Introduction
Breast augmentation is a highly sought - after cosmetic surgery in New York City. For those interested in the areola incision method, this technique offers the advantage of relatively discreet scarring as the incision is made around the areola. In this article, we will introduce three hospitals in New York City that perform breast augmentation surgery with areola incisions, exploring their services, surgeons, and relevant considerations.
1. Mount Sinai - New York
Services Offered
Mount Sinai is renowned for its comprehensive breast augmentation services. Their plastic surgeons have extensive experience in performing procedures to enlarge breasts. One of the key highlights is their use of advanced 3D imaging technology. Before scheduling the surgery, this technology allows patients to visualize how their larger breasts will look on their unique bodies. They can try on different sizes of breasts virtually on a computer monitor, helping them make more informed decisions about the desired outcome.
There are multiple options for breast augmentation at Mount Sinai. There are two main types of breast implants: silicone and saline. Silicone breast implants look and feel more natural in the breasts, while saline breast implants are firmer and rounder. Additionally, they offer a new way to augment breasts called NaturalFill®, which is a fat - transfer technique. In this two - step procedure, fat is first removed from the buttocks or abdomen using liposuction, and then immediately inserted into the breasts to enlarge them using the patient's own fat deposits.
Surgeon Expertise
The plastic surgeons at Mount Sinai are well - trained and experienced. They consult with patients in - depth, listening carefully to understand their desires for enhancing breast size. The surgeons also help patients decide about the size and shape that will look best for their bodies. During the consultation, they explain the entire procedure and answer any questions patients may have. They are committed to providing a natural shape and size that patients will be happy with, and they also ensure to confirm that patients are suitable candidates for breast augmentation through a physical exam and a series of health - related questions.
Areola Incision Considerations
When using the areola incision method, Mount Sinai surgeons are skilled at making incisions along the areola. This approach allows for easy access to the internal breast structures. The scarring from this incision is typically well - hidden due to the natural color and texture change around the areola. However, the hospital also warns patients that factors like capsular formation (scar tissue build - up around the implant) may be more common with certain types of implants, and they take necessary precautions to minimize such risks.
2. Rapaport Plastic Surgery
Services Offered
Rapaport Plastic Surgery specializes in breast augmentation, which is one of the most popular procedures performed at their New York facility. The procedure, technically known as augmentation mammoplasty, can be performed for various reasons, such as enhancing the body contour of a woman who feels her breast size is too small, correcting a reduction in breast volume after pregnancy or with age, balancing uneven or asymmetrical breasts, correcting congenital deformities, or as a reconstructive technique following breast surgery.
Patients have multiple choices regarding breast implants at Rapaport Plastic Surgery. They offer both saline and silicone implants. Saline implants can be filled after placement, making them suitable for the scarless breast augmentation technique (performed with an endoscope through an underarm incision in some cases). Silicone implants, on the other hand, typically have a more natural look and feel. The surgeon, Dr. David P. Rapaport, will discuss these options with patients and help them determine the best type of implant for their anatomy and aesthetic goals.
Surgeon Expertise
Dr. David P. Rapaport is a board - certified plastic surgeon and a world - recognized expert specializing in breast augmentation and breast implant revision for women with previous breast surgery. He has the skills and experience to make informed decisions about the incision placement. For the areola incision, he understands the anatomical nuances and takes every step to ensure precise and safe surgery. He is also meticulous in minimizing the risk of capsular contracture, a complication that can occur when the scar tissue around the implant contracts and squeezes the implant. He advises patients not to engage in aerobic activity for ten days following surgery to minimize the risk of small bleeding, and he uses techniques like the “no touch” method and a Keller funnel for implant insertion to avoid contamination.
Areola Incision Considerations
The areola incision at Rapaport Plastic Surgery is carefully made based on each patient's needs and preferences. This incision is ideal for patients who choose silicone implants, as silicone implants usually require an incision under the breast or areola. Dr. Rapaport ensures that the scarring around the areola is as minimal as possible, taking into account the natural shape and pigmentation of the area. However, he also warns that the nipple is not considered sterile, so he generally advises against the periareolar incision when necessary precautions are not possible and uses sterile plastic covers over the nipple area during surgery to avoid bacterial contamination.
3. Cangello Plastic Surgery
Services Offered
Cangello Plastic Surgery offers personalized breast augmentation services. Dr. David L. Cangello, a board - certified plastic surgeon, is experienced in the art of cosmetic breast surgery. He offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer. For breast augmentation, patients can choose between silicone and saline implants. Silicone implants are pre - filled by the manufacturer with a cohesive silicone gel and are approved for patients who are at least 22 years old. Saline implants are filled with saline once they are placed in the treatment site and are approved for patients who are at least 18 years old.
The implants come in two basic shapes: round and contoured (teardrop). Round breast implants have volume and fullness all the way around and typically have a smooth texture. Contoured breast implants have a subtle sloping shape to match the curves of natural breasts and require a textured surface to ensure they adhere to surrounding tissue. Dr. Cangello will guide patients through the process of deciding on the size, shape, and placement of the implants.
Surgeon Expertise
Dr. David L. Cangello is known for his artistic approach to breast augmentation, combining medical precision with aesthetic principles. He has perfected the art of breast surgery through extensive experience, meticulous surgical techniques, and an eye for artistic detail. His superior results have earned the trust of professional models from some of the world's top agencies. When it comes to the areola incision, he is able to minimize scarring. He routinely uses the Keller funnel for insertion of the breast implants, which makes it easier to insert a breast implant through a smaller incision, thus reducing the length of the incision and the resulting scar. For patients who are prone to poor scarring, he also has laser treatments available to reduce the appearance of scars.
Areola Incision Considerations
At Cangello Plastic Surgery, the areola incision is one of the options for breast implant insertion. Dr. Cangello carefully assesses each patient's anatomy and aesthetic goals to determine if the areola incision is the best choice. This incision is well - suited for achieving a natural - looking result, and the scarring around the areola is often well - camouflaged due to the color and texture changes in the area. However, he also educates patients about the potential risks associated with the areola incision, such as changes in nipple sensation (usually temporary) and the importance of following post - operative care instructions to ensure proper healing.
Comparative Analysis of the Three Hospitals
| Hospital | Implant Options | Surgeon Expertise Focus | Areola Incision Advantage | Unique Services |
|---|---|---|---|---|
| Mount Sinai - New York | Silicone, saline, NaturalFill® (fat - transfer) | Comprehensive patient consultation, 3D imaging for visualization | Skilled in making well - hidden areola incisions, thorough patient education on risks | Advanced 3D imaging technology for pre - surgical visualization, fat - transfer technique (NaturalFill®) |
| Rapaport Plastic Surgery | Silicone, saline | Specialization in breast augmentation and revision, minimizing capsular contracture | Precision in areola incisions for silicone implants, strict measures to prevent contamination | Scarless breast augmentation using endoscope, in - depth understanding and prevention of capsular contracture |
| Cangello Plastic Surgery | Silicone, saline | Artistic approach to breast surgery, minimizing scarring | Use of Keller funnel for smaller areola incisions, laser treatment for scar reduction | Personalized treatment plans based on aesthetic principles, a full range of cosmetic breast surgeries |
General Considerations for Breast Augmentation with Areola Incisions
Patient Suitability
Not all patients are suitable candidates for breast augmentation with areola incisions. Ideal candidates should be in good overall health, have fully developed breasts, and have realistic expectations about the procedure. For example, women who are 18 + years old are eligible for saline breast implants, while those who are 22 + years old can consider silicone breast implants. Women with pre - existing breast conditions or health problems may need further evaluation to determine if they can undergo the surgery safely.
Risks and Complications
As with any surgical procedure, breast augmentation with areola incisions comes with risks. Some common risks include excessive bleeding, infection, excessive scarring, implant rejection, hematoma (blood vessel breakage), seroma (fluid collection beneath the skin), and blood clots. There is also a risk of capsular contracture, where the scar tissue around the implant contracts and squeezes the implant, leading to aesthetic and functional problems. In rare cases, breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) can occur, although it is a very rare and treatable type of cancer associated with certain breast implants.
Recovery Process
The recovery process after breast augmentation with areola incisions can vary from patient to patient. Generally, patients can expect some initial discomfort, swelling, and bruising. They will be required to wear a special support bra for a certain period. Strenuous exercise and aerobic activity, including sexual activity, are usually restricted for the first ten days after surgery. Patients may be able to return to work within a few days to a couple of weeks, depending on the nature of their job. It may take a few months for the breasts to fully settle into their final position and for the incisions to fully heal, flatten, and fade.
Conclusion
Mount Sinai - New York, Rapaport Plastic Surgery, and Cangello Plastic Surgery are three reputable hospitals in New York City that offer breast augmentation surgery with areola incisions. Each hospital has its own unique features, from advanced imaging technology and specialized techniques to experienced surgeons with a focus on patient safety and aesthetic results. When considering breast augmentation, patients should thoroughly research these hospitals, consult with the surgeons, and carefully weigh the risks and benefits.
If you're interested in learning more about breast augmentation or scheduling a consultation, we encourage you to reach out to these hospitals. Take the time to understand the procedures, ask questions, and make an informed decision that is right for you. Whether you're looking to enhance your body contour, restore breast volume, or correct asymmetries, these hospitals can provide you with the professional care and expertise you need.
