Top - Grade General Hospitals for Breast Prosthesis Augmentation and Autologous Fat Breast Augmentation in New York City

Introduction

Breast augmentation is a popular cosmetic procedure that offers women the opportunity to enhance their appearance, boost self - confidence, and achieve a more proportionate figure. In New York City, there are several top - grade general hospitals and well - known plastic surgeons that excel in both breast prosthesis augmentation and autologous fat breast augmentation. This article will explore some of the leading institutions and surgeons in the city, discuss the procedures, benefits, risks, and help you make an informed decision.

Popular Hospitals and Surgeons for Breast Augmentation in NYC

Mount Sinai

Mount Sinai is a well - respected medical institution in New York City. Their plastic surgeons have extensive experience in breast augmentation procedures. They offer various options for breast augmentation, including breast implants and a unique fat transfer technique called Natural Fill®.

• Services Offered: They have two main types of breast implants - silicone and saline. Silicone breast implants look and feel natural in the breasts, while saline breast implants are firmer and rounder. The Natural Fill® method is a two - step procedure. First, fat is removed from the buttocks or abdomen using liposuction, and then it is immediately inserted into the breasts to enlarge them.
• Patient Consultation: Before the surgery, they use advanced 3D imaging technology to help patients visualize how their larger breasts will look. Surgeons consult with patients, listen to their desires for breast - size enhancement, and help them decide on the size and shape that will look best for their bodies.
• Expected Results and Long - term Outlook: Patients can expect their breast augmentation results to last for years. However, factors such as pregnancy, nursing, and significant weight gain or loss may cause natural drooping over time. In such cases, a breast lift or replacement of breast implants may be considered.

Dr. David L. Cangello

Dr. Cangello is a board - certified plastic surgeon known for his artistic approach to breast surgery. He has earned the trust of professional models from top agencies.

• Services Offered: He offers a full range of cosmetic breast surgery, including breast lift, breast revision, and natural augmentation with fat transfer. He is one of only two surgeons in the world trained in fat grafting techniques by one of the pioneers in the field, Dr. Sydney Coleman.
• Implant Options: There are different choices for breast implants in terms of shape (round and contoured), placement (submuscular or subglandular), and incision (periareolar, inframammary, but he avoids transaxillary due to a higher rate of implant malposition). He uses both silicone and saline implants and has his own techniques to minimize incision size and infection risk.
• Patient Experience and Satisfaction: Clinical study surveys of his breast augmentation patients report a very high rate of satisfaction. Patients praise his thorough consultations, attention to detail, and the natural - looking results he achieves.

New York Group for Plastic Surgery

This group is dedicated to providing high - quality breast augmentation services in New York City.

• Augmentation Options: They offer breast implants and autologous fat transfer. Breast implants come in various shapes (round or anatomical), textures (smooth or textured), and sizes. Autologous fat transfer removes viable fat cells from areas with excess fat, such as the thighs, abdomen, or hips, and injects them into the breasts.
• Consultation Process: During the private consultation at their NYC or Tarrytown locations, board - certified plastic surgeons discuss the options, how the procedure will be performed, and what patients can expect from the results. They also use Vectra XT 3D - imaging to help patients visualize different implant combinations.
• Recovery and Long - term Results: The recovery process varies depending on the augmentation method. Breast implant augmentation may require a week of soreness and wearing a compression bra, while autologous fat transfer has a shorter recovery timeline. Most breast implants are estimated to last an average of ten years, and fat transfer results can be long - lasting if the transferred fat survives.

Dr. Barry Weintraub

Dr. Weintraub is a board - certified and Ivy League - educated plastic surgeon with over two decades of experience.

• Preferred Technique: He prefers to perform breast augmentation by inserting the implant through the armpit (transaxillary subpectoral approach). This method has several advantages, such as no jeopardy to nipple sensation, no hindrance to future breastfeeding, no visible scars near the breast, less pain, and less post - operative downtime.
• Safety and Success Rate: According to relevant plastic surgery societies, breast implants have not been shown to impair breast health. His breast augmentation surgery has a high patient satisfaction rate of 98%.
• Patient - centric Approach: He focuses on patient comfort during the surgery, using a state of the art operating room and ensuring sterile conditions. He also provides detailed pre - and post - operative instructions to his patients.

Columbia University's Plastic & Reconstructive Surgery

As one of New York's best hospitals and a world - top medical center, Columbia offers comprehensive plastic surgery services, including breast augmentation.

• Surgeon Expertise: Their plastic surgeons are proficient in multiple areas of specialization, ranging from routine non - surgical cosmetic procedures to complex reconstructive operations. The division is at the forefront of clinical and laboratory research in plastic surgery.
• Breast Augmentation in the Larger Program: Breast augmentation is part of their cosmetic care program, which also includes other procedures like ear and eyelid lifts, tummy tucks, etc. They can provide patients with personalized treatment plans based on their needs.
• Patient Resources: They offer educational guides to help patients make informed decisions about their cosmetic or reconstructive care. Patients can easily get in touch with their plastic surgeons by phone or online appointment.

Breast Prosthesis Augmentation

Types of Breast Implants

Implant Placement and Incision

• Implant Placement: Implants can be placed under the pectoral muscle (submuscular placement) or the breast tissue (subglandular placement). Submuscular placement may provide more coverage and a more natural look, especially in women with less breast tissue, but it may also be more painful during recovery. Subglandular placement is quicker to perform and may result in less post - operative discomfort, but there is a slightly higher risk of visible rippling.
• Incision Options:
  • Inframammary Incision: Placed underneath the breasts, just above the natural fold. It provides good access for implant placement and the scar is usually well - hidden.
  • Periareolar Incision: Around the lower edge of the areola. The scar is less noticeable as the areola has a different color and texture, but there may be a small risk of nipple sensation changes.
  • Transaxillary Incision: Near or within the armpit. There are no visible scars on the breast, but it may be more challenging to achieve precise implant placement, and there is a higher rate of implant malposition in some cases.

Autologous Fat Breast Augmentation

Procedure Steps

1. Liposuction: Fat is removed from a donor area of the body, such as the abdomen, thighs, or hips. The surgeon makes a tiny incision at the donor site and inserts a liposuction device's cannula to suction out the excess fat.
2. Purification: The removed fat needs to be purified to remove any other bodily fluids. This can be done by spinning the collected fat in a centrifuge or allowing it to separate by gravity and then collecting the fat for re - injection.
3. Injection: The purified fat is then injected into the breasts using multiple strategic injection sites to ensure an even distribution and a natural - looking breast shape.

Benefits and Limitations

• Benefits:
  • It uses the patient's own fat, so there is no risk of an allergic reaction to an implant.
  • It can also help contour the donor area by removing excess fat.
  • The results can be more natural - looking and feeling compared to some breast implants.
• Limitations:
  • It can only increase the breast size by about one cup size, so it may not be suitable for women looking for a very large increase in breast volume.
  • Some of the transferred fat may be reabsorbed by the body over time, so multiple sessions may be required to achieve the desired results.

Choosing the Right Option for You

Factors to Consider

• Desired Breast Size: If you want a significant increase in breast size, breast implants may be a better option. If you only desire a slight boost, autologous fat transfer could be considered.
• Body Type: Your body frame, amount of available breast tissue, and overall health can influence the choice of procedure. For example, women with very little body fat may not be good candidates for autologous fat transfer.
• Personal Preferences: Some women may prefer the idea of using their own body's material (autologous fat), while others may prioritize the long - term stability and predictability of breast implants.
• Recovery Time: Autologous fat transfer generally has a shorter recovery time compared to breast implant augmentation, especially in terms of the post - operative pain and restrictions.

Importance of Consultation

A consultation with a qualified plastic surgeon is crucial. The surgeon can assess your individual situation, listen to your goals and concerns, and recommend the most appropriate procedure. They can also explain the details of the surgery, including the risks, benefits, and expected results. During the consultation, you can ask questions, view before - and - after photos, and get a better understanding of what to expect throughout the process.

Risks and Complications

General Risks

• Infection: There is a risk of infection after both breast prosthesis augmentation and autologous fat breast augmentation. This can usually be treated with antibiotics, but in severe cases, it may require the removal of implants or other interventions.
• Bleeding: Some bleeding can occur during or after the surgery. In most cases, it can be managed, but excessive bleeding may require additional treatment.
• Changes in Sensation: Patients may experience temporary or permanent changes in nipple or breast sensation. This is more common with certain incision methods and implant placements.

Specific Risks for Breast Implants

• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): There is a small but increased risk associated with textured implants. It is a form of non - Hodgkin's lymphoma that can be effectively treated in most cases.
• Breast Implant Illness (BII): Women may report a variety of symptoms such as memory loss, joint pain, and fatigue after having implants placed. However, the cause and link to synthetic implants are still being investigated.
• Implant Rupture or Leakage: Although modern implants are more durable, there is still a risk of rupture or leakage, which may require implant replacement.

Specific Risks for Autologous Fat Transfer

• Poor Fat Survival: Some of the transferred fat may not survive, which can lead to uneven results or a need for additional procedures.
• Fat Necrosis: The fat cells may die, causing lumps or changes in the breast tissue. In some cases, these may need to be surgically removed.

Recovery Process

After Breast Prosthesis Augmentation

• Immediate Post - operative: After the surgery, patients will have a surgical dressing over the incisions and will wear a post - surgical bra. They may experience pain, tightness, swelling, and bruising in the breasts. Pain medication will be prescribed to alleviate discomfort.
• First Few Weeks: Most patients can return to non - strenuous activities within a week, but strenuous activities should be avoided for several weeks to a month. Follow - up appointments are usually scheduled at one week, four weeks, and 12 weeks to monitor the healing process.
• Long - term: It may take several months for the implants to settle into place, and the breasts may still feel firm and tight initially. The final results will become more apparent over time.

After Autologous Fat Breast Augmentation

• Immediate Post - operative: Patients may experience some bruising and swelling in both the donor area and the breasts. They will be required to wear a compression bra and limit strenuous activities.
• First Few Days: Most patients can