Introduction

Breast implant removal, also known as explant surgery, has become a common procedure in recent years. Women may opt for this surgery due to various reasons, such as capsular contracture, a desire for a different breast size, implant rupture, or changes after menopause or childbearing. If you're in Albany and considering breast implant removal, it's crucial to choose a reputable hospital and an experienced surgeon. This article will explore some of the top hospitals in Albany for breast implant removal, discuss the procedure in detail, and provide useful information to help you make an informed decision.

Why Consider Breast Implant Removal?

Reasons for Explant Surgery

There are several reasons why a woman might decide to have her breast implants removed:

• Desiring a Different Size: Over time, a woman's body changes, and her aesthetic preferences may also shift. Some women may want larger - sized implants, while others prefer smaller breasts. After pregnancy, menopause, or significant weight changes, the existing implants may no longer suit their lifestyle.
• Capsular Contracture: This is a common complication where the scar tissue around the implant hardens and tightens. It can occur shortly after the first breast augmentation or many years later. Capsular contracture may cause the breasts to look distorted or asymmetric and can even lead to breast pain.
• Breast Implant Rupture: Both saline and silicone implants can rupture due to daily wear and tear. With saline implants, the rupture is usually obvious as the breast deflates when the saline leaks out. For silicone implants, there may be no symptoms, or a woman may notice a shape change, lump, or new discomfort. Mammograms may not detect silicone implant rupture, and the FDA recommends using high - definition ultrasound for screening and breast MRI for confirmation if rupture is suspected.
• Implant Malposition: The implant may end up in an improper position, such as too low, too high, too close together, or too far apart. This can happen shortly after the initial procedure or gradually over time due to factors like capsular contracture, gravity, asymmetric pocket creation, and tissue changes related to age, weight, pregnancy, and menopause. Additional surgery is often required to correct this issue.
• 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. Correcting this problem can be challenging, but procedures like switching to a cohesive ‘gummy’ silicone implant or fat injections may be effective.
• Recalled Implants, ALCL, and BII: There is a rare but serious risk of anaplastic large cell lymphoma (ALCL) associated with textured implants, which has led to the recall of these implants. Breast implant illness (BII), a term used to describe a wide range of symptoms reported by some women with breast implants, is also a growing concern.

Top Hospitals for Breast Implant Removal in Albany

Capek Surgical Arts

Dr. Lucie Capek at Capek Surgical Arts offers a personalized approach to breast implant removal. The facility is a state - of - the - art Quad A accredited operating suite located in Latham, NY, just minutes from Albany. Dr. Capek is a board - certified plastic surgeon with extensive experience in breast implant removal and related procedures.

Pre - Procedure Consultation

Before the surgery, a consultation with Dr. Capek is essential. She will assess your unique situation, discuss the best options for your breast implant removal, and explain the various procedure options in detail. This ensures that you are an informed participant in the planning process and are ultimately comfortable and satisfied with the results.

Procedure Options

• Simple Implant Removal: Can be done in the office under local anesthesia for both saline and silicone implants when no capsule removal is needed and silicone implants are not ruptured. Saline implants may be drained before removal to allow the skin to contract, giving the patient time to decide whether to replace them.
• Capsulectomy: If there is capsular contracture, Dr. Capek performs a capsulectomy to remove the scar tissue. This creates a fresh pocket for a new implant if desired. In some cases, the implant pocket may be switched from under the breast gland to under the pectoralis muscle.
• Replacement with Implants: If you want to change the implant size, Dr. Capek can use the original incision for removal and replacement. She will adjust the implant pocket size accordingly and recommend the most suitable implant type to achieve your goals. Additional procedures like a breast lift may also be recommended.
• Replacement with Fat: For a more natural look and feel, especially if you're going smaller, your implants can be replaced with your own fat. This procedure works well when your natural breast tissue has been ‘pre - expanded’ with implants.
• Implant Repositioning: Involves modifying the capsular tissue around the implants through techniques like capsulorrhaphy and capsulotomy. In rare cases, a biological mesh ‘sling’ may be added for support.
• Simultaneous Breast Lift and Resizing of the Areolae: If you're going smaller or have loose skin, a breast lift may be performed at the same time. This can range from a simple resizing of the areola to more extensive skin removal.

Post - Procedure Care

After the surgery, you should rest quietly for 24 to 48 hours. You can shower after 48 hours and are recommended to wear a surgical bra around the clock for the first 2 - 3 weeks. If you've had a capsulectomy, you may have drains for a few days. Dissolvable sutures and glue are used, so minimal wound care is required. Patients with sedentary jobs can usually return to work within a week, while strenuous activities should be restricted for 6 - 8 weeks. Regular follow - up appointments will be scheduled to monitor your recovery.

K Plastic Surgery

Dr. Kayastha at K Plastic Surgery is a board - certified plastic surgeon serving Albany, NY, and the entire capital region. He has a wealth of experience in breast implant removal and related procedures.

Candidate Assessment

Candidates for breast implant removal at K Plastic Surgery are those who are unhappy with their current breast implants or have experienced complications such as leaks, ruptures, or capsular contracture. Successful candidates should have realistic expectations for the results and be prepared for the downtime and recovery process.

Procedure Details

During the breast implant removal procedure, an incision is made over the previous scar, and the implant is taken out. If capsular contracture is present, it will be corrected. New implants can be placed if desired, and a breast lift can also be performed at the same time to reposition the breasts and remove excess skin.

Recovery Process

After the surgery, patients can expect some bruising and swelling. Prescription pain medication can be taken to minimize discomfort. A surgical bra is provided to aid in the healing process. Patients should take at least a few days off work to recover at home and wait about a week to return to normal daily activity. Strenuous exercise should be avoided for six weeks.

Saratoga Springs Plastic Surgery, PC

Dr. Steven Yarinsky at Saratoga Springs Plastic Surgery, PC is a board - certified plastic surgeon with over 30 years of experience. He is well - known for his surgical skill and consistently beautiful breast enhancement results.

Explantation Options

One of the common explantation procedures offered is the “en bloc” capsulectomy. This involves the simultaneous removal of the implant and the scar tissue (capsule) around it. Dr. Yarinsky favors this method for eligible patients with a thickened, hard, or tender capsule due to its benefits, such as a reduced risk of leakage and the removal of potentially problematic scar tissue.

Procedure and Aftercare

The breast explantation is performed in a joint commission - accredited facility under general anesthesia. Usually, an incision is made along the inframammary fold. After the procedure, patients can expect swelling and bruising, which should disappear within a few weeks to a few months. Strenuous exercise should be avoided for approximately six weeks. Dr. Yarinsky will prescribe pain medications, antibiotics, a post - surgical bra, and provide detailed instructions for a safe and successful recovery.

What to Expect During the Breast Implant Removal Procedure

Pre - Procedure Preparation

Before any breast implant removal surgery, a consultation with the surgeon is a must. The surgeon will evaluate your medical history, perform a physical examination, and discuss your goals and expectations. You may need to undergo certain tests, such as blood tests or imaging studies, to assess your overall health and the condition of your implants. It's also important to follow pre - operative instructions, which may include adjusting medications, fasting for a certain period before surgery, and avoiding smoking as it can affect the healing process.

The Surgery Itself

The type of anesthesia used for the procedure depends on various factors, including the complexity of the surgery and the patient's preference. It can range from local anesthesia with sedation to general anesthesia. Once the anesthesia takes effect, the surgeon will make an incision, usually along the previous scar. The implant is then carefully removed. If there is capsular contracture or other complications, additional procedures such as capsulectomy, implant repositioning, or breast lift may be performed.

Post - Procedure Recovery

Recovery times vary from patient to patient, depending on factors such as the extent of the surgery, the patient's overall health, and how well they follow the aftercare instructions. Generally, patients should expect some pain, swelling, and bruising in the first few days after surgery. Pain medication will be prescribed to manage discomfort. A surgical bra is usually worn to support the breasts and aid in the healing process. It's important to rest, avoid strenuous activities, and keep the surgical area clean. Follow - up appointments with the surgeon are crucial to monitor the healing progress and address any concerns.

Cost Considerations

The cost of breast implant removal can vary widely depending on several factors, including the complexity of the procedure, the surgeon's experience, the hospital or surgical facility fees, and any additional procedures that may be required. On average, the cost of breast implant removal in Albany can range from $6,000 to $18,000. Some of the components that contribute to the cost include:

• Surgeon's Fee: This reflects the surgeon's expertise and experience in performing the procedure.
• Anesthesia Costs: The type of anesthesia used and the duration of the surgery affect these costs.
• Hospital or Surgical Facility Fees: This includes the use of the operating room, nursing care, and other facility - related expenses.
• Medications and Supplies: Such as pain medications, antibiotics, and dressings.
• Follow - up Appointments: To monitor the healing process and ensure a successful recovery.

It's important to discuss the cost in detail with your surgeon during the consultation and ask about any financing options that may be available.

Risks and Complications

Like any surgical procedure, breast implant removal carries some risks. However, with an experienced and board - certified plastic surgeon, the risks can be minimized. Some of the potential risks and complications include:

• Bleeding: There is a risk of bleeding during or after the surgery, which may require additional treatment.
• Infection: Although rare, infection can occur at the surgical site. Antibiotics are usually prescribed to prevent this.
• Changes in Sensation: The sensation in the nipples or breasts may be altered, either temporarily or permanently.
• Scarring: There will be scars from the incisions, although the surgeon will try to minimize their appearance.
• Recurrent Implant Complications: Even after implant removal, there is a small risk of developing new complications if implants are reinserted.
• Anesthesia Risks: Some patients may experience side effects from anesthesia, such as nausea, vomiting, or allergic reactions.

Conclusion

When considering breast implant removal in Albany, it's essential to choose a reputable hospital and an experienced surgeon. Capek Surgical Arts, K Plastic Surgery, and Saratoga Springs Plastic Surgery, PC are all excellent options, each with their own strengths and experienced surgeons. By understanding the reasons for breast implant removal, the procedure itself, the recovery process, cost considerations, and potential risks, you can make an informed decision that is right for you. Remember to have a detailed consultation with your chosen surgeon to discuss your goals, expectations, and any concerns you may have.

If you're considering breast implant removal, take the next step and schedule a consultation with one of the surgeons mentioned in this article. Explore their before - and - after photo galleries to see the results they have achieved. Don't hesitate to ask questions and learn more about the procedure. By doing so, you can be on your way to achieving the look and confidence you desire.