Introduction

Breast augmentation and repair are common plastic surgery procedures that many women in New York City consider. Whether it's to enhance the size and shape of the breasts, correct issues after a previous procedure, or address other concerns, choosing a regular and reliable institution is crucial. In this article, we will introduce four well - known institutions in New York City for prosthetic breast augmentation repair.

1. The New York Group for Plastic Surgery

1.1 Overview

The New York Group for Plastic Surgery is highly regarded for its expertise in breast implant repair. Their cosmetic surgeons are nationally - recognized pioneers in using biological materials to correct deformities, as well as perform breast augmentation and reconstruction surgeries.

1.2 Services Offered

1.2.1 Reasons for Consultation

Patients consult with this group to correct various breast implant - related issues. These include misaligned implants (incorrectly positioned breast implants that are too low, too far to the side or center, or otherwise misplaced), wrinkled or rippled implants, unusual scar tissue around one or both implants due to capsular contracture, stretched tissues around one or both implants, ptosis or sagging breast implants and tissues, symmastia or “uni - breast,” implant rupture, and correction of radiation problems.

1.2.2 Breast Implant Repair Procedure

Breast implant repair, or secondary breast implant revision surgery, involves matching and repairing the body’s tissues with the breast implants to ensure the optimal position, shape, and texture of the breast implants. Complications following an initial breast augmentation surgery usually arise from a lack of support or inadequate tissue structure for the proper implant position and appearance.

The surgeons at the New York Group for Plastic Surgery are experts in using new materials, such as strattice and acellular dermal matrix (such as alloderm or dermacell), utilized as tissue substitutes to stabilize the breast implant location with the additional support and repair of the body’s tissue. At times, meshes may be used for similar purposes. In addition to enhanced contours, fat transfer from the abdomen, hips, thighs, or other locations might be used to enhance the natural shape and texture of the breast implants.

1.3 Candidate Assessment

You're a suitable candidate for breast implant revision in NYC if you are disappointed with how your breasts look after a breast augmentation or breast lift procedure, want to change your breast implant’s size, have experienced a breast implant rupture, want to restore your pre - augmentation breast size or shape, are experiencing a breast augmentation - related complication, or have noticed concerning changes in the shape, size, or texture of your implants.

1.4 Procedure Process

The breast implant revision starts with a personal consultation with the talented cosmetic surgeons. They discuss your cosmetic goals and concerns, review your medical history, and examine the results of your previous procedure to design the ideal treatment plan. During the procedure, they make a small incision over the scar from your previous procedure. Since they use the same access point, there's no need to worry about another scar. The surgeon removes the implant, examines it, and expands the tissues surrounding the affected implant. Temporary implants are placed in the breast pocket while the new implants are prepared. Finally, the prepared implant is placed within the breast pocket — under or over the chest muscle, depending on the surgeon’s recommendation. The incision is then closed, and the recovery process begins.

1.5 Recovery and Risks

1.5.1 Recovery

After the breast implant revision surgery at NY GPS, patients wake up in the recovery room with dressings on their breasts. They are observed in the recovery room for a few hours to ensure there are no negative reactions to the anesthesia. Once recovered sufficiently, a reliable and responsible adult should drive the patient home and stay with them for the first night after the surgery. The plastic surgeons will provide specific instructions for the recovery period and aftercare, including prescription pain medications and antibiotics to alleviate discomfort and prevent infections, and instructions about taking care of the incisions. Patients may need some assistance around their home for a few days or weeks to aid the recovery process. In general, breasts may feel sore for a few days after the surgery, but there shouldn't be severe pain. Patients can start showering the day after the surgery, but must leave the tapes intact. Ice packs can be applied in short intervals to reduce swelling. The sutures will gradually dissolve on their own, but patients need to return to the office after a few days to remove the drains. They can start walking the day after the surgery, but should avoid strenuous physical activities for at least two weeks. The swelling may persist (to varying degrees) for up to three months after surgery, and the scars will gradually fade away over the year. Silicone scar creams can be used to facilitate scar reduction.

1.5.2 Risks

All surgeries carry inherent risks, such as bleeding, scarring, and infections. Most of the potential risks of breast implant revision are the same as the risks of the primary procedure, including capsular contracture, ruptures, and rippling of implants. There is also a small risk of infections, which can be reduced with proper aftercare. Patients should provide a thorough overview of their medical history, lifestyle, and medication usage to the doctors during the consultation and follow the surgeon’s pre - operative and post - operative instructions to minimize the risk of side effects and risks.

1.6 Cost

The cost of breast implant revision depends on a wide range of factors, such as unique conditions, the type of implants being used, whether getting new implants or simply removing the existing implants, anesthesia usage, and more. Insurance doesn't usually cover breast implant revision costs, but patients may be eligible for insurance coverage for implant removal if it’s deemed medically necessary. Patients can schedule a consultation with the plastic surgeons in New York City or Tarrytown to explore treatment options, and the surgeons will carefully examine the specific condition, discuss goals, curate a personalized breast implant revision plan, and provide a comprehensive overview of the treatment cost.

2. Mount Sinai - New York

2.1 Overview

Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies to help patients visualize how their larger breasts will look before scheduling the surgery, which is a significant advantage in patient satisfaction.

2.2 Services Offered

2.2.1 Consultation and Candidate Assessment

Before the surgery, the plastic surgeon will consult with the patient, listening carefully to understand the desire for enhancing the breast size. The doctor will also help the patient decide about the size and shape that will look best for their body. A physical exam that includes asking a series of health - related questions is performed to confirm that the patient is a candidate for breast augmentation.

2.2.2 Treatment Options

There are several options for enlarging the breasts. The typical form is using breast implants, which come in two main types: silicone breast implants and saline breast implants. Silicone breast implants look and feel natural in the breasts, while saline breast implants are a firmer, rounder implant. There is also a non - implant option called Naturalfill, which is a fat transfer technique pioneered and perfected by Mount Sinai surgeons. It's a two - step procedure where fat is first removed from the buttocks or abdomen with a liposuction technique and then immediately inserted into the breasts to enlarge them using the patient's own fat deposits.

2.3 Long - term Considerations

Breast augmentation results at Mount Sinai are expected to last for years. However, as with non - augmented breasts, some conditions may cause natural drooping over time, such as pregnancy and nursing (patients can nurse with augmented breasts), or significant weight gain or loss. In such cases, a breast lift is often a possible option, or the breast implants can be replaced along the lift line.

3. Greenwald Plastic Surgery

3.1 Overview

Dr. Greenwald at Greenwald Plastic Surgery is an experienced plastic surgeon who has performed thousands of breast surgeries and is known for achieving natural results. He has been named a top doctor in New York every year since 2012 and operates in a state - of - the - art surgical center that prides itself on patient safety.

3.2 Services Offered

3.2.1 Breast Augmentation Overview

Many women at Dr. Greenwald's practice request augmentation mammoplasty, or breast augmentation surgery, with saline or silicone breast implants to enhance their breast profile. This includes increasing breast cup size, improving the appearance of sagging breasts that look flattened or deflated (often due to major weight loss or pregnancy/breastfeeding), improving the undesirable shape or contour of the breasts, and improving breast asymmetry.

3.2.2 Suitable Candidates

Only a board - certified plastic surgeon such as Dr. Greenwald is qualified to determine if someone is an appropriate candidate for breast augmentation. In general, suitable candidates include those who desire larger or fuller breasts, a greater degree of cleavage or outward projection from the chest wall, breasts that appear higher up on the chest wall, have a positive self - image but are frustrated with certain aspects of their breasts, are in good physical and mental health overall, have sensible expectations for the outcome of breast augmentation surgery and are seeking aesthetic improvement, are pursuing breast augmentation of their own volition, and are not breastfeeding (women who are currently nursing should wait 12 weeks after they have stopped breastfeeding to undergo breast surgery so their true breast size can be established).

3.2.3 Implant Types

Dr. Greenwald offers saline and silicone breast implants. Saline breast implants have a silicone outer shell but are filled with saline solution, or sterile saltwater. The main benefits of saline implants are that smaller incisions can be used (compared to silicone implants) as they are filled after being inserted into the implant pocket, and the body can safely absorb the saline filling material in case the implant ruptures. However, they do not resemble the look and feel of natural breast tissue as closely as silicone implants, are more prone to folding or wrinkling in the implant pocket, and may be visible under the surface of the skin, especially in women with thin skin or little body fat. In contrast, silicone breast implants have both a silicone outer shell and a silicone - gel filling. Their greatest advantage is that they more closely look and feel like natural breasts than saline counterparts. However, they arrive from the manufacturer pre - filled, so slightly larger incisions are required for insertion, and patients are at risk of “silent rupture.” The FDA recommends that women with silicone breast implants undergo a breast imaging exam such as an MRI or mammogram every three years, starting the third year after the initial breast enhancement procedure.

3.2.4 Implant Placement and Incision Approaches

Dr. Greenwald offers two breast implant placement options: subglandular and submuscular. He places more than 95 percent of his implants in the submuscular position due to a lower incidence of capsular contracture, the ability to obtain high - quality mammograms, and a more natural look. He offers three incision approaches: inframammary (crease incision), periareolar, and transaxillary. Each approach has its own advantages and disadvantages. For example, the inframammary approach allows for the precise creation of the implant pocket and is easily concealed, while the transaxillary approach has an increased incidence of implant malposition.

3.3 Recovery and Cost

3.3.1 Recovery

Before breast augmentation surgery, patients receive comprehensive pre - and post - surgical care instructions. Following the surgery, most patients are able to resume normal activities within days, many require a small amount of or no pain medication, and most have little or no bruising. Some patients may experience temporary or possibly permanent changes in breast and nipple sensation, which usually returns to normal in the majority of cases. Patients are permitted to go to the gym at three weeks and are encouraged to sleep in a sports bra for three months. It's important to note that some patients look great immediately after surgery, while others' implants take time (up to eight weeks) to settle into a more natural position.

3.3.2 Cost

The overall cost of breast augmentation surgery in New York City includes the plastic surgeon’s fee, the anesthesiologist’s fee, the operating room fee, the cost of breast implants, and miscellaneous costs associated with the surgery. Dr. Greenwald is temporarily offering special prices on breast augmentation surgery. For a limited time, primary breast augmentation surgery with silicone breast implants costs $8,295.00; primary breast augmentation surgery with saline breast implants costs $7,495.00.

4. Dr. Darrick Antell

4.1 Overview

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 is highly respected for his work and has been listed in multiple magazines as one of the best breast plastic surgeons in the country.

4.2 Services Offered

4.2.1 Breast Augmentation

Breast augmentation surgery by Dr. Antell will enhance the size and shape of the breasts. By inserting an implant into each breast, the breasts can be increased by one or more bra cup sizes. He is able to address one of the most common complications with breast implants, capsular contracture. His approach to breast augmentation is tailored to each patient's unique needs and anatomy to achieve a beautiful, long - lasting result, reduced risk of complications, and a look that is perfectly balanced with the patient's frame.

4.2.2 Candidate Assessment

Anyone in good health who is suffering from diminished self - confidence due to the desire for fuller breasts is likely a candidate for a breast augmentation with Dr. Antell. A breast augmentation is ideal for a woman who, for personal reasons, feels her breasts are too small and wishes to enhance her figure, wants to correct volume loss after pregnancy and breastfeeding, wishes to resolve a difference in breast sizes (breast asymmetry), or desires reconstructive surgery following treatment for breast cancer.

4.2.3 Benefits of Breast Augmentation

There are many benefits to breast augmentation with Dr. Antell. It can enhance confidence, as many women experience a renewed sense of self - confidence and empowerment after achieving their desired breast size and shape. It can improve proportions, creating a balanced silhouette that aligns with aesthetic goals. With options for both saline and silicone implants in various shapes and sizes, Dr. Antell can customize the volume and shape to achieve the look the patient desires. It can also rejuvenate the appearance for women who have experienced volume loss due to aging, pregnancy, or weight changes, and correct asymmetry. Additionally, it opens up broader wardrobe options as women can find a more comfortable and flattering fit in a wider variety of styles.

4.3 Procedure and Recovery

4.3.1 Procedure

The chosen incision method and placement of the implant will be customized to the patient's anatomy to ensure natural - looking results. The incision can be made either below the crease near where the breast meets the chest, around the areola (the darker skin surrounding the nipple), or in the armpit. Working through the incision, Dr. Antell will delicately lift the breast tissue and skin to create a pocket, either directly behind the breast tissue (subglandular placement) or behind the pectoral (chest) muscle (submuscular placement). The implants are then centered beneath the nipples. Placing the implants behind the chest muscle may reduce the risk of capsular contracture but may add a few days longer for recovery. The surgery usually takes between one to two hours to complete, and multiple layers of internal, dissolving sutures are used to close the incisions.

4.3.2 Recovery

After the surgery, patients will recover in Dr. Antell’s state - of - the - art recovery suite while being monitored by one of his nurses until they feel well enough to be discharged. Breast augmentation is an outpatient procedure, and patients can return home the same day after the procedure. When performed with “twilight” sedation, patients should have an escort to bring them home. Most patients can return to most daily activities within days of the procedure, and the vast majority only take extra - strength Tylenol and Valium. It is best to refrain from vigorous exercise for around two weeks, and Dr. Antell will provide an individualized recovery plan based on the intricacies of the customized procedure and the patient's rate of healing. The swelling in the breasts will take several months to fully dissipate, with the final result typically being visible around 6 months. Scars will gradually fade over time but will never disappear completely.

4.4 Risks and Cost

4.4.1 Risks

A breast augmentation is typically a safe procedure when performed by a board - certified plastic surgeon like Dr. Antell. However, as with any surgery, there are risks. The most common complication after breast augmentation is capsular contracture, which can be treated by removing the implant and scar tissue and, if desired, placing new implants. Other complications include bleeding, infection, numbness, and implant rupture. Dr. Antell will provide a thorough discussion of