Introduction to Scarless Breast Augmentation in New York City
Breast augmentation is a popular cosmetic surgery procedure that allows women to enhance the size and shape of their breasts. Scarless breast augmentation, in particular, has gained significant attention as it offers the benefits of breast enhancement without the visible scars typically associated with traditional breast augmentation methods. In New York City, there are several top - notch plastic surgeons and facilities offering this innovative procedure.
Many women desire fuller and larger breasts but are hesitant about the potential scars from having implants inserted. Scarless breast augmentation addresses this concern, providing a solution that allows them to achieve their aesthetic goals while maintaining a natural appearance. Let's explore some of the leading doctors and facilities in New York City for scarless breast augmentation.
Top Doctors and Their Expertise
Dr. David P. Rapaport
Dr. David P. Rapaport is a board - certified plastic surgeon who is a world - recognized expert specializing in breast augmentation and breast implant revision. He has more experience in the endoscopic underarm technique of breast augmentation than any other plastic surgeon in the New York area. His endoscopic breast augmentation procedure uses discreet incisions hidden neatly in the underarm, creating a result that appears organic and non - surgical. This technique, combined with his 27 - year experience, has drawn patients from all over the world to New York City.
Dr. Rapaport offers breast augmentation with both saline and silicone implants. For scarless breast augmentation, he typically uses saline implants as they can be filled after insertion through a small incision under the arm. His approach is tailored to each patient's needs, and he generally recommends positioning the implants under the pectoralis muscle for a more natural - appearing breast with less likelihood of visible implant edges or rippling.
Patients who have non - physical jobs can commonly return to work about five days following surgery. Strenuous exercise and aerobic activity are restricted for the first ten days, and full aerobic activity is allowed after three weeks. The results of breast augmentation are typically permanent, with most breast implants lasting a decade or more.
Dr. William Lao
Dr. William Lao is a double - board - certified plastic surgeon in both the USA and Taiwan, with over 10 years of experience. He is on a shortlist of surgeons in the country who specialize in the scarless breast augmentation technique, where the implants are inserted through the armpit, leaving no visible scar. He has successfully performed over 500 breast surgeries throughout his career.
Dr. Lao offers his New York City breast augmentation patients two options for breast implants: saline and cohesive silicone gel. He will provide expert advice during the consultation to help patients choose the most suitable implants based on their body type, lifestyle, and aesthetic goals. The surgery time is usually 2 - 3 hours, and most patients return home on the day of surgery and can return to their regular routine in 2 - 3 weeks.
He is also known for his expertise in Asian breast augmentation. He takes into account the unique features of Asian patients, such as smaller frames, when choosing the ideal implant size, shape, and degree of projection.
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon renowned for his commitment to patient care and excellent results. He works closely with prospective patients to develop an individualized approach for breast augmentation. He has a deep understanding of breast implants, including the different materials (saline and silicone), shapes (round and anatomical), sizes (ranging from 120cc to 800 cc), and textures.
For scarless breast augmentation, Dr. Sherman can use the transaxillary incision approach. He will also consider the patient's anatomy, age, and vocation when deciding on implant placement, whether it is submuscular or subglandular. The procedure typically takes 1 - 1.5 hours and is performed as an outpatient procedure. Recovery time varies, but patients can generally resume light activities in 2 - 3 weeks and more strenuous activities at 6 - 8 weeks.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City specializing in breast augmentation and other cosmetic surgery procedures. His education and training span some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia.
In breast augmentation, Dr. Kolker focuses on achieving a proportionate outcome and the most natural results. He establishes each individual woman's aesthetic goals, distinct to her body type. He has extensive experience in performing breast surgeries and has been featured as a top plastic surgeon in numerous publications, such as New York Magazine, Newsweek, and Castle Connolly's listings.
Dr. Darrick Antell
Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City and a board - certified plastic surgeon. He has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He is listed in multiple magazines as one of the best breast plastic surgeons in the country.
Dr. Antell offers both saline and silicone implants for breast augmentation. He tailors each breast augmentation to achieve the look the patient desires, considering factors such as enhanced confidence, improved proportions, customized volume and shape, rejuvenated appearance, corrected asymmetry, and broader wardrobe options. He also addresses common complications like capsular contracture and provides a thorough discussion of all risks during the initial consultation.
Scarless Breast Augmentation Procedure
Consultation
The first step in scarless breast augmentation is a detailed consultation with the plastic surgeon. During this consultation, the surgeon will assess the patient's overall health, breast anatomy, and aesthetic goals. The patient should be open and honest about their medical history, including any pre - existing conditions, allergies, or previous surgeries. The surgeon will explain the different options available, such as implant types, sizes, and placement, and answer any questions the patient may have.
For example, Dr. Rapaport will create a personalized treatment plan with the patient before the surgery, detailing the implants to be used, the incision placement, and whether the implants will be below or above the pectoral muscle. Dr. Lao will also discuss the patient's goals for the surgery, answer questions about the procedure, and conduct a personal evaluation to create a customized surgical plan.
Implant Selection
There are two main types of breast implants: saline and silicone. Saline implants consist of an empty silicone outer shell that is inserted into the breast pocket through a tiny incision and then filled with a sterile saline liquid. They are often less expensive and can be a suitable option for scarless breast augmentation as they can be inserted through a small incision under the arm. However, they may have a less organic feel compared to silicone - gel implants and are not usually recommended for thinner patients due to the greater potential for a noticeable rippling effect through the skin.
Silicone implants are pre - filled with a silicone gel that provides a more natural look and feel. The gel inside creates a more natural movement and has a lesser chance of producing a rippling effect. They are typically more expensive and require a larger incision for insertion. Cohesive silicone gel implants, also known as gummy bear implants, are increasingly popular because of their ability to provide a natural and proportionate breast shape and feel.
| Implant Type | Advantages | Disadvantages |
|---|---|---|
| Saline | Less expensive, can be inserted through a small incision | Less natural feel, higher risk of rippling in thinner patients |
| Silicone | More natural look and feel, less chance of rippling | More expensive, requires a larger incision |
| Cohesive Silicone Gel (Gummy Bear) | Natural and proportionate shape, retains form | Relatively new, higher cost |
Surgery
Scarless breast augmentation is typically performed with general anesthesia or IV sedation, also called twilight anesthesia. The surgeon will make small incisions in the underarm area using an endoscopic technique. An endoscope, a narrow tubular camera, is used to visualize the area and ensure precise implant placement. This helps to reduce the risk of complications and creates a more natural - appearing result.
Once the incisions are made, the surgeon will create a pocket either directly behind the breast tissue (subglandular placement) or behind the pectoral (chest) muscle (submuscular placement). The choice of placement depends on the patient's anatomy, age, and aesthetic goals. For example, placing the implants behind the chest muscle may reduce the risk of capsular contracture but may require a longer recovery time.
If saline implants are used, they will be filled after placement, and then the incisions will be closed. The surgery usually takes between one to two hours to complete.
Recovery
Recovery from scarless breast augmentation varies from patient to patient but generally follows a similar pattern. Immediately after surgery, patients will be monitored in a recovery suite until they are fully awake from the anesthesia. They may experience some swelling, bruising, and discomfort, which can be managed with pain medication prescribed by the surgeon.
Patients with non - physical jobs can often return to work within a few days, typically about five days. However, strenuous exercise, including sexual activity, is restricted for the first ten days. Mild aerobic activity, such as brisk walking, is generally permitted after about ten days, and full aerobic activity after three weeks. Patients are also advised to avoid leisure travel for vacation less than three weeks after surgery.
It is important for patients to follow all post - operative instructions carefully, such as wearing a special surgical bra to provide support and protection during the initial part of the recovery. Swelling in the breasts will take several months to fully dissipate, and the final result is typically visible around 6 months.
Benefits and Risks of Scarless Breast Augmentation
Benefits
Enhanced Confidence: Many women feel more confident and feminine after breast augmentation. It can alleviate the frustration of deflated or asymmetrical breasts, allowing them to feel more comfortable in their own skin and wear a wider variety of clothing styles.
Natural Appearance: The scarless breast augmentation technique, especially the endoscopic underarm approach, creates a result that appears organic and non - surgical. The incisions are hidden in the underarm, leaving no visible scars on the breasts.
Customization: Patients can choose from a variety of implant sizes, shapes, and textures to achieve their desired aesthetic outcome. Surgeons work closely with patients to develop a personalized treatment plan based on their individual body type and goals.
Long - lasting Results: Breast implants are designed to last a decade or more, providing long - term results for patients. Most women enjoy the benefits of breast augmentation for a lifetime, although implants can be replaced or removed later if needed.
Risks
Capsular Contracture: This is a common complication where the scar tissue around the implant tightens, causing the breast to harden and potentially change shape. Surgeons take precautions to minimize this risk, such as using special techniques during surgery and prescribing medications. If capsular contracture occurs, it may require implant removal or replacement.
Infection: There is a risk of infection after breast augmentation surgery. Infections typically present within a week after surgery and can usually be treated with antibiotics. In some cases, the implant may need to be removed.
Implant Rupture or Leakage: While modern breast implants are designed to be durable, there is still a risk of rupture or leakage. If a saline implant ruptures, the salt - water is harmlessly absorbed by the body, resulting in the breast appearing deflated. Silicone implant rupture may require more complex treatment, such as implant removal and replacement.
Changes in Sensation: Some patients may experience changes in nipple or breast sensation after surgery. This can be temporary or permanent and may affect the ability to breastfeed in the future.
Choosing the Right Surgeon and Facility
Choosing the right plastic surgeon and facility for scarless breast augmentation is crucial for a successful outcome. Here are some factors to consider:
Board Certification: Ensure that the surgeon is board - certified in plastic surgery. This indicates that they have met the rigorous standards of education, training, and experience required by the relevant medical boards.
Experience: Look for a surgeon with extensive experience in performing scarless breast augmentation. Surgeons like Dr. Rapaport, who has over 27 years of experience in endoscopic breast surgery, are more likely to have the skills and expertise to achieve the desired results.
Patient Reviews and Testimonials: Read patient reviews and testimonials to get an idea of the surgeon's reputation and the quality of care provided. Positive reviews from satisfied patients can give you confidence in your choice of surgeon.
Facility Accreditation: The surgical facility should be accredited by a recognized organization. This ensures that the facility meets high standards of safety and quality in patient care.
Communication and Bedside Manner: A good surgeon should be able to communicate effectively with you, listen to your concerns, and answer all your questions. They should also have a compassionate bedside manner, making you feel comfortable and at ease throughout the process.
Conclusion
Scarless breast augmentation in New York City offers women a great opportunity to enhance the size and shape of their breasts without the worry of visible scars. With experienced plastic surgeons like Dr. David P. Rapaport, Dr. William Lao, Dr. John E. Sherman, Dr. Adam R. Kolker, and Dr. Darrick Antell, patients can achieve their aesthetic goals with confidence. The procedure, although associated with some risks, can provide long - lasting benefits such as enhanced confidence, a natural appearance, and customized results.
If you are considering scarless breast augmentation, take the time to research and choose the right surgeon and facility. Schedule a consultation with a board - certified plastic surgeon to discuss your options and develop a personalized treatment plan. Remember, a successful breast augmentation is not only about the physical transformation but also about feeling good about yourself. Take the next step towards achieving your dream breasts and enhancing your quality of life.
Don't hesitate to reach out to a top - rated plastic surgeon in New York City today. Call or schedule an online consultation to start your journey towards scarless breast augmentation and discover a new you!
