Introduction

Double - plane breast augmentation with prostheses is a popular cosmetic surgical procedure in New York City. It involves placing breast implants in a specific double - plane position to achieve more natural - looking and aesthetically pleasing results. This article aims to present a ranking of the top five word - of - mouth hospitals for this procedure in New York City. We'll also provide an in - depth understanding of breast augmentation, including the types of implants, procedure details, recovery, and potential complications.

Understanding Double - Plane Breast Augmentation with Prostheses

What is Double - Plane Breast Augmentation?

Double - plane breast augmentation is a technique where the breast implant is placed partly under the pectoralis major muscle and partly behind the breast tissue. This placement offers several advantages, such as a more natural breast shape, reduced visibility of the implant edges, and less interference with mammograms. It allows for a customized approach based on the patient's body type, breast tissue volume, and aesthetic goals.

Types of Breast Implants

There are different types of breast implants used in double - plane breast augmentation:

• Silicone Implants: 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 research, in 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants (American Society of Plastic Surgeons).
• Saline Implants: Filled with sterile salt water. They can be adjusted for size during surgery and are often preferred for their flexibility in size. In the rare case of a rupture, the saline solution is safely absorbed by the body.
• Gummy Bear Implants: Also known as form - stable implants, 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.

Top Five Word - of - Mouth Hospitals for Double - Plane Breast Augmentation with Prostheses in New York City

1. Doctors Plastic Surgery

Doctors Plastic Surgery is a well - respected institution in New York City. They offer affordable breast augmentation without compromising on quality. Their board - certified surgeons have years of experience and have performed thousands of successful procedures. Dr. Ross Ratner, a dual - board certified plastic & reconstructive surgeon at Doctors Plastic Surgery, is renowned as NYC's best breast augmentation surgeon. He combines surgical expertise with a warm bedside manner and utilizes the latest surgical techniques to ensure exceptional results tailored to each patient’s goals.

Patients have given positive feedback about their experience at Doctors Plastic Surgery. For example, one patient 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!”

They offer transparent pricing and flexible financing options, which is a significant advantage for patients. Additionally, they provide a free consultation where patients can discuss their goals, and the surgeons will evaluate their needs and provide a personalized plan.

2. Dr. Adam R. Kolker

Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City. His education and training in plastic surgery span some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia. As an associate clinical professor of surgery at the Mount Sinai School of Medicine, he remains on the cutting edge of advancements in plastic surgery.

In breast augmentation, Dr. Kolker focuses on the concept that "beautiful" should be more important than "size." He establishes each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results. He has been featured as a top plastic surgeon in numerous publications, such as New York Magazine's Best Doctors issues from 2008 - 2024, Newsweek's America's Best Plastic Surgeons in 2021 - 2024, and Castle Connolly's America's Top Doctors from 2016 - 2024.

Patient testimonials speak highly of his skills. One patient said, “I could not believe my eyes. Dr. Kolker had done something all other surgeons had told me was not possible. He made the impossible, possible. I could not believe it took a possibility and turned it into my reality! I will forever be thankful to him for correcting my asymmetrical breasts and making me so happy.”

3. Dr. Lara Devgan, MD, MPH, FACS

Dr. Lara Devgan is a female plastic surgeon based in New York City. Many women seek her out because they prefer a female surgeon who will be discreet about this sensitive topic. During the consultation, she examines, measures, and photographs the patient's breasts. She shows samples of silicone and saline breast implants so patients can feel the difference between them and choose the type they prefer. Patients also have an opportunity to "try on" different sizes of implants to figure out what is right for them.

The recovery process at Dr. Devgan's practice is well - managed. In the first 24 - 48 hours, patients have a small amount of swelling, bruising, and discomfort. Most patients spend the first 1 - 2 days resting and can return to work by the 3rd or 4th day if they have a desk job. By one month after surgery, the vast majority of patients say they feel "back to normal."

Patients have provided positive feedback about their results. One patient said, “As a mother of five, my breasts no longer existed - - i went from a full b to a negative a after breastfeeding my children. Thanks to dr. Devgan, that's a thing of the past... i had very little pain and in about three to five days i was back to myself and in love. It's now six weeks later and the scars are almost invisible. Thanks again dr. Devgan. You did an awesome job!”

4. Dr. John E. Sherman

Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He works closely with prospective patients to develop an individualized approach for breast augmentation. He has a deep understanding of breast implants, having worked closely with Allergan during the original development of the Natrelle 410 cohesive gel breast implants.

When it comes to choosing breast implants, Dr. Sherman helps patients consider factors such as material, shape, size, and texture. He explains that round implants are frequently chosen for their ability to add volume higher on the chest, while anatomical implants are teardrop - shaped and replicate the form of the natural breast. The implant size that allows patients to achieve their ideal breast size depends on the amount of breast tissue they have before the augmentation and their desired results.

Patient consultations with Dr. Sherman are comprehensive. He reviews the patient's medical history, examines the breasts, takes measurements, and discusses implant options to determine the best fit. He also provides detailed pre - operative instructions to ensure a smooth procedure and recovery.

5. Dr. Olivia Hutchinson

Dr. Olivia Hutchinson is a fellowship - trained, board - certified plastic surgeon with her practice on the upper east side of New York City. She is passionate about delivering outstanding care to patients. Her breast augmentation surgery is fully customized, and she spends a significant amount of time with patients during the preoperative consultation to understand their desires and decide on the ideal implant type and placement.

Dr. Hutchinson offers various types of breast implants, including saline - filled implants, ideal implant structured breast implants, and silicone gel - filled implants. She also discusses the advantages and disadvantages of implant placement, such as subglandular (above the pectoral muscles) or submuscular (under the pectoral muscles) placement.

Patient testimonials highlight her excellent bedside manner and the natural - looking results. One patient said, “Dr. Hutchinson is a terrific plastic surgeon. She walked me through the whole process of my breast augmentation and made sure i was completely comfortable and knew exactly what to expect. I am thrilled with the results and would recommend her to everyone.”

Comparison of the Top Five Hospitals

Breast Augmentation Procedure Details

Consultation

The consultation is a crucial first step in the breast augmentation process. Surgeons at these top hospitals will review the patient's medical history, examine the breasts, take measurements, and discuss the patient's aesthetic goals. They will also explain the different types of implants, the double - plane technique, and the potential risks and benefits. Patients will have the opportunity to ask questions and express their concerns.

Pre - operative Preparation

Before the surgery, patients are usually advised to quit smoking or using any nicotine product as nicotine may significantly impact the ability to heal. They may also need to taper off certain medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort. Additionally, patients need to arrange for a trusted family member or friend to pick them up from the hospital and designate a comfortable space at home for recovery.

Surgery

Breast augmentation is typically performed under general anesthesia. The surgeon will make an incision in a discreet location, such as around the areola, under the breast fold, or in the armpit. The implant is then placed in the double - plane position. The surgery generally takes 1 - 2 hours, and most patients go home the same day.

Recovery

In the initial days after surgery, it is normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. Patients are usually given a prescription for pain medication to help ease discomfort. They will also need to wear a surgical compression bra for a few weeks. Light activities can usually be resumed in 2 - 3 weeks, and more strenuous activities, such as going to the gym, can be resumed at 6 - 8 weeks. The breasts may still feel firm and tight initially, but they will gradually settle into place over a few months.

Potential Complications and Risks

BIA - ALCL

Breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) is a rare but serious complication. It appears to be associated with implants that are textured and in patients who develop a seroma (accumulation of fluid around the breast). While the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. It is not breast cancer but rather a form of non - Hodgkin’s lymphoma that can be effectively treated.

Breast Implant Illness

Breast implant illness (BII) is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss and “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated.

Other Complications

Other potential complications include breast pain, breast numbness, loss of sensation in nipples, implant leak, issues with breastfeeding, and capsular contracture (a condition in which the scar tissue that naturally surrounds the implant begins to compress).

Conclusion

When considering double - plane breast augmentation with prostheses in New York City, it is essential to choose a reputable hospital with experienced surgeons. The top five word - of - mouth hospitals mentioned in this article - Doctors Plastic Surgery, Dr. Adam R. Kolker, Dr. Lara Devgan, Dr. John E. Sherman, and Dr. Olivia Hutchinson - all offer high - quality care, personalized treatment, and a wide range of implant options. However, it is important for patients to do their own research, have detailed consultations, and fully understand the procedure, risks, and recovery process.

If you are considering breast augmentation, we encourage you to reach out to these hospitals for a consultation. Learn more about their services, meet the surgeons, and ask all your questions to make an informed decision. Start your journey to achieving your desired aesthetic goals today!