1. Overview
Breast plastic injection, which often involves breast augmentation procedures, is a popular cosmetic option for many women in New York City. This article will introduce several highly - recommended hospitals where people who have undergone such procedures have shared positive experiences. These hospitals offer a range of services and techniques, from traditional implant - based augmentations to more advanced and innovative methods. They are staffed with experienced plastic surgeons who can provide personalized care and help patients achieve their desired aesthetic results.
2. Mount Sinai - New York
2.1 Surgical Experience and Expertise
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation surgeries. They are well - versed in using the latest technologies to ensure patient satisfaction. For example, they utilize advanced 3D imaging technology, which can demonstrate what larger breasts will look like on a patient's unique body. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts before making a decision.
2.2 Consultation Process
Before scheduling surgery, the surgeon will have a detailed consultation with the patient. They listen carefully to understand the patient's desire for enhancing breast size and help decide on the size and shape that will look best for the patient's body. The surgeon will also explain what happens during the procedure and answer any questions the patient may have. Additionally, a physical exam is performed, which includes asking a series of health - related questions to confirm that the patient is a candidate for breast augmentation.
2.3 Treatment Options
There are multiple options for enlarging the breasts at Mount Sinai.
- Breast Implants: The typical form of breast augmentation uses an implant, which is a curved silicone shell filled with either silicone gel or saline (a solution of salt and water). The surgeon inserts the implant into the breast through a small incision under the patient's own breast tissue. There are two main types of breast implants:
- Silicone Breast Implants: These look and feel natural in the breasts.
- Saline Breast Implants: They are a firmer, rounder implant.
- Naturalfill: This is a new way to augment breasts using a fat - transfer technique, known as Naturalfill®. It is a two - step procedure. First, the surgeon removes fat from the patient's buttocks or abdomen with a liposuction technique. Then, the removed fat is immediately inserted into the breasts to enlarge them using the patient's own fat deposits.
It should be noted that breast augmentation results can last for years, but factors such as pregnancy, nursing, or significant weight gain or loss may cause natural drooping over time. In such cases, a breast lift or replacement of breast implants may be considered.
3. Columbia University - Plastic & Reconstructive Surgery
3.1 Hospital Standing
Columbia University is one of New York’s best hospitals and a world - class medical center. The plastic surgery division has experience that few other programs can match. Their mission is to use their many resources to deliver the highest quality care for anyone in need of a cosmetic or reconstructive procedure.
3.2 Plastic Surgery Programs and Services
- Cosmetic Care: The cosmetic care program offers surgical and non - surgical options to improve cosmetic health. This includes breast augmentation, ear and eyelid lifts, tummy tucks, etc.
- Reconstructive Care: The plastic surgeons at Columbia are world leaders in reconstructive care for issues such as breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears.
- Cleft Palate / Cleft Lip Care: Through their craniofacial surgery program, they can provide specialized care for children with cleft lip and cleft palate, which are common conditions affecting thousands of newborns every year.
- Orthoplastic Surgery Care: The Columbia orthoplastic surgery program combines leading experts in orthopedic and reconstructive plastic surgery for personalized treatment options. This approach offers lower wound complication rates and higher patient satisfaction in recovery.
- Breast Reconstructive Care: The breast cancer reconstructive surgery program at Columbia is dedicated to helping individuals who have undergone breast cancer surgery reclaim their physical and emotional well - being. It brings together cancer experts and reconstructive plastic surgeons to provide post - lumpectomy or post - mastectomy reconstruction.
3.3 Plastic Surgery Team
The division of plastic & reconstructive surgery at Columbia has a team of board - certified surgeons. For example, Dr. Christine Rohde is a highly skilled clinician, researcher, and teacher. She is trained in the diagnosis and treatment of the full range of plastic reconstructive and aesthetic surgery, specializing in microsurgery, abdominal wall reconstruction, body contouring, cosmetic surgery, and breast, trauma, and cancer reconstruction. Other notable surgeons include Dr. Jeffrey A. Ascherman, Dr. Jarrod T. Bogue, and many others.
4. Rapaport Plastic Surgery
4.1 Surgeon Expertise
David P. Rapaport, a board - certified plastic surgeon at Rapaport Plastic Surgery, is a world - recognized expert specializing in breast augmentation and breast implant revision for women with previous breast surgery. Breast augmentation is one of the most popular procedures performed at this facility and is consistently one of the top cosmetic plastic surgery procedures by American Society of Plastic Surgeons members.
4.2 Breast Augmentation Process
- Candidates: Most women who are unhappy with the size or shape of their breasts can be good candidates for breast augmentation. Patients should be overall healthy and have realistic expectations. However, breast augmentation may not adequately address breast sagging and droopiness, which often requires a breast lift in addition to augmentation.
- Technique: The incision for breast augmentation can be placed in the underarm, under the breast itself, or within the areola. Dr. Rapaport uses an endoscope to perform a scarless breast augmentation procedure when using an underarm incision. This allows for precise muscle division and control of bleeding, resulting in better implant positioning.
- Implants: He offers both saline and silicone implants. Saline implants can be filled after placement, making them suitable for the scarless technique. Silicone implants typically have a more natural look and feel. Dr. Rapaport will discuss these options with the patient to determine the best type for their anatomy and aesthetic goals.
- Procedure: Breast augmentation can be performed with general anesthesia or IV sedation. The implants can be placed under or over the pectoral muscle, with Dr. Rapaport generally placing them under the muscle for a more natural - looking result. If saline implants are used, they will be filled before closing the incisions. Patients can usually go home the same day but must have an adult stay with them for the first night.
- Recovery: Full recovery takes approximately two to three weeks. Patients with non - strenuous jobs can return to work in about five days. Strenuous exercise and aerobic activity are restricted for the first ten days, and full activity can usually resume after three weeks.
- Results: Women often experience a significant confidence boost after breast augmentation. The results typically last a lifetime, but breast implants can be replaced or removed if needed. Dr. Rapaport takes precautions to minimize the risk of capsular contracture, which is extremely rare among his patients.
5. Zuckerman Plastic Surgery
5.1 Surgeon Qualifications
Dr. Zuckerman is an expert in breast augmentation and is one of the most common breast surgical procedures he performs in his midtown Manhattan practice. He trained at some of the most elite institutions in the world, including Brown University and NYU, and is dedicated to achieving natural - looking and symmetrical breasts.
5.2 Breast Augmentation Details
- Candidates: Good candidates for breast augmentation are typically women who desire a more shapely bustline, larger breasts, or who want to address changes in breast shape or size after pregnancy, breastfeeding, or surgery. Adult patients of most ages and weights are eligible, with a minimum age of 18 for saline implants and 22 for silicone implants. The patient's breasts should be fully developed for the best results.
- Incision Locations: Dr. Zuckerman performs all three commonly used breast augmentation techniques: periareolar incision, inframammary incision, and transaxillary incision. He will recommend the best one based on the patient's existing breast tissue and other criteria. The inframammary incision is the most common one he uses as it gives good control of the breast pocket.
- Implant Placement: There are three possible placements: submuscular, subglandular, and dual - plane. Dr. Zuckerman often performs submuscular placement, which is the most common nationwide. The choice depends on the patient's anatomy and preferences.
- Procedure: During surgery, Dr. Zuckerman makes an incision, creates a pocket, and places temporary sizers to evaluate different augmentation sizes. Only after careful consideration does he place the permanent implants using a “no - touch” technique with a Keller funnel to maximize sterility. He closes the incision with multiple layers of stitches to minimize scarring. The surgery usually takes about two hours and is performed under general anesthesia.
- Recovery: Dr. Zuckerman uses techniques to minimize swelling and downtime. Many patients can return to work within one week. He uses Exparel®, a long - acting analgesic, to minimize postoperative pain. Swelling and bruising should resolve within two weeks, and heavy lifting or exercise should be avoided for three to four weeks.
- Risks: Although breast augmentation is a very safe procedure, there are some risks, including implant rupture or leakage, visible wrinkling or rippling, asymmetry, scarring, pain, infection, and capsular contracture.
6. Antell Plastic Surgery
6.1 Surgeon Reputation
Dr. Darrick Antell is one of the most renowned board - certified plastic surgeons in the world. Trained at Stanford and Cornell University, he is known for his exceptional surgical skills and use of advanced techniques. He has been named a “top plastic surgeon” by many prestigious magazines and is a leader in the field of custom breast surgery.
6.2 Breast Implant Revision
- Candidates: The ideal candidate for breast implant revision is a generally healthy woman who is unhappy with the size or shape of her current implants, is experiencing capsular contracture or discomfort caused by the implant, or has a ruptured or leaking implant.
- Consultation: During the initial consultation, Dr. Antell will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. He will work with the patient to create a proper surgical plan, including selecting the proper implant type, incision size, implant placement, and size based on the patient's specific anatomy.
- Procedure: The chosen incision and placement of the new implant will be customized based on the patient's individual anatomy and the condition of the existing implant. When possible, Dr. Antell may use the same incision site as the initial breast augmentation. After removing the existing implant and any scar tissue, he will carefully place the new implant using a no - touch technique. The surgery usually takes between one and three hours.
- Recovery: After surgery, the patient will recover in Dr. Antell's state - of - the - art recovery suite. It is an outpatient procedure, and patients can return home the same day. They should have an escort and expect some tiredness and soreness. Vigorous exercise should be avoided for around two weeks, and the final results may take several months to become visible.
7. NewYork - Presbyterian
7.1 Cosmetic Breast Surgery Services
NewYork - Presbyterian plastic surgeons are passionate about helping patients feel their best. They offer the full range of cosmetic breast surgery options, including breast reduction surgery, breast lift surgery (mastopexy), breast augmentation with implants, and DIEP flap surgery.
7.2 Patient - Centered Approach
Starting with the initial consultation, the plastic and reconstructive surgeons work with the patient to understand their goals and discuss the best options for their needs. Whether the patient visits the hospital virtually or in person, they can expect the highest standards of care with compassion.
8. Weill Cornell Medicine
8.1 Breast Reconstruction Expertise
Weill Cornell Medicine is a leader in breast reconstruction surgery. Their plastic and reconstructive surgeons offer the most advanced breast reconstruction surgery options and techniques. They have been performing nipple - sparing mastectomies with concurrent reconstruction for the past 20 years, positioning them as leaders in this technique.
8.2 Reasons to Choose Weill Cornell Medicine
- Exemplary Surgeons: The surgeons are leaders in plastic and reconstructive surgery, and the care team is equipped to promote the patient's comfort throughout the process.
- Individualized Care: Each patient's body is unique, and the surgeons can reconstruct the breast according to the patient's wishes.
- Multidisciplinary Care: Patients have access to a network of doctors and specialists, including oncologists, geneticists, and nurses who specialize in breast cancer care.
- Focus on Comfort: The team prioritizes the patient's comfort at every step. Before surgery, patients can ask questions to fully understand the procedure. During and after surgery, the latest anesthetics and medications are used to help with recovery and pain management.
8.3 Breast Reconstruction Options
- Autologous Reconstruction: This uses the patient's own tissue from different areas of the body, such as the abdomen, thighs, or buttocks, to make the breast. Nerves can be reconstructed to increase sensory recovery in the breasts.
- Breast Innervation: Novel reinnervation procedures can be performed during breast reconstruction to improve sensation in the breasts, whether it's during autologous or implant - based reconstruction.
- DIEP Flap Reconstruction: This innovative technique uses a flap of complete tissue from the abdomen to reconstruct the breast, creating a slimmer abdomen and natural - looking breasts.
- Implant - Based Reconstruction: The hospital performs breast reconstruction using tissue expanders and implants, utilizing both saline and silicone breast implants from all implant manufacturers to meet the patient's clinical needs.
9. New York Plastic Surgery by Dr. John E. Sherman
9.1 Surgeon Experience
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and excellent results. He works closely with patients to develop an individualized approach for breast augmentation.
9.2 Breast Implants
- Types and Improvements: There have been many improvements in breast implants over the years. Silicone implants are the most frequently chosen, with cohesive silicone gel implants (gummy bear implants) being increasingly popular due to their natural shape and feel. Dr. Sherman worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants.
- Selection Factors: When choosing breast implants, patients need to consider factors such as material (saline or silicone), shape (round or anatomical), size (measured in cubic centimeters), and texture (which can affect implant performance over time). Dr. Sherman will work with patients to identify the best implant specifications.
9.3 Breast Augmentation Procedure
- Preparation: Patients are advised to quit smoking, taper off certain medications or supplements, arrange for a pick - up, designate a recovery space, and plan for 2 - 3 weeks of rest before the surgery.
- Procedure Details: The procedure is typically performed at an accredited surgical facility or a nearby hospital under general anesthesia or intravenous sedation. Dr. Sherman makes incisions (inframammary, periareolar, or transaxillary) to create a pocket for the implant. The implant