Table of Contents
- Overview of Breast Augmentation in New York City
- Introduction to the TOP3 Hospitals
- Procedure of Breast Augmentation
- Benefits of Breast Augmentation
- Possible Complications
- Ideal Candidates
- Choosing Breast Implants
- Recovery and Results
- Conclusion
Overview of Breast Augmentation in New York City
Breast augmentation is a highly sought - after cosmetic surgery in New York City. It is a procedure that enhances the volume and shape of the breasts, allowing women to achieve their ideal breast profile. In 2020 alone, nearly 200,000 women in the United States underwent breast augmentation, according to the American Society of Plastic Surgeons. This procedure has remained one of the most frequently performed cosmetic surgeries in the country for nearly 20 years. The desire for fuller, shapelier breasts is enduring, and New York City is home to some of the best hospitals and surgeons specializing in this field.
Introduction to the TOP3 Hospitals
1. Dr. John E. Sherman's Practice
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 prospective patients to develop an individualized approach so that they can enjoy the beautiful breasts they desire. He was involved in the development of the Natrelle 410 cohesive gel breast implants. The clinic offers various types of breast implants, including silicone and saline. He will guide patients through the process of choosing the right implant based on material, shape, size, and texture.
Benefits offered by his practice include enhancing self - confidence, correcting pectus excavatum, and providing a natural - looking result. However, as with any breast augmentation, there are possible complications such as BIA - ALCL and breast implant illness. His patients typically go through a comprehensive consultation process, including a review of medical history and breast examination, before the procedure. Recovery usually takes a few weeks, during which patients may experience fatigue, discomfort, swelling, and bruising.
2. Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look. This allows patients to virtually try on different sizes of breasts and make more informed decisions. The hospital offers two types of implants (silicone and saline) and a non - implant option, NaturalFill®, which uses a fat - transfer technique. Surgeons at Mount Sinai will advise patients based on their body type and desired outcome to choose the best option.
The results of breast augmentation at Mount Sinai are expected to last for years. However, factors like pregnancy, nursing, and significant weight changes may cause natural drooping. In such cases, a breast lift or implant replacement may be considered. The hospital's consultation process involves a physical exam and in - depth discussions with the surgeon to understand the patient's goals and determine their suitability for the procedure.
3. Dr. Adam R. Kolker's Practice
Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City. His education and training span some of the most prestigious medical institutions in the world. He has been featured in numerous magazines' best doctors lists, including New York Magazine, Newsweek, and Castle Connolly. Dr. Kolker approaches breast augmentation with a focus on achieving a proportionate outcome and the most natural results. He tailors each procedure to the individual woman's aesthetic goals and body type.
In addition to breast augmentation, he also offers other related procedures such as breast lift and breast reduction. His practice provides comprehensive consultations, both in - person and virtually, to address patients' concerns and determine the best treatment plan. Patient testimonials praise his skills and the positive impact of his surgeries on their lives.
Procedure of Breast Augmentation
Pre - operative Preparation
Before the surgery, patients are advised to take several steps. They should quit smoking or using any nicotine product as nicotine can significantly impact the healing process. They may need to taper off current medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort. Arrangements should be made for a trusted family member or friend to pick the patient up from the hospital and assist them during the initial recovery period. A comfortable recovery space at home should be designated, and necessary items should be placed within reach. Patients are also recommended to take 2 - 3 weeks off work to rest and recuperate.
Anesthesia
Breast augmentation can be performed under general anesthesia or intravenous sedation anesthesia, depending on the patient's preferences. A board - certified anesthesiologist will be responsible for administering the anesthesia and monitoring the patient throughout the procedure to ensure safety.
Incisions
Surgeons can make small incisions in different locations, including the inframammary incision (under the breast), periareolar incision (around the areola), or transaxillary incision (under the armpit). Each incision method has its advantages and disadvantages. The choice of incision depends on factors such as the type of implant selected, the desired size, shape, and placement, as well as the patient's unique anatomy.
Implant Placement
Implants can be placed either in the submuscular plane (under the pectoral muscles) or subglandular (above the pectoral muscles). The decision on placement depends on the patient's anatomy, age, and vocation. Women with ptosis or sagging skin may typically have their implants placed subglandularly, while submuscular placement may reduce the risk of capsular contracture.
End of Procedure
Once the desired enhancements are achieved, the incisions are closed with sutures. A compression garment is then wrapped around the area to protect the results. Patients will stay in the recovery area until they feel comfortable returning home. If the patient lives more than an hour outside of New York City, it is recommended that they stay overnight in the city for follow - up if needed. Suture removal usually takes place about one week after the surgery.
Benefits of Breast Augmentation
Breast augmentation offers numerous benefits to women. It can enhance self - confidence as women achieve their desired breast size and shape. Many women feel more feminine and empowered after the procedure. The procedure can also improve overall body proportions, creating a more balanced silhouette. It is particularly beneficial for women who have lost breast volume due to pregnancy, breastfeeding, or weight loss, as it can restore fullness and a youthful contour to the breasts. Breast augmentation can also correct breast asymmetry, resulting in a more aesthetically pleasing appearance. Additionally, it opens up a wider range of wardrobe options, allowing women to wear clothes that fit and flatter them better.
Possible Complications
BIA - ALCL
Breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) is a rare but increased risk for women with breast implants. Although the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. It is not breast cancer but a form of non - Hodgkin’s lymphoma. It seems to be associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). To date, there have only been two cases associated with smooth implants, and those patients had previously placed textured implants. With worldwide awareness, databases are expanding, and there are alcl registries and treatment recommendations.
Breast Implant Illness
Breast implant illness (BII) refers to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss, “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants are poorly understood and still being investigated.
Other Complications
Other possible complications include capsular contracture, where the capsule surrounding the implant restricts the implant, resulting in a misshapen appearance, hardening, and pain. Bleeding, infection, numbness, and implant rupture can also occur. Infection usually presents within a week after surgery and can often be treated with antibiotics, and in some cases, implant removal may be necessary. Rupture can happen due to injury or normal compression and movement of the breast, and revision surgery is typically required to replace the implant and remove any troublesome scar tissue.
Ideal Candidates
The ideal candidates for breast augmentation are healthy women without breast - related health concerns or other underlying health issues. They should be non - smokers or willing to quit until completing recovery. Candidates should understand what the surgery entails and be willing to follow pre - and post - operative instructions. They should not be currently pregnant or breastfeeding and have realistic expectations for what the procedure can achieve. Additionally, they should be aware of the risks and benefits associated with synthetic implants. Many patients seeking breast implants are in their early twenties to forties, including those who want to enhance their figure, restore pre - pregnancy breast size, or correct breast asymmetry.
Choosing Breast Implants
Material
There are two main types of implant materials: saline and silicone. Saline implants are placed in the breast pocket and are filled to the patient's desired volume during the procedure. They can be inserted through a smaller incision. If they rupture, the saline can be safely absorbed by the body. However, they may not resemble the look and feel of natural breast tissue as closely as silicone implants. Silicone implants are pre - filled and produced ready to be inserted. They more closely mimic the texture and feel of natural breast tissue, but larger incisions may be required for insertion. The FDA suggests MRI scans every few years to monitor the condition of silicone implant shells.
Shape
Patients can choose between round and anatomical (teardrop - shaped) implants. Round implants add volume higher on the chest and are often preferred for their fullness. Anatomical implants have a slight slope to replicate the form of the natural breast and are suitable for a more natural look.
Size
Implant sizes are measured in cubic centimeters, not bra cup size. The appropriate implant size depends on the patient's existing breast tissue and desired results. Sizes typically range from 120cc to 800cc, and implants also come in various widths, heights, and projections. High - profile breast implants are suitable for a more dramatic look, while a smaller projection is better for a more subtle effect.
Texture
Texture is another consideration. A textured surface allows the tissues to heal more closely around the implant, preventing the implant from rotating or becoming displaced. Smooth implants, on the other hand, may have a different feel and appearance. The choice of texture depends on the patient's needs and the surgeon's recommendation.
Recovery and Results
In the initial days after surgery, it is normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. Patients are usually given a prescription for pain medication to ease discomfort, which is often most pronounced in the first few days. A surgical compression bra is provided and should be worn for a few weeks during the healing process. Most patients can resume light activities and work in 2 - 3 weeks, and more strenuous activities such as going to the gym can be resumed at 6 - 8 weeks. Swelling will subside significantly during this time. Although the breasts may feel firm and tight initially, within a few months, the implants will settle into place, and the final results can be seen.
Conclusion
Breast augmentation is a popular and effective cosmetic procedure that can bring significant positive changes to a woman's life. The TOP3 hospitals in New York City - Dr. John E. Sherman's practice, Mount Sinai - New York, and Dr. Adam R. Kolker's practice - offer high - quality services, experienced surgeons, and a range of options for breast implants. However, it is crucial for patients to carefully consider the procedure, understand the potential benefits and risks, and choose the right hospital and surgeon based on their individual needs and preferences. By following the pre - and post - operative instructions, patients can achieve satisfying results and enjoy the long - term benefits of breast augmentation.
If you are considering breast augmentation, we encourage you to schedule a consultation with one of the reputable surgeons in these top - ranked hospitals. Discuss your goals, ask questions, and make an informed decision. Share this article with others who may be interested in learning more about breast augmentation in New York City.
