The New Ranking of Breast Augmentation with Prosthetics in New York City: A Comprehensive Guide
Breast augmentation with prosthetics has become an increasingly popular cosmetic procedure in New York City. With the release of the new ranking, patients have more information than ever to make informed decisions about their breast augmentation journey. In this article, we will explore the ranking, the top surgeons and practices in New York City, the types of breast implants available, the procedure itself, and the recovery process.
America's Best Plastic Surgeons 2024 Ranking for Breast Augmentation
Newsweek, in partnership with Statista, released the fourth - annual ranking of America's best plastic surgeons in 2024. In the breast augmentation category, several New York City surgeons made the list. Here are some of the top - ranked surgeons in New York City from the 2024 ranking:
| Rank | Surgeon Name | Location |
|---|---|---|
| 4 | David Hidalgo, MD, FACS | New York - New York |
| 5 | Adam R. Kolker, MD, FACS | New York - New York |
| 10 | Alan Matarasso, MD, FACS | New York - New York |
The ranking was compiled through an elaborate process. Thousands of medical experts with knowledge of plastic surgery were invited to an online survey in March and April 2024, resulting in the collection of more than 8,400 votes for plastic surgeons representing all surgery categories. Only surgeons from the 20 states with the most plastic surgeons were included in the ranking, and those who offer only reconstructive or non - elective corrections were excluded from consideration.
The scoring model for each surgeon was based on three main factors:
- In - state and out - of - state recommendations: Participants were asked to name the leading plastic surgeons for each cosmetic procedure, both within and outside their respective states. The order of recommendations was relevant to the ranking, and self - recommendations were not allowed. In - state and out - of - state recommendations constituted 45 percent of the overall score.
- Quality score: For in - state recommendations, participants were asked to assess the quality of care, such as consultation with the doctor, complications, follow - up, and outcome. The quality score accounted for 15 percent of the total score.
- Certification score: Plastic surgeons receive 5% towards their total score if they have an American Board of Plastic Surgery (ABPS) accreditation.
Top Breast Augmentation Practices in New York City
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board certified plastic surgeon in New York City. He is highly respected for his work in breast augmentation and other cosmetic surgery procedures. His education and training 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 stays at the forefront of advancements in plastic surgery.
Dr. Kolker has an extensive list of credentials, including being board - certified by the American Board of Plastic Surgery and the American Board of Surgery, and being a fellow of the American College of Surgeons. He has been featured in New York Magazine's Best Doctors issues from 2008 to 2024 and is also one of America's best plastic surgeons as recognized by Newsweek from 2021 to 2024 in multiple categories.
He offers a comprehensive approach to breast augmentation, considering each patient's unique goals and anatomy. His patients often praise him for his artistry, technical skill, and ability to achieve natural - looking results. For example, one patient said, “I could not believe my eyes. Dr. Kolker had done something all other surgeons had told me was not possible. He made the impossible, possible i could not believe it took a possibility and turned it into my reality! I will forever be thankful to him for correcting my asymmetrical breasts and making me so happy.”
Dr. Darrick Antell
Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City. He is board - certified in plastic and reconstructive surgery and has focused his career on aesthetic procedures. Trained at Stanford and Cornell, he has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries.
Dr. Antell has been listed in multiple magazines, such as Harper’s Bazaar and Town and Country, as one of the best breast plastic surgeons in the country. He is known for his expertise in preventing and treating capsular contracture, a common complication with breast implants. His patients appreciate his attention to detail, precision, and ability to achieve beautiful, long - lasting results. One patient review states, “Dr. Antell is an incredible surgeon. He far beyond exceeded any expectations I had for my breast augmentation. His expertise in the field is just what I needed...”
Other Practices
There are also other notable practices in New York City. Wimgo provides reviews on top breast augmentation practices. Some of these include:
- Spiro Plastic Surgery: Dr. Spiro received his medical doctor degree from the University of Medicine and Dentistry of New Jersey. The practice offers various services, with 13% of its focus on breast augmentation. The large and experienced staff aims to meet all patient needs.
- Nadia Afridi, MD: Dr. Nadia S. Afridi is a fellow of the Royal College of Surgeons in Canada and an active member of the American Society of Plastic Surgeons. Her practice has a 36% focus on breast augmentation, and she is specifically interested in women's health issues related to plastic surgery.
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 a popular choice because of their natural appearance and softness. The current generation of silicone breast implants is pre - filled with the gel and has a silicone elastomer outer shell. Dr. Adam Kolker and Dr. Darrick Antell often recommend silicone implants for patients who desire a more natural look and feel. However, it's important to note that if a silicone implant ruptures, it may require an MRI to detect the rupture, as the gel may not be easily visible on the outside.
Saline Implants
Saline implants are filled with sterile salt water. They have the advantage of potentially being placed through a slightly shorter incision. If a saline implant ruptures, the salt water is harmlessly absorbed by the body, and the breast will appear deflated. Saline implants can also be adjusted for size during surgery, which gives the surgeon more flexibility. Some patients prefer saline implants because of their safety profile and the ability to easily detect a rupture.
Gummy Bear Implants
Gummy bear implants, also known as form - stable implants, are filled with a thicker silicone gel that maintains its shape even if the implant shell is broken. They are named for their similarity in texture to gummy bear candies. These implants are often used to provide a more natural - looking shape, especially for patients who want a teardrop - shaped breast. They are a good option for patients who are concerned about implant rotation or who want a more stable implant shape.
Ideal Implants
The ideal implant is a new addition to the market. It is an FDA - approved, saline - filled dual - chamber device. It has several advantages, including low rates of capsular contracture and other complications, low rates of rupture, and the ability to detect malfunctions by looking in the mirror. It is made from FDA - tested saline and is hypoallergenic. Dr. David P. Rapaport is one of only 250 doctors nationwide that offers the ideal implant. He can use an endoscope underarm approach for the procedure, which leaves the patient without any breast scar.
The Breast Augmentation Procedure
Consultation
The first step in the breast augmentation process is the consultation. During this time, the surgeon will perform a comprehensive evaluation of the patient's general health and medical history, as well as assess the current condition of the breasts. The patient and the surgeon will have an open and honest conversation about the patient's expectations, goals, and concerns. The surgeon will guide the patient through selecting the proper implant type, incision type, implant placement, and size. For example, Dr. Antell will show the patient before - and - after photos, provide information about the different types of implants, and discuss the risks and benefits of the procedure.
Some surgeons, like Dr. Kolker, may also use an advanced 3D imaging system to give the patient a sneak - peak of the expected results. The patient may be given a pair of actual implants to hold in their hands to get a palpable sense of how they will feel and look. The surgeon will also review the pre - operative and post - operative instructions with the patient at this stage.
Pre - operative Preparation
Before the surgery, the patient will be provided with detailed instructions on how to prepare. This may include guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. The patient may be given prescriptions that should be filled prior to the day of surgery. Depending on the medical history, the patient may be asked to provide pre - operative clearance from another doctor. It is important for the patient to arrange for someone to drive them home after the surgery and to have someone to assist them for the first few days.
Surgery
Breast augmentation is typically performed as an outpatient procedure under general anesthesia or “twilight” sedation. The surgeon will make an incision in one of several locations, including the lower crease beneath the breast (inframammary crease incision), along the lowest border of the pigmented areola (periareolar incision), or within the underarm (transaxillary incision). The surgeon will then create a pocket either directly behind the breast tissue (subglandular placement) or behind the pectoral (chest) muscle (submuscular placement). The implant will be centered beneath the nipple.
The placement of the implant behind the chest muscle may reduce the risk of capsular contracture but may require a longer recovery time. The surgery usually takes between one to two hours to complete, and multiple layers of internal, dissolving sutures will typically be used to close the incisions. A layer of gauze and a bandage may be placed over the new breasts to speed healing.
Recovery Process
Immediate Post - operative Period
After the surgery, the patient will recover in a private recovery room with a licensed registered nurse. The patient will be discharged home with a friend or relative when they are fully awake and comfortable, usually 1 to 2 hours after the completion of surgery. The patient will be given a specialized surgical bra to wear for a few weeks to support the newly enlarged breasts. The patient may experience some swelling, bruising, tightness, and soreness, and pain medication will be prescribed to manage the discomfort.
Returning to Normal Activities
Most patients can return to work or studies after about seven days, although those with less physically demanding occupations may be able to return as early as 4 to 5 days post - op. Light exercise (cardio without impact) may be resumed at five to seven days, and more vigorous physical activity may commence three weeks after the surgery. Strength training that excludes pectoralis muscle contraction may resume after seven days, while modified pectoralis exercises may be resumed at 4 to 6 weeks, and completely unrestricted training begins at 12 weeks.
Long - term Recovery and Follow - up
The swelling in the breasts will take several months to fully dissipate, with the final result typically being visible around 6 months. The scars will be firm and pink for at least six weeks, and then they may remain about the same size for several months or may appear to widen. With time, the scars will begin to fade, although they will never disappear completely. The patient will have standard follow - up visits at one week, six weeks, and 12 months to monitor the healing process and address any concerns. Routine mammograms should be continued after breast augmentation, and the patient should inform the radiology center that they have implants so that the correct procedure can be used.
Cost of Breast Augmentation
The cost of breast augmentation in New York City can vary widely. It depends on several factors, including the type of procedure to be used, the type of implants, and the doctor to perform the surgery. The cost usually ranges from $3,900 to $6,000, but this may not cover additional expenses such as the implants themselves, operating room and anesthesia fees, and the surgeon's fee.
Some practices, like Doctors Plastic Surgery, offer transparent pricing and flexible financing plans to make the procedure more affordable for patients. Patients should discuss the cost in detail with their surgeon during the consultation to get a clear understanding of all the expenses involved.
Complications and Risks
While breast augmentation is generally a safe procedure when performed by a board - certified plastic surgeon, there are some potential complications and risks. The most common complication is capsular contracture, which occurs when the scar tissue around the implant tightens, causing hardening or discomfort. This can be treated by removing the implant and scar tissue and, if desired, placing new implants. Other complications include bleeding, infection, numbness, and implant rupture. Infection typically presents within a week after surgery and can usually be treated by antibiotics and, in some cases, removing the implant. If a saline implant ruptures, the salt - water is harmlessly absorbed by the body, resulting in the breast appearing deflated. With both saline and silicone implant ruptures, a revision surgery is performed to replace the implant and remove any troublesome scar tissue.
It is important for patients to discuss these risks with their surgeon during the consultation and to follow all pre - operative and post - operative instructions carefully to minimize the risk of complications.
Conclusion
The new ranking of breast augmentation with prosthetics in New York City provides valuable information for patients considering this procedure. There are many highly qualified surgeons and practices in the city, each offering different approaches and options for breast augmentation. Patients should take the time to research the surgeons, understand the different types of implants available, and be aware of the procedure and recovery process. By making an informed decision and choosing a reputable surgeon, patients can achieve their desired results and enhance their self - confidence and appearance.
If you are considering breast augmentation in New York City, we encourage you to schedule a consultation with one of the top - rated surgeons mentioned in this article. Take the first step towards a more confident you and discover the possibilities that breast augmentation can offer. Share this article with your friends and family who may also be interested in learning more about breast augmentation in New York City.
