Introduction to Breast Reconstruction in New York City
Breast reconstruction is a life - changing surgical procedure for many women who have undergone mastectomies due to breast cancer or other medical conditions. New York City, a global hub for healthcare, offers a plethora of world - class hospitals and skilled surgeons for breast reconstruction. In this article, we will explore the top five hospitals for breast reconstruction surgery in New York City, helping you make an informed decision.
Importance of Choosing the Right Hospital
Selecting the right hospital for breast reconstruction is crucial. The quality of medical care, the experience of the surgical team, and the available facilities can significantly impact the outcome of the surgery and the patient's recovery. A good hospital not only provides excellent medical treatment but also offers emotional support and comprehensive after - care services.
Top Five Hospitals for Breast Reconstruction in New York City
1. Weill Cornell Medicine
Expertise and Surgeons
Weill Cornell Medicine is well - known for its plastic and reconstructive surgeons who are leaders in the field. Their surgeons have extensive experience in performing various breast reconstruction techniques, including nipple - sparing mastectomies with concurrent reconstruction. For the past 20 years, they have been performing this advanced technique, positioning them as leaders in this area.
Multidisciplinary Care
The hospital offers a multidisciplinary approach to breast reconstruction. Their plastic and reproductive surgeons are part of the Weill Cornell Medicine Breast Center, which includes oncologists, geneticists, and nurses who specialize in breast cancer care. This team of experts works together to ensure optimal health and well - being for the patients.
Breast Reconstruction Options
- Autologous reconstruction: Using the patient's own tissue from different areas of the body such as the abdomen, thighs, and buttocks to make the breast. Nerves can also be reconstructed to increase sensory recovery in the breasts.
- Breast innervation: A novel reinnervation procedure can be performed during breast reconstruction. For autologous reconstruction, a nerve in the abdominal flap is reconnected to a nerve in the chest. In implant - based reconstruction, surgeons have developed a new technique to preserve and reconnect the nerves supplying the skin and nipple.
- Diep flap reconstruction: An innovative technique that uses a flap of complete tissue from the abdomen to reconstruct the breast, creating a slimmer abdomen and natural - looking breasts.
- Implant - based reconstruction: Using tissue expanders and implants, with options of saline and silicone breast implants from all implant manufacturers. They have pioneered techniques like direct - to - implant reconstruction and tissue expander reconstruction without drains.
2. New York Eye and Ear Infirmary of Mount Sinai
Hospital Reputation
The New York Eye and Ear Infirmary of Mount Sinai 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.
Breast Reconstruction Centers
Dr. Levine has developed dedicated natural tissue breast reconstruction centers at this hospital. The hospital offers advanced microsurgical procedures for breast reconstruction. Many patients from across the U.S. and around the world come to this hospital seeking these highly sophisticated procedures and the unique patient - centered care.
Patient Support for Travelers
The hospital provides support for patients who travel for surgery. Although they cannot schedule flights or reserve hotel rooms, they can make recommendations on accommodation and the best times to fly in for consultations or surgeries. For local patients in the tri - state area, they will meet with Dr. Levine prior to scheduling surgery. Out - of - town patients (over 3 hours driving distance) will meet with Dr. Levine the day of or the day before their scheduled surgery.
3. Hackensack University Medical Center
National Rankings
Hackensack University Medical Center earned the distinction of being New Jersey’s #1 hospital and is among the top 30 hospitals in the nation to have 10 or more (11) national specialty rankings in U.S. News & World Report’s 2014 - 15 best hospitals rankings. It offers high - quality breast reconstruction services.
Comprehensive Care
The hospital provides comprehensive breast reconstruction options, including both implant - based and autologous tissue reconstruction. Their surgical team is experienced in performing these procedures and ensuring patient safety and satisfaction.
4. Mount Sinai West
Expert Surgeon and Techniques
The breast reconstruction program at Mount Sinai West is led by Hani Sbitany, MD, an internationally renowned leader in breast reconstruction. The hospital offers the full complement of breast reconstruction options and specialized expertise in advanced muscle - sparing and microsurgical techniques. These techniques are not available at many other medical centers.
Collaboration with Oncology
The breast reconstruction program works closely with the breast oncology surgeons at Mount Sinai West to provide comprehensive breast care. This collaboration ensures that patients receive the best treatment plan that takes into account both their cancer treatment and breast reconstruction needs.
5. New York - Presbyterian (Affiliated with some Practices)
Hospital System Reputation
New York - Presbyterian is one of the top hospital systems in New York City and the U.S. Many breast reconstruction surgeons are affiliated with this hospital system, offering high - quality surgical care. For example, some surgeons like Dr. John Sherman offer breast reconstruction surgeries at New York Presbyterian Hospital.
Range of Services
The hospital provides a wide range of services related to breast reconstruction, from pre - operative consultations to post - operative care. Their surgical teams are well - trained and experienced in performing different types of breast reconstruction surgeries, including implant - based and flap - based reconstructions.
Factors to Consider When Choosing a Hospital for Breast Reconstruction
Surgeon Experience
The experience of the surgeon is one of the most important factors. Surgeons with extensive experience in breast reconstruction are more likely to perform the surgery successfully and achieve better results. Look for surgeons who have performed a large number of breast reconstruction procedures and have a good track record of patient satisfaction.
Reconstruction Options
Different hospitals may offer different breast reconstruction options. Some may specialize in autologous tissue reconstruction, while others may be more experienced in implant - based reconstruction. It is important to choose a hospital that offers the reconstruction option that best suits your needs and preferences.
Multidisciplinary Care
Breast reconstruction is not just a surgical procedure; it often requires a multidisciplinary approach. Hospitals that have a team of oncologists, plastic surgeons, nurses, and other specialists working together can provide more comprehensive care. This team can address all aspects of your treatment, from cancer management to breast reconstruction and post - operative recovery.
Patient Support
Going through breast reconstruction can be a physically and emotionally challenging experience. A hospital that offers patient support services, such as counseling, support groups, and after - care follow - up, can help you better cope with the process. Patient - centered care, where the hospital staff takes the time to understand your concerns and provide personalized support, is also essential.
Location and Accessibility
Consider the location of the hospital and its accessibility. If you live far away, traveling for pre - operative consultations and post - operative follow - up can be inconvenient. Some hospitals offer support for out - of - town patients, but it is still important to factor in the distance and the ease of travel.
Understanding Breast Reconstruction
What is Breast Reconstruction?
Breast reconstruction is a surgical procedure aimed at restoring the shape, appearance, and size of the breast following a mastectomy or lumpectomy. It can be performed using implants, autologous tissue (such as tissue from the abdomen or back), or a combination of both. The goal is to rebuild a breast that closely resembles the natural breast, helping patients regain their confidence and sense of wholeness after breast cancer surgery.
Benefits of Breast Reconstruction
- Physical Restoration: It restores breast symmetry, allowing patients to wear a wider range of clothing comfortably.
- Emotional and Psychological Benefits: It can have a significant positive impact on a patient's self - esteem and body image, aiding in the healing process and improving overall quality of life.
- Sense of Closure: For some women, breast reconstruction provides a sense of closure as they move forward after breast cancer treatment.
Types of Breast Reconstruction
Implant - Based Reconstruction
Implant - based reconstruction involves placing a saline or silicone implant to restore the breast's shape and volume. This procedure is often performed in stages. First, a tissue expander is placed under the pectoral muscle, and a saline solution is gradually added to stretch the skin. Once the tissue is ready, the permanent implant is placed.
Autologous Tissue Reconstruction
Autologous tissue reconstruction uses the patient's own tissue from other parts of the body, such as the abdomen, back, or thighs, to reconstruct the breast. This method can provide a more natural look and feel compared to implants. Common flap procedures include the Diep flap, Tram flap, and Latissimus dorsi flap.
Preparing for Breast Reconstruction
Consultation
During the consultation, the surgeon will work closely with you to understand your individual needs and goals. They will explain your options, considering factors such as your age, health, anatomy, and personal preferences. You should take this opportunity to openly discuss your desired outcome and ask any questions you may have regarding the procedure, potential risks, and recovery details.
Medical Evaluation
You will undergo a thorough medical evaluation, including a physical examination, blood tests, and imaging studies. This evaluation helps the surgeon assess your overall health and determine if you are a suitable candidate for breast reconstruction. They may also consult with other specialists, such as oncologists, to ensure that your cancer treatment and breast reconstruction plans are coordinated.
Lifestyle Changes
Your surgeon may recommend certain lifestyle changes before the surgery. This may include quitting smoking, as smoking can increase the risk of complications during and after surgery. You may also need to adjust your diet and exercise routine to improve your overall health and prepare your body for the surgical procedure.
The Breast Reconstruction Procedure
Anesthesia
Breast reconstruction is typically performed under general anesthesia. A board - certified anesthesiologist will monitor your vital signs during the surgery to ensure your safety and comfort.
Duration of the Surgery
The duration of the surgery depends on the type of reconstruction being performed. It can take anywhere from 2 to 6 hours. Your surgeon will provide a more accurate estimate during your consultation.
Intra - operative Process
For implant - based reconstruction, the surgeon will first place the tissue expander or the implant, depending on the chosen technique. In autologous tissue reconstruction, the surgeon will harvest the tissue from the donor site and transfer it to the breast area, and then carefully shape and position it to create a natural - looking breast.
Recovery from Breast Reconstruction
Immediate Post - operative Period
After the surgery, you will be monitored in the recovery room. You can expect some discomfort, swelling, and bruising, which can be managed with pain medication. Your surgical site will be bandaged, and you may have drains to remove excess fluid.
Longer - term Recovery
The recovery time varies depending on the type of procedure performed. Most patients can resume normal activities within 6 to 8 weeks, but it may take several months to fully heal. You will need to follow your surgeon's post - operative instructions carefully, which may include wearing a support bra, avoiding strenuous activities, and attending follow - up appointments.
Potential Complications
Like all surgeries, breast reconstruction carries some risks. The most common risks include minor bleeding, infection, and temporary issues with incision healing. For flap reconstructions, there is a small chance of partial or complete loss of the flap, as well as temporary numbness in the donor or reconstruction site. In implant - based reconstruction, potential complications could include capsular contracture or implant rupture. However, choosing an experienced, board - certified surgeon significantly reduces the likelihood of these complications.
Conclusion
New York City offers a wealth of options for breast reconstruction surgery, with some of the top hospitals and surgeons in the world. When choosing a hospital, it is important to consider factors such as surgeon experience, reconstruction options, multidisciplinary care, patient support, and location. Understanding the breast reconstruction process, from consultation to recovery, can help you make an informed decision and have a more positive experience.
Don't hesitate to reach out to these hospitals and schedule consultations to discuss your specific needs and goals. Take the time to research and choose the option that is best for you. If you found this article helpful, share it with others who may be considering breast reconstruction. You can also explore related topics on breast health and reconstruction to gain more knowledge.
