Introduction
Breast augmentation is a highly sought - after cosmetic surgical procedure that can enhance a woman's confidence and body image. Among the various incision methods available, the underarm incision approach has become increasingly popular due to its ability to leave minimal visible scarring on the breasts. In New York City, a hub of medical excellence, there are several hospitals and clinics offering underarm incision breast augmentation. This article will explore some of the well - known and popular facilities in the city for this specific procedure.
Understanding Underarm Incision Breast Augmentation
What is Underarm Incision Breast Augmentation?
Underarm incision breast augmentation, also known as transaxillary breast augmentation, is a technique where the surgeon makes a small incision in each underarm. Through this incision, a pathway is created to the breast tissue, and breast implants are inserted. This approach allows for the augmentation of the breasts without leaving any visible scars on the breast itself. According to research, many patients prefer this method for its aesthetic benefits. For example, young patients who are naturally born with small breasts or extremely flat chests may choose this option as traditional inframammary fold incision scars may not be well - hidden on their chests.
Advantages of Underarm Incision
- Minimal Scarring on the Breast: The most obvious advantage is that there are no scars on the breast tissue. This is a major draw for many women who want to enhance their breasts without visible evidence of surgery on their chests.
- Well - Hidden Scars: The scars in the underarm are usually well - hidden within the natural creases of the armpit, making them less noticeable even when the arms are raised.
- Natural Results: Surgeons can place the implant behind the chest muscle, resulting in a full and soft look that appears natural. The muscle provides an additional layer of tissue to camouflage the implant.
- Optimal Healing: The incisions in the underarms are not under excessive stress or tension, which can lead to faster healing and lower rates of infection compared to some other incision locations.
- Easier Recovery: With the use of endoscopic techniques, there is minimal blood loss and high accuracy in dissection. This often leads to a quicker recovery and less postoperative discomfort for the patient.
Disadvantages and Considerations
- Scar Visibility When Arms are Raised: While the scars are well - hidden under normal circumstances, they can be visible when the patient raises their arms. In some cases, tattooing of the scar may be necessary to better camouflage it.
- Positioning Challenges: Without the use of endoscopic visualization, there is a higher risk of bad implant positioning. Surgeons need to have significant skill and experience to ensure precise placement.
- Bleeding Control: Gaining control of potential bleeding sources can be more difficult due to the remote access from the underarm.
- Limitations with Silicone Implants: It can be very difficult to use the underarm incision for placing silicone breast implants. Some surgeons may only recommend this approach for certain types of implants.
Popular Underarm Incision Breast Augmentation Hospitals in New York City
Rapaport Plastic Surgery
Surgeon Expertise
David P. Rapaport, a board - certified plastic surgeon at Rapaport Plastic Surgery, is a world - recognized expert specializing in breast augmentation and breast implant revision. He has extensive experience performing underarm incision breast augmentation procedures. Many patients trust his expertise, as he takes the time to understand each patient's unique goals and body type before recommending the best approach.
Technique and Procedure
Dr. Rapaport uses an endoscope to perform the underarm incision breast augmentation procedure. This means that instead of bluntly tearing the lower border of the muscle and risking implant malposition due to incomplete muscle division, the muscle is precisely divided under magnified endoscopic visualization. This allows for better control of any bleeding and more precise implant positioning. He offers both saline and silicone implants, and will discuss the advantages and disadvantages of each with the patient to help them make an informed decision.
Patient Experience and Results
Patients at Rapaport Plastic Surgery have reported high levels of satisfaction. After the surgery, many women enjoy a significant confidence boost due to their fuller, larger, and more symmetrical breasts. The recovery process is also well - managed, with Dr. Rapaport prescribing pain medication for the first few days after surgery and providing clear instructions on post - operative care. The risk of capsular contracture, a common concern with breast implants, is minimized through meticulous surgical techniques and precautions, such as using a “no touch” technique for augmentation and a specially designed insertion funnel (Keller funnel) for implant insertion.
William Lao, MD
Surgeon's Background
Dr. William Lao is a renowned double - board - certified plastic surgeon in both the USA and Taiwan. He has a comprehensive understanding of the aesthetic ideals of both East and West and over a decade of extensive education and training in the field of plastic surgery. He has received numerous honors and awards and has published articles in renowned medical journals.
Transaxillary Breast Augmentation Specialization
Dr. Lao specializes in transaxillary breast augmentation in New York City. He offers patients the option of achieving the breast volume and shape they desire without the unsightly scars associated with traditional breast augmentation methods. During the consultation, he uses 3D simulation software to help patients select the best implant size. He will also assess the shape of the breasts, map out the incisions, and discuss potential risks, the recovery process, and what to expect after surgery.
Procedure and Recovery
On the day of surgery, Dr. Lao follows a detailed process. First, he administers anesthesia to numb the area. Then, he makes the incision along the armpit in the area of a natural skin fold. An endoscope is inserted through the incision to view the internal anatomical structures and guide the surgical procedure. He creates an implant pocket, typically behind the muscle of the chest wall, and inserts the implant through the underarm incision. After ensuring proper implant placement, the incisions are closed with sutures to minimize scarring. Recovery usually involves resting for a few days, avoiding exercise and heavy lifting for four to six weeks, and refraining from shaving the armpits during the initial healing period.
Dr. Barry Weintraub
Surgeon's Reputation
Dr. Barry Weintraub is a board - certified plastic surgeon and an Ivy League - educated doctor at the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience. His aesthetic judgment is highly regarded, and he is known for his focus on natural beauty.
Underarm Incision Approach
Whenever possible, Dr. Weintraub performs breast augmentation in his NYC facility by inserting the implant through the armpit (transaxillary subpectoral approach). This method has several advantages, such as no jeopardy to nipple sensation, no hindrance to future breastfeeding, no visible scars near the breast, less pain, less post - operative downtime, and less swelling and bruising. He is meticulous in his surgical techniques, insisting on the most sterile conditions in the operating room and using board - certified anesthesiologists and state - of - the - art monitoring equipment.
Patient - Centered Care
Dr. Weintraub provides comprehensive consultations to help patients understand the breast augmentation process. He listens to the patient's concerns and goals and ensures that they have realistic expectations. He will guide patients through the preparation process, including obtaining medical clearance from their family physician and providing instructions on how to prepare for surgery. After surgery, he closely monitors the patient's recovery and provides advice on when they can return to their normal lifestyle and exercise routine.
Choosing the Right Hospital for Underarm Incision Breast Augmentation
Research and Reviews
When considering underarm incision breast augmentation in New York City, it is essential to conduct thorough research. Look for patient reviews and testimonials about different hospitals and surgeons. Websites like RealSelf and Google Reviews can provide valuable insights into the experiences of previous patients. Pay attention to the overall satisfaction rate, the quality of the results, and the level of patient care provided.
Surgeon's Qualifications and Experience
The skill and experience of the surgeon are crucial factors. Ensure that the surgeon is board - certified by the American Board of Plastic Surgery. A board - certified surgeon has met strict standards of education, training, and professional conduct. Look for surgeons who have a significant amount of experience specifically in underarm incision breast augmentation. You can also ask about the number of successful procedures they have performed and view before - and - after photos of their patients.
Consultation Process
A good consultation is key to a successful breast augmentation. During the consultation, the surgeon should take the time to understand your goals, body type, and medical history. They should explain the procedure in detail, including the risks and benefits, and answer all of your questions. A professional and caring surgeon will make you feel comfortable and confident in your decision.
Facility Accreditation and Safety
Choose a hospital or clinic that is accredited by a recognized organization. Accreditation ensures that the facility meets high standards of safety, quality, and patient care. Check if the facility has state - of - the - art equipment and a team of qualified medical professionals, including anesthesiologists and nurses. Safety should be a top priority throughout the entire process, from the pre - operative assessment to the post - operative care.
Cost and Financing
Underarm incision breast augmentation can vary in cost depending on several factors, such as the surgeon's fees, the type of implants used, and the facility costs. It is important to get a detailed quote during the consultation. Some hospitals and clinics offer financing options to make the procedure more affordable. Make sure to understand the payment schedule and any associated fees.
Preparing for Underarm Incision Breast Augmentation
Medical Evaluation
Before the surgery, you will need to undergo a comprehensive medical evaluation. This may include a physical examination, blood tests, and a review of your medical history. The surgeon needs to ensure that you are in good overall health and a suitable candidate for the procedure. You may need to provide medical clearance from your family physician or other specialists, depending on your medical history.
Lifestyle Changes
You may need to make some lifestyle changes before the surgery. If you smoke, it is recommended to quit smoking at least several weeks before the procedure, as smoking can affect the healing process and increase the risk of complications. You may also need to avoid certain medications and supplements that can thin the blood, such as aspirin and ibuprofen, for a period of time before the surgery. The surgeon will provide you with specific instructions based on your individual situation.
Arrange for Support
It is important to arrange for support during the recovery period. You will need someone to drive you to and from the hospital on the day of the surgery and to stay with you for the first night after the procedure. You may also need help with daily activities, such as cooking, cleaning, and taking care of children or pets, during the initial recovery phase.
Understand the Recovery Process
Before the surgery, make sure you have a clear understanding of the recovery process. This includes the expected length of recovery, any restrictions on activities, and the post - operative care instructions. You may need to wear a compression garment for a certain period of time, take prescribed medications, and attend follow - up appointments with the surgeon. Following the recovery instructions carefully is essential for a smooth and successful recovery.
Recovery and Aftercare
Immediate Post - operative Period
After the underarm incision breast augmentation surgery, you will be monitored in the recovery area until the anesthesia wears off. You may experience some swelling, bruising, and soreness in the breasts and underarms, which is normal. The surgeon will provide pain medication to manage the discomfort. You will be given instructions on how to care for the incisions, which may include keeping them clean and dry and changing the dressings as directed.
Short - term Recovery
In the short - term, you will need to rest and limit your activity. Avoid strenuous exercise and lifting heavy objects for several weeks. You may be able to return to work within a few days to a week, depending on the nature of your job. The swelling and bruising will gradually subside over time, and you will start to see the final results of the breast augmentation.
Long - term Recovery and Follow - up
Long - term recovery involves continuing to follow the post - operative care instructions. You will need to attend follow - up appointments with the surgeon to monitor your progress and ensure that the implants are healing properly. Over time, the breasts will continue to settle into their final shape. It is important to be patient during the recovery process and to communicate any concerns or questions you may have with the surgeon.
Conclusion
Underarm incision breast augmentation is a popular and effective way to enhance the breasts with minimal visible scarring on the breast tissue. In New York City, there are several well - known and popular hospitals and clinics offering this procedure, such as Rapaport Plastic Surgery, William Lao, MD, and Dr. Barry Weintraub. When choosing a facility, it is important to consider factors such as the surgeon's qualifications, the quality of patient care, and the facility's safety standards. Proper preparation and following the recovery and aftercare instructions are crucial for a successful outcome. If you are considering underarm incision breast augmentation, take the time to research your options and consult with a qualified plastic surgeon to make an informed decision.
Call - to - Action
If you have been thinking about underarm incision breast augmentation in New York City, we encourage you to schedule a consultation with one of the top surgeons mentioned in this article. Learn more about the procedure, ask your questions, and see if it is the right choice for you. Share this article with friends who may be interested in breast augmentation to help them make an informed decision. Explore our other resources on breast augmentation and cosmetic surgery for more in - depth information.