Introduction
Breast augmentation is a highly sought - after cosmetic procedure, especially in New York City. Women across the world come to the city to find the best doctors and facilities for dual - plane breast augmentation with prostheses. This article will highlight the top three hospitals in New York City for this procedure, providing in - depth information about their services, doctors, and unique features.
What is Dual - plane Breast Augmentation with Prostheses?
Dual - plane breast augmentation with prostheses is a surgical technique where the breast implant is placed in a position that combines aspects of both submuscular and subglandular placements. In this method, the implant is initially placed under the pectoralis major muscle, similar to submuscular placement. Then, the interface between the breast gland and the muscle is freed up so that the implant can slide, and it contacts the bottom part of the breast gland. This hinge - like action gives a small lift to the breasts, enhancing their appearance. There are three variations of this technique, depending on how much of the interface is vertically freed up, and the choice of variation depends on the desired lift.
According to data from the American Society of Plastic Surgeons (ASPS), breast augmentation is one of the most popular cosmetic surgeries in the United States, with over 300,000 procedures performed per year. Dual - plane augmentation is becoming increasingly popular due to its ability to provide more natural - looking results and a lift to the breasts without the need for a full breast lift (mastopexy) in some cases.
Top Three Hospitals for Dual - plane Breast Augmentation with Prostheses in New York City
1. Zuckerman Plastic Surgery
Doctor Information
Dr. Zuckerman is a leading expert in breast augmentation in New York City. He trained at elite institutions such as Brown University and NYU. With years of experience, he has gained valuable insights from breast augmentation patients and understands the importance of a woman's feelings about her breasts to her self - confidence and femininity.
Services Offered
Dr. Zuckerman offers a comprehensive approach to breast augmentation. He helps patients make decisions regarding implant type, size, incision location, and corrective action for breast asymmetry. He performs all three commonly used breast augmentation techniques: periareolar incision, inframammary incision, and transaxillary incision. The inframammary incision is the most common one he employs as it gives the best control of the breast pocket, which is crucial for the aesthetic result.
For implant placement, he offers submuscular, subglandular, and dual - plane placements. In dual - plane placement, he carefully decides on the variation based on the patient's desired lift. Dr. Zuckerman also uses a “no - touch” technique involving a specially coated plastic sleeve called the Keller funnel to maximize sterility during implant placement. He takes extra measures like irrigating the breast pocket with antibiotics and changing surgical gloves to minimize the risk of capsular contracture, a potential complication of breast augmentation.
Recovery and Aftercare
Dr. Zuckerman uses techniques to minimize swelling and downtime after surgery, offering what is often informally called “rapid recovery” breast augmentation. He employs Exparel®, a long - acting analgesic, which gradually releases medication to a particular region for up to three days, minimizing postoperative pain and discomfort. Some patients are able to recover without any narcotic pain medication. He also offers a comprehensive postoperative scar care regimen for up to one year after surgery to optimize the appearance of the scars.
Patient Testimonials
Many patients have reported high satisfaction with Dr. Zuckerman's services. They appreciate his personalized approach, attention to detail, and the natural - looking results they achieve. For example, some patients who were concerned about breast asymmetry after pregnancy were able to achieve a more symmetrical and beautiful bustline with his help.
2. Dr. Adam Kolker's Practice
Doctor Information
Dr. Adam Kolker is a double - board - certified, Harvard - trained plastic surgeon with a clinical focus on aesthetic breast surgery. He is also a lifelong studio artist, which gives him a unique perspective on the art of breast augmentation. He believes that beautiful always supersedes bigger, and the goal is to achieve a gorgeous, natural, and proportional outcome.
Services Offered
Dr. Kolker offers breast augmentation for a wide array of breast size and shape concerns, including developmental breast hypoplasia, breast deflation following pregnancy or weight loss, and breast asymmetries. He carefully considers four primary components when planning breast augmentation: the type of implant, access incisions, implant position and placement, and implant style, profile, and sizing.
For dual - plane augmentation, he utilizes a form of submuscular augmentation that allows for maximal coverage of the upper pole of the implant by muscle and direct effacement of the lower breast gland. This is employed when there is minor lower pole soft tissue excess or mild droop (ptosis) of the breast. He uniformly uses a submuscular pocket plane and is experienced in determining the appropriate variation of the dual - plane technique for each patient.
He uses a Keller funnel for every breast augmentation to minimize incision length and gently introduce silicone gel implants with a minimal or “no - touch” technique. When it comes to implant selection, he offers silicone gel and saline implants, explaining the pros and cons of each to the patient based on their body type and desired outcome.
Recovery and Aftercare
Patients are expected to recover in a private recovery room with a licensed registered nurse. Dr. Kolker recommends returning to work or studies after seven days for less physically demanding occupations, while some can return as early as 4 to 5 days post - op. He provides detailed instructions on wearing post - surgical bras, performing implant displacement exercises, and resuming normal activities such as exercise. Light exercise (cardio without impact) may be resumed at five to seven days, and more vigorous physical activity may commence three weeks after surgery. Standard follow - up visits are at one week, six weeks, and 12 months.
Patient Testimonials
Patients praise Dr. Kolker for his exceptional finesse, technical skill, and warm bedside manner. Many have shared how their self - esteem has been boosted after their breast augmentation procedures with him. For instance, patients who had struggled with underdeveloped breasts for years finally felt confident in their bodies after his surgery.
3. Mount Sinai - New York
Doctor Information
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They are well - trained and keep up with the latest advancements in the field to provide the best possible care for their patients.
Services Offered
The hospital offers several options for breast augmentation. In addition to traditional breast implants (silicone and saline), they also offer a new fat transfer technique called NaturalFill®. For dual - plane breast augmentation with prostheses, their surgeons carefully assess each patient's anatomy and goals. They use the latest technologies, such as advanced 3D imaging technology, to help patients visualize how their larger breasts will look on their unique bodies. This technology allows patients to virtually try on different sizes of breasts before making a decision.
When it comes to implant selection, they advise patients based on their body type and desired outcome. Silicone breast implants look and feel natural in the breasts, while saline breast implants are firmer and rounder. The surgeons are also skilled in determining the appropriate dual - plane placement and variation for each patient to achieve the best results.
Recovery and Aftercare
Mount Sinai's team provides comprehensive post - operative care. They will closely monitor the patient's recovery process and provide instructions on activities to avoid during the recovery period. The results of breast augmentation are expected to last for years, but the hospital also provides information on potential changes over time, such as due to pregnancy, nursing, or weight gain or loss. If needed, they can recommend further procedures like a breast lift or implant replacement.
Patient Testimonials
Patients at Mount Sinai appreciate the personalized attention they receive from the surgical team. They feel well - informed throughout the process and are satisfied with the natural - looking results of their breast augmentation. Some patients who had concerns about the safety and quality of the procedure were reassured by the hospital's high - standard care and experienced surgeons.
Comparing the Three Hospitals
| Hospital | Doctor Specialties | Unique Services | Recovery Focus | Patient Testimonials Highlights |
|---|---|---|---|---|
| Zuckerman Plastic Surgery | Dr. Zuckerman is trained at elite institutions and has in - depth patient insights. Specialized in all types of breast augmentation techniques and placements. | “No - touch” technique for implant placement, long - acting pain management with Exparel®, comprehensive postoperative scar care regimen. | “Rapid recovery” approach with minimized swelling and downtime. | High satisfaction with personalized approach and natural - looking results, especially for correcting breast asymmetry. |
| Dr. Adam Kolker's Practice | Double - board - certified, Harvard - trained with an artistic perspective on breast augmentation. | Thorough consideration of four primary components in breast augmentation planning, consistent use of Keller funnel. | Detailed recovery instructions and a clear timeline for resuming activities. | Praise for exceptional finesse, technical skill, and warm bedside manner, leading to boosted self - esteem. |
| Mount Sinai - New York | Experienced plastic surgeons with a wide range of surgical skills. | Advanced 3D imaging technology for patient visualization, offer of NaturalFill® fat transfer technique. | Comprehensive post - operative care and long - term result monitoring. | Appreciation for personalized attention, high - standard care, and natural - looking results. |
Important Considerations for Dual - plane Breast Augmentation with Prostheses
Candidacy
Good candidates for dual - plane breast augmentation with prostheses are typically women who desire a more shapely bustline, larger breasts, and appealing decolletage. This procedure can also address changes in breast shape or size after pregnancy, breastfeeding, or surgery. It is a common method of reconstruction after surgical breast cancer treatment. Adult patients of most ages and weights are eligible, but the minimum age for saline implants is 18 and for silicone is 22. Patients must be in good overall health and able to obtain medical clearance to undergo general anesthesia. It is also important for patients to have realistic expectations about the results of the surgery.
Implant Selection
There are two main types of breast implants: silicone and saline. Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are known for their natural appearance and softness, making them a popular choice for many women. Saline implants are filled with sterile salt water and can be adjusted for size during surgery. They are often preferred for their flexibility in size and the fact that any leaks are safely absorbed by the body. Additionally, there are gummy bear implants, which are a type of silicone implant filled with a thicker gel that maintains its shape even if the implant shell is broken, providing a natural look and feel with less risk of rippling.
The choice of implant depends on several factors, including the patient's body type, desired outcome, and personal preferences. Doctors will also consider the patient's breast tissue volume, chest wall shape, and skin elasticity when recommending an implant.
Incision Location
There are three common incision locations for breast augmentation: periareolar incision, inframammary incision, and transaxillary incision. Each has its own advantages and disadvantages.
- Periareolar incision: Made along the border of the more darkly pigmented tissue of the areola, it is well - concealed. However, it involves cutting through breast tissue, which is associated with a higher risk of breastfeeding difficulties or changes in breast or nipple sensation, although these complications are rare.
- Inframammary incision: Concealed in the fold beneath the breast, it is the most commonly used incision site. It gives the surgeon good control of the breast pocket and is associated with less breastfeeding difficulties than the periareolar incision site.
- Transaxillary incision: Hidden in a fold of the armpit, this approach is more difficult as it involves either a probe fitted with a miniature camera or blind dissection. It allows the surgeon less control of the implant during insertion.
Risks and Complications
Although breast augmentation is generally considered a safe procedure, there are some risks and potential complications. These may include implant rupture or leakage (more common with saline implants), visible wrinkling or rippling (more common with saline implants), asymmetry, scarring, pain, infection at the incision site, and capsular contracture (hardening of the fibrous tissue in the breast pocket). Some less common complications include breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) and breast implant illness (BII), which are still being studied.
Surgeons take various precautions to minimize these risks, such as using sterile techniques during surgery, prescribing antibiotics, and providing detailed post - operative care instructions. Patients should also carefully follow these instructions to ensure a smooth recovery and reduce the risk of complications.
Conclusion
New York City offers some of the best hospitals and doctors for dual - plane breast augmentation with prostheses. Zuckerman Plastic Surgery, Dr. Adam Kolker's Practice, and Mount Sinai - New York are three top - tier institutions that provide high - quality services, experienced doctors, and personalized care. Each hospital has its own unique features and advantages, whether it's a specialized technique, advanced technology, or a comprehensive aftercare program.
If you are considering dual - plane breast augmentation with prostheses, it is crucial to do thorough research, consult with multiple doctors, and have realistic expectations. By choosing one of these top hospitals in New York City, you can increase your chances of achieving the desired results and a safe and satisfying surgical experience.
Take the first step towards enhancing your appearance and boosting your self - confidence. Reach out to one of these hospitals today to schedule a consultation and learn more about how dual - plane breast augmentation with prostheses can transform your life.
