Cosmetic Surgery Tips

Best nyc plastic surgeons breast augmentation

Breast augmentation is a cosmetic procedure that increases the size and improves the shape of your breasts. Women who choose breast augmentation surgery are often motivated by dissatisfaction with their breast size and/or shape, or in some cases, want to restore volume lost due to pregnancy or weight loss. Breast augmentation can be performed using silicone gel implants or saline (salt water) implants. Silicone gel implants are the most popular choice because they feel more natural than saline implants, but both options have been proven safe and effective for many years.

In order to determine if you are a candidate for breast augmentation, your doctor will review your medical history and perform an exam to assess the size of your chest wall, overall health, and skin quality. Once an implant is selected based on these factors, it will be inserted through incisions made around each nipple. Implant placement can vary depending on what type of implant is used (subglandular vs subpectoral), as well as personal preference from patient to patient.

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best nyc plastic surgeons breast augmentation, Breast lift recovery top tips. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Different types of breast augmentation incisions. Read on to learn more.

Best nyc plastic surgeons breast augmentation

NYC Breast Augmentation

A woman’s femininity is expressed in her smile, her attitude and her demeanor, but it also manifests in her body. Full, well-rounded and well-positioned breasts are one of the greatest symbols of womanhood there is, yet not everyone is lucky enough to have been born with these attributes. Sometimes surgical enhancement with implants is required to achieve a larger, more attractive breast shape and size. In some cases, a woman who started out with such full breasts will undergo a shift in their appearance following breastfeeding and pregnancy, or will lose breast volume as part of the natural aging process. Sometimes a woman will lose breast fullness due to breast cancer and will require implants as part of the reconstructive process.

Note that while breast augmentation can provide you with a more filled out silhouette, it often doesn’t adequately address breast sagging and droopiness, which are addressed through a breast lift.


Breast augmentation is one of the most popular procedures performed at Dr. Rapaport’s New York plastic surgery facility. This procedure is consistently one of the top cosmetic plastic surgery procedures performed by members of the American Society of Plastic Surgeons. Dr. Rapaport offers both saline and silicone breast implants. David P. Rapaport, a board certified plastic surgeon, is a world recognized expert who specializes in breast augmentation and breast implant revision for women who have had previous breast surgery.

EXPLORE YOUR BREAST OPTIONS

  • Breast Augmentation
  • Saline vs. Silicone
  • The Ideal Implant
  • Breast Implant Revision
  • Breast Lift
  • Breast Reduction
  • Gynecomastia
  • Mommy Makeover

ABOUT BREASTIMPLANT SURGERY

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:

  • To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small
  • To correct a reduction in breast volume which occurs naturally or with age after pregnancy
  • To balance a difference in breast size (uneven breasts)
  • To correct a congenital deformity
  • As a reconstructive technique following breast surgery

BREAST AUGMENTATIONINCISION TECHNIQUES AND SCARRING

The scar for our NYC breast augmentation can be placed either in the underarm, under the breast itself, or at the lower border of the areolus (the pigmented skin surrounding the nipple). Many patients, when given the option, prefer an underarm scar because it removes all scarring, and anxiety relating to scarring, from the breast. Top New York City plastic surgeon Dr. Rapaport performs this procedure using an endoscope. This means that instead of bluntly tearing the lower border of the muscle, and risking implant malposition due to incomplete muscle division, the muscle is precisely divided under magnified endoscopic visualization, allowing for control of any bleeding and precise implant positioning.

“Throughout my years of practice, it has been very satisfying to achieve a natural-appearing breast appearance without any scar on the breast,” says Rapaport. “It is very rewarding to see these patients both early after surgery and years after their operation, maintaining their results, and all without any breast scars.”

Dr. Rapaport has been performing underarm, endoscopic breast augmentation for over 25 years, and is a pioneer in endoscopic breast surgery. This technique, combined with Dr. Rapaport’s experience, has drawn patients locally, nationally and internationally to New York City to seek out Dr. Rapaport for silicone breast augmentation without breast scars.

Board Certified Plastic Surgeon David P. Rapaport, MD has more experience at the endoscopic underarm technique of breast augmentation (breast implants) than any other plastic surgeon in the New York area and has in fact been a pioneer in the development of the endoscopic breast implants technique, as well as other endoscopic procedures.


YOUR CUSTOMIZED BREAST AUGMENTATION PLAN AND BREAST IMPLANT SIZING

The breast augmentation/breast implant plastic surgery operation involves several important choices on the part of the patient. What size would you like your breasts to be after the surgery? Are you interested in saline or silicone breast implants? Where would you like the incisions to be placed? Should you have the implants placed above or below the muscle (pectoralis muscle)?

Implant size is selected based on a thorough consultation as well as obtaining a full understanding of the patient’s goals and concerns. Implant size will also depend on the patient’s individual anatomic considerations including skin laxity and chest diameter.

“There are two general ways to perform breast implant sizing,” says Dr. Rapaport. “One method is for the doctor, based on his or her experience, to select the size that he or she feels would look best on the patient. Although I will always share my aesthetic opinion with the patient, I do not like this technique, and I do not want to be the one to decide what looks best for the patient. Ultimately, I feel that this is a very personal decision and my aesthetic taste may not match the patient’s. Clearly, the patient’s preferences are the ones that matter.”

Breast lift recovery top tips

Breast lift surgery or mastopexy is the most effective surgical technique for improving the shape of the breasts by removing excess skin and tightening the breast tissue. For women who are already happy with the size of their breasts, a breast lift can deal with the effects of pregnancy or the ageing process by producing perkier-looking breasts. Mummy makeover surgery commonly includes a breast lift procedure as part of the dramatic body transformation this procedure creates with women getting their pre-pregnancy shape back.

If you have been thinking about having a breast lift, you may already have considered the breast lift recovery period. Getting the best results from breast lift surgery depends on being as prepared as possible, and here we share some of our top tips for a smooth and uneventful breast lift recovery.

How to speed up your breast lift recovery time

Make arrangements for childcare and work

Achieving the best breast lift recovery means being as prepared as possible, and this includes arranging alternative childcare arrangements if you have young children. You should also look to book at least one week off from work.

It is essential to have arrangements for childcare as your surgeon will recommend you avoid lifting your children for at least four weeks after the procedure. It’s important to take time out for adequate rest, and we would recommend asking a friend or family member to help you out.

Having your home set up for when you get home after your breast lip surgery will help during the first few days. This means going to the supermarket, collecting your medical prescriptions and ensuring you have an allocated room where you can rest without disruption from others.

Review the post-operative instructions before you have the procedure

Our preoperative nursing team will send you a comprehensive list of post-operative instructions for your mastopexy recovery. You should read these carefully, and if you have any questions, please get in touch with us before your procedure. You will have an excellent idea of what the procedure involves from the instructions we give you. They contain practical advice, including the best sleeping position, how to sponge bathe, looking after your incision sites and how to identify possible complications of breast lift surgery.

Try to make sure you have the information pack available to you continuously and if you have any questions or concerns that may not be addressed in the information pack, contact our nursing team. We would always recommend you reach out to us if you are unsure in any way.

Make sure to attend all your post-operative review appointments

Once you have had your surgery, you will be booked for a one-week follow-up appointment with our post-operative nurse for a wound check. At this appointment, your incision site will be reviewed, and advice will be given on how to look after them. Our post-operative nursing team will be on hand to examine you at any point during the first six weeks. Your surgeon will see you at six weeks to review your progress and healing. It’s essential to attend these appointments as they are designed to ensure your breast lift recovery proceeds as smoothly as possible. If you think you may be unable to attend an appointment, please contact us as soon as possible so we can reschedule your appointment.

Arrange for a responsible adult to look after you for the first couple of days

Once you have had your procedure, your adult escort will need to transport you home via car or taxi. Public transport should be avoided. Patients will be unable to drive for at least two weeks during the breast lift recovery period, and this includes the day of your surgery. Patients who have just had a breast lift will still be under the effects of the anaesthetic, and they feel dizzy and groggy. You may require painkillers to manage any mild discomfort. Having a responsible adult to look after you can be very reassuring, and when you get home, they can help you settle into your room. We would recommend ongoing help once at home for tasks like preparing meals, household tasks, looking after children, and supporting you even with light conversation.

Maintain healthy eating habits

Eating a healthy diet has a significant effect on optimising mastopexy recovery. Any patient that has had surgery often requires extra nutrients to fuel post-operative recovery. We recommend eating plenty of vegetables, fruits, grains, seeds, healthy fats and lean protein. You should also try to maintain good hydration by drinking plenty of water. Dehydration may contribute to delayed healing after many types of surgery. Being well hydrated will help you to heal quicker for a smoother breast lift recovery.

Wear a post-operative support bra for at least four weeks

During your mastopexy recovery, your surgeon recommends wearing a specialist support bra to protect the healing breast lift incisions. You should wear the compression bra continuously for at least the first four weeks after breast lift surgery. You can then transition to wearing a well-supported sports bra which should not have underwires or moulded cups.

The ideal type of bra has a front zip to make putting it on and off very easy. The bra should be worn during the day after four weeks, although some women may choose to wear it at night instead.

Make sure to get plenty of rest

The key to breast lift recovery is to take time out to rest. Your body heals and regenerates when you are resting, and doing too much too soon may delay breast lift recovery. You should also avoid lifting heavy objects or carrying out vigorous exercise during the first six weeks after surgery. Some women may develop sub-optimal results if they commence gym activity too soon after surgery.

Book a consultation to learn more about breast lift recovery

Breast lift surgery is tailored to the individual patient, and each type of breast lift is specific for certain patients depending on the degree of breast sagging. The best way to determine what kind of breast lift is best for you is to have a consultation with an expert breast surgeon

Different types of breast augmentation incisions

breast augmentation incisions

Breast augmentation continues to be one of the most popular cosmetic surgery procedures in the UK with the numbers increasing year on year.

When deciding whether breast augmentation is worth it, there are a number of factors to think about and one of the most important is the type of incisions the surgeon will use to place breast implants. Here we discussed the four types of incisions that are used in breast augmentation surgery. When you have your consultation, your surgeon will be able to advise on the preferred breast augmentation incision to get the best results.

What are the four types of breast augmentation incisions?

The four surgical approaches for inserting breast implants:

  • Inframammary fold located under the breast
  • Periareolar incision – an incision that encircles the areola
  • Trans-axillary – the incision is located in the armpit
  • Transumbilical – inserted via the belly button or umbilicus

Inframammary fold approach

The inframammary incision is the most commonly used incision for breast augmentation surgery. Many surgeons prefer this incision as it is located away from the nipple and areola. Being away from the nipple and areola minimises the risk of bacterial contamination. Although the bacteria are not considered to be dangerous, they may contribute to an increased risk of capsular contracture. Capsular contracture involves the formation of dense scar tissue which may alter the shape of the implant and therefore require revision breast surgery.

This incision allows the surgeon to directly visualise the pectoralis muscle and precisely direct the placement of the implant either above or below the muscle. If revision surgery is required in the future, the inframammary incision is most commonly used. Therefore using this incision for the first procedure means there will be no extra scarring when revision surgery is needed. It is important to appreciate that breast implants do not last for an individual’s lifetime and it is therefore likely to require a revision breast procedure at some point in the future. Surgeons often prefer this incision as it allows more accurate creation of a breast pocket for optimum breast implant placement. The inframammary incision does not result in changes in nipple sensitivity and therefore no future impact on the ability to breastfeed.

Although the inframammary incision is the most commonly performed, it is important to bear in mind it does result in the formation of a visible scar. The visibility of the scar is often affected by the position you are in and is most noticeable when you are lying flat on your back.

Periareolar approach

The periareolar approach is also commonly used by many surgeons for breast enlargement. The size of the areola varies significantly between women and this can often have an impact on the choice of incision for breast surgery. Silicone breast implants require a minimum length of 4-5 cm to be safely placed breast implants whereas saline breast implants require a much shorter incision as they are often inserted in a deflated state before being inflated inside the chest.

Women with small areolas may not be able to accommodate an incision length of 5 cm for the placement of silicone breast implants. The best incision, in this case, would be either the inframammary incision or trans axillary approach. The periareolar incision is linked with a higher chance of developing capsular contracture. The appearance of the scar can often be well disguised as the incision is often made on the border between the areola and surrounding skin so any scar can be difficult to visualise.

Women who have small nipples may not be suitable for the periareolar approach. Breastfeeding can also be affected as the incision often transects the milk ducts. Women may also notice changes in nipple sensitivity.

Trans-axillary approach

The armpit incision is less commonly chosen by many surgeons to perform breast augmentation and is not suitable if revision breast surgery is required. An incision length of approximately 5 cm is positioned in the armpit followed by the creation of a breast pocket using an endoscope.

The trans-axillary approach has a higher risk of causing implant malposition as the surgeon requires specialised instruments to access the lower part of the breast pocket.

This type of incision helps to avoid visible scars with the main incisions being hidden in the armpits. Incisions may be more visible when wearing certain types of clothing such as swimwear although in cold climates this is not an issue. Positioning the incision in the armpit result in some women noticing a reduction in sensitivity. The armpit incision for a breast augmentation cannot be used for corrective breast surgery.

Transumbilical approach

This is the least commonly used type of incision and it’s not used in the UK as the technique is used for the insertion of saline breast implants. Saline breast implants are very rarely used in the UK. The incision is made in the belly button with any scarring being well concealed. The surgeon creates a subcutaneous tunnel from the belly button incision to access the breasts. This incision is rarely used as the risk of implant malposition is significantly increased. Many women who have implants inserted with this method often require revision breast surgery to correct and implant malposition. Revision breast surgery is always carried out using an inframammary fold incision.

We do not recommend this incision because of the high risk of complications occurring.

Which breast augmentation incision is most commonly used at Centre for Surgery?

Here at Centre for Surgery, our surgeons almost exclusively use the inframammary fold incision for precise placement of silicone breast implants using a specialist breast funnel for a ‘non-touch’ technique.

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