Introduction

Breast augmentation is a prevalent cosmetic procedure, yet there are numerous reasons why individuals might opt for breast augmentation removal. New York City, renowned as a global hub for plastic surgery, is home to a multitude of hospitals and clinics offering top - notch breast augmentation removal services. This comprehensive guide aims to provide in - depth information on plastic surgery hospitals in New York City for breast augmentation removal, including reasons for removal, types of procedures, top surgeons, and post - operative care.

Reasons for Breast Augmentation Removal

There are various motivations that drive patients to seek breast augmentation removal. These can be broadly categorized into medical, aesthetic, and lifestyle factors.

Medical Reasons

• Implant Rupture or Leakage: Over time, breast implants, whether saline or silicone, may rupture or leak. Silicone gel implants, when ruptured, can cause a silent leakage as the gel may stay within the body. Saline implants, on the other hand, will deflate visibly if they rupture. This can lead to various health concerns and necessitate removal. For example, a ruptured implant can cause pain, changes in breast shape, and inflammation.
• Capsular Contracture: This occurs when the scar tissue (capsule) that forms around the implant tightens and hardens. Capsular contracture can cause discomfort, pain, and distortion of the breast shape. The severity of capsular contracture is often classified on a Baker scale, with higher grades indicating more severe problems.
• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. The FDA has recalled certain textured breast implants due to their association with an increased risk of BIA - ALCL. Symptoms may include pain, swelling, or a mass in the breast. Treatment usually involves surgical removal of the implant and the surrounding scar tissue.
• Breast Implant Illness (BII): Some women report a range of symptoms such as fatigue, joint pain, brain fog, and skin rashes after getting breast implants. While the medical community is still researching BII, some patients choose to have their implants removed in an attempt to alleviate these symptoms.

Aesthetic Reasons

• Unsatisfactory Results: Patients may be unhappy with the size, shape, or symmetry of their breasts after augmentation. This could be due to an incorrect sizing during the initial surgery or changes in the body over time, such as weight fluctuations or aging.
• Desire for a More Natural Look: As personal aesthetic preferences change, some individuals may want to return to a more natural breast appearance. They may feel that their implants no longer match their current lifestyle or self - image.

Lifestyle Reasons

• Changes in Lifestyle: For instance, a patient may take up a more active lifestyle, and large implants can cause discomfort or limit physical activities. Or, they may be entering a new phase of life where they feel that the implants are no longer necessary.
• Cultural or Social Shifts: Changes in cultural or social norms regarding beauty standards can also influence a patient's decision to remove their breast implants.

Types of Breast Augmentation Removal Procedures

There are several surgical techniques available for breast augmentation removal, each with its own advantages and indications.

Explantation

This is the most basic procedure, which involves simply removing the breast implant from the body. It is typically performed under local anesthesia with intravenous sedation or general anesthesia. The surgeon makes an incision in the same location as the original breast augmentation incision (if possible) to remove the implant. If there is scar tissue or calcification around the implant, it may also be removed during the procedure. The recovery time for explantation is relatively shorter compared to more complex procedures, and most patients can return to normal activities within 1 - 2 weeks.

En Bloc Capsulectomy

In this procedure, the entire implant along with the surrounding capsule is removed as one piece. It is recommended for patients with capsular contracture, silicone implant rupture, or those at risk of BIA - ALCL. The en bloc capsulectomy technique reduces the risk of rupturing the implant during removal and ensures complete removal of all potentially contaminated tissue. However, it is a more invasive procedure and may require longer recovery time. The surgeon makes an incision around the perimeter of the capsule and carefully dissects it away from the surrounding tissues until it can be removed intact.

Capsulectomy

This procedure involves removing only the capsule that forms around the implant while leaving the implant in place or removing it separately. It is often used for patients who have discomfort or cosmetic concerns related to the capsule but do not require a more extensive en bloc removal. A capsulectomy is less invasive than en bloc capsulectomy and may have fewer associated risks and complications.

Explantation with Mastopexy

This surgical approach combines the removal of the breast implant with a breast lift. It is suitable for patients who have experienced sagging or drooping of their breasts after having implants. During the procedure, an incision is made around the perimeter of the areola or underneath the breast fold. The implant is removed along with any surrounding scar tissue, and then the remaining breast tissue is lifted to create a more youthful appearance. This technique addresses both cosmetic concerns related to sagging breasts and the need for implant removal.

Explantation with Fat Transfer

In this procedure, the breast implant is removed, and the patient's own fat from another area of the body (such as the thighs, hips, or abdomen) is used to reshape and enhance the breasts. It is recommended for patients who want to remove their implants but still desire some degree of breast volume. The fat is harvested through liposuction techniques, purified, and then injected into the breast tissue to create a more natural - looking and fuller appearance. This approach avoids the need for additional implants or foreign materials in the body and reduces the risk of rejection or allergic reactions.

Top Plastic Surgery Hospitals and Surgeons in New York City

New York City boasts many renowned plastic surgery hospitals and highly skilled surgeons who specialize in breast augmentation removal. Here are some of the top options:

Dr. Darrick E. Antell

Dr. Antell is a premier breast surgeon in NYC. He has been listed in Harper’s Bazaar and other magazines as one of the best breast plastic surgeons in the country. With over twenty years of experience and more than ten thousand procedures under his belt, he combines meticulous surgical skills, the latest medical technologies, and an artistic eye. He performs custom breast implant removal (explant) surgery, including en bloc capsulectomy when indicated. Many of his patients are referred by former patients, attesting to his exceptional surgical results and discretion. His private operating room, located across the street from Lenox Hill Hospital, offers state - of - the - art facilities and personalized care.

Dr. Brian Bassiri - Tehrani at Pearlman Aesthetic Surgery

At Pearlman Aesthetic Surgery on Park Avenue, Dr. Bassiri - Tehrani provides capsulectomy and capsulotomy procedures to remove implants and/or scar tissue surrounding them. He takes an individualized approach, tailoring breast enhancement to each patient's goals. The consultation process is personalized, and the surgery is performed in their state - of - the - art in - office operating room in Manhattan. The team offers support throughout the post - surgery care, and patients can expect a downtime of about 1 week with full recovery taking 1 - 2 months.

Dr. Andrew Salzberg and Dr. Jordan Jacobs at New York Group for Plastic Surgery

The New York Group for Plastic Surgery offers breast implant removal procedures. Surgeons Dr. Salzberg and Dr. Jacobs have extensive experience in breast explant surgery. They guide patients through the process, from pre - operative preparation to post - operative recovery. The procedure involves anesthesia options, skin preparation, incision placement, implant removal, scar tissue removal, and sealing of incisions. They also provide detailed post - procedure instructions to ensure a smooth recovery.

Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery

Dr. Zuckerman is a highly skilled plastic surgeon at Zuckerman Plastic Surgery. He understands that the decision to undergo breast implant removal or exchange is a personal one. He offers procedures to meet the changing needs and preferences of his patients. His approach aims to minimize scarring and optimize recovery. He also provides post - operative care advice, including managing discomfort, wearing a support bra, and avoiding strenuous activities for several weeks.

Dr. Barry Weintraub

Dr. Weintraub is well - known for breast implant removal and replacement. He has a unique blend of medical science and artistry. He performs the procedures in his hospital - grade, state - of - the - art surgical center attached to his office. He prefers his patients to be in a twilight sleep during the surgery for a comfortable experience. Dr. Weintraub takes the time to understand each patient's needs and goals, and he provides comprehensive pre - and post - operative care.

Dr. David Shokrian at Millennial Plastic Surgery

Dr. Shokrian at Millennial Plastic Surgery has extensive experience in breast explant surgery. He creates a perfect balance of surgical and natural remedies to make patients feel comfortable in their bodies. The clinic offers accessible offices in mid - town Manhattan. They provide detailed instructions for pre - operative preparation, and the procedure is usually done as an outpatient. After the surgery, they offer guidance on recovery, including wearing a compression garment, taking pain medication, and following up on all scheduled visits.

Choosing the Right Plastic Surgeon

Selecting the right plastic surgeon is crucial for a successful breast augmentation removal procedure. Here are some factors to consider:

Qualifications

Look for a board - certified plastic surgeon by the American Board of Plastic Surgery. This certification ensures that the surgeon has undergone rigorous training and passed stringent exams, demonstrating their competence and proficiency in plastic surgery procedures.

Experience

Choose a surgeon who has extensive experience in breast augmentation removal surgeries. A surgeon with a high number of successful procedures is more likely to handle any complications that may arise during the surgery. You can ask about the surgeon's specific experience with the type of procedure you need, such as en bloc capsulectomy or explantation with mastopexy.

Patient Reviews

Online review platforms like RealSelf.com and Yelp can provide valuable insights into a surgeon's reputation. Read reviews from previous patients to get an idea of their experience with the surgeon, including the quality of care, communication, and overall satisfaction with the results.

Communication

During the consultation, pay attention to how well the surgeon listens to your concerns and answers your questions. A good surgeon should be able to explain the procedure, risks, and expected outcomes in a clear and understandable way. They should also take the time to understand your goals and develop a personalized treatment plan.

Facility

Consider the surgical facility where the procedure will be performed. It should be accredited and equipped with state - of - the - art technology. A clean and well - maintained facility reduces the risk of infections and other complications.

Pre - operative Preparation

Proper pre - operative preparation is essential for a smooth breast augmentation removal procedure and a successful recovery.

Consultation

Schedule a consultation with your chosen surgeon. During this meeting, discuss your reasons for wanting breast implant removal, your medical history, and any medications or supplements you are taking. The surgeon will evaluate your general health and the current condition of your breasts. They may also recommend additional tests, such as an ultrasound, mammogram, or MRI, to assess the implants and surrounding tissues.

Medication Management

Avoid taking medications that can increase bleeding, such as aspirin, ibuprofen, and certain blood - thinners, for a specified period before the surgery. Follow your surgeon's instructions regarding any supplements or herbal remedies that may interfere with anesthesia or cause bleeding.

Lifestyle Changes

Stop smoking at least two weeks before the surgery as smoking can increase the risk of complications during surgery and slow down the healing process. Maintain a healthy diet and get enough rest to prepare your body for the procedure.

Arrange for Post - operative Care

Since breast implant removal is often an outpatient procedure, arrange for someone to drive you home after the surgery and stay with you for at least 24 hours. Make sure you have comfortable clothing that is easy to put on and take off after the surgery, and have any prescribed medications filled in advance.

The Breast Augmentation Removal Procedure

The breast augmentation removal procedure typically follows a set sequence of steps:

Anesthesia

The type of anesthesia used depends on various factors, including the patient's medical history, preferences, and the complexity of the procedure. Options may include local anesthesia with sedation or general anesthesia. Local anesthesia with sedation numbs only a specific area of the body while the patient remains conscious but relaxed. General anesthesia puts the patient into a deep sleep so that they do not feel anything during the surgery. A board - certified anesthesiologist will monitor the patient's vital signs throughout the procedure.

Incision Placement

The surgeon will make an incision in the same location as the original breast augmentation incision if possible. Common incision sites include the crease under the breast, around the areola, or vertically in the armpit. The choice of incision depends on factors such as the type of implant, the presence of scar tissue, and the surgical technique being used.

Implant and Scar Tissue Removal

The surgeon will carefully remove the breast implant from the body. If there is scar tissue or calcification around the implant, it will also be removed. In some cases, such as en bloc capsulectomy, the entire implant and the surrounding capsule are removed as one piece. The method of removal may vary depending on the situation, and the surgeon will take care to minimize damage to the surrounding tissues.

Closure of Incisions

After the implant and scar tissue are removed, the incisions are closed using sutures or skin adhesions. Multiple layers of internal, dissolving sutures may be used, along with an external layer of sutures if necessary. The surgeon may place a layer of gauze or a bandage over the incisions to aid in healing.

Recovery Process

The recovery process after breast augmentation removal is an important phase that requires patience and adherence to post - operative instructions.

Immediate Post - operative Period

After the surgery, the patient will be taken to a recovery room where they will be monitored closely until they are stable and awake. They may experience some discomfort, swelling, and bruising in the breast area. Pain medication will be provided to manage the discomfort. Patients may also have drains placed under the skin to remove excess blood and fluid, which are usually removed within 10 days.

First Week

The first week is typically the most uncomfortable. Patients should rest as much as possible and avoid any strenuous activities or heavy lifting. They should wear a compression garment or support bra as recommended by the surgeon to reduce swelling and support the breasts. Swelling and bruising are common during this time, but they should gradually improve.

Subsequent Weeks

Most patients can return to work and normal activities within 1 - 2 weeks, depending on the nature of their job and the extent of the procedure. However, they should continue to avoid vigorous exercise and heavy lifting for about six weeks. It is important to follow all post - operative instructions, including changing bandages, cleaning incision sites, and attending all follow - up appointments with the surgeon. Numbness in the breast area and around the incisions is common but usually fades over time.

Long - term Recovery

It may take several months for the final results to be visible. Scars will likely be firm and pink for at least six weeks before beginning to fade. The majority of patients do not require a breast lift after surgery, as their breasts generally return to their pre - operative shape naturally. However, some patients may choose to have additional procedures, such as a breast lift or fat transfer, in the future to further enhance the appearance of their breasts.

Risks and Complications

Although breast augmentation removal is generally considered a safe procedure, there are potential risks and complications that patients should be aware of:

Bleeding and Infection

As with any surgical procedure, there is a risk of bleeding during or after the surgery. Infection can also occur at the incision site. Signs of infection include redness, swelling