Introduction
Breast augmentation is a popular cosmetic procedure that has been on the rise in recent years. In New York City, women have access to a wide range of options and top - notch surgeons for this procedure. Endoscopic HIFU (High - Intensity Focused Ultrasound) in breast augmentation with implants is an advanced technique that offers numerous benefits such as precision, less invasiveness, and potentially better outcomes. In this article, we will explore the top ten aspects related to endoscopic HIFU in breast augmentation with implants in New York City, including top surgeons, the procedure itself, and important considerations.
Top Surgeons in New York City for Breast Augmentation
Dr. Stephen T. Greenberg
Dr. Stephen T. Greenberg is a board - certified plastic surgeon with 30 years of experience. He is located at 45 E. 72nd St., Manhattan, New York. Patients have reported excellent experiences with him and his staff, highlighting their thorough explanations of the procedure. His long - standing experience and reputation make him a reliable choice for breast augmentation, including procedures involving endoscopic HIFU.
Dr. Joshua A. Greenwald
With 20 years of experience, Dr. Joshua A. Greenwald, a board - certified plastic surgeon at 166 Fifth Avenue NY, NY, is well - known in the field. Many patients who have done extensive research before their breast augmentation have been extremely satisfied with their decision to choose him. His expertise can be beneficial when considering endoscopic HIFU techniques.
Dr. Irena Karanetz
Dr. Irena Karanetz, a board - certified plastic surgeon with 6 years of experience, is based in Brooklyn at 330 9th St. Patients found her through platforms like RealSelf and have been very happy with their choice. Her relatively newer approach might incorporate the latest techniques such as endoscopic HIFU.
Dr. Harry T. Haramis
Dr. Harry T. Haramis, a destination doctor with 30 years of experience at 150 E. 61st St., New York, has received high praise from patients. His long - standing presence in the field indicates his ability to handle complex cases, including those related to endoscopic HIFU breast augmentation.
Dr. Trevor M. Born
Dr. Trevor M. Born, a certified plastic surgeon with 28 years of experience at 910 Fifth ave., New York, is known for his highly skilled surgical team. Their proficiency in breast augmentation procedures could make them a strong candidate for endoscopic HIFU operations.
Dr. Kenneth R. Francis
Dr. Kenneth R. Francis, a board - certified plastic surgeon with 30 years of experience at 114 E. 71st st., New York, has been regarded as the best doctor by many patients. His in - depth knowledge and experience can be invaluable in performing endoscopic HIFU breast augmentations.
Dr. Richard G. Reish
Dr. Richard G. Reish, a board - certified plastic surgeon with 16 years of experience at 330 9th St., Brooklyn, New York, has had great success with breast augmentation, especially for patients who have had children. His experience in different patient cases makes him well - equipped to deal with endoscopic HIFU procedures.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. He has trained at some of the most prestigious medical institutions in the world, including Harvard Medical School and New York University. Dr. Kolker is featured in multiple “Best Doctors” lists, such as in New York Magazine and Newsweek. His vast knowledge and experience enable him to offer high - quality breast augmentation procedures, which may involve endoscopic HIFU techniques.
Dr. David L. Cangello
Dr. David L. Cangello is a board - certified plastic surgeon in NYC. He is known for his artistic approach to breast surgery and has earned the trust of professional models. He offers personalized treatment plans and has experience with a full range of cosmetic breast surgeries, including those that could incorporate endoscopic HIFU.
Dr. Douglas Senderoff
Dr. Douglas Senderoff is a top - rated breast implants plastic surgeon in Manhattan. He offers free consultations and has extensive experience with both saline and silicone breast implants. His experience in breast implant surgery also makes him a potential expert in endoscopic HIFU procedures for breast augmentation.
What is Endoscopic HIFU in Breast Augmentation with Implants?
Definition of Endoscopic HIFU
Endoscopic HIFU combines the use of an endoscope, a thin tube with a light and camera, and High - Intensity Focused Ultrasound. The endoscope allows the surgeon to visualize the internal structures of the breast during the procedure with precision. HIFU, on the other hand, uses focused ultrasound energy to target specific areas of tissue without affecting the surrounding areas. In breast augmentation with implants, this technology can be used for tasks such as creating precise pockets for implant placement, tissue manipulation, and potentially reducing the risk of certain complications.
Advantages of Endoscopic HIFU in Breast Augmentation
| Advantages | Description |
|---|---|
| Precision | Surgeons can use the endoscope to accurately position the implants and the HIFU to target specific tissue areas, resulting in a more precise and customized augmentation. This can lead to better aesthetic outcomes, such as more natural - looking breasts and better symmetry. |
| Minimally Invasive | Compared to traditional open - surgery breast augmentation, endoscopic HIFU can potentially require smaller incisions. This leads to less scarring, reduced trauma to the surrounding tissue, and quicker recovery times for patients. |
| Reduced Risk of Complications | The precise targeting of HIFU can help minimize damage to blood vessels and nerves, reducing the risk of bleeding, infection, and loss of sensation in the breasts. Additionally, it can potentially lower the risk of capsular contracture, a common complication in breast augmentation. |
How is Endoscopic HIFU Breast Augmentation Performed?
Pre - operative Preparation
Before the procedure, patients will have a consultation with their surgeon. During this consultation, the surgeon will assess the patient's medical history, perform a physical examination, and discuss the patient's aesthetic goals. The surgeon will also explain the endoscopic HIFU breast augmentation procedure in detail, including the risks and benefits. Patients may be required to stop taking certain medications, such as blood - thinners, and to undergo pre - operative tests, such as blood tests and mammograms.
The Procedure
- Anesthesia: Breast augmentation is typically performed under general anesthesia, although in some cases, intravenous sedation and local anesthesia may be used. The anesthesiologist will monitor the patient's vital signs throughout the procedure to ensure their safety.
- Incisions: Using endoscopic guidance, the surgeon will make small incisions in strategic locations, such as the armpit, beneath the breast, or around the areola. These incisions are small enough to minimize scarring but large enough to insert the endoscope and HIFU probe.
- Creation of Implant Pocket: The endoscope will be inserted through the incisions to visualize the breast tissue. The HIFU technology will then be used to create a precise pocket for the implant. This may involve gently separating the breast tissue and muscle layers, taking into account the patient's anatomy and the desired size and shape of the implants.
- Implant Placement: Once the pocket is created, the surgeon will carefully insert the breast implants into the pocket. The implants can be either silicone or saline, depending on the patient's preference and the surgeon's recommendation.
- Closure: After the implants are in place, the incisions will be closed using sutures. Sterile dressings will be applied to the incisions, and the patient will be fitted with a surgical bra to support the breasts during the recovery period.
Recovery Process after Endoscopic HIFU Breast Augmentation
Immediate Post - operative Phase
After the surgery, patients will be monitored in a recovery area until the anesthesia wears off. They may experience some pain, swelling, and bruising in the breasts, which is normal. The surgeon will prescribe pain medication to manage the discomfort. A surgical bra will be worn to minimize swelling and support the breasts. Most patients can go home the same day as the surgery, but they will need someone to drive them home.
Short - term Recovery
In the first few days after surgery, patients should rest as much as possible. They should avoid strenuous activities, lifting heavy objects, and driving. The swelling and bruising will gradually subside over the first week or two. Patients will need to attend follow - up appointments with their surgeon to check the progress of their recovery and to have the sutures removed, which is usually done 7 - 10 days after the procedure.
Long - term Recovery
Full recovery from endoscopic HIFU breast augmentation can take several weeks to a few months. During this time, patients may start light exercise after getting the surgeon's approval, usually after about 4 - 6 weeks. The final results of the breast augmentation will become more apparent as the swelling completely subsides, which can take up to 6 months. Patients should continue to follow their surgeon's instructions regarding breast care and any additional massage or physical therapy.
Types of Implants Used in Endoscopic HIFU Breast Augmentation
Silicone Implants
Silicone implants are made of a silicone shell filled with a cohesive silicone gel. They are known for their natural - looking and natural - feeling results. The gel closely mimics the consistency of natural breast tissue, making the implants feel more realistic. However, they typically require a slightly larger incision for insertion. Also, the FDA recommends periodic MRI scans to monitor the integrity of the implant shell.
Saline Implants
Saline implants consist of a silicone shell filled with a sterile saline solution. They have the advantage of being able to be filled after insertion, which may allow for a smaller incision. If a saline implant ruptures, the saline solution will be safely absorbed by the body. However, they may be more prone to visible rippling, especially in patients with less breast tissue.
Cost and Insurance Coverage
Cost Factors
The cost of endoscopic HIFU breast augmentation in New York City can vary widely depending on several factors. The surgeon's experience and reputation play a significant role. Top - tier surgeons with extensive experience may charge higher fees. The type of implants used also affects the cost, with silicone implants generally being more expensive than saline implants. The complexity of the procedure, such as the need for additional tissue manipulation or correction of existing breast asymmetry, can also increase the cost. Additionally, the geographical location of the clinic within New York City can impact the price, with clinics in more upscale areas often having higher costs.
Insurance Coverage
In most cases, breast augmentation is considered an elective cosmetic procedure, and insurance companies do not cover the cost. However, if the procedure is performed for reconstructive purposes, such as after a mastectomy due to breast cancer, insurance may cover a portion or all of the costs. Patients should communicate with their insurance providers well in advance to understand their specific coverage and any requirements for pre - authorization.
Patient Reviews and Feedback
Patient reviews and feedback are invaluable when considering a surgeon for endoscopic HIFU breast augmentation. Online platforms and social media have made it easier for patients to share their experiences. Positive reviews often highlight the surgeon's skill, bedside manner, and the quality of the final results. Patients may mention factors such as the surgeon's ability to listen to their concerns, provide clear explanations, and achieve the desired aesthetic outcome. Negative reviews, on the other hand, may point out issues such as long recovery times, complications, or dissatisfaction with the appearance of the breasts. It is important for patients to look for consistent feedback across multiple reviews to get an accurate picture of the surgeon's performance.
Risks and Complications
Common Risks
| Risk | Description |
|---|---|
| Bleeding | There is a risk of bleeding during or after the surgery, which may require additional medical intervention. However, the precise nature of endoscopic HIFU can help reduce this risk. |
| Infection | Infection can occur at the incision site or around the implants. This may require antibiotics or, in severe cases, removal of the implants. |
| Changes in Sensation | Some patients may experience temporary or permanent changes in nipple or breast sensation. This can be due to nerve damage during the procedure. |
| Capsular Contracture | This is a condition where the scar tissue (capsule) around the implant tightens and squeezes the implant. It can cause the breast to feel hard, look distorted, and may require additional surgery to correct. |
| Implant Rupture | Both silicone and saline implants can rupture. While saline implants will deflate and the saline will be absorbed by the body, silicone implants may require more careful monitoring and possible replacement. |
How to Minimize Risks
To minimize the risks associated with endoscopic HIFU breast augmentation, patients should choose a board - certified and experienced surgeon. A skilled surgeon will follow strict sterile techniques during the procedure and will be able to handle any complications that may arise. Patients should also follow their surgeon's pre - and post - operative instructions carefully, including taking any prescribed medications and attending all follow - up appointments.
Conclusion
Endoscopic HIFU in breast augmentation with implants is an advanced and promising technique in the field of cosmetic surgery. In New York City, patients have access to a wealth of top - notch surgeons who can perform this procedure with precision and expertise. The procedure offers several advantages, such as precision, minimal invasiveness, and potentially reduced risks. However, it is important for patients to carefully consider all aspects, including the cost, recovery process, and potential risks. By choosing a qualified surgeon, following the pre - and post - operative instructions, and having realistic expectations, patients can achieve the beautiful and natural - looking results they desire. If you are considering endoscopic HIFU breast augmentation in New York City, take the time to research the best surgeons, schedule consultations, and make an informed decision. Don't hesitate to reach out to these professionals to learn more about the procedure and see if it's right for you.
