Introduction
Breast augmentation has become one of the most sought - after cosmetic surgeries in the United States, including in the bustling city of New York. Women often opt for this procedure to enhance their body confidence, restore breast volume after pregnancy or weight loss, or simply achieve their ideal breast profile. In New York City, there are several renowned hospitals and medical practices that specialize in breast augmentation, each with its own unique techniques and approaches. This article will take a detailed look at the top 5 hospitals for female breast augmentation in New York City, exploring what makes each of them stand out.
Overview of Breast Augmentation
Breast augmentation is a surgical procedure that aims to enhance the volume and shape of the breasts. It has been a popular choice for women for many years, with continuous improvements in techniques and implant technology. As reported by the American Society of Plastic Surgeons, in 2020 alone, nearly 200,000 women in the US underwent breast augmentation, even during the global pandemic. There are two main types of breast implants: silicone and saline. Silicone implants, filled with silicone gel, are known for their natural look and feel and are the most frequently chosen by women. In 2020, approximately 84% of all breast augmentations in the United States were performed with silicone implants. Cohesive silicone gel implants, also known as gummy bear implants, have become increasingly popular due to their ability to provide a natural and proportionate breast shape and feel. They feature a more stable gel that holds its form better and reduces the risk of leakage.
Top 5 Hospitals for Female Breast Augmentation in New York City
1. Dr. John E. Sherman's Practice
About the Surgeon
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is renowned for his commitment to patient care and excellent results. His work is centered around developing an individualized approach for each patient, allowing them to achieve their desired breast profile.
Unique Techniques
- Implant Selection: Dr. Sherman has a deep understanding of different breast implants. He was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants. These FDA - approved devices feature an anatomically shaped silhouette that closely resembles the curve of a woman’s breast, making them a popular choice for augmentation and breast reconstruction. He works closely with patients to identify the implant specifications, including material, shape, size, and texture, that will deliver optimal results.
- Personalized Consultation: During the consultation, Dr. Sherman takes the time to understand the patient's aesthetic goals, reviews their medical history, and examines their breasts. He provides detailed information about the procedure, possible complications, and recovery, enabling patients to make confident decisions.
Patient Experience
Patients who choose Dr. Sherman can expect a high - level of personalized care. The practice offers in - person and virtual consultations for out - of - town patients. After the surgery, they guide patients through the recovery process, ensuring that they are well - informed and comfortable at every step.
2. Mount Sinai - New York
About the Hospital
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation. The hospital is committed to using the latest technologies to ensure patient satisfaction with the results.
Unique Techniques
- 3D Imaging Technology: Before scheduling the surgery, Mount Sinai uses advanced 3D imaging technology. This technology allows patients to visualize how their larger breasts will look on their unique bodies. By showing different options on a computer monitor, patients can virtually “try on” different sizes of breasts, helping them make a more informed decision about the size and shape they desire.
- Naturalfill Technique: Mount Sinai surgeons have pioneered and perfected the Naturalfill® technique, a fat transfer method for breast augmentation. This two - step procedure involves removing fat from the patient's buttocks or abdomen through liposuction and then immediately inserting the fat into the breasts. It offers a natural alternative to traditional breast implants and is a win - win for patients as it helps to enhance the breasts while using the patient's own fat.
Patient Experience
The hospital focuses on patient comfort and satisfaction. Surgeons consult closely with patients, listening to their desires and helping them choose the best option for breast augmentation. They also perform a thorough physical exam and ask health - related questions to ensure that patients are suitable candidates for the procedure.
3. Lara Devgan, MD, MPH, FACS
About the Surgeon
Dr. Lara Devgan is a well - known plastic surgeon in New York City. Many women seek her out for breast augmentation, especially those who prefer a female plastic surgeon and desire natural - looking, beautifully contoured, and comfortable breast implants with a fast recovery and a subtle result.
Unique Techniques
- Comprehensive Consultation: During the initial meeting, Dr. Devgan examines, measures, and photographs the patient's breasts. She discusses the patient's medical history and surgical desires, shows samples of silicone and saline breast implants for patients to feel the difference, and allows patients to “try on” different sizes of implants. Additionally, she shows many before - and - after photographs so that patients can get a sense of typical results for someone with their body type.
- Efficient Surgery and Recovery: Surgery typically takes about one hour and can be performed either in her fully accredited private office operating room or at a top local hospital on the upper east side. After surgery, patients experience a relatively short recovery period. In the first 24 - 48 hours, there may be a small amount of swelling, bruising, and discomfort. Most patients can return to a desk job within 3 - 4 days, and by one month, the vast majority of patients feel “back to normal.”
Patient Experience
Dr. Devgan's practice caters to both local and out - of - town or international patients. Her patients often report high satisfaction with the results and the personalized care they receive. She and her team are dedicated to ensuring a positive experience throughout the entire process, from consultation to recovery.
4. Cohen/Winters Aesthetic & Reconstructive Surgery
About the Practice
Based in Bergen County, just outside New York City, Cohen/Winters Aesthetic & Reconstructive Surgery offers a combination of plastic surgery skill and patient - focused care. The surgeons at this practice have extensive experience in both plastic and reconstructive surgery.
Unique Techniques
- Reconstructive Experience for Augmentation: Their experience in reconstructive surgery has given them an in - depth knowledge of breast anatomy, form, and function. This allows them to achieve natural - looking breast implant results that align with each patient's unique needs and goals. They can also handle complex cases and address issues such as breast asymmetry or the aftermath of previous surgeries.
- Meticulous Surgical Technique: The practice uses a meticulous surgical technique to produce great breast augmentation outcomes with the smallest possible incisions. These incisions are strategically located to be invisible when the patient is clothed. Their technique also helps minimize complications and ensures the safety of the procedure.
Patient Experience
The team at Cohen/Winters takes the time to understand each patient's needs, desires, and medical history. They plan the surgery around the patient's requirements and support them throughout the recovery process. The practice encourages a no - risk consultation to help patients understand their best options for breast augmentation.
5. Dr. Adam R. Kolker's Practice
About the Surgeon
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. He has an impressive educational background, having trained at some of the most prestigious medical institutions in the world, including Harvard Medical School, New York University, and the University of Melbourne in Australia. He is also an associate clinical professor of surgery at the Mount Sinai School of Medicine.
Unique Techniques
- Artistic Approach to Breast Augmentation: Dr. Kolker believes that true artistry in breast augmentation is based on the concept that “beautiful” should be more important than “size.” He establishes each individual woman's aesthetic goals, distinct to her body type, to attain a proportionate outcome and the most natural results. He has a vast knowledge of different breast procedures, including breast asymmetry correction, breast lift, and breast reduction.
- Comprehensive Cosmetic Services: In addition to breast augmentation, his practice offers a wide range of cosmetic and reconstructive procedures for the face, body, and non - surgical treatments. This comprehensive approach allows patients to address multiple aesthetic concerns in one place.
Patient Experience
Dr. Kolker and his team offer comprehensive consultations, both virtually and in person. They provide detailed information about the procedure, answer all patient questions, and create a personalized treatment plan. Many patients have left positive testimonials about their experiences, highlighting the doctor's skill and the positive impact of the surgery on their lives.
Factors to Consider When Choosing a Hospital for Breast Augmentation
Surgeon's Expertise
The expertise of the surgeon is perhaps the most crucial factor. Look for a surgeon who is board - certified, has extensive experience in breast augmentation, and has a track record of successful surgeries. Surgeons like Dr. John E. Sherman, Dr. Lara Devgan, and Dr. Adam R. Kolker have well - established reputations in the field.
Techniques and Technology
Advanced techniques and technology can significantly improve the results and patient experience. For example, the 3D imaging technology at Mount Sinai or the experience with specific implants like Dr. Sherman's involvement with Natrelle 410 implants can make a difference in achieving the desired outcome.
Patient Experience and Reviews
Reading patient reviews and testimonials can give you an idea of the quality of care and the results that can be expected. A hospital or surgeon with positive patient feedback is more likely to provide a satisfactory experience.
Cost
Cost is also an important consideration. The cost of breast augmentation can vary depending on the surgeon, the type of implants used, and the complexity of the procedure. Some hospitals may offer financing options to make the surgery more accessible. For example, in Dr. Nadia Afridi's practice, the estimated breast augmentation cost is $8900, while for Dr. Richard Swift, it ranges from $5000 - $10000, and for Dr. Adam Kolker, it is between $9000 – $11000.
Preparing for Breast Augmentation
Preparing for breast augmentation is an important step to ensure a smooth procedure and recovery. Here are some general steps that patients are usually advised to take:
Consultation
Schedule a consultation with the chosen surgeon. During this consultation, discuss your aesthetic goals, medical history, and any concerns you may have. The surgeon will examine your breasts, take measurements, and recommend the most suitable type of implants and surgical approach.
Medical Evaluation
Undergo a thorough medical evaluation to ensure that you are in good health and a suitable candidate for the surgery. This may include blood tests, a physical exam, and a review of your medical history.
Lifestyle Changes
- Quit smoking or using any nicotine products, as nicotine can significantly impact your ability to heal after the treatment.
- Taper off current medications or supplements that may increase bleeding, such as blood thinners, ibuprofen, vitamin E, and St. John’s wort.
- Arrange to have a trusted family member or friend pick you up from the hospital after the surgery.
- Designate a comfortable space at home to recover and place necessary items within reach.
- Plan to take 2 - 3 weeks off work to rest and recuperate.
The Breast Augmentation Procedure
Anesthesia
Breast augmentation is typically performed under general anesthesia or intravenous sedation anesthesia, depending on the patient's preferences and the surgeon's recommendation. The anesthesiologist will monitor the patient's vital signs throughout the procedure to ensure their safety.
Incisions
There are several types of incisions that can be used for breast augmentation:
- Inframammary Incision: Made under the breast fold. It allows the surgeon good access and visibility, and the scar can be hidden under a bra or swimsuit. However, it may result in more visible scarring compared to other incisions, and if the implant is placed under the muscle, muscle cutting is required, which can lengthen the recovery time.
- Periareolar Incision: Made around the areola, the area around the nipple. This incision is well - hidden after healing. However, it restricts 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 potential impact on breastfeeding ability.
- Transaxillary Incision: Made in the armpit area. It leaves no scar on the breast, and the scar in the armpit generally becomes almost invisible over time. It is a good option for larger implants, and placing the implants beneath the pectoral muscle does not require muscle cutting. However, there can be some rubbing of the implant against the skin during insertion, which may cause bacterial complications, and patients cannot wear deodorant for a few weeks after surgery.
- Transumbilical Incision: Implants are inserted through the belly button. This is the least invasive option with almost no visible scarring on the breast. However, revision or implant replacement usually cannot be done through the same incision, silicone breast implants cannot be placed using this method, and it is more difficult to control bleeding and there is a slightly higher risk of implant damage.
Implant Placement
Implants can be placed either in the submuscular plane (under the pectoral muscles) or subglandular (above the pectoral muscles). The choice of placement depends on factors such as the patient's anatomy, age, and vocation. Patients with less breast tissue often have the implant placed under the muscle for a more natural appearance, while those with more breast tissue may have it placed above the muscle.
Recovery and Aftercare
Initial Recovery
In the initial days after surgery, it is normal to experience moderate symptoms of fatigue, discomfort, swelling, and bruising. Patients are usually given a prescription for pain medication to help ease the discomfort, which is typically most pronounced during the first few days. A surgical compression bra is also provided and should be worn for the next few weeks during the healing process.
Return to Normal Activities
Most patients can return to light activities and work in 2 - 3 weeks. At 6 - 8 weeks, they can resume more strenuous activities, including going to the gym. However, the exact timeline may vary depending on the individual patient and the type of surgery performed.
Long - Term Care
Patients need to follow up with their surgeon regularly to monitor the healing process and the condition of the implants. Over time, the breasts will continue to “settle” into their final position, and the swelling will gradually subside. It is also important to note that breast implants do not last forever and may need to be replaced at the end of their natural lifespan, which is usually around 10 years, although it can vary.
Possible Complications of Breast Augmentation
BIA - ALCL
Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL) is a rare but serious complication. Over the past few years, researchers have found that women with breast implants may have a small but increased risk of developing this non - Hodgkin’s lymphoma. It appears to be associated with textured implants and patients who develop a seroma (accumulation of fluid around the breast). While the number of cases worldwide is not confirmed, it is approaching 400 cases. It is not breast cancer and can be effectively treated in most cases.
Breast Implant Illness
Breast Implant Illness (BII) is a term used to refer to a broad variety of symptoms that women report after having implants placed. These symptoms include memory loss, “brain fog,” joint pain, and fatigue. However