Introduction
Endoscopic breast augmentation is a surgical procedure that uses an endoscope to place breast implants, often through small incisions in the armpit or navel, resulting in less visible scarring and a potentially more precise placement of the implants. New York City, known for its advanced medical facilities and high - profile plastic surgeons, offers a variety of options for individuals seeking endoscopic breast augmentation. This article will provide a detailed list of hospitals and surgeons with a good reputation for this procedure, along with information on the procedure itself, costs, recovery, and more.
What is Endoscopic Breast Augmentation?
Endoscopic breast augmentation is a specialized form of breast augmentation surgery. It involves the use of a thin, flexible tube with a camera and light at the end (endoscope) to guide the surgeon during the placement of breast implants. This technique allows for a more accurate and minimally invasive approach compared to traditional breast augmentation methods. The main advantages of endoscopic breast augmentation include smaller incisions, reduced scarring, and potentially less tissue damage.
List of Hospitals and Surgeons with Good Reputation in New York City
1. Dr. William Lao
- Expertise: Dr. William Lao is one of the top plastic surgeons specializing in breast implants in New York City. He is on a shortlist of surgeons in the country who specialize in the scarless breast augmentation technique, where implants are inserted through the armpit using an endoscope, leaving no visible scar on the breast. He has successfully performed over 500 breast surgeries throughout his career and is a double - board - certified plastic surgeon in both the USA and Taiwan with over 10 years of experience.
- Qualifications: A double major graduate of Johns Hopkins University, followed by a doctorate of medicine from Johns Hopkins. He is a member of the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the International Society of Aesthetic Plastic Surgery, and is a founding member of the Asian Society for Breast Plastic Reconstructive Surgery. He was voted top doctor in 2022 by New Beauty.
- Cost: The price of breast augmentation with Dr. Lao is approximately $9,000 – $20,000. Please book a consultation for the most up - to - date costs.
2. Dr. David P. Rapaport
- Expertise: David P. Rapaport, a board - certified plastic surgeon, is a world - recognized expert specializing in breast augmentation and breast implant revision for women with previous breast surgery. He uses an endoscope to perform a scarless breast augmentation procedure through the underarm incision. Instead of bluntly tearing the lower border of the muscle and risking implant malposition due to incomplete muscle division, the muscle is precisely divided under magnified endoscopic visualization, allowing for control of any bleeding and precise implant positioning.
- Qualifications: All of his procedures are performed on - site in his fully accredited office surgical suite on Fifth Avenue in Manhattan, New York. He also offers cosmetic and non - surgical procedures such as injectable fillers, Botox, earlobe repair, mole removal, and more.
- Cost: No specific cost is mentioned, but the national average price for breast augmentation is approximately $5,352, and prices can vary based on factors such as implant type, surgical technique, and surgeon fees.
3. Dr. Darrick Antell
- Expertise: Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City and a board - certified plastic surgeon who has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He can customize the incision method and implant placement to achieve natural - looking results. He also addresses common complications like capsular contracture and has expertise in using advanced techniques and materials to reduce the risk.
- Qualifications: Trained at Stanford and Cornell, he has been honored for his groundbreaking research study on identical twins and the aging process, with his work displayed in the Smithsonian museum. He has been listed in multiple magazines, including Harper’s Bazaar and Town and Country, as being one of the best breast plastic surgeons in the country.
- Cost: The cost of breast augmentation depends on factors such as the type of breast implants selected (saline or silicone), operating room and anesthesia fees, consultation fee, and surgeon’s fee. Saline implants are the least costly of the available options, though a surprising 85% of patients opt for the more expensive silicone implants.
4. Mount Sinai - New York
- Expertise: Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation to enlarge breasts. They use the latest technologies, such as advanced 3D imaging technology, to help patients visualize how their larger breasts will look before scheduling the surgery. They offer various options for breast augmentation, including different types of implants (silicone and saline) and a natural fat transfer technique (NaturalFill®) pioneered and perfected by their surgeons.
- Qualifications: The hospital has a team of experienced plastic surgeons who are well - trained in performing breast augmentation procedures. They are committed to providing high - quality care and ensuring patient satisfaction.
- Cost: No specific cost information is provided. However, prices are competitive in New York City, and factors such as surgeon’s fees, facility costs, and the type of implants affect the total cost.
Procedure Details
Implant Options
Implant Type | Description | Advantages | Disadvantages |
---|---|---|---|
Silicone Implants | Filled with silicone gel, they provide a more natural look and feel. They are pre - filled and require a larger incision for insertion. | More natural movement, lesser chance of producing a rippling effect, last longer than saline implants. | Higher price point, if they rupture, the gel may not be as easily detectable as saline leakage. |
Saline Implants | An empty silicone outer shell is inserted into the breast pocket through a tiny incision and filled with a sterile saline liquid. | Less expensive, can be adjusted for asymmetry, and if they rupture, the saline is harmlessly absorbed by the body. | May have a less organic feel compared to silicone - gel implants, and there is a greater potential for a noticeable rippling effect through the skin, especially in thinner patients. |
Incision Placement
- Inframammary: The incision is made just below the crease of the breast. It allows the surgeon good access and control during implant placement. However, there may be more visible scarring compared to other options.
- Periareolar: The incision is made around the nipple. It is well - hidden upon healing, but there is a risk of nipple sensation loss and potential impact on breastfeeding ability. It also restricts the size of silicone implants as they need to fit through the incision.
- Transaxillary: The incision is made in the armpit. This results in no visible scarring on the breast, and with endoscopic assistance, the surgeon can have a good view of the breast pocket. There is no contact with the milk ducts, reducing the risk of certain complications. However, there can be rubbing of the implant against the skin during insertion, and patients may need to avoid wearing deodorant for a few weeks after surgery.
- Transumbilical: The incision is made in the belly button. It offers almost no scarring on the breast, and it is the least invasive option with generally easier recovery. However, silicone breast implants cannot be placed using this method, and there is a slightly higher risk of bleeding and damage to the implant during insertion.
Cost Factors
The cost of endoscopic breast augmentation in New York City can vary widely. Some of the factors that influence the cost include:
- Surgeon's Experience and Reputation: Well - known and highly experienced surgeons may charge more for their services. For example, surgeons like Dr. William Lao, who are recognized as top experts in the field, may have higher fees due to their expertise and successful track record.
- Type of Implants: Silicone implants are generally more expensive than saline implants. The cost of different brands and qualities of implants can also vary.
- Facility Fees: The cost of using the surgical facility, whether it is a hospital or an outpatient surgery center, is a significant factor. High - end facilities with advanced equipment and experienced staff may charge more.
- Anesthesia Costs: The type of anesthesia used (general anesthesia or IV sedation) and the anesthesiologist's fees contribute to the overall cost.
- Additional Procedures: If the patient requests additional procedures along with breast augmentation, such as a tummy tuck or liposuction as part of a mommy makeover, the cost will increase.
Recovery Process
The recovery process after endoscopic breast augmentation is an important aspect to consider. Here is a general overview of what to expect:
Immediate Post - Surgery
After the surgery, patients are typically monitored in a recovery area until the anesthesia wears off. They will be given a medical compression bra to wear over the incision bandages, which helps minimize swelling and keeps strain off the stitches. Most patients can return home the same day, but they must have an adult stay with them for the first night.
First Few Days
Patients may experience swelling, bruising, pain, and general discomfort during the early stages of recovery. Medication can be provided to help manage pain and discomfort. Tightness in the chest is normal as the tissue is stretched by the implants. The breasts may appear too high on the chest initially, but this will improve as the implants settle.
Return to Normal Activities
Patients with non - strenuous jobs can usually return to work in a few days to a week, while those with more physically demanding jobs may need more time. Non - impact activity can commence in a week or so, but exercise involving impact should be held off for at least a month. Certain upper body exercises can be resumed in six weeks or so, and patients should refrain from lifting anything above their head for six weeks.
Full Recovery
It may take between six to eight weeks for the swelling to fully ameliorate and for the full results to appear. The scars will be firm and pink for at least six weeks, then may remain about the same size for several months or may appear to widen before gradually fading over time, although they will never disappear completely.
Benefits of Endoscopic Breast Augmentation
- Enhanced Appearance: It can increase the size and improve the shape of the breasts, enhancing the overall body contour and proportion. Women who are dissatisfied with the natural size of their breasts or have experienced volume loss after pregnancy, breastfeeding, or weight loss can achieve a more desirable appearance.
- Increased Confidence: Many women report a significant boost in self - confidence after the procedure. They feel more comfortable in their clothes, especially swimsuits and form - fitting tops, and are more confident in their overall appearance.
- Minimal Scarring: The endoscopic technique often allows for smaller and less visible incisions, especially when using the transaxillary or transumbilical approach. This can be a major advantage for those who are concerned about scarring.
- Precise Implant Placement: The use of an endoscope enables the surgeon to have a better view of the breast pocket, resulting in more precise placement of the implants. This can lead to more natural - looking results and potentially fewer complications.
Risks and Complications
As with any surgical procedure, endoscopic breast augmentation comes with some risks and potential complications:
- Capsular Contracture: This occurs when the scar tissue around the implant tightens, causing the breast to harden and potentially change shape. It can be treated by removing the implant and scar tissue and, if desired, placing new implants.
- Implant Rupture or Leakage: Both silicone and saline implants can rupture or leak. If a saline implant ruptures, the saline is absorbed by the body, and the breast will appear deflated. Silicone implant rupture may be more difficult to detect and may require imaging tests.
- Infection: There is a risk of infection at the incision site or around the implant. Infections typically present within a week after surgery and can usually be treated with antibiotics. In severe cases, the implant may need to be removed.
- Changes in Nipple or Breast Sensation: Some patients may experience temporary or permanent changes in nipple or breast sensation, such as numbness or hypersensitivity.
- Bleeding and Hematoma: Bleeding during or after surgery can lead to the formation of a hematoma (a collection of blood). This may require additional treatment, such as draining the hematoma.
Choosing the Right Surgeon
Selecting the right surgeon for endoscopic breast augmentation is crucial for a successful outcome. Here are some tips to help you make the right choice:
- Check Qualifications: Ensure that the surgeon is board - certified in plastic surgery. Board certification indicates that the surgeon has met specific standards of education, training, and experience.
- Review Experience: Look for a surgeon with extensive experience in performing endoscopic breast augmentation. You can ask about the number of procedures they have performed and view before - and - after photos of their patients.
- Read Reviews: Read patient reviews and testimonials to get an idea of the surgeon's reputation and the quality of their care. You can also ask for referrals from friends, family, or other healthcare professionals.
- Schedule a Consultation: Meet with the surgeon in person to discuss your goals, concerns, and expectations. A good surgeon will listen to your needs, answer your questions, and provide you with a personalized treatment plan.
Conclusion
Endoscopic breast augmentation is a popular and effective way to enhance the size and shape of the breasts with the potential for less scarring and more precise implant placement. New York City offers a variety of hospitals and surgeons with a good reputation for this procedure. However, it is important to thoroughly research your options, understand the procedure, its risks, and the recovery process before making a decision. If you are considering endoscopic breast augmentation, take the time to consult with a qualified surgeon and weigh the benefits against the risks.
If you found this article informative, we encourage you to share it with others who may be interested in endoscopic breast augmentation. You can also explore related topics such as post - surgery care tips, new advancements in breast augmentation technology, or real - life patient stories. If you have any questions or want to learn more, feel free to leave a comment below or reach out to a qualified plastic surgeon in New York City for a consultation.