Introduction
Breast augmentation with prostheses is a popular cosmetic surgery that has gained significant traction in recent years. In New York City, a hub of cosmetic and plastic surgery, there is a plethora of experts in this field. This article aims to provide a comprehensive ranking of long - term experts for breast augmentation with prostheses in New York City, along with a detailed comparison atlas of plastic surgery. By delving into various aspects such as surgeon expertise, patient satisfaction, and the latest trends in breast augmentation, readers will be well - informed when considering this life - changing procedure.
Popularity of Breast Augmentation
According to the American Society for Aesthetic Plastic Surgery, over 190,000 breast augmentation procedures (with breast implants) were performed in 2020. This shows a growing trend in the popularity of breast augmentation in the United States. The increasing demand can be attributed to a combination of factors, including a greater number of options for safe, less invasive surgeries and an increasing cultural emphasis on self - care and confidence.
Methodology of Ranking
Surveys and Data Collection
Newsweek has partnered with Statista for rankings like the America's Best Plastic Surgeons. In 2024, thousands of medical experts with knowledge of plastic surgery, including doctors, surgeons, plastic surgery clinic managers, and medical professionals, were invited to an online survey in March and April. This survey resulted in the collection of more than 8,400 votes for plastic surgeons representing all surgery categories. Only surgeons from the 20 states with the most plastic surgeons were included in the ranking, and surgeons who offer only reconstructive or non - elective corrections were excluded from consideration.
Scoring Model
The score for each surgeon is calculated based on several factors:
- In - state and out - of - state recommendations: Participants were asked to name the leading plastic surgeons for each cosmetic procedure, both within and outside their respective states. The order of recommendations was relevant to the ranking (number 1 has the highest weight), and self - recommendations were not allowed. In - state and out - of - state recommendations constitute 45 percent of the overall score. In - state recommendations from the survey period March to April 2023 were also considered.
- Quality score: For in - state recommendations, participants were asked to assess the quality of care (e.g., consultation with doctor, complications, follow - up, outcome). Participants rated the quality of care on a scale from 1 ( "poor") to 10 ( "excellent"). This score accounts for 15 percent of the total score.
- Certification score: The American Board of Plastic Surgery (ABPS) accreditation is a voluntary credential for plastic surgeons in the U.S. Plastic surgeons receive 5% towards their total score if they have an ABPS certification.
Ranking of Long - Term Experts in New York City
Newsweek Rankings
In the America's Best Plastic Surgeons 2024 ranking for breast augmentation, several New York City surgeons were recognized:
- David Hidalgo, MD, FACS: A well - respected plastic surgeon in New York. He has likely earned his place in the ranking through his extensive experience, surgical skills, and positive patient feedback.
- Adam R. Kolker, MD, FACS: Double - board certified in plastic surgery and a fellow of the American College of Surgeons. Dr. Kolker is highly regarded in New York City. He is a professor at the Mount Sinai School of Medicine, staying at the cutting - edge of plastic surgery advancements. He has been featured in New York Magazine's Best Doctors issues from 2013 - 2024, and also recognized as one of America's Best Plastic Surgeons by Newsweek in 2021, 2022, and 2023 across multiple categories including breast augmentation, facelift, eye lift, rhinoplasty, and liposuction.
- Alan Matarasso, MD, FACS: Another prominent plastic surgeon in New York, his inclusion in the ranking indicates his proficiency in breast augmentation procedures.
Other Renowned Surgeons in New York City
Dr. David L. Cangello
Dr. Cangello is a board - certified plastic surgeon and an experienced specialist in cosmetic breast surgery in New York City. He offers personalized treatment plans, taking into account the patient's tastes and preferences. His superior results have earned the trust of professional models from top agencies like Wilhelmina Models, IMG Models, and Next Management. He is known for his artistic approach, combining medical precision with aesthetic principles to create elegant and natural - looking results.
Dr. Douglas Steinbrech
Dr. Steinbrech is one of New York City's top breast augmentation experts. He has the ability to create natural - looking breasts that are proportionate to a woman's frame. He offers traditional and dual - plane breast augmentation with implants. He has been ranked in the top 10 plastic surgeons in NYC, certified by the American Board of Plastic Surgeons. He also prioritizes patient education and has a commitment to continued learning, regularly attending workshops and advanced training programs.
Types of Breast Implants
Silicone Implants
Silicone implants are pre - filled by the manufacturer with a cohesive, silicone gel. Many patients find that they feel more natural to the touch and look more natural aesthetically. Traditionally, they required larger incisions, but some surgeons like Dr. Cangello use the Keller funnel method to minimize incision size. The FDA suggests MRI scans every few years to monitor the condition of the implant shell, but this is only a recommendation and not mandated. They are approved for patients who are at least 22 years old.
Saline Implants
Saline implants are filled with saline once they've been placed into the treatment site. This allows for a smaller incision size. Since they do not contain silicone, long - term monitoring is not required. In thin women with small amounts of breast tissue, visible rippling at the implant edges may be seen. In the rare case of rupture, the saline can be safely absorbed by the body. They are approved for patients who are at least 18 years old.
| Implant Type | Fill Material | Incision Size | Monitoring Requirement | Approved Age | Appearance and Feel | Rupture Outcome |
|---|---|---|---|---|---|---|
| Silicone | Cohesive silicone gel | Larger traditionally, can be minimized with techniques | FDA recommends MRI scans every few years | At least 22 years old | More natural look and feel | Less obvious, need MRI to detect in some cases |
| Saline | Sterile salt water | Smaller | No long - term monitoring required | At least 18 years old | May have rippling in thin patients, firmer feel | Saline absorbed by the body |
Implant Shapes and Placement
Implant Shapes
Round Implants
Round breast implants have volume and fullness all the way around. They contain a gel that is less cohesive than the anatomically shaped (teardrop) variety, and as a result, they are softer and feel natural. They typically have a smooth texture.
Contoured (Teardrop) Implants
Contoured breast implants have a subtle sloping shape that is intended to match the curves of natural breasts. These require a textured surface to ensure they adhere to surrounding tissue so that they do not rotate in the breast pocket once they are implanted. They are also a bit firmer to the touch due to the greater cohesivity of the gel filling.
Implant Placement
Submuscular Placement
In submuscular pocket placement, the breast implant is inserted below the pectoralis major, also referred to as the pectoral muscle. This approach generally provides the patient with the most natural - looking breasts because more of the body's natural tissues cover the implants. It also provides better support for the implant and reduces the risk of capsular contracture.
Subglandular Placement
The implant is placed between the existing breast tissue and the muscle. This technique is considered a bit less invasive than the submuscular placement, and recovery time may be shorter. Implants in this position may also produce enhanced cleavage and feel a bit softer to the touch. However, it is not a good choice for women with thin skin or insufficient breast tissue as rippling or visible implants may result.
Technological Advancements in Breast Augmentation
3D Imaging Technology
In 2024, the use of 3D imaging technology has significantly advanced breast augmentation. Surgeons can create a virtual model of the patient's body and simulate the potential results of various implant sizes and shapes. This enables patients to make more informed decisions about their surgery and improves surgical planning and accuracy, leading to better aesthetic outcomes.
High - Quality Implant Materials
Bio - engineered implants have emerged as a leading advancement in 2024. These materials offer enhanced durability and a more natural look and feel than traditional implants, potentially solving issues of implant rejection and capsular contracture associated with traditional implants.
Minimally Invasive Surgical Techniques
Endoscopic and robotic - assisted approaches have become more widely used in breast augmentation surgery. These techniques offer benefits such as smaller incisions, fewer complications, quicker recovery times, and less post - operative pain compared to traditional open surgery.
Patient Considerations
Candidate Selection
The best candidates for breast augmentation surgery are healthy women over the age of 18 who wish to enhance their appearance by increasing the size of their breasts. Women who require breast reconstruction after a mastectomy and transgender women who would like to achieve a more feminine chest contour may also be good candidates. However, breast implant surgery is not appropriate for women who are pregnant, planning to become pregnant in the near future, or nursing.
Pre - operative Planning
Before the surgery, patients need to have a detailed consultation with their surgeon. The surgeon will go over the patient's medical history, perform a physical examination of the breasts, and discuss the patient's goals and expectations. Patients may need to stop taking certain medications and herbal supplements, and smokers should quit well in advance of the surgery. For out - of - town patients, travel and hotel reservations should be planned ahead of time.
Recovery and Follow - up
Patients can expect to be sore and swollen for the first couple of days after the surgery. Pain medication and ice packs can help manage the discomfort. Total recovery time varies from one patient to the next, but most people are able to return to work and light activity at about a week after the procedure. Breast augmentation patients will be asked to massage their breasts for the next year to promote a supple, natural feeling and prevent capsular contracture. Regular follow - up appointments with the surgeon are crucial to ensure optimal healing.
Cost and Insurance Coverage
The cost of breast augmentation in New York City can range from $9,000 to $11,000. The cost often depends on factors such as the surgeon's expertise, the complexity of the operation, and the geographic location of the clinic. Top surgeons typically charge higher fees due to their extensive experience and personalized approach. Many insurance companies do not cover the cost of elective cosmetic surgeries like breast augmentation, but if the procedure is performed for reconstructive purposes, such as after a mastectomy, insurance may cover a portion or all of the costs. Some clinics may offer payment plans or financing options to help make the procedure more affordable.
Conclusion
Breast augmentation with prostheses is a complex yet rewarding procedure that requires careful consideration and the selection of a highly qualified surgeon. In New York City, there are many long - term experts who have the skills, experience, and commitment to providing excellent results. By understanding the different aspects of breast augmentation, including implant types, shapes, placement, technological advancements, and patient considerations, individuals can make an informed decision about this life - changing surgery. Whether it's enhancing body contours, restoring confidence, or addressing medical needs, breast augmentation can have a profound impact on a person's life.
If you are considering breast augmentation in New York City, we encourage you to research the top surgeons, schedule consultations, and discuss your goals and concerns thoroughly. Take the time to read patient reviews and understand the risks and benefits of the procedure. By taking these steps, you can ensure a positive and successful breast augmentation experience.
