Introduction
Breast augmentation surgery has become increasingly popular in New York City. It offers women the opportunity to enhance their body confidence and achieve the desired breast size and shape. In this article, we will explore some of the popular institutions and doctors specializing in breast augmentation in the Big Apple. These establishments are known for their expertise, advanced techniques, and commitment to providing the best possible results for their patients.
Renowned Doctors and Their Institutions
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board certified plastic surgeon at New York Plastic Surgery & Non - Surgical Med Spa, located at 710 Park Avenue, New York, NY 10021. With an impressive educational background spanning Harvard Medical School, New York University, and the University of Melbourne in Australia, he is at the forefront of plastic surgery advancements. He serves as an associate clinical professor of surgery at the Mount Sinai School of Medicine.
Dr. Kolker's credentials are numerous. He is board - certified by the American Board of Plastic Surgery and the American Board of Surgery. He is also a fellow of the American College of Surgeons, a plastic surgery specialty fellow of the American Academy of Pediatrics, and a member of several prestigious societies. He has been featured in New York Magazine's Best Doctors from 2013 - 2024, as well as in Newsweek's America's Best Plastic Surgeons in 2021 - 2024.
His breast - related procedures include breast asymmetry correction, breast augmentation, breast lift, breast reconstruction, breast reduction, inverted nipple surgery, and tuberous breast correction. Patients praise his ability to deliver beautiful, natural, and proportional results, thanks to his combination of scientific expertise and artistic creativity.
Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in breast augmentation. Before the surgery, they use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. This technology allows patients to virtually try on different sizes of breasts and make informed decisions about their desired outcome.
The institution offers two types of implants, silicone and saline, and a non - implant option called NaturalFill®, which uses a fat - transfer technique. Their goal is to provide patients with a natural shape and size that they will be happy with. They also take the time to understand the patient's desire for breast enhancement, and the surgeon will consult with the patient to determine the best size and shape for their body.
Dr. David P. Rapaport - Rapaport Plastic Surgery
Dr. David P. Rapaport is a board - certified plastic surgeon and a world - recognized expert in breast augmentation and breast implant revision. His facility in New York specializes in helping women achieve a more attractive breast shape and size.
For breast augmentation, he offers both saline and silicone implants. The incision for the surgery can be placed in the underarm, under the breast, or within the areola, depending on the patient's needs and preferences. Dr. Rapaport uses an endoscope for the scarless breast augmentation procedure through the underarm, allowing for precise muscle division and implant positioning. He takes precautions to minimize the risk of capsular contracture, such as advising patients to avoid aerobic activity for ten days after surgery and using the “no touch” technique with a Keller funnel.
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 augmentations.
He has been listed in multiple magazines, such as Harper’s Bazaar and Town and Country, as one of the best breast plastic surgeons in the country. Dr. Antell tailors each breast augmentation to the patient's body type and aesthetic goals, offering both saline and silicone implants. He discusses all aspects of the procedure, including implant placement, sizing, and the potential risks such as capsular contracture. His approach ensures safe and natural - looking results.
Dr. Shridharani - Luxurgery NYC
Dr. Shridharani at Luxurgery NYC can perform breast augmentation using silicone or saline implants, as well as fat transfer. During the initial consultation, he discusses the patient's goals for breast size and shape to recommend the most suitable implant type. He measures the patient's breasts with an inflatable implant sizer to precisely determine the implant size.
The institution offers different types of implants, including round and anatomic (gummy bear) shapes, and smooth and textured surfaces. Dr. Shridharani also reviews the various incision sites and implant placements with the patient, considering factors such as scarring, nipple sensation, and breastfeeding ability.
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He has a deep understanding of breast implants, having worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants.
When choosing implants for patients, he considers factors such as material (saline or silicone), shape (round or anatomical), size (measured in cubic centimeters), and texture. Dr. Sherman is committed to patient care and developing individualized treatment plans. He also addresses potential complications such as BIA - ALCL and breast implant illness and determines if a patient is an ideal candidate for breast augmentation through a thorough consultation.
Breast Implant Options
Types of Implants
| Implant Type | Description | Advantages | Disadvantages |
|---|---|---|---|
| Silicone Implants | Filled with silicone gel, they mimic the texture and feel of natural breast tissue. The latest versions have a barrier layer to prevent leakage. | More natural look and feel, approved for women 22 years or older, and last longer than saline implants. | More expensive, and if they rupture, it may be more difficult to detect. |
| Saline Implants | Filled with sterile saline (saltwater), they can be adjusted for asymmetry and may require a smaller incision for placement. | Economical, if they rupture, the saline is absorbed by the body, and are approved for women 18 years or older. | May have a firmer feel compared to silicone, and there is a risk of visible rippling over time. |
| Cohesive Gel Implants (Gummy Bear Implants) | Have a more cohesive and viscous silicone gel, keeping their shape even if the shell is damaged. They are often shaped like a natural breast. | Less likely to rupture, provide a natural shape, and are popular for their stability. | May require a longer incision, and if they rotate, it can cause an unnatural appearance. |
Implant Shapes
- Round Implants: Provide a fuller appearance and more projection. They are the same shape in all dimensions, so there is no risk of rotation.
- Anatomic (Teardrop) Implants: Mimic the shape of a natural breast, tapered at the top and more projected at the bottom. However, they carry a risk of rotation, which may require revision surgery.
Implant Textures
- Smooth Implants: Have a soft feel and allow for more natural movement of the breasts. However, they may cause visible rippling over time.
- Textured Implants: Develop scar tissue that attaches to the implant, reducing the risk of rotation and capsular contracture. But they have less natural movement.
Breast Augmentation Procedure
Pre - surgery
Before breast augmentation, patients typically have a consultation with the surgeon. During this consultation, the surgeon will review the patient's medical history, perform a physical examination of the breasts, and discuss the patient's goals and expectations. They will also explain the different types of implants, incision sites, and implant placements. Patients may be advised to quit smoking, stop taking certain medications that increase bleeding, and arrange for someone to drive them home after the surgery and assist them during the recovery period.
Incision Sites
- Periareolar: Placed around the areola. It is well - hidden after healing but may restrict the size of silicone implants and carry a risk of nipple sensation loss and reduced breastfeeding ability.
- Inframammary: Made along the crease below the breast. The surgeon has good control, but there may be more visible scarring, and cutting the muscle for submuscular placement can lengthen recovery.
- Transaxillary: Incision in the armpit. It results in no breast scarring, and the scar in the armpit becomes less visible over time. It is suitable for larger implants but may cause rubbing of the implant against the skin and has some restrictions on deodorant use after surgery.
- Transumbilical: Implants are inserted through the belly button. It has minimal scarring and is the least invasive but may have difficulties with revision, cannot be used for silicone implants in some cases, and has a slightly higher risk of bleeding and implant damage.
Implant Placement
- Subglandular: Implants are placed above the pectoral muscle. This may have a shorter recovery time but may be more likely to cause visible rippling and interfere with mammogram results.
- Submuscular: Implants are placed under the pectoral muscle. It provides a more natural look, reduces the risk of capsular contracture, but may require a longer recovery period.
During Surgery
The surgery is typically performed under general anesthesia or intravenous sedation. The surgeon makes the chosen incision, creates a pocket for the implant, and then inserts the implant. The incisions are then closed with sutures, and a compression garment or bandage is applied to support the breasts and reduce swelling.
Post - surgery
Patients will experience some discomfort, swelling, and bruising after the surgery. They are usually prescribed pain medication and will wear a surgical compression bra for a few weeks. Most patients can return to work in a few days to a week, depending on the type of work and the extent of the surgery. Strenuous exercise and certain activities are restricted for several weeks to allow for proper healing. Full recovery can take several months, during which the implants will settle into place, and the final results will become apparent.
Cost Considerations
The cost of breast augmentation in New York City can vary depending on several factors. These include the type of implants (saline or silicone), the surgeon's experience and reputation, the location of the surgical facility, and any additional procedures or services included. Generally, silicone implants are more expensive than saline implants. Additionally, the fees for the operating room, anesthesia, and post - operative care are also part of the overall cost. Some institutions may offer financing options to help patients manage the cost of the procedure.
Potential Risks and Complications
Capsular Contracture
This is one of the most common complications in breast augmentation. It occurs when the scar tissue around the implant tightens, causing the breast to feel hard, look misshapen, and potentially causing pain. Surgeons take precautions to minimize this risk, such as using specific surgical techniques, antibacterial solutions, and in some cases, placing an acellular dermal matrix.
Implant Rupture or Leakage
Both saline and silicone implants can rupture or leak. If a saline implant ruptures, the saline is absorbed by the body, and the breast will appear deflated. Silicone implant rupture may be more difficult to detect as the gel may remain inside the implant or migrate. Regular check - ups and monitoring are recommended to detect any potential issues early.
Infection
Infection can occur within a week after surgery. It is usually treated with antibiotics, and in some cases, the implant may need to be removed. Surgeons take strict sterilization measures during surgery to reduce the risk of infection.
Nipple Sensation Loss
Some patients may experience a loss of nipple sensation after breast augmentation, especially with periareolar incisions. This can be temporary or permanent, and the risk varies depending on the surgical technique and individual factors.
Breast Implant Illness (BII)
This is a term used to describe a range of symptoms that some women experience after getting breast implants, such as fatigue, joint pain, and memory loss. However, the cause and link to breast implants are still being investigated.
Patient Testimonials
Many patients have shared their positive experiences with breast augmentation in New York City. For example, some patients of Dr. Adam R. Kolker have said that he made the impossible possible, correcting asymmetrical breasts and boosting their confidence. Patients of Dr. Darrick Antell have reported being very happy with the results of their breast augmentation and have praised his expertise and the care of his staff. These testimonials highlight the satisfaction that patients can achieve when choosing the right surgeon and institution for their breast augmentation procedure.
Conclusion
New York City offers a wealth of options for women considering breast augmentation surgery. From highly experienced and renowned surgeons to advanced techniques and a variety of implant options, patients have the opportunity to achieve their desired breast size and shape. However, it is crucial for patients to thoroughly research and consult with multiple surgeons to make an informed decision. They should understand the procedure, the potential risks and complications, and the recovery process. By choosing a reputable surgeon and institution, patients can increase their chances of a successful and satisfying breast augmentation experience.
If you are considering breast augmentation in New York City, we encourage you to take the next step. Contact one of the institutions or doctors mentioned in this article to schedule a consultation. During the consultation, you can ask all your questions, discuss your goals, and determine if breast augmentation is the right choice for you. Share this article with others who may be interested in learning more about breast augmentation in New York City.
