Introduction
Breast prosthetic removal and repair is a significant area of concern for many individuals in Albany. Whether it's due to complications, personal preference, or other reasons, finding a skilled and experienced doctor is crucial. In this article, we will not only introduce three doctors who are well - known for their expertise in breast prosthetic removal repair technology in Albany but also delve into various aspects related to breast surgeries, including types of complications, surgical procedures, and patient considerations.
Best Breast Surgical Procedure Doctors in Albany
There are several highly rated doctors in Albany who perform breast surgical procedures. Healthgrades has listed a number of them, with patient ratings serving as an important indicator of their skills and patient satisfaction.
| Doctor's Name | Rating (out of 5) | Address |
|---|---|---|
| Dr. Jerome Chao, MD | 4.40 | 13 Century Hill Dr, Latham, NY 12110 |
| Dr. Todd Beyer, MD | 4.80 | 47 New Scotland Ave, Albany, NY 12208 |
| Dr. Gabriel Kaufman, MD | 4.70 | 317 S Manning Blvd Ste C364, Albany, NY 12208 |
| Dr. Susan Gannon, MD | 4.50 | 455 Patroon Creek Blvd Ste 101, Albany, NY 12206 |
| Dr. Donna Pietrocola, MD | 4.80 | 25 Hackett Blvd, Albany, NY 12208 |
| Dr. David Tauber, MD | 4.50 | 5 Ulenski Dr, Albany, NY 12205 |
| Dr. Christa Abraham, MD | 4.80 | 43 New Scotland Ave, Albany, NY 12208 |
| Dr. Jeffrey Rockmore, MD | 4.30 | 15 Old Loudon Rd, Latham, NY 12110 |
| Dr. Ankesh Nigam, MD | 4.70 | 50 New Scotland Ave, Albany, NY 12208 |
Among these doctors, we will focus on three who have shown exceptional skills in breast prosthetic removal repair.
Three Doctors for Breast Prosthetic Removal Repair
Dr. William F. DeLuca Jr. MD, FACS
Dr. William F. DeLuca Jr. is a board - certified plastic surgeon with an outstanding 40 - year career in the field. He began his journey as a certified plastic surgeon in Albany over 35 years ago. Prior to private practice, he had the privilege of training alongside some of the world's most noted plastic surgeons, including Dr. Thomas Rees and Dr. Sherrell J. Aston.
Dr. DeLuca is certified by both the American Board of Surgery (1983) and the American Board of Plastic Surgery (1987). He obtained his plastic surgery training at two of the most prestigious institutions at the time: Eastern Virginia Medical College, known for its expertise in breast reconstruction techniques, and Manhattan Eye, Ear, and Nose Hospital, where he was one of the last fellows of Dr. Thomas Rees.
He is a member of several professional organizations such as the American Society of Plastic Surgeons (ASPS), American Society for Aesthetic Plastic Surgeons (ASAPS), and the Northeastern Society of Plastic Surgeons. His charity work with Operation Smile has taken him to Africa and the southern Philippines.
Dr. DeLuca performs the majority of his procedures at St. Peter’s Ambulatory Center in Albany. His team of nurses and assistants are well - trained, and he is known for his low post - op complication rate and ability to achieve natural - looking results. His patients praise his caring nature, thoughtful consultations, and the beautiful outcomes of his surgeries.
Dr. David Tauber, MD
Dr. David Tauber has a rating of 4.50 out of 5 on Healthgrades. He is actively involved in breast implant revision surgeries. In cases of “bottoming out” of breast implants, where the implants have either stretched the skin below the nipple - areola or migrated below the inframammary fold, Dr. Tauber uses sutures to tighten up the breast pocket (capsulorrhaphy) to support the implants in their proper position. He may also use a mesh internal surgical scaffold by Galaflex to reinforce the patient’s natural tissue envelope.
He offers a variety of solutions for different breast implant - related complications. Along with his colleagues, he has the experience and knowledge to address issues such as breast asymmetry, implant malposition, and capsular contracture. His approach to breast surgeries is comprehensive, taking into account the patient's specific needs and aesthetic goals.
Dr. Kayastha
Dr. Kayastha is a board - certified plastic surgeon serving Albany, NY, and the entire capital region. He completed his undergraduate studies at Cornell University, graduating with distinction in all subjects. He then attended medical school at SUNY Buffalo and completed a fellowship in surgical pathology at Roswell Park.
He went on to gain a highly sought - after position in the Michigan State - Grand Rapids integrated plastic surgery residency. After finishing residency training, he completed a one - year fellowship in hand and microsurgery at the Buncke Clinic in San Francisco. Before starting private practice, he spent an additional 6 months learning from some of the best cosmetic surgeons in San Francisco.
Dr. Kayastha is well - versed in breast implant removal procedures. He can discuss with patients the risks associated with breast implants, such as potential links to autoimmune diseases, cellulitis, and breast implant illness. He also provides detailed instructions for patients preparing for breast implant removal surgery and is committed to ensuring a smooth recovery process.
Common Complications in Breast Implants and Their Repair
Bottoming Out
Bottoming out occurs when breast implants either stretch the skin below the nipple - areola or migrate below the inframammary fold. This can also happen when the pocket surrounding the implant enlarges or stretches. To correct this, as mentioned earlier, surgeons like Dr. Tauber may use sutures to tighten the breast pocket (capsulorrhaphy) and may add a mesh internal surgical scaffold for reinforcement.
Breast Asymmetry
Implant asymmetry results when one implant is placed higher or lower compared to the other. Surgeons typically correct this through implant exchange and repositioning of the implants. The goal is to achieve a more balanced and symmetrical appearance of the breasts.
Implant Malposition
Implant malposition can manifest in different ways. Implants may remain too high and never drop into the correct position, or they may be placed too far apart. Revision surgery can address these issues, often involving re - creating the proper pocket for the implants to ensure they are in the correct anatomical position.
Symmastia
Symmastia, commonly known as “uni - boob,” occurs when one or both implants are positioned too close to the mid - line over the breastbone or sternum. Repair may require surgical correction of the pockets and reduction of scar tissue.
Double Bubble Deformity
There are two types of double bubble deformity. It can occur immediately after implant surgery or over time due to weight loss, pregnancy, or natural gravity. The double bubble look gives the impression that the breast is sitting on top of the implant. It can usually be corrected with a breast lift (mastopexy) or pocket correction.
Implant Rippling
Rippling occurs when there are irregularities of the implant surface that can be felt or seen through the skin. This could be due to thinning of the skin tissue covering the implants, a saline implant leaking, or the placement of the implant above the muscle. To correct rippling, a pocket correction revision using a silicone implant (which is less palpable than saline) may be performed. Moving the breast implant from the pocket above the muscle to the pocket below the muscle can also decrease the rippling effect.
Capsular Contracture
Capsular contracture happens when tightly woven collagen fibers form around the implant, creating a thick scar. This condition tightens or squeezes the breast implant, causing pain and discomfort. There are four grades of capsular contracture based on the Baker scale. Depending on the severity, solutions include capsulectomy (removal of the capsule) and capsulotomy (adjustment or partial reduction of the scar tissue through incisions in the breast).
Breast Implant Removal Procedure
Who is a Candidate?
Candidates for breast implant removal are those who are unhappy with their current breast implants or have experienced complications such as leaks, ruptures, or capsular contracture. Some women may also choose to have the implants removed due to a change in aesthetic preferences as they age. Successful candidates should have realistic expectations about the results and be prepared for the downtime and recovery process.
What Happens During the Procedure?
During breast implant removal, an incision is made over the previous scar. The implant is then taken out through the incision. If capsular contracture is present, it will be corrected. In some cases, a breast lift can be performed at the same time to reposition the breasts higher on the chest and remove excess skin. New implants can also be placed if the patient desires.
Recovery
After breast implant removal surgery, patients can expect some bruising and swelling in the days following the procedure. Prescription pain medication can be taken to minimize discomfort. A surgical bra is usually provided to aid in the healing process. Patients typically need to take a few days off work and wait about a week to return to normal daily activity. Strenuous exercise should be avoided until six weeks after the procedure.
Insurance and Breast Implant Removal
Insurance coverage for breast implant removal can be a complex issue. As seen in the case of Katie Caccamise, an Albany woman, her insurance company initially denied coverage for the removal of her breast implants, stating that it was not medically necessary. However, her doctor, Dr. Sean McNally, disagreed and appealed the decision. After providing additional paperwork, including an MRI report showing the implant had ruptured, the surgery was approved.
Aetna, in this case, stated that they would approve coverage for breast implant removal when it meets their established criteria for being medically necessary. Patients who face insurance denials should know that they have the right to appeal. In Aetna's case, members have the opportunity for two levels of internal review and an external appeal option conducted by an independent, third - party medical professional.
Conclusion
In summary, finding the right doctor for breast prosthetic removal and repair in Albany is of utmost importance. Doctors like Dr. William F. DeLuca Jr., Dr. David Tauber, and Dr. Kayastha have the skills, experience, and patient - centered approach to handle various breast - related surgeries. Understanding the common complications in breast implants, the removal procedure, and insurance considerations can help patients make informed decisions about their breast health.
If you or someone you know is considering breast prosthetic removal or repair, we encourage you to reach out to these doctors for consultations. Don't hesitate to explore more about breast surgeries and stay informed about the latest advancements in the field. Share this article with others who might benefit from this valuable information.
