Introduction
Breast implants are a popular cosmetic and reconstructive procedure in New York City. Whether a woman is looking to enhance her appearance, restore breast volume after pregnancy or weight loss, or undergo reconstruction after a mastectomy, there are numerous options available. This guide will delve into various aspects of breast implant procedures in New York City, including reasons for the procedure, types of implants, candidates, the surgical process, recovery, and frequently asked questions.
Reasons for Considering Breast Implants in New York City
There are multiple reasons that a woman may experience changes in the size of her breasts over time. These include pregnancy, weight loss, genetics, and the natural aging process. Sometimes these changes can leave a woman looking older and feeling less like herself. Here are some common motivations:
- Confidence Boost: If a woman doesn't like the shape and size of her breasts, it can have a major impact on her quality of life. Many women find that having breast implants increases their confidence. For example, women who previously felt self - conscious about their small or asymmetrical breasts may feel more comfortable in social and intimate situations after the procedure.
- Natural Look and Feel: Modern breast implants can provide a natural shape and feel. Smooth, round silicone gel implants are often used to achieve this effect, so the breasts won't look “done.”
- Balanced Figure: Whether the breasts are asymmetrical or a woman just wants to increase her cleavage, breast implants can help balance the overall figure. A balanced figure can enhance a woman's overall aesthetic and make it easier to find clothing that fits well.
- Increased Size: Breast implants are an ideal solution to restore and increase the size of the breasts after a mastectomy or if a woman has experienced significant weight loss. For breast cancer survivors, breast reconstruction with implants can be an important part of their emotional and physical recovery.
- Long - lasting Results: After receiving breast implants, a woman can enjoy them for many years without needing any major surgical maintenance.
Candidates for Breast Implants in New York City
Generally, the ideal candidate for breast implants is someone who is physically healthy, not currently pregnant or breastfeeding, and has a healthy BMI. Here are some more specific indicators:
- Flattened Breasts: Breasts that have lost volume and become flattened due to factors such as weight loss or aging may be a sign that a woman is a good candidate for breast implants.
- Asymmetrical Breasts: Women with noticeable differences in breast size or shape may benefit from breast implants to create a more balanced appearance.
- Lacking Volume: Those with naturally small breasts or breasts that have lost volume after pregnancy or other events may consider breast implants to add fullness.
The best way to ensure candidacy is a personal consultation with a trusted plastic surgeon. A surgeon will be able to talk through the options and possibilities based on a woman's individual circumstances.
Types of Breast Implants
Saline vs. Silicone Breast Implants
There are two main types of breast implants: saline and silicone, each with its own set of advantages and disadvantages.
Type | Advantages | Disadvantages |
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Saline |
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Silicone |
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Cohesive Silicone Gel Breast Implants (Gummy Bear Implants)
Since 2013, the FDA has approved a more cohesive type of silicone gel breast implant, also known as form - stable breast implants. The major manufacturers now offer varying cohesiveness options in their silicone implants. The benefit of these implants is that upon a leak, the gel acts more like a solid and will remain in place instead of leaking out of the implant. This more cohesive gel also minimizes subtle changes in implant shape and can help maintain upper pole breast fullness. However, cohesiveness translates to firmness, and some patients may find the most cohesive gel options too firm.
Ideal Structured Saline Breast Implants
Approved by the FDA in 2015, ideal structured breast implants are filled with saline but have a more complex structure consisting of multiple shells. This design helps avoid excess movement of the saline filling, which is otherwise a drawback of traditional saline breast implants. Ideal implants are made to behave similarly to silicone gel implants without the possibility of silent failure. They are more expensive than most other silicone and saline breast implants and add operative time, as they require filling from two different ports during surgery.
Implant Shape
Round Breast Implants
Round breast implants are used in the majority of augmentations. They can create increased volume and fullness all throughout the breasts, including the upper pole. There are also higher profile options that can create added projection in certain patients. Since they have a uniform shape all over, the risk of round implants rotating out of place is significantly reduced.
Anatomically Contoured Implants
Anatomically contoured or anatomically shaped implants are generally recommended for patients who desire more volume in the lower portion of the breasts without much added fullness in the upper region, similar to how breasts are naturally shaped. They can be an excellent choice for individuals who have minimal or thin breast tissue. However, due to their fuller bottom and tapered top, they may result in an abnormal appearance in the event they rotate. Additionally, a slightly larger incision is required to insert teardrop - shaped implants versus most round implants.
Implant Surface
Smooth Implants
Smooth breast implants typically produce the softest feel and tend to create the most natural movement since they are able to shift freely within the breast pocket. However, there is a slight risk (although still relatively rare) of visible rippling on the surface of the skin.
Textured Implants
Textured breast implants are designed to remain securely in place inside the breast pocket, reducing implant rotation, which is a key benefit for teardrop - shaped implants. This implant option has also shown a reduced risk of capsular contracture. However, textured implants do have an association with a rare type of cancer known as anaplastic large - cell lymphoma (ALCL), although this cancer is extremely rare and medical research is ongoing.
Breast Implant Manufacturers
There are several well - known breast implant manufacturers in the market:
- Mentor: Offers a range of silicone and saline breast implants in different sizes and styles. Their products, such as the MemoryGel silicone - filled breast implants, are approved for breast augmentation in women 22 years or older and breast reconstruction in women of all ages.
- Natrelle (Allergan): They were the initial creators of anatomically shaped implants. Their Natrelle silicone - filled breast implants come in both textured and smooth shells and are used for various breast procedures including augmentation, reconstruction, and revision surgeries. The Natrelle 410 highly cohesive anatomically shaped silicone - filled breast implants offer the advantage of more cross - linking, resulting in a firmer silicone gel.
- Sientra: Their silicone gel breast implants are similar in structure to other leading brands and have been used in breast augmentation and reconstruction. Sientra demonstrates its commitment to ethics and quality by only selling to board - certified or board - eligible plastic surgeons.
- Ideal Implants: A newer entrant, they only produce structured saline breast implants. These implants are designed to behave more like silicone implants than traditional saline ones.
The Breast Augmentation Process
Step 1: An In - depth Consultation Process
The consultation sets the tone for the entire surgical experience. It is crucial to find a doctor you feel comfortable with. Here are some key aspects of the consultation:
- Communication: The surgeon should make you feel welcome, listen to your concerns, and offer feedback. They should help you understand your options and answer all your questions.
- Coverage:
- Your goals for surgery, including the desired size and shape of your breasts.
- Going over your “wish pics” and ideal desired outcome to ensure the surgeon understands your aesthetic preferences.
- 3D imaging of your expected results, which can help you visualize the final outcome. Some hospitals in New York City, such as Mount Sinai, use advanced 3D imaging technology to show patients how different implant sizes and shapes will look on their unique bodies.
- Looking at before and after photos of previous patients to get an idea of the surgeon's skill and the possible results.
- Measurements and before photos of your breasts for accurate planning.
- Reviewing your medical history, including any pre - existing conditions, medications, and allergies. The surgeon will also discuss the risks and considerations associated with the procedure.
- Discussing the scheduling of the surgery and follow - up appointments.
- Answering questions about the recovery process, including pain management, activity restrictions, and expected downtime.
Step 2: Breast Implant Surgery
Breast augmentation usually happens under general anesthesia. Here's a breakdown of the surgical process:
- Pre - surgery Review: Before the surgery, the surgeon will walk you through the details of the procedure again. This includes a discussion of the incision used to access the breast pocket, the plane (or location) where the implant will be placed (either under the pectoral muscle or between the muscle and the breast tissue), and the type of implant.
- Incision Placement: The surgeon will make the incisions in inconspicuous areas to avoid visible scarring. Common incision locations include the underarm, under the breast itself (inframammary fold), or within the areola. The choice of incision depends on factors such as the type of implant, the patient's preferences, and the surgeon's recommendation.
- Implant Insertion: After making the incisions, the surgeon inserts and places the implant in the breast pocket. The implant placement depends on various factors, including the patient's body type. Once the implant is in place, the surgeon will close the incisions with sutures.
Step 3: The Recovery Process
The recovery process can vary from patient to patient, but in general, the following can be expected:
- Initial Days: You should take it easy for the first 5 to 7 days after your surgery. You'll have a support garment or bra that you'll need to wear as instructed to support your body as it heals. You may also wear a sports bra (without an underwire) to help with maintaining support after surgery. Pain medication will be prescribed to manage any discomfort.
- Return to Normal Activities: Most patients are back to most of their normal activities about one week after surgery, although strenuous activities should be avoided. Full recovery typically takes 4 to 6 weeks, but this is patient - dependent. For example, those with desk jobs may return to work earlier than those with physically demanding jobs.
- Follow - up Appointments: The surgical team will set up follow - up appointments with you to check on your recovery progress and your results. These appointments are important to ensure that the healing process is going smoothly and to address any concerns or complications that may arise.
Frequently Asked Questions
When is the best time to get a breast augmentation?
Scheduling your breast augmentation depends on your personal lifestyle and schedule. Many patients opt to get their breast surgeries done in the fall and winter. Holidays usually make it easier to schedule time off work for recovery. Plus, it allows for enough time to fully heal before warm weather and swimming season. However, if you have life events that may be impacted by your surgery, you'll want to schedule at the best possible time for you. Make sure you have a support system in place prior to surgery and for friends or family to help take care of you the week of surgery. You will need to be physically and mentally ready for the impacts of surgery on your routine.
What should I wear to my breast implant consultation?
You should wear comfortable, loose - fitting clothing to your consultation. You'll likely be removing some of your clothing during your surgical consultation for the exam. You may want to bring a more fitted shirt to use as you explore sizing options.
How long is the recovery from breast augmentation?
Full recovery takes 4 to 6 weeks, but it is patient - dependent. Most patients are back to normal, light activity within 1 week of surgery.
Can I get other surgeries at the same time?
Yes! Many patients opt to receive multiple cosmetic surgeries at the same time to avoid multiple recovery periods. For example, a mommy makeover often includes breast enhancement, a tummy tuck, and liposuction in a single surgery.
Are there limits to the size of implants I can get?
It's important to consider your body's frame when choosing implant size. Implants that are too large run the risk of not fitting properly into the breast pocket, which can prevent the incisions from closing and healing properly. During your consultation, the surgeon will discuss how to balance your aesthetic vision with what will be safe and comfortable for your body.
Is there an alternative to breast implants?
Some surgeons, such as those at Mount Sinai, offer fat transfer to the breast as an alternative to breast implants. In this procedure, liposuction is used to harvest fat from another area of the body, such as the buttocks or abdomen, and the fat is then placed in the breast pocket. It's also possible to combine fat transfer and implants in some scenarios.
Conclusion
Breast implant surgery in New York City offers women a range of options to enhance their appearance, restore breast volume, and boost their confidence. From choosing the right type of implant, considering the shape and surface texture, to going through the consultation, surgery, and recovery process, it is a comprehensive journey. By understanding the various aspects of breast implants, women can make informed decisions and work with experienced plastic surgeons to achieve their desired results.
If you're considering breast implant surgery in New York City, we encourage you to schedule a consultation with a reputable plastic surgeon. They can provide personalized advice based on your unique needs and goals. Don't hesitate to explore this option further and take the first step towards enhancing your self - image and well - being. Share this guide with others who may be