Introduction
Breast augmentation is a highly sought - after cosmetic surgery, especially in a bustling city like New York. The desire for natural - style breast augmentation with implants has led to the emergence of several powerful candidates in the city's hospitals and clinics. In this article, we will explore some of the top institutions and surgeons offering this procedure, and discuss various aspects such as the types of implants, procedures, costs, and recovery.
Understanding Natural - Style Breast Augmentation with Implants
Breast augmentation using implants aims to enhance the volume and shape of the breasts. The natural - style approach focuses on creating results that look and feel as close to natural breasts as possible.
Types of Implants
| Type of Implant | Description | Advantages | Disadvantages |
|---|---|---|---|
| Silicone Implants | Pre - filled with a cohesive silicone gel. They come in various shapes and sizes. | Look and feel more natural. Have a wider range of options for shape and projection. Are more popular, with about 84% of breast augmentations in the US in 2020 using silicone implants. | May require larger incisions for insertion. Ruptures can be more difficult to detect without an MRI. The FDA suggests periodic MRI scans for long - term monitoring. |
| Saline Implants | Placed in the breast pocket and filled with saline solution during the procedure. | Can be inserted through smaller incisions. Ruptures are easily detectable as the saline is absorbed by the body. Do not require long - term MRI monitoring. | May appear less natural, especially in thin women with little breast tissue. Can sometimes show visible rippling at the implant edges. |
| Cohesive Silicone Gel Implants (Gummy Bear Implants) | A type of silicone implant with a thicker gel that holds its shape. Available in anatomical (teardrop) shapes. | Provide a natural and proportionate breast shape and feel. Minimize the risk of leakage if the implant is compromised. Have an extensive variety of shapes and sizes to mimic natural breasts. | Can be more expensive. May require a more precise surgical placement due to their shape. |
Top Candidates in New York City
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He has a deep understanding of breast implants, having worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants.
Services Offered
- Personalized approach to breast augmentation, working closely with patients to develop individualized treatment plans.
- Comprehensive consultation that includes a review of medical history, breast examination, and discussion of implant options.
- After - care services to ensure a smooth recovery and optimal results.
Patient Experience
Patients appreciate his commitment to patient care and his ability to achieve excellent results. He takes the time to answer all questions and provides detailed pre - and post - operative instructions.
Dr. David L. Cangello
Dr. David L. Cangello is a board - certified plastic surgeon known for his artistic approach to breast augmentation. He offers personalized treatment plans to meet the aesthetic goals of his patients.
Services Offered
- A full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer.
- Guides patients through the process of choosing the size, shape, and type of implants, as well as implant placement and incision location.
- Uses advanced techniques like the “no touch” method with a Keller funnel for silicone implant insertion, minimizing incision size and infection risk.
Patient Experience
Many patients, including professional models, trust Dr. Cangello for his ability to deliver elegant, natural - looking results. His office staff creates a warm and welcoming environment, and he is dedicated to patient satisfaction throughout the entire process.
Dr. Adam Kolker
Dr. Adam Kolker is a double - board - certified plastic surgeon with an extensive background in plastic surgery. He has trained at some of the most prestigious medical institutions in the world.
Services Offered
- Specializes in breast augmentation, as well as other breast procedures such as breast lift, breast reduction, and breast reconstruction.
- Combines scientific and technical mastery with artistic creativity to achieve the most beautiful, natural, and proportional results.
- Offers comprehensive consultations, both in - person and virtually, to discuss the patient's goals and develop a personalized treatment plan.
Patient Experience
Patients praise Dr. Kolker for his attention to detail and his ability to achieve excellent results. He has been featured in many media articles and recognized as one of the top plastic surgeons in New York City.
Dr. Nadia Afridi
Dr. Nadia Afridi is a popular cosmetic surgeon in NYC. She is known for her patient - centric approach and her ability to handle complex breast augmentation cases.
Services Offered
- Considers multiple factors during breast augmentation, including implant placement, incision site, implant type, and size.
- Performs breast augmentation for patients who are not satisfied with previous results and can correct various breast - related complications.
- Has a professional and helpful staff who provide excellent patient care.
Patient Experience
Patients appreciate her friendly yet professional demeanor. She is always available to answer post - operative calls and ensures that patients are well - informed throughout the process.
Dr. Richard Swift
Dr. Richard Swift is a board - certified plastic surgeon who offers a variety of cosmetic surgeries. He has received prestigious awards for his experience and expertise.
Services Offered
- Provides detailed consultations on surgical techniques, alternative treatments, and pre - and post - operative care.
- Advises patients on the necessary preparations before breast augmentation, such as refraining from vigorous exercise and using antimicrobial soap.
- Has a great team of staff, from receptionists to operating room nurses and anesthesiologists, who ensure patient safety and comfort.
Patient Experience
Patients are satisfied with his services, highlighting his caring nature and the fair pricing of his procedures. His office staff is also commended for their helpfulness.
The Breast Augmentation Procedure
Consultation
The consultation is a crucial first step. During this process, the surgeon will review the patient's medical history, examine the breasts, and discuss the patient's goals and expectations. This is also the time when the patient can ask questions about the procedure, the types of implants, and the expected results.
Pre - operative Preparation
Patients are usually advised to quit smoking or using nicotine products, as nicotine can affect the healing process. They may also need to taper off certain medications or supplements that increase the risk of bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John's wort. Arrangements should be made for a trusted person to pick the patient up from the hospital after the procedure, and a comfortable recovery space at home should be prepared.
The Surgery
Breast augmentation is typically an outpatient procedure that takes about 1 - 1.5 hours. The patient will be given either general anesthesia or intravenous sedation anesthesia. The surgeon will make incisions, which can be in different locations such as under the breast (inframammary), around the areola (periareolar), or under the armpit (transaxillary). The choice of incision depends on factors like the type of implant, the patient's anatomy, and the desired outcome. The implant is then placed either under the pectoral muscles (submuscular) or above the pectoral muscles (subglandular).
Recovery
In the initial days after surgery, it is normal to experience fatigue, discomfort, swelling, and bruising. Patients will be given pain medication and a surgical compression bra. Light activities can usually be resumed in 2 - 3 weeks, and more strenuous activities, such as going to the gym, can be resumed in 6 - 8 weeks. However, it may take a few months for the implants to fully settle into place.
Cost and Financing
The cost of breast augmentation in New York City varies depending on several factors, including the surgeon's expertise, the type of implants used, the complexity of the procedure, and the geographical location of the clinic. On average, the cost can range from $5000 to $11000.
Financing Options
- Many clinics offer in - house financing plans.
- Third - party medical loans are also available.
- Some surgeons accept credit cards, insurance (in cases where the procedure is medically necessary), or financing through services like CareCredit. CareCredit offers no - interest plans up to 24 months and extended payment plans for 24, 36, 48, or 60 months.
Potential Complications
Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
There is a small but increased risk of developing BIA - ALCL in women with breast implants, especially those with textured implants. It is a form of non - Hodgkin's lymphoma, but it can be effectively treated. The actual number of cases worldwide is approaching 400, and research is ongoing.
Breast Implant Illness (BII)
BII refers to a variety of symptoms such as memory loss, “brain fog,” joint pain, and fatigue reported by women after having implants placed. However, the cause of these symptoms and their link to synthetic implants are not well - understood and are still being investigated.
Capsular Contracture
This occurs when the capsule of tissue around the implant contracts and squeezes the implant. It can cause the breasts to appear round and high and feel hard. Surgeons take precautions to minimize this risk, such as minimizing bleeding and avoiding contamination during the operation.
Conclusion
In New York City, there are several powerful candidates in the hospital ranking list for natural - style breast augmentation with implants. Surgeons like Dr. John E. Sherman, Dr. David L. Cangello, Dr. Adam Kolker, Dr. Nadia Afridi, and Dr. Richard Swift offer high - quality services, personalized treatment plans, and excellent patient care. The procedure of breast augmentation involves a careful consultation, pre - operative preparation, surgery, and a recovery period. While there are potential complications, proper research and choosing an experienced surgeon can help minimize these risks.
If you are considering breast augmentation, take the time to research the different surgeons and clinics, and schedule consultations to discuss your goals and concerns. You can also look at patient reviews and before - and - after photos to get a better idea of the results. Make an informed decision and take the first step towards achieving your desired breast appearance.
