Introduction
Breast sagging is a common concern for many women, often caused by factors such as pregnancy, weight gain and loss, heredity, or advancing age. In New York City, there are numerous experts offering breast sagging suspension procedures and related plastic surgeries. This article aims to provide a comprehensive ranking of these experts and an in - depth comparison of plastic surgeries for breast sagging. By the end of this article, readers will have a clear understanding of the top experts in the field and the different surgical options available to address breast sagging.
Factors Affecting Breast Sagging
Several factors can contribute to breast sagging. As per research, aging is a significant factor. Over time, the body produces less collagen and elastin, which are essential for maintaining the firmness and elasticity of the skin tissues. This leads to a loss of support in the breasts, resulting in drooping. Pregnancy and breastfeeding also play a crucial role. During pregnancy, the breasts increase in size and become heavier, stretching the skin. After breastfeeding, the breasts may lose volume, but the stretched skin remains, causing sagging. Additionally, significant weight changes can cause the skin to stretch during weight gain and fail to shrink back completely after weight loss. Gravity also continuously pulls the breast tissues downward, contributing to sagging over time.
Top Experts for Breast Sagging Suspension in New York City
Dr. Adam Kolker
Dr. Adam Kolker is a well - known double - board certified plastic surgeon in New York City. He has extensive training from prestigious institutions like Harvard Medical School, New York University, and the University of Melbourne in Australia. He is also an associate clinical professor of surgery at the Mount Sinai School of Medicine. Dr. Kolker's expertise lies not only in breast lift procedures but also in various cosmetic and reconstructive surgeries of the face and body. He is recognized in multiple renowned rankings. He has been featured as a top plastic surgeon in New York Magazine's Best Doctors issues from 2008 - 2024, named one of America's Best Plastic Surgeons by Newsweek in 2021 - 2024, and distinguished in Castle Connolly's America's Top Doctors from 2016 - 2024, as well as Top Doctors: New York Metro Area from 2008 - 2024. His patients praise his attention to detail, artistic vision, and ability to achieve natural - looking results. He takes a personalized approach to each patient, carefully evaluating their goals and anatomy to recommend the most suitable breast lift procedure.
Dr. Joshua A. Greenwald
Dr. Joshua A. Greenwald is a premier board - certified plastic surgeon in New York City. He has performed thousands of breast surgeries and is known for achieving natural results. He served as a clinical investigator for cohesive silicone gel implants and has thousands of before - and - after photos for patients to review. Dr. Greenwald is frequently sought after as an expert for revision breast surgery and has been named a top doctor in New York every year since 2012. He operates in a state - of - the - art surgical center that prioritizes patient safety. He uses advanced surgical techniques to perform breast lift surgeries, aiming to lift sagging breasts, reduce the size of the areolas, correct downward - pointing nipples, and remove excess skin. He offers patients detailed pre - and post - operative care instructions and is committed to providing a high - quality surgical experience.
Dr. Daniel Maman
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon. He completed a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. Dr. Maman specializes in cosmetic and reconstructive surgery of the breast, body, and face. His practice offers a 90 - minute consultation that includes a thorough review of the patient's medical history, an in - depth physical assessment, comprehensive operative plans, a review of cost, accommodations, and follow - up visits, and the scheduling of surgery. He focuses on personalized care, understanding each patient's unique needs and goals to provide the best possible outcome for breast lift surgeries.
Dr. John E. Sherman
Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City with extensive expertise in breast lift procedures. He has helped numerous women achieve stunning results through his surgical techniques. His dedicated staff ensures that patients receive a first - class experience from start to finish. During the consultation, Dr. Sherman thoroughly reviews the patient's medical history and discusses all aspects of the procedure. He is aware of the risks associated with smoking during breast lift surgery and advises smokers to quit at least one month before the operation. He offers different types of breast lift procedures, including full mastopexy and periareolar mastopexy, tailored to each patient's degree of breast sagging.
David Hidalgo, MD, FACS
David Hidalgo is recognized in the Newsweek rankings of America's Best Plastic Surgeons 2023. He is based in New York and has expertise in multiple plastic surgery procedures, including breast - related surgeries. While specific details about his breast sagging suspension approach may not be as comprehensively documented as some other surgeons in this article, his inclusion in the prestigious Newsweek ranking indicates his high - level of skill and proficiency in the field of plastic surgery.
Alan Matarasso, MD, FACS
Another surgeon named in the Newsweek 2023 rankings, Alan Matarasso, is based in New York. His recognition in this national ranking suggests that he is well - regarded among his peers in the plastic surgery community. Although more detailed insights into his breast sagging suspension techniques would require further research, his standing in the ranking gives an indication of his competence in performing various plastic surgery procedures, including those related to the breasts.
Types of Breast Lift Surgeries
Circumareolar Mastopexy
This is also known as the "doughnut" breast lift. It involves making an incision around the areola only. It is suitable for patients with mild breast sagging. This procedure results in minimal scarring as the incision is confined to the area around the areola. During the surgery, the areola can be resized, and the nipple - areolar complex can be repositioned slightly. However, it may not provide as much lifting and reshaping as more extensive procedures for severe sagging cases.
Circumvertical Mastopexy
Referred to as the "lollipop" or short - scar breast lift, this procedure involves an incision around the areola and a vertical line extending from the bottom of the areola to the breast crease. It is appropriate for patients with moderate breast sagging. It allows for more lifting and reshaping of the breast tissue compared to the circumareolar mastopexy. The scar pattern is less extensive than the wise - pattern mastopexy, making it a popular choice for many patients who want to balance the amount of lifting with scarring.
Wise - Pattern Mastopexy
Also called the "inverted - t" breast lift, this is the most extensive breast lift procedure. It involves an incision around the areola, a vertical line to the inframammary crease, and a horizontal line along the breast crease. This pattern resembles an anchor shape. It is used for cases of severe breast sagging and deflation where a significant amount of lifting and reshaping is required. While it can provide the most dramatic results, it also leaves the most visible scars. However, the scars can often be hidden by natural breast folds and over time may fade.
Augmentation Mastopexy
This is a combination of breast lift and breast augmentation with implants. It is suitable for patients who not only have sagging breasts but also want to increase the volume of their breasts, especially in the upper pole region above the nipple that often loses volume after pregnancy or weight loss. The surgeon will lift the breast tissue and reshape it while also inserting breast implants to add volume. This procedure requires careful planning and expertise to ensure a balanced and natural - looking result.
| Type of Surgery | Incision Pattern | Suitability | Scarring | Results |
|---|---|---|---|---|
| Circumareolar Mastopexy | Incision around areola only | Mild breast sagging | Minimal | Minor resizing and repositioning of areola and nipple - areolar complex |
| Circumvertical Mastopexy | Incision around areola and vertical line to breast crease | Moderate breast sagging | Less extensive than wise - pattern | More lifting and reshaping compared to circumareolar |
| Wise - Pattern Mastopexy | Incision around areola, vertical line to inframammary crease, and horizontal line along breast crease | Severe breast sagging | Most visible | Most dramatic lifting and reshaping |
| Augmentation Mastopexy | Based on mastopexy type (varies) | Sagging breasts with desire for volume increase | Depends on mastopexy incision | Lifting, reshaping, and volume addition |
Plastic Surgery Comparison Atlas
Recovery Time
Recovery time can vary depending on the type of breast lift surgery. For a circumareolar mastopexy, recovery is generally quicker. Patients may be able to return to light duties within a few days and resume normal activities within one to two weeks. However, strenuous exercise should be avoided for about four to six weeks. With a circumvertical mastopexy, recovery may take a bit longer. Most patients need about one week off work and should avoid strenuous activity for four to six weeks. The wise - pattern mastopexy, being the most invasive, has a longer recovery period. Patients may need one to two weeks to resume normal activities and should refrain from strenuous exercise for six to eight weeks. For augmentation mastopexy, recovery also depends on the type of mastopexy performed, but in general, it is similar to the recovery time of the associated mastopexy procedure, with the added factor of recovery from the breast implant insertion. It is important to follow the surgeon's post - operative instructions carefully to ensure proper healing and the best possible results.
Cost
The cost of breast lift surgeries can vary widely in New York City. The cost of a circumareolar mastopexy is usually the lowest among the different types of breast lift procedures, as it is less invasive and requires less time in the operating room. The cost of a circumvertical mastopexy is typically higher than the circumareolar type due to the more extensive incisions and surgical work. The wise - pattern mastopexy is generally the most expensive, given its complexity and the amount of time and resources required for the surgery. When considering augmentation mastopexy, the cost will include not only the cost of the breast lift but also the cost of the breast implants, which can vary depending on the type and size of the implants. Additionally, factors such as the surgeon's experience, the location of the surgical facility, and the anesthesiologist's fees can also affect the overall cost.
Risk and Complications
All breast lift surgeries carry some risks and potential complications. Common risks include infection, excessive bleeding, and poor wound healing. Scarring is also a common concern, especially with the wise - pattern mastopexy, which leaves the most visible scars. Nipple sensation may be affected in some patients, with a small percentage experiencing permanent changes in nipple sensation. There is also a slight risk of nipple circulation problems during the healing process. When it comes to augmentation mastopexy, additional risks are associated with the breast implants, such as implant rupture, capsular contracture (hardening of the tissue around the implant), and implant displacement. However, experienced surgeons take precautions to minimize these risks and will discuss them thoroughly with patients during the consultation process.
Choosing the Right Surgeon and Procedure
Researching Surgeons
When looking for a surgeon for breast sagging suspension or related plastic surgeries, it is crucial to conduct thorough research. Check the surgeon's credentials, including board certification, which indicates that they have met the high - level standards set by the relevant medical organizations. Look for reviews and testimonials from previous patients. You can find these on the surgeon's website, third - party review sites, and social media. Review before - and - after photos of the surgeon's patients to get an idea of their aesthetic style and the quality of their work. Additionally, consider the surgeon's experience in performing breast lift surgeries and any specialized techniques they may use.
Consultation Process
A good consultation with a surgeon is essential. During the consultation, the surgeon should conduct a detailed physical examination of your breasts, including assessing the degree of sagging, the elasticity of the skin, and the size and shape of the areolas. They should also discuss your goals and expectations for the surgery. A reputable surgeon will be honest about what can and cannot be achieved through the surgery and will recommend the most suitable procedure based on your individual circumstances. They should also explain the surgical process, the recovery period, the potential risks and complications, and the cost of the surgery. You should feel comfortable asking questions and expressing any concerns during the consultation.
Personalized Approach
Each patient's body is unique, and the right procedure for one person may not be the right one for another. A surgeon who takes a personalized approach will take into account your specific anatomy, lifestyle, and aesthetic goals. For example, if you have a very active lifestyle, a shorter recovery time may be a priority, and the surgeon may recommend a less invasive procedure. If you are more concerned about scarring, they may suggest a procedure with a more minimal scar pattern. By tailoring the treatment plan to your individual needs, the surgeon can help you achieve the best possible results.
Conclusion
In conclusion, there are several top - notch experts in New York City for breast sagging suspension and plastic surgeries related to the breasts. Surgeons like Dr. Adam Kolker, Dr. Joshua A. Greenwald, Dr. Daniel Maman, and Dr. John E. Sherman have the skills, experience, and reputation to provide high - quality surgical care. There are different types of breast lift surgeries available, each with its own advantages, disadvantages, recovery time, cost, and risk factors. When considering breast sagging suspension or related plastic surgeries, it is important to do your research, have a thorough consultation with a qualified surgeon, and choose a procedure that is personalized to your needs. By making an informed decision, you can achieve the desired results and enhance your confidence and overall quality of life.
Take the first step towards your desired breast appearance by scheduling a consultation with one of the top experts in New York City. Explore the different surgical options available and discuss your goals and concerns with the surgeon. Share this article with others who may be interested in breast sagging suspension and plastic surgeries to help them make informed decisions.
