Introduction
Prosthetic breast augmentation is a highly sought - after cosmetic procedure in New York City. Women choose this surgery for various reasons, including enhancing self - confidence, correcting asymmetry, or restoring breast volume after pregnancy or weight loss. With numerous hospitals and surgeons in the city, finding the right place for your breast augmentation can be a daunting task. This article aims to review the top five hospitals for prosthetic breast augmentation in New York City, providing you with detailed information to help you make an informed decision.
Understanding Breast Augmentation
What is Breast Augmentation?
Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that enhances the size and shape of the breasts. It typically involves the placement of breast implants, either saline or silicone, to increase breast volume. As stated in the information from rowe plastic surgery, breast augmentation can also help address various issues such as restoring volume after weight loss, bringing breasts back to their natural shape after pregnancy, and providing symmetry for uneven breasts.
Types of Breast Implants
| Type of Implant | Description | Advantages | Disadvantages |
|---|---|---|---|
| Saline Implants | These implants have an empty silicone outer shell that is inserted into the breast pocket and then filled with a sterile saline liquid during the procedure. Information from dr. William Lao's practice shows that they are often less expensive. | Less expensive; if they rupture, the saline is absorbed by the body without harmful effects. | May have a less natural feel, especially in thinner patients, and there is a greater potential for a noticeable rippling effect through the skin. |
| Silicone Implants | Pre - filled with a silicone gel, they closely mimic the texture and feel of natural breast tissue. As per data from the various surgical practices, about 84% - 85% of breast augmentations in the US use silicone implants. | More natural look and feel; less chance of producing a rippling effect. | Higher cost; require a larger incision for placement; in case of rupture, it may be more difficult to detect compared to saline implants. |
| Structured Implants | Filled with saline but placed in an inner mold to make them feel more like natural breasts. | Combines some of the benefits of both saline and silicone implants, providing a more natural feel. | May have limited availability and higher cost compared to basic saline implants. |
| Gummy Bear Implants | These are cohesive silicone gel implants. They have a thick gel that keeps its form and minimizes the risk of leakage if the implant is compromised. Dr. John E. Sherman was involved in the development of similar anatomically - shaped implants like the Natrelle 410. | Maintain their shape well; provide a natural and proportionate breast shape and feel. | Higher cost; may require a larger incision due to their firmer consistency. |
Top Five Hospitals for Prosthetic Breast Augmentation in New York City
1. Columbia University Plastic & Reconstructive Surgery
Reputation and Expertise
Columbia University is one of New York's best hospitals and a world - renowned medical center. Their plastic surgery division has the experience that few other programs can match. Each of their plastic surgeons is proficient in multiple areas of specialization, ranging from routine non - surgical cosmetic procedures to complex reconstructive operations. According to their website, they are at the forefront of clinical and laboratory research in plastic surgery, being a recognized national and international leader in the field.
Breast Augmentation Services
The hospital offers breast augmentation as part of its cosmetic care program. They use advanced techniques and have access to the latest research, ensuring that patients receive the best possible results. Their surgeons take into account the patient's unique anatomy and aesthetic goals to provide personalized treatment. The hospital also offers comprehensive pre - and post - operative care, including consultations, follow - up appointments, and support throughout the recovery process.
Patient Reviews
While specific patient reviews related solely to breast augmentation are not in the provided resources, the hospital's overall reputation for high - quality medical care and its position as a leader in plastic surgery research suggest that patients can expect a professional and expert approach to their breast augmentation procedure.
2. Dr. Adam R. Kolker's Practice
Surgeon's Qualifications
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. His education and training 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. He is also an associate clinical professor of surgery at the Mount Sinai School of Medicine, which indicates his in - depth knowledge and experience in the field of plastic surgery.
Breast Augmentation Approach
Dr. Kolker believes that true artistry in breast augmentation is based 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 in numerous top 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 top doctors from 2008 - 2025.
Patient Testimonials
Many patients have left positive testimonials about Dr. Kolker's work. For example, patients like N.S. 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. John E. Sherman's Practice
Expertise in Implants
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He worked closely with Allergan during the original development of the Natrelle 410 cohesive gel breast implants. This shows his in - depth understanding of the nature of these implants and his ability to provide patients with the best options for their breast augmentation.
Patient - Centered Approach
He works closely with prospective patients to develop an individualized approach. During the consultation, he reviews the patient's medical history, examines the breasts, and discusses implant options in detail. He also explains all aspects of the procedure, including possible complications, and helps patients set realistic expectations. This patient - centered approach ensures that patients are well - informed and comfortable throughout the process.
Complication Management
Dr. Sherman is well - aware of the possible complications associated with breast implants, such as BIA - ALCL and breast implant illness. He educates patients about these risks and provides information on how to manage them. He has a comprehensive approach to the entire breast augmentation process, from pre - operative preparation to post - operative care and follow - up.
4. Dr. Darrick Antell's Practice
Surgeon's Reputation
Dr. Darrick Antell is a board - certified plastic and reconstructive surgeon. He has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He has been listed in multiple magazines, such as Harper’s Bazaar and Town and Country, as one of the best breast plastic surgeons in the country. His groundbreaking research on identical twins and the aging process was even displayed in the Smithsonian Museum.
Breast Augmentation Benefits
Dr. Antell's breast augmentation procedures are designed to provide a number of benefits. These include enhanced confidence, improved proportions, customized volume and shape, a rejuvenated appearance, corrected asymmetry, and broader wardrobe options. He uses advanced techniques to ensure a beautiful, long - lasting result with a reduced risk of complications.
Patient Reviews
Patients have given positive reviews about Dr. Antell's work. For example, one patient said, “I received all the attention from Dr. Antell and his friendly staff. I am very happy with the results. It's been less than 2 weeks since the surgery, I feel very...”. Another patient commented, “Four years later I look in the mirror every day and breathe a sigh of relief. I love my breasts. He did a wonderful, wonderful job.”
5. Dr. William Lao's Practice
Specialized Technique
Dr. William Lao is on a shortlist of surgeons in the country who specialize in the scarless breast augmentation technique, in which the implants are inserted through the armpit, leaving no visible scar. He is a double - board - certified plastic surgeon in both the USA and Taiwan with over 10 years of experience.
Asian - Specific Approach
He offers a demographically inspired surgery for Asian patients. Considering that Asian women typically have smaller frames, he factors in a more petite torso when choosing the ideal implant size, shape, and degree of projection. This specialized approach ensures that Asian patients receive results that are tailored to their unique body types.
Patient Experience
Patients who have undergone breast augmentation with Dr. Lao have reported increased self - confidence and satisfaction with their results. His practice provides a comprehensive consultation process, where patients can discuss their goals and have all their questions answered. He also offers detailed pre - and post - operative instructions to ensure a smooth recovery.
Choosing the Right Hospital and Surgeon
Considerations for Hospital Selection
- Reputation: Look for hospitals and surgeons with a good reputation in the field of plastic surgery. Check online reviews, patient testimonials, and whether they are recognized in top medical publications.
- Surgeon's Qualifications: Ensure that the surgeon is board - certified and has extensive experience in performing breast augmentation surgeries. Consider their education, training, and any specialized skills they may have.
- Range of Services: A good hospital should offer a comprehensive range of breast augmentation services, including different types of implants, incision options, and complementary procedures if needed.
- Patient - Centered Care: The hospital and surgeon should take the time to understand your individual goals, answer all your questions, and provide personalized treatment plans.
- Complication Management: It's important to choose a hospital that is well - equipped to handle any potential complications that may arise during or after the surgery.
Cost Considerations
The cost of breast augmentation in New York City can vary depending on several factors, such as the type of implants, surgical technique, anesthesia costs, and surgeon fees. The average cost of breast augmentation can range from around $4,500 (according to the American Society of Plastic Surgeons) to over $20,000. It's important to have a detailed discussion with the surgeon during the consultation to understand all the costs involved and any financing options that may be available.
Preparing for Breast Augmentation
Initial Consultation
The initial consultation is a crucial step in the breast augmentation process. During this meeting, the surgeon will evaluate your general health and medical history, assess the current condition of your breasts, and discuss your aesthetic goals. You will have the opportunity to ask questions about the procedure, including the type of implants, incision options, and recovery process. Surgeons like Dr. Darrick Antell and Dr. John E. Sherman take the time to have an open and honest conversation with patients to guide them through all aspects of the decision - making process.
Pre - operative Preparation
To ensure the best results and a smooth recovery, patients are usually advised to take the following steps before breast augmentation:
- Quit smoking or using any nicotine products, as nicotine can significantly impact your ability to heal.
- Taper off current medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort.
- Arrange for a trusted family member or friend to pick you up from the hospital and stay with you during the initial recovery period.
- Designate a comfortable space at home for recovery and place necessary items within reach.
- Take 2 - 3 weeks off work or other strenuous activities to allow your body to heal.
The Breast Augmentation Procedure
Anesthesia
Breast augmentation is typically performed under general anesthesia or intravenous sedation anesthesia. A board - certified anesthesiologist will monitor you throughout the procedure to ensure your safety and comfort. According to information from various practices, different surgeons may have preferences based on the patient's overall health and the nature of the procedure.
Incision Options
| Incision Type | Description | Advantages | Disadvantages |
|---|---|---|---|
| Inframammary | Made under the breast in the natural crease where the lower part of the breast meets the skin of the chest. | Offers the best scar concealment; poses the fewest breastfeeding complications; provides good access for implant placement. | The scar may be visible in some bathing suits or when the breasts are lifted. |
| Periareolar | Made all the way around the areola’s outer edge. | Scar is disguised by the natural pigmentation change of the areola; low risk of interfering with breastfeeding. | May cause changes in nipple sensation; the scar may not heal as well in some patients. |
| Transaxillary | Made in the armpit. | Creates the least visible scar tissue; least invasive to the mammary gland, suitable for younger women who want to retain breastfeeding ability. | More technically challenging; may have limitations in terms of implant size and placement. |
Implant Placement
There are two main options for implant placement:
- Submuscular: Placing the implant under the pectoral muscle. This can reduce the risk of capsular contracture and make the outlines of the implant less obvious. However, it may require a longer recovery time and can be more uncomfortable initially.
- Subglandular: Placing the implant on top of the patient's muscles. This option may result in more prominent implant definition, especially depending on the type and amount of breast tissue present. It may be a better choice for patients with sufficient breast tissue and who want a quicker recovery.
Recovery and Results
Recovery Process
The recovery process after breast augmentation varies from patient to patient, but generally includes the following stages:
- In the first 24 - 48 hours, patients may experience swelling, bruising, and discomfort. They are usually advised to sleep upright, often in a recliner, and may need to take pain medication.
- Most patients can return to light activities and work within a few days to a week, depending on their job requirements. However, heavy lifting and strenuous activities should be avoided for 2 - 3 weeks.
- Patients are typically required to wear a surgical compression bra for several weeks to support the breasts and reduce swelling.
- It may take 6 - 8 weeks for swelling to subside significantly, and the implants will continue to settle into place over the next few months.
Expected Results
Most patients are satisfied with the results of their breast augmentation. The procedure can enhance the size and shape of the breasts, improve symmetry, and boost self - confidence. However, it's important
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