Introduction
Breast augmentation is a popular cosmetic procedure that allows women to enhance the size and shape of their breasts. Among the various options available, teardrop - shaped prostheses have gained significant popularity due to their ability to provide a more natural look and feel. In New York City, there are several hospitals and clinics that offer breast augmentation with teardrop - shaped prostheses. This article will explore these options, as well as provide in - depth information about breast implants, the procedure, and recovery.
Understanding Breast Implants
Types of Breast Implants
There are three main types of breast implants commonly used in breast augmentation procedures, as offered by clinics like 740 Park Plastic Surgery:
- Saline Breast Implants: These implants are filled with a sterile saline (saltwater) solution enclosed in an outer silicone shell. They are approved by the FDA for patients 18 and above. In case of a leak or rupture, the saline solution will be absorbed and expelled harmlessly by the body. However, they should still be regularly monitored. According to information from 740 Park Plastic Surgery, these implants have been used in breast augmentation for many years and remain a popular choice.
- Traditional Silicone Breast Implants: Made of a thick silicone gel encased by an outer silicone shell, they are FDA - approved for women aged 22 and over and breast reconstruction patients of any age. They are known for their natural look and feel and are less likely to ripple compared to saline implants. But if a leak occurs, the silicone gel may either stay inside the shell or move into the breast pocket, so regular physical assessments, ultrasounds, or MRIs are necessary.
- Cohesive Gel (Gummy Bear) Breast Implants: These are the newest type of FDA - approved implants in the United States. They are composed of a highly durable, form - stable silicone gel that creates an exceptionally natural shape and feel. They have a lower rate of rippling and are resistant to leaks in case of a rupture. Gummy bear implants can also create a more natural - appearing blend between the chest wall and the breasts. 740 Park Plastic Surgery offers this advanced option.
The following table summarizes the key features of these implant types:
Implant Type | Approved Age | Composition | Advantages | Disadvantages |
---|---|---|---|---|
Saline | 18 and above | Sterile saline solution in silicone shell | Harmless if leak occurs, long - term use | May be more prone to rippling, need regular monitoring |
Traditional Silicone | 22 and over (breast augmentation), any age (reconstruction) | Thick silicone gel in silicone shell | Natural look and feel, less rippling | Complicated removal if rupture, need regular check - ups |
Cohesive Gel (Gummy Bear) | As per FDA regulations for board - certified use | Highly durable, form - stable silicone gel | Natural shape, low rupture risk, less rippling | More expensive, still need routine examinations |
Breast Implant Shapes
Breast implants come in two main shapes: round and teardrop (anatomically contoured). The choice of shape depends on the patient's desired look and breast projection.
- Round Implants: They are a great option for those seeking increased volume and fullness throughout the breasts, including the upper pole. There are higher - profile options for added projection. Since they have a uniform shape, the risk of rotation is significantly reduced. As mentioned by 740 Park Plastic Surgery, round implants can create a soft, well - proportioned end result and come in a range of different diameters and degrees of projection, giving the surgeon flexibility when fitting them to a woman's breast and body shape.
- Teardrop - Shaped Implants: These are generally recommended for patients who want more volume in the lower portion of the breasts, similar to the natural shape of breasts. They can be an excellent choice for individuals with minimal or thin breast tissue. However, they may result in an abnormal appearance if they rotate, and a slightly larger incision is required for insertion compared to most round implants. Gummy bear implants are typically only available in a teardrop shape. Greenberg Cosmetic Surgery notes that many women feel that teardrop - shaped implants achieve a more natural - looking enhancement than round implants, but they also present a unique risk of shifting out of place.
Breast Implant Surfaces
Patients have a choice between smooth and textured implant surfaces:
- Smooth Implants: They typically produce the softest feel and create the most natural movement as they can shift freely within the breast pocket. However, there is a slight risk of rippling becoming visible on the skin's surface, although it is relatively rare. 740 Park Plastic Surgery mentions that smooth implants are often used because of their softness and natural - appearing movement.
- Textured Implants: Designed to remain securely in place inside the breast pocket, they reduce implant rotation, which is a key benefit for teardrop - shaped implants. They also show a reduced risk of capsular contracture. Many surgeons consider textured implants to be a good option for patients who want a more stable implant placement, as per the information from multiple clinics.
Hospitals and Clinics in New York City for Breast Augmentation with Teardrop - Shaped Prosthesis
740 Park Plastic Surgery
At 740 Park Plastic Surgery, board - certified plastic surgeon Dr. Stafford R. Broumand offers a wide range of breast implant varieties, including teardrop - shaped cohesive gel (gummy bear) implants. During the consultation, the doctor presents every implant option available, discussing the advantages and disadvantages of each size, shape, type, and surface texture in great detail. The doctor also assesses numerous physical qualities, such as cleavage, breast sagging, asymmetries, and desired post - operative breast size, and utilizes advanced Vectra 3D imaging to show patients how various implants may look on their own bodies following the procedure.
Dr. John E. Sherman
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon in New York City. He works closely with patients to develop an individualized approach for breast augmentation. He was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants, which are anatomically shaped (teardrop - shaped) and are popular choices for augmentation and breast reconstruction. Dr. Sherman has a deep understanding of these implants and can go over all the benefits and other necessary information for patients considering teardrop - shaped implants.
Greenberg Cosmetic Surgery
Long Island plastic surgeon Stephen Greenberg, who has practices in multiple locations including Manhattan, can help patients determine the right breast implants, including teardrop - shaped ones. The practice uses Vectra XT, a complete 3D imaging solution, to provide patients with a visual image of themselves to explore the possibilities of the aesthetic procedure. Dr. Greenberg discusses aspects such as size, shape, material, and texture of the implants during the consultation to help patients make an informed decision.
Rapaport Plastic Surgery
Board - certified plastic surgeon Dr. David P. Rapaport provides a range of breast implant options, including teardrop - shaped implants. He offers both saline and silicone implants and works closely with each patient to determine the ideal choice based on their anatomy and aesthetic preferences. Dr. Rapaport prefers to use smooth implants, believing them to be safer and longer - lasting.
Aristocrat Plastic Surgery
Dr. Kevin Tehrani at Aristocrat Plastic Surgery offers transumbilical breast augmentation (TUBA) in addition to other breast augmentation techniques. The clinic offers various types of breast implants, including teardrop - shaped gummy bear implants. For patients considering TUBA, the ideal candidates are those who have some breast volume, desire minimal scarring, are suitable for saline implants, and have modest to moderate breast size increase goals. Dr. Tehrani uses Vectra 3D imaging to help patients visualize different implant sizes and shapes.
Manhattan Surgical Care
Dr. Basil Pakeman at Manhattan Surgical Care has provided numerous women in the Manhattan area with excellent results from breast augmentation. During the initial consultation, patients can precisely explain their goals for the breast - augmentation procedure, including the desire for teardrop - shaped implants. The doctor considers various aesthetic factors such as shape, projection, texture, and movement. The clinic also provides guidance on preparing for the surgery and recovering from it.
Mount Sinai - New York
The plastic surgeons at Mount Sinai have extensive experience in performing breast augmentation. They use advanced 3D imaging technology to help patients visualize how different sizes and shapes of breasts will look on their unique bodies before scheduling the surgery. They offer silicone and saline breast implants, as well as a non - implant option using fat transfer (Natural Fill®). Patients can discuss their preference for teardrop - shaped implants with the surgeons to determine the best option for them.
StudioMD
Dr. Sadaf Qazi at StudioMD is a cosmetic surgeon specializing in breast augmentation, among other procedures. The clinic offers various types of implants, including teardrop - shaped gummy bear implants. Dr. Qazi helps patients choose the best type, shape, and size of the breast implant based on their structure and expectations. The clinic also provides detailed information about the procedure steps, recovery, and possible complications.
The Breast Augmentation Procedure
Consultation
The consultation is a crucial step in the breast augmentation process. Surgeons at the various New York City hospitals and clinics will review the patient's medical history, examine their breasts, and take measurements. They will discuss the patient's aesthetic goals, such as the desired breast size, shape, and projection. The surgeon will also explain the different types of implants, shapes, and surfaces available, as well as the potential risks and complications. Many clinics use 3D imaging technology to help patients visualize the results of different implant options.
Preparation
Before the surgery, patients need to follow several preparation steps:
- Quit smoking or using nicotine products, as nicotine can significantly impact the healing process.
- Taper off medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort.
- Arrange for a trusted family member or friend to pick them up from the hospital or clinic after the surgery.
- Designate a comfortable space at home for recovery and place necessary items within reach.
- Plan to rest and recuperate for 2 - 3 weeks.
- Purchase any recommended surgical bras in advance to ensure proper support during recovery.
Procedure Steps
The breast augmentation procedure typically involves the following steps:
- Anesthesia: The patient will be given either general anesthesia or intravenous sedation anesthesia, depending on their preferences and the surgeon's recommendation. This ensures the patient's comfort and safety during the procedure.
- Incisions: The surgeon will make small incisions to create a pocket for the implant. There are several incision options, including inframammary (under the breast), periareolar (around the areola), transaxillary (under the armpit), and transumbilical (in the belly button for TUBA). The choice of incision depends on the type of implant, the patient's anatomy, and the surgeon's preference. Each approach has its advantages and disadvantages, as detailed by various clinics such as Aristocrat Plastic Surgery and StudioMD.
- Implant Placement: The implant can be placed either in the submuscular plane (under the pectoral muscles) or subglandular (above the pectoral muscles). The decision depends on factors such as the patient's anatomy, age, and vocation. Patients with signs of ptosis or sagging skin may have their implants placed subglandularly, while those seeking a more subtle enhancement may choose submuscular placement. The surgeon will ensure the implant is centered, symmetrical, and in the ideal position for the desired outcome.
- Closure: After the implant is placed, the surgeon will close the incisions with sutures and wrap the area with a compression garment to protect the results.
Recovery and Results
Recovery Process
After the surgery, patients can expect the following during the recovery process:
- Immediate Post - Operative Period: Patients will be closely monitored in the recovery area until the effects of anesthesia wear off. They may experience moderate symptoms of fatigue, discomfort, swelling, and bruising. A prescription for pain medication will be provided to ease the discomfort, which is usually most pronounced in the first few days.
- Swelling and Bruising: Swelling and bruising around the breast area are common and typically peak within the first few days. They will gradually subside over the following weeks. Most patients will notice a significant reduction in swelling within 6 - 8 weeks.
- Compression Bra: Patients will be provided with a surgical compression bra to wear for the next few weeks as they heal. This helps reduce swelling and supports the healing process.
- Activity Restrictions: Patients are advised to limit physical activity, especially in the first week or two. Heavy lifting and strenuous exercise should be avoided. Most women can return to light daily activities within a week and resume more strenuous activities, such as going to the gym, at 6 - 8 weeks.
- Stitches or Sutures: The surgeon may use dissolvable sutures or sutures that need to be removed in a follow - up appointment, typically within a week or two.
- Follow - up Appointments: Patients will have several follow - up appointments with the surgeon to monitor the healing progress and address any concerns or questions. These appointments are crucial for ensuring a smooth and successful recovery.
Final Results
Although the breasts may feel overly firm and tight initially, within a few months, the implants will settle into place, and patients can celebrate their final results. The results of breast augmentation are long - lasting, but factors such as pregnancy, nursing, and significant weight changes may cause natural drooping over time. In such cases, patients may consider additional procedures, such as a breast lift or implant replacement.
Possible Complications
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 not breast cancer but a form of non - Hodgkin’s lymphoma that can be effectively treated. It appears to be associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). Although the actual number of cases worldwide is not confirmed, it is approaching 400 cases. There have only been two cases associated with smooth implants, and those patients had previously placed textured implants. Patients should follow their surgeon's instructions on monitoring their implants and report any unusual signs or symptoms promptly.
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, including 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 that naturally develops around the implant becomes excessively tight. This can cause the implant to take on a distorted and unnatural shape or rupture. Subglandular implants are more likely to develop capsular contracture compared to submuscular implants.
Choosing the Right Hospital and Surgeon
When considering breast augmentation with teardrop - shaped prostheses in New York City, it is essential to choose the right hospital and surgeon. Here are some factors to consider:
- Credentials: Ensure that the surgeon is board - certified and has extensive experience in performing breast augmentation