Introduction
Silicone breast augmentation is a popular cosmetic procedure in New York City, offering women the opportunity to enhance their appearance and boost their self - confidence. In this article, we will explore the top five evaluated hospitals for silicone breast augmentation plastic surgery in New York City and their unique techniques.
1. Mount Sinai Hospital
Overview
Mount Sinai is a well - known institution in the medical field. Their plastic surgeons have extensive experience in performing breast augmentation surgeries. They focus on providing a personalized experience for each patient, from the initial consultation to the post - operative follow - up.
Techniques
3D Imaging Technology: Before scheduling the surgery, they use the latest 3D imaging technology. This technology can actually demonstrate what the larger breasts will look like on the patient's unique body. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts. This helps patients make more informed decisions about the size and shape of their implants.
Implant Options: Mount Sinai offers two main types of breast implants - silicone and saline. Silicone breast implants look and feel natural in the breasts, while saline implants are firmer and rounder. They also have a new fat transfer technique called NaturalFill®. This is a two - step procedure where fat is first removed from the buttocks or abdomen using liposuction and then immediately inserted into the breasts to enlarge them. The use of the patient's own fat deposits makes this a unique and attractive option for some patients.
Patient Considerations
During the consultation, patients will undergo a physical exam and answer a series of health - related questions to confirm they are candidates for breast augmentation. Patients should also be aware that while the results of breast augmentation can last for years, factors like pregnancy, nursing, and significant weight changes may cause natural drooping over time. If that happens, a breast lift or replacement of breast implants may be considered.
2. Cangello Plastic Surgery
Overview
Dr. David L. Cangello is a board - certified plastic surgeon at Cangello Plastic Surgery. He is known for his artistic approach to breast augmentation, combining medical precision with the principles of aesthetics. His superior results have earned the trust of professional models from top agencies.
Techniques
Implant Shapes: There are two basic shapes for breast implants offered at Cangello Plastic Surgery - round and contoured. Round breast implants have volume and fullness all the way around, are softer, and feel natural. Contoured (teardrop) implants have a subtle sloping shape that matches the curves of natural breasts. They require a textured surface to prevent rotation in the breast pocket and are a bit firmer due to the greater cohesivity of the gel filling.
Implant Placement and Incision: Breast implants can be placed under the pectoral muscle (submuscular placement) or the breast tissue (submammary/subglandular placement). Dr. Cangello offers three possible incision places - periareolar (around the nipple), inframammary (in the crease between the breast and chest wall), and transaxillary (in the armpit). However, he avoids using the transaxillary technique due to a higher rate of implant malposition. He also prefers the “no touch” method during breast augmentation with silicone, which utilizes a Keller funnel. This allows for easier implant insertion, a smaller incision size, and may help minimize infection risk.
Silicone vs. Saline Implants: Dr. Cangello uses both silicone and saline implants. Saline implants are filled with saline once placed into the treatment site, allowing for a smaller incision size. They do not require long - term monitoring and in case of rupture, the saline can be safely absorbed by the body. They are approved for patients aged 18 and above. Silicone implants are pre - filled with a cohesive silicone gel, feel more natural to the touch, and look more aesthetically pleasing. The FDA suggests MRI scans every few years to monitor the implant shell, but it is only a recommendation. They are approved for patients aged 22 and above.
Patient Considerations
Patients considering breast augmentation at Cangello Plastic Surgery should have a clear understanding of their aesthetic goals. The recovery process usually takes about four to six weeks, and patients should follow the pre - operative and post - operative instructions provided by Dr. Cangello. They should also be aware of the risks associated with breast augmentation, such as bleeding, infection, and changes in sensation.
3. Aristocrat Plastic Surgery
Overview
Aristocrat Plastic Surgery is led by Dr. Kevin Tehrani. The clinic offers a comprehensive range of breast augmentation procedures and is committed to providing patients with the best experience possible.
Techniques
Silicone Implants: Silicone implants are one of the most popular procedures at Aristocrat Plastic Surgery. They come in various shapes and sizes and consist of silicone gel and a silicone case. The famous “gummy bear implants” are highly cohesive silicone gel implants that retain their shape better than other implants.
Transumbilical Breast Augmentation (TUBA): This is a unique technique where breast implants are placed through an incision in the belly button, leaving no visible scars on the body. It is associated with minimal pain and a faster recovery.
Anatomical Implants: These are contoured implants that are fuller on the bottom/base and less full on the top, resembling the anatomical shape of the natural breast. They were originally used for breast reconstruction after a mastectomy but are now popular for cosmetic breast augmentation as well.
Speedy Recovery with Exparel: Aristocrat Plastic Surgery offers a speedy recovery option using the injectable “Exparel”. It is a slow - release, non - opioid pain medicine injected into the surgical site during the operation. This allows patients to significantly reduce the amount of pain they experience during the first 72 hours after surgery, enabling a seemingly painless transition between invasive surgery and full recovery with minimal discomfort and downtime.
Patient Considerations
Patients should do their personal research before the consultation and be prepared to discuss their goals and concerns with Dr. Tehrani. After the surgery, they will need to follow the post - operative instructions carefully, including wearing a surgical bra and taking pain medication as prescribed. They should also be patient about returning to exercise and be aware of the potential complications associated with breast augmentation.
4. Steven Wallach MD, FACS
Overview
Dr. Steven Wallach provides a quick guide to silicone implant options in New York. He helps patients understand the different types of FDA - approved silicone implants and make informed decisions based on their individual needs.
Techniques
FDA - Approved Silicone Implants: There are currently 5 silicone implants approved by the FDA that Dr. Wallach can offer. These include Allergan’s Natrelle silicone - filled breast implants (approved in November 2006), Mentor’s Memorygel silicone - filled breast implants (approved in November 2006), Sientra’s silicone gel breast implants (approved in March 2012), Allergan’s Natrelle 410 highly cohesive anatomically shaped silicone - filled breast implants (approved in February 2013), and Mentor Memoryshape silicone - filled breast implants (approved in June 2013). Each of these implants has its own characteristics, such as different levels of cross - linking in the silicone gel, which affects the firmness of the implant.
Patient Considerations
Patients should be at least 22 years old to be eligible for silicone breast augmentation using these approved implants. They should discuss their body frame, current breast tissue size, surgical goals, and preferences with Dr. Wallach to determine the most suitable implant for them.
5. Rapaport Plastic Surgery
Overview
Dr. David P. Rapaport is a board - certified plastic surgeon and a world - recognized expert in breast augmentation and breast implant revision. His practice focuses on providing natural - looking results for his patients.
Techniques
Scarless Breast Augmentation: Dr. Rapaport uses an endoscope to perform a scarless breast augmentation procedure through an underarm incision. This means the muscle is precisely divided under magnified endoscopic visualization, allowing for control of any bleeding and precise implant positioning. This technique removes all scarring from the breast and reduces the risk of implant malposition compared to traditional methods.
Implant Options: He offers both saline and silicone implants. Saline implants can be filled after placement, making them suitable for the scarless breast augmentation technique. Silicone implants typically have a more natural look and feel. Dr. Rapaport will discuss these options with the patient to determine the best type of implant for their anatomy and aesthetic goals.
Minimizing Capsular Contracture: Capsular contracture is a concern in breast augmentation. Dr. Rapaport takes precautions to minimize this risk. He advises patients not to engage in aerobic activity for ten days following surgery to minimize the risk of small bleeding, as blood around the implant can lead to capsular contracture. He also uses the “no touch” technique for augmentation whenever possible, using a specially designed insertion funnel (Keller funnel) to avoid contaminating the operation with particles or bacteria.
Patient Considerations
Patients should expect a full recovery from breast augmentation to take approximately two to three weeks, although they may be able to return to work in a few days, depending on the nature of their job. They should follow Dr. Rapaport's post - operative instructions regarding pain management, activity restrictions, and follow - up appointments to ensure optimal results and minimize the risk of complications.
Comparing the Techniques
| Hospital | Unique Technique | Advantages | Disadvantages |
|---|---|---|---|
| Mount Sinai | 3D Imaging, NaturalFill® | Helps patients visualize results, uses own fat for augmentation | May require multiple steps for NaturalFill®, 3D imaging is just a visualization tool |
| Cangello Plastic Surgery | “No touch” method with Keller funnel | Smaller incision size, reduced infection risk | Some patients may be concerned about the long - term monitoring of silicone implants |
| Aristocrat Plastic Surgery | Transumbilical Breast Augmentation (TUBA), Speedy Recovery with Exparel | No visible scars, reduced pain and downtime | TUBA may have limitations in implant placement, Exparel may not be suitable for all patients |
| Steven Wallach MD, FACS | Multiple FDA - approved silicone implants | Wide range of options to choose from | Can be overwhelming for patients to decide |
| Rapaport Plastic Surgery | Scarless breast augmentation with endoscope, precautions against capsular contracture | No visible breast scars, reduced risk of capsular contracture | Requires more advanced surgical skills, may be more expensive |
General Considerations for Silicone Breast Augmentation
Candidate Selection
Good candidates for silicone breast augmentation are generally overall healthy women with realistic expectations. They should be at least 22 years old for silicone implants (18 for saline implants in some cases). Women who are dissatisfied with the size, shape, or symmetry of their breasts, those who have lost breast volume after pregnancy or weight loss, or those with congenital breast deformities may be suitable candidates. However, it is important for patients to have a thorough consultation with a qualified plastic surgeon to determine their suitability for the procedure.
Recovery Process
The recovery process after silicone breast augmentation varies from patient to patient. Generally, patients can expect some swelling, bruising, and soreness in the first few days after surgery. Pain medication is usually prescribed to manage discomfort. Patients may need to wear a surgical bra or compression garment for a few weeks to support the breasts and aid in healing. Strenuous activities should be avoided for several weeks, and it may take several months for the breasts to fully settle into their final shape. Follow - up appointments with the surgeon are crucial to monitor the healing process and address any concerns.
Risks and Complications
Like any surgical procedure, silicone breast augmentation carries some risks. These include bleeding, infection, changes in nipple or breast sensation, scarring, implant rupture or leakage, capsular contracture (tightening of the scar tissue around the implant), and changes in breast appearance over time due to factors like aging, pregnancy, and weight changes. However, with a skilled surgeon and proper post - operative care, the risks can be minimized.
Conclusion
In New York City, the top five evaluated hospitals for silicone breast augmentation plastic surgery - Mount Sinai, Cangello Plastic Surgery, Aristocrat Plastic Surgery, Steven Wallach MD, FACS, and Rapaport Plastic Surgery - each offer unique techniques. Mount Sinai stands out with its 3D imaging and fat transfer option. Cangello Plastic Surgery is known for its artistic approach and “no touch” method. Aristocrat Plastic Surgery offers TUBA and a speedy recovery option. Steven Wallach MD, FACS provides a wide range of FDA - approved silicone implants, and Rapaport Plastic Surgery specializes in scarless breast augmentation and minimizing capsular contracture.
If you are considering silicone breast augmentation, it is essential to do thorough research, have in - depth consultations with qualified plastic surgeons, and carefully weigh the pros and cons of each technique. Remember, the key is to choose a surgeon and a technique that aligns with your aesthetic goals, body type, and overall health. We encourage you to share this article with others who may be interested in silicone breast augmentation and explore related topics to make an informed decision about your procedure.
