Introduction
The decision to remove breast implants is a personal one, often influenced by a variety of factors such as health concerns, cosmetic preferences, or the degradation of the implants over time. In New York City, there are numerous hospitals and medical professionals equipped to perform these procedures. This article aims to provide a comprehensive guide to help you understand the process of breast implant removal, find the top hospitals in New York City for this procedure, and make an informed decision.
Reasons for Breast Implant Removal
There are several reasons why individuals may choose to have their breast implants removed. Understanding these reasons can help you determine if breast implant removal is the right choice for you.
Health Concerns
- Implant Rupture: Over time, breast implants can rupture, which may cause the silicone or saline to leak into the body. This can lead to various symptoms such as pain, swelling, and changes in the shape of the breast.
- Capsular Contracture: Capsular contracture occurs when the scar tissue around the implant hardens and tightens, causing the breast to feel firm, distorted, or painful. Severe cases of capsular contracture may require implant removal.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): BIA - ALCL is a rare type of non - Hodgkin lymphoma that can occur in the scar tissue surrounding the implant. Symptoms may include pain, swelling, or a mass in the breast. Treatment typically involves surgical removal of the implants and surrounding scar tissue.
- Breast Implant Illness (BII): BII refers to a range of symptoms that some patients experience after breast augmentation, such as fatigue, fever, gastrointestinal complaints, migraines, and breathing difficulties. While the exact cause of BII is unknown, it is believed to be related to pre - existing autoimmune problems.
Cosmetic Preferences
- Change in Personal Taste: As time goes on, a person's aesthetic preferences may change. They may desire a different breast size, shape, or natural look, leading them to consider implant removal.
- Unsatisfactory Results: Some patients may be unhappy with the outcome of their original breast augmentation, such as asymmetry, visible or palpable implants, or unsightly scars.
Aging Implants
Breast implants are not lifetime devices. Over time, they can degrade, shift, or develop other issues, which may necessitate their removal or replacement.
Top Doctors and Hospitals for Breast Implant Removal in New York City
Dr. Darrick E. Antell
Dr. Darrick Antell is a top - New York plastic surgeon who is widely regarded as one of the most experienced breast surgeons both in the New York area and worldwide. He performs custom breast implant removal (explant) surgery, including en bloc capsulectomy when indicated. He has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country. Many of his patients are referred by former patients, and he has performed surgeries on many celebrities and well - known persons. He has privileges in numerous hospitals throughout New York City, but most patients prefer his private operating room near Lenox Hill Hospital.
Dr. Olivia Hutchinson
Dr. Olivia Hutchinson is a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon. She is considered one of the top breast implant removal surgeons on the Upper East Side in NYC. With over 20 years of experience, she can address various implant - related concerns, including both aesthetic and medical issues. She will advise patients on the surgical options and may recommend a secondary procedure like a breast lift to achieve the best aesthetic results.
Dr. Joshua D. Zuckerman
At Zuckerman Plastic Surgery in New York City, Dr. Joshua D. Zuckerman offers breast implant removal and exchange procedures. He takes into account the changing needs and preferences of his patients. The procedures are performed under general anesthesia, and he uses techniques to minimize scarring and optimize recovery.
New York Eye and Ear Infirmary of Mount Sinai (Affiliated with Dr. Joshua Levine)
This hospital has been ranked among “America’s best hospitals” for nine years straight since 2006. It has also achieved Magnet® status by the American Nurses Credentialing Center’s Magnet Recognition Program® for excellence in nursing services. Dr. Joshua Levine established the first dedicated perforator flap breast reconstruction program in New York City at this hospital in 2006.
The Process of Breast Implant Removal
Consultation
During the initial consultation, the surgeon will thoroughly evaluate your general health and medical history, as well as assess the current condition of your breasts. If you are removing the implants due to medical complications, it is important to discuss any symptoms you may be experiencing. You should also bring any information you have about your existing implants and previous breast augmentation surgery. The surgeon will work with you to create a surgical plan based on your desired outcome and may recommend additional procedures such as a breast lift.
Pre - operative Preparation
Based on factors like age and implant condition, the surgeon may order imaging tests such as an ultrasound, mammogram, or MRI. You will be given guidelines on eating, drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. You may be given prescriptions to fill before the surgery, and depending on your history, you may need pre - operative clearance from another doctor. Since the procedure is usually done under “twilight” sedation, you should arrange for someone to drive you home after the surgery and assist you during the initial recovery period.
Surgery
Breast implant removal is typically performed with local anesthesia and intravenous sedation or “twilight” anesthesia. In some rare cases, only local anesthesia may be used. The surgeon will try to remove the implant through the existing incisions from the initial breast augmentation surgery, if possible. If there is capsular contracture, silicone implant rupture, or BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant (en - bloc resection). The surgery usually takes between one to two hours, and an en - bloc resection can take longer. After the implant and scar tissue are removed, multiple layers of internal, dissolving sutures, and possibly a layer of external sutures, will be used to close the incisions. A layer of gauze or a bandage may be placed over the breasts to speed healing.
Recovery
After the surgery, you will recover in a state - of - the - art recovery suite under the monitoring of a registered nurse. A specialized, long - lasting local anesthesia will be used to reduce discomfort. Breast implant removal is an outpatient procedure, so you can return home the same day. However, you will need an escort to drive you home as you cannot drive for 24 hours after the administration of anesthesia. You will be provided with discharge instructions for the initial post - operative period. In the first few days after surgery, you may feel tired or sore, and it is best to refrain from vigorous exercise for around two weeks. The surgeon will provide an individualized recovery plan based on your procedure and healing rate. It is normal to experience some loss of feeling in the breast area and around the incisions, which usually fades over time. You may also notice some fluid drainage from the incision site. Most patients do not require a breast lift after surgery as their breasts often return to their pre - operative shape naturally. You will typically return to the office the day after surgery for a follow - up, and if external sutures are used, they are usually removed around 7 - 10 days after the procedure. Although much of the swelling and bruising will fade in the first few weeks, it may take several months before the final results are visible, and your scars will likely be firm and pink for at least six weeks before starting to fade.
Risks and Complications
While breast implant removal is typically a safe procedure when performed by an experienced, board - certified plastic surgeon, there are always potential risks and complications. These may include:
- Bleeding: Excessive bleeding during or after the surgery can occur, which may require additional treatment.
- Infection: There is a risk of infection at the incision site or in the breast tissue. Symptoms of infection may include redness, swelling, pain, and fever.
- Numbness at the Incision Site: Numbness or altered sensation in the breast area around the incisions may occur and can be temporary or permanent.
- Adverse Reaction to Anesthesia: Some patients may have an adverse reaction to the anesthesia used during the surgery, such as an allergic reaction or breathing problems.
- Unsatisfactory Cosmetic Results: Despite the surgeon's best efforts, the final aesthetic outcome may not meet your expectations, such as asymmetry or visible scarring.
Your surgeon will discuss all the risks with you during the initial consultation, and you can reduce your risks by closely following their pre - and post - operative instructions.
Cost of Breast Implant Removal
The cost of breast implant removal can vary depending on several factors, such as the complexity of the procedure, the surgeon's experience and reputation, the location of the hospital or surgical facility, and whether any additional procedures are performed. According to Bookimed, the average price of breast implant removal is $3,441, with a minimum price of $1,923 and a maximum price of $6,250. In New York City, the cost may be on the higher end due to the high cost of living and the expertise of the surgeons. It is important to get a detailed cost estimate from your surgeon during the consultation and to check with your insurance company to see if the procedure is covered.
Choosing the Right Hospital and Surgeon
When choosing a hospital and surgeon for breast implant removal in New York City, consider the following factors:
Surgeon's Experience and Qualifications
Look for a board - certified plastic surgeon with extensive experience in breast implant removal procedures. Check their credentials, including their education, training, and any professional memberships or awards. Read patient reviews and testimonials to get an idea of their patient satisfaction rate and the quality of their work.
Hospital Accreditation and Facilities
Choose a hospital or surgical facility that is accredited and has state - of - the - art equipment and facilities. The hospital should have a good reputation for providing high - quality medical care and a safe environment for surgery.
Patient - Centered Care
Select a surgeon and hospital that prioritize patient - centered care. They should take the time to listen to your concerns, answer your questions, and develop a personalized treatment plan based on your needs and goals.
Cost and Insurance
Consider the cost of the procedure and whether your insurance will cover it. Get a detailed cost estimate from the surgeon and check with your insurance company to understand your coverage options.
Conclusion
Breast implant removal is a significant decision that should be carefully considered. In New York City, there are many highly skilled doctors and well - equipped hospitals that can perform this procedure. By understanding the reasons for removal, the process, the risks, and the factors to consider when choosing a hospital and surgeon, you can make an informed decision. Remember to have an open and honest conversation with your surgeon during the consultation to ensure that you are fully informed and comfortable with the procedure. If you are considering breast implant removal, take the next step and schedule a consultation with a reputable surgeon in New York City to discuss your options.
If you found this article helpful, please share it with others who may be considering breast implant removal. For more information on breast implant removal in New York City or to schedule a consultation with a top surgeon, feel free to reach out to us. We're here to support you throughout your journey.
