Introduction
New York City is a global hub for medical excellence, particularly in the field of plastic surgery. When it comes to accessory breast removal and breast augmentation, there are several top - notch institutions that stand out. In this article, we will explore the strong breast augmentation institutions among the top 5 hospitals for accessory breast removal in New York City. We'll delve into the procedures, surgeons, and various aspects related to breast augmentation offered by these institutions.
What is Breast Augmentation?
Breast augmentation is a breast surgery that enhances the volume and shape of the breasts. It has remained one of the most frequently performed cosmetic surgeries in the United States for nearly the past 20 years. According to the American Society of Plastic Surgeons, in 2020 alone, nearly 200,000 women underwent breast augmentation, even during the global pandemic. This procedure offers many women the opportunity to achieve their ideal breast profile.
The desire for fuller, shapelier breasts is widespread, and breast augmentation provides a solution. It can boost self - confidence, help women look and feel better, and is suitable for various reasons such as enhancing body contour, correcting breast asymmetry, or restoring breast volume after pregnancy or weight loss.
Types of Breast Implants
Silicone Implants
Silicone implants are pre - filled and are designed to closely mimic the look and feel of natural breasts. Developed in the early 1960s by Dow Chemical, they have undergone many improvements over the years. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. These implants have a silicone gel inside a silicone shell, and modern silicone implants are approved by the FDA and are safer than ever. They are also the most popular choice among women seeking a natural look and feel.
Further refinements in silicone implants led to the development of cohesive silicone gel implants, also known as gummy bear implants, in the 1990s. These implants are thick enough to keep their form and minimize the risk of leakage if the implant becomes compromised. They feature an extensive variety of shapes and sizes that can mimic most breast shapes and fit a wider range of chest dimensions, providing a natural and proportionate breast shape and feel.
Saline Implants
Saline implants are placed in the breast pocket and are filled to the patient’s desired volume during the procedure. They are a firmer, rounder option compared to silicone implants. Saline implants have a silicone shell filled with a solution of salt and water. One advantage of saline implants is that if they rupture, the saline solution is absorbed by the body, and the deflation is usually noticeable. They also allow for adjustable filling during the surgery, which can be an option in some cases.
NaturalFill (Fat Transfer)
Some institutions, like Mount Sinai, offer a non - implant option called NaturalFill. This is a fat transfer technique where the surgeon first removes fat from the patient's buttocks or abdomen using liposuction and then immediately inserts that fat into the breasts to enlarge them. Taking fat from an unwanted area of the body to enhance the breasts is a win - win situation, as it not only adds volume to the breasts but also helps in body contouring in the donor area.
Factors to Consider When Choosing Breast Implants
Material
As mentioned earlier, the choice between silicone and saline implants is an important one. Silicone offers a more natural look and feel, while saline implants have their own unique advantages such as adjustability during surgery and easier detection of rupture. Surgeons will take into account the patient's body type, desired outcome, and personal preferences when recommending an implant material.
Shape
Patients can choose between round and anatomical implants. Round implants are frequently chosen for their ability to add volume higher on the chest. Anatomical implants are teardrop - shaped and have a slight slope to replicate the form of the natural breast. The choice of shape depends on the patient's existing breast shape, body type, and aesthetic goals.
Size
Implant sizes are measured in cubic centimeters, not bra cup size. The ideal implant size depends on the amount of breast tissue the patient has before the augmentation and the desired results. Sizes typically range from 120cc to 800 cc. Implants also come in various widths, heights, and projections. High - profile breast implants are suitable for women looking to make a statement, while a smaller projection is better for women seeking a more subtle effect.
Texture
Texture can affect the implants’ performance over time. A textured surface allows the tissues to heal more closely around the implant and prevents the implant from rotating or becoming displaced. However, in recent years, there has been some concern regarding a link between textured implants and an increased risk of breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), although this is a rare condition.
Top Breast Augmentation Institutions in New York City
Dr. John E. Sherman's Practice
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and excellent results. He works closely with prospective patients to develop an individualized approach so that they can enjoy the beautiful breasts they desire.
Dr. Sherman has in - depth knowledge of breast implants, especially the Natrelle 410 cohesive gel breast implants. He was a select investigator during the original development of these FDA - approved devices, which feature an anatomically shaped silhouette with contours that closely resemble the curve of a woman’s breast. They are popular choices for augmentation and breast reconstruction.
When it comes to the procedure, Dr. Sherman performs breast augmentation at an accredited surgical facility or a nearby hospital. The surgery usually takes 1 - 1.5 hours and is an outpatient procedure. The incisions can be made in different locations such as under the breast, around the areola, or under the armpit, depending on various factors including the type of implant and the patient's goals. Implants can be placed either submuscular (under the pectoral muscles) or subglandular (above the pectoral muscles).
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, 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 on the cutting edge of advancements in plastic surgery.
In the field of breast augmentation, Dr. Kolker believes that true artistry is based on the concept that "beautiful" should be more important than "size". He establishes each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results. He offers a variety of breast - related procedures, including breast augmentation, breast lift, breast reduction, and tuberous breast correction.
Dr. Kolker's practice has received numerous accolades. He has been featured as a top plastic surgeon in New York Magazine's Best Doctors issues from 2008 - 2024 and is also listed as one of America's Best Plastic Surgeons by Newsweek in 2021 - 2024. His patients have given rave reviews about his skill and the personalized care they receive.
Mount Sinai
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. They use the latest technologies, such as advanced 3D imaging technology, to help patients visualize how their larger breasts will look on their unique body. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts before making a decision.
At Mount Sinai, patients have several options for breast augmentation. There are silicone and saline breast implants, and they also offer the NaturalFill fat transfer technique. The surgeons will help patients choose the best option based on their body type and desired outcome. Their goal is to give patients a natural shape and size that they will be happy with for years to come.
Breast Reconstruction Center of NYC
The Breast Reconstruction Center of NYC in Manhattan is known for its expertise in breast - related surgeries, including breast implant removal and replacement. The top - rated breast surgery team at this center is highly trained in breast implant removal surgery and is world - renowned for their advanced techniques.
While the focus is not solely on breast augmentation, it is an important part of their practice. The surgeons at the center understand the importance of feeling one's best and offer breast implant removal and replacement for patients seeking to achieve their desired chest aesthetic. They customize the treatment plan based on each patient's unique needs and anatomy, whether it's time to replace the breast implants or remove them altogether.
Dr. Darrick Antell's Practice
Dr. Darrick Antell is widely regarded as one of the most experienced breast surgeons both in the New York area and worldwide. He performs custom breast implant removal (explant) surgery, but also offers breast augmentation services. Women may choose to have breast implants removed for various reasons such as lifestyle, cosmetic, or medical concerns, and Dr. Antell can also assist those looking to enhance their breasts.
Dr. Antell has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country. He has an impeccable reputation for his exceptional surgical results, performed with total discretion. His patients often refer others to his practice, speaking volumes about their satisfaction with the outcome of their surgeries.
Procedure and Recovery
Procedure
Breast augmentation is typically performed as an outpatient procedure. The patient will be given either general anesthesia or intravenous sedation anesthesia depending on their preferences and the surgeon's recommendation. The surgeon will make small incisions to create a pocket for the implant. Incision locations can include the inframammary fold (under the breast), periareolar (around the areola), or transaxillary (under the armpit). Each incision has its own advantages and disadvantages, and the choice depends on factors such as the type of implant, the patient's anatomy, and the desired outcome.
After the incision, the implant is placed either submuscularly (under the pectoral muscles) or subglandularly (above the pectoral muscles). If saline implants are used, they are filled to the desired volume during the procedure. Once the implant is in place, the surgeon will close the incisions with sutures and wrap the area with a compression garment to protect the results.
Recovery
In the initial days after surgery, it is normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. The patient will be given a prescription for pain medication to help ease the discomfort, which is usually most pronounced during the first few days. A surgical compression bra will be provided to be worn for the next few weeks as the patient heals.
Patients can typically resume light activities and work in 2 - 3 weeks, and more strenuous activities, such as going to the gym, can be resumed at 6 - 8 weeks. Swelling will gradually subside over time, and the implants will settle into place within a few months. Full recovery usually takes several months, and it is important for patients to follow their surgeon's post - operative instructions carefully to ensure the best results.
Complications and Risks
Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)
Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing BIA - ALCL. It is a type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. If left untreated, it can spread to nearby lymph nodes. Treatment typically involves surgically removing the implants and surrounding scar tissue, and in more serious cases, chemotherapy or radiation may also be necessary.
Although the actual number of cases worldwide is not confirmed, it appears to be approaching 400 cases. The FDA has recalled certain types of textured breast implants due to their association with a higher rate of BIA - ALCL. However, it is important to note that this is a rare condition.
Breast Implant Illness (BII)
Breast Implant Illness is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include 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.
Other Complications
Other possible complications of breast augmentation include bleeding, infection, numbness at the incision site, capsular contracture (where the capsule around the implant contracts and squeezes the implant), and implant rupture or leakage. Surgeons take various precautions to minimize these risks, but it is important for patients to be aware of them before undergoing the procedure.
Choosing the Right Surgeon and Institution
When choosing a breast augmentation surgeon and institution in New York City, there are several factors to consider. First, it is important to ensure that the surgeon is board - certified. Board certification indicates that the surgeon has met the rigorous standards set by the relevant medical boards and has the necessary training and experience.
Research the surgeon's reputation and read patient reviews. Look for surgeons who have a proven track record of successful breast augmentation surgeries and positive patient experiences. You can also ask for before - and - after photos of their previous patients to get an idea of the results they can achieve.
Consider the institution's facilities and the technology they use. Advanced technologies such as 3D imaging can help patients make more informed decisions about their breast augmentation. Also, ensure that the institution follows strict safety protocols during the procedure.
Finally, have a consultation with the surgeon. This is an opportunity to discuss your aesthetic goals, ask questions, and get a feel for the surgeon's personality and approach. A good surgeon will listen to your concerns, provide honest advice, and develop a personalized treatment plan for you.
Cost of Breast Augmentation in New York City
The cost of breast augmentation in New York City varies depending on several factors. These include the type of implant (silicone implants are generally more expensive than saline implants), the complexity of the procedure, the surgeon's experience and reputation, and the facility where the surgery is performed.
On average, the cost of breast augmentation can range from $5,000 to $11,000 or more. Some surgeons may offer financing options to help patients manage the cost. It is important to get a detailed breakdown of the costs during your consultation with the surgeon, including the cost of the implants, the surgical fee, the anesthesia fee, and any post - operative care expenses.
Conclusion
In conclusion, New York City offers a plethora of top - notch institutions for breast augmentation, especially among the top 5 hospitals for accessory breast removal. These institutions are staffed by experienced and skilled surgeons who use the latest technologies and techniques to provide patients with natural - looking and satisfactory results. However, breast augmentation is a major decision that requires careful consideration of the type of implants, the surgeon, the potential risks and complications, and the cost.
If you are considering breast augmentation, take the time to do thorough research, consult with multiple surgeons, and make an informed decision. By choosing the right surgeon and institution, you can increase your chances of achieving your desired breast appearance and enhancing your self - confidence. We encourage you to share this article with others who may be interested in breast augmentation and to explore further resources on the topic.
