Introduction
Breast augmentation has been a popular cosmetic procedure for many years, with over 5 million women in the USA having undergone the surgery. In New York City, there are numerous institutions offering breast augmentation services. In this article, we will provide a summary of the top 4 institutions in the ranking of popular hospitals for breast augmentation surgery incisions in 2025.
Importance of Choosing the Right Institution for Breast Augmentation
The choice of institution for breast augmentation is crucial as it can significantly impact the outcome of the surgery, the patient's safety, and post - operative experience. A well - reputed institution usually has experienced surgeons, advanced facilities, and a good track record of successful surgeries. Also, the expertise of the medical team in choosing the appropriate incision location is essential as it can affect scarring, recovery time, and the overall aesthetic result.
Top 4 Institutions in New York City for Breast Augmentation
1. New York - Presbyterian/Columbia University Irving Medical Center
Overall Reputation
New York - Presbyterian/Columbia University Irving Medical Center is a highly regarded institution. It was named the top hospital in New York and ranked No. 4 in the nation by U.S. News & World Report’s Best Hospitals in 2025. It ranks nationally in 15 adult specialties and 8 pediatric specialties, with its surgical excellence widely recognized.
Breast Augmentation - Specific Aspects
Although not primarily known as a dedicated breast augmentation center, its team of surgeons has extensive experience in surgical procedures in general, including breast surgery. The institution offers high - quality surgical oncology expertise, with many specialists in breast surgery. Regarding incision techniques, their surgeons are likely to be well - versed in all common breast augmentation incision methods, such as inframammary, periareolar, and transaxillary incisions. They can make appropriate decisions based on the patient's anatomy, desired outcome, and implant type.
US News & World Report's analysis of procedure and conditions ratings considers factors like patient outcomes, the volume of high - risk patients, patient experience, nurse staffing, public transparency, and advanced clinical technologies. This institution meets the high - performing distinction, which gives patients confidence in the quality of care during breast augmentation surgery.
2. Mount Sinai Hospital
Experience in Breast Augmentation
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies to help patients visualize the results of breast augmentation before scheduling the surgery. Their advanced 3D imaging technology allows patients to see what their larger breasts will look like on their unique bodies, which helps in making an informed decision about the size and shape of the implants.
Incision Options and Techniques
When it comes to breast augmentation incisions, the surgeons at Mount Sinai can offer different options. They can perform incisions in the inframammary area, which is a common choice as it provides direct access to the breast tissue and the scar is hidden in the breast crease. The periareolar incision may also be used, where the scar blends with the natural color transition around the nipple. The transaxillary incision, made in the armpit, is another option, allowing for a scar - free appearance on the breast. The choice of incision depends on factors such as the patient's anatomy, the type of implant, and the patient's personal preference.
Mount Sinai surgeons are also pioneers in the natural fill® technique, which uses a fat transfer method for breast augmentation. For this procedure, the incision may be related to the liposuction process, typically small incisions in the area from which fat is removed, such as the buttocks or abdomen, and then a small incision for fat insertion into the breasts.
3. Practice of Dr. David L. Cangello
Surgeon's Expertise
Dr. David L. Cangello is a board - certified plastic surgeon who is experienced in the art of cosmetic breast surgery. He is known for delivering elegant, natural - looking results and has earned the trust of professional models from top agencies. His artistic approach to breast augmentation combines medical precision with aesthetic principles.
Incision Considerations
Dr. Cangello offers a range of breast augmentation options, including different incision choices. He prefers to avoid the transaxillary technique due to its higher rate of implant malposition. For minimizing incision size, he uses the “no touch” method during breast augmentation with silicone, which utilizes a Keller funnel. This allows for easier implant insertion through a smaller incision and may also help minimize the risk of infection.
He can perform inframammary incisions for direct access to the breast and good implant placement control. Periareolar incisions are also an option, and he is skilled at minimizing scarring in this area. The choice of incision location also depends on the implant placement, which can be either under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement).
4. Practice of Dr. John E. Sherman
Surgeon's Reputation
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and excellent results. He works closely with patients to develop an individualized approach to breast augmentation, allowing them to achieve their ideal breast profile.
Incision and Procedure Details
For breast augmentation, Dr. Sherman can make small incisions such as the inframammary incision (under the breast), the periareolar incision (around the areola), or the transaxillary (under the armpit) incision. The choice of incision depends on the breast implants selected, the goal for size, shape, and placement, as well as the patient's unique case. Each approach has its advantages and disadvantages, and Dr. Sherman will discuss these with the patient to make the best decision.
He also has in - depth knowledge of different breast implant types, including cohesive silicone gel implants (gummy bear implants). His understanding of these implants helps him in choosing the appropriate incision location to ensure the best placement and aesthetic result.
Comparing the Incision Approaches of the Top 4 Institutions
| Institution | Inframammary Incision | Periareolar Incision | Transaxillary Incision | Special Incision - Related Techniques |
|---|---|---|---|---|
| New York - Presbyterian/Columbia University Irving Medical Center | Well - practiced, allows for direct access to breast tissue and good implant placement | Can be performed with expertise to blend scar with nipple - areola complex | Available option, with proper surgical skills to minimize complications | Advanced surgical techniques based on overall institutional expertise |
| Mount Sinai Hospital | Common choice for direct access and scar hiding in breast crease | Used to take advantage of natural color transition for scar blending | An option for patients desiring a scar - free breast appearance | Special consideration for natural fill® technique incisions |
| Dr. David L. Cangello's Practice | Preferred for good implant control and safety | Skilled at minimizing scarring in this area | Avoided due to higher implant malposition risk | “No touch” method with Keller funnel for silicone implants |
| Dr. John E. Sherman's Practice | One of the options with attention to patient - specific needs | Considered based on patient anatomy and goals | Available as a choice in certain cases | Individualized approach based on implant type and patient goals |
Factors to Consider When Choosing an Institution for Breast Augmentation
Surgeon's Experience and Expertise
The experience of the surgeon is of utmost importance. A surgeon with many years of experience in breast augmentation is more likely to handle complex cases, choose the most appropriate incision location, and ensure a successful outcome. For example, surgeons like Dr. David L. Cangello and Dr. John E. Sherman have extensive experience in cosmetic breast surgery, which gives patients more confidence in their skills.
Technology and Facilities
Institutions with advanced technology, such as 3D imaging at Mount Sinai Hospital, can provide patients with a better understanding of the expected results. Modern operating facilities and equipment also contribute to the safety and quality of the surgery. High - tech institutions are often better able to handle potential complications and provide a more comfortable surgical experience.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give insights into the quality of care, the surgeon - patient relationship, and the overall satisfaction of previous patients. Positive reviews from patients who have had breast augmentation at a particular institution or with a specific surgeon can be a good indicator of the institution's or surgeon's reliability.
Cost and Payment Options
The cost of breast augmentation can vary among institutions. It is important to understand all the costs involved, including the surgeon's fee, anesthesia fee, and facility fee. Additionally, checking the available payment options, such as insurance coverage, financing plans (e.g., CareCredit), can help patients manage the financial aspect of the surgery.
Recovery and After - Care at the Top 4 Institutions
Each of the top 4 institutions has a well - structured recovery and after - care plan. After breast augmentation surgery, patients at New York - Presbyterian/Columbia University Irving Medical Center can expect comprehensive post - operative care, including follow - up appointments to monitor healing, manage pain, and address any concerns. Mount Sinai Hospital provides patients with clear instructions on post - operative care, such as wearing a surgical bra and avoiding strenuous activities for a certain period. Dr. David L. Cangello and Dr. John E. Sherman also emphasize the importance of follow - up appointments and provide personalized after - care advice to ensure proper healing and the best aesthetic result.
The recovery time can vary depending on the individual patient and the type of incision used. In general, patients may experience swelling, bruising, and discomfort in the first few days after surgery. Most patients can return to work within a week or two, depending on the nature of their job. Full recovery may take several weeks to a few months, during which the breasts will gradually settle into their final shape.
Conclusion
Choosing the right institution for breast augmentation in New York City is a significant decision. The top 4 institutions - New York - Presbyterian/Columbia University Irving Medical Center, Mount Sinai Hospital, the practice of Dr. David L. Cangello, and the practice of Dr. John E. Sherman - each offer unique advantages in terms of surgical expertise, technology, and patient care. The choice of incision location is a crucial part of the breast augmentation process, and these institutions have the experience and skills to make the best decisions based on the patient's needs.
If you are considering breast augmentation, we encourage you to do thorough research, schedule consultations with surgeons from these institutions, and discuss your goals and concerns. By making an informed decision, you can increase the likelihood of achieving the desired results and having a positive surgical experience. Take the next step towards your ideal breast profile and explore the options offered by these top institutions in New York City.
