Top Four of 325 Cases of Prosthetic Breast Augmentation in New York City in 2025!

Introduction

Breast augmentation is a popular cosmetic surgery that has transformed the lives of countless women in New York City. Among the many cases, we will delve into a comprehensive analysis of what might be considered the top four out of 325 cases of prosthetic breast augmentation in 2025. This article aims to provide in - depth insights into breast augmentation, including various aspects such as different types of implants, surgical procedures, recovery, and more, all based on information from top Google search results.

Understanding Breast Augmentation

Breast augmentation is a breast surgery that enhances the volume and shape of the breasts. It has been one of the most frequently performed cosmetic surgeries in the United States for nearly the past 20 years. In 2020 alone, nearly 200,000 women underwent breast augmentation, as reported by the American Society of Plastic Surgeons. There are multiple reasons why women opt for breast augmentation, such as enhancing their figure, correcting volume loss after pregnancy and breastfeeding, resolving breast asymmetry, or for reconstructive purposes after breast cancer treatment.

Benefits of Breast Augmentation

1. Enhanced Confidence: Many women experience a renewed sense of self - confidence and empowerment after achieving their desired breast size and shape. This new - found confidence can have a positive impact on various aspects of their lives, from personal relationships to professional opportunities.
2. Improved Proportions: It can enhance overall body proportions, helping create a balanced silhouette that aligns with aesthetic goals. For example, it can add balance to a feminine figure and make the body look more harmonious.
3. Customized Volume and Shape: With options for both saline and silicone implants in various shapes and sizes, the procedure can be tailored to achieve the look a patient desires. Surgeons work closely with patients to understand their goals and select the most suitable implants.
4. Rejuvenated Appearance: For women who have experienced volume loss due to aging, pregnancy, or weight changes, breast augmentation offers a way to restore fullness and create a youthful contour.
5. Corrected Asymmetry: It can help address natural asymmetry, creating a more symmetrical and aesthetically pleasing breast shape. This can be a significant concern for many women and can be effectively resolved through the surgery.
6. Broader Wardrobe Options: Achieving the ideal breast size opens up more choices in clothing, providing a comfortable and flattering fit in a wider variety of styles.

Types of Breast Implants

The Top Four Considerations in the 325 Cases

Surgeon's Expertise

The skill and experience of the surgeon play a crucial role in the success of breast augmentation cases. Renowned plastic surgeons in New York City, such as Dr. John E. Sherman, Dr. Adam R. Kolker, Dr. Darrick Antell, and Dr. David L. Cangello, have made significant impacts in the field.

• Dr. John E. Sherman: An experienced and acclaimed plastic surgeon, he is committed to patient care and excellent results. He worked closely with Allergan during the development of the Natrelle 410 cohesive gel breast implants. He takes an individualized approach, working closely with patients to develop a personalized treatment plan to help them achieve their desired breast profile.
• Dr. Adam R. Kolker: A double - board certified plastic surgeon in New York City. His education and training span prestigious medical institutions worldwide, including Harvard Medical School. He is featured in multiple top doctor lists such as New York Magazine's Best Doctors and Newsweek's America's Best Plastic Surgeons. He approaches breast augmentation with a combination of scientific mastery and artistic creativity, delivering beautiful, natural, and proportional results.
• Dr. Darrick Antell: A board - certified plastic and reconstructive surgeon who has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He is listed in multiple magazines as one of the best breast plastic surgeons in the country. Dr. Antell focuses on achieving beautiful, long - lasting results with a reduced risk of complications and a look that is perfectly balanced with the patient's frame.
• Dr. David L. Cangello: A board - certified plastic surgeon experienced in the art of cosmetic breast surgery. He is known for his artistic approach, combining medical precision with aesthetics. His superior results have earned the trust of professional models from top agencies. He offers personalized treatment plans, including breast lift, breast revision, and natural augmentation with fat transfer.

Patient Selection

Selecting the right patients for breast augmentation is essential for a successful outcome. Ideal candidates are generally women in good health who understand the procedure and have realistic expectations. Some common criteria include:

• Healthy and without breast - related health concerns or other underlying health issues.
• Non - smokers or willing to quit until completing recovery, as smoking can significantly impact the healing process.
• Understanding of what the surgery entails and willingness to follow pre - and post - operative instructions.
• Not currently pregnant or breastfeeding.
• Having realistic expectations for what the procedure can achieve, such as not expecting a completely perfect result or expecting the implants to last a lifetime without any issues.
• Awareness of the risks and benefits associated with synthetic implants.

Implant Choice

The choice of breast implant is a highly individualized decision based on multiple factors.

Material

As mentioned earlier, silicone and saline are the two main materials. Silicone is preferred by many for its natural feel, while saline may be a better option for those concerned about smaller incisions or cost. Some patients may also opt for natural fill if they prefer using their own body fat.

Shape

Round implants add volume higher on the chest and are a popular choice for patients seeking a fuller look. Anatomic (teardrop - shaped) implants have a more natural slope and are designed to replicate the form of the natural breast. However, anatomic implants carry a risk of rotation, which can result in an unnatural appearance if not corrected.

Size

Implant sizes are measured in cubic centimeters, not bra cup size. The appropriate size depends on the patient's existing breast tissue, body frame, and desired results. Surgeons use techniques such as inflatable implant sizers during the consultation to help patients determine the best size for them.

Texture

Textured implants develop healthy scar tissue that attaches to the implant, reducing the risk of rotation. However, in recent years, there has been a link between textured implants and breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), a rare but treatable form of non - Hodgkin's lymphoma. Smooth implants, on the other hand, have a softer feel and more natural movement but may be more prone to visible rippling over time.

Surgical Techniques

Incisions

There are several options for incisions in breast augmentation:

• Periareolar Incision: Made around the areola (the area around the nipple). This incision is well - hidden upon healing but may restrict the size of silicone implants as they are pre - filled and need to fit through the incision. There is also a risk of nipple sensation loss and reduced ability to breastfeed in the future.
• Inframammary Incision: Done along the crease below the breast. The surgeon has good control and view with this incision, and the implants can be placed either above or below the chest muscle. However, it may result in more visible scarring, and cutting the muscle for submuscular placement can lengthen recovery.
• Transaxillary Incision: Made in the armpit area. There is no scarring on the breasts, and the scar in the armpit generally becomes less visible over time. This method is suitable for larger implants and does not involve cutting the muscle for submuscular placement. However, there can be rubbing of the implant against the skin during insertion, leading to potential bacterial complications, and patients cannot wear deodorant for a few weeks after surgery.
• Transumbilical Incision: The rarest type, where implants are inserted through the belly button. It has minimal scarring, is the least invasive, and requires only one incision. But revision or implant replacement may not be possible through the same incision, and there is a slightly higher risk of damage to the implant during the procedure.

Implant Placement

Implants can be placed either in the subglandular (above the pectoral muscles) or submuscular (under the pectoral muscles) plane. Submuscular placement may reduce the risk of capsular contracture but may require a longer recovery time. Women with less natural breast tissue may achieve a more natural - looking result with submuscular placement.

Case Studies Highlighting the Top Four Factors

Case 1: A 32 - Year - Old Mother Seeking Restoration

After having two children, this patient experienced significant breast volume loss and asymmetry. She chose Dr. John E. Sherman as her surgeon because of his reputation for personalized care. After a thorough consultation, they decided on silicone cohesive gel implants in an anatomic shape to achieve a natural look. The surgeon used an inframammary incision for better control and placed the implants submuscularly to reduce the risk of capsular contracture. The patient followed all pre - and post - operative instructions diligently and was very satisfied with the result, which restored her confidence and gave her a more proportionate figure.

Case 2: A 26 - Year - Old Model Desiring Enhancement

This young model wanted to enhance her breasts to better fit into her clothing and boost her confidence on the runway. She selected Dr. Adam R. Kolker due to his artistic approach and his experience working with models. They opted for round silicone implants for a fuller look. The surgeon used a periareolar incision to minimize visible scarring. The patient was a non - smoker and strictly adhered to the recovery plan. The result was a subtle yet impactful enhancement that maintained her natural appearance and met her aesthetic goals.

Case 3: A 40 - Year - Old Woman with Asymmetry

Having dealt with breast asymmetry for years, this patient came to Dr. Darrick Antell. After a comprehensive evaluation, it was decided that she would benefit from different - sized saline implants to correct the asymmetry. The surgeon used a transaxillary incision to avoid scarring on the breasts. The submuscular placement was chosen to ensure a more natural look. The patient was well - informed about the procedure and followed all advice, and she was extremely happy with the final symmetrical result.

Case 4: A 37 - Year - Old Professional Seeking Rejuvenation

This professional woman had experienced breast volume loss due to aging and weight fluctuations. She selected Dr. David L. Cangello because of his expertise in both cosmetic and reconstructive breast surgery. They decided on a combination of a breast lift and breast augmentation with silicone implants. The "no - touch" method using a Keller funnel was employed to minimize the incision size. The patient was well - prepared for the surgery and recovery, and the outcome was a more youthful and rejuvenated breast appearance.

Recovery and Post - Surgery Care

Recovery from breast augmentation is an important phase that requires careful attention and following the surgeon's instructions.

• Immediate Post - Surgery: After the surgery, patients are usually provided with a prescription for pain medication to manage discomfort. They will wear a surgical compression bra to minimize swelling and support the breasts. Most patients can go home the same day (as it is an outpatient procedure) but need an escort due to the effects of anesthesia.
• First Few Days: It is normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. Patients should rest at home, with necessary items within reach. They should avoid strenuous activities and lifting heavy objects.
• Return to Normal Activities: In general, patients can return to work in 4 - 5 days if the implants are placed above the muscle, or a full week if they are placed under the muscle. Non - impact activity can usually commence in a week, while strenuous exercise and activities involving impact should be avoided for at least a month. Certain upper body exercises can be resumed in about six weeks, and patients should refrain from lifting anything above their head for six weeks.
• Scarring: Scars will be firm and pink for at least six weeks. Over time, they will begin to fade but may never disappear completely. Surgeons may recommend scar - reducing treatments or creams to improve the appearance of scars.
• Long - Term Follow - Up: Regular follow - up appointments with the surgeon are essential to monitor the healing process, check for any complications, and ensure the long - term health of the breasts. This may include mammograms, which may require special techniques due to the presence of implants.

Potential Complications

While breast augmentation is generally a safe procedure when performed by a qualified surgeon, there are some potential complications:

• Capsular Contracture: This is the most common complication, where the scar tissue around the implant tightens, causing hardening, pain, and a misshapen appearance. It can be treated by removing the implant and scar tissue and, if desired, placing new implants. Some surgeons use acellular dermal matrix (ADM) to help prevent capsular contracture.
• Bleeding and Infection: Bleeding can occur during or after the surgery, and infection may present within a week after the procedure. Both can usually be treated, but in severe cases, it may require additional surgical intervention.
• Implant Rupture or Leakage: Implants can rupture due to injury or normal wear and tear. In the case of saline implants, the salt - water is harmlessly absorbed by the body, while silicone implants may require more complex evaluation and possible replacement.
• Changes in Sensation: There may be a loss of sensation in the nipple or breast, which can be temporary or permanent. This can affect the ability to breastfeed and may also impact sexual sensitivity.
• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): A rare but serious complication associated with textured implants. It is a form of non - Hodgkin's lymphoma that can be effectively treated if detected early.

Conclusion