Introduction
Breast augmentation is a popular cosmetic procedure that can enhance a woman's figure and boost her self - confidence. In New York City, there are several hospitals known for their regular practices and strong capabilities in Demi breast prosthesis augmentation. Let's explore five of these top - notch medical institutions.
1. Mount Sinai - New York
Surgeon Expertise
Mount Sinai's plastic surgeons are highly experienced in performing breast augmentation surgeries. Their extensive training allows them to understand the unique needs of each patient. They have graduated from some of the world's most prestigious medical institutions and keep up - to - date with the latest advancements in plastic surgery techniques. For example, they use state - of - the - art 3D imaging technology to help patients visualize the results of their breast augmentation. This technology shows how different sizes and shapes of breasts will look on the patient's unique body, enabling them to make more informed decisions.
Treatment Options
Breast Implants
- Silicone Breast Implants: These implants are known for looking and feeling natural in the breasts. They closely mimic the texture and appearance of real breast tissue, providing a more aesthetically pleasing result. The silicone gel inside the implant gives it a soft and supple feel, similar to that of natural breasts.
- Saline Breast Implants: Saline implants are firmer and rounder. They are filled with a saline solution (a mixture of salt and water). One advantage of saline implants is that if they rupture, the body can safely absorb the saline solution. Additionally, Mount Sinai surgeons can use smaller incisions with saline implants as they are filled after being inserted into the breast pocket.
Naturalfill
Mount Sinai surgeons have pioneered and perfected the Naturalfill® technique, which is a fat - transfer method for breast augmentation. First, the surgeon removes fat from the patient's buttocks or abdomen using liposuction. Then, the extracted fat is immediately inserted into the breasts to increase their size. This approach uses the patient's own body fat, providing a more natural - looking and feeling result. It also has the added benefit of contouring other areas of the body where the fat is removed.
Consultation Process
During the consultation, the plastic surgeon listens carefully to the patient's desires for enhancing their breast size. They take the time to understand the patient's aesthetic goals and help them decide on the most suitable size and shape for their body. The surgeon also explains the entire procedure, including what happens during the surgery, the recovery process, and any potential risks or complications. A physical exam is conducted, along with a series of health - related questions to confirm that the patient is a suitable candidate for breast augmentation.
Long - term Results
Patients can expect the results of their breast augmentation at Mount Sinai to last for many years. However, factors such as pregnancy, nursing, and significant weight changes can cause natural drooping of the breasts over time. In such cases, the hospital offers options like breast lift procedures or replacing the breast implants to help maintain the desired appearance.
2. Dr. Adam R. Kolker - New York City
Surgeon's Qualifications
Dr. Adam R. Kolker is a double - board - certified plastic surgeon with an outstanding educational background. He has trained at institutions like Harvard Medical School, New York University, and the University of Melbourne in Australia. As an associate clinical professor of surgery at the Mount Sinai School of Medicine, he is at the forefront of plastic surgery advancements in New York City. He has been featured in multiple prestigious magazines as one of the best plastic surgeons, including New York Magazine's Best Doctors list from 2013 - 2024 and America's Best Plastic Surgeons by Newsweek in 2021 - 2024.
Breast Procedures Offered
Breast Augmentation
Dr. Kolker approaches breast augmentation as an art form. He believes that "beautiful" should be more important than "size." For each patient, he establishes individual aesthetic goals based on their body type to achieve a proportionate and natural result. He offers a variety of implant options, including different sizes, shapes, and materials.
Breast Lift
Breasts that have sagged due to weight loss, pregnancy - related changes, or genetics can be addressed with a breast lift. Dr. Kolker determines the best lift techniques for each patient during a private consultation in his New York City plastic surgery office, taking into account the patient's goals and physicality.
Breast Reduction
Breast reduction at Dr. Kolker's practice is not just about reducing the size of the breasts. It also involves adjusting breast projection, position, and shape to achieve beautiful, natural - looking breasts. His sculptural artistry ensures that the end result is aesthetically pleasing.
Patient Experience
Dr. Kolker offers comprehensive consultations, both virtually and in person. His team is dedicated to facilitating a meeting at a convenient time and location for the patient. He is not only a skilled surgeon but also a highly trained artist, which allows him to combine scientific and technical knowledge with artistic creativity. This combination enables him to deliver results that are beautiful, natural, and proportional. Many of his patients have shared positive testimonials, highlighting his skill, attention to detail, and the excellent results they have achieved.
3. Dr. John E. Sherman - New York
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 procedures. He has worked closely with leading companies in the field of cosmetic pharmaceuticals and devices, such as being a select investigator during the development of the Natrelle 410 cohesive gel breast implants.
Breast Implant Considerations
Types of Implants
There are two main types of implants available: saline and silicone. Saline implants are placed in the breast pocket and filled to the patient's desired volume during the procedure. Silicone implants are pre - filled and ready for insertion. Silicone implants are more popular, with approximately 84% of all breast augmentations in the United States in 2020 being performed with silicone implants. The cohesive silicone gel implants, also known as gummy bear implants, are becoming increasingly popular as they provide a natural and proportionate breast shape and feel.
Choosing the Right Implant
When choosing an implant, patients need to consider factors such as material, shape, size, and texture. The shape options include round implants, which add volume higher on the chest, and anatomical (teardrop - shaped) implants, which replicate the form of the natural breast. Implant sizes are measured in cubic centimeters, and the appropriate size depends on the patient's existing breast tissue and desired results. Texture also plays a role, as a textured surface can help prevent the implant from rotating or becoming displaced.
Procedure Details
Incisions
Dr. Sherman can make incisions in different locations, including the inframammary (under the breast), periareolar (around the areola), or transaxillary (under the armpit) areas. Each incision location has its own advantages and disadvantages, and the choice depends on the patient's unique case, the type of implant selected, and the goal for size, shape, and placement.
Implant Placement
The implants can be placed either submuscular (under the pectoral muscles) or subglandular (above the pectoral muscles). The decision is based on the patient's anatomy, age, and vocation. Patients with sagging skin or ptosis are typically candidates for subglandular placement.
Recovery and Results
After the surgery, patients can expect to experience moderate fatigue, discomfort, swelling, and bruising in the initial days. They are given pain medication and a surgical compression bra to aid in the healing process. In 2 - 3 weeks, they can resume light activities, and at 6 - 8 weeks, they can engage in more strenuous activities. The final results will become visible within a few months as the implants settle into place.
4. Dr. Darrick Antell - New York City
Surgeon's Accomplishments
Dr. Darrick Antell is a board - certified plastic and reconstructive surgeon. He has focused his career on aesthetic procedures and is among the most respected breast augmentation surgeons in the country. Trained at Stanford and Cornell, he has been honored for his groundbreaking research. His work has been displayed in the Smithsonian Museum, and he has been listed in multiple magazines, such as Harper’s Bazaar and Town and Country, as one of the best breast plastic surgeons in the nation.
Benefits of Breast Augmentation with Dr. Antell
- Enhanced Confidence: Many women gain a renewed sense of self - confidence and empowerment after achieving their desired breast size and shape.
- Improved Proportions: Breast augmentation can enhance overall body proportions, creating a balanced silhouette that aligns with the patient's aesthetic goals.
- Customized Volume and Shape: Dr. Antell offers options for both saline and silicone implants in various shapes and sizes, allowing for a customized look.
- Rejuvenated Appearance: For women who have experienced volume loss due to aging, pregnancy, or weight changes, breast augmentation can restore fullness and create a youthful contour.
- Corrected Asymmetry: The procedure can help address natural breast asymmetry, resulting in a more symmetrical and aesthetically pleasing breast shape.
- Broader Wardrobe Options: Achieving the ideal breast size opens up more clothing choices, providing a comfortable and flattering fit in a wider variety of styles.
Procedure and Risks
Breast Augmentation Process
The chosen incision method (below the breast crease, around the areola, or in the armpit) and implant placement (subglandular or submuscular) are customized to the patient's anatomy. Dr. Antell uses multiple layers of internal, dissolving sutures to close the incisions. The surgery usually takes between one to two hours.
Risks
Common risks include capsular contracture, where the capsule surrounding the implant restricts it, causing a misshapen appearance, hardening, and pain. Other risks are bleeding, infection, numbness, and implant rupture. Dr. Antell thoroughly discusses all risks with the patient during the initial consultation and offers preventive measures.
Recovery
Patients recover in Dr. Antell's state - of - the - art recovery suite. Breast augmentation is an outpatient procedure, and patients can return home the same day. They may feel tired or sore but can usually return to most daily activities within days. Strenuous exercise should be avoided for about two weeks, and full recovery typically takes several weeks to months.
5. Dr. Joshua A. Greenwald - New York
Surgeon's Experience
Dr. Joshua A. Greenwald is a board - certified New York plastic surgeon with significant experience in breast implant surgery. He performs hundreds of primary and revision breast augmentations yearly. He has been involved in research related to breast implants, serving as a clinical investigator for cohesive silicone gel implants. He has also been named a top doctor in New York every year since 2012.
Breast Implant Options
Saline vs. Silicone Implants
Type | Advantages | Disadvantages |
---|---|---|
Saline Implants | Smaller incisions can be used as they are filled after insertion; the body can safely absorb the saline filling in case of rupture | Do not resemble natural breast tissue as closely as silicone implants; more prone to folding or wrinkling; may be visible under the skin in thin patients |
Silicone Implants | Look and feel more like natural breasts; memory gel ® implants hold their shape well | Require slightly larger incisions for insertion; risk of “silent rupture,” which is harder to detect |
Placement and Incision Approaches
Implant Placement
Dr. Greenwald offers subglandular and submuscular placement options. He places more than 95 percent of his implants in the submuscular position due to its lower incidence of capsular contracture, ability to obtain high - quality mammograms, and more natural look.
Incision Approaches
- Inframammary: The incision is made in or near the breast's natural crease. It is easily concealed and allows for precise implant pocket creation and a clean entry for the implant.
- Periareolar: An incision is created around the outer perimeter of the areola. It is less visible in properly selected patients and can be reused for revision surgery.
- Transaxillary: The incision is made in the armpit area. An endoscope is used to create the implant pocket. It is a good option for larger implants, but there is a risk of implant malposition.
Recovery
Most patients are able to resume normal activities within days of the surgery. They may require little or no pain medication and experience little or no bruising. However, some patients may experience temporary or permanent changes in breast and nipple sensation. Patients are permitted to go to the gym at three weeks and are encouraged to sleep in a sports bra for three months.
Conclusion
New York City is home to several excellent hospitals and surgeons for Demi breast prosthesis augmentation. Each of the five institutions and surgeons discussed - Mount Sinai, Dr. Adam R. Kolker, Dr. John E. Sherman, Dr. Darrick Antell, and Dr. Joshua A. Greenwald - offers unique expertise, a variety of treatment options, and a commitment to patient care. Whether you are looking for a natural - looking result, a surgeon with a long - standing reputation, or a personalized approach to breast augmentation, these providers can meet your needs.
If you are considering breast augmentation, we encourage you to schedule a consultation with one or more of these experts. They can provide you with detailed information, answer your questions, and help you make an informed decision about your breast augmentation journey. Share this article with others who may be interested in learning more about breast augmentation in New York City, and explore related topics to further educate yourself on the procedure.