Silicone Prosthetic Breast Augmentation in New York City

Silicone prosthetic breast augmentation is a popular cosmetic procedure sought by many women in New York City. This procedure aims to enhance the size, shape, and symmetry of the breasts, providing a boost in self - confidence and a more proportionate body figure. In this article, we will explore the public Class - A hospitals and renowned surgeons offering this service in the city, as well as important information regarding the procedure, recovery, and considerations.

Top Public Class - A Hospitals and Surgeons for Silicone Prosthetic Breast Augmentation

Mount Sinai - New York

Mount Sinai is well - known for its expertise in plastic surgery, including silicone prosthetic breast augmentation. Their plastic surgeons have extensive experience in performing breast augmentation procedures. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies, allowing patients to make more informed decisions.

At Mount Sinai, there are two main types of breast implants available for augmentation: silicone and saline. Silicone breast implants look and feel more natural in the breasts, while saline implants are firmer and rounder. They also offer a new fat - transfer technique called Natural Fill®, which involves removing fat from the buttocks or abdomen and inserting it into the breasts.

Dr. Greenwald's Practice

Dr. Joshua A. Greenwald, MD, FACS, is a board - certified New York plastic surgeon. His practice offers a comprehensive range of breast augmentation services. He has performed thousands of breast surgeries and is known for achieving natural results. Dr. Greenwald has been named a top doctor in New York every year since 2012.

He offers patients a choice between saline and silicone breast implants. Saline implants have a silicone outer shell filled with a saline solution. They have the advantage of allowing for smaller incisions as they are filled after insertion. However, they may not resemble natural breast tissue as closely as silicone implants. Silicone implants, on the other hand, have both a silicone outer shell and a silicone - gel filling, offering a more natural look and feel.

Dr. Greenwald offers two breast implant placement options (subglandular and submuscular) and three incision approaches (inframammary, periareolar, and transaxillary). He also uses the Mentor® volume sizing system to help patients determine the best - fitting implant size.

Aristocrat Plastic Surgery & Medaesthetics

Top plastic surgeon Dr. Kevin Tehrani is the founder and director of Aristocrat Plastic Surgery. He values high - level training, continuing education, and clinical experience. The clinic offers various types of breast augmentation procedures.

Silicone implants are a popular choice at Aristocrat. They come in different shapes and sizes, including the famous “gummy bear implants,” which are highly cohesive silicone gel implants that retain their shape better. The clinic also offers transumbilical breast augmentation (TUBA), a technique where breast implants are placed through an incision in the belly button, leaving no visible scars on the body and associated with minimal pain and faster recovery.

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 as one of the best breast plastic surgeons in the country.

Dr. Antell offers both saline and silicone breast implants. Silicone gel implants mimic the texture and feel of natural breast tissue more closely, while saline implants may allow for a slightly shorter incision. He customizes the incision method and implant placement to each patient's anatomy to ensure natural - looking results.

Dr. Barry Weintraub

Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience.

Whenever possible, Dr. Weintraub performs breast augmentation by inserting the implant through the armpit (transaxillary subpectoral approach). This approach has several advantages, including no jeopardy to nipple sensation, no hindrance to future breastfeeding, no visible scars near the breast, less pain, less post - operative downtime, and less swelling and bruising.

Understanding the Silicone Prosthetic Breast Augmentation Procedure

Pre - operative Consultation

The pre - operative consultation is a crucial step in the breast augmentation process. During this visit, the surgeon will conduct a comprehensive evaluation of the patient's general health and medical history. They will also assess the current condition of the breasts, including size, shape, and symmetry.

The surgeon and patient will have an in - depth discussion about the patient's expectations and desired outcome. The surgeon will guide the patient through selecting the appropriate implant type (saline or silicone), incision type, implant placement (subglandular or submuscular), and size. The surgeon will also discuss the risks and potential complications associated with the procedure and answer all of the patient's questions.

It is important for the patient to be open and honest about their medical history, including any allergies, current medications, and lifestyle habits such as smoking or alcohol consumption. Some medications may need to be stopped prior to the surgery, and smoking can negatively impact the healing process.

Implant Types

As mentioned earlier, there are two main types of breast implants: saline and silicone. Here is a comparison of the two in tabular form:

Implant Placement and Incision Approaches

There are two main implant placement options: subglandular and submuscular. Subglandular placement involves positioning the implants under the glandular (breast) tissue, while submuscular placement places the implants under the pectoral (chest) muscle. Submuscular placement is often preferred as it can reduce the risk of capsular contracture, allow for better mammograms, and provide a more natural look.

Common incision approaches include:

• Inframammary (crease incision): The incision is made in or near the breast's natural crease. It is easily concealed by the overlying breast and allows for precise creation of the implant pocket.
• Periareolar: The incision is made around the outer perimeter of the areola. It is least visible in properly selected patients as it is concealed by the darker skin of the areola.
• Transaxillary: The incision is made in the armpit area. It is used to insert unfilled saline implants and is often associated with a decreased risk of visible scarring on the breast. However, it may have a higher incidence of implant malposition.

The Surgery Itself

Breast augmentation surgery is typically performed under general anesthesia or “twilight” sedation. The surgeon will make the chosen incision and create a pocket either behind the breast tissue or behind the pectoral muscle. The implant is then inserted into the pocket and centered beneath the nipple.

The surgery usually takes between one to two hours to complete. After the implant is placed, the incisions are closed with multiple layers of internal, dissolving sutures, and a layer of gauze and a bandage may be placed over the breasts to aid in healing.

Recovery and Aftercare

Immediate Post - operative Period

After the surgery, the patient will recover in a recovery suite while being monitored by a nurse. Breast augmentation is usually an outpatient procedure, meaning the patient can return home the same day. However, they will need someone to drive them home and assist them for the first few days.

Patients may experience swelling, bruising, tightness, and soreness in the breasts. They will be provided with a surgical bra to wear for a few weeks and pain medication to manage discomfort. It is important to follow all post - operative instructions provided by the surgeon, including caring for the surgical incisions, taking prescribed medications, and attending follow - up appointments.

Recovery Timeline

• First few days: Most patients will feel tired and sore. They should rest and avoid strenuous activities. Many patients can return to most daily activities within a few days, but they should refrain from heavy lifting and vigorous exercise.
• One to two weeks: Swelling and bruising will gradually subside. The patient may start to feel more comfortable and can usually return to work. However, they should still avoid activities that could put stress on the incisions.
• Three weeks: Patients may be able to start light workouts, such as slow - paced walks or stationary cycling, but should still follow the surgeon's advice.
• Several months: The swelling will fully dissipate, and the final result of the breast augmentation will become visible. The scars will start to fade over time, but they will never completely disappear.

Aftercare Instructions

Patients are typically advised to:

• Wear a supportive bra as recommended by the surgeon.
• Keep the surgical incisions clean and dry.
• Avoid smoking and alcohol during the recovery period.
• Follow a healthy diet to promote healing.
• Attend all follow - up appointments with the surgeon for proper monitoring of the healing process.
• Massage the breasts as instructed by the surgeon to prevent capsular contracture.

Benefits of Silicone Prosthetic Breast Augmentation

There are several benefits to undergoing silicone prosthetic breast augmentation:

• Enhanced Confidence: Many women experience a renewed sense of self - confidence and empowerment after achieving their desired breast size and shape.
• Improved Proportions: It can enhance overall body proportions, creating a more balanced silhouette that aligns with the patient's aesthetic goals.
• Customized Volume and Shape: With options for different sizes and shapes of implants, the surgeon can tailor the procedure to achieve the look the patient desires.
• Rejuvenated Appearance: For women who have experienced volume loss due to aging, pregnancy, or weight changes, breast augmentation can restore fullness and create a youthful contour.
• Corrected Asymmetry: It can help address natural breast asymmetry, creating a more symmetrical and aesthetically pleasing breast shape.
• Broader Wardrobe Options: Achieving the ideal breast size opens up more choices in clothing, providing a comfortable and flattering fit in a wider variety of styles.

Risks and Complications

While breast augmentation is generally a safe procedure when performed by a board - certified plastic surgeon, there are still risks and potential complications:

• Capsular Contracture: This is the most common complication. It occurs when the scar tissue around the implant tightens, causing the breast to become hard, misshapen, and sometimes painful. Treatment may involve removing the implant and scar tissue and, if desired, placing new implants.
• Infection: Infection can occur within a week after surgery and is usually treated with antibiotics. In some cases, the implant may need to be removed.
• Bleeding and Hematoma: Excessive bleeding can lead to a collection of blood (hematoma) around the implant. This may require additional treatment, such as draining the hematoma.
• Implant Rupture: Implants can rupture due to injury or normal wear and tear. Saline implants will deflate, while silicone implants may have a “silent rupture.” A revision surgery is usually required to replace the ruptured implant.
• Changes in Nipple or Breast Sensation: Some patients may experience temporary or permanent changes in nipple or breast sensation, including pain, tenderness, tingling, or numbness.
• Poor Scarring: Scars may be visible, thick, or raised. While scars will fade over time, they may not completely disappear.
• Implant Malposition: The implant may shift from its original position, resulting in an asymmetrical or unnatural appearance. Revision surgery may be needed to correct the position.

Considerations Before Choosing a Hospital and Surgeon

When choosing a public Class - A hospital and surgeon for silicone prosthetic breast augmentation, the following considerations are important:

• Board Certification: Ensure that the surgeon is board - certified by the American Board of Plastic Surgery. This indicates that the surgeon has met the high standards of education, training, and experience in plastic surgery.
• Experience: Look for a surgeon with extensive experience in performing breast augmentation surgeries. You can ask about the number of procedures they have performed and request to see before - and - after photos of their patients.
• Reputation: Check the surgeon's reputation among other medical professionals and patients. Read reviews and testimonials from previous patients to get an idea of their satisfaction with the surgeon's work and the quality of care provided.
• Facility Accreditation: Make sure the hospital or surgical facility where the surgery will be performed is accredited. Accreditation ensures that the facility meets certain safety and quality standards.
• Communication: A good surgeon should be a good listener and communicator. They should be able to understand your goals and expectations and explain the procedure, risks, and recovery process clearly.
• Cost: While cost should not be the only factor, it is important to have a clear understanding of the total cost of the procedure, including the surgeon's fee, anesthesia fee, operating room fee, and the cost of the implants. Some surgeons may offer financing options.

Conclusion

Silicone prosthetic breast augmentation is a popular and effective way to enhance the appearance of the breasts and improve self - confidence. New York City is home to several top - notch public Class - A hospitals and experienced surgeons who can provide high - quality breast augmentation services. However, it is crucial for patients to thoroughly research their options, understand the procedure, recovery, and risks, and choose a qualified surgeon and accredited facility.

If you are considering silicone prosthetic breast augmentation, we encourage you to schedule a consultation with a board - certified plastic surgeon. During the consultation, you can discuss your goals, ask questions, and get all the information you need to make an informed decision. Share this article with others who may be interested in learning more about breast augmentation in New York City, and explore related topics such as post - operative care and alternative breast enhancement methods.