Introduction to Breast Implant Removal in New York City
Breast implant removal is a procedure that many women in New York City may consider for various reasons. It could be due to medical complications, aesthetic dissatisfaction, or the recall of certain types of implants. In this article, we will explore the top hospitals for breast implant removal in New York City, understand the factors affecting the choice of a hospital, and look into the overall process of breast implant removal.
Reasons for Breast Implant Removal
There are several reasons why a woman might opt for breast implant removal. Some of the common reasons are:
- Medical Complications: Severe capsular contracture, where significant scar tissue forms around the implants, can cause pain and discomfort. Breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), a rare cancer related to breast implants, and breast implant illness (BII) are also reasons for removal. BII refers to a wide variety of symptoms such as fatigue, fever, gastrointestinal complaints, migraines, breathing difficulties, depression or anxiety, rashes, pain and discomfort, and brain fog. It is believed to be associated with pre - existing autoimmune problems.
- Aesthetic Concerns: The implant may become palpable or visible, rupture, leak, deflate, or move from its original position. Capsular contracture can also lead to a distortion and abnormal appearance of the breasts. Breast asymmetry, unsightly or widened scars, nipple or areola enlargement, distortion, asymmetry, and implant malposition like a “double bubble” appearance or “symmastia” are other aesthetic issues that may prompt removal.
- Implant Recall: As of July 24, 2019, the FDA recalled certain textured breast implants made by Allergan due to their association with a heightened risk of BIA - ALCL. Some women with these implants may choose to have them removed.
Popular Hospitals for Breast Implant Removal in New York City
New York - Presbyterian / Columbia University Irving Medical Center
This hospital has a high reputation in the medical field. It has been named a top hospital in New York and has ranked high in the nation. For example, it was ranked No. 4 in the nation by U.S. News & World Report’s Best Hospitals in one instance and No. 7 in another. The hospital is recognized for its excellence in 14 - 15 adult specialties and 8 pediatric specialties.
US News & World Report - ranked surgical specialties at NYP/Columbia include heart surgery, GI surgery, lung surgery in adult specialties, and pediatric heart surgery, pediatric GI surgery, and pediatric lung surgery in children’s specialties. In terms of breast implant removal, the high - quality surgical oncology expertise provided by many of its specialists, including those in breast surgery, can be a great advantage. The hospital's ratings are based on multiple factors such as patient outcomes, the volume of high - risk patients, patient experience, nurse staffing, public transparency, and advanced clinical technologies.
Top Surgeons Associated with Implant Removal
Dr. Darrick Antell is a widely regarded plastic surgeon in New York City. He has over 20 years of experience, performing more than ten thousand procedures. He is often listed in top - tier magazines like Harper’s Bazaar, Town and Country, Vogue, and New York Magazine as one of the best breast plastic surgeons in the country.
Dr. Antell performs custom breast implant removal (explant) surgery. When indicated, he also conducts an en bloc capsulectomy to remove the tissue that has grown around the breast implant. He has removed the recalled Allergan textured breast implants due to their association with BIA - ALCL. Many of his patients are referrals from former patients, which speaks to his high - quality results and patient satisfaction. His facility, located across the street from Lenox Hill Hospital, is a state - of - the - art outpatient surgery center that offers personalized care and discretion.
Dr. Olivia Hutchinson is another top breast implant removal surgeon on the upper east side in NYC. As a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon, she focuses on ensuring the finest surgical results for her patients. She has over 20 years of experience evaluating patients with breast implant - related concerns and can advise on various surgical options based on a patient's goals.
Factors Affecting the Choice of a Hospital for Breast Implant Removal
Surgeon Experience and Expertise
The experience and expertise of the surgeon are crucial factors. Surgeons like Dr. Darrick Antell and Dr. Olivia Hutchinson have long - standing experience in breast implant removal. They are well - versed in handling various complications that may arise during the procedure. For example, they can deal with capsular contracture, BIA - ALCL cases, and different types of implant - related issues. A surgeon's skill also plays a role in achieving the best aesthetic results after the removal.
Hospital Reputation and Rankings
Reputable hospitals like New York - Presbyterian / Columbia University Irving Medical Center have higher rankings in national surveys such as those by U.S. News & World Report. These rankings are based on multiple aspects including patient outcomes, medical staff quality, and available facilities. A higher - ranked hospital is likely to have better - trained staff, advanced technologies, and a higher standard of care. Patients may feel more confident in a hospital that is widely recognized for its excellence in medical services.
Available Facilities and Technologies
Modern facilities and advanced technologies are essential for a successful breast implant removal procedure. For instance, a hospital may have state - of - the - art imaging technology like MRI, ultrasound, and mammogram, which can be used to assess the condition of the implants and surrounding tissues before the surgery. Advanced surgical equipment can also improve the precision and safety of the operation. Some hospitals may have specialized surgical suites designed for plastic surgery procedures.
Patient Experience and Reviews
Patient reviews can provide valuable insights into the quality of care at a hospital. Reading about other patients' experiences, such as the level of comfort during the procedure, the responsiveness of the medical staff, and the overall satisfaction with the results, can help a patient make an informed decision. For example, if a large number of patients praise a surgeon for their communication skills, bedside manner, and the final outcome of the breast implant removal, it is a positive sign.
The Process of Breast Implant Removal
Consultation
During the initial consultation, the surgeon will thoroughly evaluate the patient's general health and medical history. They will assess the current condition of the breasts, including the type and position of the implants. If the patient desires to have the implants removed due to medical complications, it is important to discuss any symptoms they may be experiencing. It is also helpful for the patient to bring any information they have about their existing implants and their previous breast augmentation surgery.
Based on the patient's expectations, the surgeon may recommend pairing the explant surgery with another procedure, such as a breast lift (mastopexy), to achieve a more plump, rounded appearance. The surgeon will go through the procedure, the risks, and the recovery process in detail so that the patient can be fully informed.
Pre - operative Preparation
Based on 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 procedure. 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 before the surgery. Depending on the patient's history, they may be asked to provide pre - operative clearance from another doctor. Since the procedure is usually performed under “twilight” sedation, the patient should arrange for someone to drive them home after the surgery and ensure they have assistance in the first few days of recovery.
Surgery
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 experienced capsular contracture, had a silicone implant rupture, or had 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, it is called en - bloc resection.
Multiple layers of internal, dissolving sutures, and a layer of external sutures, if needed, are typically 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 two hours to complete, and an en - bloc resection can take even longer.
Recovery
After the surgery, the patient will recover in a state - of - the - art 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. Breast implant removal is an outpatient procedure, so the patient can return home the same day. When performed with “twilight” sedation, the patient 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. The breasts may be covered in a layer of gauze or a bandage. The patient may feel tired or sore, and it is best to refrain from vigorous exercise for around two weeks. Some loss of feeling in the breast area and around the incisions is expected, and this numbness typically fades over time. Fluid drainage from the incision site may also occur. 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 surgery for the surgeon to monitor the healing process.
Comparing Breast Implant Removal Hospitals in New York City
| Hospital Name | Surgeon Availability | Reputation and Rankings | Available Facilities | Patient Reviews |
|---|---|---|---|---|
| New York - Presbyterian / Columbia University Irving Medical Center | High - quality surgeons in breast and other surgical specialties | High national rankings, recognized in multiple specialties | Advanced imaging and surgical technologies | Positive reviews regarding overall medical care |
| Dr. Darrick Antell's Facility | Dr. Darrick Antell, an experienced breast implant removal surgeon | Well - known in the plastic surgery field, listed in top magazines | State - of - the - art outpatient surgery center | Many patient referrals and positive feedback on results |
| Dr. Olivia Hutchinson's Practice | Dr. Olivia Hutchinson, a top - rated breast implant removal surgeon | Reputed among patients in NYC for breast implant removal | Facilities for comprehensive breast assessment and surgery | Positive reviews on patient experience and surgical results |
Cost Considerations for Breast Implant Removal in New York City
The cost of breast implant removal can vary depending on several factors. These include the complexity of the procedure, the surgeon's experience, the hospital or facility where the surgery is performed, and any additional procedures that may be required. On average, breast implant removal in the United States can range from a few thousand dollars to several thousand dollars. In New York City, due to the high cost of living and the expertise of the surgeons, the cost may be on the higher side.
Some insurance companies may cover the cost of breast implant removal if it is deemed medically necessary, such as in cases of BIA - ALCL or severe capsular contracture. However, for aesthetic reasons, insurance may not provide coverage. Patients should consult with their insurance provider to understand their coverage options before undergoing the procedure.
Potential Risks and Complications of Breast Implant Removal
While breast implant removal is typically a safe procedure when performed by an experienced, board - certified plastic surgeon, there are still potential risks and complications. These include:
- Bleeding: There is a risk of bleeding during or after the surgery, which may require additional treatment.
- Infection: An infection can occur at the incision site or in the breast tissue. Antibiotics may be prescribed to prevent or treat infections.
- Numbness: Numbness at the incision site or in the breast area may occur, and in some cases, it may be permanent.
- Adverse Reaction to Anesthesia: Some patients may have an adverse reaction to the anesthesia used during the procedure. This can range from mild symptoms like nausea and vomiting to more serious complications.
- Scarring: Scarring is inevitable after any surgical procedure. The appearance of the scars can vary depending on the patient's skin type and the surgical technique used.
Conclusion
In conclusion, breast implant removal in New York City is a procedure that requires careful consideration. When choosing a hospital for breast implant removal, patients should take into account the surgeon's experience, the hospital's reputation and rankings, the available facilities, and patient reviews. Understanding the process of breast implant removal, including the consultation, pre - operative preparation, surgery, and recovery, is also essential. The cost and potential risks and complications should not be overlooked.
If you are considering breast implant removal in New York City, we encourage you to do thorough research, consult with multiple surgeons, and make an informed decision. Share this article with others who may be interested in learning more about breast implant removal, and explore related topics such as breast reconstruction or other plastic surgery procedures to expand your knowledge.
