The Top Three Hospitals for Silicone Breast Implant Augmentation in New York City
Silicone breast implant augmentation is a popular cosmetic procedure that many women in New York City consider to enhance their appearance and boost their confidence. Choosing the right hospital and surgeon is crucial for achieving the best results and ensuring a safe and successful surgery. In this article, we will explore the top three hospitals for silicone breast implant augmentation in New York City, taking into account factors such as the expertise of the surgeons, the quality of the facilities, and patient satisfaction.
1. Mount Sinai Hospital
Expertise of Surgeons
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation surgeries. They are well - versed in using the latest technologies and techniques to ensure the best possible outcome for their patients. For example, they use advanced 3D imaging technology, which allows patients to visualize how their larger breasts will look on their unique bodies. By showing various options on a computer monitor, patients can virtually try on different sizes of breasts before making a decision. This personalized approach helps patients feel more confident about their choice of implant size and shape.
Implant Options
At Mount Sinai, patients have several options for breast augmentation. There are two main types of implants: silicone and saline. Silicone breast implants are known for looking and feeling natural in the breasts. They are pre - filled with a cohesive silicone gel, which mimics the texture and consistency of natural breast tissue. Saline implants, on the other hand, are filled with a salt - water solution at the time of surgery and tend to be firmer and rounder. In addition to implants, Mount Sinai surgeons have also pioneered and perfected a fat transfer technique called Natural Fill®. This two - step procedure involves removing fat from the patient's buttocks or abdomen using liposuction and then inserting that fat into the breasts to enlarge them. This option is appealing to patients who want to use their own body fat for augmentation.
Patient Care
The hospital places a strong emphasis on patient care. Before scheduling the surgery, surgeons consult with patients to understand their desires for enhancing their breast size. They also explain the procedure in detail, answer any questions patients may have, and perform a physical exam to confirm that the patient is a suitable candidate for breast augmentation. During the consultation, patients can have an open and honest discussion about their expectations, concerns, and preferences, which helps build trust between the patient and the surgical team. After the surgery, patients receive follow - up care to ensure proper healing and to address any post - operative issues.
2. Dr. Adam Kolker's Practice
Surgeon's Background
Dr. Adam Kolker is a double - board certified, Harvard - trained plastic surgeon with a clinical focus on aesthetic breast surgery. He has an impressive educational background, having been accepted to medical school at age 17 and graduating with honors from the highly selective accelerated six - year biomedical education program at Union College and Albany Medical College. His combined expertise in medicine and art gives him a unique perspective on breast augmentation. He believes that beautiful always supersedes bigger and aims to achieve a gorgeous, natural, and proportional outcome for his patients.
Comprehensive Breast Procedures
Dr. Kolker offers a wide range of breast procedures in addition to silicone breast implant augmentation. These include breast asymmetry correction, breast lift, breast reduction, breast reconstruction, fat transfer breast augmentation, tuberous breast correction, and gummy bear breast implants. This comprehensive approach allows patients to address multiple breast - related concerns in one place. For example, patients who have experienced breast deflation after pregnancy may choose to combine a breast augmentation with a breast lift to restore a more youthful appearance to their breasts.
Customized Treatment Plans
When it comes to breast augmentation, Dr. Kolker carefully considers each patient's innate anatomy, desired outcome, and personal preferences. He helps patients choose the type of implant (silicone or saline), the access incision (inframammary crease, periareolar, or transaxillary), the position of the implant (submuscular or subglandular), and the style, profile, and sizing of the implant. To determine the appropriate implant size, he starts with an initial consultation to understand the patient's wishes and goals. He then uses anatomical measurements and tissue assessment to establish a size “range”. At a preoperative visit, the patient tries on neoprene bead - filled sacs used as “sizers” in a special brassiere to get a better sense of dimension and proportion. Finally, silicone gel or saline implant sizers are used during surgery to confirm the size selection.
3. Dr. David L. Cangello's Practice
Artistic Approach
Dr. David L. Cangello is a board - certified plastic surgeon known for his artistic approach to breast augmentation. He combines medical precision with the principles of aesthetics to create elegant results without compromising the integrity of the body's natural form. His superior results have earned the trust of professional models from some of the world's top agencies. Whether a patient wants a subtle look or bold cosmetic enhancements, Dr. Cangello incorporates their tastes and preferences into a treatment plan.
Implant Selection and Placement
Dr. Cangello guides patients through the process of deciding on the size and shape of their implants, as well as the placement and the type of implant (silicone or saline). There are two basic shapes for breast implants: round and contoured (teardrop). Round implants have volume and fullness all the way around and are softer and feel more natural, while contoured implants have a subtle sloping shape to match the curves of natural breasts and are a bit firmer. Breast implants can be placed under the pectoral muscle (submuscular placement) or the breast tissue (subglandular placement). Dr. Cangello also takes into account the location of the incision, with options including periareolar, inframammary, or transaxillary (although he avoids the transaxillary technique due to a higher rate of implant malposition). He prefers to use the “no - touch” method during breast augmentation with silicone, which utilizes a Keller funnel for easier implant insertion and a smaller incision size, and may help minimize infection risk.
Patient - Centered Care
Dr. Cangello believes in building a strong doctor - patient relationship based on trust. His park avenue office in NYC provides a warm and welcoming environment. During the consultation, he addresses any questions or concerns patients may have and determines whether they are a good candidate for breast augmentation based on their medical history and current health. He also provides a pre - operative plan that details everything patients need to know about getting ready for the surgery, including dietary changes and arrangements for after - care. After the surgery, he is dedicated to ensuring a positive outcome, with a standard follow - up schedule that includes appointments at one week, four weeks, and 12 weeks to monitor the patient's healing process.
Factors to Consider When Choosing a Hospital for Silicone Breast Implant Augmentation
Surgeon's Expertise
The experience and skill of the surgeon are perhaps the most important factors to consider. Look for surgeons who are board - certified in plastic surgery and have extensive experience in performing silicone breast implant augmentations. You can check their educational background, training, and any awards or recognition they have received. Reading patient testimonials and reviews can also give you an idea of the surgeon's reputation and the quality of their work.
Implant Options
Not all hospitals offer the same types of silicone breast implants. Some may have a wider range of options, including different shapes, sizes, and textures. Consider the advantages and disadvantages of each type of implant and choose a hospital that can provide the implant that best suits your needs and preferences. For example, if you prefer a more natural look and feel, silicone implants may be a better choice than saline implants.
Patient Care and Support
A good hospital should provide comprehensive patient care throughout the entire process, from the initial consultation to the post - operative follow - up. This includes answering your questions, addressing your concerns, and providing you with the necessary information and support to make an informed decision about your surgery. You should feel comfortable communicating with the surgical team and trust that they have your best interests in mind.
Cost and Financing Options
The cost of silicone breast implant augmentation can vary depending on the hospital, the surgeon, the type of implant, and the complexity of the procedure. It's important to understand the total cost of the surgery, including any additional fees for anesthesia, facility use, and post - operative care. Many hospitals offer financing options to help make the procedure more affordable. CareCredit is a popular financing option that offers no - interest plans up to 24 months or extended payment plans with a competitive interest rate.
Preparing for Silicone Breast Implant Augmentation
Consultation
The first step in preparing for silicone breast implant augmentation is to schedule a consultation with a qualified surgeon. During the consultation, you will have the opportunity to discuss your goals, concerns, and expectations for the surgery. The surgeon will examine your breasts, take measurements, and review your medical history to determine if you are a suitable candidate for the procedure. They will also explain the different types of implants, the surgical process, the recovery period, and the potential risks and complications.
Pre - operative Instructions
Your surgeon will provide you with a set of pre - operative instructions to follow. These may include quitting smoking or using any nicotine products, as nicotine can significantly impact your ability to heal after the treatment. You may also need to taper off certain medications or supplements that can increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John's wort. It's important to arrange for a trusted family member or friend to pick you up from the hospital after the surgery and to have a comfortable space at home to recover.
Emotional Preparation
Undergoing any surgical procedure can be a stressful experience, both physically and emotionally. It's important to prepare yourself mentally for the surgery and the recovery period. Talk to your family and friends about your decision, and consider joining a support group or talking to a counselor if you have any concerns or fears. Remember that the goal of the surgery is to enhance your appearance and boost your confidence, and that with proper care and support, you can achieve the results you desire.
The Silicone Breast Implant Augmentation Procedure
Anesthesia
Silicone breast implant augmentation is typically performed under general anesthesia or intravenous sedation anesthesia, depending on your preferences and the recommendation of the surgeon and anesthesiologist. General anesthesia will put you to sleep during the entire procedure, while intravenous sedation anesthesia will make you drowsy and relaxed but you will still be able to respond to commands.
Incision and Implant Placement
The surgeon will make a small incision in a discreet location, such as under the breast, around the areola, or in the armpit. The location of the incision will depend on several factors, including the type of implant, the size and shape of your breasts, and your personal preferences. Once the incision is made, the surgeon will create a pocket for the implant either under the pectoral muscle (submuscular placement) or above the pectoral muscle (subglandular placement). The implant will then be inserted into the pocket and positioned correctly. If a silicone implant is used, it will be pre - filled with a cohesive silicone gel. After the implant is in place, the surgeon will close the incision with sutures and wrap the area with a compression garment to protect the results.
Duration of the Procedure
The silicone breast implant augmentation procedure usually takes about 1 - 2 hours to complete. However, the actual duration may vary depending on the complexity of the surgery and any additional procedures that are being performed at the same time.
Recovery and Aftercare
Initial Recovery
In the initial days after the surgery, it's normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. You will be given a prescription for pain medication to help ease the discomfort, which is usually most pronounced during the first few days. You will also be provided with a surgical compression bra that you will need to wear for the next few weeks as you heal. It's important to follow your surgeon's instructions regarding rest, activity level, and wound care during this time.
Return to Normal Activities
Most patients are able to return to work within 1 - 2 weeks after the surgery, depending on the nature of their job. Light activities can usually be resumed after 2 - 3 weeks, and more strenuous activities, such as going to the gym, can be started after 6 - 8 weeks. However, it's important to listen to your body and not overdo it during the recovery period. Your surgeon will monitor your progress during the follow - up appointments and give you the green light to resume normal activities when it is safe to do so.
Long - term Follow - up
Regular follow - up appointments are essential after silicone breast implant augmentation. Your surgeon will want to check the healing of your incisions, the position of the implants, and the overall appearance of your breasts. They may also recommend periodic MRI scans to monitor the condition of the silicone implants, although this is only a recommendation and not mandatory. Long - term follow - up allows your surgeon to detect any potential complications early and take appropriate action.
Possible Complications of Silicone Breast Implant Augmentation
BIA - ALCL
Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing breast implant - associated anaplastic large cell lymphoma (BIA - ALCL). This is not breast cancer, but rather a form of non - Hodgkin's lymphoma that can be effectively treated. It appears to be associated with implants that are textured and in patients who develop a seroma (accumulation of fluid around the breast). However, the actual number of cases worldwide is not confirmed, and there have only been a small number of cases associated with smooth implants.
Breast Implant Illness
Breast implant illness (BII) 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.
Capsular Contracture
Capsular contracture occurs when the scar tissue (capsule) that forms around the implant tightens and squeezes the implant, causing the breast to feel hard, look distorted, and sometimes be painful. The risk of capsular contracture can be reduced by proper implant placement and following the surgeon's post - operative instructions.
Conclusion
Silicone breast implant augmentation can be a life - changing procedure for many women in New York City. The top three hospitals - Mount Sinai Hospital, Dr. Adam Kolker's practice, and Dr. David L. Cangello's practice - offer high - quality care, experienced surgeons, and a range of options to meet the needs of different patients. When considering this procedure, it's important to carefully research your options, choose a qualified surgeon, and follow all pre - operative and post - operative instructions. By doing so, you can increase your chances of achieving the best possible results and a smooth recovery. If you are interested in silicone breast implant augmentation, we encourage you to schedule a consultation with one of the recommended surgeons to discuss your goals and learn more about the procedure.