Introduction
Breast augmentation is one of the most sought - after cosmetic procedures in the United States, and New York City is a hub for top - notch plastic surgery. An areola incision for breast augmentation offers a discreet option for patients, as the scar can be well - hidden within the natural pigmentation of the areola. This article aims to provide a comprehensive overview and rankings of the top ten plastic surgery hospitals or practices in New York City for breast augmentation with areola incisions. We'll also delve into various aspects of breast augmentation, such as the procedure itself, types of implants, and considerations for choosing a surgeon.
Importance of Breast Augmentation
Data from a global intelligence platform, Statista, showed that by 2022, over 1.87 million cosmetic surgical procedures took place in the U.S., and breast augmentation has been among the top - performed surgeries for nearly two decades. For many women, breast augmentation is not just about enhancing physical appearance but also about boosting self - confidence and achieving a more balanced body image. It can be especially beneficial for women who have lost breast volume due to pregnancy, weight loss, or those who are simply unhappy with the size and shape of their breasts.
What is Breast Augmentation with Areola Incisions?
Breast augmentation with areola incisions, also known as periareolar incisions, involves making a cut around the edge of the areola. This approach allows the surgeon relatively easy access to place the breast implant either above or below the pectoral muscle. It has several advantages, including a more hidden scar compared to other incision methods, such as the inframammary or transaxillary incisions. However, it also has some risks, such as a slightly higher chance of affecting nipple sensation and milk duct disruption in some cases.
Factors to Consider When Choosing a Plastic Surgeon for Breast Augmentation
- Board Certification: Surgeons should be certified by the American Board of Plastic Surgery. This ensures that they have undergone rigorous training and met the high - standards set by the board. For example, Dr. Adam R. Kolker is double - board certified by the American Board of Plastic Surgery and the American Board of Surgery.
- Experience: Look for surgeons with a significant amount of experience in performing breast augmentation, especially with areola incisions. A surgeon who has performed many successful procedures is more likely to achieve the desired results and handle any complications that may arise.
- Patient Reviews: Reading reviews from past patients can give you insights into the surgeon's bedside manner, communication skills, and the quality of their work. Positive reviews and high ratings are indicators of a good surgeon - patient relationship and satisfactory surgical outcomes.
- Before - and - After Photos: Reputable surgeons will typically have a portfolio of before - and - after photos of their breast augmentation patients. These photos can help you assess the surgeon's skill in achieving natural - looking results.
- Facility Accreditation: The surgical facility where the procedure will be performed should be accredited. This means that it meets certain safety and quality standards.
Top Ten Plastic Surgery Hospitals or Practices for Breast Augmentation with Areola Incisions in New York City
| Surgeon/Clinic | Rating | Location | Estimated Cost | Specialties | Why They're on the List |
|---|---|---|---|---|---|
| Dr. Renata Khelemsky, MD | 5.00 out of 5 stars | 58 Prospect St, Brooklyn, NY 11201 | Not specified | Breast augmentation and other plastic surgery procedures | With a perfect 5 - star rating, Dr. Khelemsky has a proven track record of providing excellent results, which likely includes proficient use of areola incisions for breast augmentation. |
| Dr. Jeffrey Ascherman, MD | 4.90 out of 5 stars | 51 West 51st Street Suite 380, New York, NY 10019 | Not specified | Breast augmentation and related procedures | The high rating indicates his high - level of patient satisfaction. His expertise in breast augmentation likely includes skilled work with areola incisions. |
| Dr. Nadia Afridi, MD, FRCSC | 4.9 | 815 Park Ave, New York, NY 10021 (b/t 75th St & 74th St, Upper East Side) | $8900 | Mommy makeovers, breast surgery, body contouring, facial treatments | Dr. Afridi is experienced with both saline and silicone implants and has four key considerations for breast augmentation, including incision site. She can perform areola incisions and also correct issues from previous breast augmentations. |
| Dr. John Pang, MD | 4.60 out of 5 stars | 10 Union Sq E Ste 2m, New York, NY 10003 | Not specified | Breast augmentation and other aesthetic procedures | His good rating suggests patient - positive experiences, and he is likely well - versed in different breast augmentation techniques, including areola incisions. |
| Dr. Evan Matros, MD | 4.80 out of 5 stars | 1275 York Ave, New York, NY 10065 | Not specified | Breast augmentation and other plastic surgery services | A high - rated surgeon, Dr. Matros is likely to have the skill and experience to perform breast augmentation with areola incisions effectively. |
| Dr. Adam R. Kolker, MD | 4.8 | 710 Park Avenue, New York City, New York, 10021 | $9000 – $11000 | Breast augmentation, breast lift, tuberous breast correction, and more | He is double - board certified, has an extensive educational background from prestigious institutions, and has been featured in numerous top - doctor lists. His wide range of breast procedures indicates his proficiency in various breast augmentation techniques, including those using areola incisions. |
| Dr. Richard Swift, MD | 4.9 | 110 E 87th St, New York, NY 10128 (b/t Park Ave & Lexington Ave, Upper East Side) | $5000 - $10000 | Breast enhancement, body contouring, facial treatments | Dr. Swift is a board - certified plastic surgeon with over 25 years of experience. He provides detailed consultations and pre - and post - operative care, and his high rating shows his reliability for breast augmentation, including areola - incision techniques. |
| Dr. Rachel Blue Bond - Langner, MD | 4.40 out of 5 stars | 222 E 41st st, New York, NY 10017 | Not specified | Breast augmentation and related plastic surgery | With a solid rating, she is a competent choice for breast augmentation. Her skills may include expertise in performing areola incisions for a more discreet result. |
| Dr. Babak Mehrara, MD | 4.40 out of 5 stars | 1275 York Ave, New York, NY 10065 | Not specified | Breast augmentation and other surgical specialties | His rating indicates patient satisfaction, and he is likely to have experience with different breast augmentation approaches, including areola incisions. |
| Dr. Mark Sultan, MD | 4.20 out of 5 stars | 1100 Park ave #1b, New York, NY 10128 | Not specified | Breast augmentation and related aesthetic surgeries | Despite a slightly lower rating compared to some others, Dr. Sultan still has positive feedback from patients. He has experience in breast augmentation and may be capable of using areola incisions. |
Types of Breast Implants
Silicone Implants
Silicone implants are the most popular choice for breast augmentation. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. They are pre - filled and produce a more natural look and feel compared to saline implants. Cohesive silicone gel implants, also known as gummy bear implants, were developed in the 1990s. They have a thicker gel that keeps its form better and minimizes the risk of leakage. These implants are popular because they can provide a natural and proportionate breast shape and are available in a wide range of shapes and sizes.
Saline Implants
Saline implants are filled with a salt - water solution. They are placed in the breast pocket and filled to the desired volume during the procedure. Saline implants usually require a smaller incision site for insertion compared to silicone implants. Ruptures are also more easily detected as the affected breast will flatten within hours. However, some people find that saline implants look and feel less natural, and they may show wrinkles or ripples over time.
Fat Transfer (NaturalFill)
Another option for breast augmentation is fat transfer, also known as NaturalFill®. This technique involves removing fat from an area of the body, such as the buttocks or abdomen, using liposuction and then injecting it into the breasts. Mount Sinai surgeons pioneered and perfected this method. It is a good option for patients who want a more natural enhancement and have enough fat to harvest. However, there are limitations, such as the potential for the fat to be reabsorbed by the body or change position and texture.
Preparing for Breast Augmentation with Areola Incisions
- Consultation: During the consultation, the surgeon will review your medical history, examine your breasts, and discuss your aesthetic goals. You should also discuss the type of implant, incision location, and placement options. Surgeons like Dr. John E. Sherman will go over all the details of the procedure and answer any questions you may have to help you make an informed decision.
- Medical Evaluations: You may need to undergo various medical tests to ensure you are in good health for the surgery. This may include blood tests, a mammogram, and an electrocardiogram.
- Lifestyle Changes: You will be advised to quit smoking or using any nicotine products as nicotine can significantly impact your ability to heal after surgery. You may also need to taper off certain medications or supplements that can increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort.
- Arrange for Post - operative Care: Plan to have a trusted family member or friend pick you up from the surgical facility and help you during the initial recovery period. Designate a comfortable space at home for recovery and have necessary items within reach.
The Breast Augmentation Procedure with Areola Incisions
Anesthesia
Breast augmentation is typically performed under general anesthesia or intravenous sedation anesthesia, depending on the patient's preferences and the surgeon's recommendation. A board - certified anesthesiologist will administer the anesthesia to ensure your comfort and safety during the procedure.
Incision
The surgeon will make a small incision around the areola. The size and placement of the incision may vary depending on factors such as the type and size of the implant, the patient's anatomy, and the surgeon's technique. This incision allows the surgeon to create a pocket for the implant either above or below the pectoral muscle.
Implant Placement
The implant can be placed either submuscularly (under the pectoral muscles) or subglandularly (above the pectoral muscles). Submuscular placement is often preferred as it can provide a more natural - looking result and may reduce the risk of visible rippling. However, subglandular placement may be more suitable for some patients, such as those with less muscle mass or certain anatomical features. For example, patients with signs of ptosis or sagging skin may have their implant placed subglandularly.
Closing the Incision
Once the implant is in place and the desired enhancements are achieved, the surgeon will close the incision with sutures. A compression garment will then be applied to protect the incisions and help reduce swelling.
Recovery and Results
Immediate Post - operative Period
In the initial days after surgery, it is normal to experience moderate symptoms such as fatigue, discomfort, swelling, and bruising. You will be given a prescription for pain medication to help ease the discomfort, which is usually most pronounced during the first few days. You will also be provided with a surgical compression bra that you will need to wear for the next few weeks as you heal.
Returning to Normal Activities
Most patients can return to work within a few days to a week, depending on the nature of their job. Light activities can usually be resumed in 2 - 3 weeks, and more strenuous activities, such as going to the gym, can be gradually restarted at 6 - 8 weeks. However, it is important to follow the surgeon's instructions and avoid overexertion during the recovery period to prevent complications.
Final Results
Although your breasts may still feel firm and tight in the early stages, over the next few months, the implants will settle into place, and you will be able to see the final results of your breast augmentation. The overall appearance and shape of your breasts will be more natural and in line with your aesthetic goals.
Potential Complications
Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing BIA - ALCL. This is a form of non - Hodgkin’s lymphoma that is associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). Although the actual number of cases worldwide is approaching 400, it is still a relatively rare condition.
Breast Implant Illness (BII)
BII is a term used to refer to a broad variety of symptoms that some women report after having implants placed. These symptoms include memory loss, “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 of breast augmentation include infection, bleeding, implant rupture, changes in nipple sensation, and scarring. It is important to discuss these risks with your surgeon beforehand and follow post - operative instructions diligently to minimize the chances of complications.
Conclusion
Breast augmentation with areola incisions can be a great option for women who want to enhance their breast size and shape while keeping the scar relatively discreet. New York City is home to some of the top plastic surgeons in the world, and the hospitals and practices on our top ten list have a proven track record of providing high - quality breast augmentation services. When considering breast augmentation, it is crucial to do your research, choose a qualified and experienced surgeon, and
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