The new ranking of breast augmentation with ES prostheses in New York City is online!

The New Ranking of Breast Augmentation with ES Prostheses in New York City: A Comprehensive Guide

Breast augmentation has long been a popular cosmetic procedure, with countless women seeking to enhance their appearance and boost their self - confidence. In New York City, the demand for high - quality breast augmentation services, especially those using ES prostheses, has been on the rise. With the release of the new ranking, it's an opportune time to explore what this means for potential patients.

Understanding Breast Augmentation

What is Breast Augmentation?

Breast augmentation is a surgical procedure that aims to enhance the size and shape of the breasts. This is typically achieved through the insertion of breast implants, which can be made of different materials such as silicone, saline, or more advanced options like cohesive silicone gel implants (also known as gummy bear implants). As the American Society of Plastic Surgeons reports, in 2020 alone, nearly 200,000 women in the United States underwent breast augmentation, despite the onset of a global pandemic. The desire for fuller, shapelier breasts is here to stay, and New York City is at the forefront of providing top - notch services in this area.

Benefits of Breast Augmentation

• Enhanced Physical Appearance: Women can achieve a more proportionate figure, which can improve the way their clothes fit and make them feel more attractive.
• Boosted Self - Confidence: Feeling good about one's appearance can have a significant positive impact on self - esteem. Many women report increased confidence in both personal and professional settings after breast augmentation.
• Restoration of Breast Volume: It can be used to restore breast volume lost due to pregnancy, breastfeeding, weight loss, or the natural aging process.
• Correction of Asymmetry: Some women have naturally uneven breasts, and breast augmentation can help to correct this imbalance.

Types of Breast Implants

Silicone Implants

Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are known for their natural appearance and softness, making them a popular choice for many women. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. Over the years, silicone implants have undergone significant improvements, including enhancements in the thickness of the shell and the viscosity of the silicone gel inside, making them safer than ever and approved by the FDA.

Saline Implants

Saline implants are filled with sterile salt water and can be adjusted for size during surgery. They are often preferred for their flexibility in size and the fact that any leaks are safely absorbed by the body. However, they may not feel as natural as silicone implants in some cases.

Gummy Bear Implants

Also known as form - stable implants, gummy bear implants are filled with a thicker silicone gel that maintains its shape even if the implant shell is broken. They provide a natural look and feel, with less risk of rippling. Scientists developed these implants in the 1990s, seeking to create a breast implant that featured better projection and could be manufactured in a larger range of dimensions.

The Importance of the New Ranking

Helping Patients Make Informed Decisions

The new ranking of breast augmentation with ES prostheses in New York City serves as a valuable resource for patients. With so many plastic surgeons offering breast augmentation services, it can be overwhelming for patients to choose the right one. The ranking takes into account various factors such as surgeon expertise, patient satisfaction, and the quality of the ES prostheses used. This helps patients narrow down their options and make a more informed decision about which surgeon to trust with their breast augmentation procedure.

Encouraging High - Quality Standards

For plastic surgeons, the ranking acts as an incentive to maintain and improve the quality of their services. Surgeons strive to be at the top of the ranking, which in turn leads to a higher overall standard of breast augmentation procedures in New York City. This benefits patients as they can expect better results, fewer complications, and more personalized care.

Top Plastic Surgeons in New York City for Breast Augmentation

Dr. Adam R. Kolker

Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City specializing in breast augmentation and cosmetic surgery procedures addressing all aspects of the body. His education and training in plastic surgery span some of the most prestigious medical institutions in the world, including 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 remains on the cutting edge of advancements in plastic surgery. Dr. Kolker is known for his ability to deliver beautiful, natural, and proportional results. He has been featured in New York Magazine's Best Doctors issues from 2008 - 2024 and is also recognized as one of America's Best Plastic Surgeons by Newsweek in 2021 - 2024. He is one of a few surgeons to be listed in all of the featured categories: breast augmentation, facelift, eye lift, rhinoplasty, and liposuction.

Dr. John E. Sherman

Dr. John E. Sherman is an experienced and acclaimed plastic surgeon renowned for his commitment to patient care and excellent results. He works closely with prospective patients to develop an individualized approach so that they can enjoy the beautiful breasts they desire. He was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants. These FDA - approved devices feature an anatomically shaped silhouette, with contours that closely resemble the curve of a woman’s breast and are popular choices for augmentation and breast reconstruction. Dr. Sherman takes the time to discuss all the implant options, including material, shape, size, and texture, with his patients to ensure optimal results.

Dr. Lara Devgan

Based in New York City, Dr. Lara Devgan is a female plastic surgeon who many women seek out because of her discreet approach to this sensitive topic. She focuses on providing beautiful, natural results. During the consultation, she examines, measures, and photographs the patient's breasts, discusses the medical history and desires for surgery, shows samples of silicone and saline breast implants, and allows the patient to "try on" different sizes of implants. Her patients often report fast recoveries and subtle, yet satisfying results. For example, some patients like DS, 2 days after a breast augmentation, reported loving their new breasts, and RR, a 35 - year - old woman who had a "mommy makeover" (breast augmentation, abdominoplasty, liposuction), said it was worth it and had very little pain.

Dr. Kevin Tehrani

Dr. Kevin Tehrani is the founder and director of Aristocrat Plastic Surgery. He offers a variety of breast augmentation procedures, including those with silicone implants and transumbilical breast augmentation (TUBA). Silicone implants at his clinic come in various shapes and sizes, and he is well - versed in discussing all the breast augmentation options with his patients. The TUBA technique, which places breast implants through an incision in the belly button, leaves no visible scars on the body and is associated with minimal pain and a faster recovery. Dr. Tehrani also offers the "speedy recovery" injectable "Exparel" to help patients significantly reduce the amount of pain they experience during the first 72 hours after surgery.

Dr. Ross Ratner

Dr. Ross Ratner at Doctors Plastic Surgery is renowned as NYC's best breast augmentation surgeon. A dual - board certified plastic & reconstructive surgeon, he combines surgical expertise with a warm bedside manner. He specializes in breast augmentation, breast lift, breast reduction, abdominoplasty (tummy tuck), liposuction, and Brazilian butt lifts. Dr. Ratner uses the latest surgical techniques to ensure exceptional results tailored to each patient’s goals. Patients like SJ have praised him for being incredibly skilled, always available, patient, and caring, and for making their experience easy and painless.

Dr. David P. Rapaport

Dr. David P. Rapaport is a board - certified plastic surgeon and a world - recognized expert specializing in breast augmentation and breast implant revision for women with previous breast surgery. He offers breast augmentation with both saline and silicone implants and uses an endoscope to perform a scarless breast augmentation procedure through an underarm incision. He takes every precaution to minimize the risk of capsular contracture, which is a concern for some patients. His patients often experience a significant confidence boost after the procedure, and the results typically last a long time.

ES Prostheses in Breast Augmentation

What are ES Prostheses?

ES prostheses are a type of breast implant that are designed to provide a high - level of performance and aesthetic appeal. They are likely to be made with advanced materials and innovative designs to ensure a natural look and feel. While specific details about ES prostheses may vary, they are expected to meet or exceed industry standards in terms of safety, durability, and functionality.

Benefits of Using ES Prostheses

• Natural Appearance: ES prostheses are engineered to mimic the look and feel of natural breasts, allowing for a more seamless integration with the patient's body.
• Durability: With advanced materials, they are likely to be more durable and less prone to rupture or leakage compared to some traditional implants.
• Customization: They may offer a greater range of sizes, shapes, and projections, enabling surgeons to customize the breast augmentation procedure to better meet the patient's individual needs and aesthetic goals.

Evaluating Surgeons for Breast Augmentation with ES Prostheses

Medical Credentials

When choosing a surgeon for breast augmentation with ES prostheses, medical credentials are of utmost importance. A board - certified plastic surgeon has completed the necessary training and passed the rigorous exams required to demonstrate their proficiency in plastic surgery. This includes a medical degree, residency training, and often fellowships in specific areas of plastic surgery. Surgeons like Dr. Adam R. Kolker and Dr. Ross Ratner, who are double - board or dual - board certified, have a high level of expertise in this field.

Surgical Skills

Reviewing before and after photos of the surgeon's past patients can give you an idea of their surgical skills and aesthetic sensibilities. A skilled surgeon will be able to achieve natural - looking results, ensure proper implant placement, and minimize scarring. For example, Dr. David P. Rapaport's use of an endoscope for scarless breast augmentation through an underarm incision showcases his advanced surgical techniques.

Experience with ES Prostheses

It's crucial to choose a surgeon who has experience working with ES prostheses. An experienced surgeon will be familiar with the unique characteristics of these prostheses, such as how to properly insert them, how they interact with the body, and any potential complications that may arise. They can also provide more accurate information about the expected results and after - care specific to ES prostheses.

Patient Reviews and Testimonials

Patient reviews and testimonials offer valuable insights into the surgeon's bedside manner, the quality of care provided, and the overall patient experience. Positive reviews from patients who have undergone breast augmentation with ES prostheses can give you confidence in the surgeon's abilities. You can find these reviews on the surgeon's website, third - party review sites, or social media platforms.

The Breast Augmentation Procedure

Consultation

The first step in the breast augmentation process is the consultation. During this appointment, the surgeon will conduct a thorough medical examination, discuss your medical history, and ask about your goals for the procedure. You will have the opportunity to ask questions and express any concerns you may have. The surgeon will also show you different types of implants, including ES prostheses if applicable, and help you choose the most suitable size, shape, and type of implant for your body. For example, Dr. John E. Sherman takes the time to understand each patient's unique needs and preferences during the consultation and then devises a personalized treatment plan.

Pre - operative Preparation

Before the surgery, you will need to follow some pre - operative instructions. These may include quitting smoking or using any nicotine product, as nicotine can significantly impact your ability to heal after the treatment. You may also need to taper off current medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort. Additionally, you should arrange to have a trusted family member or friend pick you up from the hospital and designate a comfortable space to recover at home.

The Surgery

Breast augmentation is typically an outpatient procedure that takes 1 - 1.5 hours to perform. You will be given either general anesthesia or intravenous sedation anesthesia, depending on your preferences and the surgeon's recommendation. The surgeon will make small incisions to create a pocket for the implant. The incision locations can include under the breast (inframammary incision), around the areola (periareolar incision), or under the armpit (transaxillary incision). The implant will then be placed either under the pectoral muscles (submuscular plane) or above the pectoral muscles (subglandular). After the implant is in place, the surgeon will close the incisions with sutures and wrap the area with a compression garment.

Recovery

In the initial days after surgery, it's normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. You will be given a prescription for pain medication to help ease the discomfort, which is usually most pronounced during the first few days. You will also be provided with a surgical compression bra that you will need to wear for the next few weeks as you heal. In 2 - 3 weeks, your symptoms should subside enough for you to resume light activities and work. At 6 - 8 weeks, you can typically resume more strenuous activities, including going to the gym. It may take a few months for the implants to fully settle into place, and you will start to see the final results.

Potential Complications

General Complications

As with any surgical procedure, breast augmentation carries some risks. General complications can include bleeding, infection, adverse reactions to anesthesia, and poor scarring. It's important to closely follow your surgeon's post - operative instructions to minimize these risks. For example, keeping the surgical site clean and dry can help prevent infection, and taking the prescribed pain medication as directed can manage pain and reduce the risk of complications related to excessive pain.

Implant - Specific Complications

There are also some implant - specific complications to be aware of. Breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) is a rare form of non - Hodgkin’s lymphoma that has been associated with breast implants, particularly textured implants. However, the actual number of cases worldwide is not confirmed, and research is ongoing. Breast implant illness (BII) is another term used to refer to a broad variety of symptoms that women report after having implants placed, such as memory loss, joint pain, and fatigue. The cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated.

Capsular Contracture

Capsular contracture occurs when the capsule of scar tissue that forms around the implant contracts and squeezes the implant. This can result in breasts that appear round and high and may feel very hard to touch. Surgeons take various precautions to minimize the risk of capsular contracture, such as exercising extreme care in minimizing bleeding during surgery and avoiding contaminating the operation with particles or bacteria. For example, Dr. David P. Rapaport uses the “no touch” technique for augmentation whenever possible and uses a specially designed insertion funnel (Keller funnel) for implant insertion.

Cost and Insurance Coverage

Cost Factors

The cost of breast augmentation with ES prostheses in New York City can vary widely. Factors that influence the cost include the surgeon's expertise, the complexity of the operation, the type and brand of the ES prostheses used, and the geographic location of the clinic. Top surgeons with extensive experience and a good reputation typically charge higher fees. Additionally, if the procedure involves advanced surgical technology or techniques, it may also increase the cost.

Insurance Coverage

Most insurance companies do not cover the cost of elective cosmetic surgeries like breast augmentation, as they consider these procedures non - essential. However, if the breast augmentation is performed for reconstructive purposes, such as after a mastectomy, insurance may cover a portion or all of the costs. It's important to communicate openly with your insurance provider and understand the terms of your policy before undergoing the procedure. Some clinics may also offer payment plans or financing options to help make the procedure more affordable.

Conclusion

The new ranking of breast augmentation with ES prostheses in New York City is a significant development for both patients and plastic surgeons. It provides patients with a valuable tool to make informed decisions about their breast augmentation procedure, and