Introduction to Breast Ptosis Plastic Surgery in New York City

Breast ptosis, or sagging breasts, can be a concern for many individuals due to various factors such as aging, pregnancy, weight fluctuations, or genetics. In New York City, a hub of advanced medical and aesthetic procedures, the field of breast ptosis plastic surgery is highly competitive. This article will explore the newly - released ranking of professional breast ptosis plastic surgery in New York City, highlighting the top surgeons, their techniques, and other essential aspects related to the procedure.

Understanding Breast Ptosis and Its Impact

Breast ptosis occurs when the breasts sag below the inframammary fold. This can lead to a less - youthful appearance and can also cause physical discomfort, such as back and shoulder pain. Women affected by breast ptosis often experience a loss of confidence in their appearance. Factors contributing to breast ptosis include:

• Aging: As one ages, the production of collagen and elastin in the skin decreases, leading to a loss of firmness and elasticity in the breast tissue. This causes the breasts to droop over time.
• Pregnancy and Breastfeeding: During pregnancy, the breasts expand and become heavier. After breastfeeding, the breasts may lose volume, but the stretched skin remains, resulting in sagging.
• Weight Changes: Significant weight gain can stretch the skin of the breasts. When a person loses a large amount of weight, the skin may not be able to retract fully, leading to sagging.
• Gravity: Over time, the constant downward pull of gravity also contributes to the sagging of breast tissues.

Top Surgeons for Breast Ptosis Plastic Surgery 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 regarded for his work in breast augmentation, breast lift, and other breast - related procedures. He completed his education and training at some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia. Dr. Kolker's extensive experience and artistic approach to plastic surgery have earned him numerous accolades, including being featured in New York Magazine's Best Doctors issues from 2008 - 2024 and being named one of America's Best Plastic Surgeons in 2021 - 2024 by Newsweek. He is also recognized in Castle Connolly's America's Top Doctors.

Dr. John E. Sherman

Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City. He specializes in breast lift procedures, known as mastopexy. Dr. Sherman has helped numerous women achieve stunning results through his surgical expertise. He takes the time to understand each patient's needs and expectations during the consultation process, ensuring a personalized approach. His dedication to providing exceptional outcomes has made him a popular choice for breast lift surgeries in the area. He operates at reputable institutions in New York, such as New York Presbyterian Hospital, Weill Cornell Medical Center, and Lenox Hill Hospital.

Dr. Daniel Maman

Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon. He is specialized in cosmetic and reconstructive surgery of the breast, body, and face. Dr. Maman completed a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has been featured on the New York Times Top Doctors and Super Doctors in plastic surgery lists. His 90 - minute consultation with patients includes a thorough review of medical history, an in - depth physical assessment, and the development of comprehensive operative plans. He also emphasizes personalized patient care throughout the entire process.

Dr. Philipp Franck

Dr. Philipp Franck is a board - certified plastic and reconstructive surgeon. He completed his training at two prestigious Ivy League university hospitals. He is highly skilled in aesthetic breast surgery, including advanced mastopexy techniques. Since 2023, he has been named one of New York’s rising star surgeons by the New York Times Magazine and serves as a clinical assistant professor at Cornell University Hospital in New York. Dr. Franck's patient - centered care and excellent surgical outcomes have placed him on Castle Connolly’s list of top doctors nationwide.

Dr. Zuckerman

Dr. Zuckerman is an expert in aesthetic breast surgery. He trained at elite medical institutions, including Brown University and New York University. He is well - known for his breast reduction surgeries, which can also address issues related to breast ptosis. According to a study in the Aesthetic Surgery Journal, 73% of breast reduction patients requiring reoperation cited problems with the original surgeon’s judgment and technique. Dr. Zuckerman strives to achieve high - quality surgical outcomes with natural - looking, round breasts. He uses different techniques for breast reductions, such as the circumvertical or the anchor/wise pattern, depending on the patient's needs.

Common Procedures for Breast Ptosis

Breast Lift (Mastopexy)

Breast lift, or mastopexy, is a surgical procedure aimed at correcting breast ptosis. It involves removing excess skin and tightening the surrounding tissue to raise and reshape the breasts. There are different types of mastopexy incisions:

• Periareolar Mastopexy: Also known as a “donut” or “circumareolar” mastopexy, this incision is made around the areola. It is suitable for individuals with mild to moderate breast sagging and can also reduce the size of the areola. It results in minimal scarring.
• Vertical (Lollipop) Mastopexy: An incision is made around the areola and then vertically down to the breast crease. This technique addresses moderate sagging and offers a significant reshaping while limiting scarring compared to more extensive incisions.
• Anchor (Inverted - T) Mastopexy: The incision is made around the areola, vertically down, and along the breast fold. It is recommended for more extensive lifting needs, such as significant sagging. This incision allows for comprehensive reshaping of the breasts but may result in more visible scarring, which can be hidden by natural breast folds.

During a breast lift, the nipple and areola are also repositioned to a higher, more youthful position on the breast. The underlying breast tissue is reshaped to improve contour and firmness.

Breast Reduction with Lift

For individuals with large and sagging breasts, a breast reduction with lift may be an appropriate option. Dr. Zuckerman, for example, is experienced in this procedure. He begins by marking the breasts with preoperative surgical markings. Then, he makes incisions along the marking pattern, removes excess fat, breast tissue, and extra skin. He may also perform small - volume liposuction of the armpit area or “bra rolls” to ensure a natural - looking result. In most cases, he repositions and improves the appearance of the areola and may reduce its size. Closing the incisions results in either a circumvertical or anchor - shaped scar pattern, depending on the amount of tissue removed.

Breast Lift with Augmentation

Some patients may desire to both lift their breasts and increase their volume. A breast lift with augmentation, also known as an augmentation mastopexy, combines these two procedures. Dr. Adam Kolker and Dr. John Sherman can perform this combined technique. Dr. Sherman often recommends small implants in conjunction with mastopexy to achieve optimal results. This procedure requires the expertise of an experienced surgeon due to the simultaneous lifting and size enhancement.

Factors to Consider When Choosing a Surgeon

Board Certification

It is crucial to choose a board - certified plastic surgeon. Board certification ensures that the surgeon has completed the necessary training, passed rigorous exams, and adheres to high standards of practice. All the surgeons mentioned in this article, such as Dr. Adam Kolker, Dr. John Sherman, Dr. Daniel Maman, Dr. Philipp Franck, and Dr. Zuckerman, are board - certified, which is a sign of their competence and expertise.

Experience

Surgeons with more experience in breast ptosis plastic surgery are likely to have better outcomes. Dr. Zuckerman, for example, has extensive experience in breast reduction surgeries. Dr. Adam Kolker has decades of experience in breast - related procedures and has performed numerous surgeries with excellent results, as evidenced by his patient testimonials.

Reputation

A surgeon's reputation is an important factor. Surgeons like Dr. Adam Kolker, who have been featured in multiple prestigious lists such as New York Magazine's Best Doctors and Newsweek's America's Best Plastic Surgeons, have a proven track record of providing high - quality care. Patient testimonials and reviews also play a significant role in assessing a surgeon's reputation. For instance, many patients of Dr. Kolker have shared their positive experiences and satisfaction with the results of their surgeries.

Patient - Centered Care

A good surgeon should provide patient - centered care. Dr. Daniel Maman offers a 90 - minute consultation that includes a thorough review of the patient's medical history, a detailed physical assessment, and the development of personalized operative plans. He also provides his personal contact information to patients and ensures direct access to his nurse and surgical coordinator, demonstrating his commitment to patient - centered care.

Cost and Financing

The cost of breast ptosis plastic surgery can vary depending on the surgeon, the procedure, and other factors. Some insurance companies may cover part or all of the cost of breast reduction if certain medical criteria are met. It is important to discuss cost and financing options with the surgeon's office. For example, the staff at Dr. Zuckerman's office can assist patients with the insurance approval process if they are candidates for coverage.

Pre - operative and Post - operative Care

Pre - operative Care

Before undergoing breast ptosis plastic surgery, patients need to follow certain pre - operative instructions. Surgeons typically recommend that patients stop smoking at least one month before the surgery, as nicotine can impede proper circulation to the nipple and increase the risk of complications. Patients also need to have a comprehensive medical evaluation, including a review of their medical history and any current medications. For breast lift surgeries, patients may be advised to have a mammogram or ultrasound based on their age and risk factors. Additionally, patients should arrange for a ride home from the hospital and someone to care for them during the initial 24 - hour recovery period.

Post - operative Care

After the surgery, patients will experience a recovery period. For breast lift surgeries, they are usually fitted with a specialty surgical bra or compression garment to provide support and minimize stress on the incisions. Swelling and bruising are common after the surgery, and pain medication may be prescribed to manage discomfort. In some cases, surgical drains may be placed to drain excess fluid, although this is not common. Stitches are typically removed within one week for most patients, and patients are recommended to wear a post - surgical bra for about one month. Most patients can resume normal activities after two weeks, but strenuous tasks and heavy lifting should be avoided for up to four weeks. For breast reduction surgeries, the recovery process is similar, but patients may need to be more cautious due to the removal of a larger amount of tissue.

Possible Risks and Complications

Like any surgery, breast ptosis plastic surgery carries certain risks and complications, although they are relatively rare when performed by an experienced surgeon. Some possible risks include:

• Wound Breakdown: The incisions may not heal properly, leading to wound breakdown. This can be caused by factors such as infection, poor blood supply, or excessive tension on the incisions.
• Alterations in Nipple or Breast Sensation: Some patients may experience temporary or permanent changes in nipple or breast sensation. In most cases, the sensation returns to normal over time, but in rare cases, it may be long - term.
• Hypertrophic, Raised Scarring: Some individuals may be prone to developing thick, raised scars. Surgeons take measures to minimize scarring, but in some cases, additional scar treatments may be required.
• Bleeding or Hematoma Formation: Excessive bleeding during or after the surgery can lead to the formation of a hematoma, which is a collection of blood outside the blood vessels. This may require additional treatment.
• Infection of the Incision Sites: Infections can occur at the incision sites. Proper wound care and the use of antibiotics can help prevent infections.
• Remaining Breast Asymmetry: Although surgeons strive to achieve symmetrical results, there may be some minor differences in breast shape or position after the surgery. In some cases, revision surgery may be necessary.
• Fat Necrosis: This is a condition where the fat cells in the breast die, which can lead to the formation of lumps or calcifications in the breast.

Conclusion

The new ranking of professional breast ptosis plastic surgery in New York City provides valuable information for individuals considering breast - related procedures. Top surgeons like Dr. Adam Kolker, Dr. John Sherman, Dr. Daniel Maman, Dr. Philipp Franck, and Dr. Zuckerman offer a range of options for breast ptosis correction, including breast lift, breast reduction with lift, and breast lift with augmentation. When choosing a surgeon, it is important to consider factors such as board certification, experience, reputation, patient - centered care, and cost. Patients should also be aware of the pre - operative and post - operative care requirements and the possible risks and complications associated with the surgery. By making an informed decision, patients can achieve the desired results and improve their appearance and confidence.

If you are interested in learning more about breast ptosis plastic surgery in New York City, we encourage you to schedule a consultation with one of the top - ranked surgeons mentioned in this article. You can also explore patient testimonials and before - and - after photos to get a better understanding of the potential outcomes. Share this article with others who may be considering breast - related procedures to help them make an informed decision.