Update of the Ranking of Regular Hospitals for Axillary Incision Breast Augmentation in New York City!
Introduction
Breast augmentation is a highly sought - after cosmetic surgical procedure in New York City. Among the various incision methods, axillary incision, also known as transaxillary breast augmentation, is favored by many patients as it leaves no visible scar on the breast. This article aims to provide an updated ranking of regular hospitals for axillary incision breast augmentation in New York City, along with detailed information about the procedure, the top hospitals, and other related aspects.
Understanding Axillary Incision Breast Augmentation
What is Axillary Incision Breast Augmentation?
Axillary incision breast augmentation involves making a small incision in the armpit area. Through this incision, the surgeon creates a pathway to the breast tissue and inserts the breast implant. This approach offers a unique advantage of keeping the breast free from visible scars. In 2024, as the field of cosmetic surgery advanced, axillary incision was one of the popular choices for breast augmentation, often performed with the aid of an endoscope, a thin tube with a light and a camera that allows the surgeon to see and work in the breast area (source: https://www.drronaldespinoza.com/blog/where - were - the - most - popular - locations - for - breast - augmentation - incisions - in - 2024/).
Types of Implants Used
There are mainly two types of implants used in axillary incision breast augmentation:
- Saline Implants: These implants consist of a silicone shell filled with sterile salt water. They are known for their safety, as in case of a rupture, the body can safely absorb the saline solution. However, they may feel less natural than silicone implants. Saline implants are often less expensive and can be inserted through a smaller incision, which is beneficial for the axillary approach. For patients aged 18 and above, saline implants are an approved option (source: https://www.cangelloplasticsurgery.com/breast/breast - augmentation/).
- Silicone Implants: Filled with a silicone gel that mimics the feel of natural breast tissue, silicone implants provide a more natural look and feel. They require a larger incision compared to saline implants, but with the use of a Keller funnel in modern techniques, the incision size can be minimized. The FDA recommends MRI scans every few years to monitor the condition of the implant shell, and they are approved for patients aged 22 and above (source: https://www.cangelloplasticsurgery.com/breast/breast - augmentation/).
Benefits of Axillary Incision Breast Augmentation
Benefits | Explanation |
---|---|
No Visible Scars on the Breast | Since the incision is made in the armpit, the breast remains free from any visible scars, which is a major aesthetic advantage for many patients. |
Preservation of Nipple Sensation | The axillary approach reduces the risk of damaging the nerves around the nipple, thus preserving nipple sensation better compared to some other incision methods. |
Minimal Interference with Breastfeeding | When implants are inserted through the axillary route, there is less disruption to the breast tissue and milk ducts, making it less likely to interfere with future breastfeeding. |
Drawbacks of Axillary Incision Breast Augmentation
- Scar Visibility in the Armpit: Although the scar is hidden in the armpit, it can still be noticeable when the patient raises their arm. In some cases, tattooing of the scar may be necessary to camouflage it better.
- Implant Malposition Risk: This breast surgery approach is found to be more likely to result in a bad positioning, especially when performed bluntly without endoscopic visualization. Sometimes it is difficult to gain control of potential bleeding sources from this remote access.
- Difficulty with Silicone Implants: Placing silicone implants through the axillary incision can be more challenging due to their pre - filled nature and the need for a larger space for insertion.
Top Regular Hospitals for Axillary Incision Breast Augmentation in New York City
1. Mount Sinai - New York
Mount Sinai is renowned for its advanced medical facilities and experienced plastic surgeons. Their plastic surgeons have extensive experience in performing breast augmentation, including the axillary incision method. They use the latest technologies to help patients visualize how their larger breasts will look before the surgery, with advanced 3D imaging technology that can demonstrate what the larger breasts will look like on the patient's unique body. Mount Sinai offers multiple options for breast augmentation, including different types of implants and a fat - transfer technique known as Natural Fill®. Their focus on patient satisfaction and personalized care makes them a top choice for axillary incision breast augmentation in New York City (source: https://www.mountsinai.org/care/surgery/services/plastic - surgery/aesthetic/breast - enhancement/breast - augmentation).
2. Cangello Plastic Surgery
Dr. David L. Cangello at Cangello Plastic Surgery is a board - certified plastic surgeon with a reputation for delivering elegant, natural - looking results. He offers personalized treatment plans to meet the aesthetic goals of each patient. While he generally avoids the transaxillary technique due to its higher rate of implant malposition, for patients suitable for this approach, he has the expertise to perform it safely and effectively. Dr. Cangello uses both silicone and saline implants and has a state - of - the - art, fully accredited operating room at his NYC office, ensuring patient safety and comfort during the procedure (source: https://www.cangelloplasticsurgery.com/breast/breast - augmentation/).
3. Dr. Barry Weintraub's Practice
Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He prefers the transaxillary subpectoral approach for breast augmentation, which means a small incision is made in the armpit and the implant is placed behind the pectoralis major muscle. This approach has several advantages, including no jeopardy to nipple sensation, no hindrance to future breastfeeding, and no visible scars near the breast. Dr. Weintraub's long - standing experience and dedication to patient care make his practice a popular choice for axillary incision breast augmentation in New York (source: https://www.drbarryweintraub.com/breast/augmentation - nyc).
4. Dr. William Lao's Practice
Dr. William Lao is one of the top plastic surgeons in New York City who specializes in the scarless breast augmentation technique, which often involves the axillary incision method. He is on a shortlist of surgeons in the country who are proficient in this approach. Dr. Lao has successfully performed over 500 breast surgeries throughout his career and is double - board - certified in both the USA and Taiwan. He uses endoscopic equipment for axillary incision breast augmentation, allowing for a bloodless dissection and precise placement of the implants. His experience and knowledge of both eastern and western cultures enable him to provide excellent results, especially for Asian patients who often prefer the axillary approach (source: https://www.doctorlao.com/breast - new - york/breast - augmentation/).
Factors Affecting the Ranking of Hospitals for Axillary Incision Breast Augmentation
Surgeon Expertise
The skill and experience of the plastic surgeon are crucial factors in the success of axillary incision breast augmentation. Surgeons with extensive training and a high volume of breast augmentation procedures are more likely to achieve optimal results. For example, Dr. William Lao's proficiency in endoscopic axillary incision breast augmentation sets him apart as he can clearly see all blood vessels under the magnified surgical view and perform a bloodless dissection (source: https://www.doctorlao.com/breast - new - york/breast - augmentation/).
Technology and Equipment
Hospitals equipped with the latest technology and advanced surgical equipment can offer better outcomes. The use of 3D imaging technology at Mount Sinai helps patients visualize the results before surgery, while endoscopes in axillary incision procedures provide better visualization for surgeons, reducing the risk of complications (sources: https://www.mountsinai.org/care/surgery/services/plastic - surgery/aesthetic/breast - enhancement/breast - augmentation; https://www.drronaldespinoza.com/blog/where - were - the - most - popular - locations - for - breast - augmentation - incisions - in - 2024/).
Patient Satisfaction
Patient testimonials and satisfaction rates play a significant role in the ranking. High patient satisfaction indicates that the hospital and its surgeons are providing quality care, meeting patient expectations, and delivering satisfactory results. For instance, Dr. Cangello has earned the trust of many patients, including professional models, due to his superior results and personalized approach (source: https://www.cangelloplasticsurgery.com/breast/breast - augmentation/).
Safety Measures
The safety of the procedure is of utmost importance. Hospitals with strict safety protocols, board - certified anesthesiologists, and state - of - the - art monitoring equipment are more likely to be ranked higher. Dr. Weintraub insists on the most sterile conditions in the operating room and uses board - certified anesthesiologists, ensuring patient safety during breast augmentation surgery (source: https://www.drbarryweintraub.com/breast/augmentation - nyc).
Preparing for Axillary Incision Breast Augmentation
Initial Consultation
During the initial consultation with a plastic surgeon, patients should openly discuss their goals, expectations, and concerns. The surgeon will conduct a physical exam, ask about the patient's medical history, and determine if the patient is a suitable candidate for axillary incision breast augmentation. For example, patients should inform the surgeon about any pre - existing medical conditions, allergies, or medications they are taking. The surgeon will also provide information about the different types of implants, the procedure itself, and the expected recovery process (source: https://www.cangelloplasticsurgery.com/breast/breast - augmentation/).
Medical Clearance
Patients will need to obtain medical clearance from their family physician before the surgery. This may include a general physical exam, blood tests, and other necessary medical evaluations to ensure that the patient is in good health and can tolerate the surgery. The surgeon may also recommend a baseline mammogram, especially for older patients (source: https://anzolomed.com/new - york - ny - breast - augmentation).
Pre - operative Instructions
Patients will receive pre - operative instructions from the surgeon, which may include dietary changes, such as avoiding certain foods or supplements that can increase the risk of bleeding. They may also be advised to stop smoking and certain medications that can interfere with the surgery or the healing process. In addition, patients should arrange for a responsible adult to accompany them to and from the surgical facility and to assist them during the first 24 hours after the surgery (source: https://anzolomed.com/new - york - ny - breast - augmentation).
The Axillary Incision Breast Augmentation Procedure
Anesthesia
General anesthesia is typically used for axillary incision breast augmentation to ensure the patient's comfort and safety during the procedure. With advancements in anesthesia, patients are usually in a comfortable state of twilight sleep and can expect a crisp and clear emergence from anesthesia (source: https://www.drbarryweintraub.com/breast/augmentation - nyc).
The Incision and Implant Placement
The surgeon makes a small incision in the armpit. Using an endoscope, the surgeon carefully creates a pocket in the breast tissue where the implant will be placed. The implant is then inserted through the incision into the pocket. If using a saline implant, it is filled with sterile saline after being placed in the pocket. The surgeon ensures that the implant is properly positioned and then closes the incision with sutures (source: https://anzolomed.com/new - york - ny - breast - augmentation).
Post - operative Care
After the surgery, patients will have a surgical dressing over the incisions and will be wearing a post - surgical bra. They may experience some pain, swelling, and bruising in the breasts and armpit area. The surgeon will prescribe pain medication to alleviate any discomfort. Patients are usually advised to rest for the first few days and avoid strenuous activities for several weeks. Follow - up appointments are scheduled to monitor the healing process and ensure that the implants are in the correct position (source: https://anzolomed.com/new - york - ny - breast - augmentation).
Recovery and Results
Recovery Timeline
The recovery time for axillary incision breast augmentation varies from patient to patient. In general, patients can expect to take about one week off work to allow their bodies to heal. Swelling and bruising will gradually subside over the next few weeks. Most patients can resume non - strenuous activities after one week, but heavy lifting and strenuous exercise should be avoided for about four to six weeks. It may take between six to eight weeks for the swelling to fully ameliorate and for the full results to appear (source: https://anzolomed.com/new - york - ny - breast - augmentation; https://www.doctorlao.com/breast - new - york/breast - augmentation/).
Final Results
Once the swelling has subsided, patients will be able to see the final results of their axillary incision breast augmentation. The breasts should appear fuller, rounder, and more proportionate to the body. However, it is important to note that breast implants do not last forever, and after about 20 years, patients may need to consider having them replaced (source: https://www.doctorlao.com/breast - new - york/breast - augmentation/).
Risks and Complications
As with any surgical procedure, axillary incision breast augmentation carries some risks and complications:
- Implant - related Complications: These include implant leakage or rupture, capsular contracture (hard, painful scar tissue formation around the implant), and visible skin wrinkling over the implant. Textured implants have also been associated with a rare type of cancer called breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), although this is extremely rare (source: https://anzolomed.com/new - york - ny - breast - augmentation; https://www.doctorlao.com/breast - new - york/breast - augmentation/).
- Infection and Bleeding: There is a risk of infection at the incision site or in the breast tissue. Bleeding can also occur during or after the surgery, which may require additional treatment (source: https://anzolomed.com/new - york - ny - breast - augmentation).
- Changes in Sensation: Some patients may experience changes in nipple or breast sensation, which can be temporary or permanent (source: https://anzolomed.com/new - york - ny - breast - augmentation).
- Implant Malposition: As mentioned earlier, the axillary approach has a relatively higher risk of implant malposition, which may require additional surgery to correct (source: https://www.stevenwallachmd.com/plastic - surgery - nyc/breast/augmentation/incision - placement - options/).
Conclusion
In New York City, axillary incision breast augmentation is a popular cosmetic surgical option for those who desire larger breasts without visible scars on the breast. The ranking of regular hospitals for this procedure is influenced by factors such as surgeon expertise, technology, patient satisfaction, and safety measures. Hospitals like Mount Sinai, Cangello Plastic Surgery, Dr. Barry Weintraub's practice, and Dr. William Lao's practice stand out for their excellence in providing axillary incision breast augmentation services. However, patients should carefully consider the procedure, its risks, and their own goals before making a decision. It is essential to choose a qualified and experienced plastic surgeon and to follow all pre - and post - operative instructions for the best possible outcome.
If you are considering axillary incision breast augmentation in New York City, we encourage you to schedule a consultation with a reputable plastic surgeon. Research the different hospitals and surgeons, read patient testimonials, and ask all your questions to make an informed decision. Take the time to understand the procedure, recovery process, and potential risks so that you can achieve the beautiful and natural - looking results you desire.