Introduction
Breast augmentation has become an increasingly popular cosmetic surgery procedure, especially in bustling cities like New York City. Women seek natural - type prosthetic breast augmentation for various reasons, including enhancing their self - confidence, restoring breast volume after pregnancy or weight loss, or correcting congenital breast abnormalities. In this article, we will explore the top experts in New York City for natural - type prosthetic breast augmentation, the projects they have carried out, and other important aspects related to this procedure.
Top Experts in New York City for Natural - Type Prosthetic Breast Augmentation
Dr. Adam R. Kolker
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, such as Harvard Medical School, New York University, and the University of Melbourne in Australia. As an associate clinical professor of surgery at the Mount Sinai School of Medicine, he stays updated on the latest advancements in plastic surgery.
Dr. Kolker specializes in breast augmentation, among other cosmetic and reconstructive procedures. He has been featured in New York Magazine's Best Doctors issues from 2008 - 2024, as well as in Newsweek's list of America's Best Plastic Surgeons from 2021 - 2024. His ability to combine scientific and technical mastery with artistic creativity enables him to deliver beautiful, natural, and proportional results in breast augmentation.
He offers a wide range of breast - related procedures, including breast asymmetry correction, breast lift, breast reconstruction, and breast reduction. His clinic provides comprehensive consultations, both virtually and in - person, to ensure patients' comfort and understanding of the procedure.
Dr. David L. Cangello
Dr. David L. Cangello is a board - certified plastic surgeon known for his work in cosmetic breast surgery in New York City. He offers personalized treatment plans to meet each patient's aesthetic goals. Patients choose him because he is highly skilled and delivers elegant, natural - looking results.
He has gained the trust of professional models from top agencies, such as Wilhelmina Models, IMG Models, and Next Management. Dr. Cangello incorporates the patient's tastes and preferences into the treatment plan, offering a full range of cosmetic breast surgeries, including breast lift, breast revision, and natural augmentation with fat transfer.
His approach combines medical precision with aesthetic principles. During the consultation, he thoroughly addresses patients' questions and concerns, and assesses their suitability for the procedure based on their medical history and current health. He also has a state - of - the - art, fully accredited operating room at his NYC office, ensuring patient safety and comfort.
Dr. Douglas Steinbrech
Dr. Douglas Steinbrech is one of New York City's top breast augmentation experts. He is board - certified and has the ability to increase breast size by one or more cups, enhance the look and feel of the breasts, and improve asymmetry while creating a natural appearance.
He takes the patient's goals, preferences, and frame into account when making treatment recommendations. During the consultation, he goes over the patient's medical history, performs a physical examination of the breasts, and may take measurements and photos to assist with the planning process. Patients also have the opportunity to view before - and - after photos of former patients.
Dr. Steinbrech's breast augmentation is a fully customizable surgery. He offers patients choices regarding implant type (saline or silicone), implant size, surgical incisions, and breast implant placement. He is supported by a caring staff team, and financing options are available to make the surgery more accessible.
Dr. Norman Rowe
Dr. Norman Rowe is a board - certified plastic surgeon at Rowe Plastic Surgery. He combines extraordinary skills with knowledge of the latest and most innovative techniques to provide stunning, natural - looking breast augmentation.
He offers a variety of breast augmentation options, including saline implants, silicone implants, and fat transfer. His team carefully guides patients through the selection of implant specifications, such as shape, size, and texture, based on their unique anatomy and aesthetic desires. The surgeons at Rowe Plastic Surgery are committed to patient satisfaction, providing personalized treatment plans and ensuring patients are well - informed throughout the process.
The clinic is located in multiple areas across New Jersey and New York City, serving patients from various locations. They also provide detailed pre - operative and post - operative instructions to ensure a smooth recovery process.
Dr. David P. Rapaport
Dr. David P. Rapaport is a world - recognized expert specializing in breast augmentation and breast implant revision for women with previous breast surgery. He is a board - certified plastic surgeon and has a reputation for delivering natural - looking results.
He offers both saline and silicone implants for breast augmentation. The incision for the procedure can be placed in the underarm, under the breast, or within the areola, depending on the patient's needs and preferences. Dr. Rapaport uses an endoscope for a scarless breast augmentation procedure through the underarm, which allows for precise implant positioning.
His patients often experience a significant confidence boost after the procedure. He takes every precaution to minimize the risk of capsular contracture, such as avoiding aerobic activity for ten days after surgery and using meticulous surgical techniques to prevent contamination.
Dr. Joshua Zuckerman
Dr. Joshua Zuckerman is an expert in breast augmentation and performs this procedure regularly in his mid - town Manhattan practice. He understands the importance of a woman's feelings about her breasts in terms of self - confidence and femininity.
He customizes each procedure to the individual patient's goals. Dr. Zuckerman offers three common types of surgical incisions for breast augmentation (periareolar, inframammary, and transaxillary) and three implant placement options (submuscular, subglandular, and dual - plane). He uses a “no - touch” technique with a Keller funnel to maximize sterility during implant placement.
He also offers a “rapid recovery” breast augmentation, using techniques to minimize swelling and downtime. His postoperative scar care regimen lasts up to one year after surgery to optimize scar appearance.
Dr. Nikhil S. Shridharani
Dr. Nikhil S. Shridharani is a board - certified NYC plastic surgeon who offers breast augmentation using silicone or saline implants, as well as fat transfer. During the initial consultation, he discusses the patient's goals for breast size and shape to recommend the most suitable implant type.
He is knowledgeable about different types of breast implants, including their shapes (round or anatomic), textures (smooth or textured), and sizes. He can also provide precise implant sizing using an inflatable implant sizer. Dr. Shridharani reviews all the incision and placement options with the patient, such as periareolar, inframammary, transaxillary, and transumbilical incisions, and under - muscle or above - muscle implant placement.
His patients generally experience a relatively smooth recovery process, and he provides information on possible side effects and the need for future implant replacement.
Projects Carried Out by These Experts
Restoring Volume After Pregnancy
Many women experience a loss of breast volume after pregnancy and breastfeeding. The experts in New York City have carried out numerous projects to address this issue. For example, Dr. Kolker and Dr. Rowe have worked on patients who wanted to regain their pre - pregnancy breast shape and size. They use techniques such as breast augmentation with implants or fat transfer to add volume and restore a more youthful appearance to the breasts.
Dr. Cangello also focuses on providing natural - looking results for these patients. He carefully selects the appropriate implant size and placement to ensure that the breasts look and feel natural in proportion to the patient's body.
Correcting Asymmetry
Breast asymmetry is a common concern among women. Experts like Dr. Steinbrech and Dr. Rapaport have successfully carried out projects to correct this issue. They may use different - sized implants in each breast or combine breast augmentation with other techniques to achieve a more symmetrical appearance. For instance, Dr. Steinbrech carefully evaluates the patient's anatomy and uses temporary sizers during the surgery to ensure precise sizing and placement of the implants.
Dr. Zuckerman also has experience in dealing with breast asymmetry. He places implants of different sizes in the left and right breasts if necessary to address the problem effectively while maintaining a natural look.
Breast Reconstruction After Cancer
Breast reconstruction after cancer surgery is a critical area of work for these experts. Dr. Kolker and Dr. Rapaport have extensive experience in this field. They work closely with patients who have undergone mastectomy to provide reconstructive breast augmentation. The procedures often involve using implants or autologous tissue to recreate a natural - looking breast.
These experts take into account the patient's overall health, the type of cancer treatment they have received, and their aesthetic goals to develop a personalized treatment plan. They also provide long - term follow - up care to ensure the best possible outcome for the patient.
Choosing the Right Expert for Natural - Type Prosthetic Breast Augmentation
Credentials and Experience
When choosing an expert for breast augmentation, it is crucial to consider their credentials. Look for surgeons who are board - certified by the American Board of Plastic Surgery. This certification indicates that the surgeon has met the highest standards of education, training, and experience in plastic surgery. For example, all the surgeons mentioned above are board - certified, which gives patients confidence in their skills.
Experience also plays a vital role. Surgeons with many years of experience in breast augmentation are more likely to have encountered a wide range of cases and be able to handle potential complications effectively. You can ask about the number of breast augmentation surgeries they have performed and view before - and - after photos of their previous patients.
Patient Reviews and Testimonials
Patient reviews and testimonials are valuable resources when evaluating an expert. Online platforms and social media have made it easier to access these reviews. Read what other patients have to say about their experience with the surgeon, including the quality of care, the results of the surgery, and the overall satisfaction level. For instance, Dr. Cangello has received positive reviews from patients who appreciate his personalized approach and the natural - looking results he delivers.
However, it's important to approach reviews with a critical eye. A single negative review may not be representative of the surgeon's overall performance, and you should look for consistent feedback across multiple reviews.
Communication and Rapport
Good communication between the patient and the surgeon is essential. During the consultation, the surgeon should listen attentively to your goals and concerns and answer all your questions clearly. You should feel comfortable asking about the procedure, potential risks, and expected outcomes. A surgeon who takes the time to establish a good rapport with you is more likely to understand your needs and provide the best possible treatment.
For example, Dr. Zuckerman spends time with his patients during the consultation, discussing all aspects of the breast augmentation procedure and addressing any concerns they may have.
Cost and Insurance
The cost of breast augmentation can vary depending on the surgeon, the complexity of the procedure, and the location. In New York City, the average cost of breast augmentation is influenced by these factors. It's important to have a clear understanding of the total cost, including any additional fees such as anesthesia, operating room charges, and post - operative care.
Most insurance companies do not cover the cost of elective cosmetic breast augmentation, but in some cases, such as breast reconstruction after cancer, insurance may cover a portion or all of the costs. You should discuss the cost and insurance coverage with the surgeon and the insurance provider during the consultation process.
Types of Breast Implants for Natural - Type Prosthetic Breast Augmentation
Silicone Implants
Silicone implants are filled with a cohesive silicone gel that mimics the feel of natural breast tissue. They are FDA - approved for women 22 years of age or older. These implants are popular because they provide a more natural look and feel compared to other types of implants. Dr. Shridharani often recommends silicone implants for patients who desire a more natural appearance. However, they require MRI scans every few years to monitor the condition of the implant shell, as silicone gel leaks can be difficult to detect.
Saline Implants
Saline implants are filled with sterile salt water. They are FDA - approved for women 18 years of age or older. One advantage of saline implants is that if they rupture, the saline can be safely absorbed by the body. They also typically require a smaller incision size for insertion. However, in thin women with small amounts of breast tissue, visible rippling at the implant edges may be seen. Surgeons like Dr. Steinbrech offer saline implants as an option for patients who have concerns about silicone or prefer a more cost - effective solution.
Anatomic (Gummy Bear) Implants
Anatomic or “gummy bear” implants have a more natural - looking shape, tapered at the top and more projected at the bottom. The silicone gel in these implants is more cohesive, which means they are less likely to rupture and maintain their shape better. However, they may require a longer incision in the skin. Dr. Cangello has experience in using anatomic implants to achieve a natural - type result in breast augmentation.
Each type of implant has its own advantages and disadvantages, and the choice depends on the patient's individual preferences, body anatomy, and aesthetic goals. The surgeon will guide the patient in making the right decision during the consultation process.
Incisions and Placement for Natural - Type Prosthetic Breast Augmentation
Incisions
- Inframammary Incision: This incision is made under the breast in the natural crease. It is a common choice as it provides good access for implant placement and offers relatively good scar concealment. Surgeons like Dr. Kolker and Dr. Zuckerman often use this incision. However, there may be more visible scarring compared to other incisions, and it may lengthen the recovery time if the implant is placed under the muscle.
- Periareolar Incision: The incision is made along the border of the areola. It is well - concealed due to the natural pigmentation change in the area. However, it is associated with a slightly higher risk of breast - feeding difficulties and changes in breast or nipple sensation. Dr. Rapaport and Dr. Shridharani may use this incision for appropriate patients.
- Transaxillary Incision: This incision is hidden in the armpit. It creates the least visible scar tissue on the breast. Surgeons can use an endoscope for better visualization during the procedure. However, it is a more difficult technique and may give the surgeon less control during implant insertion. Dr. Rowe and Dr. Steinbrech may recommend this incision for patients who are concerned about scarring on the breast.
Implant Placement
- Submuscular Placement: The implant is placed under the pectoralis major muscle. This placement provides more natural - looking results as more of the body's natural tissues cover the implant. It also reduces the risk of capsular contracture. Surgeons such as Dr. Steinbrech and Dr. Zuckerman often perform submuscular placement, especially for patients with smaller natural breast size.
- Subglandular Placement: The implant is placed between the existing breast tissue and the muscle. This technique is less invasive and may have a shorter recovery time. It can also produce enhanced cleavage. However, it may not be suitable for women with thin skin or insufficient breast tissue, as rippling or visible implants may result. Dr. Rowe may recommend subglandular placement for certain patients.
- Dual - Plane Placement: This is a combination of submuscular and subglandular placement. The implant is placed under the pectoralis major muscle, and then the interface between the breast gland and the muscle is freed up. It can give a small lift to the breasts. Dr. Zuckerman has experience in performing dual - plane placement for patients who desire a lift in addition to augmentation.
Recovery and Aftercare for Natural - Type Prosthetic Breast Augmentation
Immediate Post - Operative Period
After breast augmentation surgery, patients can expect some discomfort, swelling, and tightness in the chest area. Pain medication will be prescribed to manage the pain. Surgeons like Dr. Steinbrech and Dr. Zuckerman use techniques to minimize swelling and downtime. Patients will wear a surgical bra or compression garment to support the breasts and reduce swelling. They may also have surgical drains, which are usually removed after a few days.
Patients are advised to rest and avoid strenuous activities for the first few days. They should also arrange for someone to drive them home after the surgery and stay with them for at least the first 24 hours.
Longer - Term Recovery
Most patients can return to work within a few days to a week, depending on the