Introduction

Breast ptosis, or sagging breasts, is a common concern for many women. Factors such as aging, pregnancy, breastfeeding, and weight fluctuations can all contribute to the loss of breast firmness and shape. In New York City, a bustling metropolis renowned for its top - notch medical facilities and expert surgeons, there are numerous options available for those seeking to address breast ptosis. This article will present a comprehensive top - ten list for breast ptosis in New York City, covering top surgeons, their expertise, the procedures they offer, and other essential aspects.

Understanding Breast Ptosis

What is Breast Ptosis?

Breast ptosis occurs when the breasts sag below the inframammary fold. It is characterized by the descent of the breast gland and nipple - areola complex. As women age, the natural production of collagen and elastin in the skin decreases, leading to a loss of skin elasticity. Pregnancy and breastfeeding cause the breasts to enlarge and then shrink, stretching the skin. Significant weight gain and subsequent weight loss can also result in excess skin and sagging.

Grades of Breast Ptosis

Breast ptosis is typically classified into four grades:

1. Glandular Ptosis or Pseudoptosis: The breast gland droops down below the inframammary fold, but the nipple - areola is positioned above the crease.
2. Grade I Ptosis: Both the gland and nipple droop slightly below the breast crease.
3. Grade II Ptosis: Gland and nipple droop more significantly below the crease.
4. Grade III Ptosis: The most severe form, associated with the nipple - areola at the lowest aspect of the drooping breast.

Top Ten List for Addressing Breast Ptosis in New York City

1. Dr. Philipp Franck

Dr. Philipp Franck is a board - certified plastic and reconstructive surgeon. He completed his training at two prestigious Ivy League university hospitals. He is highly experienced in breast surgery and is skilled in aesthetic breast surgery, including 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. His commitment to patient - centered care and excellent surgical outcomes has earned him a place in Castle Connolly’s list of top doctors nationwide.

Approach to Breast Lift

Dr. Franck offers a personalized approach to breast lift. He first assesses the patient's anatomical structure and facial features to determine the most suitable approach. The breast lift surgery is typically performed under general anesthesia, with different sedation options available based on individual preference and medical needs. He carefully marks the planned incision sites while the patient is standing to ensure precise placement and an optimal lift.

Incisions

• 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, addressing moderate sagging and offering significant reshaping with limited scarring.
• Anchor (Inverted - T Lift): Incision around the areola, vertically down, and along the breast fold, recommended for more extensive lifting needs.

Benefits for Patients

Patients can expect a more youthful appearance, improved symmetry, enhanced confidence, and long - lasting results. Dr. Franck tailors each breast lift to deliver natural, proportionate results that complement the patient's body overall shape.

2. Dr. Wendy - Ann Olivier

Dr. Wendy - Ann Olivier, MD, is rated 4.60 out of 5 stars. While specific details about her approach to breast ptosis are not as comprehensively available as some other surgeons, her high patient rating indicates a high level of patient satisfaction. Patients seeking a surgeon with a proven track record in breast surgical procedures may consider Dr. Olivier.

Possible Approaches

Based on her work in breast surgical procedures, it is likely that she offers a range of breast lift options, including different incision techniques similar to those used by other leading surgeons in the field. She would probably assess each patient's unique situation to determine the most appropriate approach.

Patient - Centered Care

With her high rating, it can be inferred that she focuses on patient - centered care, taking the time to understand the patient's goals and concerns and providing personalized treatment plans.

3. 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 extensive expertise and specialization in breast lift procedures ensure that patients receive exceptional outcomes.

Procedure Details

General anesthesia is administered for the mastopexy procedure due to its duration and invasive nature. The specific approach for the surgery may vary based on the gradation of ptosis. He offers both full mastopexy and periareolar mastopexy.

• Full Mastopexy: An incision is made around the areola, extending vertically downward from the areola to the breast crease, and sometimes horizontally along the breast crease (anchor shape). Excess skin is removed, and the nipple and areola are repositioned to a higher, more youthful position.
• Periareolar Mastopexy: Focuses on lifting and reshaping the breasts with minimal scarring, typically suitable for individuals with mild to moderate breast sagging or ptosis.

Benefits and Results

Patients can expect firmer, higher, and better - proportioned breasts. The results are long - lasting, and patients often express satisfaction with the more youthful and feminine appearance of their breasts.

4. Dr. Kaveh Alizadeh

Dr. Kaveh Alizadeh is a board - certified plastic surgeon with over two decades of experience. He has developed the innovative naturabra® breast lift technique, which has put him at the forefront of breast lift procedures. He has appeared in various news media and has treated numerous high - profile patients.

Naturabra® Technique

This technique involves making short incisions from each nipple to the breast crease and creating a triangular flap of skin on each breast. This flap is rotated and placed inside the breast to form a natural, inner bra that supports the breasts. It minimizes scarring and maximizes the effect and lasting power of the results.

Other Options

He also offers traditional breast lift approaches with different incisions (circumareolar, circumvertical, and wise - pattern mastopexy). Additionally, he can combine breast lift with augmentation using fat transfer or implants for patients who want to enhance breast volume.

Recovery and Aftercare

Dr. Alizadeh and his team closely monitor patients' recovery progress. The recovery timeline includes specific guidelines for activities such as exercise, with patients usually able to resume light walking within a week and normal exercise routines after four weeks.

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.

Comprehensive Consultation

Dr. Maman offers a 90 - minute consultation that includes a thorough review of the patient's medical history, an in - depth physical assessment, comprehensive operative plans, a review of cost, accommodations, and follow - up visits, and scheduling of surgery.

Breast Lift Procedures

He uses different incisions based on the patient's personal goals and anatomy. Circumareolar incisions are used for mild ptosis, lollipop incisions for moderate ptosis, and anchor incisions for significant ptosis. He can also resize and reposition the areola as part of the breast lift procedure.

Results and Recovery

Patients can expect a renewed aesthetic and increased confidence. The recovery timelines vary depending on the procedure, and the practice provides thorough aftercare options to ensure optimized recovery and results.

6. Dr. Adam Kolker

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

Customized Approach

He considers factors such as the degree of deflation, breast and nipple position, skin elasticity, and whether volume will be restored with breast implants when determining the incision type. He offers circumareolar, circumvertical, wise - pattern mastopexy, and augmentation mastopexy.

Recovery and Follow - Up

After the breast lift, patients are cared for in the recovery room by a licensed registered nurse. Dr. Kolker provides detailed follow - up care, including recommendations on early restrictions, return to normal activities, breast self - examination, and breast health maintenance.

7. Dr. Peter Henderson

Dr. Peter Henderson, MD, is rated 4.80 out of 5 stars in performing breast lift surgery. While detailed information about his specific surgical techniques may not be as widely available, his high rating indicates his proficiency in treating breast ptosis. Patients can expect a high level of skill and attention to detail in his practice.

Possible Surgical Strategies

It is likely that he follows standard breast lift procedures, choosing the appropriate incision based on the patient's degree of sagging and other anatomical factors. He may also offer the option of combining breast lift with other procedures if it is in the patient's best interest.

Patient Experience

With his high patient rating, it is reasonable to assume that he provides a positive patient experience, from the initial consultation to the post - operative follow - up.

8. Dr. Melissa Frey

Dr. Melissa Frey, MD, is rated 5.00 out of 5 stars. Her perfect rating suggests an exceptional level of patient satisfaction. She is on staff at New York - Presbyterian Lower Manhattan Hospital.

Expertise in Breast Lift

Although specific details about her surgical techniques are not provided, her high rating implies that she has a deep understanding of breast anatomy and uses advanced surgical methods to achieve excellent results in treating breast ptosis. She likely offers a range of breast lift options to meet the diverse needs of her patients.

Patient - Centered Approach

It can be inferred that she takes a patient - centered approach, focusing on the patient's goals, concerns, and overall well - being throughout the treatment process.

9. Dr. Evan Matros

Dr. Evan Matros, MD, is rated 4.80 out of 5 stars. He has experience in breast surgical procedures, including breast lift. His high rating reflects his ability to deliver good results and a positive patient experience.

Procedural Knowledge

He is likely well - versed in different breast lift techniques and can determine the most appropriate approach for each patient. He may also offer additional procedures in combination with breast lift to enhance the overall outcome.

Post - operative Care

Based on his high rating, it can be assumed that he provides comprehensive post - operative care, ensuring that patients recover smoothly and achieve the desired results.

10. Dr. Richard Reish

Dr. Richard Reish is rated 4.90 out of 5 stars. He has extensive experience in breast surgical procedures, including breast lift and breast reduction. His high rating indicates his expertise and patient - satisfaction record.

Versatile Surgical Skills

Dr. Reish's experience in multiple breast - related procedures allows him to offer a comprehensive approach to treating breast ptosis. He can assess the patient's situation and determine if a simple breast lift or a more complex procedure, such as a breast lift combined with reduction, is necessary.

Patient - Focused Treatment

His high rating suggests that he is focused on the patient's needs and goals, providing personalized treatment plans and high - quality care throughout the treatment journey.

Breast Lift Procedures in General

Common Incision Types

Combination Procedures

Many surgeons offer the option of combining breast lift with other procedures:

• Breast Augmentation: Adding implants can restore lost volume for a fuller appearance. This is often recommended for patients who have lost breast volume along with experiencing sagging.
• Breast Reduction: For patients with large, sagging breasts, breast reduction can be combined with breast lift to reduce the size of the breasts while improving their shape and position.
• Tummy Tuck or Liposuction: A “mommy makeover” approach can address multiple areas in one surgical session, combining breast lift with procedures to contour the abdomen or remove excess fat.

Benefits of Addressing Breast Ptosis

Physical Benefits

• Improved Appearance: A breast lift can restore a more youthful and perky appearance to the breasts, enhancing the overall silhouette.
• Better Clothing Fit: Patients often find that their clothes fit better after a breast lift, as the lifted breasts provide a more balanced and proportionate shape.
• Corrected Asymmetry: The procedure can correct uneven breast positioning or asymmetrical nipples, resulting in a more symmetrical appearance.

Emotional and Psychological Benefits

• Enhanced Confidence: Women who are self - conscious about their sagging breasts often experience a significant boost in confidence after a breast lift. They may feel more comfortable in swimwear, lingerie, or form - fitting clothing.
• Improved Self - Esteem: A more attractive breast appearance can lead to improved self - esteem, positively affecting various aspects of a woman's life, including personal relationships and professional interactions.

Considerations Before Choosing a Surgeon

Credentials and Experience

It is crucial to choose a board - certified plastic surgeon with extensive experience in breast lift procedures. Check their educational background, training, and any specialized certifications. Surgeons who have been practicing for many years and have a high volume of breast lift surgeries are generally more likely to have the skills and expertise needed to achieve optimal results.

Patient Reviews and Testimonials

Read patient reviews and testimonials to get an idea of the surgeon's reputation and the experiences of their past patients. Look for reviews that mention the quality of the results, the surgeon's bedside manner, and the overall patient experience, including pre - operative consultation, surgery, and post - operative care.

Before and After Photos

Ask to see before and after photos of the surgeon's breast lift patients. This will give you an