Introduction
Breast implant removal, also known as explant surgery, has become increasingly popular in recent years. Women may choose to have their breast implants removed for a variety of reasons, including health issues, dissatisfaction with the implants, or simply a desire for a more natural look. In Albany, there are several plastic hospitals that offer breast implant removal services. This article will provide an overview of the reputation rankings and costs of these hospitals.
What is Breast Implant Removal?
Breast implant removal is a surgical procedure that involves taking out the breast implants that were previously inserted. According to the American Society of Plastic Surgeons, the goal of this surgery is to remove the implants and any scar tissue that has formed around them. There are different techniques for breast implant removal, and one of the most common is the “en bloc” capsulectomy. This French - derived term means “as a whole,” and it involves the simultaneous removal of the implant and the surrounding scar tissue, called the capsule. Dr. Steven Yarinsky, a board - certified plastic surgeon in Albany with over 30 years of experience, favors the en bloc capsulectomy for eligible patients with a thickened, hard, or tender capsule due to its benefits such as reduced risk of leakage and removal of potentially problematic scar tissue.
Reasons for Breast Implant Removal
- Dissatisfaction with Size or Shape: Over time, a woman's body changes, and her aesthetic preferences may also evolve. Some women may have had implants for 10 - 20 years, and with changes like pregnancy, menopause, and weight fluctuations, they may find that their implants no longer suit their lifestyle. They may desire either larger - sized implants or smaller breasts.
- Capsular Contracture: This is a common reason for implant removal or revision. Capsular contracture occurs when the scar tissue around the implant hardens and tightens. It can happen shortly after the initial breast augmentation surgery or many years later. This condition may cause the breasts to look distorted or asymmetric and can be painful.
- Implant Rupture: Both saline and silicone implants can rupture. With saline implants, the rupture is usually obvious as the breast deflates when the saline leaks out and is absorbed. However, silicone implants may rupture without any obvious symptoms, or a woman may notice a shape change, lump, or new discomfort. The FDA recommends regular high - definition ultrasound screenings for silicone breast implant rupture, and if a rupture is suspected, a breast MRI is often used for confirmation.
- Implant Malposition: The implant may end up in an incorrect position, such as being too low, too high, too close together, or too far apart. This can occur due to various factors like capsular contracture, gravity combined with thin tissue, asymmetric pocket creation, and tissue changes over time due to age, weight, pregnancy, and menopause. Additional surgery is usually required to correct this problem.
- Implant Rippling: This is mainly a cosmetic concern, more common with saline implants in thinner patients. However, silicone implants can also show visible rippling if the covering tissues are thin or stretched out by a large implant. Procedures like switching to a cohesive ‘gummy’ silicone implant or fat injections may be used to correct it.
- Recalled Implants, ALCL, and BII: There have been concerns about breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) associated with textured implants, and many of these implants have been recalled. Breast implant illness (BII) is also a growing concern, although it has not been scientifically confirmed to be caused by breast implants. In both cases, breast implant removal may be considered.
Reputation Rankings of Plastic Hospitals in Albany for Breast Implant Removal
When it comes to choosing a plastic hospital for breast implant removal in Albany, reputation is a crucial factor. While specific comprehensive ranking data is scarce, we can evaluate hospitals based on factors such as surgeon experience, patient reviews, and accreditations.
Surgeon Experience
Surgeons like Dr. Steven Yarinsky in Albany have over 30 years of experience in breast enhancement surgeries and are well - known for their surgical skills and consistent beautiful results. His expertise in using advanced techniques for breast implant removal, including the en bloc capsulectomy, gives patients confidence in the procedure. Another experienced surgeon is Dr. Kayastha, a board - certified plastic surgeon who completed his undergraduate studies at Cornell University and has an extensive educational and training background, including fellowships in surgical pathology, hand and microsurgery, and learning from top cosmetic surgeons in San Francisco. His experience makes his practice in Albany a trusted option for breast implant removal.
Patient Reviews
Online patient reviews can provide valuable insights into the patient experience at different plastic hospitals. Positive reviews often mention factors such as the surgeon's communication skills, bedside manner, and the quality of the post - operative care. However, it's important to note that patient experiences can vary, and a single negative review should not be the sole determining factor. Unfortunately, gathering a large set of specific and verified patient reviews for each Albany plastic hospital dedicated to breast implant removal is challenging, but patients can search on platforms like Healthgrades, RealSelf, or Google Reviews to get an idea.
Accreditations
Hospitals and surgical facilities with proper accreditations ensure a certain standard of care. For example, Dr. Yarinsky performs breast explantation in his Joint Commission - accredited facility. The Joint Commission is a well - recognized organization that sets high standards for healthcare facilities, including aspects of patient safety, quality of care, and management of resources. This accreditation gives patients assurance that the facility meets rigorous national standards.
Costs of Breast Implant Removal in Albany
General Cost Range
The cost of breast implant removal can vary significantly. According to the American Society of Plastic Surgeons, the average cost of breast implant removal surgery is $3,979. However, this is only part of the total price and does not include anesthesia, operating room facilities, or other related expenses. In Albany, different providers may have different cost structures. Dr. Kayastha lists the cost of breast implant removal at approximately $8,000. At Saratoga Springs Plastic Surgery, PC, Dr. Yarinsky states that the average cost of breast implant removal ranges from $6,000 to $18,000, depending on whether a simple removal, capsulectomy, or a more involved procedure is needed to achieve the best result.
Components of the Cost
The total cost of breast implant removal may include several components:
- Surgeon's Fee: This is the fee charged by the plastic surgeon for performing the surgery. It is based on factors such as the surgeon's experience, reputation, and the complexity of the procedure.
- Hospital or Surgical Facility Costs: These costs cover the use of the operating room, nursing care, and other facility - related expenses. Accredited facilities may charge more, but they also offer a higher level of safety and quality.
- Anesthesia Fees: The type of anesthesia used (general anesthesia or sedation) and the duration of the surgery can affect the anesthesia fees. An anesthesiologist or nurse anesthetist will administer the anesthesia and monitor the patient's vital signs during the procedure.
- Prescriptions for Medication: Patients will need medications for pain management, infection prevention, and other post - operative needs. The cost of these medications can vary depending on the type and duration of use.
- Post - surgery Garments: Compression garments or surgical bras may be required after the surgery to support the breasts and aid in the healing process. The cost of these garments is also factored into the total cost.
- Medical Tests and X - rays: Pre - operative medical tests and X - rays may be necessary to assess the patient's health and the condition of the implants. These tests help the surgeon plan the procedure and ensure the patient's safety.
Payment Options
Many plastic surgeons in Albany offer patient financing plans for breast implant removal, especially in cases where health insurance does not cover the procedure. Dr. Kayastha's practice accepts payment by bank draft/certified check, wire transfer, and credit cards. They also offer financing through CareCredit and Alpheon. At Saratoga Springs Plastic Surgery, PC, after patients receive their fee quote at the consultation, the staff will assist with financing options if needed. Patients can also apply for a payment plan with a third - party financer.
Insurance Coverage
Health insurance coverage for breast implant removal depends on the circumstances. Legally, an insurance company must cover the costs if a person needs implants due to undergoing a mastectomy or if a doctor deems the procedure medically necessary. For example, if the implant has ruptured and is causing health problems, or if there is a serious condition like BIA - ALCL. However, if the original reason for the implants was cosmetic, insurance companies usually do not cover the removal. Patients should check with their insurance provider to determine their coverage.
The Breast Implant Removal Procedure
Before the Procedure
Before the breast implant removal surgery, a consultation with a plastic surgeon is essential. The surgeon, such as Dr. Capek, will assess the patient's unique situation, including the type of implant, any existing problems, and the patient's aesthetic goals. The patient should be in optimum health, following a healthy lifestyle, which includes a balanced diet, regular exercise, and not smoking. They should also follow their primary care physician's advice for treating chronic conditions like high blood pressure. The American Society of Plastic Surgeons recommends that patients stop smoking if applicable, take only certain medications as approved by the surgeon, avoid anti - inflammatory medication, herbal supplements, or aspirin, undergo a medical evaluation, and organize transportation to and from the hospital. Additionally, patients should ask as many questions as necessary to ensure they are good candidates for the procedure and that the surgeon is well - qualified.
During the Procedure
The breast implant removal surgery is typically performed by a board - certified surgeon in a hospital or an accredited surgical facility. General anesthesia or sedation is used, depending on what is best for the patient. The surgeon will make an incision, usually along the inframammary fold (the crease beneath the breasts). In some cases, additional incisions may be necessary, especially if the implants are large or if a breast lift or skin tightening is also required. The surgeon will then remove the implant and, if needed, the capsule. For example, in cases of a capsular contracture, a capsulectomy will be performed to remove the scar tissue. After the removal, the surgeon will cleanse the pocket with an antibiotic solution to prevent infection before closing the incision using adhesives, sutures, or clips.
After the Procedure
Immediately after the surgery, healthcare professionals will dress the wound with gauze and may place drains to remove fluid and blood from the wound. The patient may be provided with supportive bras or compression garments to reduce swelling and provide comfort. During the recovery period, patients need to follow the surgeon's instructions carefully. This may include tips on caring for the incision, a schedule for follow - up care and checks, medications to prevent infection or speed up healing, and signs to watch for any complications. Swelling and bruising are normal after the surgery and usually disappear within a few weeks, although swelling may take a few months to completely resolve. Patients are advised to avoid strenuous exercise for approximately six weeks. Those with sedentary jobs may typically return to work within a week, while more strenuous activities like running may be restricted for 6 - 8 weeks.
Risks and Complications
Like any surgical procedure, breast implant removal carries some risks. Some of the potential complications include:
- Anesthesia Risks: Allergic reactions to anesthesia, breathing problems, or other adverse reactions can occur during the procedure.
- Hematoma: This is an area of blood that collects outside of a larger blood vessel. It may require additional treatment to drain the blood.
- Bleeding: Excessive bleeding during or after the surgery can be a concern, and it may require medical intervention to control.
- Fat Necrosis: This occurs when fatty tissue deep in the skin dies. It can cause lumps or changes in the breast texture.
- Improper Wound Healing: The incision may not heal correctly, leading to issues such as infection, scarring, or a delayed recovery.
- Cardiac and Pulmonary Complications: Although rare, there is a risk of heart - related or lung - related problems during the surgery or recovery period.
- Numbness or Sensation Changes: There may be numbness or other changes in the nipple or areola sensation, which may or may not be permanent.
- Seroma: This is the buildup of fluid in areas where the surgeon has removed tissue. It may require draining to relieve discomfort.
- Deep Vein Thrombosis: A blood clot in the deep veins, usually in the legs, can be a serious complication and may require medical treatment.
- Infection: Infections can occur at the surgical site and may require antibiotics to treat.
- Breast Asymmetry: There may be a difference in the size or shape of the breasts after the surgery.
- Scarring: All surgeries leave scars, and the appearance of the scars can vary from person to person.
- Recurrent Looseness of the Skin: After the removal of the implants, the skin may become loose again, especially if the patient has significant skin laxity.
- Persistent Pain: Some patients may experience ongoing pain in the breasts after the surgery.
- Loss of Skin: In rare cases, there may be skin loss at the surgical site, which can be a challenging complication to manage.
- Possibility of Revision Surgery: If the results are not satisfactory, a patient may need revision surgery to correct any issues.
- Discoloration of the Skin or Prolonged Swelling: These are cosmetic issues that can take time to resolve and may affect the patient's appearance.
Conclusion
Breast implant removal is a surgical procedure that many women in Albany may consider for various reasons. When choosing a plastic hospital for this procedure, it is crucial to consider the reputation of the hospital, which can be evaluated based on surgeon experience, patient reviews, and accreditations. The cost of breast implant removal varies, and it includes multiple components such as the surgeon's fee, facility costs, anesthesia fees, and others. Payment options are available, and insurance coverage depends on the circumstances of the implant and the reason for removal. The procedure has its own pre - operative, operative, and post - operative phases, and patients need to be well - informed and prepared for each stage. Additionally, there are risks and complications associated with the surgery that patients should discuss with their surgeon. By being fully informed and working with a qualified plastic surgeon, patients can make the best decision for their breast implant removal.
If you are considering breast implant removal in Albany, we encourage you to schedule a consultation with a board - certified plastic surgeon. Learn more about the procedure, costs, and potential outcomes to make an informed decision. Share this article with others who may be interested in breast implant removal and explore our other resources on plastic surgery for more valuable information.