Unveiling the Top Five Hospitals for Autologous Fat Breast Augmentation in New York City

Autologous fat breast augmentation is a sought - after plastic surgery procedure that uses a patient's own fat cells to enhance breast size and shape. In New York City, a hub of medical excellence, there are several hospitals and clinics known for their high - quality autologous fat breast augmentation services. This article will delve into the top five institutions that offer this procedure, along with in - depth details about the process, its advantages, risks, and more.

1. Aristocrat Plastic Surgery

Expertise and Doctor Profile

Aristocrat Plastic Surgery is renowned for its breast fat injection procedures. Dr. Kevin Tehrani, the founder and director, is an expert plastic surgeon, especially proficient in breast procedures. He is highly regarded for his minimally invasive techniques that aim to increase breast size without the need for implants.

Dr. Tehrani's extensive experience allows him to carefully assess each patient's suitability for the procedure. Ideal candidates for breast fat injection at Aristocrat Plastic Surgery are women who want a moderate increase in breast size, up to one cup size, and have excess fat in areas like the abdomen, thighs, or buttocks.

The Procedure at Aristocrat Plastic Surgery

• Consultation: The process begins with a comprehensive consultation. Dr. Tehrani discusses the patient's goals, assesses candidacy, explains risks and benefits, reviews medical history, and conducts a physical examination to determine if there is enough excess fat for the procedure.
• Pre - operative Preparations: If a patient is deemed suitable, they receive pre - operative instructions regarding diet, exercise, and medications to avoid before surgery.
• Liposuction: On the day of the procedure, the patient is placed under local or general anesthesia as recommended by Dr. Tehrani. He then performs liposuction to harvest excess fat from donor areas using a cannula and a vacuum machine.
• Fat Processing: The collected fat is processed to separate impurities, excess fluids, and damaged fat cells from the healthy ones.
• Injection into the Breasts: Using small incisions, Dr. Tehrani injects the purified fat into three areas of the breast: above the muscle, in the muscle itself, and under the muscle. He also removes fat from specific areas of the breast to contour it and ensure a pleasing and symmetrical result.
• Recovery: Patients are usually fitted with a compression garment. Most can return home the same day but should arrange for a driver. They need to follow post - operative care instructions, which may include taking prescribed medications, wearing the compression garment, and avoiding strenuous activities. Swelling and bruising subside over time, and the final results become apparent as the surviving fat cells establish blood flow.

2. Dr. Steven Wallach's Practice

Doctor Background and Specialties

Dr. Steven Wallach is a board - certified plastic surgeon. He is well - known for his expertise in fat transfer breast augmentation, a procedure that provides a natural and permanent option for breast enlargement in New York City. His experience and knowledge have made him a popular choice for patients seeking this type of breast enhancement.

The Fat Transfer Process

• Liposuction: After the patient is anesthetized, Dr. Wallach uses liposuction to remove fat from a problem area on the body, commonly around the abdomen such as the love handles. He makes a tiny incision at the donor site and inserts a cannula connected to a vacuum pump or syringe to suction out the excess fat.
• Purification: Before injecting the fat back into the body, it is purified to remove other bodily fluids. This can be done by spinning the collected fat in a centrifuge or allowing it to separate by gravity and then collecting the fat in syringes or an aspiration cannister.
• Injection: Dr. Wallach makes several injections throughout the breasts to ensure even distribution and a natural - looking shape. The fat cells naturally incorporate into the breast tissue, increasing breast size while providing a natural look and feel.

Recovery and Results

Recovery from fat transfer breast augmentation at Dr. Wallach's practice is generally easier compared to breast augmentation with implants. Patients typically need two or three days of recovery before returning to work. They may need to adjust their sleeping habits and wear a compression garment and surgical bra. New York City women who undergo this procedure usually experience an increase of about one cup size, although results vary. The final results take several months to appear as the swelling goes down.

3. Mount Sinai - New York

Hospital Reputation and Resources

Mount Sinai is a well - established medical institution in New York City. Its plastic surgeons have extensive experience in performing breast augmentation procedures, including autologous fat transfer, also known as the NaturalFill® technique, which they pioneered and perfected.

Procedure and Patient - Centered Approach

Before scheduling the surgery, Mount Sinai uses the latest technologies, such as advanced 3D imaging, to help patients visualize how their larger breasts will look on their unique bodies. The plastic surgeons consult with patients, listening carefully to understand their desires for enhancing breast size and helping them decide on the best option, whether it's implants or fat transfer.

The NaturalFill® procedure at Mount Sinai is a two - step process. First, the surgeon removes fat from the buttocks or abdomen using liposuction. Then, the fat is immediately inserted into the breasts to enlarge them. This approach allows patients to use their own fat deposits to enhance their breasts, which is a popular choice for those seeking a more natural solution.

Long - Term Considerations

Patients can expect their breast augmentation results to last for many years. However, factors like pregnancy, nursing, weight gain, or weight loss may cause natural drooping over time. In such cases, Mount Sinai offers options like breast lift or implant replacement to enhance the breasts again.

4. Dr. Adam Kolker's Clinic

Doctor's Experience and Patient Testimonials

Dr. Adam Kolker has a wealth of experience in fat transfer breast augmentation. Many patients have left positive testimonials about their experiences with him. For example, some patients have mentioned that Dr. Kolker was able to achieve results that other surgeons said were impossible, such as correcting asymmetrical breasts.

The Procedure and Its Limitations

Breast augmentation with fat transfer at Dr. Kolker's clinic allows women to subtly enhance breast size using their own fat cells. It is a unique procedure that can achieve conservative increases in breast size. However, it's important to note that only very small breast size increases can be anticipated, typically around a ¼ cup size. If a patient desires a greater increase, breast augmentation with breast implants may be a better option.

The procedure at Dr. Kolker's clinic combines liposuction and fat grafting. During the initial consultation, Dr. Kolker assesses the patient's anatomic contour and discusses their desires. He evaluates areas of excess fat, such as the outer thighs, inner thighs, tummy, and lumbar region. The fat is harvested using liposuction through tiny needle access sites, and Dr. Kolker aspirates the fat by hand to maximize fat graft “take”. After careful preparation, the fat is transferred through small needle sites to the breast.

Enhancing Results with the Brava System

To promote better fat graft survival, Dr. Kolker often uses the Brava system. Patients wear it on their breasts for a designated time before surgery to “expand” the breasts and promote a well - vascularized “scaffold” for the acceptance of fat grafts. This can lead to more reliable and long - lasting results.

5. Dr. Barry Weintraub's Practice

Doctor's Qualifications and Approach

Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He is a national spokesperson for the American Board of Plastic Surgery and has over two decades of experience. His approach to breast augmentation, including autologous fat transfer, is characterized by a focus on safety, patient satisfaction, and natural - looking results.

Breast Augmentation with Autologous Fat

Dr. Weintraub performs breast augmentation with autologous fat to correct contour deformities, rippling, and improve cleavage. Whenever possible, he uses the transaxillary subpectoral approach, making a small incision in the armpit and placing the fat (or implants) behind the pectoralis major muscle. This approach has several advantages, including no jeopardy to nipple sensation, no hindrance to future breast - feeding, no visible scars near the breast, less pain, less post - operative downtime, and less swelling and bruising.

Patient Care and Decision - Making

During the consultation, Dr. Weintraub listens to the patient's needs and desires. He ensures that the patient is well - informed about the procedure, including the risks and benefits. He only performs the surgery if he believes the patient is a good candidate. After the surgery, he provides detailed post - operative instructions to help the patient achieve the best results possible.

Advantages of Autologous Fat Breast Augmentation

• Natural Results: Since the procedure uses the patient's own fat, the results look and feel more natural compared to breast implants.
• Body Contouring: In addition to breast enhancement, the liposuction involved in the process can help sculpt other areas of the body by removing excess fat.
• Lower Risk of Allergic Reactions: As the fat is from the patient's own body, there is no risk of allergic reactions that can sometimes occur with breast implants.
• Minimal Scarring: Fat transfer typically involves only small needle incisions, resulting in minimal scarring compared to the larger incisions required for implant placement.

Risks and Limitations

• Limited Size Increase: Autologous fat transfer can usually only achieve a small increase in breast size, typically up to one cup size. If a larger increase is desired, breast implants may be a better option.
• Fat Absorption: Some of the injected fat may be absorbed by the body over time, which means the final results may not be as dramatic as initially expected, and additional procedures may be required.
• Irregularities: In some cases, there may be irregularities in the breast contour or the fat donor site, especially in slim women or those who undergo multiple procedures.
• Complications: As with any surgical procedure, there are risks of infection, bleeding, and scarring. Additionally, lumps, nodules, and oil cysts may occur in the breasts, which can complicate mammography and breast cancer surveillance.

How to Choose the Right Hospital

• Surgeon's Experience and Qualifications: Look for a board - certified plastic surgeon with extensive experience in autologous fat breast augmentation. Check their education, training, and patient testimonials.
• Hospital Reputation: Research the hospital's reputation in the field of plastic surgery. Consider factors such as the quality of care, success rates, and patient reviews.
• Technology and Techniques: Ensure that the hospital uses the latest technology and advanced techniques for the procedure. This can improve the safety and effectiveness of the surgery.
• Patient - Centered Care: A good hospital will prioritize patient comfort and satisfaction. They should provide comprehensive pre - operative and post - operative care, answer all your questions, and address your concerns.
• Cost and Insurance: While cost should not be the only factor, it's important to understand the total cost of the procedure, including any additional fees. Check if your insurance covers any part of the surgery.

Conclusion

Autologous fat breast augmentation is a popular and effective way to enhance breast size and shape in a natural way. The top five hospitals in New York City mentioned in this article - Aristocrat Plastic Surgery, Dr. Steven Wallach's Practice, Mount Sinai - New York, Dr. Adam Kolker's Clinic, and Dr. Barry Weintraub's Practice - offer high - quality services, experienced surgeons, and advanced techniques. Each hospital has its own unique approach and advantages, and choosing the right one depends on your individual needs, goals, and preferences.

If you are considering autologous fat breast augmentation, we encourage you to do further research, schedule consultations with these hospitals, and discuss your options with the surgeons. Take the time to make an informed decision that will lead to the best possible results and a satisfying experience. Share this article with others who may be interested in learning more about autologous fat breast augmentation in New York City.