Introduction
Breast silicone prosthesis implantation and repair are popular cosmetic and reconstructive procedures that can have a significant impact on a woman's appearance, self - esteem, and overall well - being. In New York City, a hub of medical excellence, there are several hospitals renowned for their expertise in these procedures. This article will explore the top 5 selected hospitals for breast silicone prosthesis implantation and repair in New York City, discussing their facilities, surgical techniques, and patient outcomes.
Overview of Breast Silicone Prosthesis
What are Breast Silicone Prostheses?
Breast implants are devices used to change the size, shape, and contour of a woman's breasts. They consist of a flexible silicone casing filled with either saline (sterile salt water) or silicone gel (a soft gelatin - like substance). Silicone gel implants are popular because they often feel softer and more like natural breast tissue compared to saline implants. Both types are approved as safe by the U.S. Food and Drug Administration (FDA).
History of Silicone Breast Implants
The first silicone breast implant was developed in 1963. Over the years, the design has been refined to improve the feel, reduce the risk of rupture, and create a more natural - looking shape. In 1992, the FDA imposed a widespread but temporary halt on the general use of silicone implants due to safety concerns. However, in 2006, after several studies that prompted the original concerns were discredited, the FDA rescinded its moratorium.
Benefits and Considerations of Silicone Breast Implants
Benefits:
- Natural look and feel: Silicone implants can mimic the texture and movement of natural breast tissue more closely than saline implants.
- Lower risk of rippling: They are less likely to cause visible or palpable rippling under the skin, especially in women with less breast tissue.
- Long - term stability: Silicone implants generally provide more long - term volume and shape stability.
Considerations:
- Cost: Silicone breast implants usually cost more than saline implants.
- Silent rupture: If a silicone implant ruptures, it may go unnoticed for a long time as the gel may stay within the scar tissue capsule that forms around the implant.
- Removal complexity: Removing a ruptured silicone implant can be more complicated than removing a ruptured saline implant.
Top 5 Selected Hospitals for Breast Silicone Prosthesis Implantation and Repair in New York City
1. Mount Sinai Hospital
Expertise in Surgical Techniques
Mount Sinai stands at the forefront of breast reconstruction surgery. Dr. C. Andrew Salzberg, the chief of the division of plastic and reconstructive surgery at Mount Sinai Hospital and a professor at the Icahn School of Medicine at Mount Sinai, pioneered the direct - to - implant approach. In breast implant reconstruction, they offer two main methods: the tissue expander process and the direct - to - implant process.
Tissue Expander Process: This is a two - step procedure. First, a tissue expander (similar to an empty balloon) is inserted under the chest muscles. Over several weeks, the expander is inflated until the desired size and shape are achieved. Then, a second surgical procedure is performed to replace the expander with the chosen saline or silicone implant.
Direct - to - Implant Process: For eligible patients, this new approach avoids the use of a tissue expander. The surgeon inserts the implant immediately behind the pectoralis major muscle, using innovative techniques to provide additional soft tissue support. If a patient does not have enough skin and muscle to cover the implant, they can use a tissue expander or AlloDerm® (an acellular tissue matrix) over time.
Patient - Centered Care
In breast augmentation, Mount Sinai's plastic surgeons have extensive experience. They use advanced 3D imaging technology to help patients visualize how their larger breasts will look on their unique bodies. Before the surgery, the surgeon carefully consults with the patient, listens to their desires for enhancing breast size, and helps them decide on the best size and shape for their body. They also perform a physical exam and ask a series of health - related questions to confirm the patient's candidacy for the procedure.
Treatment Options
They offer different types of breast implants, including silicone and saline. Additionally, they have pioneered a new fat - transfer technique called Natural Fill®. In this two - step procedure, fat is first removed from the buttocks or abdomen using liposuction and then immediately inserted into the breasts to enlarge them. This option allows patients to use their own fat deposits for breast augmentation.
2. Greenberg Cosmetic Surgery
Convenient Locations
Greenberg Cosmetic Surgery has seven convenient locations in Manhattan, New York City, Princeton, New Jersey, Scarsdale, Woodbury Long Island, Southampton, Smithtown, and Boca Raton, Florida. This wide geographical coverage makes it accessible for patients from different areas to consult and undergo procedures.
Silicone Implant Expertise
Dr. Stephen T. Greenberg, M.D., F.A.C.S provides silicone breast implants. Many women choose silicone implants at this practice because they offer the feel and appearance of natural breast tissue. The doctor takes the time to explain the unique attributes of silicone, saline, and the new gummy bear implants to patients, helping them understand their options for breast augmentation and reconstruction. These procedures can have a profound effect on a woman's figure, clothing options, and self - esteem.
Comprehensive Consultations
The key to achieving high patient satisfaction in plastic surgery is to fully understand the options and match them to personal goals. During consultations, Dr. Greenberg explains all the available options in detail so that patients can make informed decisions. If a patient is considering breast augmentation, they can learn about how silicone implants can help them achieve their desired bust line.
3. Millennial Plastic Surgery
Experience and Track Record
Millennial Plastic Surgery is one of the best plastic surgery centers in NYC for silicone breast implant surgery. They have years of experience and a proven track record. Patients who have undergone surgery at this center have been delighted with the results. The center emphasizes the importance of patients researching and finding a surgeon they feel comfortable with, and encourages patients to ask many questions to understand what to expect from the procedure.
Implant Options
Located on Fifth Avenue, one block from Central Park, the plastic surgery center specializes in breast implant surgery using silicone implants. Their medical team believes that patients should have the opportunity to choose the type of material for cosmetic procedures. Therefore, they offer both saline and silicone gel breast implants, allowing patients to select the option that best suits their needs and preferences.
4. Rapaport Plastic Surgery
Customized Approach
Board - certified plastic surgeon Dr. David P. Rapaport works closely with each patient to determine the ideal breast implant option. When considering breast augmentation, patients face choices regarding the desired size increase, breast shape, and incision location. Dr. Rapaport provides a range of options, including both saline and silicone breast implants, and tailors the selection to the patient's anatomy and aesthetic preferences.
Benefits of Silicone Implants
Approximately 70% of Dr. Rapaport's patients choose silicone implants for breast augmentation. These implants offer a natural look and feel. They are softer than saline implants, allowing for more natural movement and a texture closer to that of natural breast tissue. Dr. Rapaport also points out that silicone implants have a lower risk of rupture compared to saline implants. However, he also recommends saline implants for certain patients with specific goals and circumstances, and discusses the pros and cons of each type in detail with patients.
5. Antell Plastic Surgery
Renowned Surgeon
Dr. Darrick Antell is one of the most renowned board - certified plastic surgeons in the world. Trained at Stanford and Cornell University, he is known for his exceptional surgical skills and use of advanced techniques. He has been named a “top plastic surgeon” by Town and Country, Vogue, and New York Magazine, and has been recognized by Harper’s Bazaar as one of the best breast plastic surgeons in the country.
Breast Implant Revision
The practice is highly skilled in breast implant revision surgery. This procedure may be done for cosmetic reasons, such as changing the size or shape of the implants, or for medical reasons, like dealing with an implant rupture or capsular contracture. During the consultation, Dr. Antell thoroughly evaluates the patient's general health, medical history, and the current condition of the breasts. He then guides the patient through selecting the proper implant type, incision size, implant placement, and size based on their specific anatomy.
Surgical Process and Recovery
The breast implant revision surgery is customized based on the patient's individual anatomy and the condition of the existing implant. Dr. Antell may use the same incision site as the initial breast augmentation when possible. After removing the existing implant and any scar tissue, he carefully places the new implant. The surgery usually takes between one and three hours. Patients recover in a state - of - the - art recovery suite and can return home the same day as the procedure. Dr. Antell provides a comprehensive recovery plan, and the final results may take several months to become fully visible.
Comparison of the Top 5 Hospitals
| Hospital | Specialties | Location | Patient - Centered Features | Cost Considerations |
|---|---|---|---|---|
| Mount Sinai Hospital | Direct - to - implant approach, Natural Fill® fat - transfer technique | New York City | 3D imaging for visualization, in - depth consultations | Cost may vary based on procedure type |
| Greenberg Cosmetic Surgery | Silicone implant expertise, multi - location practice | New York City and other areas | Comprehensive consultations on implant types | Silicone implants may be more expensive |
| Millennial Plastic Surgery | Silicone and saline implant options | Fifth Avenue, New York City | Emphasis on patient - surgeon comfort | Cost based on implant type |
| Rapaport Plastic Surgery | Customized implant selection | New York City | Individualized approach for each patient | Cost dependent on implant and procedure |
| Antell Plastic Surgery | Breast implant revision surgery | New York City | Thorough pre - operative evaluation | Cost varies with revision complexity |
Pre - operative Considerations for Breast Silicone Prosthesis Procedures
Health Assessment
Before undergoing any breast silicone prosthesis procedure, patients need to have a comprehensive health assessment. This includes a physical exam, a review of medical history, and potentially additional tests such as blood work, mammograms, or ultrasounds. Surgeons want to ensure that patients are in good enough health to tolerate the surgery and have a smooth recovery.
Goal Setting
Patients should clearly communicate their goals and expectations with their surgeon. Whether it's for breast augmentation to enhance size, breast reconstruction after mastectomy, or breast implant revision, having a clear understanding of what they want to achieve will help the surgeon plan the appropriate procedure. For example, a patient who wants a more natural - looking result may prefer silicone implants over saline implants.
Lifestyle Adjustments
Patients may need to make certain lifestyle adjustments before the surgery. This can include quitting smoking, as smoking can affect blood circulation and slow down the healing process. They may also need to avoid certain medications, vitamins, and supplements that can increase the risk of bleeding during surgery. Additionally, patients should arrange for someone to drive them home after the procedure and help them during the initial recovery period.
Post - operative Care and Recovery
Immediate Post - operative Period
After the surgery, patients will typically stay in a recovery area for a few hours to be monitored by medical staff. They may experience some pain, swelling, and bruising, which can be managed with pain medication prescribed by the surgeon. The breasts will usually be covered with a bandage and possibly a surgical bra to support the implants and aid in the healing process.
Short - term Recovery
In the first few days to weeks after surgery, patients need to rest and avoid strenuous activities. They should follow the surgeon's instructions regarding wound care, such as keeping the incisions clean and dry. Most patients can return to light activities within a week or two, but they need to refrain from exercise and heavy lifting for several weeks. It's normal to experience some numbness in the breast area, which usually fades over time.
Long - term Recovery
It may take several months for the breasts to fully settle into their final shape. During this time, patients need to attend follow - up appointments with their surgeon to monitor the healing process and address any concerns. They may also need to wear a supportive bra for an extended period. In some cases, additional procedures such as breast lifts may be recommended in the future to maintain the desired appearance.
Conclusion
In New York City, the top 5 hospitals for breast silicone prosthesis implantation and repair - Mount Sinai Hospital, Greenberg Cosmetic Surgery, Millennial Plastic Surgery, Rapaport Plastic Surgery, and Antell Plastic Surgery - offer a wide range of expertise, techniques, and patient - centered services. Whether it's breast augmentation, reconstruction, or revision, patients can find the right hospital and surgeon to meet their needs. Each hospital has its unique strengths, from innovative surgical approaches to comprehensive consultations and personalized care.
If you are considering breast silicone prosthesis implantation or repair, we encourage you to do further research, schedule consultations with the surgeons at these hospitals, and discuss your goals and concerns in detail. Make an informed decision that is right for your body and your well - being. Remember, the journey to achieving your desired breast appearance is an important one, and choosing the right medical team can make all the difference.
