Breast changes such as sagging and slackness are common issues that many women face after breastfeeding. In New York City, there are several top - tier brand hospitals and surgeons renowned for their expertise in treating these concerns. Here is an in - depth introduction to the top 5 options.
1. Dr. Darrick Antell's Practice
1.1 Background and Expertise
Dr. Darrick Antell is a highly respected board - certified plastic surgeon. He is trained at Stanford and Cornell and has a reputation for excellence in aesthetic surgery. He has been named a “top plastic surgeon” by Town and Country, Vogue, and New York Magazine. Harper's Bazaar has recognized him as one of the best breast plastic surgeons in the country. His groundbreaking research on identical twins and the aging process is remarkable, and he is the only plastic surgeon with his work displayed in the Smithsonian Museum.
1.2 Breast Lift Procedure
A breast lift, or mastopexy, is a surgical procedure designed to tighten, raise, and reshape sagging breasts. It can also reduce the size of the areola. Dr. Antell customizes the procedure based on the patient's needs. There are typically three incisions: around the areola, down from the areola to the breast crease, and horizontally along the breast crease. After reshaping the underlying breast tissue and removing excess skin, the nipple and areola are moved to a higher position.
1.3 Benefits of Breast Lift
- Restore youthful contours: Gives the breasts a more rounded and uplifted look.
- Improved breast symmetry: Helps in making the breasts more balanced.
- Boost in confidence: Enhances the patient's self - esteem.
- Better clothing fit: Allows for a wider range of clothing choices.
- Post - pregnancy rejuvenation: Addresses the changes caused by pregnancy and breastfeeding.
- Long - lasting results: With proper care, the results can be maintained for a long time.
1.4 Patient Eligibility
Anyone in good health seeking to rejuvenate the appearance of sagging breasts is likely a candidate. However, it is important to have realistic expectations as a mastopexy does not add volume, it simply lifts and tightens. Women with heavy breasts may experience shorter - lasting results due to gravity and aging. Pregnancy may slightly stretch the breasts again and affect the results, but mastopexy usually doesn't interfere with future breastfeeding.
1.5 Preparation and Recovery
Before surgery, patients are provided with instructions on eating, drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may need to provide pre - operative clearance from another doctor and may have additional imaging like a mammogram, MRI, or ultrasound. The surgery is performed under “twilight” sedation, and patients need someone to drive them home and assist them for the first few days. Recovery typically involves a few days of rest, with swelling and bruising subsiding in about three to six weeks, and full healing taking up to a year.
2. Maman Plastic Surgery
2.1 Surgeon's Qualifications
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon. He completed a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. He is certified by the American Board of Plastic Surgery and is a member of several professional organizations including the American College of Surgeons and the American Society of Plastic Surgeons.
2.2 Breast Lift Techniques
Breast lift surgeries are performed using different incision types based on the patient's goals and anatomy. These include:
- Circumareolar incisions: Used for patients with mild ptosis, made around the areola only, resulting in minimal scarring.
- Lollipop incisions: For patients with moderate ptosis, running around the areola and then vertically from the areola to the breast fold, with little scarring.
- Anchor incisions: To correct significant ptosis, extending a lollipop incision horizontally across the breast crease, with scars hidden by natural breast folds.
2.3 Comprehensive Care
The practice offers a 90 - minute consultation with Dr. Maman that includes a thorough review of medical history, an in - depth physical assessment, a comprehensive operative plan, a review of cost, accommodations, and follow - up visits, and the scheduling of surgery. After surgery, patients have access to luxury recovery room options at NYC hotels, complimentary custom post - operative support garments, and scar treatment regimens.
2.4 FAQs and Considerations
The risk of losing sensation in the breasts following surgery is low, and most patients regain feeling within three to six months. There is a very low risk that having a breast lift will impact the ability to breastfeed. However, breastfeeding after the lift may cause the sagging to return. The procedure typically takes 2.5 - 3 hours and is performed under general anesthesia.
3. Dr. John E. Sherman's Practice
3.1 Experience and Reputation
Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City. He has extensive expertise in breast lift procedures and has helped numerous women achieve stunning results. His dedicated staff ensures that patients have a first - class experience from start to finish.
3.2 Breast Lift Indications and Benefits
Breast ptosis, or sagging, can be caused by factors such as aging, childbirth, pregnancy, or large breast implants. A breast lift corrects this by reshaping the breasts, repositioning the nipple and areola, and addressing excess skin or tissue. Benefits include a more youthful appearance, improved aesthetics, and enhanced confidence. Although a breast lift does not technically increase breast size, the breasts may appear larger due to their higher and firmer position.
3.3 Surgical Approaches
There are two main surgical approaches:
- Full mastopexy: Involves an anchor - shaped incision around the areola, vertically down to the breast crease, and horizontally along the breast crease. It allows for significant lifting and reshaping of the breasts.
- Periareolar mastopexy: Also known as a “donut” or “circumareolar” mastopexy, suitable for individuals with mild to moderate breast sagging, with minimal scarring.
3.4 Patient Preparation and Complications
Dr. Sherman guides patients through pre - operative preparation, including which medications to start or stop and how to prepare at home. Smoking can increase the risk of complications, so smokers must stop at least one month before surgery. Complications, although rare, may include scarring, diminished nipple sensation, and nipple circulation problems.
4. Oren Z. Lerman, MD's Practice
4.1 Area of Specialization
Dr. Oren Z. Lerman is a board - certified plastic surgeon with a specialty in reconstructive breast surgery. He is the director of breast reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care as well as the microvascular and cosmetic breast fellowship. He is affiliated with several professional organizations and has a reputation for performing advanced techniques, including restoring nipple sensation through nerve grafting.
4.2 Breast Lift and Related Procedures
Dr. Lerman can perform breast lift surgery to restore firmness and curvature to sagging breasts. He can also reduce the size of the areolas at the same time. Women who want both a lift and increased volume may be great candidates for combining a breast lift with implants. He can also perform a breast lift with a breast reduction for those wishing to decrease the size of their breasts.
4.3 Benefits of Treatment
The benefits of his breast surgeries include boosted confidence, improved figure, reduced discomfort for patients with large breasts, and restored sensation for breast cancer patients or those who have suffered trauma. His customized approach ensures that each patient's unique goals are met.
4.4 Insurance and Consultation
Insurance coverage depends on the reason for surgery. Breast cancer patients are often covered for reconstructive surgery under the Women's Health and Cancer Rights Act (WHCRA). Patients can request a consultation by filling out an online form or calling the office.
5. Dr. David Cangello's Practice
5.1 Surgeon's Standing
Dr. David Cangello is one of the top board - certified plastic surgeons in New York City. His artistic approach to plastic surgery has shaped his practice, and he is dedicated to helping patients achieve their cosmetic goals.
5.2 Breast Lift Techniques
He uses different techniques based on the extent of sagging, breast size, and excess skin:
- Crescent mastopexy: The least invasive technique, removing a small crescent shape of breast skin and tissue from the top of the areola, resulting in the least amount of scarring but not reducing the areolar size.
- Benelli mastopexy: Also known as a “donut lift,” suitable for women who need a small degree of lift, with an incision around the areola and reshaping of the areola if necessary.
- Vertical mastopexy: Recommended for women with moderate breast sagging, with a lollipop - shaped incision that encircles the areola and runs vertically down to the breast crease.
- Anchor mastopexy: For significant breast sagging, with an anchor - shaped incision and allowing for extensive tightening of the breast.
5.3 Consultation and After - care
During the initial consultation, Dr. Cangello provides a physical examination and creates a custom treatment plan. He also helps patients explore additional surgical options. The recovery period is not excessively uncomfortable, with patients usually able to return to work after about a week and avoiding exercise for four - to - six weeks. The scars depend on the type of mastopexy performed but are generally kept as minimal as possible.
Comparative Table of the Top 5 Brand Hospitals
| Surgeon | Training and Credentials | Breast Lift Techniques | Special Features | Recovery Support |
|---|---|---|---|---|
| Dr. Darrick Antell | Trained at Stanford and Cornell, multiple top - surgeon recognitions, research in aging process, work in Smithsonian Museum | Typical three - incision approach (around areola, vertical, horizontal) | Customized results, focus on natural - looking outcomes | Pre - operative instructions, twilight sedation, post - operative assistance |
| Dr. Daniel Maman | Harvard fellowship - trained, Mount Sinai residency, on top - doctor lists | Circumareolar, lollipop, anchor incisions | 90 - minute comprehensive consultation, luxury recovery options | Custom post - operative support garments, scar treatment |
| Dr. John E. Sherman | Board - certified, extensive breast lift expertise | Full mastopexy, periareolar mastopexy | Individualized treatment based on ptosis gradation | Pre - operative guidance, post - operative pain management |
| Dr. Oren Z. Lerman | Specialty in reconstructive breast surgery, director of breast reconstruction at Lenox Hill | Breast lift with options to combine with augmentation or reduction | Advanced nerve - grafting techniques, customized for breast cancer patients | Insurance verification and guidance |
| Dr. David Cangello | Top board - certified in NYC, artistic approach | Crescent, Benelli, vertical, anchor mastopexy | Custom treatment plans, exploration of complementary procedures | Appropriate pain medication, post - operative bra requirements |
Conclusion
Dealing with sagging and slack breasts after breastfeeding can be a concern for many women, but in New York City, there are excellent options available. The top 5 brand hospitals and surgeons mentioned above offer a range of expertise, techniques, and personalized care to address these concerns. Each surgeon has unique strengths, whether it's their extensive training, innovative techniques, or comprehensive after - care. Before making a decision, it is important for patients to research, schedule consultations, and discuss their goals and expectations with the surgeons.
If you are considering a breast lift or related procedures to address post - breastfeeding breast changes, don't hesitate to reach out to these top - notch surgeons in New York City. Contact them for a consultation to start your journey towards restoring your confidence and achieving the desired breast appearance.
