Introduction
Breast augmentation with prosthetics is a popular cosmetic procedure that many women consider for various reasons, such as enhancing their body image, balancing asymmetrical breasts, or restoring volume after pregnancy or weight loss. In Albany, there are several institutions and experts that have gained a reputation for providing high - quality breast augmentation services. This article aims to explore three star - selected word - of - mouth institutions and provide an expert ranking, as well as offer comprehensive information about breast augmentation in general.
Understanding Breast Augmentation
What is Breast Augmentation?
According to the Mayo Clinic, breast augmentation, also known as augmentation mammoplasty, is surgery to increase breast size. It involves placing breast implants under breast tissue or chest muscles. For some, it's a way to feel better about themselves, while for others, it's part of rebuilding a breast due to various conditions. The procedure can be performed using breast implants, such as silicone or saline, or in some cases, fat transfer.
Reasons for Breast Augmentation
- Enhancing Body Image: Women who feel their breasts are too small may choose breast augmentation to improve how they feel about their appearance and gain more confidence in their bodies. For example, a woman who has always felt self - conscious about her small breasts may find that breast augmentation allows her to feel more comfortable in form - fitting clothing or during intimate situations.
- Balancing Asymmetrical Breasts: When one breast is significantly smaller than the other, breast augmentation can help create a more balanced and symmetrical look. This can be a result of natural variation or due to factors such as pregnancy, breastfeeding, or trauma.
- Restoring Volume: After pregnancy, weight loss, or aging, breasts may lose volume and firmness. Breast augmentation can help restore the fullness and shape of the breasts, giving a more youthful appearance.
Types of Breast Implants
Saline Breast Implants
Saline breast implants are filled with sterile salt water. If the implant shell leaks, the saline will be absorbed and naturally expelled by the body, causing the implant to collapse. These implants are FDA - approved for augmentation in women age 18 or older. They provide a uniform shape, firmness, and feel. Structured saline breast implants, which contain an inner structure, aim to make the implant feel more natural.
Silicone Breast Implants
Silicone breast implants are filled with silicone gel, which feels more like natural breast tissue. If a silicone implant leaks, the gel may remain within the implant shell or escape into the breast implant pocket, and the implant will not collapse. Women who choose silicone implants may need regular check - ups with their plastic surgeon, and an ultrasound or MRI screening can assess the condition of the implants. Silicone implants are FDA - approved for augmentation in women age 22 or older. Gummy bear breast implants, a type of form - stable silicone implant, maintain their shape even when the implant shell is broken. They have a thicker consistency and are firmer than traditional silicone implants. However, shaped gummy bear implants may rotate, leading to an unusual appearance of the breast that may require a separate procedure to correct, and they require a slightly longer incision in the skin. Round breast implants, on the other hand, tend to make breasts appear fuller, and higher - profile options can achieve more projection. Since they are the same shape all over, there is less concern about them rotating out of place.
Smooth vs. Textured Breast Implants
Smooth breast implants are the softest feeling and can move with the breast implant pocket, providing more natural movement. However, they may have some palpable or visible rippling under the skin. Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside the breast and become repositioned. Texturing also offers some advantage in diminishing the risk of a tight scar capsule. It's important to note that breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) occurs most frequently in patients who have breast implants with textured surfaces. The FDA has found a possible link between breast implants and this type of lymphoma, although it is not common. More research is needed to fully understand the relationship.
Implant Type | Filling | Advantages | Disadvantages | FDA Approval Age |
---|---|---|---|---|
Saline | Sterile salt water | Leakage is absorbed by the body; may require smaller incisions | May have a less natural feel | 18 or older |
Silicone | Silicone gel | More natural feel; Gummy bear implants maintain shape | Leak may require additional monitoring; shaped implants may rotate | 22 or older |
Smooth | N/A | Softest feel, more natural movement | May have visible or palpable rippling | N/A |
Textured | N/A | Less likely to move, reduced risk of capsular contracture | Higher risk of BIA - ALCL | N/A |
Assessing Plastic Surgeons and Institutions in Albany
General Factors for Evaluation
When looking for a plastic surgeon or institution for breast augmentation in Albany, several factors should be considered. These include the surgeon's experience, board certification, patient reviews, and the quality of the facility. Board - certified plastic surgeons have completed extensive training and met high standards of education and expertise in the field of plastic surgery. Patient reviews can provide valuable insights into the surgeon's bedside manner, the quality of the results, and the overall patient experience at the institution. The facility should be equipped with modern technology and adhere to strict safety and hygiene standards.
Star - selected Word - of - Mouth Institutions and Expert Ranking in Albany
Based on information from Healthgrades, in Albany, there are 155 doctors who perform breast augmentation. Here are some of the highly - rated surgeons:
Surgeon Name | Rating (out of 5 stars) | Address |
---|---|---|
Dr. Jonathan Canete, MD | 4.90 | 50 New Scotland Ave, Albany, NY 12208 |
Dr. Matthew McDonald, DO | 4.90 | 7 Southwoods Blvd Ste 2, Albany, NY 12211 |
Dr. Eugene Hoffert, MD | 4.90 | 250 Delaware Ave Ste 207, Delmar, NY 12054 |
Dr. Todd Beyer, MD | 4.80 | 47 New Scotland Ave, Albany, NY 12208 |
Dr. Francis Cullen, MD | 4.80 | 5 Palisades Dr Ste 110, Albany, NY 12205 |
These surgeons have received high ratings from past patients, indicating their proficiency in performing breast augmentation procedures. However, it's important to note that individual patient experiences may vary, and it's crucial to have a detailed consultation with the surgeon to discuss your specific goals and concerns.
Pre - operative Considerations
Consultation with a Plastic Surgeon
Before undergoing breast augmentation, it's essential to have a thorough consultation with a plastic surgeon. During this consultation, you should discuss your goals for the surgery, such as the desired size and shape of your breasts. The surgeon will also perform a physical examination to assess your overall health, breast anatomy, and skin quality. They will explain the different types of implants available, the surgical techniques, and the potential risks and complications associated with the procedure. For example, Rockmore Plastic Surgery in Latham, serving Albany, emphasizes the importance of understanding each patient's unique desires and motivations during the consultation process to create more satisfying results.
Pre - operative Preparations
- Medical Clearance: Your surgeon may require you to have a physical examination and laboratory tests to ensure you are in good health for the surgery. This may include blood tests, a mammogram (a baseline mammogram is often recommended before surgery), and an evaluation of your medical history, including any pre - existing conditions or medications you are taking.
- Smoking Cessation: If you smoke, your surgeon will likely ask you to stop smoking for a period before and after the surgery. Smoking can increase the risk of complications such as poor wound healing and reduced blood flow to the tissues.
- Medication Adjustment: You may be advised to stop taking certain medications, such as aspirin or other blood - thinners, for a specified period before the surgery to reduce the risk of excessive bleeding.
- Arrangements for Recovery: You should arrange for someone to drive you home after the surgery and stay with you for at least the first night. You may also need to take time off work or other activities to allow for proper recovery.
The Surgical Procedure
Anesthesia
Breast augmentation can be performed using either local anesthesia or general anesthesia. Local anesthesia numbs only the breast area, while general anesthesia brings on a sleep - like state during the surgery. Most often, general anesthesia is used for breast augmentation to ensure the patient's comfort and safety during the procedure. Your plastic surgeon will discuss the anesthesia options with you based on your medical history and the specific details of the surgery.
Incision Sites
There are three common incision sites for breast augmentation:
- Inframammary: A thin line that traces the fold beneath the breast. This incision allows the surgeon good access to place the implant and can provide a more natural - looking result. The scar is usually well - hidden in the breast fold.
- Periareolar: Along the lower border of the areola, where the dark skin meets the lighter skin. This incision can result in a scar that is less visible as it blends in with the natural color and texture of the areola. However, there may be a slightly higher risk of affecting nipple sensation.
- Transaxillary: Hidden in the armpit. This incision leaves no scar on the breast itself, but it can be more challenging for the surgeon to place the implant precisely, and there may be a slightly higher risk of implant malposition.
Implant Placement
After making the incision, the surgeon creates a pocket where the implant will be placed. There are three main types of implant placement:
- Subglandular: The implant is placed above the chest muscle. This placement can result in a more immediate fullness in the upper part of the breast but may have a slightly higher risk of visible rippling, especially with saline implants.
- Submuscular: The implant is placed behind the pectoralis muscle. This placement can provide more natural - looking results, as the muscle helps to cover the implant and reduces the risk of rippling. It also may reduce the risk of capsular contracture. However, it may take longer for the breasts to settle into their final position, and there may be more initial discomfort during the recovery period.
- Biplanar: A combination of subglandular and submuscular placement. This approach can offer the benefits of both techniques and is often used to achieve a more natural - looking result, especially in patients with some breast sagging.
Post - operative Care and Recovery
Immediate Post - operative Period
After breast augmentation surgery, most patients are able to go home the same day. You can expect to feel some soreness, swelling, and tightness in the breasts, and there may be bruising. Your surgeon will prescribe pain medication to manage the discomfort. You will be provided with a compression bandage or a surgical bra to wear for support, which helps to minimize swelling and support the breasts as they heal. You should follow your surgeon's instructions regarding showering, incision care, and activity restrictions. For example, it's usually recommended to avoid strenuous activities, lifting heavy objects, and raising your arms above shoulder height for a certain period.
Recovery Timeline
The initial recovery timeline typically aligns with the following milestones:
- Day 1: Most patients can shower the day after surgery, but they need to be careful not to get the incision site too wet. In some cases, sponge baths may be recommended.
- Days 2 - 3: If you are comfortable and no longer taking prescription medication, you should be able to resume driving within 72 hours of the procedure.
- Days 3 - 5: Swelling, tightness, and soreness tend to peak during this period, but any discomfort is usually easily managed with over - the - counter medicine.
- Day 7: By this point, most patients feel well enough to return to work, school, and other light activities. You will have your first postoperative appointment a week after the surgery to ensure that your healing is progressing as planned.
- Weeks 2 - 4: You should be able to resume most strenuous activities during this time, and restrictions on lifting objects and moving your arms above shoulder height may be eased. However, it's still important to listen to your body and not overdo it.
Potential Complications
Although breast augmentation is generally a safe procedure when performed by a qualified plastic surgeon, there are some potential risks and complications, including:
- Capsular Contracture: Scar tissue that changes the shape of the breast implant. This can cause the breast to feel hard and may require additional surgery to correct.
- Breast Pain: Some patients may experience persistent breast pain after the surgery, which can be due to various factors such as nerve damage or capsular contracture.
- Infection: There is a risk of infection at the incision site or around the implant. Signs of infection include warmth, redness, swelling, and fever. If an infection occurs, it may require treatment with antibiotics and, in some cases, removal of the implant.
- Changes in Nipple and Breast Sensation: Some patients may experience temporary or permanent changes in nipple or breast sensation. This can range from decreased sensitivity to hypersensitivity.
- Implant Leak or Tear: Both saline and silicone implants can leak or tear over time. A saline implant will collapse if it leaks, while a silicone implant may not show obvious signs of leakage. Regular follow - up with your surgeon and appropriate imaging tests can help detect implant problems early.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): As mentioned earlier, the FDA has found a possible link between breast implants and this type of lymphoma, especially with textured implants. It's important to be aware of the symptoms, such as swelling, pain, or a mass in the breast, and to report any changes to your surgeon immediately.