Introduction

Breast augmentation is a popular cosmetic procedure that allows women to enhance the size and shape of their breasts. In New York City, there are several renowned hospitals and clinics that offer excellent services for breast implant shape selection. This article will introduce you to five of these institutions, including their unique features, services, and the surgeons who can assist you in achieving your desired breast appearance.

1. Mount Sinai - New York

Overview

Mount Sinai is a highly respected medical institution in New York. Its plastic surgeons have extensive experience in performing breast augmentation surgeries. They are dedicated to helping patients visualize how their larger breasts will look and ensure that patients are satisfied with the results.

Implant Options

There are two main types of breast implants available at Mount Sinai:

• Silicone breast implants: These implants look and feel natural in the breasts. They are pre - filled with a cohesive silicone gel, providing a more realistic and soft texture.
• Saline breast implants: These are firmer and rounder implants. They are filled with a saline solution (salt and water) at the time of surgery, and the volume can be adjusted during the procedure.

Additionally, Mount Sinai offers a unique option called Naturalfill®, a fat - transfer technique. Surgeons first remove fat from the patient's buttocks or abdomen using liposuction and then insert that fat into the breasts to enlarge them. This approach uses the patient's own fat, which can be a more natural - looking and - feeling option for some patients.

Consultation and Procedure

During the consultation, plastic surgeons at Mount Sinai will listen carefully to the patient's desires for enhancing breast size. They will also use advanced 3D imaging technology to demonstrate what the larger breasts will look like on the patient's unique body. The surgeon will explain the procedure in detail, answer any questions, and perform a physical exam to confirm the patient's suitability for breast augmentation. The breast augmentation procedure typically involves making a small incision under the breast tissue and inserting the chosen implant. The surgeons at Mount Sinai aim to give patients a natural shape and size that they will be happy with. However, it's important to note that over time, factors such as pregnancy, nursing, and significant weight changes can cause natural drooping of the breasts. In such cases, a breast lift or implant replacement may be considered.

2. Dr. John E. Sherman's Practice

Surgeon's Reputation

Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and achieving excellent results in breast augmentation surgeries. He works closely with patients to develop an individualized approach for each person's desired breast profile.

Breast Implant Evolution

Breast augmentation has been one of the top five cosmetic procedures in the United States for nearly 20 years. The first silicone implants were developed in the early 1960s, and saline - filled implants followed in 1965. Since then, there have been many improvements in breast implant technology. Today, silicone breast implants are approved by the FDA and are the most frequently chosen by women in the United States. In the 1990s, cohesive silicone gel implants, also known as gummy bear implants, were developed. These implants are thick enough to keep their form and minimize the risk of leakage if the implant becomes compromised. They are popular because they can provide a natural and proportionate breast shape and feel, with a wide variety of shapes and sizes available.

Choosing the Right Implant

When choosing breast implants, patients need to consider several factors:

• Material: Saline implants are filled during the procedure, while silicone implants are pre - filled. The choice depends on the patient's preference and the surgeon's recommendation.
• Shape: Round implants add volume higher on the chest, while anatomical (teardrop - shaped) implants replicate the form of the natural breast with a slight slope.
• Size: Implant sizes are measured in cubic centimeters, ranging from 120cc to 800cc. The appropriate size depends on the patient's existing breast tissue and desired results.
• Texture: A textured surface allows the tissues to heal more closely around the implant, preventing it from rotating or becoming displaced.

Procedure and Recovery

The breast augmentation procedure at Dr. Sherman's practice is typically performed at an accredited surgical facility or a nearby hospital. It is an outpatient procedure that takes about 1 - 1.5 hours under general or intravenous sedation anesthesia. The incision can be made in different locations, such as under the breast, around the areola, or under the armpit. The implant can be placed either under the pectoral muscles (submuscular) or above the pectoral muscles (subglandular), depending on the patient's anatomy, age, and vocation. After the surgery, patients may experience moderate symptoms of fatigue, discomfort, swelling, and bruising in the initial days. They will be given pain medication and a surgical compression bra. Light activities can usually be resumed in 2 - 3 weeks, and more strenuous activities can be started at 6 - 8 weeks.

3. Dr. Adam Kolker's Practice

Surgeon's Background

Dr. Adam Kolker is a double - board - certified, Harvard - trained plastic surgeon with a focus on aesthetic breast surgery. He also has a background as a studio artist, bringing both scientific and artistic perspectives to his breast augmentation procedures. His goal is to achieve a gorgeous, natural, and proportional outcome for each patient.

Indications for Breast Augmentation

Breast augmentation at Dr. Kolker's practice can address a variety of breast - related concerns, including underdevelopment of the breasts (developmental breast hypoplasia), breast deflation after pregnancy or significant weight loss, breast asymmetries, and congenital breast shape deformities.

Key Considerations in Breast Augmentation

When planning breast augmentation, there are four primary components to consider:

• Type of implant: Silicone gel implants have a more natural feel, while saline implants are filled with a salt - water solution at the time of surgery. Both are FDA - approved and excellent choices for breast enlargement.
• Access incisions: Incisions can be made in the lower crease beneath the breast (inframammary crease incision), along the lowest border of the pigmented areola (periareolar incision), or within the underarm (transaxillary incision). Dr. Kolker will advise on the best option based on various factors.
• Position of breast implants: Implants can be placed below the muscle (submuscular augmentation) or above the muscle (subglandular augmentation). Submuscular augmentation has several benefits, such as increased coverage of the implant, a more natural transition, and a lower rate of capsular contracture. Dr. Kolker typically uses a submuscular pocket plane.
• Breast implant style, profile, & sizing: Implants come in round or anatomical shapes. The profile refers to the projection of the implant, with options for low, moderate, or high projection. The sizing process starts with the initial consultation and involves trying on sizers to find the most suitable size and proportion.

Procedure and Recovery

The breast augmentation procedure is performed as an outpatient procedure in Dr. Kolker's fully accredited surgical facility on Park Avenue. It takes about 1.5 - 2 hours under general anesthesia. After the surgery, patients will recover in a private recovery room. Dr. Kolker recommends returning to work or studies after seven days for less physically demanding occupations. Light exercise can be resumed at five to seven days, and more vigorous physical activity can start three weeks after surgery. Normal bras and bathing suits can be worn after approximately two weeks, and the final shape and size of the breasts will settle in by 12 weeks.

4. Greenberg Cosmetic Surgery & Dermatology

Unique Offerings

Greenberg Cosmetic Surgery & Dermatology offers 24 - hour rapid recovery breast augmentation. This technique minimizes downtime and allows patients to return to their daily activities faster. Their double - board - certified surgeons, Stephen T. Greenberg, Jason M. Weissler, and Stephanie A. Cooper, are dedicated to providing a comfortable and positive experience for patients.

Implant Selection

The practice offers several types of breast implants:

• Silicone: Most patients prefer silicone implants for their natural look and feel.
• Saline: Saline implants are an option, especially for younger patients or upon request.
• Gummy bear: These form - stable implants hold their shape well and are remarkably soft and stable.

In addition to implant type, patients also need to consider the shape (round or teardrop - shaped), profile (high - profile for more projection or low - profile for a more subtle enhancement), and placement (submuscular or subglandular) of the implants.

Benefits of Breast Augmentation

Breast augmentation at Greenberg Cosmetic Surgery & Dermatology offers several benefits:

• Enhanced self - confidence and body image
• Corrected asymmetry
• Restored breast volume and shape after pregnancy or weight loss
• Boosted clothing options and improved overall fashion choices
• Improved overall quality of life

Procedure and Recovery

The breast augmentation surgery is performed under general anesthesia and takes a few hours. After the anesthesia takes effect, an incision is made (usually under the crease of the breast, along the edge of the areola, or in the armpit), a pocket is created, and the implant is placed. Recovery involves following post - operative instructions, such as keeping the upper body elevated, taking prescribed medication, and avoiding strenuous activities. With the 24 - hour rapid recovery technique, more than 90% of patients can resume normal activities such as driving and going to work within 24 hours, and most patients need only minimal pain medication. The full recovery typically takes about six months.

5. Rapaport Plastic Surgery

Surgeon's Expertise

Dr. David P. Rapaport is a board - certified plastic surgeon who is a world - recognized expert in breast augmentation and breast implant revision. He specializes in helping women achieve a more attractive breast shape and size through surgical enhancement with implants.

Breast Augmentation Candidates

Most women who are unhappy with the size or shape of their breasts and are in overall good health with realistic expectations can be good candidates for breast augmentation. However, breast augmentation may not adequately address breast sagging and droopiness, which may require a breast lift in addition to the augmentation.

Implant Options and Procedure

Dr. Rapaport offers both saline and silicone implants. Saline implants can be filled after placement, making them suitable for his scarless breast augmentation technique, which uses an endoscope through an underarm incision. Silicone implants typically have a more natural look and feel. The breast augmentation procedure is performed with general anesthesia or IV sedation. Incisions can be made under the arms, in the breast crease, or within the areola. The implants are usually placed under the pectoral muscle for a more natural - looking result. After the surgery, patients are monitored briefly and can go home the same day, but they must have an adult stay with them for the first night.

Recovery and Results

Full recovery from breast augmentation at Rapaport Plastic Surgery takes approximately two to three weeks. Patients with non - strenuous jobs can usually return to work in five days. Pain medication is prescribed for the first few days, and ice packs can be used to reduce swelling and discomfort. Strenuous exercise and aerobic activity are restricted for the first ten days, and mild aerobic activity can be started after ten days, with full activity permitted after three weeks. Women often experience a significant confidence boost after the surgery, and the results of breast augmentation typically last a lifetime, although implants can be replaced or removed if needed.

Conclusion

In New York City, these five hospitals and clinics - Mount Sinai, Dr. John E. Sherman's practice, Dr. Adam Kolker's practice, Greenberg Cosmetic Surgery & Dermatology, and Rapaport Plastic Surgery - are well - known for their expertise in breast implant shape selection. Each institution offers a variety of implant options, experienced surgeons, and comprehensive pre - and post - operative care. If you are considering breast augmentation, it is important to have a detailed consultation with a qualified plastic surgeon. During the consultation, you can discuss your goals, learn about the different implant options, and understand the procedure and recovery process. Take the time to research these institutions and their surgeons, and don't hesitate to ask questions. By making an informed decision, you can increase your chances of achieving the desired breast shape and size, and enhance your self - confidence and overall quality of life. If you're ready to take the next step, schedule a consultation with one of these esteemed facilities today.