Top Hospitals for Endoscopic Dual - Plane Breast Augmentation Surgery in New York City in 2025

Introduction

Endoscopic dual - plane breast augmentation surgery has become a highly sought - after procedure for those looking to enhance their breast appearance. New York City, being a global hub for medical excellence, offers numerous options for this type of surgery. In this article, we will explore some of the best hospitals and surgeons in the city for endoscopic dual - plane breast augmentation, along with the details of the procedure, implant options, and other related information.

What is Endoscopic Dual - Plane Breast Augmentation?

Endoscopic dual - plane breast augmentation is a surgical technique that combines the benefits of submuscular and subglandular implant placement. In this approach, the implant is initially placed under the pectoralis major muscle, similar to the submuscular placement. Then, the interface between the breast gland and the muscle is freed up, allowing the implant to slide and contact the bottom part of the breast gland. This hinges the breast mound and tissue, giving a small lift to the breasts.

Compared to other placement methods, dual - plane placement can provide a more natural look and feel. It helps to prevent the “double bubble” deformity and reduces the risk of visible implant edges, especially in patients with less breast tissue. The use of an endoscope in the procedure allows for more precise placement of the implant and minimizes tissue trauma.

Benefits of Endoscopic Dual - Plane Breast Augmentation

• Natural Appearance: The dual - plane technique creates a more natural breast contour as the implant is supported by both the muscle and glandular tissue, mimicking the look of natural breasts.
• Reduced Risk of Complications: By distributing the implant's weight more evenly, it can lower the risk of capsular contracture, which is a hardening of the fibrous tissue around the implant.
• Enhanced Upper Pole Fullness: This technique can improve the fullness of the upper part of the breast, which is often a concern for many patients seeking breast augmentation.
• Customizable Results: Surgeons can adjust the amount of muscle coverage and glandular release according to the patient's anatomy and desired outcome, allowing for a more personalized procedure.

Top Hospitals and Surgeons in New York City for Endoscopic Dual - Plane Breast Augmentation

1. Mount Sinai - New York

Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation procedures. They offer a comprehensive approach to breast augmentation, using the latest technologies to ensure patient satisfaction. Their advanced 3D imaging technology allows patients to visualize how their larger breasts will look on their unique body before scheduling the surgery.

Implant Options: Mount Sinai provides two main types of breast implants: silicone and saline. Silicone breast implants look and feel more natural in the breasts, while saline implants are firmer and rounder. They also offer a natural fill option, which is a fat transfer technique pioneered and perfected by their surgeons. This two - step procedure involves removing fat from the buttocks or abdomen and inserting it into the breasts.

Patient Care: Before the surgery, patients have in - depth consultations with their surgeons. The surgeons listen carefully to understand the patient's desires for enhancing their breast size and help them decide on the size and shape that will look best for their body. The medical team also conducts a physical exam and asks health - related questions to confirm the patient's candidacy for breast augmentation.

2. Zuckerman Plastic Surgery

Dr. Zuckerman, an expert in breast augmentation, is well - known for his personalized approach to each patient. He has performed a large number of breast augmentation procedures in his midtown Manhattan practice. Breast augmentation is one of the most common breast surgical procedures he conducts, and he is dedicated to achieving beautiful, natural - looking, and symmetrical breasts.

Procedure Details: Dr. Zuckerman offers all three common breast augmentation techniques and makes recommendations based on the patient's existing breast tissue and other criteria. He performs endoscopic dual - plane placement in many cases, making the breast pocket under the pectoralis major muscle and freeing up the interface between the breast gland and the muscle. During the surgery, he uses a “no - touch” technique with a Keller funnel to place the implant, maximizing sterility and reducing the risk of capsular contracture.

Recovery and Aftercare: Dr. Zuckerman uses techniques to minimize swelling and downtime after surgery. He employs Exparel®, a long - acting analgesic, to manage pain effectively. Patients typically have a “rapid recovery,” with many able to return to work within a week if their job does not involve physically intensive movement. He also provides a comprehensive postoperative scar care regimen for up to one year after surgery.

3. Steven Wallach, MD

Dr. Steven Wallach has extensive experience performing breast augmentation procedures in New York City. He is known for his patient - centered approach, taking into account the patient's individual anatomy and lifestyle when planning the surgery. He offers a variety of implant options and surgical techniques to achieve the desired results.

Implant Features: Dr. Wallach helps patients choose the appropriate breast implant size, shape, and profile. The size is measured in cc's, and he works closely with each patient to ensure the implant size will endow optimal results. Breast implants come in round or anatomical shapes, and he offers different profiles, including moderate, moderate plus, high, and ultrahigh profile implants.

Dual - Plane Placement: Dr. Wallach performs most breast augmentations using dual - plane placement. This allows the implant to receive partial coverage from both the muscle and glandular tissue at ideal locations, providing the benefits of both placement methods. He also discusses the various incision techniques with patients, such as transaxillary, inframammary, periareolar, transumbilical, and trans - abdominal breast augmentation, and helps them choose the most suitable option.

4. Doctors Plastic Surgery

Doctors Plastic Surgery in New York City offers affordable breast augmentation procedures without compromising on quality. Their double - board - certified surgeons have performed thousands of successful procedures, and they are dedicated to providing personalized care to each patient.

Implant Types: They offer three main types of breast implants: silicone, saline, and gummy bear implants. Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. Saline implants are filled with sterile salt water and can be adjusted for size during surgery. Gummy bear implants, also known as form - stable implants, are filled with a thicker silicone gel that maintains its shape even if the implant shell is broken.

Patient Satisfaction: The clinic has a high patient satisfaction rate, with many patients reporting beautiful, natural - looking results and an improvement in their self - confidence. They provide free consultations to discuss the patient's goals, evaluate their needs, and develop a personalized treatment plan.

5. Blaine Plastic Surgery

Blaine Plastic Surgery offers a wide variety of implant options and the ability to use patients' own body fat for breast augmentation. Their surgeons are experienced in performing endoscopic dual - plane breast augmentation and focus on achieving customizable cosmetic results tailored to each patient's goals.

Implant Options: They offer saline, silicone gel, and ideal implants. Saline breast implants are a traditional option, filled with sterile salt water. Silicone gel breast implants are the most commonly requested, providing a natural look and feel. Ideal implants are a new option that bridges the gap between saline and silicone gel implants, reducing the chances of implant rippling.

Patient Care Process: During the consultation, the surgeons ensure that patients are well - informed about all the options of breast augmentation surgery and confident in their surgical plan. The surgery is an outpatient procedure generally performed under general anesthesia, and the recovery process is closely monitored to ensure optimal results.

6. Cangello Plastic Surgery

Dr. David L. Cangello, a board - certified plastic surgeon, is known for his artistic approach to breast surgery. He offers personalized treatment plans to meet each patient's aesthetic goals, whether it's a subtle look or bold cosmetic enhancements.

Implant and Placement Choices: Dr. Cangello guides patients through the process of deciding on the size and shape of their implants, as well as the placement. He offers both round and contoured breast implants. For implant placement, he usually avoids the transaxillary technique due to its higher rate of implant malposition and prefers the “no - touch” method with a Keller funnel for silicone implants to minimize incision size and infection risk.

Recovery and Follow - up: The recovery process is explained in detail to patients, and they can expect their recovery to take approximately four to six weeks. Dr. Cangello provides pain medication to alleviate any discomfort and has a standard follow - up schedule to ensure optimal healing.

7. Dr. Darrick Antell

Dr. Darrick Antell is a renowned breast augmentation surgeon in New York City. He has performed more than ten thousand plastic surgery procedures, including thousands of breast augmentation surgeries. He is dedicated to providing beautiful, long - lasting results with reduced risk of complications.

Procedure Expertise: Dr. Antell customizes the chosen incision method and implant placement according to the patient's anatomy. He can place the implant either subglandularly or submuscularly, discussing the pros and cons of each option with the patient. He uses multiple layers of internal, dissolving sutures to close the incisions and takes every effort to ensure natural - looking results.

Complication Management: Dr. Antell is well - equipped to handle complications such as capsular contracture. He uses an acellular dermal matrix (ADM) to prevent capsular contracture and has had very promising results. He also provides a thorough discussion of all risks during the initial consultation.

Breast Implant Options

When considering endoscopic dual - plane breast augmentation, patients have several implant options to choose from. The choice of implant depends on various factors, including the patient's body type, desired outcome, and personal preferences.

Silicone Implants

Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are known for their natural appearance and softness. Most patients find that silicone implants feel more natural to the touch and look more aesthetically pleasing. However, they are pre - filled by the manufacturer, and larger incisions were traditionally required for insertion. But with the use of techniques like the Keller funnel, the incision size can be minimized. The FDA suggests MRI scans every few years to monitor the condition of the implant shell, although this is only a recommendation and not mandated. Silicone implants are approved for patients who are at least 22 years old.

Saline Implants

Saline implants are filled with sterile salt water. They can be adjusted for size during surgery, and a smaller incision size can be utilized for insertion since they are inflated inside the breast pocket. If a saline implant ruptures, the sterile saline water gets absorbed by the body, and it is usually easy to tell that it deflated. Saline implants are often preferred by younger patients and those who are opposed to using silicone gel implants. They are approved for patients who are 18 years of age or older.

Gummy Bear Implants

Gummy bear implants, also known as form - stable implants, are filled with a thicker silicone gel that maintains its shape even if the implant shell is broken. They provide a natural look and feel, with less risk of rippling. These implants are more firm compared to traditional silicone implants and require a larger incision for insertion. They are all textured and have a bio - dimensional shape, which helps them to stay in place better within the breast pocket.

Ideal Implants

Ideal implants are a new type of structured saline breast implant with a double - baffled shell. This advanced internal structure controls the movement of the saline within and provides support similar to a silicone gel implant, reducing the chances of implant rippling. They bridge the gap between saline and silicone gel implants, offering patients the best of both worlds.

Considerations Before Choosing a Hospital and Surgeon

Choosing the right hospital and surgeon for endoscopic dual - plane breast augmentation is a crucial decision. Here are some important factors to consider:

Surgeon's Experience and Qualifications

Look for a surgeon who is board - certified in plastic and reconstructive surgery and has extensive experience performing endoscopic dual - plane breast augmentation. Check their educational background, training, and any awards or recognition they have received. Surgeons who have performed a large number of these procedures are more likely to have the skills and expertise to handle any complications that may arise.

Patient Reviews and Testimonials

Read patient reviews and testimonials to get an idea of the surgeon's reputation and the quality of care provided by the hospital. Positive reviews can give you confidence in your choice, while negative reviews can alert you to potential issues. You can also ask for before - and - after photos of the surgeon's previous patients to see the results they have achieved.

Hospital Facilities and Safety

Ensure that the hospital has state - of - the - art facilities and is accredited by relevant organizations. A well - equipped hospital with experienced staff can provide a safe and comfortable environment for the surgery. Also, inquire about the hospital's safety protocols, such as infection control measures and emergency response plans.

Cost and Insurance

Breast augmentation is usually considered a cosmetic procedure and is not covered by insurance. However, in some cases, such as breast reconstruction after cancer treatment, insurance may cover the cost. Discuss the cost of the surgery, including the surgeon's fee, operating room fees, anesthesia fees, and any follow - up care. Some hospitals may offer financing options to help manage the cost.

Communication and Comfort

During the consultation, pay attention to how well the surgeon communicates with you. A good surgeon will listen to your concerns, answer all your questions, and provide clear and detailed information about the procedure, risks, and expected outcomes. You should feel comfortable and confident in the surgeon's abilities and trust them to make the best decisions for your health and appearance.

Recovery Process after Endoscopic Dual - Plane Breast Augmentation

The recovery process after endoscopic dual - plane breast augmentation varies from patient to patient, but there are some general guidelines:

Immediate Post - Surgery

After the surgery, you will be monitored in the recovery suite until you are fully awake from the anesthesia. You will have a surgical dressing over your incisions and will be wearing a post - surgical bra. You may feel some pain, tightness, or soreness in your breasts, and the surgeon will prescribe pain medication to alleviate the discomfort. You will need to have someone drive you home and assist you for the first 24 hours.

First Few Weeks

Most patients are advised to avoid heavy lifting, strenuous exercise, and certain activities for a few weeks after the surgery. You may experience some swelling and bruising, which should gradually subside over time. You will need to wear the post - surgical bra as recommended by your surgeon to support the breasts and aid in the healing process. You may also need to attend follow - up appointments with your surgeon to monitor your progress.

Long - Term Recovery

The final results of the surgery will become more apparent as the swelling goes down and the implants settle into place. This can take several months. Your scars will gradually fade, but they may never completely disappear. It is important to follow your surgeon's instructions regarding post - operative care, including scar care and any additional treatments. You should also continue to have regular check - ups and mammograms as recommended by your doctor.

Potential Risks and Complications

Like any surgical procedure, endoscopic dual - plane breast augmentation carries some risks and potential complications. These include:

• Capsular Contracture: This is the most common complication, where the scar tissue around the implant tightens, causing the breast to feel hard and possibly look misshapen. It can be treated by removing the implant and scar tissue and, if desired, placing new implants.
• Implant Rupture or Leakage: Although rare, implant rupture or leakage can occur. Saline implants will deflate if they leak, while silicone implants may require an MRI to detect a leak. In either case, the implant may need to be replaced.
• Infection: Infection at the incision site can occur, usually within the first week after surgery. It can be treated with antibiotics, and in some cases, the implant may need to be removed.
• Changes in Sensation: Some patients may experience changes in nipple or breast sensation, which may be temporary or permanent.
• Asymmetry: There may be some degree of asymmetry in the size or shape of the breasts after the surgery, although experienced surgeons take measures to minimize this risk.
• Visible Wrinkling or Rippling: This is more common with