All the plastic surgery hospitals on the ranking list for breast implant capsular contracture repair in New York City are here!

Introduction

Breast augmentation has become an increasingly popular cosmetic procedure over the years, with many women opting for breast implants to enhance their appearance and boost their self - confidence. However, one of the potential complications that can occur after breast implant surgery is capsular contracture. Capsular contracture is a condition where the scar tissue (capsule) that forms around the breast implant begins to tighten and compress the implant, leading to pain, changes in breast shape, and firmness. In New York City, there are numerous plastic surgery hospitals and surgeons who specialize in breast implant capsular contracture repair. This article aims to provide a comprehensive overview of these facilities, the surgeons, and the treatment options available.

Understanding Capsular Contracture

What is Capsular Contracture?

When breast implants are inserted into the body, the body's natural response is to form a capsule of scar tissue around the implant. In normal circumstances, this capsule remains soft and flexible. However, in cases of capsular contracture, the capsule thickens and tightens. This tightening can cause the breast to feel hard, become misshapen, and may even lead to discomfort or pain. According to research on breast implant complications, capsular contracture can occur at any time after the initial breast augmentation surgery, but it is more likely to happen within the first few months or years.

Symptoms of Capsular Contracture

• Breast Firmness or Tightness: The breast may feel harder than normal, often described as "rock - hard."
• Pain: Discomfort or pain in the breast area can range from mild to severe.
• Change in Breast Shape: The breast may become misshapen, with a distorted or abnormal appearance.
• Change in Breast Position: The breast may shift position on the chest wall.
• Restricted Range of Motion: Movement of the arm on the affected side may be limited due to the tightness in the breast.

Grades of Capsular Contracture

Causes of Capsular Contracture

• Bacterial Infection: A thin layer of bacteria, called biofilm, can form inside the breast pocket during the initial implant procedure. This bacteria can cause an infection, leading to capsular contracture. Surgeons take precautions, such as minimizing handling of the implants before insertion, to reduce this risk.
• Hematoma and Seroma: Blood or fluid accumulation in the breast pocket can provide nutrients for bacteria to grow, increasing the risk of biofilm formation and capsular contracture. Drains may be used during surgery to prevent such accumulations.
• Incomplete Breast Cancer Treatment: If breast implants are inserted after incomplete breast cancer treatment, especially radiation therapy, it can increase the risk of capsular contracture.
• Genetic Predisposition: Some individuals may be more prone to developing thick scar tissue due to genetic factors. A family history of autoimmune diseases can also increase the risk.
• Random Chance: In many cases, capsular contracture occurs without an easily identifiable cause, seemingly due to random factors.

Top Surgeons for Breast Implant Capsular Contracture Repair in New York City

Healthgrades' Top Picks

Healthgrades has identified several top doctors in New York who treat capsular contracture of breast implants. These doctors have high ratings based on past patient experiences. Here are some of them:

Other Renowned Surgeons

Dr. Darrick E. Antell

Dr. Darrick E. Antell is one of the most renowned board - certified plastic surgeons in the world. Trained at Stanford and Cornell University, he is known for his exceptional surgical skills and use of advanced techniques. He has been named a “top plastic surgeon” by Town and Country, Vogue, and New York Magazine, and recognized by Harper’s Bazaar as one of the best breast plastic surgeons in the country. For breast implant revision surgery, he offers personalized care and a detailed consultation process. He thoroughly evaluates the patient's health, breast condition, and desired outcome. He can guide patients through implant type selection, incision size, and placement based on their specific anatomy. His surgical facility is state - of - the - art and located near Lenox Hill Hospital.

Dr. Daniel Maman

Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He completed a Harvard fellowship in aesthetic breast surgery and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. His practice emphasizes a personalized approach, with a 90 - minute consultation that includes a thorough review of medical history, in - depth physical assessment, and a comprehensive operative plan. He also offers multiple pre - op visits and specialized surgery coordinators to assist patients throughout the process.

Dr. Kaveh Alizadeh

Dr. Kaveh Alizadeh is a fellowship - trained, double Ivy - league alumnus with over 23 years of experience. He is the founder and medical director of Cosmoplastic Surgery. Specializing in breast procedures, he is known as a precision artist with the female figure. He takes a compassionate and professional approach to treating capsular contracture. His treatment begins with a proper diagnosis, which may include an exam and other tests in his private NYC practice. He offers different treatment approaches based on the severity of capsular contracture, such as removing a portion of the capsule tissue or performing a capsulectomy along with secondary breast augmentation if necessary. His practice is performed at a state - of - the - art and fully certified American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).

Treatment Options for Breast Implant Capsular Contracture Repair

Non - Surgical Treatment

In some mild cases of capsular contracture, non - surgical treatment options may be considered. This can include breast massage, which, when done under a doctor's instructions, may help keep the breast tissue pliable and prevent further tightening of the capsule. However, non - surgical methods are usually not effective for more severe cases of capsular contracture.

Surgical Treatment

Partial Capsulectomy

If the capsular contracture is caught early enough, a partial capsulectomy may be an option. In this procedure, a portion of the capsule tissue is removed, creating more space in the breast pocket. This can help correct the early stages of capsular contracture and relieve some of the tightness and discomfort.

Total Capsulectomy and Implant Replacement

For more advanced cases of capsular contracture, a total capsulectomy is often performed. This involves removing both the capsule tissue and the implant. After the removal, new implants can be placed if the patient desires to maintain breast augmentation. The new implants may be of a different size, type, or placement depending on the patient's needs and the surgeon's recommendation.

Using Cellular Dermal Matrix

Placing an acellular dermal matrix (ADM) such as Strattice or Alloderm has shown promising results in resisting capsular contracture. This can be combined with the surgical procedure to lower the chances of future capsular contracture recurrence. Some surgeons may also prescribe medications like Accolate to further reduce the risk.

Recovery Process

The recovery process after breast implant capsular contracture repair surgery varies depending on the type of procedure performed. Generally, patients can expect some pain and swelling after the surgery, which usually begin to diminish after the first week. A surgical bra is typically worn for a few weeks to help reduce swelling and support the breasts.

Many women find the recovery after capsular contracture surgery to be easier than their first breast implant surgery. Most patients can return to work or their usual activities within a week or so, once they feel more comfortable and the swelling has subsided. However, it is important to avoid lifting anything more than ten pounds or engaging in strenuous exercise for six weeks to allow the breasts to fully heal and settle into their new position. There may also be some numbness in the breast area, which typically fades over time. Patients will need to follow up with their surgeon for regular check - ups to monitor the healing process.

Choosing the Right Plastic Surgery Hospital and Surgeon

Surgeon's Experience and Credentials

When choosing a surgeon for breast implant capsular contracture repair, it is crucial to consider their experience and credentials. Look for a board - certified plastic surgeon who has extensive experience in treating capsular contracture. Surgeons with fellowship training in breast surgery or those who have been recognized in the field are often a good choice. For example, surgeons like Dr. Darrick E. Antell, Dr. Daniel Maman, and Dr. Kaveh Alizadeh have proven track records in the field of breast surgery.

Patient Reviews and Testimonials

Reading patient reviews and testimonials can provide valuable insights into the surgeon's skills and the quality of care provided. Look for reviews on independent platforms or the surgeon's website. Positive reviews regarding the surgeon's bedside manner, communication, and surgical results can be a good indication of a reliable surgeon.

Hospital or Clinic Facilities

The facilities where the surgery will be performed are also important. A state - of - the - art and fully accredited facility ensures that the surgery will be carried out in a safe and comfortable environment. For instance, Dr. Kaveh Alizadeh's practice is at a facility certified by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), which gives patients confidence in the quality of care.

Cost and Insurance

Cost is also a factor to consider. The cost of breast implant capsular contracture repair can vary depending on the type of procedure, the surgeon's fees, and the location of the facility. Some insurance companies may cover the cost of the surgery if it is deemed medically necessary, such as in cases of severe pain or discomfort. It is important to discuss the cost and insurance options with the surgeon's office before proceeding with the surgery.

Conclusion

Breast implant capsular contracture is a common complication that can occur after breast augmentation surgery. However, in New York City, there are numerous highly skilled plastic surgeons and well - equipped plastic surgery hospitals that can effectively treat this condition. Whether it is a mild case that may be managed with non - surgical methods or a more severe case requiring surgical intervention, patients have access to a range of treatment options. Surgeons like Dr. Stephanie Bernik, Dr. Darrick E. Antell, Dr. Daniel Maman, and Dr. Kaveh Alizadeh are among the top experts in the field, offering personalized care and advanced treatment techniques.

If you are experiencing symptoms of capsular contracture or are considering breast implant revision surgery, it is essential to do your research, consult with a qualified surgeon, and make an informed decision. Take the time to review the surgeon's credentials, patient reviews, and the facilities available.