Introduction

Breast sag is a common concern among many women, and plastic surgery can be an effective solution to restore a more youthful and aesthetically pleasing breast shape. In New York City, a vibrant hub of medical excellence, there are several hospitals and plastic surgeons renowned for their expertise in breast sag plastic surgery. This article aims to provide a comprehensive ranking list of hospitals with good reputations in this field, along with detailed information about the procedure, relevant surgeons, and patient considerations.

Understanding Breast Sag Plastic Surgery

What is Breast Sag Plastic Surgery?

Breast sag plastic surgery, also known as mastopexy, is a surgical procedure designed to lift and reshape sagging breasts. It involves repositioning the nipple and areola, removing excess skin, and tightening the breast tissue to achieve a firmer and more youthful breast appearance. The severity of breast sag is often judged by the relative position of the nipple to the inferior breast fold (inframammary fold).

Causes of Breast Sag

• Aging: As women age, the natural production of collagen and elastin in the breasts decreases, leading to a loss of firmness and elasticity in the skin tissues, resulting in drooping breasts.
• Pregnancy and Breastfeeding: During pregnancy, the breasts undergo changes and become heavier and fuller, which can cause stretching of the skin. After breastfeeding, the breasts may lose volume, but the skin remains stretched, leading to sagging and excess skin.
• Weight Changes: Significant weight gain can cause the skin to stretch. After experiencing significant weight loss, the skin may struggle to shrink back down, resulting in the presence of excess, sagging skin.
• Gravity: Over time, the consistent downward pull of gravity can contribute to the sagging of breast tissues.

The Ranking List of Hospitals in New York City for Breast Sag Plastic Surgery

New York - Presbyterian Hospital - Columbia and Cornell

New York - Presbyterian Hospital - Columbia and Cornell is one of the top - ranked hospitals in the nation and in New York. It has been recognized for its excellence in multiple surgical specialties, including plastic surgery. US News has ranked it highly, with achievements in both adult and pediatric specialties. In the context of breast sag plastic surgery, the hospital has a team of experienced plastic surgeons who are well - versed in the latest techniques.

Surgeons here have extensive experience in performing complex breast surgeries, and the hospital's high - quality patient care and advanced facilities contribute to positive surgical outcomes. For example, the hospital's plastic surgeons are trained to handle different levels of breast sag, from mild to severe, using various techniques such as circumareolar mastopexy, circumvertical mastopexy, and wise - pattern mastopexy.

Lenox Hill Hospital at Northwell Health

Lenox Hill Hospital at Northwell Health is also a well - regarded institution in New York City for plastic surgery. Many plastic surgeons affiliated with this hospital have performed a large number of breast sag plastic surgeries with high patient satisfaction rates. The hospital offers a patient - centered approach, providing comprehensive pre - operative and post - operative care.

Surgeons at Lenox Hill are known for their attention to detail and personalized treatment plans. They take into account each patient's unique anatomy, goals, and expectations when planning the breast lift procedure. The hospital also has state - of - the - art equipment and facilities to ensure the safety and effectiveness of the surgeries.

New York Eye and Ear Infirmary of Mount Sinai

This hospital is recognized for its surgical expertise in multiple areas, including plastic surgery related to the head, neck, and breast. Surgeons at the New York Eye and Ear Infirmary of Mount Sinai have the skills and knowledge to perform breast sag plastic surgery with precision. They are committed to providing high - quality aesthetic results while minimizing the risk of complications.

The hospital's reputation for innovation and advanced surgical techniques makes it a popular choice for patients seeking breast lift procedures. The surgical team works closely with patients to understand their concerns and develop a customized treatment strategy that suits their individual needs.

Leading Plastic Surgeons in New York City for Breast Sag Plastic Surgery

Dr. William Lao

Dr. William Lao is a double - board - certified plastic surgeon with a strong reputation in New York City for breast lift procedures. He has performed over 500 successful breast plastic surgeries over the last 10 years. He is a founding member of the Asian Society for Breast Plastic Reconstructive Surgery and a graduate of Johns Hopkins University with a double major, followed by a doctorate in medicine.

Dr. Lao combines advanced surgical techniques and concepts from both the East and the West to customize procedures for his patients. He is known for his expertise in various breast lift techniques, including augmentation mastopexy, circumareolar mastopexy, circumvertical mastopexy, and wise - pattern mastopexy. His patients often report high levels of satisfaction with the results of their breast lift surgeries.

Dr. Adam Kolker

Dr. Adam Kolker is an active member of multiple prestigious plastic surgery societies. He takes a highly personalized approach to breast lift surgery, tailoring each procedure to the patient's unique anatomy and goals. He is well - versed in different forms of breast droop and deflation and can recommend the most appropriate breast lift technique for each individual case.

Dr. Kolker's patients appreciate his artistic vision, vast experience, and technical finesse in achieving beautiful and natural - looking results. He performs breast lift surgeries in his fully accredited surgical facility on Park Avenue in Manhattan, ensuring the highest standards of safety and care.

Dr. John E. Sherman

Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City who specializes in breast lift procedures. He has extensive experience in treating breast ptosis caused by various factors such as aging, childbirth, and weight changes.

Dr. Sherman offers two main types of breast lift procedures: full mastopexy and periareolar mastopexy. He carefully selects the appropriate technique based on the patient's level of breast sag. His dedication to patient care and his ability to achieve excellent outcomes have made him a trusted choice for many women in New York City seeking breast sag plastic surgery.

Types of Breast Lift Procedures

Circumareolar Mastopexy

Also known as a “doughnut” or “periareolar” breast lift, the incision is made around the areola only. This procedure is suitable for mild breast sag and can also reduce the size of the areola. It leaves minimal scarring and is often preferred by patients who want a relatively less invasive option. However, it may not be sufficient for more severe cases of breast sag.

Circumvertical Mastopexy

Often referred to as a “lollipop” breast lift, this technique involves an incision around the areola with a vertical line heading downwards. It allows the surgeon to remove more skin and tissue than circumareolar mastopexy and is suitable for moderate breast sag. The scarring is more noticeable than circumareolar mastopexy but less than a full breast lift.

Wise - Pattern Mastopexy

Also known as the “inverted - t” breast lift, the incision is made around the areola, a vertical line down the bottom of the breast, and a horizontal line. This technique is used for severe breast sag and deflation as it allows for significant skin removal and tightening of the deeper layer of breast tissue. However, it leaves more extensive scarring compared to the other two methods.

Augmentation Mastopexy

This procedure combines a breast lift with breast augmentation using implants. It is ideal for patients who not only want to lift their sagging breasts but also increase their breast size. The surgeon carefully plans the placement of the implants and the lift procedure to achieve a harmonious and natural - looking result.

Patient Considerations Before Undergoing Breast Sag Plastic Surgery

Candidate Assessment

Not all women are suitable candidates for breast sag plastic surgery. Ideal candidates are those who have saggy breasts due to factors such as aging, pregnancy, breastfeeding, or weight fluctuations. They should be in overall good health, have realistic expectations about the outcomes of the procedure, and be at a stable weight. Women who smoke are usually advised to quit smoking at least one month before the surgery as nicotine can impede proper blood circulation and increase the risk of complications.

Pre - operative Consultation

During the pre - operative consultation, the patient will meet with the plastic surgeon to discuss their medical history, including any current or past medical conditions and previous surgeries. The surgeon will also examine the breasts to determine the appropriate breast lift technique and develop a personalized treatment plan. The patient should use this opportunity to ask questions about the procedure, recovery process, potential risks, and expected results.

Cost Considerations

The cost of breast sag plastic surgery in New York City can vary depending on several factors, such as the type of procedure, the surgeon's experience, the hospital or surgical facility fees, and the cost of anesthesia. On average, breast lift surgery can range from $8,000 to $20,000 or more. Patients should obtain a detailed cost estimate from their surgeon and also inquire about financing options if needed.

Recovery and Aftercare

After the breast lift surgery, patients can expect some swelling, bruising, and discomfort. They will be required to wear a surgical support bra or compression garment as instructed. Sutures are typically removed within a week or so, and it usually takes about a week or two to resume most normal activities, while more strenuous physical activities should be avoided for a few additional weeks. Patients need to follow the surgeon's post - operative instructions carefully, which may include wound care, medication management, and follow - up appointments.

Conclusion

New York City offers a wealth of options for women seeking breast sag plastic surgery. With top - ranked hospitals like New York - Presbyterian Hospital - Columbia and Cornell, Lenox Hill Hospital at Northwell Health, and the New York Eye and Ear Infirmary of Mount Sinai, as well as highly skilled plastic surgeons such as Dr. William Lao, Dr. Adam Kolker, and Dr. John E. Sherman, patients can find the right combination of expertise and care for their breast lift procedures. However, it is crucial for patients to carefully consider their options, have realistic expectations, and follow all pre - operative and post - operative instructions. If you are considering breast sag plastic surgery, we encourage you to schedule a consultation with a qualified plastic surgeon to learn more about the procedure and determine if it is the right choice for you.