Introduction
Breast augmentation is a popular cosmetic surgery that many women in New York City are considering. With the release of the new ranking list of well - reputed hospitals for breast augmentation with textured prostheses in New York City, it becomes crucial for patients to understand various aspects related to this procedure. This article will delve into multiple elements including the overall hospital rankings in New York, top doctors for breast augmentation, the details of breast implants, surgical techniques, risks, and recovery, as well as factors to consider when choosing a hospital.
Overview of Hospital Rankings in New York
U.S. News & World Report is a well - known platform for hospital rankings, which provides valuable insights for patients to make informed decisions.
New York - Presbyterian / Columbia University Irving Medical Center
This medical center has achieved remarkable rankings. It was once ranked No. 4 in the nation and was named the top hospital in New York, also making it onto the U.S. News & World Report’s honor roll. Only 20 out of 5,000 evaluated hospitals made this honor roll. It ranked nationally in 15 adult specialties and 8 pediatric specialties. The institution is also recognized for its excellence in 14 adult specialties and 8 children’s specialties in another ranking where it was placed No. 7 in the nation.
Its nationally - ranked surgical specialties include adult specialties such as heart surgery, GI surgery, and lung surgery, and children’s specialties like pediatric heart surgery, pediatric GI surgery, and pediatric lung surgery. Moreover, its national ranking in cancer care reflects the high - quality surgical oncology expertise, including breast surgery, pancreatic surgery, and endocrine surgery. High - performing surgical and medical interventions from the surgeons at Columbia involve procedures like colon cancer surgery, lung cancer surgery, chronic obstructive pulmonary disease (COPD) treatment, heart failure management, and many others.
NYC Health + Hospitals
All of NYC Health + Hospitals’ hospitals have been included in the U.S. News & World Report “Best Hospitals 2024–2025” list. The ranking recognizes these hospitals for excellence in treating conditions such as heart failure, heart attack, hip fracture, kidney failure, diabetes, and chronic obstructive pulmonary disease (COPD). The specific hospitals and the conditions they are recognized for are as follows:
Facility | Procedures & Conditions |
---|---|
NYC Health + Hospitals / Bellevue | Heart failure, heart attack |
NYC Health + Hospitals / Elmhurst | Heart failure, heart attack, hip fracture, kidney failure |
NYC Health + Hospitals / Harlem | Heart failure |
NYC Health + Hospitals / Jacobi | Heart failure, diabetes, kidney failure |
NYC Health + Hospitals / Kings County | Heart failure, kidney failure |
NYC Health + Hospitals / Lincoln | Heart failure, COPD, kidney failure |
NYC Health + Hospitals / Metropolitan | Heart failure |
NYC Health + Hospitals / South Brooklyn Health | Heart failure |
NYC Health + Hospitals / Queens | Heart failure, diabetes |
NYC Health + Hospitals / Woodhull | COPD, diabetes |
Top Doctors for Breast Augmentation in New York
When it comes to breast augmentation, the expertise of the doctor is of utmost importance. There are several highly - rated doctors in New York for this procedure.
Based on Healthgrades
Healthgrades identified 119 doctors who perform breast augmentation in New York. Here are some of the top - rated ones:
Doctor | Rating | Location |
---|---|---|
Dr. Mark Sultan, MD | 4.20 out of 5 stars | 1100 Park Ave # 1b, New York, NY 10128 |
Dr. Evan Matros, MD | 4.80 out of 5 stars | 1275 York Ave, New York, NY 10065 |
Dr. Jeffrey Ascherman, MD | 4.90 out of 5 stars | 51 West 51st street suite 380, New York, NY 10019 |
Dr. Jess Ting, MD | 4.30 out of 5 stars | 10 Union Sq E # 3 - g, New York, NY 10003 |
Dr. Paul Weiss, MD | 3.30 out of 5 stars | 1049 5th ave ste 2d, New York, NY 10028 |
Dr. Jonathan Keith, MD | 4.00 out of 5 stars | 79 Hudson st ste 203, Hoboken, NJ 07030 |
Dr. Rachel Blue Bond - Langner, MD | 4.40 out of 5 stars | 222 E 41st st, New York, NY 10017 |
Dr. John Pang, MD | 4.60 out of 5 stars | 10 Union Sq E ste 2m, New York, NY 10003 |
Dr. Babak Mehrara, MD | 4.40 out of 5 stars | 1275 York Ave, New York, NY 10065 |
Dr. Renata Khelemsky, MD | 5.00 out of 5 stars | 58 Prospect st, Brooklyn, NY 11201 |
Based on Newsweek
Newsweek partnered with Statista for the ranking of America's Best Plastic Surgeons 2024. For breast augmentation, several New York - based surgeons were recognized:
- David Hidalgo, MD, FACS
- Adam R. Kolker, MD, FACS
- Alan Matarasso, MD, FACS
Details of Breast Implants
Types of Implants
There are mainly two types of breast implants: saline and silicone.
- Saline implants: These implants are placed in the breast pocket and are filled to the patient’s desired volume during the procedure. They have a salt - water solution inside.
- Silicone implants: They are pre - filled and produced ready to be inserted. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. Over time, there have been ongoing improvements in silicone implants. In the 1990s, cohesive silicone gel implants, also known as gummy bear implants, were developed. These implants feature better projection, can be manufactured in a larger range of dimensions, and are thick enough to keep their form and minimize the risk of leakage if the implant becomes compromised. They can provide a natural and proportionate breast shape and feel and come in a variety of shapes and sizes to mimic most breast shapes and fit a wider range of chest dimensions.
Choosing the Right Implant
When choosing a breast implant, several factors need to be considered:
- Material: As mentioned above, saline and silicone are the two main options, each with its own characteristics. The choice depends on factors such as the patient's preference, desired feel, and the surgeon's recommendation.
- Shape: Patients can choose between round and anatomical implants. Round implants are frequently chosen for their ability to add volume higher on the chest. Anatomical implants are teardrop - shaped and have a slight slope to replicate the form of the natural breast, which is suitable for patients who want a more natural - looking result.
- Size: Implant sizes are measured in cubic centimeters, not bra cup size. The appropriate implant size depends on the amount of breast tissue the patient has before the augmentation and the desired results. Sizes range from 120cc to 800 cc, and implants also come in various widths, heights, and projections. High - profile breast implants are suitable for women looking to make a statement, while a smaller projection is better for women seeking a more subtle effect.
- Texture: Textured implants have a surface that allows the tissues to heal more closely around the implant, preventing the implant from rotating or becoming displaced. This can be an important consideration, especially for textured prostheses used in the breast augmentation ranking we are discussing.
Surgical Techniques for Breast Augmentation
Incisions
There are several incision options for breast augmentation, and each has its own advantages and disadvantages:
- Inframammary incision: This incision is made under the breast. It provides good access to the breast pocket and is a common choice. It may be suitable for various implant types and sizes, and it can result in relatively well - hidden scars.
- Periareolar incision: The incision is made around the areola, the area around the nipple. It can provide a relatively hidden scar location, especially for patients with darker areolas. However, there may be a slightly higher risk of nipple sensitivity changes compared to other incisions.
- Transaxillary incision: This incision is made under the armpit. It allows for the implant to be placed without an incision on the breast itself, resulting in less visible scarring on the breast. But it may be more technically challenging for the surgeon to perform and may have limitations in terms of implant size and placement.
Implant Placement
The implant can be placed either in the submuscular plane (under the pectoral muscles) or subglandular (above the pectoral muscles):
- Submuscular placement: This is often recommended for patients with less breast tissue or those who want a more natural - looking result. The muscle can help cover the implant, reducing the risk of visible rippling. It may also be beneficial in terms of long - term support for the implant.
- Subglandular placement: This is suitable for patients who have sufficient breast tissue and want a quicker recovery. However, there may be a slightly higher risk of visible rippling compared to submuscular placement, especially in patients with thin skin or little breast tissue.
Risks and Complications of Breast Augmentation
Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing BIA - ALCL. While the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. This is not breast cancer but a form of non - Hodgkin’s lymphoma that can be effectively treated. It seems to be associated with implants that are textured and in patients who develop a seroma (accumulation of fluid around the breast). To date, there have only been two cases associated with smooth implants, and those patients had previously placed textured implants. With this worldwide alert, the database is expanding, with ALCL registries and recommendations for treatment.
Breast Implant Illness (BII)
Breast implant illness is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss and “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated.
Recovery and Aftercare
Immediate Post - Operative Period
In the initial days after the surgery, it is normal for patients to experience moderate symptoms such as fatigue, discomfort, swelling, and bruising. They will be given a prescription for pain medication to help ease the discomfort, which is usually most pronounced during the first few days. A surgical compression bra will also be provided, which the patient will wear for the next few weeks as they heal.
Return to Activities
Within 2 - 3 weeks, the symptoms should subside enough for the patient to resume light activities and work. At 6 - 8 weeks, they can engage in more strenuous activities, such as going to the gym. By this point, the swelling will have subsided significantly. Although the breasts may still feel overly firm and tight, within a few months, the implants will have settled into place, and the patient will be able to see the final results.
Follow - up Appointments
Regular follow - up appointments with the surgeon are crucial. The surgeon will monitor the recovery process, check for any complications, and provide guidance on further care. Suture removal is usually one week after the breast augmentation.
Factors to Consider When Choosing a Hospital for Breast Augmentation
Surgeon Expertise
The expertise of the surgeon is the most important factor. Look for surgeons who are board - certified, have extensive experience in breast augmentation, and a proven track record of achieving natural - looking results. Surgeons with a good reputation in the field, as indicated by patient reviews and industry rankings, are more likely to provide high - quality care.
Hospital Reputation
Consider the overall reputation of the hospital. Hospitals that are highly ranked in general, such as those on the U.S. News & World Report’s list, often have better resources, advanced technologies, and a higher standard of care. A hospital with a good reputation for patient safety and satisfaction is also more likely to ensure a successful breast augmentation procedure.
Technological Advancements
Top hospitals may use advanced techniques and technologies in breast augmentation. For example, 3D imaging and simulation can allow patients to visualize potential results before surgery. The use of the latest implant materials and surgical methods can also contribute to better outcomes and a more natural - looking result.
Aftercare Services
Comprehensive aftercare services are essential for a smooth recovery. This includes regular post - operative check - ups, guidance on self - care practices, and prompt responses to any concerns or complications that may arise. Some hospitals may also offer emotional support and counseling services to help patients cope with the psychological aspects of recovery.
Cost and Financing
The cost of breast augmentation can vary depending on factors such as the clinic, surgeon expertise, geographical location, and specific procedure. It is important to understand the pricing structure and explore financing options. Some clinics may offer in - house financing plans, third - party medical loans, or discounts for multiple procedures or package deals.
Conclusion
The release of the new ranking list of well - reputed hospitals for breast augmentation with textured prostheses in New York