Breast augmentation is a prevalent cosmetic procedure, especially in a vibrant city like New York. Many women opt for this surgery to enhance their breast size, improve their shape, or correct asymmetry. When it comes to Allergan breast augmentation surgery, choosing the right hospital and surgeon is crucial. In this article, we will explore the top 3 hospitals in New York City for Allergan breast augmentation surgery, providing you with detailed information to help you make an informed decision.
1. Joshua A. Greenwald, MD, FACS
Surgeon Overview
Dr. Joshua A. Greenwald is a board - certified New York plastic surgeon. He has significant experience in breast implant surgery, performing hundreds of primary and revision breast augmentations yearly. Since 2012, he has been named a top doctor in New York. He was selected to the Mentor® Lead Program Advisory Board in 2012 and 2013, and currently uses Allergan breast implants as he believes Allergan offers the most comprehensive line of breast implants available.
Hospital and Facilities
Dr. Greenwald performs surgeries at the state - of - the - art Surgical Specialty Center of Westchester. He was involved in the design of this facility from the ground up. The facility meets and often exceeds hospital safety standards. Anesthesia is provided by board - certified anesthesiologists, and the nursing staff has substantial experience caring for plastic surgery patients.
Breast Augmentation Process
Candidate Evaluation
Dr. Greenwald can determine if a patient is a suitable candidate for breast augmentation. Ideal candidates generally desire larger or fuller breasts, a greater degree of cleavage, or breasts that appear higher on the chest wall. They should be in good physical and mental health, have realistic expectations, and be pursuing the surgery of their own volition. Women who are breastfeeding should wait 12 weeks after stopping to undergo the surgery.
Implant Options
He offers patients a choice between saline and silicone breast implants. Allergan manufactures three main types of silicone gel implants he uses: Natrelle Inspira Responsive, Natrelle Inspira Soft Touch, and Natrelle Inspira Cohesive. These are “gummy bear implants” made of cohesive silicone gel. Saline implants have a silicone outer shell filled with saline solution, while silicone implants have a silicone outer shell and a silicone - gel filling.
| Implant Type | Advantages | Disadvantages |
|---|---|---|
| Saline | Smaller incisions can be used as they are filled after insertion; the body can safely absorb the filling if the implant ruptures | Do not resemble natural breast tissue as closely; more prone to folding or wrinkling; may be visible under the skin in thin patients |
| Silicone | Look and feel more like natural breasts; cohesive gel implants have a more natural shape | Require slightly larger incisions; risk of “silent rupture,” and FDA recommends regular breast imaging exams |
Placement and Incision
Dr. Greenwald offers two breast implant placement options: subglandular and submuscular. He places over 95 percent of his implants in the submuscular position due to its lower incidence of capsular contracture, better mammogram quality, and more natural look. He also offers three incision approaches: inframammary (crease incision), periareolar, and transaxillary. Each approach has its own benefits and drawbacks in terms of scar visibility, precision of implant placement, and potential for complications.
Recovery and Cost
Most patients can resume normal activities within days, with little pain and bruising. They are advised to sleep in a sports bra for three months and can go to the gym at three weeks. The overall cost of breast augmentation includes the surgeon’s fee, anesthesiologist’s fee, operating room fee, implant cost, and miscellaneous costs. Dr. Greenwald is currently offering special prices: primary breast augmentation with silicone implants costs $8,295, and with saline implants costs $7,495.
2. Mount Sinai - New York
Surgeon Expertise
The plastic surgeons at Mount Sinai have extensive experience in performing breast augmentation. They use the latest technologies, such as advanced 3D imaging, to help patients visualize how their larger breasts will look and ensure patient satisfaction with the results.
Treatment Options
They offer two types of breast implants: silicone and saline. Silicone breast implants look and feel natural in the breasts, while saline implants are firmer and rounder. Additionally, Mount Sinai surgeons have pioneered and perfected a fat transfer technique called Natural Fill®. In this two - step procedure, fat is removed from the buttocks or abdomen via liposuction and then inserted into the breasts.
Patient - Centered Approach
Before surgery, surgeons consult with patients to understand their desires for breast size and shape. They also perform a physical exam and ask health - related questions to confirm the patient’s suitability for the procedure. The goal is to provide a natural shape and size that the patient will be happy with.
Expected Results and Long - Term Outlook
Patients can expect their breast augmentation results to last for years. However, factors such as pregnancy, nursing, and significant weight changes may cause natural drooping over time. In such cases, a breast lift or implant replacement may be considered.
3. Dr. John E. Sherman
Surgeon Reputation
Dr. John E. Sherman is an experienced and acclaimed plastic surgeon. He is well - known for his commitment to patient care and excellent results. He worked closely with Allergan during the original development of the Natrelle 410 cohesive gel breast implants, which are popular for augmentation and breast reconstruction.
Implant Selection Process
When choosing breast implants, Dr. Sherman helps patients consider multiple factors. These include the implant material (saline or silicone), shape (round or anatomical), size (measured in cubic centimeters), and texture. He tailors the implant selection to the patient’s unique anatomy and aesthetic goals.
Procedure Details
Breast augmentation at Dr. Sherman’s practice is typically an outpatient procedure that takes 1 - 1.5 hours. The patient can choose between general anesthesia or intravenous sedation anesthesia. Incisions can be made in the inframammary area, around the areola, or in the armpit. Implants can be placed either submuscularly or subglandularly, depending on the patient’s anatomy and condition.
Recovery and Complications
In the initial days after surgery, patients may experience fatigue, discomfort, swelling, and bruising. They are given pain medication and a surgical compression bra. Most patients can resume light activities and work in 2 - 3 weeks and more strenuous activities at 6 - 8 weeks. However, there are potential complications such as BIA - ALCL (breast implant associated anaplastic large cell lymphoma) and breast implant illness, which Dr. Sherman will discuss with patients during the consultation.
Factors to Consider When Choosing a Hospital for Allergan Breast Augmentation
Surgeon's Experience and Qualifications
The surgeon's experience is of utmost importance. Surgeons like Dr. Greenwald, Dr. Sherman, and the surgeons at Mount Sinai have extensive experience in breast augmentation, which can increase the likelihood of a successful outcome. Board certification by the American Board of Plastic Surgery is also a key factor, as it ensures that the surgeon has met strict standards of education, training, and ethical practice.
Hospital Facilities and Safety Standards
Hospitals with state - of - the - art facilities, such as the Surgical Specialty Center of Westchester where Dr. Greenwald operates, provide a safer surgical environment. Board - certified anesthesiologists and experienced nursing staff are also essential for patient safety during and after the surgery.
Patient - Centered Care
Choosing a hospital that offers personalized care is crucial. Surgeons should take the time to understand the patient's goals, answer all their questions, and develop an individualized treatment plan. Mount Sinai's use of 3D imaging and Dr. Greenwald's in - depth consultations are examples of patient - centered approaches.
Cost and Financing Options
The cost of breast augmentation can vary depending on many factors, including the type of implants, the complexity of the procedure, and the surgeon's fee. Some patients may be eligible for financing options, such as CareCredit, which offers no - interest plans and extended payment plans.
Common Questions and Concerns About Allergan Breast Augmentation
Is Allergan breast augmentation safe?
Allergan breast implants are approved by the FDA, indicating that they have met certain safety and efficacy standards. However, like any surgical procedure, there are potential risks, such as infection, capsular contracture, implant rupture, and breast implant illness. It is important to discuss these risks with your surgeon during the consultation.
How long do Allergan breast implants last?
Most implant companies, including Allergan, offer a lifetime replacement warranty. However, the rupture rate or implant failure rate at 10 years is approximately 10%. Most surgeons tell their patients that there is a 0.5 - 1 percent incidence of rupture per year.
Can I breastfeed after Allergan breast augmentation?
Yes, it is possible to breastfeed after breast augmentation. However, the ability to breastfeed may be affected by the surgical technique, the location of the implants, and the level of damage to breast tissue. For example, implants inserted through the transaxillary approach are less likely to interfere with breastfeeding.
What is the recovery process like?
The recovery process can vary from patient to patient. In general, patients can expect some swelling, bruising, and discomfort in the first few days after surgery. They will be given pain medication and instructions on how to care for the incisions. Most patients can return to work within a week or two, but strenuous activities should be avoided for 6 - 8 weeks.
Conclusion
When it comes to Allergan breast augmentation surgery in New York City, Joshua A. Greenwald, MD, FACS, Mount Sinai - New York, and Dr. John E. Sherman are among the top choices. Each offers unique advantages, including experienced surgeons, state - of - the - art facilities, and patient - centered care. By carefully considering the factors discussed in this article and addressing your concerns with your surgeon, you can make an informed decision and achieve the results you desire.
If you are considering Allergan breast augmentation surgery, we encourage you to schedule a consultation with one of these top providers. Take the time to learn more about the procedure, ask questions, and ensure that you are comfortable with your choice of surgeon and hospital. Remember, this is an important decision that can have a significant impact on your appearance and self - confidence.
