Plastic Surgery Guide for Dual - Plane Breast Augmentation Hospitals in New York City 2025
Introduction
Breast augmentation has become an increasingly popular cosmetic procedure, with many women in New York City seeking ways to enhance the size and shape of their breasts. Among the various techniques available, dual - plane breast augmentation has gained significant attention for its ability to provide natural - looking results. This guide will explore everything you need to know about dual - plane breast augmentation, including what it is, the best hospitals in New York City for this procedure, the benefits, candidates, and the overall process.
What is Dual - Plane Breast Augmentation?
Dual - plane breast augmentation is a surgical technique that involves placing the upper portion of the breast implant in the submuscular plane (behind the pectoral muscle) and the lower part in the subglandular plane (behind the breast tissue). According to Cosmetic & Plastic Surgery, this approach combines the benefits of both subglandular and submuscular implant placements. A subglandular implant can fill out the lower part of the breast without the potential restriction of the underlying muscle, while a submuscular implant has less incidence of capsular contracture, provides more coverage over the implant, creating a more natural look and feel, and helps in reducing the chance of visible wrinkling and making mammography more accurate.
There are three general types of dual - plane dissection:
- Type I: It refers to the complete division of the pectoralis major muscle along the inframammary fold without separating it from the overlying breast tissue.
- Type II: Includes the complete separation of the pectoralis major muscle along the entire inframammary fold and the release of the breast tissue from the muscle up to the bottom of the areola.
- Type III: Involves the complete release of the pectoralis major at the fold of the breast and the separation of the breast tissue from the muscle up to the top of the areola.
Benefits of Dual - Plane Breast Augmentation
Dual - plane breast augmentation offers several advantages over other breast augmentation techniques:
| Benefit | Explanation |
|---|---|
| Natural Appearance | The combination of submuscular and subglandular placement allows for a more natural slope and contour of the breast, mimicking the look of natural breasts. |
| Reduced Capsular Contracture | Since part of the implant is covered by muscle, there is a lower risk of capsular contracture, a condition where the scar tissue around the implant tightens and distorts the breast shape. |
| Less Visible Wrinkling | The muscle coverage helps to smooth out the appearance of the implant, reducing the likelihood of visible wrinkling or rippling under the skin. |
| Improved Mammography | Submuscular placement makes it easier to perform mammograms, as there is less interference from the implant. |
| Customizable Results | The surgeon can fine - tune the placement of the implant during the operation to achieve the desired look for each patient. |
Candidates for Dual - Plane Breast Augmentation
Ideal candidates for dual - plane breast augmentation typically include:
- Women who have lost weight, especially after pregnancy, and have mild ptosis (sagging) of the breasts. The dual - plane technique can create a “virtual lift” without the need for additional incisions for a breast lift procedure, as explained by Quatela Center for Plastic Surgery.
- Those who want to enhance the size and shape of their breasts but desire a natural - looking result.
- Patients with small breasts and little existing breast tissue can also benefit from the added coverage and support provided by the submuscular placement in the upper part of the implant.
- Women who are in good general health and have realistic expectations about the outcome of the surgery.
Best Hospitals in New York City for Dual - Plane Breast Augmentation
Doctors Plastic Surgery
Doctors Plastic Surgery offers affordable breast augmentation in New York City. Their double - board certified surgeons have years of experience and have performed thousands of successful procedures. They offer personalized options, including a range of implant sizes and types, to help patients achieve their desired look. Dr. Ross Ratner, MD FACS, is renowned as NYC's best breast augmentation surgeon at this clinic. He is a dual - board certified plastic & reconstructive surgeon who combines surgical expertise with a warm bedside manner. According to patient testimonials, patients are highly satisfied with the results and the care they receive, such as one patient who said, “I was so impressed with doctors plastic surgery. The price for my breast implants was great, and the results are amazing. The staff made me feel comfortable every step of the way. Highly recommend!”
Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies, such as advanced 3D imaging technology, to help patients visualize how their larger breasts will look. This allows patients to make more informed decisions about the size and shape of their implants. The surgeons at Mount Sinai offer a variety of options for breast augmentation, including silicone and saline implants, as well as a fat transfer technique known as NaturalFill®. Their goal is to provide patients with a natural shape and size that they will be happy with.
Quatela Center for Plastic Surgery
The Quatela Center for Plastic Surgery specializes in breast augmentation using the dual - plane placement of the implants. Many patients travel from Buffalo and Syracuse, NY, to have their procedures performed here. The surgeons can produce a “virtual lift” through the dual - plane technique for patients whose breast skin retains most of its elasticity and the breasts sag only slightly. They also have a number of before - and - after photos of dual - plane breast augmentation cases available on their website, allowing patients to see the potential results.
Blaine Plastic Surgery
Blaine Plastic Surgery offers a wide variety of implant options (type, size, shape, profile, and manufacturer) and the ability to use the patient's own body fat for breast augmentation. They make every effort to ensure that patients are well - informed about the procedure and are confident in their surgical plan. The most common incision used is in the inframammary crease or breast fold, which offers a small and well - hidden incision option with a low complication rate. Downtime is usually only 24 - 48 hours, and most patients can return to work and normal daily activities within a few days.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City specializing in breast augmentation and other cosmetic surgery procedures. He has an extensive education and training background, including attending some of the most prestigious medical institutions in the world. As an associate clinical professor of surgery at the Mount Sinai School of Medicine, he stays on the cutting edge of advancements in plastic surgery. Dr. Kolker is highly regarded in the industry, being featured in New York Magazine's Best Doctors issues, Newsweek's America's Best Plastic Surgeons, and Castle Connolly's Top Doctors. He focuses on achieving a proportionate and natural outcome for each patient, taking into account their unique body type and aesthetic goals.
Breast Implant Types
There are several types of breast implants available for dual - plane breast augmentation:
Silicone Implants
Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are known for their natural appearance and softness, making them a popular choice for many women. According to Doctors Plastic Surgery, silicone implants are often preferred for their ability to provide a more realistic look and feel. However, they are typically recommended for patients who are 22 years of age or older.
Saline Implants
Saline implants are filled with sterile salt water and can be adjusted for size during surgery. They are often preferred for their flexibility in size and the fact that any leaks are safely absorbed by the body. Saline implants are FDA - approved for patients who are 18 years of age or older. A major advantage of saline implants is that any rupture is easily visible, as the saline will be absorbed by the body, causing the breast to deflate. This allows for quick detection and replacement of the implant.
Gummy Bear Implants
Gummy bear implants, also known as form - stable implants, are filled with a thicker silicone gel that maintains its shape even if the implant shell is broken. They provide a natural look and feel, with less risk of rippling. These implants are suitable for patients who want a more structured and stable breast shape. However, they may be more expensive than other types of implants.
Ideal Implants
Ideal implants are a new and exciting FDA - approved option. They are structured saline breast implants with a double - baffled shell. This advanced internal structure controls the movement of the saline within and provides support similar to a silicone gel implant, thereby reducing the chances of implant rippling. Ideal implants offer the best of both worlds, combining the safety of saline with the aesthetic benefits of silicone.
The Breast Augmentation Process
Consultation
The first step in the breast augmentation process is a consultation with a qualified plastic surgeon. During this consultation, the surgeon will discuss your goals, evaluate your needs, and perform a physical examination. They will also review your medical history and may order any necessary tests, such as a mammogram for patients over 35 years old. The surgeon will explain the different types of implants and placement options, including dual - plane breast augmentation, and help you decide which is the best choice for you. They will also provide you with information about the procedure, recovery, and potential risks and complications.
Pre - operative Planning
Once you have decided to proceed with the surgery, your surgeon will create a personalized pre - operative plan. This may include taking breast measurements, such as the breast width at its widest point, nipple to inframammary fold distance, sternal notch to nipple distance, and breast height. They will also assess the elasticity of your breast skin and parenchyma using techniques like the deflection of the skin and the pinch test. Sizers may be placed in a bra and compared to the images obtained by three - dimensional imaging to help you choose the appropriate implant volume. You will be marked preoperatively in the upright standing position, including marking the midline, inframammary fold, and incision site.
Surgery
Breast augmentation is typically an outpatient surgical procedure performed under general anesthesia. The surgeon will make an incision, most commonly in the inframammary crease or breast fold, and create a pocket for the implant. In the case of dual - plane breast augmentation, the upper part of the implant will be placed behind the pectoral muscle, and the lower part will be positioned behind the breast tissue. The surgeon will fine - tune the placement during the operation to ensure a natural - looking result. The entire process is meticulously planned and executed to minimize visible scarring and ensure the best possible outcome.
Recovery
After the surgery, you may be fitted with a surgical bra to provide support to the newly enlarged breasts. Drainage tubes may also be left in place to prevent fluid accumulation. The surgeon will restrict certain activities, such as heavy lifting and workouts, for several weeks postoperatively. Medication will be prescribed to manage pain and discomfort during the healing process. Most patients can expect to take about a week off work, although some may be able to return after three to four days depending on the physical nature of their jobs. Final results take 6 - 12 months to fully appear as the body continues to heal, the swelling subsides, and the implants settle into their ideal position.
Cost and Financing
The cost of dual - plane breast augmentation in New York City can vary depending on several factors, including the surgeon's experience, the type of implants used, the facility where the surgery is performed, and any additional fees. However, many clinics offer transparent pricing and flexible financing options to make the procedure more affordable. For example, Doctors Plastic Surgery ensures clear and upfront pricing with no hidden fees and provides flexible financing plans to help patients manage the costs.
FAQs
How is breast augmentation surgery performed?
The surgeon makes incisions in inconspicuous areas, usually in the inframammary crease or breast fold. Implants are then carefully placed either under the chest muscle or directly behind the breast tissue, depending on the desired outcome. In dual - plane breast augmentation, the upper portion of the implant is placed under the pectoral muscle, and the lower part is placed behind the breast tissue.
What is recovery like after breast augmentation surgery?
Patients may be fitted with a surgical bra and may have drainage tubes in place. Activity restrictions will be imposed, such as avoiding heavy lifting and strenuous workouts for several weeks. Medication will be prescribed for pain management. Most patients can return to work within a week, but final results take 6 - 12 months to fully develop.
How long do the results of breast augmentation last?
Implants should be replaced as needed, such as after a rupture or if a patient experiences capsular contracture. While a common misconception is that breast implants need to be replaced every 10 - 15 years, this is not always the case. With proper care and regular follow - ups, the results can last for many years.
Conclusion
Dual - plane breast augmentation is a highly effective and popular cosmetic procedure that can provide natural - looking results and enhance a woman's confidence and self - esteem. New York City offers a wide range of excellent hospitals and experienced plastic surgeons who can perform this procedure with the highest level of skill and care. When considering dual - plane breast augmentation, it is important to do your research, choose a qualified surgeon, and have realistic expectations about the outcome. By following the steps outlined in this guide, you can make an informed decision and achieve the beautiful, natural - looking breasts you desire.
If you are interested in learning more about dual - plane breast augmentation in New York City, we encourage you to schedule a consultation with one of the reputable surgeons or hospitals mentioned in this guide. Take the first step towards enhancing your appearance and boosting your confidence today!
