The list of the top ten endoscopic products for breast augmentation in New York City is released!

Introduction

Breast augmentation is a highly sought - after cosmetic surgical procedure in New York City. It offers women the opportunity to enhance the volume and shape of their breasts, improving their body confidence and self - image. With the advancement of medical technology, endoscopic products have played a significant role in breast augmentation surgeries. This article will delve into the top ten endoscopic products for breast augmentation in New York City, providing detailed information about each, along with relevant background knowledge of breast augmentation.

Background of Breast Augmentation

Breast augmentation, also known as augmentation mammoplasty, has been one of the most popular cosmetic surgeries in the United States for nearly two decades. In 2020 alone, despite the global pandemic, nearly 200,000 women underwent breast augmentation (American Society of Plastic Surgeons). The desire for fuller, shapelier breasts is a common aesthetic goal for many women, whether it's to enhance body contour, correct breast volume loss after pregnancy or aging, or balance breast asymmetry.

Types of Breast Implants

1. Saline Implants: These implants have a silicone outer shell and are filled with sterile saline (saltwater). They are typically inserted empty and filled during the surgery, allowing for smaller incisions. If the implant ruptures, the saline is absorbed and expelled naturally from the body. However, they may not feel as natural as silicone implants and are more prone to visible wrinkling, especially in women with thin skin or little body fat.
2. Silicone Implants: Filled with silicone gel, these implants have a more natural look and feel. They are pre - filled by the manufacturer. In the event of a rupture, the gel may stay within the implant or leak in a more contained manner. Silicone implants are the most commonly chosen by women in the US, accounting for approximately 84% of all breast augmentations in 2020. They are FDA - approved for women 22 years of age or older. There are different types of silicone implants, including cohesive silicone gel implants (also known as gummy bear implants), which are more cohesive and less likely to leak if the implant shell is damaged.

Implant Shapes and Textures

1. Shapes
   • Round Implants: These implants add volume higher on the chest and provide a fuller appearance. Since they are the same shape in all dimensions, there is no risk of rotation. They are popular for creating a more augmented look.
   • Anatomical Implants: Teardrop - shaped, they mimic the form of a natural breast with a slight slope. They are less likely to cause an overly augmented appearance with excessive upper - pole fullness. However, if they rotate, it can result in an unnatural breast appearance.
2. Textures
   • Smooth Implants: They have a soft feel and allow for more natural movement of the breasts. However, over time, they may cause visible rippling of the skin, especially in thinner patients.
   • Textured Implants: These implants develop healthy scar tissue that attaches to the implant, reducing the risk of rotation and capsular contracture. But they are associated with a rare type of cancer called breast implant - associated anaplastic large cell lymphoma (BIA - ALCL).

Top Ten Endoscopic Products for Breast Augmentation in New York City

1. Natrelle 410 Cohesive Gel Breast Implants

Developed by Allergan, the Natrelle 410 cohesive gel breast implants are FDA - approved. They have an anatomically shaped silhouette, with contours that closely resemble the curve of a woman's breast. These implants are popular for both augmentation and breast reconstruction. Dr. John E. Sherman, an experienced plastic surgeon in New York, was a select investigator during their original development. The cohesive gel helps the implant maintain its shape and reduces the risk of leakage. They are available in a variety of shapes and sizes to fit different body types and aesthetic goals.

2. Mentor MemoryGel Implants

Mentor is a well - known manufacturer in the field of breast implants. The MemoryGel implants are made of a cohesive silicone gel that provides a natural look and feel. They are designed to resist wrinkling and provide long - lasting results. These implants are available in different profiles (low, moderate, high) to meet the specific needs of patients. Surgeons can choose the appropriate profile based on the patient's existing breast tissue and desired projection.

3. Sientra Silicone Gel Implants

Sientra is committed to producing high - quality breast implants. Their silicone gel implants offer a range of options in terms of shape, size, and projection. They are designed to mimic the natural movement and feel of breasts. The implants are made with a smooth or textured shell, depending on the patient's preference. Sientra also offers a warranty program for their implants, providing patients with some peace of mind.

4. Ideal Structured Saline Breast Implants

Approved by the FDA in 2015, Ideal structured saline breast implants are a relatively new option. They have a more complex structure consisting of multiple shells, which helps avoid excess movement of the saline filling. This design makes them behave more like silicone implants, with a more natural movement and structure compared to traditional saline implants. However, they are more expensive and add operative time as they require filling from two different ports during surgery.

5. Allergan Natrelle Inspira Responsive Implants

These silicone gel implants from Allergan are known for their responsiveness and natural feel. Dr. Zuckerman, an expert in breast implant placement in New York, commonly uses the Natrelle Inspira Responsive implants. They offer a softer option among the cohesive silicone gel implants, providing a natural - looking and sensual enhancement proportionate to the patient's frame.

6. Polytech Silicone Breast Implants

Polytech is a European manufacturer that has gained recognition in the US market. Their silicone breast implants are known for their high - quality construction and long - term performance. They offer a variety of shapes and sizes, allowing for a customized approach to breast augmentation. The implants are designed to provide a natural shape and feel, with a focus on patient safety and satisfaction.

7. Sebbin Silicone Gel Implants

Sebbin implants are another option available in New York City. They are made with high - quality silicone gel and are designed to provide a natural look and feel. Sebbin offers different types of implants, including round and anatomical shapes, to suit the diverse needs of patients. Their implants are subject to strict quality control measures to ensure safety and efficacy.

8. McMaster Saline Breast Implants

McMaster produces saline breast implants that are a cost - effective option for some patients. These implants are filled with sterile saline and are inserted through a relatively small incision. They are suitable for patients who prefer the safety of having a substance that can be easily absorbed by the body in case of rupture. While they may not have the same natural feel as silicone implants, they can still provide a satisfactory result for many patients.

9. Silimed Silicone Implants

Silimed is a Brazilian manufacturer that has expanded its presence in the global market, including New York City. Their silicone implants are designed to provide a natural and proportionate breast shape. They offer a range of implant options in terms of shape, size, and texture, allowing surgeons to choose the most appropriate implant for each patient. Silimed's implants are known for their durability and safety.

10. Establishment Labs Motiva Implants

Motiva implants from Establishment Labs are designed to adapt to the patient's body movement. They use a technology that allows the implant to move more naturally within the breast pocket. These silicone gel implants are available in different shapes and sizes and are known for their smooth and comfortable feel. They also offer a unique feature where the implant can be easily replaced in case of any issues.

Factors to Consider When Choosing Endoscopic Products for Breast Augmentation

Patient - Specific Factors

1. Body Type: A patient's body frame, height, and weight play a crucial role in determining the appropriate implant size and shape. For example, a smaller - framed woman may not be suitable for very large implants, as it may look disproportionate. Surgeons will consider the patient's existing breast tissue volume, chest width, and ribcage shape when making recommendations.
2. Aesthetic Goals: Some patients may desire a more natural - looking result, while others may want a more enhanced or dramatic appearance. Communicating these goals clearly with the surgeon is essential. For patients seeking a natural look, anatomical implants or round implants with a lower profile may be more suitable. Those looking for a more prominent look may opt for high - profile round implants.
3. Medical History: Patients with certain medical conditions, such as autoimmune diseases or a history of breast cancer, may have specific considerations when it comes to breast implants. Surgeons will review the patient's medical history thoroughly to ensure the safety and suitability of the procedure. For example, patients with a history of cancer may require additional imaging or monitoring after breast augmentation.

Implant - Related Factors

1. Material: As discussed earlier, the choice between saline and silicone implants depends on various factors. Silicone implants generally offer a more natural look and feel, but they are more expensive and require regular imaging to detect silent ruptures. Saline implants are less expensive, have a lower age requirement for use, and are easier to detect if they rupture, but may not feel as natural.
2. Shape and Texture: The shape of the implant (round or anatomical) and its texture (smooth or textured) can significantly impact the final outcome. Round implants are more common and provide a fuller upper - pole appearance, while anatomical implants are better for creating a natural - looking slope. Textured implants may reduce the risk of capsular contracture but are associated with BIA - ALCL, so this risk needs to be carefully considered.
3. Manufacturer Reputation: It is important to choose implants from reputable manufacturers. Established manufacturers like Allergan, Mentor, and Sientra have a long - standing track record of producing high - quality and safe implants. They also often provide warranties and after - sales support, which can be beneficial for patients.

The Role of Endoscopy in Breast Augmentation

Endoscopy is a valuable tool in breast augmentation surgery. It allows surgeons to have a better view of the surgical site, which is particularly useful when making incisions and placing implants. With endoscopic assistance, surgeons can make more precise incisions, whether it's an inframammary (under the breast), periareolar (around the areola), or transaxillary (under the armpit) incision. This precision can lead to less tissue damage, reduced scarring, and a more accurate placement of the implant.

For example, in transaxillary breast augmentation, an endoscope can be used to create a tunnel through the fat tissue under the skin, providing a clear view of the breast pocket for implant placement. This technique can also help in avoiding damage to important structures such as blood vessels and nerves. In some cases, endoscopy can also be used to inspect the implant pocket for any signs of bleeding or potential complications during the surgery.

Potential Complications and Risks

General Surgical Complications

1. Bleeding: There is a risk of bleeding during and after the surgery. Surgeons take precautions to minimize this risk, such as using proper hemostatic techniques during the procedure. However, in some cases, postoperative bleeding may require additional treatment, such as a return to the operating room to control the bleeding.
2. Infection: Any surgical procedure carries a risk of infection. To reduce this risk, patients are typically given antibiotics before and after the surgery. The surgical site is also carefully cleaned and sterilized. If an infection occurs, it may require treatment with antibiotics and, in severe cases, removal of the implant.
3. Anesthesia Reactions: Whether general anesthesia or intravenous sedation is used, there is a risk of adverse reactions to anesthesia. An anesthesiologist will monitor the patient's vital signs during the procedure to ensure their safety. However, rare complications such as allergic reactions, breathing difficulties, or cardiovascular problems can occur.

Implant - Specific Complications

1. Capsular Contracture: This is one of the most common complications in breast augmentation. It occurs when the body forms a scar capsule around the implant, and the capsule tightens and squeezes the implant. This can cause the breasts to appear hard, round, and high, and may be accompanied by pain. Treatment options include massage, medication, or, in severe cases, implant removal and replacement.
2. Implant Rupture or Leakage: Both saline and silicone implants can rupture or leak. Saline implants will deflate quickly if they rupture, and the saline will be absorbed by the body. Silicone implants may have a "silent rupture," where the gel may stay within the capsule or leak into the surrounding tissue. Regular imaging (such as MRI for silicone implants) is recommended to detect silent ruptures.
3. Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare type of non - Hodgkin's lymphoma that has been associated with textured breast implants. While the actual number of cases worldwide is relatively small, it is important for patients to be aware of this risk. The FDA has recommended that textured shell implants be removed in patients with symptoms such as swelling, a mass, or fluid around the implant.

Choosing a Surgeon for Breast Augmentation

Selecting a qualified and experienced plastic surgeon is crucial for a successful breast augmentation procedure. Here are some factors to consider:

1. Board Certification: A board - certified plastic surgeon has undergone extensive training and has met the standards set by the American Board of Plastic Surgery. This certification ensures that the surgeon has the necessary knowledge and skills to perform breast augmentation safely and effectively.
2. Experience: Surgeons with a high volume of breast augmentation surgeries are likely to have more experience in dealing with different patient cases and potential complications. Ask about the surgeon's number of years in practice and the number of breast augmentation procedures they have performed.
3. Reputation: Read patient reviews and testimonials to get an idea of the surgeon's reputation. You can also ask for before - and - after photos of previous patients to assess the quality of their work. A good surgeon will be transparent about their results and will be able to answer any questions you may have.
4. Communication Skills: A surgeon who listens to your concerns, explains the procedure in detail, and provides realistic expectations is essential. You should feel comfortable discussing your aesthetic goals and any fears or questions you may have during the consultation process.

Conclusion

Breast augmentation is a popular cosmetic procedure in New York City, and the availability of high - quality endoscopic products has enhanced the safety and outcomes of these surgeries. The top ten endoscopic products for breast augmentation, such as Natrelle 410, Mentor MemoryGel, and Sientra silicone gel implants, offer a range of options in terms of material, shape, and texture to meet the diverse needs of patients. However, choosing the right implant and surgeon requires careful consideration of patient - specific factors, implant - related factors, and potential risks. It is essential for patients to have in - depth consultations with qualified plastic surgeons to make informed decisions about their breast augmentation journey.

If you are considering breast augmentation, we encourage you to schedule a consultation with a board - certified plastic surgeon in New York City. They can provide you with personalized advice based on your unique circumstances and help you achieve your aesthetic goals safely and effectively. Share this article with others who may be interested in learning more about breast augmentation and the latest endoscopic products available.