When it comes to prosthetic breast augmentation with endoscopic ultrasonic scalpel plastic surgery in New York City, patients need a comprehensive understanding of top - tier hospitals and clinics. Here is a detailed guide to assist you in making well - informed decisions.
Importance of Choosing the Right Hospital for Breast Augmentation
Prosthetic breast augmentation is a significant surgical procedure. Selecting the appropriate hospital is crucial as it can significantly affect the surgical outcome, patient safety, and post - operative recovery. Well - established hospitals typically have experienced surgeons, advanced equipment, and high - quality after - care services.
Criteria for Evaluating Hospitals
- Surgeon Expertise: Look for surgeons with extensive experience in breast augmentation using endoscopic ultrasonic scalpels. They should be board - certified and have a track record of successful surgeries. For example, according to US News, some plastic surgeons in New York, like Dr. Ernest S. Chiu, have over 20 years of experience.
- Technological Advancement: The hospital should be equipped with the latest endoscopic ultrasonic scalpel technology. Advanced equipment can enhance the precision of the surgery, reduce trauma, and improve the final results.
- Patient Reviews and Reputation: Positive patient reviews and a good reputation in the medical community are indicators of high - quality service. You can find reviews on platforms like Google Reviews, health - related websites, and patient testimonials provided by the hospital.
- Range of Services: A comprehensive hospital should offer a wide range of breast augmentation services, including different types of implants (silicone or saline), and options for breast lift or reduction if needed.
- After - care Support: Adequate after - care support, such as follow - up appointments, pain management, and advice on recovery, is essential for a smooth and successful recovery.
Top Hospitals and Clinics in New York City for Prosthetic Breast Augmentation
Columbia University's Plastic & Reconstructive Surgery
As one of New York’s best hospitals and a world - renowned medical center, Columbia University offers a high - quality plastic surgery service. Its plastic surgeons are proficient in multiple areas of specialization, including breast augmentation. They are at the forefront of clinical and laboratory research in plastic surgery.
- Surgeon Team: The hospital has a team of board - certified surgeons, such as Dr. Christine Rohde, who is highly skilled in microsurgery, abdominal wall reconstruction, and breast reconstruction. Dr. Jeffrey A. Ascherman is also an experienced plastic and reconstructive surgeon with numerous scientific publications and is included in multiple lists of top doctors.
- Service Range: In addition to breast augmentation, they offer reconstructive care for breast cancer patients, cleft palate/lip care, orthoplastic surgery care, and more.
- Technology: Being a research - intensive institution, it is likely to have access to the latest endoscopic ultrasonic scalpel technology and other advanced surgical tools.
Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in breast augmentation. They use advanced 3D imaging technology to help patients visualize their desired breast size and shape before the surgery.
- Patient - centered Approach: Surgeons take the time to consult with patients, understand their desires, and help them choose the most suitable option for breast augmentation, whether it's breast implants (silicone or saline) or the natural fill (fat transfer) technique.
- After - care: The hospital provides comprehensive post - operative care, ensuring that patients recover well and are satisfied with the results.
Rapaport Plastic Surgery
David P. Rapaport, a board - certified plastic surgeon at this facility, is a world - recognized expert specializing in breast augmentation and breast implant revision.
- Surgical Technique: Dr. Rapaport uses an endoscope to perform a scarless breast augmentation procedure, which allows for precise muscle division and implant positioning, reducing the risk of implant malposition.
- Implant Options: He offers both saline and silicone implants and helps patients determine the best type of implant for their anatomy and aesthetic goals.
- Recovery and Results: The hospital provides clear guidelines for recovery, and patients often experience a significant confidence boost after breast augmentation. The results of the surgery typically last a long time, and Dr. Rapaport takes precautions to minimize the risk of capsular contracture.
Dr. Adam R. Kolker's Practice
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. He has extensive education and training from some of the most prestigious medical institutions in the world.
- Artistic Approach: With a background in fine arts, Dr. Kolker combines scientific and technical mastery with artistic creativity to deliver natural and proportional results in breast augmentation.
- Credentials: He is featured in multiple top - doctor lists, such as New York Magazine's Best Doctors, America's Best Plastic Surgeons by Newsweek, and Castle Connolly's Top Doctors.
- Range of Services: In addition to breast augmentation, he offers a wide range of cosmetic and reconstructive procedures for the face, body, and non - surgical treatments.
Types of Breast Implants
When considering prosthetic breast augmentation, patients need to understand the different types of breast implants available.
| Implant Type | Description | Advantages | Disadvantages |
|---|---|---|---|
| Silicone Breast Implants | Filled with silicone gel, they give the breasts a natural feel. If the implant breaks or ruptures, the gel may remain inside the implant. They are FDA - approved for women 22 years of age or older. | Most natural feel, last longer than saline implants, and are the most commonly used type of breast implant around the world. | If ruptured, detecting the leakage may be more difficult compared to saline implants. |
| Saline Breast Implants | Filled with sterile saline (saltwater). If the implant pops or ruptures, the saline would be absorbed and expelled naturally from the body. They are FDA - approved for women 18 years of age or older. | If ruptured, it is easy to detect as the saline will be absorbed by the body. Can be filled after placement, suitable for some surgical techniques. | May feel less natural compared to silicone implants. |
Breast Implant Shapes and Textures
Shapes
- Round Breast Implants: Provide a fuller appearance and more projection. They are the same shape in all dimensions, so there is no worry about rotation.
- Anatomic or “Gummy Bear” Breast Implants: Keep their shape even if the implant shell is damaged. They are more like a natural breast, tapered towards the top and more projected towards the bottom. However, there is a risk of an unnatural appearance if they rotate, which may require revision surgery.
Textures
- Smooth Breast Implants: Have the softest feel and allow for more natural movement of the breasts. But over time, they may cause visible rippling of the skin.
- Textured Breast Implants: Develop healthy scar tissue that attaches to the implant, reducing the risk of repositioning. They also have a lower risk of a scar capsule, but there is less natural movement associated with them.
Breast Augmentation Incisions and Placement
Different incision sites and implant placements are available, and the choice depends on the patient's needs and preferences.
| Incision Site | Description | Advantages | Disadvantages |
|---|---|---|---|
| Periareolar Region | The incision is placed outside of the areola. Implants can be placed either over or under the pectoral muscle. | The incision is well - hidden after healing. | Restricts the size of silicone implants, risk of nipple sensation loss and reduced ability to breastfeed. |
| Inframammary Crease | The incision is made along the crease below the breast. | The surgeon has a good view and control, and implants can be placed above or below the chest muscle. | More visible scarring, and if the implant is placed below the muscle, the muscle needs to be cut, which lengthens recovery. |
| Transaxillary | The incision is made vertically in the armpit area, and an endoscope can be used for a better view. | No scarring on the breasts, the armpit scar becomes almost invisible over time, and no muscle cutting is required when placing the implant beneath the pectoral muscle. | There can be rubbing of the implant against the skin during insertion, causing bacterial complications, and no deodorant can be worn for a few weeks after surgery. |
| Transumbilical | Implants are inserted through the belly button using an endoscope. | Almost no scarring, least invasive, and only one incision is required. | Revision or implant replacement usually cannot be done through the same incision, silicone breast implants cannot be placed, and it is harder to control bleeding. |
Pre - operative Considerations
Before undergoing breast augmentation surgery, patients should take the following into account:
- Health Assessment: Have a comprehensive medical check - up to ensure that you are in good health for the surgery. This includes discussing any pre - existing medical conditions, allergies, and current medications with your doctor.
- Realistic Expectations: Understand the limitations of breast augmentation and have realistic expectations about the results. Your surgeon can help you understand what is achievable based on your body type and goals.
- Financing: Determine the cost of the surgery and explore financing options if needed. The cost of breast augmentation can vary depending on factors such as the type of implants, the surgeon's fees, and the hospital facilities.
- Support System: Arrange for a support system during the recovery period. You will need someone to help you with daily activities, such as cooking, cleaning, and transportation to follow - up appointments.
Post - operative Recovery
The recovery process after breast augmentation varies from patient to patient but generally includes the following aspects:
- Immediate Post - operative Period: After the surgery, you will be monitored briefly in the hospital. Once the anesthesia wears off, you can go home. You will need to wear a medical compression bra to minimize swelling and support the implants.
- Pain Management: Your doctor will prescribe pain medication to manage any discomfort. Most patients experience mild to moderate pain in the first few days, which gradually subsides.
- Rest and Activity Restrictions: You should rest as much as possible in the first few days after surgery. Strenuous exercise and heavy lifting should be avoided for several weeks. Non - impact activity can usually be resumed after a week or so, but impact exercise should be delayed for at least a month.
- Follow - up Appointments: Regular follow - up appointments with your surgeon are essential to monitor your recovery, check the healing of the incisions, and ensure that the implants are settling properly.
Conclusion
Prosthetic breast augmentation with endoscopic ultrasonic scalpel plastic surgery is a complex but rewarding procedure. By choosing the right hospital in New York City, understanding the different options for implants, incisions, and placements, and following the pre - and post - operative guidelines, patients can achieve satisfactory results. It is important to consult with multiple surgeons, review patient testimonials, and gather as much information as possible before making a decision.
If you are considering breast augmentation, we encourage you to reach out to the hospitals and clinics mentioned in this article. Schedule a consultation to discuss your goals and concerns with a qualified surgeon. Share this article with others who may be interested in learning more about breast augmentation in New York City, and explore related topics on breast health and plastic surgery for a more comprehensive understanding.
