710 Park Avenue, New York, NY

The Art of Breast Augmentation

Breast size, shape and proportion play a unique role in every woman’s self-perception, sense of physical balance, femininity, and confidence. The art of breast augmentation is so much more than simply “enlarging” the breasts—it is realized through the profound consideration of each individual’s desires, inherent anatomical forms, and meticulous attention to the techniques and safety of their union.

As I approach the one-year anniversary of my breast augmentation, I continue to have nothing but the most positive feelings about my "new" self. I constantly think about how Dr. Kolker and the rest of his staff were so very helpful and caring throughout the entirety of my time with them.K.D. / New York City
View Before & After Gallery

View Dr. Kolker's breast augmentation gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Breast Augmentation NYC
    Breast Augmentation New York City
  • Best Breast Augmentation NYC
    Breast Implants NYC
  • Breast Implants New York City
    Best Breast Implants New York City

No two breast augmentations are the same; each is as diverse as a woman's unique goals and physique, and as different as the surgeon who performs them. As a double board-certified, Harvard-trained plastic surgeon with a clinical focus on aesthetic breast surgery, and as a lifelong studio artist, Dr. Kolker brings to bear vast experience in the science and art of breast augmentation.

Dr. Kolker believes that while an increase in breast size may be important, beautiful always supersedes bigger, curves should always be gentle rather than geometric, and the quality of the aesthetic result always prevails over the quantity of the breast implant volume. Achieving a gorgeous, natural and proportional outcome is always the ultimate goal.

Breast Augmentation with Dr. Kolker

Breast Implants

Breast implants are appropriate for the treatment of a wide array of breast size and shape concerns. Underdevelopment of the breasts, known as developmental breast hypoplasia, is a common indication for breast augmentation. Breast deflation following pregnancy (postpartum glandular hypomastia), after significant weight loss, or simply due to gradual involution can be improved significantly with breast augmentation. Certain breast asymmetries and congenital breast shape deformities can also be corrected through breast augmentation techniques. The technical approach must be meticulously tailored and personalized for every nuance of intrinsic shape and size and for every facet of individual desire.

The plastic surgeon you choose as your breast augmentation surgeon is of paramount importance. What differentiates care by Dr. Kolker and his team is comprehensive:

  • Extraordinary finesse, technical skill, and experience,
  • Superlative certification, accreditation, and safety standards,
  • A deep understanding and perspective of beautiful, natural, and proportional breast and body aesthetics,
  • A passion for achieving gorgeous results that can be stunning yet subtle, and
  • A connection between patient, surgeon, and staff that is exceptionally warm, intimate, and comfortable.

From the initial consultation at his office on Park Avenue in New York City, through the perioperative phase, and throughout the entirety of your recovery and follow-up, you will experience the thoroughness, attention to detail, and warmth with which Dr. Kolker and his team welcome and care for you. The first visit is an opportunity for Dr. Kolker to get to understand your desires, to examine and evaluate physical requirements, to thoroughly inform you about the procedure(s) or alternative treatments that will suit you best, to answer any questions you may have, and to introduce you to our incredibly warm, professional, caring and compassionate staff.

Best Breast Augmentation Manhattan

Dr. Kolker's Message to Those Considering Breast Implants

Understanding the nuances of your individual goals, respect for your anatomy and proportion, and superb technique with meticulous attention to detail are the cornerstones of achieving the most beautiful, natural results. The art of breast augmentation is considerably more than simply “enlarging the breast”—it is an incredibly delicate and creative endeavor that can dramatically improve physical beauty, natural balance, and self-confidence.Dr. Adam Kolker

Planning Your Breast Augmentation

There are four primary components that are essential to consider during the planning phase of breast augmentation:

  • Type: the type of breast implants, silicone or saline
  • Access Incision: the incision through which the breast implants are introduced
  • Position: the pocket placement of the implants relative to the chest muscle
  • Style: the shape, profile, texture and size of the breast implants

These choices are predicated on your innate anatomy, on your desired outcome, and on certain personal preferences. New York City Breast Augmentation Surgeon, Dr. Adam Kolker will carefully consider each of these factors with you, and will design the best breast augmentation treatment plan that is personalized to achieve your goals. Click on any of the four components below for more detailed explanation.

Type of Breast Implants: Silicone Gel vs. Saline

The two primary breast implant options available for cosmetic breast augmentation are silicone implants and saline implants. Both breast implants are safe, FDA approved devices that are excellent choices for breast enlargement. The current generation of silicone breast implant is pre-filled with a cohesive silicone gel, and saline implants are filled with salt water solution at the time of surgery. Each has a similar silicone elastomer outer shell. At comparable volumes, the look of each implant is virtually identical. To the touch, the silicone gel implants have a more natural, breast-like feel.

Access Incisions for Breast Enlargement

Breast augmentation can be performed using incisions in the lower crease beneath the breast (inframammary crease incision), along the lowest border of the pigmented areola (periareolar incision), or within the underarm (transaxillary incision). In consideration of a variety of factors including areolar size, breast shape, breast glandular density, inframammary fold definition, size goals, implant selection, and personal preferences, Dr. Kolker will advise you on the best breast augmentation incision options.

To minimize incision length and to gently introduce silicone gel implants with a minimal or “no-touch” technique, a Keller Funnel is uniformly used. The Keller Funnel is an implant insertion device with a slick, low-friction surface that enables the placement of silicone breast implants through smaller incisions. Using these devices since 2010, Dr. Kolker uses the Keller Funnel for every breast augmentation.

Position of Breast Implants

Breast implants can be placed below the muscle (submuscular augmentation), or above the muscle (subglandular augmentation). Submuscular augmentation confers the following benefits:

  • Provides increased coverage of the breast implants
  • Softens the upper pole of the breast leading to a more seamless, natural transition from collar bone to nipple
  • Maintains long term stability of the breast pocket
  • Markedly decreases rates of capsular contracture
  • Lessens influence on mammography

Dr. Kolker uniformly utilizes a submuscular pocket plane. “Dual plane” augmentation is a form of submuscular augmentation that allows for maximal coverage of the upper pole of the implant by muscle, and direct effacement of the lower breast gland; this maneuver is employed when there is minor lower pole soft tissue excess or mild droop (ptosis) of the breast.

Breast Implant Style, Texture, Profile, & Sizing

Breast implants are available in a wide array of shapes, profiles, shell textures, and sizes. Round implants or anatomical implants can be used. Both implants assume a tear-drop shape when upright. The shells of breast implants can be smooth or textured. Implant profile refers to the projection of an implant for a given base dimension. Choices are made from among three profiles, corresponding to low or moderate projection (less volume and anterior convexity), midrange or moderate plus projection (intermediate volume and convexity), and high profile (maximum volume and convexity). Considering the nuances of your anatomy and the subtleties of your specific desires, Dr. Kolker will advise you on the best breast implant style, profile, and projection options to achieve your goals.

Choosing the correct breast implant size is a process that begins with your initial consultation. Dr. Kolker is fastidious about getting to know the nuances of every individual’s wishes and goals. These desires are married with the careful anatomical measurements and tissue assessment to establish an initial size “range”. At a preoperative visit approximately two weeks before surgery, the goal is further confirmed with a series of neoprene bead-filled sacs used as “sizers” that are placed into a special brassiere; you will try a range of sizes to get a better sense of dimension and proportion. Finally, Dr. Kolker uses silicone gel or saline implant sizers during surgery to confirm the size selection. As a rule in realizing the most beautiful endpoint, Dr. Kolker strives to achieve natural and proportional size and shape, directed by your thoroughly considered desires and goals. With his years of experience and attention to detail, Dr. Kolker has earned a reputation amongst his patients for providing high quality breast implants and cosmetic surgery.

Before & After Gallery

View Before & After Gallery

View Dr. Kolker's breast augmentation gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Breast Augmentation Before and After Photos
    Breast Augmentation Before and After Photos
  • Breast Augmentation Before and After Photos
    Breast Augmentation Before and After Photos
  • Breast Augmentation Before and After Photos
    Breast Augmentation Before and After Photos

Hear From Dr. Kolker's Patients

My experience with Dr. Kolker has been nothing short of life changing. Having my breast augmentation and lift procedure has boosted my self-esteem and given me a confidence that I had not felt for years. His emphasis is always on natural beauty. He has impeccable instincts and always knows how to make you look your best. He is an absolute artist.S.V. / New Jersey

Preparing for Breast Augmentation

You will have a comprehensive preoperative visit in our office in Manhattan, NYC approximately two weeks before your breast augmentation surgery. A complete list of "dos and don'ts" is reviewed. Prescriptions for postoperative medications are given, and the pre and postoperative instructions are reviewed. Any questions that remain can be answered during this visit. The sizing exercises described above also take place at this time. Anything that has a blood-thinning effect (aspirin, ibuprofen, etc.) is avoided for two weeks before surgery. Basic blood work for preoperative testing is ordered, and any breast imaging studies that are required (age and past medical history appropriate) are obtained.

The Breast Augmentation Procedure

In Dr. Kolker's fully accredited surgical facility located on Park Avenue in New York City, breast augmentation is performed as an outpatient procedure. The surgical suite is accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgery Facilities). After preoperative marking, the procedure is performed under general anesthesia, administered by a board-certified anesthesiologist from the Mount Sinai Medical Center Department of Anesthesia. The procedure duration is approximately 1.5 - 2 hours.

Recovery

You will recover in our private recovery room with our licensed registered nurse, and will be discharged home with a friend or relative when you are fully awake and comfortable approximately 1 to 2 hours after the completion of surgery.

Dr. Kolker recommends returning to work or studies after seven days, although with less physically demanding occupations, some are able to return as early as 4 to 5 days postop. During the first week you will wear a post-surgical bra provided by the office. A compressive strap may also be recommended on occasion and provided if necessary. You will be instructed on how to perform implant displacement exercises at your 7 day follow-up visit. After one week the bra may be replaced by a standard sports bra. Normal bras and bathing suits may be worn after approximately two weeks. Breasts may appear firm and swollen for the first seven days, generally subsiding by 14 days, with shape and size settling into final position by 12 weeks.

Exercise

Light exercise (cardio without impact) may be resumed at five to seven days, and more vigorous physical activity may commence three weeks after your breast augmentation surgery. Strength training that excludes pectoralis muscle contraction (including lower body, core, and biceps/triceps toning with arms held below 45 degrees) may resume after seven days. Modified pectoralis exercises may be resumed at 4 to 6 weeks, and completely unrestricted training begins at 12 weeks.

Aftercare

Your relationship with our office is not over once the procedure is complete. Following the surgery, we are at your disposal, and available to you day and night. Standard follow-up visits are at one week, six weeks, and 12 months. New York City Breast Augmentation Surgeon, Dr. Adam Kolker will provide information regarding breast health, breast self-examination, exercises, and the timing for any breast imaging as required.

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