Introduction

Breast sagging is a common concern among many women, often caused by factors such as aging, pregnancy, breastfeeding, and weight fluctuations. In New York City, there are numerous professional hospitals and plastic surgeons that specialize in breast sagging plastic surgery, also known as mastopexy. This article will introduce the top 5 selected professional hospitals for breast sagging plastic surgery in New York City, providing detailed information about their services, surgeons, and patient experiences.

What is Breast Sagging Plastic Surgery?

Breast sagging plastic surgery, or mastopexy, is a surgical procedure designed to raise and reshape breasts by removing excess skin and tightening the surrounding tissue. This helps to support and contour a new, rejuvenated breast profile. The main goals of the surgery are to restore breast position, enhance shape, and improve symmetry. The idea is to maintain the volume of the breasts but improve the shape and contour.

Factors Causing Breast Sagging

• Aging: As women age, the production of collagen and elastin in the body decreases, leading to a loss of firmness and elasticity in the skin tissues, resulting in drooping breasts.
• Pregnancy and breastfeeding: During pregnancy, the breasts undergo changes and become heavier and fuller, which can cause stretching of the skin. After breastfeeding, the breasts may lose volume, but the skin remains stretched, leading to the presence of sagging and excess skin.
• Weight changes: Significant weight gain can cause the skin to stretch. After experiencing significant weight loss, the skin may struggle to shrink back down, resulting in the presence of excess, sagging skin.
• Gravity: Over time, the consistent downward pull of gravity can contribute to the sagging of breast tissues.

Top 5 Professional Hospitals for Breast Sagging Plastic Surgery in New York City

1. Philipp Franck M.D.

Dr. Philipp Franck is a board - certified plastic and reconstructive surgeon. He completed his training at two prestigious Ivy League university hospitals and has extensive experience in breast surgery, especially in advanced mastopexy techniques. Named one of New York’s rising star surgeons by the New York Times Magazine since 2023, he also serves as a clinical assistant professor at Cornell University Hospital in New York.

Services Offered

• Personalized assessment: Dr. Franck assesses each patient's anatomical structure and facial features to determine the most suitable breast lift procedure.
• Multiple incision options: He offers periareolar (donut lift) for mild sagging, vertical (lollipop lift) for moderate sagging, and anchor (inverted - t lift) for more extensive lifting needs.
• Combination procedures: Patients can combine a breast lift with breast augmentation, breast reduction, tummy tuck, or liposuction for a more comprehensive transformation.

Patient Experience

Patients appreciate Dr. Franck's attention to detail and patient - centered care. His surgical outcomes are often described as natural and proportionate, helping patients regain confidence in their appearance.

2. Dr. John E. Sherman

Dr. John E. Sherman is a skilled and board - certified plastic surgeon in New York City. He has helped numerous women achieve stunning results through breast lift procedures. His dedicated staff ensures that patients receive a first - class experience from start to finish.

Services Offered

• Comprehensive consultation: During the consultation, Dr. Sherman thoroughly reviews the patient's medical history, assesses the degree of breast sagging, and explains the procedure in detail.
• Full mastopexy and periareolar mastopexy: He offers full mastopexy for significant lifting and reshaping, and periareolar mastopexy for minimal scarring in cases of mild to moderate breast sagging.
• Location options: Patients can choose to have the surgery in his fully accredited operating suite as an outpatient or at a reputable hospital in New York, such as New York Presbyterian Hospital, Weill Cornell Medical Center, or Lenox Hill Hospital.

Patient Experience

Many patients report high satisfaction with the results of their breast lift surgeries. Dr. Sherman's expertise and the support of his staff make the surgical process smooth and stress - free.

3. Dr. Adam Kolker

Dr. Adam Kolker is a double - board - certified plastic surgeon. He is an active member of multiple professional plastic surgery organizations. Every breast lift procedure with Dr. Kolker is uniquely personalized and tailored specifically to both anatomy and desire.

Services Offered

• Individualized approach: Based on the patient's degree of deflation, breast and nipple position, skin elasticity, and volume restoration needs, he recommends the most appropriate breast lift procedure.
• Multiple types of breast lifts: He offers circumareolar mastopexy, circumvertical mastopexy, wise - pattern mastopexy, and augmentation mastopexy.
• Detailed post - operative care: Dr. Kolker provides comprehensive aftercare instructions and monitors the patient's recovery closely.

Patient Experience

Patients praise Dr. Kolker for his artistic vision and technical finesse. His patients often share positive testimonials about their improved breast appearance and increased self - confidence.

4. Dr. Joshua A. Greenwald

Dr. Joshua A. Greenwald is a premier board - certified plastic surgeon in New York City. He has performed thousands of breast surgeries and is known for achieving natural results. He is frequently sought after for revision breast surgery and has been named a top doctor in New York every year since 2012.

Services Offered

• Advanced incision techniques: He performs mastopexy using periareolar, vertical incision, and inframammary incision techniques, depending on the patient's body type and aesthetic goals.
• Minimal scarring: Dr. Greenwald is skilled in using incision techniques that leave minimal scarring and a more natural - looking appearance.
• Recovery guidance: He provides detailed pre - and post - operative care instructions, and monitors the patient's recovery progress through multiple postoperative visits.

Patient Experience

Patients value Dr. Greenwald's experience and the high - quality care he provides. Many are able to return to their normal activities quickly after the surgery with minimal pain and discomfort.

5. Dr. Daniel Maman

Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists.

Services Offered

• Comprehensive consultation: A 90 - minute consultation with Dr. Maman includes a thorough review of the patient's medical history, in - depth physical assessment, and comprehensive operative plans.
• Customized treatment: Based on the patient's personal goals and anatomy, he selects the most suitable incision type and may combine breast lift with augmentation or reduction procedures.
• Patient - centered care: Dr. Maman provides personalized, holistic care, including luxury recovery room options at NYC hotels, complimentary post - operative support garments, and scar treatment regimens.

Patient Experience

Patients appreciate Dr. Maman's professionalism and the attention to detail in their treatment. The personalized approach and high - level of care make the breast lift experience positive and rewarding.

Comparing the Top 5 Hospitals

Pre - operative Considerations

Patient Eligibility

To be a suitable candidate for breast sagging plastic surgery, patients should generally meet the following criteria:

• Be in good overall health without uncontrolled medical issues.
• Have a stable weight, as significant weight fluctuations post - surgery can affect results.
• Be concerned about breast sagging, such as downward - pointing nipples, displaced areola, or loss of breast shape and volume.
• Be a non - smoker or willing to quit, as smoking can impair healing.
• Have realistic expectations about the outcomes of the procedure.

Consultation Process

The consultation process is a crucial step in breast sagging plastic surgery. During the consultation, patients should:

• Discuss their medical history, including any past breast surgeries, current medical conditions, and lifestyle factors.
• Ask about the surgeon's experience and qualifications.
• Understand the different types of breast lift procedures, incision options, anesthesia preferences, and estimated recovery timeline.
• View before - and - after photos of the surgeon's previous patients to set realistic expectations.
• Ask any questions or express any concerns they may have.

Intra - operative Procedures

Anesthesia

Breast lift surgery is typically performed under general anesthesia for patient comfort. The anesthesia is administered by a board - certified anesthesiologist to ensure the patient's safety throughout the procedure.

Incision Placement

The choice of incision depends on the patient's specific needs and degree of ptosis (sagging):

• Periareolar (donut lift): Incision around the areola. Suitable for mild sagging and can also reduce areola size.
• Vertical (lollipop lift): Incision around the areola and vertically down to the breast crease. Addresses moderate sagging and offers significant reshaping while limiting scarring.
• Anchor (inverted - t lift): Incision around the areola, vertically down, and along the breast fold. Recommended for more extensive lifting needs and provides comprehensive reshaping for significant sagging.

Tissue Reshaping and Areola Repositioning

During the surgery, excess skin is removed, and the underlying breast tissue is lifted and reshaped to improve contour and firmness. The areola may be reduced in size if necessary and moved to a higher, more youthful position on the breast.

Closing the Incisions

Sutures are placed in layers within the breast tissue to create and support its new shape, and the skin is closed with meticulous technique to minimize scarring.

Post - operative Recovery

Immediate Post - operative Period

Most patients go home the same day after the surgery. They may experience mild swelling, bruising, and discomfort, which are normal. A soft surgical bra is usually worn to provide gentle compression and support.

Suture Removal

In many cases, most of the sutures dissolve on their own and do not require removal. However, the surgeon will provide specific instructions regarding suture care and removal if necessary.

Returning to Normal Activities

Many people can resume light activities within a week or two, but strenuous exercise or heavy lifting should be avoided for at least 4 – 6 weeks. It may take a few weeks for the swelling to fully subside, and the final results of the surgery can be appreciated over time.

Potential Risks and Complications

Like any surgery, breast sagging plastic surgery carries certain risks. Although these risks are rare, it is important for patients to be aware of them:

• Infection or bleeding: Proper wound care and following post - operative instructions can help minimize these risks.
• Changes in nipple sensation: Temporary or, in rare cases, long - term changes in sensation can occur.
• Poor healing or scarring: Some individuals may be prone to less favorable scarring or delayed wound healing.
• Asymmetry or revisional surgery: Small differences in breast shape or position can occasionally require revision.
• Breastfeeding changes: There is a risk that breast surgery may affect breastfeeding, although this is relatively low.

Conclusion

Breast sagging plastic surgery can be a life - changing procedure for many women, helping them to restore their confidence and achieve a more youthful and attractive breast appearance. In New York City, the top 5 professional hospitals mentioned in this article - Philipp Franck M.D., Dr. John E. Sherman, Dr. Adam Kolker, Dr. Joshua A. Greenwald, and Dr. Daniel Maman - offer high - quality services, experienced surgeons, and personalized care. However, it is essential for patients to carefully consider their options, have a thorough consultation with the surgeon, and understand the potential risks and rewards of the procedure. If you are considering breast sagging plastic surgery, we encourage you to explore these top hospitals further, read patient reviews, and schedule a consultation to determine the best course of action for you.