Introduction
Silicone prosthetic breast augmentation has long been a sought - after cosmetic procedure in New York City. Many women turn to this surgical option to enhance their body image, regain confidence after life events like pregnancy, or simply achieve the aesthetic they've always desired. With numerous plastic surgery practices in the city, it can be a daunting task to choose the right one. This article aims to provide a comprehensive overview of the high - popularity hospitals and surgeons for silicone prosthetic breast augmentation in New York City, along with in - depth information about the procedure itself.
Understanding Silicone Prosthetic Breast Augmentation
What is Silicone Prosthetic Breast Augmentation?
Silicone prosthetic breast augmentation is a surgical procedure that changes the size or shape of the breasts by inserting silicone implants. As described in the content from drmaman.com, breast augmentation is designed to increase breast volume, improve symmetry, and enhance the overall appearance of the breasts. The implants consist of a silicone shell filled with a cohesive silicone gel, which gives them a natural look and feel. For example, the gummy - bear implants are a type of highly cohesive silicone gel implant that retains its shape well and is popular among patients.
Advantages of Silicone Implants
- Natural Look and Feel: Silicone implants are known for closely mimicking the look and feel of natural breasts. As mentioned on drmaman.com, 99% of the patients at Maman Plastic Surgery choose smooth, round silicone implants because they look and feel more like natural breasts. Compared to saline implants, they tend to have a more natural slope and movement.
- Long - lasting Results: Silicone implants are designed to be durable and can last for a long time. While the fda suggests mri scans every few years to monitor the condition of the implant shell, they can remain in place for up to 25 years or more, as stated in the article from mamanplasticsurgery.
- Less Visible Rippling: One of the concerns with some breast implants is the visible rippling effect, especially in thin women. Silicone implants generally have a lower risk of showing ripples compared to saline implants, which makes them a more aesthetically appealing option for many patients, as noted on cangelloplasticsurgery.com.
High - Popularity Hospitals and Surgeons in New York City
Maman Plastic Surgery
Dr. Daniel Maman at Maman Plastic Surgery is a well - respected plastic surgeon in New York City. He is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. As detailed on drmaman.com, he offers a 90 - minute consultation that includes a thorough review of the patient's medical history, an in - depth physical assessment, and a comprehensive operative plan. The practice emphasizes personalized care throughout the entire process, from the consultation to the recovery phase. They also offer convenient NYC operating facilities and luxury recovery room options at NYC hotels, ensuring that patients have a comfortable and stress - free experience.
Dr. David L. Cangello - Cangello Plastic Surgery
Dr. David L. Cangello is an experienced board - certified plastic surgeon who offers personalized treatment plans for breast augmentation in NYC. As described on cangelloplasticsurgery.com, he has a high level of skill and an artistic approach to breast surgery, which has earned the trust of professional models from top agencies. His superior results are a combination of extensive experience, meticulous surgical techniques, and an eye for artistic detail. He offers a full range of cosmetic breast surgery options, including breast lift, breast revision, and natural augmentation with fat transfer. During the consultation, he addresses all the patient's questions and concerns and develops a treatment plan tailored to their aesthetic goals.
Dr. Kevin Tehrani - Aristocrat Plastic Surgery
Dr. Kevin Tehrani is the founder and director of Aristocrat Plastic Surgery. He is highly regarded for his expertise in breast augmentation, especially in using silicone implants. As mentioned on aristocratps.com, he performs various types of breast augmentation procedures, such as breast augmentation with silicone implants, transumbilical breast augmentation (tuba), and the use of anatomical and shaped implants. The practice offers a speedy recovery option using the injectable “exparel,” which can significantly reduce pain during the first 72 hours after surgery. They also provide the aspen rehabilitation treatment to aid in post - surgical recovery, including reducing bruising, swelling, and preventing capsular contraction.
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He has a deep understanding of breast implants, having worked closely with Allergan during the development of the natrelle 410 cohesive gel breast implants. As described on nyplasticsurg.com, he works closely with patients to develop an individualized approach for breast augmentation. He helps patients choose the right implant material, shape, size, and texture based on their body type and desired outcome. The recovery process is also well - managed, with detailed instructions provided to ensure optimal results.
Dr. Adam R. Kolker
Dr. Adam R. 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. As stated on drkolker.com, he is not only highly skilled in breast augmentation but also addresses all aspects of the body with his cosmetic surgery procedures. His combination of scientific and technical mastery with artistic creativity allows him to deliver beautiful, natural, and proportional results. He has received numerous accolades, including being featured in New York Magazine's best doctors issues and Newsweek's America's best plastic surgeons list.
Procedure Considerations
Implant Selection
Material
When it comes to breast augmentation, patients can choose between silicone and saline implants. As detailed in various sources, silicone implants are pre - filled with a cohesive silicone gel, while saline implants are filled with a salt - water solution after placement. Most patients prefer silicone implants for their natural look and feel, but saline implants have the advantage of a smaller incision size for insertion and easier detection of ruptures. The content from cangelloplasticsurgery.com also mentions that saline implants do not require long - term monitoring as they do not contain silicone, but in thin women, visible rippling at the implant edges may be seen.
Shape
Implants come in two main shapes: round and teardrop (anatomical). Round implants are the most common and provide more upper fullness. Teardrop implants are less common but are designed to mimic the natural slope of the breast. However, they have a higher risk of malpositioning. Dr. Maman and other surgeons emphasize a thorough evaluation and discussion of the patient's goals to determine the most suitable shape, as noted on drmaman.com.
Size
Choosing the right implant size is both an art and a science. Implant sizes are measured in cubic centimeters, not bra cup size. Surgeons take into account the patient's existing breast tissue, body frame, and desired outcome. As described on nyplasticsurg.com, the implant size that allows a patient to achieve their ideal breast size depends on these factors, and surgeons work closely with patients to make the best choice.
Incision Location
The incision location for breast augmentation is determined based on several factors, including the recommended implant type and size, the patient's anatomy, and concerns about preserving nipple sensation. Common incision locations include:
- Inframammary Incision: This incision is made under the natural breast fold. It is the least visible site and provides good surgical visualization. Most of Dr. Maman's breast augmentations are done through this approach, as stated on drmaman.com. It also allows for direct placement of the implant and limits the time spent during surgery.
- Periareolar Incision: Made around the areola, this incision can provide good access for implant placement. However, it has a slightly higher risk of affecting nipple sensation. For some patients, it can result in well - camouflaged scars, as mentioned on cangelloplasticsurgery.com.
- Transaxillary Incision: This incision is made in the armpit. It is often used for placing saline implants because they can be inserted deflated and then filled. However, this method has a higher rate of implant malposition, and the scar may be visible in short - sleeved shirts. Some surgeons, like Dr. Cangello, avoid using this technique, as described on cangelloplasticsurgery.com.
Implant Placement
Implants can be placed either subpectoral (under the pectoral muscles) or subglandular (above the pectoral muscles). Subpectoral placement creates more natural - looking breasts and has a lower risk of visible aspects of the implant. It is also better for patients worried about how the implants will hold up over time. Subglandular placement is more straightforward and has a less painful recovery, but the implants may look and feel less natural. As described on drmaman.com, Dr. Maman often uses a dual - plane approach, placing the top 80 - 90% of the implant below the pectoral muscle and the bottom 10 - 20% directly below the breast tissue to achieve the best of both worlds.
Pre - surgery Preparation
Consultation
The consultation is a crucial step in the breast augmentation process. Surgeons, such as Dr. Maman at Maman Plastic Surgery, Dr. Cangello at Cangello Plastic Surgery, and others, conduct in - depth consultations that include a review of the patient's medical history, a physical examination, and a discussion of the patient's goals and expectations. During the consultation, patients can ask questions about the procedure, the recovery process, and any concerns they may have. As detailed on drmaman.com, Dr. Maman's 90 - minute consultation covers all aspects of the surgery, from the operative plan to cost, accommodations, and follow - up visits.
Medical Evaluations
Patients are usually required to undergo medical evaluations before surgery to ensure they are in good health. This may include blood tests, mammograms, and other diagnostic tests. These evaluations help the surgeon identify any potential health issues that could affect the surgery or the recovery process. For example, if a patient has a family history of breast cancer, additional screenings or consultations with a breast specialist or genetic counselor may be recommended, as mentioned on nyplasticsurg.com.
Lifestyle Changes
Patients are advised to make certain lifestyle changes before surgery. This typically includes refraining from smoking and certain medications that can increase the risk of bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John's wort. Smoking can significantly impact the body's ability to heal after surgery, so patients are often asked to quit smoking well in advance. They are also advised to arrange for post - operative care, such as having a friend or family member assist them during the recovery period, as described on cangelloplasticsurgery.com and nyplasticsurg.com.
Recovery Process
Immediate Post - surgery
After breast augmentation surgery, patients will experience some swelling, bruising, tightness, and soreness. They are usually given a surgical bra to wear for a few weeks to support the breasts and aid in healing. Pain medication is also prescribed to manage discomfort. As described on aristocratps.com, some practices offer the option of a “speedy recovery” using exparel, a slow - release, non - opioid pain medicine that can significantly reduce pain during the first 72 hours after surgery.
Short - term Recovery
Most patients can return to work within a few days to a week, depending on the nature of their job. Light activities can usually be resumed within one to two weeks, but strenuous activities, such as heavy lifting and upper body workouts, should be avoided for four to six weeks. During this time, patients are advised to follow their surgeon's instructions regarding activity restrictions and wound care. For example, patients may need to avoid taking clothes off overhead for the first week or so, as mentioned on drmaman.com.
Long - term Recovery
It takes several months for the implants to settle into place and for the breasts to achieve their final appearance. During this time, patients may notice changes in the firmness and shape of their breasts. Regular follow - up appointments with the surgeon are essential to monitor the healing process and address any concerns. The surgeon may also recommend massaging the breasts to prevent capsular contraction, which is the shrinking of the soft tissue capsule around the implant, as described on aristocratps.com.
Potential Risks and Complications
Common Risks
As with any surgical procedure, breast augmentation carries potential risks. These include infection, bleeding, implant rupture, changes in nipple or breast sensation, scarring, and complications related to anesthesia. Surgeons are required to discuss these risks with patients before surgery so that they can make an informed decision. For example, the content on cangelloplasticsurgery.com mentions that the most common risks of breast augmentation surgery include bleeding, infection, changes in sensation, and the risks associated with general anesthesia.
Specific Complications
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare but serious complication associated with breast implants. It is a form of non - Hodgkin's lymphoma that can occur around the breast implant. While the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases, as reported on nyplasticsurg.com. It is associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). Most cases can be effectively treated, but it is important for patients to be aware of this risk.
- Breast Implant Illness (BII): BII is a term used to refer to a broad variety of symptoms that women report after having implants placed, such as memory loss, “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated, as described on nyplasticsurg.com.
Conclusion
Silicone prosthetic breast augmentation is a popular and effective way to enhance the appearance of the breasts and boost self - confidence. In New York City, there are many high - quality hospitals and surgeons who offer this procedure, each with their own unique approach and expertise. Before undergoing surgery, it is crucial for patients to do thorough research, have detailed consultations with their chosen surgeon, and understand all aspects of the procedure, including the risks and recovery process. By making an informed decision, patients can increase their chances of achieving the desired results and having a positive surgical experience.
If you are considering silicone prosthetic breast augmentation in New York City, take the time to explore your options, read patient testimonials, and consult with multiple surgeons. Feel free to share this article with others who may be interested in learning more about breast augmentation, and don't hesitate to reach out to the surgeons mentioned for further information or to schedule a consultation.
