In the bustling metropolis of New York City, the pursuit of beauty and self - enhancement through autologous fat breast augmentation has gained significant popularity. This procedure offers a natural alternative to traditional breast implants, using the patient's own fat cells to enhance breast size and shape. Here, we will explore the top 5 hospitals in New York City for this innovative procedure.
Understanding Autologous Fat Breast Augmentation
Autologous fat breast augmentation, also known as fat transfer breast augmentation, is a surgical technique that involves removing excess fat from one area of the body, such as the abdomen, thighs, or buttocks, through liposuction. The harvested fat is then purified and re - injected into the breasts to increase their volume and improve their contour.
There are several benefits associated with this procedure:
- Natural Look and Feel: Since the fat used is from the patient's own body, the results look and feel more natural compared to traditional breast implants.
- Minimal Scarring: The incisions used for liposuction and fat injection are small, resulting in less visible scarring.
- Body Contouring: In addition to breast enhancement, the procedure also helps in reducing fat from unwanted areas of the body, providing a two - fold benefit of body sculpting.
However, it also has some limitations. For instance, the amount of breast size increase is limited compared to breast implants, and in some cases, multiple procedures may be required to achieve the desired results. Also, there is a possibility of fat reabsorption, which can lead to volume loss over time.
Top 5 Hospitals for Autologous Fat Breast Augmentation in New York City
1. Dr. Steven Wallach's Practice
Dr. Steven Wallach is a board - certified plastic surgeon with a wealth of experience in fat transfer breast augmentation. His practice is conveniently located to serve the areas of New York, NY.
Procedure Approach: Dr. Wallach follows a three - step process for fat transfer breast augmentation. First, he performs liposuction to harvest fat from a specific problem area, commonly around the abdomen like the love handles. A tiny incision is made at the donor site, and a thin, hollow tube (cannula) connected to a vacuum pump or syringe is used to suction out the excess fat. Second, the harvested fat is purified to remove any other bodily fluids. This can be done by spinning the collected fat in a centrifuge or allowing it to separate by gravity. Finally, the purified fat is injected into the breasts through multiple strategic injection sites to ensure even distribution and a natural - looking breast shape.
Patient Suitability: Women who want to augment their natural breast tissue by about a cup size without the use of breast implants, and who have realistic expectations for the procedure and recovery process, are good candidates. Ideal candidates should also be in overall good health, non - smokers, and have achieved a healthy, stable weight.
Patient Experience: Dr. Wallach's patients generally experience a relatively easier recovery compared to breast augmentation with implants. Most patients need two or three days of recovery before returning to work, and they may need to adjust their sleeping habits and wear a compression garment and surgical bra for faster and more comfortable healing.
Contact Information: To schedule a consultation with Dr. Wallach, patients can call (212) 861 - 6400 or fill out the contact form on his website.
2. Mount Sinai - New York
Mount Sinai - New York, under the direction of Hani Sbitany, MD, has special expertise in advanced autologous breast reconstruction techniques, including the DIEP (deep inferior epigastric perforator) flap breast reconstruction, which can also be relevant for autologous fat breast augmentation - related procedures.
Procedure Approach: In the DIEP flap microvascular reconstruction, a newer and more advanced approach, the surgeon removes a section of skin and fat from the lower abdominal roll and transfers it to the chest to rebuild the breast, while preserving all abdominal muscles. This not only helps in breast reconstruction but can also be adapted for fat transfer for breast augmentation. It offers the added benefit of a "tummy tuck" effect by tightening the remaining abdominal skin.
Patient Suitability: Patients who have had a mastectomy and are considering breast reconstruction using their own tissue are prime candidates for this approach. For fat transfer breast augmentation, patients should have sufficient fat tissue in the lower abdomen to meet their goals for breast size and shape. The procedure may not be appropriate for women who have previously had certain types of abdominal surgery.
Patient Experience: Compared to traditional autologous breast reconstruction methods that involve muscle transfer, the DIEP flap procedure generally results in less long - term loss of movement and strength. Recovery time and patient comfort can be better managed due to the muscle - sparing nature of the procedure.
Contact Information: To make an appointment, patients can call 212 - 523 - 8700.
3. Dr. Adam Kolker's Practice
Dr. Adam Kolker offers fat transfer breast augmentation as an alternative to traditional breast implants. His practice focuses on providing personalized solutions for patients in New York City.
Procedure Approach: Dr. Kolker performs simultaneous liposuction and fat grafting procedures. During the initial consultation, he assesses the patient's anatomic contour and areas of excess fat, such as the outer thighs, inner thighs, tummy, and lumbar region. Fat harvest is done using liposuction techniques through tiny needle access sites, and he aspirates the fat by hand to maximize fat graft "take". The harvested fat is then meticulously prepared and transferred through small needle sites to the breast. To promote a well - vascularized "scaffold" for the acceptance of fat grafts, Dr. Kolker often uses the Brava system, which is worn on the breasts for a designated time before surgery to expand the breasts.
Patient Suitability: Ideal candidates desire a small increase in breast size (approximately ¼ cup size) and have areas of fat excess. They should also have a body mass index (BMI) of below 25 kg/m², a normal mammogram, and no personal or family history of breast disease.
Patient Experience: Patients report high satisfaction with Dr. Kolker's services. Real - patient testimonials highlight his ability to correct asymmetrical breasts and achieve natural - looking results. Recovery from the procedure may involve some swelling and bruising, but Dr. Kolker provides clear post - operative instructions to ensure a smooth recovery.
Contact Information: For more information or to schedule a consultation, patients can visit his website or reach out to his office.
4. Dr. Barry Weintraub's Practice
Dr. Barry Weintraub is a top New York plastic surgeon, board - certified and Ivy League educated at the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery.
Procedure Approach: Dr. Weintraub offers autologous fat breast augmentation, and he also has expertise in other breast augmentation techniques. He prefers the transaxillary subpectoral approach for breast augmentation with implants, where a small incision is made in the armpit, and the implant is placed behind the pectoralis major muscle. In fat transfer procedures, he follows strict safety protocols and ensures the most sterile conditions in his New York City operating room.
Patient Suitability: The best candidates for breast augmentation, including fat transfer, are well - balanced, in good general health, and have realistic expectations. They should be highly motivated to make the change, able to pause their daily responsibilities for the procedure, and have the financial means for the elective cosmetic surgery.
Patient Experience: Dr. Weintraub's patients benefit from his calm and experienced approach. He provides comprehensive pre - op and post - op care, including detailed instructions on pain management and recovery. After the procedure, patients may experience a short period of minimal swelling and bruising, but Dr. Weintraub's advice on early showering and following the recovery plan helps in achieving the best results.
Contact Information: Patients can call Dr. Weintraub's office for a private consultation to discuss breast augmentation options.
5. Dr. Leonard Grossman's Practice
Dr. Leonard Grossman is one of the world's most experienced plastic surgeons in fat grafting to the breasts. He performed his first fat transfer procedure in 1993 and has since perfected the technique.
Procedure Approach: The procedure of fat transfer in breast augmentation at Dr. Grossman's practice consists of two main parts. First, fat is gently harvested from areas such as the saddle bags, inner thighs, knees, flanks, back, waistline, abdomen, and arms using a syringe or specialized vacuum pump and a small cannula. Second, the living fat cells, which have a high content of adult fat - derived cells, are washed, centrifuged, and chemically stabilized for transfer. They are then injected into the breasts scarlessly with a specially modified needle.
Patient Suitability: Good candidates must desire fuller, bigger, and shapelier breasts and have good, extra fat somewhere on the body for harvesting and transfer. They should also be of healthy body and mind.
Patient Experience: Dr. Grossman's patients experience minimal bruising and discomfort. Most patients can go to work the very next day, the gym in just 10 days, and can even swim in the open water after just one week. The breasts feel natural and pain - free almost right away, except for some swelling that goes down quickly. The procedure is normally done under twilight anesthesia, resulting in no postoperative nausea and an extremely quick recuperative period.
Contact Information: To schedule a consultation with Dr. Grossman, patients can call 212 - 585 - 2133.
Factors to Consider When Choosing a Hospital
When deciding on a hospital or surgeon for autologous fat breast augmentation, several factors should be taken into account:
- Surgeon's Qualifications and Experience: Look for a board - certified plastic surgeon with extensive experience in fat transfer breast augmentation. Check their training, certifications, and the number of procedures they have performed successfully.
- Hospital's Reputation: Research the hospital's reputation in the field of plastic surgery. Read patient reviews and testimonials to get an idea of the quality of care and results.
- Procedure Approach: Understand the surgeon's approach to the procedure, including how they harvest, process, and inject the fat. A more advanced and personalized approach can lead to better results.
- Patient Support and Aftercare: Consider the level of patient support provided before, during, and after the procedure. A good hospital will offer comprehensive pre - op and post - op care, including pain management, follow - up appointments, and advice on recovery.
- Cost: While cost should not be the only determining factor, it is important to understand the overall cost of the procedure, including any additional fees for anesthesia, facility use, and post - operative care. Compare the costs among different hospitals and surgeons, but also ensure that you are getting quality care.
Preparing for Autologous Fat Breast Augmentation
Proper preparation is key to a successful autologous fat breast augmentation procedure. Here are some steps you can take:
- Initial Consultation: Schedule an initial consultation with your chosen surgeon. During this consultation, express your concerns and goals for the procedure, and the surgeon will perform an examination of your problem areas and collect your medical history. They will also offer a recommended treatment plan and answer any questions you may have.
- Diet and Lifestyle: Follow a healthy diet and exercise regularly to maintain a stable weight. Avoid smoking and excessive alcohol consumption, as these can affect the healing process. Your surgeon may also provide specific guidelines regarding diet and lifestyle modifications in the weeks leading up to the procedure.
- Medical Clearance: Obtain medical clearance from your family physician. This may involve a physical examination, blood tests, and other diagnostic tests to ensure that you are in good health for the surgery.
- Arrange for Support: Arrange for someone to drive you to and from the surgical center on the day of the procedure, as you may still be drowsy after the anesthesia. You may also need assistance with daily activities during the initial recovery period.
Recovery Process
The recovery process after autologous fat breast augmentation can vary from patient to patient, but there are some general guidelines:
- Swelling and Bruising: Swelling and bruising are common after the procedure and will gradually subside over time. Your surgeon may recommend using a supportive bra or compression garment to help reduce swelling and provide support to the newly augmented breasts.
- Pain Management: Your surgeon may prescribe pain medication to manage any discomfort during the recovery period. It is important to take the medication as directed and report any significant pain or changes in symptoms to your surgeon.
- Activity Restrictions: Avoid strenuous activities, heavy lifting, and exercises that may strain the chest muscles during the initial recovery period. Follow your surgeon's instructions regarding activity restrictions to allow the healing process to take place undisturbed.
- Follow - up Appointments: Attend all scheduled follow - up appointments with your surgeon. These appointments allow the surgeon to monitor your progress, address any concerns or complications, and provide guidance for the next stages of your recovery.
Potential Risks and Complications
Like any surgical procedure, autologous fat breast augmentation carries some risks and potential complications:
| Risk/Complication | Description |
|---|---|
| Infection | There is a risk of infection following fat grafting breast procedures. Surgeons take precautions to minimize this risk, such as administering antibiotics and ensuring a sterile environment during the procedure. |
| Scarring | Scarring may occur at the incision sites where fat is harvested or injected. However, the incisions are typically small and well - hidden, resulting in minimal visible scarring. |
| Changes in Nipple Sensation | Some patients may experience temporary or permanent changes in nipple sensation after fat transfer breast augmentation, including increased sensitivity, decreased sensitivity, or numbness in the nipples. |
| Asymmetry | Achieving perfect symmetry is challenging in any breast augmentation procedure. There is a possibility of slight asymmetry in breast size and shape after fat grafting. |
| Need for Additional Procedures | In some cases, additional procedures may be required to achieve the desired results, such as touch - up procedures or revision surgery to address any issues or refine the outcome. |
Conclusion
Autologous fat breast augmentation is an exciting option for women in New York City who want to enhance their breasts in a natural way. The top 5 hospitals mentioned above offer high - quality services, experienced surgeons, and advanced techniques to ensure the best possible results. When considering this procedure, it is important to do your research, choose a qualified surgeon, and have realistic expectations. By following the pre - op and post - op instructions carefully, you can minimize the risks and enjoy the benefits of your new look.
If you are interested in autologous fat breast augmentation, we encourage you to schedule a consultation with one of the top surgeons in New York City. Discuss your goals and concerns, and take the first step towards achieving the beautiful breasts you have always wanted. Share this article with your friends and family who may also be interested in this procedure, and explore related topics on our website for more information.
