Introduction
Breast augmentation is a highly sought - after plastic surgery procedure in New York City. With various hospitals and clinics offering different options, breast augmentation using textured prosthesis has gained significant attention. In this article, we will explore in detail the plastic surgery hospitals in New York City that provide breast augmentation with textured prosthesis, along with comprehensive information about the procedure, implants, and the overall experience.
Why Consider Breast Augmentation in New York City?
New York City is a hub of medical excellence, with some of the world's leading plastic surgeons and state - of - the - art facilities. The vibrant cultural scene and high - end clientele also mean that patients can expect the latest in cosmetic surgery techniques. When it comes to breast augmentation, the reasons for considering it are numerous:
- Enhanced Body Contour: Many women feel that their breasts are too small or disproportionate to the rest of their body. Breast augmentation can create a more balanced and appealing silhouette. For example, a woman with a curvy lower body may feel that larger breasts will give her a more hourglass figure.
- Correction of Asymmetry: Asymmetrical breasts are common, and breast augmentation can help balance the size and shape of the breasts, leading to a more harmonious appearance.
- Restoration after Pregnancy or Weight Loss: Pregnancy, breastfeeding, and weight loss can cause the breasts to lose volume and firmness. Breast augmentation can restore the pre - pregnancy or previous shape and size of the breasts.
- Improved Self - Confidence: A woman's self - esteem is often closely tied to her body image. By enhancing the size and shape of the breasts, breast augmentation can lead to a significant boost in self - confidence and a more positive self - perception.
Understanding Textured Prosthesis in Breast Augmentation
Textured breast implants are a type of implant used in breast augmentation. The texture of these implants is designed to reduce the risk of certain complications and provide better stability.
Advantages of Textured Prosthesis
- Reduced Risk of Capsular Contracture: Capsular contracture occurs when the body forms a tight scar around the implant, causing the breast to feel hard and look distorted. Textured implants have been shown to have a lower incidence of capsular contracture compared to smooth implants. The textured surface allows the surrounding tissue to adhere to the implant more firmly, reducing the likelihood of the capsule tightening.
- Stability: Textured implants are less likely to rotate within the breast pocket. This is especially important for anatomical or teardrop - shaped implants, as rotation can lead to an unnatural appearance. The textured surface helps the implant stay in the correct position.
Disadvantages of Textured Prosthesis
- Associated with BIA - ALCL: In 2019, Allergan textured shell breast implants were recalled worldwide due to an associated risk of developing breast implant - associated anaplastic large cell lymphoma (BIA - ALCL). While this is a very rare complication, it is a significant concern. The FDA currently recommends removing textured shell implants only in patients who have symptoms such as swelling, a mass, or fluid around the implant.
- Feel: Some patients may find that textured implants have a slightly different feel compared to smooth implants. They may be slightly firmer to the touch.
Plastic Surgery Hospitals in New York City for Breast Augmentation with Textured Prosthesis
Mount Sinai - New York
Mount Sinai is a well - known medical institution in New York City. Its plastic surgeons have extensive experience in performing breast augmentation procedures. They offer a range of breast implant options, including textured implants, and use advanced 3D imaging technology to help patients visualize the results. Before the surgery, they conduct a thorough consultation, including a physical exam and discussion of the patient's goals and medical history. During the consultation, the surgeon will explain the procedure in detail, including the risks and benefits of using textured implants.
Mount Sinai's approach to breast augmentation is patient - centered, focusing on achieving natural - looking results. They also offer a non - implant option, NaturalFill®, which uses a fat transfer technique. However, for patients interested in textured prosthesis, they can provide expert advice on the best type of implant based on the patient's body type and desired outcome.
740 Park Plastic Surgery
At 740 Park Plastic Surgery, Dr. Stafford R. Broumand is a board - certified plastic surgeon who offers a wide variety of breast implant options, including textured implants. He provides a comprehensive consultation process, discussing in detail the advantages and disadvantages of different implant types, shapes, sizes, and textures. He uses advanced Vectra 3D imaging to show patients how various implants may look on their own body following the procedure.
The clinic offers textured implants in both round and anatomical shapes. Textured round implants can provide increased volume and fullness, while anatomical textured implants are suitable for patients who desire more volume in the lower portion of the breasts, similar to the natural breast shape. Dr. Broumand will assess the patient's physical qualities, such as cleavage, breast sagging, and asymmetries, to recommend the most appropriate textured implant for each individual.
New York Group for Plastic Surgery
New York Group for Plastic Surgery specializes in breast augmentation. They offer textured breast implants as part of their range of implant options. Dr. Jordan Jacobs, a highly trained plastic surgeon at the clinic, has received training from globally acclaimed medical leaders. He takes a personalized approach to breast augmentation, considering the patient's body type, goals, and medical history.
During the consultation, the patient can expect to discuss the different types of textured implants available, including structured saline and silicone textured implants. The clinic also uses Vectra XT 3D - imaging to help patients visualize their breast augmentation results with different implant combinations. They provide detailed information on the procedure, incisions, recovery, and potential risks associated with textured implants.
Types of Textured Breast Implants
Saline Textured Implants
Saline textured implants consist of a silicone shell filled with a sterile saline (saltwater) solution. They are approved by the FDA for patients 18 and above. If the implant shell leaks, the saline solution will be absorbed and expelled harmlessly by the body. The textured surface of saline implants helps reduce the risk of capsular contracture and provides better stability. However, they may be firmer than silicone implants and have a slightly different feel.
Silicone Textured Implants
Silicone textured implants are filled with a silicone gel. They are FDA - approved for women aged 22 and over, as well as for breast reconstruction patients of any age. Silicone implants are known for their natural look and feel. The textured surface further enhances their stability and reduces the risk of rotation. In the event of a leak, the silicone gel may either remain inside the shell or move into the breast pocket, and the implant will not appear deflated. However, regular monitoring is still necessary.
Cohesive Gel (Gummy Bear) Textured Implants
Also referred to as “gummy bear” implants, cohesive gel textured implants are the newest type of implants. They are composed of a highly durable, form - stable silicone gel that creates an exceptionally natural shape and feel. The textured surface of these implants provides excellent stability, especially for the teardrop - shaped implants. They have a lower rate of rippling and are more resistant to leaks in the rare event of a rupture. However, they may require a slightly longer incision for insertion compared to other implant types.
The Breast Augmentation Procedure
Consultation
The first step in the breast augmentation process is the consultation. During this appointment, the patient will meet with a plastic surgeon to discuss their goals, medical history, and expectations. The surgeon will perform a physical examination, including measuring the breasts, assessing the skin quality, and checking for any breast - related health concerns. They will also discuss the different types of textured implants available, their advantages and disadvantages, and help the patient choose the most appropriate implant based on their body type and desired outcome.
Advanced imaging technologies, such as 3D imaging, may be used during the consultation to show the patient how the implants will look on their body. The surgeon will also explain the procedure in detail, including the incisions, implant placement, anesthesia options, and the expected recovery process. This is an opportunity for the patient to ask questions and address any concerns they may have.
Pre - operative Preparation
Once the patient has decided to proceed with the breast augmentation, they will need to prepare for the surgery. This may include:
- Medical Clearance: The patient may need to undergo a general medical check - up to ensure they are in good health for the surgery. This may include blood tests, a mammogram, and an electrocardiogram (ECG) depending on the patient's age and medical history.
- Lifestyle Changes: Patients are usually advised to quit smoking or using nicotine products at least several weeks before the surgery, as nicotine can affect the body's ability to heal. They may also need to stop taking certain medications, such as blood thinners, ibuprofen, vitamin E, and St. John's wort, which can increase the risk of bleeding.
- Arrangements at Home: Patients should arrange for a trusted family member or friend to pick them up from the hospital after the surgery and stay with them for the first night. They should also designate a comfortable space at home for recovery and gather necessary items, such as a comfortable pillow, loose - fitting clothing, and prescribed medications.
The Surgery
Breast augmentation with textured prosthesis is typically an outpatient procedure and usually takes 1 - 1.5 hours to perform. The patient will be given either general anesthesia or intravenous sedation anesthesia, depending on their preferences and the surgeon's recommendation.
The surgeon will make an incision in one of several locations, including the inframammary fold (under the breast), the periareolar (around the areola), or the transaxillary (under the armpit). The choice of incision depends on the type of implant, the patient's anatomy, and the surgeon's preference. Through the incision, a pocket will be created either under the breast tissue (subglandular) or under the pectoral muscle (submuscular), and the textured implant will be inserted into the pocket. The incisions will then be sutured closed, and the area will be wrapped with a compression garment.
Recovery
After the surgery, the patient will be monitored in the recovery area until they are fully awake. They may experience some discomfort, swelling, and bruising in the initial days, which can be managed with pain medication. A surgical compression bra will be provided, which the patient should wear for the next few weeks to support the breasts and aid in the healing process.
Most patients can return to work and light activities within a week or two, but strenuous exercise should be avoided for several weeks to a month. The surgeon will schedule follow - up appointments to monitor the recovery progress, check the implants, and address any concerns. It may take several months for the swelling to subside completely and for the implants to settle into place.
Complications and Risks Associated with Breast Augmentation using Textured Prosthesis
Capsular Contracture
Although textured implants have a lower risk of capsular contracture compared to smooth implants, it can still occur. Capsular contracture can cause the breasts to feel hard, look distorted, and may be painful. Treatment options may include massage, medication, or in severe cases, surgery to remove or replace the implant.
BIA - ALCL
As mentioned earlier, there is a small but increased risk of developing breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) with textured implants. This is a non - Hodgkin's lymphoma that typically presents as a mass or fluid accumulation around the implant several years after the surgery. It is usually treatable with surgical removal of the tumor, capsule, and breast implant.
Implant Rupture or Leak
While textured implants are designed to be durable, there is still a risk of rupture or leak. In the case of saline implants, if the shell ruptures, the saline solution will be absorbed by the body. For silicone implants, the gel may either remain inside the shell or move into the breast pocket. Regular monitoring, including imaging tests such as ultrasound or MRI, may be recommended to detect any signs of rupture or leak.
Infection
Infection can occur after breast augmentation surgery. Symptoms may include redness, swelling, pain, and fever. Infections are usually treated with antibiotics, and in severe cases, the implant may need to be removed temporarily until the infection has cleared.
Changes in Sensation
Some patients may experience changes in nipple or breast sensation after breast augmentation. This can include increased or decreased sensitivity, numbness, or tingling. In most cases, these changes resolve over time, but in some instances, they may be permanent.
Choosing the Right Plastic Surgeon
Selecting the right plastic surgeon is crucial for a successful breast augmentation with textured prosthesis. Here are some factors to consider:
Board Certification
Ensure that the surgeon is board - certified by a recognized medical board, such as the American Board of Plastic Surgery. Board certification indicates that the surgeon has completed the necessary training and meets the high standards of the specialty.
Experience
Look for a surgeon with extensive experience in performing breast augmentation procedures, especially with textured implants. You can ask about the number of procedures they have performed, view before - and - after photos of their patients, and read patient testimonials.
Reputation
Research the surgeon's reputation in the medical community and among patients. You can check online reviews, ask for referrals from friends or family, and look for any disciplinary actions or complaints against the surgeon.
Communication and Rapport
During the consultation, pay attention to how the surgeon communicates with you. They should listen to your concerns, answer your questions clearly and honestly, and make you feel comfortable. A good rapport with the surgeon is important for a positive surgical experience.
Conclusion
Breast augmentation with textured prosthesis is a popular and effective procedure for women in New York City who wish to enhance the size and shape of their breasts. With several top - notch plastic surgery hospitals and experienced surgeons available, patients have access to high - quality care and the latest techniques. However, it is important to carefully consider the advantages and disadvantages of textured implants, understand the procedure and its associated risks, and choose the right surgeon for the best possible outcome.
If you are considering breast augmentation with textured prosthesis in New York City, we encourage you to schedule a consultation with a qualified plastic surgeon. Take the time to learn more about the procedure, ask questions, and make an informed decision that is right for you. You can also explore additional resources and information on breast augmentation to further educate yourself about this transformative procedure.
