Introduction
Prosthetic breast augmentation has become a common cosmetic procedure in New York City. However, there comes a time when some women may decide to have their breast implants removed. In the city, both public and private hospitals offer these services, leading to a sort of “PK” (a comparison or competition). This article will comprehensively explore the various aspects of prosthetic breast augmentation removal in New York City's public and private hospitals.
Reasons for Breast Implant Removal
Medical Reasons
Many women choose to remove their breast implants due to medical complications. One such significant issue is Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL). This is a type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. When left untreated, it can spread to nearby lymph nodes. The FDA has recalled certain types of textured breast implants due to their association with a higher rate of BIA - ALCL. Symptoms of BIA - ALCL include pain or swelling around the breasts, and some patients may notice a difference in the size or shape of their breasts. Treatment typically involves surgically removing the implants and surrounding scar tissue, and in more serious cases, chemotherapy or radiation may also be necessary.
Another common medical complication is capsular contracture. This is when the scar tissue that forms around the implant tightens and squeezes the implant, causing pain, firmness, and an irregular shape of the breast. It can make the breast look and feel unnatural. According to some top Google search results, about 10 - 20% of women with breast implants may experience some degree of capsular contracture over time.
Implant rupture is also a concern. Saline implants can leak saline solution into the body, which is generally harmless but can cause the breast to deflate. Silicone implants, on the other hand, can rupture and leak silicone gel, which may cause a range of problems, including pain, swelling, and changes in breast appearance.
Cosmetic Reasons
Some women may be unhappy with the aesthetic results of their original breast augmentation. They may feel that the implants are too large, too small, or not in the right position. Changes in personal taste over time can also lead to the decision to remove the implants. For example, a woman who initially chose large implants may later prefer a more natural - looking breast size as her lifestyle or body image changes.
Lifestyle Reasons
Active individuals, such as athletes, may find that breast implants interfere with their physical activities. Larger implants can cause discomfort or restrict movement during exercise. Some women may also choose to remove their implants due to concerns about long - term health or maintenance, or because they want to simplify their lives and no longer deal with the care and potential complications associated with breast implants.
Top Plastic Surgeons in New York City for Breast Implant Removal
Dr. Darrick E. Antell
Dr. Darrick E. Antell is a premier breast surgeon in NYC. He is widely regarded as one of the most experienced breast surgeons both in the New York area and worldwide. He has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country. He performs custom breast implant removal (explant) surgery, including en bloc capsulectomy when indicated. Many of his patients are referred by former patients, and he has performed surgeries on many celebrities. He is known for his extraordinary experience, surgical skills, and beautiful results.
Dr. Brian Bassiri - Tehrani
Dr. Brian Bassiri - Tehrani at Pearlman Aesthetic Surgery provides breast enhancement tailored to each patient’s individual goals. He offers capsulectomy and capsulotomy procedures to remove implants and/or scar tissue surrounding them. His personalized approach and focus on delivering optimal results make him a popular choice for breast implant removal in NYC.
Dr. Andrew Salzberg and Dr. Jordan Jacobs
At the New York Group for Plastic Surgery, Dr. Andrew Salzberg and Dr. Jordan Jacobs perform breast implant removal procedures. They ensure that patients are well - informed and comfortable throughout the process, from preparation to recovery. They are skilled in removing silicone from the implant shell and cleaning the breast pocket during the procedure.
Dr. Barry Weintraub
Dr. Barry Weintraub is known for his unique blend of medical science and artwork in breast implant removal and replacement. He prefers to perform the procedure in a comfortable state of twilight sleep for his patients. His surgical center at 800a Fifth Avenue offers a high - level of privacy and state - of - the - art facilities. He has a high success rate in complex redo surgeries and is meticulous in his pre - op to post - op care.
Dr. Maura Reinblatt
Dr. Maura Reinblatt, a board - certified plastic surgeon in NYC, is renowned for her personalized approach to patient care. She offers advanced techniques such as en bloc capsulectomy and open capsulotomy to address medical issues associated with breast implants. Her dual board certifications and extensive experience make her a top choice for those considering breast implant removal.
Dr. Joshua D. Zuckerman
Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery understands the personal nature of the decision to undergo breast implant removal or exchange. He is meticulous in minimizing scarring and optimizing recovery during the procedure. He offers options for breast implant exchange as well as removal, based on the patient's needs and aesthetic goals.
Public vs. Private Hospitals in New York City for Breast Implant Removal
Cost
In public hospitals, the cost of breast implant removal is generally lower. This is because public hospitals often receive government funding and subsidies. However, the exact cost can still vary depending on the specific hospital and the complexity of the procedure. For example, a basic breast implant removal in a public hospital may cost around $6,000 - $10,000. In private hospitals, the cost is typically higher. The range can be from $10,000 - $15,000 or even more, depending on factors such as the surgeon's reputation, the facilities used, and any additional services provided.
Waiting Times
Public hospitals in New York City usually have longer waiting times for breast implant removal procedures. Due to a large number of patients and limited resources, patients may have to wait several months to get an appointment for the surgery. Private hospitals, on the other hand, often offer shorter waiting times. Many private hospitals can schedule the procedure within a few weeks, which is more convenient for patients who want to have the surgery done quickly.
Facilities and Technology
Private hospitals generally have state - of - the - art facilities and the latest technology. They can invest more in advanced equipment for imaging, anesthesia, and surgical instruments. For example, some private hospitals may have the latest 3D imaging technology to better plan the surgery and achieve more accurate results. Public hospitals also have decent facilities, but they may not always have access to the most up - to - date technology due to budget constraints.
Surgeon Expertise
Both public and private hospitals in New York City have skilled surgeons. In public hospitals, many surgeons are experienced and well - trained, and they may also be involved in research and teaching. However, some of the top - tier, highly specialized plastic surgeons may be more likely to work in private practices or private hospitals, as they can offer a more exclusive and personalized service to their patients. Private hospitals may also have a wider selection of surgeons with different areas of expertise, allowing patients to choose a surgeon based on their specific needs.
Patient Privacy
Private hospitals offer a higher level of patient privacy. They often have private rooms, discrete operating rooms, and personalized staff to ensure that patients' privacy is protected. In public hospitals, the environment may be more crowded, and patients may have to share rooms, which can lead to less privacy.
The differences between public and private hospitals in New York City for breast implant removal can be summarized in the following table:
| Aspect | Public Hospitals | Private Hospitals |
|---|---|---|
| Cost | Lower, around $6,000 - $10,000 | Higher, $10,000 - $15,000 or more |
| Waiting Times | Longer, several months | Shorter, a few weeks |
| Facilities and Technology | Decent, but may lack the latest technology | State - of - the - art, with the latest equipment |
| Surgeon Expertise | Skilled, but top - tier specialized surgeons may be fewer | Wide selection of highly - skilled and specialized surgeons |
| Patient Privacy | Less privacy, shared rooms in some cases | High level of privacy, private rooms and discrete facilities |
The Breast Implant Removal Procedure
Consultation
During the initial consultation, the surgeon will thoroughly evaluate the patient's general health and medical history. They will also assess the current condition of the breasts. It is important for the patient to discuss any symptoms they may be experiencing, especially if the removal is due to medical complications. The patient should bring any information they have about their existing implants and their previous breast augmentation surgery. The surgeon will work with the patient to create a proper surgical plan based on the patient's desired outcome. They may also recommend pairing the explant surgery with another procedure, such as a breast lift, to achieve a more plump and rounded appearance.
Pre - operative Preparation
Based on various factors, such as age and implant condition, the surgeon may send the patient for imaging, such as an ultrasound, mammogram, or MRI, prior to the surgery. The patient will be given guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may be given prescriptions that should be filled prior to the surgery. Depending on the patient's history, they may be asked to provide pre - operative clearance from another doctor. Since the procedure is often performed under “twilight” sedation, the patient should arrange for someone to drive them home after the surgery and ensure they have someone to assist them in the first few days of recovery.
Anesthesia
Breast implant removal is typically performed with local anesthesia and intravenous sedation or with another type of “twilight” anesthesia. In some rare cases, only local anesthesia may be used. A board - certified anesthesiologist will monitor the patient throughout the procedure to ensure their safety and comfort.
The Surgery Itself
If possible, the surgeon will remove the implant through the existing incisions from the initial breast augmentation surgery. This is more likely when the implants were placed with an inframammary fold or areolar incision, but may not be possible with an armpit incision. If the patient has capsular contracture, a silicone implant rupture, or textured breast implants and is experiencing BIA - ALCL, it is often necessary to remove the hardened scar tissue surrounding the implant. When the implant and scar tissue are removed simultaneously, this is called en - bloc resection. Multiple layers of internal, dissolving sutures, and a layer of external sutures, if needed, will typically be used to close the incisions. The surgeon may place a layer of gauze or a bandage over the new breasts to speed healing. The surgery usually takes between one to three hours to complete, depending on the complexity of the case.
Recovery Process
Immediate Post - operative Period
After the surgery, the patient will recover in a recovery suite while being monitored by a registered nurse until they feel well enough to be discharged. A specialized, long - lasting local anesthesia will be used to reduce discomfort. Since it is an outpatient procedure, the patient can return home the same day as the procedure. However, they should be prepared to have an escort to bring them home, as they will not be able to drive for 24 hours after the administration of anesthesia. Upon leaving the facility, the patient will be provided with thorough discharge instructions.
Initial Weeks after Surgery
The patient's breasts may be covered in a layer of gauze or a bandage. They may feel tired or sore following surgery, as the body is using its energy to heal. Many patients are able to return to most daily activities within days of the procedure, but it is best to refrain from vigorous exercise for around two weeks. The surgeon will provide an individualized recovery plan based on the intricacies of the customized procedure and the patient's rate of healing. It is important to follow all post - operative instructions carefully and refrain from activities that could put stress on the incisions.
Long - term Recovery
It is expected to experience some loss of feeling in the breast area and around the incisions; this numbness typically fades over time. The patient may also notice some fluid drainage from the incision site. In most cases, the majority of patients do not require a breast lift after surgery, as their breasts generally return to their pre - operative shape naturally. The patient will typically return to the office the day after the surgery so that the surgeon can monitor their healing process. If external sutures are used during surgery, they are usually removed around 7 - 10 days following the procedure. Although much of the swelling and bruising will fade in the first few weeks, it may take several months before the final results are visible. The scars will likely be firm and pink for at least six weeks before beginning to fade.
Expected Results
Breast implant removal can return the breasts to their pre - implant size. If the patient desires to have a breast lift, it may or may not be performed at the same time. They may also choose to have a breast lift at a future date. It takes time for the patient to adjust to their new image, so they should be patient with the healing process. Most patients are very pleased with the results once the healing is complete.
Conclusion
In New York City, both public and private hospitals offer breast implant removal services, each with its own advantages and disadvantages. Public hospitals are more cost - effective but may have longer waiting times and less advanced facilities. Private hospitals, on the other hand, offer shorter waiting times, state - of - the - art facilities, and a higher level of patient privacy but at a higher cost. The decision between a public and private hospital depends on the patient's individual needs, budget, and preferences.
If you are considering breast implant removal in New York City, it is important to do thorough research, consult with a qualified plastic surgeon, and carefully weigh the pros and cons of each option. We encourage you to share this article with others who may be interested in this topic and to explore further by scheduling a consultation with a trusted plastic surgeon to learn more about the procedure and what to expect.
