Top 5 Hospitals in New York City for Breast Augmentation Incision Selection

Breast augmentation is a popular cosmetic surgical procedure that has gained significant traction in New York City. It offers women the opportunity to enhance their physical appearance, improve body confidence, and address various aesthetic concerns related to the breasts. One of the critical aspects of breast augmentation is the selection of incisions, which can impact the outcome, recovery process, and scarring. In this article, we will explore the top 5 hospitals in New York City renowned for their expertise in breast augmentation incision selection.

Understanding Breast Augmentation

What is Breast Augmentation?

Breast augmentation, also known as a boob job or breast enlargement, is a surgical procedure aimed at increasing breast size, enhancing shape, or improving symmetry. It involves placing breast implants under the breast tissue or chest muscles. There are two main types of implants: silicone and saline. Silicone implants are pre - filled with a cohesive silicone gel and are known for their natural look and feel. Saline implants are filled with a solution of salt and water after being placed in the breast pocket, and they offer the advantage of smaller incisions for insertion.

Why Incision Selection Matters

The choice of incision in breast augmentation is crucial for several reasons. Firstly, it affects the visibility of scars. Incisions can be made in areas where they are likely to be hidden, such as around the areola, in the inframammary crease (the fold under the breast), or in the armpit. Secondly, the incision location can influence the implant placement and the overall aesthetic result. Different incisions may be more suitable for different implant types and patient anatomies. Lastly, the incision choice can impact the recovery process, including the risk of complications such as infection and implant malposition.

Top 5 Hospitals in New York City for Breast Augmentation Incision Selection

1. Columbia University Plastic & Reconstructive Surgery

Columbia University is one of New York’s best hospitals and a world - class medical center. Their plastic surgery division is at the forefront of clinical and laboratory research in the field. The team of plastic surgeons is highly proficient in multiple areas of specialization, including breast augmentation.

Expertise in Incision Selection: The surgeons at Columbia use their in - depth knowledge of breast anatomy and surgical techniques to select the most appropriate incision for each patient. They take into account factors such as the patient's body type, implant size and type, and aesthetic goals. For example, they may use the inframammary incision for patients who desire larger implants or need better access for placement. This incision allows for direct visualization of the implant pocket and can result in a natural - looking outcome. The surgeons also pay meticulous attention to scar management, using advanced suturing techniques to minimize scarring.

Patient - Centered Approach: The hospital focuses on providing personalized care to each patient. They engage in detailed consultations to understand the patient's concerns and expectations. During these consultations, the surgeons explain the different incision options, their advantages and disadvantages, and help the patient make an informed decision.

2. Mount Sinai Plastic Surgery

Mount Sinai's plastic surgeons have extensive experience in performing breast augmentation procedures. They are committed to using the latest technologies to ensure patient satisfaction and optimal results.

Advanced 3D Imaging Technology: Before the surgery, Mount Sinai uses advanced 3D imaging technology to help patients visualize how their larger breasts will look. This technology also aids in the incision selection process. By showing the patient different implant sizes and placements in a virtual setting, the surgeons can better determine the most suitable incision based on the desired outcome. For instance, if a patient wants a more subtle change and is a candidate for a smaller implant, a periareolar incision may be recommended as it can result in less visible scarring.

Comprehensive Treatment Options: In addition to traditional breast implant surgery, Mount Sinai offers a non - implant option called natural fill®, which is a fat transfer technique. The choice of incision for this procedure may differ from traditional implant surgery. The surgeons at Mount Sinai have the expertise to select the appropriate incision for both implant - based and non - implant breast augmentation, ensuring a customized approach for each patient.

3. Cangello Plastic Surgery

Dr. David L. Cangello is a board - certified plastic surgeon known for his artistic approach to breast augmentation. He offers personalized treatment plans to meet each patient's aesthetic goals.

Artistic Vision in Incision Selection: Dr. Cangello combines medical precision with aesthetic principles when selecting incisions. He understands that the goal of breast augmentation is not only to increase size but also to create a natural and balanced appearance. He avoids using the transaxillary technique, as it has a higher rate of implant malposition. Instead, he prefers the “no touch” method during breast augmentation with silicone, which utilizes a Keller funnel for implant placement. This method allows for a smaller incision size, reduces the risk of infection, and can result in less visible scarring. Whether a patient desires a subtle or bold enhancement, Dr. Cangello tailors the incision selection to achieve the best possible aesthetic result.

Minimizing Scarring: Using meticulous surgical techniques, Dr. Cangello is able to minimize scarring. Incisions made around the areola or in the inframammary crease are well - hidden, and the use of the Keller funnel further reduces the length of the incision and the resulting scar. For patients prone to poor scarring, he also has laser treatments available to reduce the appearance of scars.

4. Lara Devgan, MD, MPH, FACS

Dr. Lara Devgan is a highly respected plastic surgeon in New York City. Her practice caters to women who seek natural - looking, beautifully contoured, and comfortable breast implants with a fast recovery and a subtle result.

Patient - Focused Incision Selection: During the initial consultation, Dr. Devgan examines, measures, and photographs the patient's breasts. She discusses the patient's medical history, desires for surgery, and shows samples of silicone and saline breast implants. Based on this comprehensive evaluation, she selects the most appropriate incision. For example, if a patient has a more petite frame and wants a more discreet augmentation, a periareolar incision may be chosen. Dr. Devgan also takes into account the patient's lifestyle and activity level, as certain incisions may be more suitable for patients with specific needs.

Experience and Expertise: With years of experience in breast augmentation surgery, Dr. Devgan has a deep understanding of the intricacies of incision selection. She is able to anticipate potential complications and choose the incision that minimizes the risk. Her surgical skills ensure a smooth procedure and a quicker recovery for her patients.

5. New York Center for Facial Plastic & Laser Surgery

This center offers a wide range of cosmetic procedures, including breast augmentation. The surgeons at the center are well - trained and experienced in performing breast augmentation surgeries with a focus on incision selection.

Multidisciplinary Approach: The center takes a multidisciplinary approach to breast augmentation. The surgeons work closely with other medical professionals, such as anesthesiologists and nurses, to ensure the safety and comfort of the patient during the procedure. In terms of incision selection, they consider the patient's overall health, breast anatomy, and aesthetic goals. For example, if a patient has a history of breast - related health issues, the surgeons will take extra precautions when choosing the incision to minimize the risk of complications.

Variety of Incision Options: The surgeons at the New York Center for Facial Plastic & Laser Surgery are proficient in using different types of incisions, including periareolar, inframammary, and transaxillary incisions. They can explain the pros and cons of each option in detail and help the patient choose the one that is best for them. This variety of options allows for a more customized approach to breast augmentation.

Key Considerations for Incision Selection in Breast Augmentation

Anatomy and Body Type

A patient's breast anatomy and body type play a significant role in incision selection. For example, women with smaller breasts may be better candidates for a periareolar incision, as it can be more easily hidden. On the other hand, women with larger breasts or those who are having a significant increase in breast size may benefit from an inframammary incision, which provides better access for implant placement. Body type also matters; patients with a more athletic build may require a different approach to incision selection compared to those with a curvier figure.

Implant Type and Size

The type and size of the implant can influence the choice of incision. Silicone implants are pre - filled, and in the past, they often required larger incisions. However, with the use of techniques like the Keller funnel, the incision size can be minimized. Saline implants, which are filled after placement, can generally be inserted through smaller incisions. Larger implants may require a larger incision for proper placement, and the surgeon will need to balance the need for access with the desire to minimize scarring.

Aesthetic Goals

Patients' aesthetic goals are a crucial factor in incision selection. Some patients may want a more natural - looking result with minimal visible scarring, while others may be more concerned with achieving a specific size or shape. Surgeons need to understand these goals and select the incision that will best help achieve them. For example, if a patient wants a very high - profile, voluminous look, the inframammary incision may be the best choice, as it allows for more precise control over implant placement.

The Breast Augmentation Process

Pre - operative Consultation

Before the breast augmentation surgery, patients will have a pre - operative consultation with the surgeon. During this consultation, the surgeon will review the patient's medical history, perform a physical examination, and discuss the patient's aesthetic goals. The surgeon will also explain the different incision options, their advantages and disadvantages, and recommend the most suitable incision based on the patient's individual circumstances. Patients should take this opportunity to ask questions and express any concerns they may have.

Preparation for Surgery

Once the patient and surgeon have decided on the incision and other aspects of the breast augmentation procedure, the patient will need to prepare for surgery. This may include ceasing certain medications or supplements that can increase bleeding, quitting smoking, arranging for someone to accompany them to and from the surgery, and designating a comfortable space for recovery at home. The surgeon will provide detailed pre - operative instructions to ensure a smooth and safe procedure.

The Surgery

On the day of the surgery, the patient will be given anesthesia, either general anesthesia or intravenous sedation anesthesia. The surgeon will then make the chosen incision and create a pocket for the implant. The implant will be placed either under the pectoral muscle (submuscular placement) or above the pectoral muscles (subglandular placement), depending on the patient's anatomy and aesthetic goals. After the implant is placed, the surgeon will close the incision with sutures and wrap the area with a compression garment.

Recovery and Aftercare

Recovery from breast augmentation surgery typically takes several weeks. In the initial days after surgery, patients may experience fatigue, discomfort, swelling, and bruising. They will be given a prescription for pain medication and a surgical compression bra to wear during the recovery period. Patients should follow the surgeon's post - operative instructions carefully, which may include restrictions on physical activity, breast massages to help the implants settle, and follow - up appointments for suture removal and to monitor the healing process.

Risks and Complications of Breast Augmentation

Like any surgical procedure, breast augmentation comes with certain risks and potential complications. These can include:

• Infection: There is a risk of infection at the incision site or around the implant. This can be treated with antibiotics, but in severe cases, the implant may need to be removed.
• Bleeding: Some bleeding may occur during or after the surgery. In most cases, this can be managed, but excessive bleeding may require additional treatment.
• Changes in Sensation: Some patients may experience changes in nipple or breast sensation, which can be temporary or permanent.
• Implant Leakage or Rupture: Both silicone and saline implants can leak or rupture. Saline implants will deflate if they rupture, and the saline will be absorbed by the body. Silicone implants may require more extensive evaluation and possible replacement if a rupture occurs.
• Scarring: Although efforts are made to minimize scarring, all incisions will leave a scar. The appearance of the scar can vary depending on factors such as the incision location, the patient's skin type, and the healing process.
• Formation of Scar Tissue: Scar tissue can form around the implant, which may cause the breast to feel firm or change shape. This condition, known as capsular contracture, may require additional treatment, including surgery in some cases.

It is important for patients to discuss these risks with their surgeon before undergoing breast augmentation and to understand the potential complications.

Cost of Breast Augmentation in New York City

The cost of breast augmentation in New York City can vary depending on several factors, including the surgeon's fees, facility costs, the type of implants used, and any additional procedures or services. On average, the cost of breast augmentation can range from $3,900 to $6,000, but this may not include the cost of the implants themselves. Some patients may also be eligible for financing options to help cover the cost of the procedure.

Conclusion

Choosing the right hospital and surgeon for breast augmentation, especially when it comes to incision selection, is crucial for achieving the desired aesthetic result and minimizing the risk of complications. The top 5 hospitals in New York City mentioned in this article - Columbia University Plastic & Reconstructive Surgery, Mount Sinai Plastic Surgery, Cangello Plastic Surgery, Lara Devgan, MD, MPH, FACS, and New York Center for Facial Plastic & Laser Surgery - offer a combination of expertise, advanced technology, and a patient - centered approach.

Before making a decision, patients should conduct thorough research, schedule consultations with multiple surgeons, and ask questions to ensure they are comfortable with the surgical plan. By taking these steps, patients can increase their chances of a successful breast augmentation procedure and enjoy the benefits of enhanced confidence and a more aesthetically pleasing appearance.

If you are considering breast augmentation, we encourage you to take the next step and schedule a consultation with one of the hospitals or surgeons mentioned in this article. Discover how they can help you achieve your aesthetic goals and enhance your quality of life.