Introduction
Breast augmentation has emerged as a highly sought - after procedure for numerous women. It offers them the opportunity to enhance their self - confidence and attain their desired aesthetic appearance. In New York City, a hub of advanced medical technology and top - notch healthcare facilities, several hospitals and surgeons are renowned for their expertise in breast augmentation endoscopic technology. This article will delve into the details of what makes endoscopic breast augmentation special, introduce the key hospitals and surgeons with a good reputation in this field, and provide comprehensive information for those considering this procedure.
Understanding Breast Augmentation and Endoscopic Technology
What is Breast Augmentation?
Breast augmentation, also known as augmentation mammoplasty, is a surgical process designed to increase the volume and projection of the breasts. Women may opt for this procedure for various reasons. For younger women in their 20s and 30s, it could be to address self - consciousness about having naturally small breasts. Older women, especially those who have experienced breast deflation after pregnancy and breastfeeding, often choose breast augmentation to restore their pre - pregnancy bust and the overall shape of their breasts. In some severe congenital cases, where the breasts are either absent or extremely small, breast augmentation serves as a form of body reconstruction to boost the patient's confidence and improve their body image.
The Role of Endoscopic Technology in Breast Augmentation
Endoscopic technology has revolutionized breast augmentation. By using an endoscope, a thin, flexible tube with a light and camera at the end, surgeons can have a magnified and detailed view of the surgical site. This precision is crucial, especially when performing procedures such as transaxillary endoscopic breast augmentation, where the implants are inserted through the armpit. The endoscope allows the surgeon to clearly see all blood vessels, enabling a bloodless dissection to create the pocket for the breast implants. This results in a more precise surgery, potentially reducing the risk of complications and minimizing visible scarring.
Top Hospitals and Surgeons in New York City for Endoscopic Breast Augmentation
William Lao, MD
Dr. William Lao is one of the leading plastic surgeons in New York City for breast augmentation. He is a double - board - certified plastic surgeon in both the USA and Taiwan, with over 10 years of experience. Having graduated from Johns Hopkins University with a double major and later obtaining a doctorate of medicine from Johns Hopkins, his educational background is outstanding. He is a member of multiple prestigious plastic surgery societies, including the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the International Society of Aesthetic Plastic Surgery.
Dr. Lao specializes in the scarless breast augmentation technique, which is often achieved through transaxillary endoscopic breast augmentation. In this procedure, the incisions are made in the armpit, leaving no visible scars on the breasts. His training enables him to effectively use endoscopic equipment, allowing for a precise and bloodless operation. He has successfully performed over 500 breast surgeries throughout his career and has been voted a top doctor in 2022 by New Beauty.
For patients interested in his services, the first step is to schedule a one - on - one consultation. During this consultation, patients can discuss their surgical goals, have their questions answered, provide their medical history, and receive a personal evaluation from Dr. Lao. He will then create a customized surgical plan, taking into account the patient's unique body type, aesthetic goals, and other relevant factors. The cost of the surgery is approximately $9,000 - $20,000, but patients are advised to book a consultation for the most up - to - date costs. The surgery usually takes 2 - 3 hours, and most patients can return home on the day of surgery and resume their regular routine in 2 - 3 weeks.
Mount Sinai - New York
Mount Sinai is a well - respected hospital in New York City with a team of highly qualified and talented board - certified plastic surgeons. Their plastic surgery department offers a wide range of breast enhancement procedures, including breast augmentation. The surgeons at Mount Sinai are experienced in using the latest technologies to ensure that patients are satisfied with the results of their breast augmentation.
Before scheduling the surgery, they use advanced 3D imaging technology developed specially for Mount Sinai by Microsoft and Touch MD. This technology allows patients to visualize what their larger breasts will look like on their unique body, helping them make more informed decisions about the size and shape of the implants. They offer two main types of breast implants: silicone breast implants, which look and feel natural, and saline breast implants, which are firmer and rounder. They also offer a fat transfer technique called NaturalFill®, where fat is removed from the patient's buttocks or abdomen and inserted into the breasts. This is a win - win solution as it not only enhances the breasts but also reduces fat in unwanted areas.
During the consultation, the plastic surgeon will listen carefully to the patient's goals, make recommendations, and develop a personal breast enhancement plan. They will also perform a physical exam and ask a series of health - related questions to confirm that the patient is a suitable candidate for breast augmentation.
Rapaport Plastic Surgery
Dr. David P. Rapaport at Rapaport Plastic Surgery is a world - recognized expert in breast augmentation and breast implant revision. He is a board - certified plastic surgeon, and breast augmentation is one of the most popular procedures performed at his New York plastic surgery facility.
Dr. Rapaport offers both saline and silicone implants, and he uses an endoscope to perform the scarless breast augmentation procedure through the underarm. Instead of bluntly tearing the lower border of the muscle, which can risk implant malposition, he precisely divides the muscle under magnified endoscopic visualization. This allows for better control of bleeding and more accurate implant positioning. He places the implants either under or over the pectoral muscle, depending on the patient's needs and the amount of breast tissue. In general, placing the implants under the muscle provides a more natural - looking result.
The surgery can be performed with general anesthesia or IV sedation, and patients are monitored by a board - certified anesthesiologist. After the surgery, patients can go home the same day, but they must have an adult stay with them for the first night. Full recovery from breast augmentation takes approximately two to three weeks, but patients with non - strenuous jobs can typically resume work in five days. Dr. Rapaport also takes precautions to minimize the risk of capsular contracture, such as advising patients not to engage in aerobic activity for ten days after surgery and using a “no touch” technique with a specially designed insertion funnel (Keller funnel) for implant insertion.
David L. Cangello, MD
Dr. David L. Cangello is a board - certified plastic surgeon in New York City. He is known for his artistic approach to breast augmentation, combining medical precision with aesthetic principles. He offers personalized treatment plans to meet each patient's aesthetic goals, whether they are seeking a subtle look or bold cosmetic enhancements.
Dr. Cangello offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer. He has experience with both silicone and saline implants. When it comes to implant placement, he avoids the transaxillary technique due to its higher rate of implant malposition. Instead, he uses the “no touch” method with a Keller funnel during breast augmentation with silicone, which allows for easier implant insertion through a smaller incision and may help minimize the risk of infection.
Patients considering breast augmentation with Dr. Cangello start with a consultation at his Park Avenue office in NYC. During the consultation, he will address the patient's questions and concerns, determine if they are a good candidate based on their medical history and current health, and develop a treatment plan tailored to their aesthetic tastes and goals. The surgery usually takes one - and - a - half to two hours, and patients can expect a recovery period of approximately four to six weeks. Follow - up appointments are scheduled at one week, four weeks, and 12 weeks after the procedure to ensure optimal healing.
Dr. Darrick Antell
Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City. He is board - certified in plastic and reconstructive surgery and has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He has been listed in multiple magazines, such as Harper’s Bazaar and Town and Country, as one of the best breast plastic surgeons in the country.
Dr. Antell tailors each breast augmentation to achieve the patient's desired look. He offers both saline and silicone implants, and he carefully selects the incision method and implant placement based on the patient's anatomy to ensure natural - looking results. The incision can be made below the breast crease, around the areola, or in the armpit. He often places the implants behind the chest muscle to reduce the risk of capsular contracture, although this may add a few days to the recovery period compared to placing the implants directly under the breast tissue.
During the initial consultation, Dr. Antell will perform a comprehensive evaluation of the patient's general health and medical history, and together with the patient, create a surgical plan. He will also discuss the risks associated with the surgery, such as capsular contracture, bleeding, infection, and implant rupture. After the surgery, patients recover in his state - of - the - art recovery suite and can return home the same day. The swelling in the breasts will take several months to fully dissipate, and the final result is typically visible around 6 months.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City, specializing in breast augmentation and various 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. He is also an associate clinical professor of surgery at the Mount Sinai School of Medicine.
Dr. Kolker believes that true artistry in breast augmentation lies in achieving a proportionate outcome and the most natural results based on each woman's unique body type. He determines the best techniques for each patient during a private consultation in his New York City plastic surgery office. He has extensive experience in breast enhancement procedures, and his vast knowledge and expertise have been highlighted in almost 100 media articles and television appearances.
Patients can schedule comprehensive consultations with Dr. Kolker, either virtually or in person. His office team will facilitate a meeting at a convenient time and location. Dr. Kolker's high - end skills and credentials, along with his patient - centric approach, have earned him a place on multiple top - doctor lists, including those in New York Magazine, Newsweek, and Castle Connolly.
Columbia Surgery
Columbia University's plastic and reconstructive surgery department is one of New York’s best. As part of a world - class medical center, it has the resources and expertise to offer high - quality breast augmentation services. The plastic surgeons on its clinical staff are proficient in multiple areas of specialization, including breast augmentation.
The department is at the forefront of clinical and laboratory research in plastic surgery. They offer both cosmetic and reconstructive breast procedures. In the case of breast augmentation, the surgeons can choose from different techniques and types of implants based on the patient's needs. They also focus on providing personalized care, taking into account the patient's overall health, aesthetic goals, and body type. Patients can contact the department by calling (212) 305 - 3103 or requesting an appointment online. The plastic surgery team will then guide the patient through the process, from the initial consultation to the surgery and post - operative care.
Factors to Consider When Choosing a Hospital or Surgeon
Experience and Expertise
One of the most important factors is the surgeon's experience in performing breast augmentation, especially with endoscopic technology. Surgeons like Dr. William Lao, who have performed hundreds of breast surgeries and are specifically trained in scarless breast augmentation techniques, are more likely to achieve optimal results. You should also look into the surgeon's education, certifications, and memberships in professional plastic surgery societies, as these are indicators of their knowledge and skills.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into the quality of care and the results achieved by a particular surgeon or hospital. For example, Dr. Darrick Antell has many positive patient reviews highlighting his excellent surgical skills and the high level of care provided by his team. These reviews can give you an idea of what to expect in terms of the patient experience, satisfaction with the results, and any potential issues during the recovery process.
Technology and Facilities
The use of advanced technology, such as 3D imaging at Mount Sinai and endoscopic equipment in transaxillary procedures, can significantly impact the outcome of the surgery. Additionally, modern and well - equipped facilities are important for patient safety and comfort. Hospitals and clinics like Dr. Cangello's state - of - the - art, fully accredited operating room in his NYC office ensure a high - standard surgical environment.
Cost
Cost is an important consideration for many patients. The cost of breast augmentation can vary depending on factors such as the type of implants, surgical technique, anesthesia costs, and surgeon fees. For example, saline implants are generally less expensive than silicone implants. It's important to have a clear understanding of all the costs involved and to get a personalized cost estimate during the consultation. Some surgeons may also offer financing options to help manage the cost.
Communication and Bedside Manner
Good communication between the patient and the surgeon is crucial. Surgeons who take the time to listen to the patient's goals, answer their questions clearly, and provide detailed information about the procedure and recovery process are more likely to build trust. For instance, Dr. Lao is known for his excellent communication and bedside manner, making patients feel comfortable and confident throughout the process.
The Process of Breast Augmentation
Consultation
The first step in the breast augmentation process is the consultation. During this meeting, the surgeon will evaluate the patient's general health, medical history, and current breast condition. They will also discuss the patient's aesthetic goals, such as the desired size, shape, and projection of the breasts. The surgeon will explain the different types of implants available (saline or silicone), the incision options, and the implant placement (above or below the muscle). They will also discuss the potential risks and complications associated with the surgery and answer any questions the patient may have. Based on this information, the surgeon will create a customized surgical plan for the patient.
Pre - operative Preparation
After the consultation, if the patient decides to proceed with the surgery, they will need to prepare for it. This may include undergoing a physical exam, providing medical clearance from their primary care physician, and stopping certain medications or supplements that can increase the risk of bleeding. Patients may also be given instructions on eating and drinking before the surgery, as well as quitting smoking if they are smokers. Some surgeons may recommend dietary changes to improve overall health and facilitate the recovery process.
The Surgery
Breast augmentation surgery is typically performed under general anesthesia or IV sedation. The surgeon will make an incision based on the pre - determined surgical plan, which can be in the armpit, under the breast, or around the areola. Through this incision, the surgeon will create a pocket either behind the breast tissue or behind the pectoral muscle and insert the breast implant. If saline implants are used, they will be filled after placement. The incisions are then closed with sutures, and a dressing or bandage is applied. The surgery usually takes 1 - 3 hours, depending on the complexity of the procedure.
Recovery
After the surgery, patients will recover in a post - operative care area under the supervision of medical staff. They may experience swelling, bruising, pain, and general discomfort in the early stages of recovery. Pain medication will be prescribed to manage the pain. Patients will typically wear a special surgical bra for support and protection. Most patients can go home the same day as the surgery but will need someone to drive them. They will need to take it easy for a few days and gradually resume normal activities. Strenuous activities, such as heavy lifting and exercise, should be avoided for several weeks. The swelling will gradually subside over a few months, and the final results of the breast augmentation will become apparent.
Benefits and Risks of Breast Augmentation
Benefits
- Enhanced Self - Confidence: Many women report a significant boost in self - confidence after breast augmentation. They feel more comfortable in their own skin and are able to wear clothes that they previously avoided.
- Improved Body Proportions: Breast augmentation can enhance the overall body proportions, creating a more balanced silhouette. This is especially beneficial for women who feel that their breasts are too small in proportion to the rest of their body.
- Restored Volume: For women who have experienced breast deflation after pregnancy, breastfeeding, or weight loss, breast augmentation can restore the lost volume and give the breasts a more youthful appearance.
- Corrected Asymmetry: Some women have uneven or asymmetrical breasts, which can be corrected through breast augmentation. This can improve the aesthetic appearance of the breasts and boost self - esteem.
Risks
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