Introduction

Endoscopic breast augmentation double - plane surgery has gained significant popularity in New York City. This advanced surgical technique offers numerous benefits, including more natural - looking results and faster recovery times. With a plethora of hospitals and plastic surgeons in the city, it can be overwhelming for patients to choose the right place for their endoscopic breast augmentation double - plane procedure. This article aims to provide a comprehensive overview of the top hospitals and related aspects of this surgery in New York City.

What is Endoscopic Breast Augmentation Double - Plane Surgery?

Endoscopic breast augmentation double - plane surgery is a specialized plastic surgery procedure that combines endoscopy technology with the double - plane approach for breast implant placement. In the double - plane technique, the breast implant is positioned partially behind the pectoralis major muscle and partially in front of it. This provides a more natural look and feel of the breasts compared to other placement methods.

The use of endoscopy in this procedure allows surgeons to have a better view of the surgical area, enabling more precise incisions and implant placement. It also helps in minimizing trauma to the surrounding tissues, reducing pain and scarring for the patient. According to medical research, patients who undergo endoscopic breast augmentation double - plane surgery often report higher satisfaction rates due to the improved aesthetic outcomes.

Top Hospitals for Endoscopic Breast Augmentation Double - Plane Surgery in New York City

1. Columbia University Plastic & Reconstructive Surgery

Columbia University is one of New York’s best hospitals and a world - renowned medical center. Its plastic surgery division offers endoscopic breast augmentation double - plane procedures among its comprehensive list of cosmetic and reconstructive services. The clinical staff consists of highly skilled plastic surgeons who are proficient in multiple areas of specialization. These surgeons are at the forefront of clinical and laboratory research in plastic surgery, ensuring that patients receive the latest and most effective treatment.

The hospital's cosmetic care program provides surgical and non - surgical options to improve patients' cosmetic health. For endoscopic breast augmentation, the surgeons at Columbia University take a personalized approach, carefully considering each patient's body type, aesthetic goals, and medical history. They also have a strong focus on patient education, making sure that patients are fully informed about the procedure, potential risks, and expected outcomes. In addition, the plastic surgery research laboratory at Columbia conducts studies related to stem cells, tissue engineering, and gene therapy, which may have implications for improving breast augmentation procedures in the future.

2. Dr. Adam R. Kolker's Practice

Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. He is well - known for his expertise in breast augmentation and other cosmetic surgery procedures. Dr. Kolker's 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 updated on the latest advancements in plastic surgery.

When it comes to endoscopic breast augmentation double - plane surgery, Dr. Kolker combines scientific and technical mastery with artistic creativity. He understands that each patient has unique aesthetic goals and works closely with them to achieve the most beautiful, natural, and proportional results. His clinic offers comprehensive consultations, both virtually and in person, to ensure that patients feel comfortable and confident throughout the process. Dr. Kolker has also been featured in numerous media outlets as a respected expert in the field of plastic surgery, which is a testament to his skills and reputation.

3. Dr. David L. Cangello's Practice

Dr. David L. Cangello is a board - certified plastic surgeon in New York City who is experienced in the art of cosmetic breast surgery. He is known for his personalized treatment plans and his ability to deliver elegant, natural - looking results. Dr. Cangello has earned the trust of professional models from some of the world’s top agencies, which speaks volumes about his surgical skills and aesthetic judgment.

For endoscopic breast augmentation double - plane surgery, Dr. Cangello takes an artistic approach that combines medical precision with the principles of aesthetics. He offers a full range of cosmetic breast surgery options, including breast lift, breast revision, and natural augmentation with fat transfer. During the consultation process, he listens to the patient's needs and preferences and tailors the treatment plan accordingly. His state - of - the - art, fully accredited operating room in his NYC office ensures patient safety and comfort during the procedure. He also works with board - certified anesthesiologists to provide optimal care for his patients.

4. Dr. William Lao's Practice

Dr. William Lao is one of the top plastic surgeons specializing in breast implants in New York City. He is on a shortlist of surgeons in the country who specialize in the scarless breast augmentation technique, in which the implants are inserted through the armpit, leaving no visible scar. This technique is often used in endoscopic breast augmentation double - plane surgery, as it allows for a more discreet approach.

Dr. Lao has successfully performed over 500 breast surgeries throughout his career. He is a double - board - certified plastic surgeon in both the USA and Taiwan with over 10 years of experience. He utilizes his knowledge of both eastern and western cultures to provide some of the best breast augmentation results, especially for Asian patients. When performing endoscopic breast augmentation double - plane surgery, he takes into account the patient's body frame, skin type, and aesthetic goals to select the appropriate implant size, shape, and placement. His attention to detail and skill in performing the surgery result in minimal scarring and natural - looking breasts.

Factors to Consider When Choosing a Hospital for Endoscopic Breast Augmentation Double - Plane Surgery

Surgeon's Experience and Expertise

The experience and expertise of the surgeon are crucial factors in the success of endoscopic breast augmentation double - plane surgery. A surgeon with extensive experience in this specific procedure is more likely to achieve better results and handle any potential complications. You should research the surgeon's educational background, training, and the number of endoscopic breast augmentation surgeries they have performed. Look for surgeons who are board - certified, as this indicates that they have met the highest standards of training and competence in plastic surgery. For example, surgeons like Dr. Adam R. Kolker, Dr. David L. Cangello, and Dr. William Lao have extensive experience and are well - regarded in the field.

Hospital Reputation and Accreditation

The reputation of the hospital or clinic where the surgery will be performed is also important. A hospital with a good reputation is more likely to provide high - quality care, state - of - the - art facilities, and a safe environment for the procedure. You can check online reviews, patient testimonials, and industry rankings to get an idea of the hospital's reputation. Additionally, make sure the hospital is accredited by recognized organizations, as this ensures that it meets certain quality and safety standards. Columbia University's plastic surgery department, for instance, is part of a well - respected medical institution with a long - standing reputation for excellence in patient care.

Technology and Facilities

Advanced technology and modern facilities can significantly enhance the outcome of endoscopic breast augmentation double - plane surgery. Hospitals that invest in the latest endoscopic equipment and surgical techniques are better equipped to perform the procedure with precision and minimize the risk of complications. For example, the use of high - resolution endoscopic cameras can provide surgeons with a clearer view of the surgical area, allowing for more accurate implant placement. Also, hospitals with well - equipped recovery rooms and post - operative care facilities can ensure a smooth and comfortable recovery for the patient. Dr. Cangello's practice has a state - of - the - art, fully accredited operating room in his NYC office, which provides a safe and comfortable environment for the surgery.

Cost and Insurance

The cost of endoscopic breast augmentation double - plane surgery can vary depending on several factors, such as the surgeon's fees, the type of implants used, and the location of the hospital. It is important to get a detailed cost estimate from the hospital or surgeon before making a decision. Some hospitals may offer payment plans or financing options to help patients manage the cost. Additionally, check with your insurance provider to see if the procedure is covered under your plan. In most cases, cosmetic breast augmentation is not covered by insurance, but if the surgery is for reconstructive purposes, it may be eligible for coverage.

Patient Reviews and Testimonials

Reading patient reviews and testimonials can give you valuable insights into the experiences of other patients who have undergone endoscopic breast augmentation double - plane surgery at a particular hospital or with a specific surgeon. You can find these reviews on the hospital's website, online review platforms, and social media. Pay attention to comments about the surgeon's bedside manner, the quality of the results, and the overall patient experience. Positive reviews can give you confidence in your choice, while negative reviews can alert you to potential issues.

Preparing for Endoscopic Breast Augmentation Double - Plane Surgery

Consultation with the Surgeon

The first step in preparing for endoscopic breast augmentation double - plane surgery is to schedule a consultation with the surgeon. During this consultation, the surgeon will evaluate your overall health, breast anatomy, and aesthetic goals. They will also discuss the different types of implants available, the placement options, and the potential risks and complications of the surgery. You should come prepared with a list of questions to ask the surgeon, such as the expected recovery time, the cost of the procedure, and the expected results. Be honest with the surgeon about your medical history, including any allergies, previous surgeries, or medical conditions.

Medical Tests

Before the surgery, you will likely need to undergo a series of medical tests to ensure that you are in good health and suitable for the procedure. These tests may include blood tests, a physical examination, and a mammogram. The results of these tests will help the surgeon determine if there are any underlying health issues that need to be addressed before the surgery. For example, if you have a history of heart disease, the surgeon may want to consult with a cardiologist to ensure that you can safely undergo the anesthesia.

Lifestyle Changes

Making certain lifestyle changes before the surgery can help improve your chances of a successful outcome and a smooth recovery. You should stop smoking at least several weeks before the surgery, as smoking can increase the risk of complications, such as poor wound healing and infection. You may also need to avoid certain medications and supplements that can interfere with blood clotting, such as aspirin and vitamin E. Additionally, it is important to maintain a healthy diet and exercise regularly to ensure that you are in good physical condition for the surgery.

Pre - operative Instructions

Your surgeon will provide you with a set of pre - operative instructions to follow in the days leading up to the surgery. These instructions may include when to stop eating and drinking before the surgery, what medications to take, and how to prepare your home for your recovery. You should follow these instructions carefully to ensure that you are fully prepared for the surgery.

The Endoscopic Breast Augmentation Double - Plane Surgery Procedure

Anesthesia

Endoscopic breast augmentation double - plane surgery is typically performed under general anesthesia. A board - certified anesthesiologist will administer the anesthesia and monitor your vital signs throughout the procedure to ensure your safety and comfort. The anesthesia will put you to sleep, so you will not feel any pain during the surgery.

Incisions

The surgeon will make incisions in discreet locations, such as around the areola, in the inframammary fold (crease under the breast), or in the armpit. The choice of incision location depends on several factors, including the type of implants, the patient's body type, and the surgeon's preference. The incisions are made as small as possible to minimize scarring. In endoscopic procedures, these incisions allow the surgeon to insert the endoscopic camera and the instruments for implant placement.

Creation of the Double - Plane Pocket

Using the endoscopic camera, the surgeon will create a double - plane pocket for the breast implant. The pectoralis major muscle is partially detached from its insertion point on the rib cage, and the implant is placed partially behind the muscle and partially in front of it. This double - plane placement provides a more natural look and feel of the breasts, as the muscle helps to cover the upper part of the implant, while the tissue in front of the muscle allows for a more aesthetically pleasing contour.

Implant Placement

The surgeon will then carefully place the breast implant into the double - plane pocket. There are different types of breast implants available, including saline and silicone implants. Saline implants are filled with a sterile saline solution, while silicone implants are pre - filled with a cohesive silicone gel. The choice of implant type depends on the patient's preferences, body type, and the surgeon's recommendation. The surgeon will ensure that the implant is properly positioned and centered in the breast.

Closure of the Incisions

Once the implant is in place, the surgeon will close the incisions using sutures. The sutures may be absorbable or non - absorbable, depending on the surgeon's preference. After the incisions are closed, a surgical dressing will be applied to the breasts to protect the incisions and promote healing.

Recovery after Endoscopic Breast Augmentation Double - Plane Surgery

Immediate Post - operative Period

After the surgery, you will be taken to a recovery room where you will be monitored by the medical staff. You may experience some pain, swelling, and bruising in the breasts, which is normal after the surgery. The medical staff will administer pain medication to help manage the pain. You will also be given instructions on how to care for the incisions, such as keeping them clean and dry. You will likely need to wear a special surgical bra for several weeks to provide support to the breasts during the healing process.

First Few Weeks of Recovery

In the first few weeks after the surgery, you should expect some discomfort and limited mobility. You will need to avoid strenuous activities, such as heavy lifting, exercise, and sexual activity, for at least a few weeks. You may also need to take time off work to allow your body to recover. During this time, it is important to follow your surgeon's instructions regarding post - operative care, including taking any prescribed medications, attending follow - up appointments, and performing gentle breast massages to help the implants settle into place.

Long - term Recovery and Results

As the swelling and bruising subside, you will start to see the final results of the endoscopic breast augmentation double - plane surgery. It may take several months for the breasts to fully heal and for the implants to settle into their final position. You should continue to follow your surgeon's recommendations for long - term care, such as wearing a supportive bra, maintaining a healthy lifestyle, and attending regular follow - up appointments. With proper care, the results of the surgery can last for many years.

Potential Risks and Complications of Endoscopic Breast Augmentation Double - Plane Surgery

Infection

One of the potential risks of endoscopic breast augmentation double - plane surgery is infection. Infection can occur at the incision site or around the breast implant. Symptoms of infection may include redness, swelling, pain, and fever. If an infection occurs, it may need to be treated with antibiotics, and in some cases, the implant may need to be removed.

Capsular Contracture

Capsular contracture is a condition in which the scar tissue (capsule) that forms around the breast implant tightens and compresses the implant. This can cause the breast to become hard, distorted, and painful. The exact cause of capsular contracture is not fully understood, but it may be related to factors such as infection, bleeding, or the patient's immune response. Treatment for capsular contracture may involve surgery to remove or release the scar tissue.

Implant Rupture or Leak

Although breast implants are designed to be durable, there is a risk of implant rupture or leak. A rupture or leak can occur due to trauma, aging, or normal wear and tear. If a saline implant ruptures, the saline solution will be absorbed by the body, and the breast will deflate. If a silicone implant ruptures, the silicone gel may remain within the capsule or migrate to other parts of the body. In either case, the implant will need to be replaced.

Changes in Sensation

Some patients may experience changes in nipple or breast sensation after endoscopic breast augmentation double - plane surgery. This can include numbness, tingling, or increased sensitivity. In most cases, these changes are temporary and resolve over time, but in some cases, they may be permanent.

Asymmetry

There is a small risk of breast asymmetry after the surgery. This can be due to differences in implant placement, tissue healing, or the patient's natural breast anatomy. In some cases, additional surgery may be needed to correct the asymmetry.

Conclusion

Endoscopic breast augmentation double - plane surgery is a popular and effective way to enhance the appearance of the breasts. In New York City, there are several top - notch hospitals and surgeons who specialize in this procedure. When choosing a hospital or surgeon, it is important to consider factors such as the surgeon's experience, the hospital's reputation, the technology and facilities available, the cost, and patient reviews. By making an informed decision and following the pre - operative and post - operative instructions carefully, patients can achieve the best possible results from