Introduction

Silicone breast augmentation surgery is a popular cosmetic procedure that many women in New York City consider to enhance their appearance and boost their confidence. In 2025, several hospitals and clinics in the city have earned a reputation for their strength in performing this surgery, along with high - quality patient care. This article will delve into the top - ranked institutions, the benefits of silicone breast augmentation, the selection of the right surgeon, and much more.

Top - Ranked Hospitals and Clinics for Silicone Breast Augmentation in NYC

1. Cangello Plastic Surgery

Dr. David L. Cangello is a board - certified plastic surgeon at Cangello Plastic Surgery. He is well - known for his personalized treatment plans and artistic approach to breast augmentation. Patients choose Dr. Cangello because of his ability to deliver elegant, natural - looking results. His superior work has earned the trust of professional models from top agencies. He offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer.

For silicone breast augmentation, Dr. Cangello guides patients through the process of deciding on the size, shape, and placement of implants. He also helps patients choose between silicone and saline implants, highlighting the differences. Silicone implants, pre - filled with a cohesive gel, are favored by many patients for their natural feel and appearance. Dr. Cangello uses the “no touch” method with a Keller funnel for implant placement, which allows for a smaller incision and may minimize infection risk.

2. Mount Sinai - New York

Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies, such as advanced 3D imaging, to help patients visualize how their larger breasts will look. During the consultation, surgeons listen to patients' desires for enhancing their breast size and help them decide on the size and shape that will suit their body best.

When it comes to silicone breast implants, Mount Sinai's surgeons advise patients based on their body type and desired outcome. They also offer a non - implant option, the NaturalFill® fat transfer technique, which uses a patient's own fat deposits to enlarge the breasts. This can be an appealing option for those seeking a more natural approach to breast augmentation.

3. Dr. Adam R. Kolker's Practice

Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. His education and training span some of the most prestigious medical institutions in the world. He is a highly skilled studio and visual artist, which combines with his scientific and technical mastery to deliver beautiful, natural, and proportional results in breast augmentation.

Dr. Kolker offers several breast procedures, including breast augmentation, breast lift, and breast reduction. For silicone breast augmentation, he takes into account each woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome. He has been featured in numerous media outlets and has received many accolades for his work in plastic surgery.

4. Millennial Plastic Surgery

Millennial Plastic Surgery specializes in breast implant surgery using silicone implants. The clinic has years of experience and a proven track record. Patients who have undergone surgery here have been delighted with the results. They believe that patients should have the opportunity to choose the type of material for their cosmetic procedures, so they offer both saline and silicone gel breast implants.

Located on Fifth Avenue, one block from Central Park, it is easily accessible. The medical team at Millennial Plastic Surgery takes the time to discuss patients' options and help them make the best decision for their needs.

5. Dr. John E. Sherman's Practice

Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He works closely with patients to develop an individualized approach for breast augmentation. He has a deep understanding of silicone breast implants, including the cohesive silicone gel implants (gummy bear implants). He was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants.

Dr. Sherman guides patients through the process of choosing the right implant in terms of material, shape, size, and texture. He emphasizes that breast augmentation is not just about choosing an implant but also about allowing women to present themselves the way they want to the world, boosting self - confidence and potentially lessening the appearance of pectus excavatum.

Benefits of Silicone Breast Augmentation

Enhanced Appearance

One of the primary benefits of silicone breast augmentation is an enhanced appearance. It can restore fullness to breasts that have lost volume due to factors such as pregnancy, weight fluctuation, or aging. Women can achieve a more symmetrical and balanced feminine figure, and smaller breasts can be enhanced in size and shape.

According to the American Society of Plastic Surgeons, breast augmentation has been the most popular cosmetic surgery procedure in the U.S. for over a decade, with more than 300,000 procedures performed in a single year, indicating the high demand for this surgery to improve appearance.

Improved Confidence

A woman's confidence can be significantly affected by the appearance of her breasts. Silicone breast augmentation can give women the boost in self - confidence they need. They may feel more comfortable in their own skin, especially when wearing swimsuits or form - fitting clothes. Many patients report increased self - esteem and a more positive body image after the surgery.

Long - Lasting Results

Silicone breast implants are designed to last for a long time. While the lifespan of implants can vary, they generally provide long - lasting results. Most patients can enjoy the effects of their breast augmentation for many years, making it a worthwhile investment for those seeking a permanent change in their appearance.

Understanding Silicone Breast Implants

Types of Silicone Implants

Implant Shape

There are two basic shapes for silicone breast implants: round and contoured (teardrop). Round implants have volume and fullness all the way around and are softer and feel natural. They typically have a smooth texture. Contoured implants have a subtle sloping shape that is intended to match the curves of natural breasts. They require a textured surface to ensure they adhere to surrounding tissue and do not rotate in the breast pocket. They are also a bit firmer to the touch due to the greater cohesivity of the gel filling.

Implant Placement

Silicone breast implants can be placed under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement). The choice of placement depends on factors such as a patient's anatomy, age, and vocation. For example, patients with signs of ptosis or sagging skin may have their implants placed subglandularly.

Selecting the Right Surgeon

Qualifications and Experience

When choosing a surgeon for silicone breast augmentation, it is crucial to look at their qualifications. Board - certified plastic surgeons, such as Dr. David L. Cangello, Dr. Adam R. Kolker, and Dr. John E. Sherman, have met strict standards of education, training, and experience. They have also passed comprehensive exams in plastic surgery.

Experience is also key. Surgeons with many years of performing breast augmentation surgeries are more likely to handle any complications that may arise and are better at achieving the desired results. They understand the intricacies of the procedure and can customize it to suit each patient's needs.

Reputation

A surgeon's reputation can be gauged through patient reviews, testimonials, and media features. For example, Dr. Adam R. Kolker has been featured in New York Magazine's best doctors issues, Newsweek's list of America's best plastic surgeons, and Castle Connolly's top doctors lists. These accolades are a testament to his skill and reputation in the field of plastic surgery.

Artistic Vision

An important aspect of breast augmentation is achieving a natural - looking result. Surgeons with an artistic vision, like Dr. David L. Cangello and Dr. Adam R. Kolker, are able to combine medical precision with aesthetic principles. They can take into account a patient's body proportions, facial features, and personal preferences to create a harmonious and beautiful outcome.

Preparation for Silicone Breast Augmentation

Initial Consultation

The initial consultation is a crucial step in the preparation process. During this meeting, the surgeon will review the patient's medical history, perform a physical examination of the breasts, and discuss the patient's aesthetic goals. Surgeons like Dr. David L. Cangello, Dr. John E. Sherman, and others will also explain the procedure in detail, answer any questions the patient may have, and provide information about the risks and benefits of the surgery.

Pre - operative Instructions

• Quit smoking or using any nicotine product: Nicotine can significantly impact the ability to heal after the treatment. Surgeons advise patients to stop smoking well in advance of the surgery.
• Taper off certain medications or supplements: Blood thinners, ibuprofen, vitamin E, and St. John's wort can increase bleeding during the surgery. Patients are usually advised to stop taking these before the operation.
• Arrange for a ride and recovery support: Since the surgery is typically performed under general anesthesia, patients will not be able to drive after the procedure. They should arrange for a trusted family member or friend to pick them up from the hospital or clinic. It is also advisable to have someone assist with daily tasks during the initial recovery period.
• Designate a comfortable recovery space: Patients should set up a comfortable area at home with necessary items within reach, such as water, snacks, and medications.
• Plan for rest: It is recommended to take 2 - 3 weeks off work or other strenuous activities to allow for proper recovery.

The Silicone Breast Augmentation Procedure

Anesthesia

Breast augmentation surgery is usually performed under general anesthesia or intravenous sedation anesthesia, depending on the patient's preferences and the surgeon's recommendation. A board - certified anesthesiologist will administer the anesthesia to ensure the patient's safety and comfort during the procedure.

Incisions

Surgeons can make different types of incisions for silicone breast implant placement. These include periareolar (around the nipple), inframammary (in the crease between the breast and chest wall), and transaxillary (in the armpit). However, some surgeons like Dr. David L. Cangello avoid using the transaxillary technique due to a higher rate of implant malposition. The choice of incision depends on factors such as the type and size of the implant, the patient's anatomy, and the surgeon's preference.

Implant Placement

Once the incisions are made, the silicone implant is placed either under the pectoral muscle or the breast tissue. The surgeon will then adjust the position of the implant to ensure a symmetrical and natural - looking result. After placing the implant, the surgeon will close the incisions with sutures and wrap the area with a compression garment to protect the results.

Recovery from Silicone Breast Augmentation

Immediate Post - operative Period

After the surgery, patients will wake up with a surgical dressing over their incisions and will be wearing a post - surgical bra. They may experience some pain, tightness, swelling, and bruising in the breasts. Surgeons will prescribe pain medication to alleviate discomfort, which is usually most pronounced in the first few days.

Patients are typically advised to rest for the first few days and avoid strenuous activities. Most patients are able to resume non - strenuous and non - contact sport activities one week following surgery, but they should wait until their surgeon gives the okay to engage in more strenuous exercise, which is usually around 4 - 6 weeks after the surgery.

Follow - up Appointments

Surgeons usually schedule follow - up appointments at specific intervals, such as one week, four weeks, and 12 weeks after the surgery. These appointments are important to monitor the healing process, check for any complications, and ensure that the implants are in good condition. During these visits, patients can also ask any questions they may have about their recovery or the long - term care of their breasts.

Potential Risks and Complications

Bleeding and Infection

As with any surgical procedure, there is a risk of bleeding and infection. Surgeons take precautions to minimize these risks, such as using sterile techniques during the surgery and prescribing antibiotics after the operation. However, patients should be aware of the signs of infection, such as fever, redness, swelling, and pain at the incision site, and report them to their surgeon immediately if they occur.

Changes in Sensation

Some patients may experience changes in nipple or breast sensation after silicone breast augmentation. This can include increased or decreased sensitivity. In most cases, these changes are temporary, but in some instances, they can be permanent. Surgeons will discuss this risk with patients during the consultation.

Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)

Over the past few years, there has been a small but increased risk of BIA - ALCL associated with breast implants, particularly textured implants. While it is not breast cancer, it is a form of non - Hodgkin's lymphoma that can be effectively treated. The actual number of cases worldwide is not confirmed, but it appears to be approaching 400 cases. Surgeons will discuss this risk with patients and may recommend regular monitoring of the implants.

Breast Implant Illness (BII)

BII is a term used to refer to a broad variety of symptoms that women report after having implants placed, such as memory loss, “brain fog,” joint pain, and fatigue. However, the cause of these symptoms and their link to synthetic implants is poorly understood and still being investigated.

Conclusion

In 2025, New York City offers a range of hospitals and clinics with experienced surgeons for silicone breast augmentation surgery. Institutions like Cangello Plastic Surgery, Mount Sinai - New York, Dr. Adam R. Kolker's practice, Millennial Plastic Surgery, and Dr. John E. Sherman's practice are known for their strength and good reputation in this field. Silicone breast augmentation can provide numerous benefits, including enhanced appearance, improved confidence, and long - lasting results. However, it is important for patients to carefully select a qualified surgeon, understand the procedure and its potential risks, and follow the pre - and post - operative instructions for a successful outcome.

If you are considering silicone breast augmentation in New York City, take the time to research the top - ranked hospitals and surgeons, schedule consultations, and ask all your questions. By making an informed decision, you can achieve the natural - looking and beautiful results you desire.