Introduction to Class - III Grade - A and private hospitals among the top 5 for prosthetic breast augmentation in New York City!

Introduction

Breast augmentation has been one of the most popular cosmetic surgical procedures for decades. In New York City, there are numerous top - notch Class - III Grade - A and private hospitals and clinics that offer excellent prosthetic breast augmentation services. This article will delve into the world of breast augmentation in New York City, including top providers, different types of implants, procedures, risks, and more.

Importance of Breast Augmentation

Breast augmentation can have a profound impact on a woman's self - confidence and body image. For many, it is a way to correct natural asymmetries, regain fullness after pregnancy or weight loss, or simply enhance their overall appearance. Over 5 million women in the USA have had breast augmentation, and a significant majority of them are satisfied with the results (according to a study on breast augmentation trends). It is a procedure that can bring not only physical but also psychological benefits to the patients.

Top Breast Augmentation Providers in New York City

1. Dr. Darrick Antell

Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City. He is a board - certified plastic surgeon who has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries.

Why Choose Dr. Antell?

• He has focused his professional career on aesthetic procedures and is among the most respected breast augmentation surgeons in the country. Trained at Stanford and Cornell, he exhibited extraordinary skill and talent throughout his education.
• Dr. Antell 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.
• He is able to address common complications with breast implants, like capsular contracture. He also provides in - depth consultations, helping patients understand all aspects of the procedure, from implant types to placement and sizing.

Services Offered

Dr. Antell offers a comprehensive range of breast augmentation services. He can help patients choose between saline and silicone implants based on their body type and aesthetic goals. He also advises on the best implant placement (subglandular or submuscular) to achieve natural - looking results. Additionally, he provides guidance on post - operative care and long - term maintenance of the implants.

2. Dr. Adam Kolker

Dr. Adam 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.

Credentials and Achievements

• He is featured as a top plastic surgeon in New York Magazine's best doctors issues from 2008 - 2024. He is also listed as one of America's best plastic surgeons in 2021 - 2024 by Newsweek and is distinguished in Castle Connolly's America's top doctors.
• Dr. Kolker's work has been highlighted in almost 100 media articles and television appearances, including being featured in Bazaar's hot list for providing some of the best breast augmentation in New York City.

Breast Augmentation Approach

Dr. Kolker believes that true artistry in breast augmentation is based on the concept that "beautiful" should be more important than "size". He establishes each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results. He offers multiple breast procedures, including breast lift, breast reduction, and correction of breast asymmetry.

3. Dr. Shridharani

Dr. Shridharani is also a well - known name in the field of breast augmentation in New York City. He can perform breast augmentation using silicone or saline implants, as well as fat transfer techniques.

Consultation and Implant Sizing

During the initial consultation, Dr. Shridharani discusses with patients their goals regarding their ideal breast size and shape to recommend the most suitable type of implant. He measures the breasts of the patient with an inflatable implant sizer to precisely determine the implant size. In cases of breast asymmetry, he can adjust the implant sizes for each breast accordingly.

Implant Types and Risks

He is well - versed in the different types of implants available. Silicone breast implants give the breasts a natural feel and are FDA - approved for women 22 years of age or older. Saline breast implants are filled with sterile saline and are approved for women 18 years of age or older. Dr. Shridharani also educates patients about the possible risks associated with breast augmentation, such as capsular contracture and implant rupture.

4. Dr. Nadia Afridi

Dr. Nadia Afridi is a popular surgeon in NYC for breast augmentation. She is a board - certified plastic surgeon who has received impressive reviews from clients due to her quality of work and the way she handles patients.

Patient - Centered Care

Dr. Afridi is very professional and cares for her patients like a friend. She is always ready to answer post - operation calls. Her and her staff are very helpful and accommodating. When it comes to breast augmentation, she considers four key factors: the site of breast implant placement, the site of the incision to insert the breast implant, the type of implant (silicone or saline), and the size of the breast implant.

Revision Surgeries

She also performs breast augmentation for patients who are not satisfied with the results of previous breast augmentation procedures. She can correct issues such as wrinkling, bottoming out, implant palpability, symmastia, severe implant displacement, and capsular contracture.

5. Dr. Richard Swift

Dr. Richard Swift is a board - certified plastic surgeon in NYC. He offers a variety of cosmetic surgeries and treatments to enhance natural beauty.

Consultation and Pre - operative Care

Dr. Swift provides detailed consultations on surgical techniques, alternative treatments, and pre - and post - operative care. He is dedicated to delivering personalized, high - quality, one - on - one care to ensure patient comfort and satisfaction. He recommends patients refrain from vigorous exercise the day before the breast augmentation procedure and follow specific pre - operative hygiene instructions.

Post - operative Guidance

After the surgery, he guides patients on their recovery process. Patients can generally return to work within a week, but they need to wear a surgical bra and refrain from certain activities until he gives approval. His team, from the receptionist to the operating room staff, is caring and helpful.

Types of Breast Implants

Silicone Implants

Silicone implants are filled with silicone gel. They have a long - standing history in breast augmentation, although there were earlier safety concerns that have since been addressed. Since 2006, they have been safely back on the market.

Advantages

• They feel more natural compared to saline implants, closely mimicking the texture and feel of natural breast tissue. This makes them a popular choice for patients who desire a very natural look and feel.
• Silicone implants are less likely to ripple, which is especially beneficial for extremely thin patients or those with very little natural breast tissue to mask the implant.
• They are generally lighter and longer - lasting than saline implants.

Disadvantages

• Rupture is harder to detect with silicone implants. In some cases, an MRI may be required to determine if a rupture has occurred.
• They are typically more expensive than saline implants.

Saline Implants

Saline implants are filled with a sterile saline (saltwater) solution. They are placed empty and then filled during the surgery.

Advantages

• Since they are placed empty, they can be inserted through a slightly shorter incision compared to pre - filled silicone implants.
• They are more adjustable. Surgeons can increase or decrease the amount of saline during surgery to achieve the desired size and symmetry.
• If a saline implant ruptures, the salt - water is harmlessly absorbed by the body, and the breast will appear deflated. This is easier to detect compared to silicone implant rupture.

Disadvantages

• The edges of the implant may be more detectable than a silicone implant, although when placed behind the muscle in a woman with sufficient breast tissue, they can feel extremely natural.
• They may have a slightly higher risk of rippling compared to silicone implants, especially in patients with less breast tissue.

Fat Transfer (Natural Fill)

Some surgeons, like those at Mount Sinai, offer a fat transfer technique known as Natural Fill®. It is a two - step procedure where fat is first removed from the buttocks or abdomen using liposuction and then immediately inserted into the breasts to enlarge them.

Advantages

• It uses the patient's own fat, eliminating the need for implants and the associated risks such as implant rupture and capsular contracture.
• It has a dual benefit of body contouring as fat is removed from an unwanted area and used to enhance the breasts.

Disadvantages

• Not all of the transferred fat will survive, and multiple sessions may be required to achieve the desired result.
• The amount of fat that can be transferred is limited by the amount of available fat in the donor area.

Breast Implant Shapes and Textures

Implant Shapes

Round Breast Implants

Round breast implants lead to a fuller appearance and generate more projection. They vary in projection according to the individual patient. Since the implant is the same shape in all dimensions, there is no worry about the implant rotating.

Anatomic (Gummy Bear) Breast Implants

Anatomic implants, also known as “gummy bear” or form - stable implants, keep their shape even if the implant shell is damaged or broken. The silicone gel in these implants is more cohesive and viscous than that of traditional silicone implants. They are generally shaped more like a natural breast, tapered towards the top and with more projection towards the bottom. However, if the implant rotates, there is a risk of an unnatural appearance of the breast, which may require a revision surgery.

Implant Textures

Smooth Breast Implants

Smooth breast implants have the softest feel. They move within the implant pocket, giving the breasts a more natural movement. However, over a period of many years, they may produce visible rippling of the skin.

Textured Breast Implants

Textured breast implants develop healthy scar tissue that attaches itself to the implant, ensuring that the implant will not reposition on its own. Research shows that they have a lower risk of developing a scar capsule, but they are associated with less natural movement compared to smooth implants.

Breast Augmentation Procedure

Consultation

The consultation is a crucial step in the breast augmentation process. During the initial consultation, the surgeon will perform a comprehensive evaluation of the patient's general health and medical history, as well as assess the current condition of the breasts. The patient and the surgeon will have an open and honest conversation about the patient's expectations. The surgeon will then guide the patient through selecting the proper implant type, incision type, implant placement, and size. The surgeon will also discuss the risks associated with the procedure and answer any questions the patient may have.

Pre - operative Preparation

Patients will be provided with instructions to prepare for surgery. This may include guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. Patients may be given prescriptions that should be filled prior to the surgery day. Depending on the medical history, patients may be asked to provide pre - operative clearance from another doctor. Since the procedure is usually performed under “twilight” sedation, patients should arrange for someone to drive them home after the surgery and ensure they have someone to assist them for the first few days.

Surgery

The chosen incision method and placement of the implant will be customized to the patient's anatomy to ensure natural - looking results. Common incision sites include the inframammary crease (under the fold of the breast), periareolar region (around the areola of the nipple), axillary (underarm), and transumbilical (through the belly button). The surgeon will delicately lift the breast tissue and skin to create a pocket, either directly behind the breast tissue (subglandular placement) or behind the pectoral (chest) muscle (submuscular placement). The implants are then centered beneath the nipples. Multiple layers of internal, dissolving sutures are typically used to close the incisions, and a layer of gauze and a bandage may be placed over the breasts to speed healing. The surgery usually takes between one to two hours to complete.

Recovery

After the surgery, patients will recover in a recovery suite while being monitored by a nurse until they are well enough to be discharged. A specialized, long - lasting local anesthesia is used to decrease discomfort. Breast augmentation is an outpatient procedure, so patients can return home the same day. Patients may feel tired or sore following surgery, but many are able to return to most daily activities within days. However, they should refrain from vigorous exercise for around two weeks. The swelling in the breasts will take several months to fully dissipate, and the final result is typically visible around 6 months. Scars will be firm and pink for at least six weeks and will gradually fade over time, although they will never disappear completely.

Risks and Complications of Breast Augmentation

Capsular Contracture

Capsular contracture is the most common complication after breast augmentation. It occurs when the scar tissue around the implant tightens, causing hardening or discomfort, and can lead to a misshapen appearance of the breast. It can be treated by removing the implant and scar tissue and, if desired, placing new implants. Some surgeons use an acellular dermal matrix (ADM) such as Strattice or Alloderm to resist capsular contracture, and may also prescribe Accolate to lower the rates.

Infection

Infection typically presents within a week after surgery and can usually be treated by antibiotics. In some cases, the implant may need to be removed. To minimize the risk of infection, surgeons use techniques such as cutting as minimally as possible, using a tumescent solution to reduce bleeding, and prescribing antibiotics.

Bleeding

Bleeding is a potential risk during any surgical procedure. Surgeons take precautions to minimize bleeding, but in some cases, additional intervention may be required to control it.

Implant Rupture

The lifespan of any implant is limited, and there is a chance of rupture. If a saline implant ruptures, the salt - water is harmlessly absorbed by the body, and the breast will appear deflated. With silicone implant rupture, a revision surgery is required to replace the implant and remove any troublesome scar tissue. Good follow - up care and the use of quality implants can extend the lifespan of the implants.

Changes in Sensation

Some patients may experience changes in nipple sensation, such as numbness or hypersensitivity. These changes occur more commonly with the periareolar approach, as it involves cutting near the nipple and through a lot of breast tissue. Choosing a different approach can help reduce the risk of these changes.

Cost of Breast Augmentation in New York City

The cost of breast augmentation in New York City can vary widely depending on several factors. These factors include the surgeon's fee, the type of breast implants selected (saline or silicone), operating room and anesthesia fees, and the consultation fee. Saline implants are generally the least costly option, but approximately 85% of patients opt for the more expensive silicone implants. On average, the cost of breast augmentation can range from $5000 - $11000 or more. Some surgeons offer financing options, and there are also popular surgery financing programs like CareCredit, which offers no - interest plans up to 24 months and extended payment plans for 24, 36, 48, or 60 months.