Silicone breast augmentation is a popular cosmetic surgery procedure that aims to enhance the size, shape, and symmetry of a woman's breasts. In New York City, there are several renowned hospitals and clinics offering this service with a variety of techniques. In this article, we will explore the top 5 hospitals for silicone breast augmentation plastic surgery in New York City and delve into the different techniques they employ.
1. Mount Sinai - New York
Overview
Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation surgeries. They prioritize patient satisfaction and use the latest technologies to ensure the best possible results. Before the surgery, they use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. This technology allows patients to virtually try on different sizes of breasts on a computer monitor, which helps them make more informed decisions about the size and shape they desire.
Techniques and Treatments
- Breast Implants: Mount Sinai offers two main types of breast implants - silicone and saline. Silicone breast implants look and feel natural in the breasts, closely mimicking the texture and appearance of real breast tissue. Saline breast implants, on the other hand, are firmer and rounder. The choice between the two depends on the patient's body type and desired outcome. The surgeon inserts the implant into the breast through a small incision under the patient's own breast tissue.
- Naturalfill: This is a fat transfer technique pioneered and perfected by Mount Sinai surgeons. It involves two steps. First, the surgeon removes fat from the patient's buttocks or abdomen using liposuction. Then, the removed fat is immediately inserted into the breasts to enlarge them. This method allows patients to use their own fat deposits to enhance their breasts, which can be a more natural - looking and appealing option for some.
Pre - surgery and After - care
During the consultation, the plastic surgeon at Mount Sinai explains the entire procedure, answers all the patient's questions, and performs a physical exam to confirm that the patient is a suitable candidate for breast augmentation. After the surgery, the patient is informed about the possible long - term effects such as natural drooping due to pregnancy, nursing, or significant weight changes. If necessary, options like a breast lift or implant replacement can be considered.
2. Cangello Plastic Surgery
Overview
Dr. David L. Cangello is a board - certified plastic surgeon at Cangello Plastic Surgery. He is known for his artistic approach to breast augmentation, combining medical precision with aesthetic principles. He has extensive experience in cosmetic breast surgery and has earned the trust of professional models from top agencies.
Techniques and Treatments
- Implant Options: Dr. Cangello offers a wide range of breast implant options. In terms of shape, there are round and contoured (teardrop) implants. Round implants have volume and fullness all around, and they contain a less cohesive gel, making them softer and more natural - feeling. Contoured implants have a subtle sloping shape to match the curves of natural breasts and require a textured surface to prevent rotation. In terms of material, he uses both silicone and saline implants. Silicone implants are pre - filled with a cohesive gel and feel more natural, while saline implants are filled at the treatment site and require a smaller incision. They are also approved for patients as young as 18, compared to 22 for silicone implants.
- Fat Grafting: Dr. Cangello is one of only two surgeons in the world trained in fat grafting techniques by a pioneer in the field. For patients seeking a modest size enlargement without implants, fat grafting can be a suitable option.
Pre - surgery and After - care
Dr. Cangello provides a warm and welcoming environment during the consultation. He addresses all the patient's questions and concerns, determines the patient's candidacy based on their medical history and current health, and develops a personalized treatment plan. He has a state - of - the - art operating room at his NYC office, and he only works with board - certified anesthesiologists for patient safety. After the surgery, patients are given pain medication to alleviate discomfort, and the recovery period typically takes about four to six weeks. Follow - up appointments are scheduled at one week, four weeks, and 12 weeks after the procedure to ensure optimal healing.
3. Millennial Plastic Surgery
Overview
Millennial Plastic Surgery specializes in breast implant surgery using silicone implants. They have years of experience and a proven track record of satisfied patients. Their location on Fifth Avenue, one block from Central Park, makes it easily accessible by subway or taxi.
Techniques and Treatments
The center offers both saline and silicone gel breast implants, allowing patients to choose the type of material they prefer for their cosmetic procedures. Their surgeons take into account the patient's body type, aesthetic goals, and other factors to recommend the most suitable implant option.
Pre - surgery and After - care
Before the surgery, patients are encouraged to research and ask questions to understand the procedure thoroughly. The medical team at Millennial Plastic Surgery ensures that patients are comfortable and well - informed throughout the process. After the surgery, they provide necessary post - operative care instructions and support to help patients recover successfully.
4. Dr. John E. Sherman's Practice
Overview
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is committed to patient care and works closely with each patient to develop an individualized approach for breast augmentation. His in - depth knowledge of breast implants and their various types makes him a sought - after surgeon in New York City.
Techniques and Treatments
- Breast Implant Selection: Dr. Sherman offers a comprehensive range of breast implant choices. In terms of material, there are saline and silicone implants. Silicone implants have been the most frequently chosen by women in the United States, with approximately 84% of breast augmentations in 2020 being performed with silicone implants. He also has in - depth knowledge of cohesive silicone gel implants, also known as gummy bear implants. These implants are popular because they can provide a natural and proportionate breast shape and feel. He was a select investigator during the original development of the Natrelle 410 cohesive gel breast implants.
- Incisions and Placement: For incisions, he can make a small inframammary incision (under the breast), a periareolar incision (around the areola), or a transaxillary (under the armpit) incision. The choice of incision depends on the breast implants selected, as well as the patient's goals for size, shape, and placement. Implants can be placed either submuscular plane (under the pectoral muscles) or subglandular (above the pectoral muscles), based on the patient's anatomy, age, and vocation.
Pre - surgery and After - care
During the consultation, Dr. Sherman reviews the patient's medical history, examines the breasts, and takes measurements. He answers all the patient's questions and devises a personalized treatment plan. Before the surgery, patients are advised to quit smoking, taper off certain medications that may increase bleeding, arrange for a pick - up, and designate a comfortable recovery space. After the surgery, patients can expect moderate symptoms of fatigue, discomfort, swelling, and bruising in the initial days. Pain medication is provided, and patients wear a surgical compression bra. Most patients can resume light activities in 2 - 3 weeks and more strenuous activities at 6 - 8 weeks.
5. Rapaport Plastic Surgery
Overview
Dr. David P. Rapaport, a board - certified plastic surgeon at Rapaport Plastic Surgery, is a world - recognized expert in breast augmentation and breast implant revision. Breast augmentation is one of the most popular procedures at his facility, and he has a long history of providing excellent results.
Techniques and Treatments
- Incision Placement: Dr. Rapaport offers multiple incision options for breast augmentation, including under the armpit, under the breast itself, or within the areola. He uses an endoscope to perform a scarless breast augmentation procedure through an underarm incision, which allows for precise muscle division and implant positioning.
- Breast Implants: He offers both saline and silicone implants. Saline implants can be filled after placement, making them suitable for the scarless technique. Silicone implants, on the other hand, typically have a more natural look and feel. He discusses these options with patients to help them determine the best type of implant for their anatomy and aesthetic goals.
Pre - surgery and After - care
All patients start their journey at Rapaport Plastic Surgery with a detailed consultation with Dr. Rapaport. During the surgery, a board - certified anesthesiologist administers and monitors the anesthesia. After the surgery, patients are monitored briefly and can go home the same day, but they must have an adult stay with them for the first night. Full recovery takes about two to three weeks, and patients are prescribed pain medication for the first few days. Strenuous exercise and aerobic activity are restricted for the first ten days, and mild aerobic activity can be resumed after ten days and full activity after three weeks.
Comparing the Techniques
| Hospital | Implant Types Offered | Unique Techniques | Incision Options | Recovery Time |
|---|---|---|---|---|
| Mount Sinai - New York | Silicone, saline, Naturalfill (fat transfer) | 3D imaging for pre - surgery visualization, Naturalfill fat transfer technique | Under breast tissue | Long - term effects may require follow - up procedures, recovery period with normal post - surgery symptoms |
| Cangello Plastic Surgery | Silicone, saline, fat grafting | Artistic approach, "no touch" method with Keller funnel for silicone implants, trained in fat grafting by a pioneer | Periareolar, inframammary, (avoids transaxillary due to higher malposition risk) | About four to six weeks |
| Millennial Plastic Surgery | Silicone, saline | Specialization in silicone implant surgery, patient choice of implant material | Not specified, but general implant insertion incisions | Recovery with post - operative care instructions |
| Dr. John E. Sherman's Practice | Saline, silicone (including gummy bear implants) | Knowledge of Natrelle 410 cohesive gel implants, personalized implant selection based on patient's anatomy and goals | Inframammary, periareolar, transaxillary | Initial days with discomfort, light activities in 2 - 3 weeks, strenuous in 6 - 8 weeks |
| Rapaport Plastic Surgery | Saline, silicone | Scarless breast augmentation using endoscope through underarm incision | Underarm, under breast, within areola | About two to three weeks |
Factors to Consider When Choosing a Hospital
When deciding on a hospital for silicone breast augmentation in New York City, several factors should be taken into account:
- Surgeon's Experience and Reputation: Look for surgeons with extensive experience in breast augmentation surgeries and a good reputation. Patient testimonials and reviews can provide valuable insights into the surgeon's skills and patient satisfaction.
- Techniques and Technologies: Consider the hospital's use of advanced techniques and technologies. For example, 3D imaging can help you better visualize the results, and minimally invasive techniques may result in less scarring and a quicker recovery.
- Implant Options: Different hospitals may offer a variety of implant types, shapes, and materials. Make sure the hospital can provide the implant option that best suits your body type and aesthetic goals.
- Pre - and Post - operative Care: A hospital that provides comprehensive pre - operative consultations, thorough patient education, and excellent post - operative care is crucial for a successful surgery and a smooth recovery.
- Cost: The cost of breast augmentation can vary depending on the hospital, surgeon, and the specific procedure. It's important to have a clear understanding of all the costs involved, including the implant, surgery fees, anesthesia, and follow - up appointments.
Potential Risks and Complications
Like any surgical procedure, silicone breast augmentation carries some risks and potential complications:
- Bleeding and Infection: These are common risks associated with surgery. Proper pre - operative screening and post - operative care can help minimize these risks.
- Changes in Sensation: Some patients may experience changes in nipple or breast sensation after the surgery. In most cases, this resolves over time, but in some instances, it may be permanent.
- Capsular Contracture: This occurs when the body forms a capsule around the implant, which can contract and cause the breast to feel hard and look distorted. Surgeons take precautions to minimize this risk, such as using the "no touch" technique and avoiding contamination during surgery.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare form of non - Hodgkin's lymphoma associated with certain breast implants, especially those with textured shells. The risk is still relatively low, but it's important to be aware of it.
- Implant Rupture: Although breast implants are designed to be durable, there is a risk of rupture. In the case of saline implants, the saline can be safely absorbed by the body, while silicone implants may require additional monitoring and possible replacement.
Conclusion
New York City offers a wealth of options for women considering silicone breast augmentation plastic surgery. The top 5 hospitals - Mount Sinai - New York, Cangello Plastic Surgery, Millennial Plastic Surgery, Dr. John E. Sherman's Practice, and Rapaport Plastic Surgery - each bring their own unique set of skills, techniques, and approaches to the table. From advanced imaging technologies to specialized fat transfer techniques and scarless incisions, these hospitals are at the forefront of providing high - quality breast augmentation services.
However, it's important to carefully research and consider all aspects before making a decision. Evaluate the surgeon's experience, the hospital's reputation, the available techniques, and the potential risks and benefits. By doing so, you can make an informed choice that will lead to the best possible results and a positive surgical experience.
If you're interested in learning more about silicone breast augmentation or are considering this procedure, we encourage you to schedule a consultation with one of these top hospitals in New York City. Take the first step towards achieving your desired aesthetic goals and enhancing your self - confidence.
