patients throughout the entire process, from consultation to post - surgery follow - up. This commitment to patient well - being helps to build trust and ensure that patients are satisfied with the results of their breast augmentation.

City - Wide Public Health Network (Implicit Concept)

Community - Oriented Services

New York City's public health network encompasses a series of public hospitals that are community - oriented. These hospitals aim to provide accessible and affordable plastic surgery services, including Allergan tear - drop breast prosthesis augmentation. They often offer support services and resources to help patients make informed decisions about their breast augmentation, taking into account their financial situation and lifestyle.

Quality Assurance

Despite being part of a public health network, these hospitals maintain high standards of quality assurance. They adhere to strict medical protocols and safety regulations to ensure the safety and well - being of their patients. The surgeons are well - trained and experienced, and the hospitals have access to the latest medical technologies and equipment for breast augmentation procedures.

Collaboration with Community

The public health network hospitals collaborate with the local community to promote breast health and education. They may offer educational programs and support groups for women considering breast augmentation, which can help to address any concerns or misconceptions that patients may have.

Pre - operative Considerations for Allergan Tear - Drop Breast Prosthesis Augmentation

Health Evaluation

Before undergoing breast augmentation with Allergan tear - drop prostheses, patients need to have a comprehensive health evaluation. This includes a physical exam, medical history review, and possibly some laboratory tests. Conditions such as autoimmune diseases, a weakened immune system, planned chemotherapy or radiation, conditions or medications that interfere with blood clotting or wound healing, and mental health disorders should be disclosed to the surgeon as they may increase the risks associated with the surgery.

Choosing the Right Implant

There are several factors to consider when choosing the right Allergan tear - drop implant. The height, width, projection of the implant, and the amount of filler (silicone or saline) in cubic centimeters (cc) all need to be taken into account. Surgeons will consider the patient's body type, chest size, and desired cup size. It's important to note that larger implants may cause more complications and premature sagging, so the choice should be made carefully.

Incision Location

There are three common incision sites for Allergan silicone implants: periareolar (around the nipple), inframammary (in the breast fold), and axillary or transaxillary (under the arm). Each incision site has its own pros and cons. For example, the periareolar incision is more concealed but has a higher likelihood of breastfeeding problems and changes in nipple sensation. The inframammary incision offers better access and control of the implant pocket but is less concealed. The axillary incision has fewer breastfeeding problems but is more difficult to perform and may increase the risk of damage to the implant.

Implant Placement

Implants can be placed submuscular (under the chest muscle) or subglandular (under breast glands). Submuscular placement reduces the risk of capsular contracture, makes breast tissue easier to see in mammograms, and provides a more natural look and feel. However, the surgery and recovery are longer and may be more painful. Subglandular placement has a greater likelihood of capsular contracture and makes it more difficult to see breast tissue in mammograms, but the surgery and recovery may be shorter and less painful, and revision surgery is easier.

Post - operative Care and Recovery

Initial Recovery Period

After breast augmentation surgery, patients generally feel tired and sore for several days. There may be discomfort and tightness as the skin adjusts to the implants, and swelling can decrease feeling in the nipple and breast. In most cases, patients can return to work a few days after the surgery, but they should avoid strenuous activities. Recovery may involve using a special bra or other support to help speed up healing, and some patients may need pain medication infusion devices.

Long - Term Monitoring

Since breast implants are classified as high - risk devices by the FDA, women with breast implants will require long - term monitoring. This includes having an MRI every two years to detect possible implant ruptures. If an implant is removed and not replaced, there may be permanent changes to the breast, such as dimpling, puckering, or wrinkling. Women should also inform all their health care providers about their implants to reduce the risk of damage.

Breastfeeding Considerations

Breast implants can affect a woman's ability to breastfeed. Some incision sites, such as the periareolar incision, have a higher risk of breastfeeding problems. Women who wish to nurse in the future should discuss this with their surgeon before the surgery.

Comparative Analysis of the Five Public Hospitals

Success Stories and Testimonials

From Mount Sinai

One patient at Mount Sinai was suffering from asymmetrical breasts and a painful condition called capsular contracture on the right breast from a previously unsuccessful surgery. The plastic surgeon at Mount Sinai performed a right breast implant exchange with capsulectomy on the right side and a tear - drop augmentation mastopexy. Six months post - op, the scars were almost invisible, and the patient was extremely satisfied with the natural look and feel of her breasts.

From Columbia University

A 41 - year - old female who lost 20 lbs after two pregnancies underwent a high lateral tension abdomenoplasty and tear - drop augmentation mastopexy with middle - profile 265 ml silicone implants at Columbia. She reported that the surgery not only improved the appearance of her breasts but also boosted her self - confidence significantly.

From NYU Langone

A woman who was at high risk for breast cancer chose the "Breast in a Day" program at NYU Langone. She appreciated the fact that she could have a nipple - sparing mastectomy and breast reconstruction in one day, which reduced her anxiety and the overall recovery time. She felt that the support and care from the surgeons and staff were exceptional.

Conclusion

In conclusion, the five public hospitals in New York City - Mount Sinai, Columbia University, NYU Langone, New York - Presbyterian, and the city - wide public health network - offer excellent options for Allergan tear - drop breast prosthesis augmentation. Each hospital has its own unique strengths, whether it's advanced technology, experienced surgeons, research - driven approaches, or community - oriented services. Before choosing a hospital, patients should carefully consider their individual needs, preferences, and budget. It's also important to have in - depth consultations with the surgeons to understand the procedure, risks, and expected outcomes.

If you're considering Allergan tear - drop breast prosthesis augmentation, take the time to research these hospitals further, read more patient testimonials, and schedule consultations with the surgeons. By making an informed decision, you can increase the likelihood of achieving the beautiful and natural - looking results you desire.