Breast Augmentation / Breast Implants Plastic Surgery

Manhattan, NYC breast augmentation /  breast implant Board Certified Plastic Surgeon, David P. Rapaport is a world recognized and well sought after plastic surgeon  who performs breast augmentation / breast implant plastic surgery at his fully accredited state of the art surgical facility on-site at his NYC plastic surgeon's office.   Breast augmentation / breast implants is one of the most popular procedures performed at the plastic surgeon's Manhattan, New York plastic surgery facility.

Breast Augmentation / Breast Implants were in the top five surgical cosmetic plastic surgery procedures in 2006, according to the American Society of Plastic Surgeons. 

NYC Breast Augmentation Plastic Surgeon, David P. Rapaport provides expert breast augmentation (breast enhancement) with both saline and silicone breast implants. The NYC breast augmentation plastic surgeon is also a world recognized expert in breast implant revision, for people who have had previous breast augmentation surgery.

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Manhattan, New York Plastic Surgeon, David. Rapaport, MD has been performing Breast Augmentation with Silicone Breast Implants for more than 15 years.  The NYC plastic surgeon has been a participant in the FDA Adjunct Study, which permitted silicone breast augmentation under certain, limited circumstances.  Since late 2006, when the FDA gave its approval for the use of Silicone Breast Implants for cosmetic augmentation in all women over the age of 22.  Dr. Rapaport's use of silicone implants has been consistently rising. 

The NYC Breast Augmentation Plastic Surgeon, believes that the choice between Saline Breast Implants and Silicone Breast Implants must be made on an individual basis.  Each form of breast implant offers its own advantages and disadvantages.  In general, patients who do well with saline breast implants and those who have adequate body fat and adequate breast tissue are not seeking a very large breast augmentation.

If a patient however has relatively little breast tissue (small to medium A cup) and is very lean, she may have a superior result with silicone breast implants, especially if she is planning to achieve a more significant increase in size.  In cases where the size of the breast implant is relatively large compared with the patient's breast volume, silicone breast implants offers the distinct advantage of having a softer, more natural feel as well as less change of showing ripples.

While silicone breast implants offer the advantage of a potentially softer and more natural feel, there are two relative disadvantages to take into account.  Because the come prefilled, they require a somewhat longer scar.  While a scar under the breast is always an option, and a scar on the border of the areolus is possible when the areolus is large enough, many patients prefer to have no scar on the breast.  Dr. Rapaport has been performing underarm, endoscopic breast augmentation for 15 years, and has become a pioneer in endoscopic breast surgery.  This technique, combined with Dr. Rapaport's experience, has drawn patients both locally, nationally and internationally to seek out Dr. Rapaport for silicone breast augmentation without breast scars.

Click Here to See Examples of Dr. Rapaport's Breast Augmentation Work

The Breast Augmentation NYC Plastic Surgeon offers breast augmentation with saline-filled implants. This has been demonstrated to be a safe operation with very high satisfaction rates, both short and long term.

The breast augmentation / breast implants plastic surgery operation involves several important choices on the part of the patient. These include implant size, implant position (on top of or under the pectoralis muscle) and the choice of location for the small surgical access scar. Implant size is selected based on a detailed consultation, aided by viewing many examples of before and after results, 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.

With regard to implant position, the breast augmentation NYC plastic surgeon generally recommends positioning the implants under the pectoralis muscle. This is for three reasons: The muscle covering the top part of the implant results in a more natural appearing breast with less likelihood of a visible implant edge or visible rippling. Secondly, there is a reduced likelihood of capsular contracture, or hardness, developing over time. This is believed to be due to the massaging action of the muscle on the scar tissue surrounding the implant. Finally, the submuscular implant position allows for a better view of the breast when a mammogram is obtained.

The scar for 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. 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 direct visualization, allowing for precise implant positioning and control of any bleeding.  The Board Certified Plastic Surgeon, David P. Rapaport, MD, probably 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.

There are many other details to which the Manhattan breast augmentation plastic surgeon, Dr. Rapaport,  pays particular attention to help minimize the risk of problems. These include the use of powder free gloves by all members of the O.R. team (shown to reduce the risk of capsular contracture, or hardness after surgery), and extremely meticulous sterile technique.

The Manhattan breast augmentation plastic surgeon has been performing breast augmentation / breast implant plastic surgery since it was developed in 1993 and has a vast and successful experience with it. It is for these reasons that Manhattan plastic surgeon has been referred some of the more complicated and challenging problems by fellow physicians.

About Breast Augmentation / Breast Implant Plastic 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.

By inserting a breast implant behind each breast, the NYC breast augmentation plastic surgeon is  able to increase a woman's breast size.

Prior to undergoing the Breast Augmentation (Breast Implants) plastic surgery there are several things for you to consider. 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)? These decisions may seem overwhelming but Board Certified Plastic Surgeon, David P. Rapaport will discuss all your options with you during your consultation at his NYC office.

Saline Breast Implants vs Silicone Breast Implants

Now that the FDA has authorized the use of silicone gel breast implants for breast augmentation on all women (age 22 and over), many patients are again asking which type of breast implant is best for them.

Board Certified Plastic Surgeon, David P. Rapaport, MD has over 15 years of experience working with both silicone breast implants and saline breast implants.  The doctor understands that many potential patients will respond to the approval of silicone breast implants by believing that silicone must be a better product -- both because it is "new", and its arrival has been anticipated and praised by nearly all plastic surgeons, including Doctor Rapaport.  In fact, in the Board Certified Plastic Surgeon's view, the issue is more complicated and as he explains, choosing the type of breast implant always involved trade-offs.  These issues are discussed with each patient after she is examined in the doctor's Manhattan, New York surgical facility.  In general, the Manhattan Breast Augmentation Plastic Surgeon prefers saline breast implants for most of his patients.  The exceptions are those who are extremely thin, and/or those patients desiring very large breast augmentations (over 400 ccs). 

The NYC breast implants plastic surgeon's reasons are as follows:  Silicone breast implants, because they arrive prefilled, require a significantly longer scar for insertion, this scar usually being under the breast.  Because saline implants arrive empty, and are filled once they are in the body, they can be rolled up and inserted via a much smaller scar, with the Board Certified Plastic Surgeon preference being to keep the scar off the breast, in an underarm crease.

Additionally, the Manhattan breast augmentation plastic surgeon challenges those who say that silicone breast implants appear more natural:  in the vast majority of cases, saline breast implants and silicone breast implants, properly positioned are both equally natural in appearance.  With regard to "feel" Doctor Rapaport maintains that saline breast implants feel very similar to silicone breast implants.  In fact, silicone breast implants are probably more likely than saline breast implants to form capsular contractures, which lead to a hard and firm, unnatural feeling breast.  Finally, many of the Board Certified Plastic Surgeon's patients who visit his Manhattan, New York office prefer the peace of mind of not having to concern themselves with silent undetected rupture and go through MRI exams every 2-3 years as required with silicone breast implants.

If you have questions concerning breast augmentation / breast implants plastic surgery, or would like to schedule a consultation with the Manhattan Breast Augmentation Board Certified Plastic Surgeon, please phone David P. Rapaport's Manhattan, New York City Plastic Surgery office at 212-752-1129 or email the NYC Plastic Surgeon at info@drrapaport.com.