Introduction
In New York City, the demand for breast implant removal has been on the rise. There are various reasons for this, such as medical complications, personal preferences, or a change in aesthetic goals. Five departments have now been selected on the list of hospitals for removing injected breast augmentation in the city. This article will provide a comprehensive guide to breast implant removal in New York City, including the reasons for removal, types of procedures, top surgeons, and the recovery process.
Reasons for Breast Implant Removal
Medical Complications
- Breast Implant Illness (BII): Some women experience a range of symptoms after getting breast implants, including fatigue, joint pain, brain fog, and more. BII is believed to be associated with pre - existing autoimmune problems and has led many women to consider implant removal. According to some studies, although it's still a controversial topic, many patients report significant relief from their symptoms after implant removal.
- Capsular Contracture: This occurs when the scar tissue around the implant tightens and hardens. It can cause discomfort, pain, and distortion of the breast shape. In severe cases, the implant may even become misshapen, and the breast may feel firm to the touch.
- Implant Rupture or Leakage: Both saline and silicone implants can rupture or leak. Saline implants may deflate suddenly, while silicone implant leakage may be more difficult to detect. A rupture can be caused by trauma, normal wear and tear, or manufacturing defects.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): A rare type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. It is primarily associated with certain textured breast implants, leading to the recall of some specific models by the FDA.
Personal and Aesthetic Reasons
- Change in Aesthetic Preferences: Over time, a woman's aesthetic preferences may change. She may no longer desire the size or shape of her current implants and wish to return to her natural breast size or opt for a different type of implant.
- Lifestyle Changes: Some women find that their implants interfere with their lifestyle. For example, athletes or very active individuals may find large implants to be a hindrance during physical activities.
- Unsatisfactory Results from Initial Surgery: If a woman is not happy with the results of her original breast augmentation, such as asymmetry, visible rippling, or an unnatural appearance, she may choose to have the implants removed.
Types of Breast Implant Removal Surgeries
En Bloc Removal
En bloc removal involves removing the entire implant, including the capsule that forms around it, in one piece. This technique is recommended for patients who have developed capsular contracture or those who want to remove their implants due to health concerns. It reduces the risk of rupturing or spilling of silicone gel into the body during surgery. A skilled surgeon with experience in this procedure is required, as it involves making an incision around the perimeter of the capsule and carefully dissecting it away from surrounding tissues until it can be removed intact.
Capsulectomy
Capsulectomy is the removal of only the capsule that forms around an implant while leaving the implant itself in place. This method is typically recommended for patients who want to remove their implants due to cosmetic reasons or discomfort caused by capsular contracture but do not wish to undergo a more invasive surgery like en bloc removal. An incision is made around the perimeter of the capsule, and it is carefully dissected away from surrounding tissues until it can be removed intact. The surgeon will then inspect both sides of the removed capsule to ensure complete excision of all scar tissue.
Explantation with Mastopexy
Explantation with mastopexy is a surgical procedure that involves removing the breast implant, excess skin, and lifting the breast tissue to create a more youthful appearance. This technique is recommended for patients who have experienced sagging or drooping of their breasts after having implants. An incision is made around the perimeter of the areola or underneath the breast fold. The implant is then removed along with any surrounding scar tissue. The surgeon will then lift the remaining breast tissue to create a more youthful appearance before closing the incisions.
Explantation with Fat Transfer
Explantation with fat transfer involves removing the implant and using the patient's own fat from another area of their body, such as thighs, hips, or abdomen, to reshape and enhance their breasts. This method is typically recommended for patients who want to remove their implants but still desire some degree of breast augmentation. An incision is made around the perimeter of the areola or underneath the breast fold. The surgeon will then remove the implant along with any surrounding scar tissue before harvesting fat from another area of the body through liposuction techniques. The fat is then purified before being injected into the breast tissue to create a more natural - looking and fuller appearance.
Procedure | Description | Ideal Candidates |
---|---|---|
En Bloc Removal | Removes the entire implant and capsule in one piece | Patients with capsular contracture or health concerns |
Capsulectomy | Removes only the capsule around the implant | Patients for cosmetic reasons or mild discomfort |
Explantation with Mastopexy | Removes implant, excess skin, and lifts breast tissue | Patients with sagging breasts after implants |
Explantation with Fat Transfer | Removes implant and uses own fat for reshaping | Patients who want implant removal with some augmentation |
Top Surgeons in New York City for Breast Implant Removal
Dr. Darrick E. Antell
Dr. Darrick Antell is widely regarded as one of the most experienced breast surgeons both in the New York area and worldwide. He has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country. He performs custom breast implant removal (explant) surgery and also offers en bloc capsulectomy when indicated. Many of his breast implant removal 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 and performs most procedures in his private operating room across from Lenox Hill Hospital.
Dr. Barry Weintraub
Dr. Barry Weintraub offers breast implant removal and replacement procedures. He has a strong aesthetic sense and combines medical science with artwork. His patients often return to work three days after surgery, and he performs breast implant - revision surgery in his quad A - accredited NYC surgical facility. He takes a patient - centered approach and listens carefully to each patient's unique needs and concerns. Dr. Weintraub prefers his patients to be in a comfortable state of twilight sleep during the procedure and insists on the most sterile conditions in the operating room.
Dr. Joshua D. Zuckerman
At Zuckerman Plastic Surgery in New York City, Dr. Joshua D. Zuckerman offers breast implant removal and exchange procedures. He is meticulous in employing techniques that aim to minimize scarring and optimize recovery. The complexity and duration of the procedure will vary depending on whether a simple removal, removal with a lift, or exchange is being done. Post - operative care is crucial, and he provides guidance on managing discomfort, wearing a support bra, and avoiding strenuous activities.
Dr. Maura Reinblatt
Dr. Maura Reinblatt is a board - certified plastic surgeon serving patients in NYC, Westchester, and White Plains. She offers advanced techniques to address medical issues associated with breast implants, such as en bloc capsulectomy and open capsulotomy. Her practice is known for its personalized approach to patient care, and she has a reputation for excellence in the field. She performs outpatient breast implant removal surgeries and provides detailed guidance on the recovery process.
Dr. Olivia Hutchinson
Dr. Olivia Hutchinson is considered to be one of the top breast implant removal surgeons on the upper east side in NYC. She has over 20 years of experience evaluating patients with breast implant - related concerns. She can address both aesthetic and medical issues related to breast implants and will advise patients on the various surgical options available. She is a board - certified, Harvard and Columbia educated female aesthetic plastic surgeon.
Choosing the Right Surgeon
Qualifications
It is essential to choose a board - certified plastic surgeon. Look for credentials such as American Board of Plastic Surgery (ABPS) certification or membership in professional organizations such as the American Society of Plastic Surgeons (ASPS). A board - certified surgeon has undergone rigorous training and passed stringent exams to ensure they have the necessary skills and knowledge to perform surgical procedures safely and effectively.
Experience
Select a surgeon who has extensive experience in breast implant removal. An experienced surgeon will have encountered a variety of cases and will be better equipped to handle any complications that may arise during the surgery. Ask about the number of breast implant removal surgeries they have performed and request before - and - after photos of their previous patients.
Patient Reviews
Patient reviews can provide valuable insights into a surgeon's bedside manner, communication skills, and the quality of their results. Online review platforms like RealSelf.com and Yelp allow patients to leave feedback on their experiences with specific surgeons. Read through these reviews carefully to get an idea of what to expect from a particular surgeon.
Communication
During your consultation, pay attention to how well the surgeon listens to your concerns and answers your questions. A good surgeon should take the time to understand your goals and preferences and develop a customized treatment plan that meets your needs. They should also be transparent about the risks and benefits of the procedure and provide you with realistic expectations.
Preparing for Breast Implant Removal Surgery
Consultation
Schedule a consultation with your chosen surgeon. During this consultation, discuss your reasons for wanting breast implant removal surgery and determine if you are a good candidate for the procedure. The surgeon will evaluate your medical history, current health status, and the condition of your breasts. They will also discuss the surgical plan, including the type of procedure, potential risks, and the expected recovery time. Bring any information you have about your existing implants and your previous breast augmentation surgery to the appointment.
Medical Clearance
Your surgeon may require you to obtain medical clearance from your family physician. This is to ensure that you are in good health and able to undergo the surgery safely. You may also need to undergo certain tests, such as an ultrasound, mammogram, or MRI, to assess the condition of your implants and surrounding tissues.
Lifestyle Changes
- Smoking: Smoking can increase the risk of complications during surgery and slow down the healing process. Stop smoking at least two weeks before the surgery. If you are having trouble quitting, talk to your doctor about options for quitting.
- Medications and Supplements: Avoid taking medications that can increase bleeding, such as aspirin and ibuprofen, for two weeks before the surgery. Your surgeon may also advise you to stop taking certain supplements or herbal remedies that could interfere with anesthesia or cause bleeding.
- Diet: Follow any dietary restrictions provided by your surgeon. This may include avoiding food and drink after midnight on the night before your surgery.
Post - Operative Care Arrangements
Breast implant removal surgery is an outpatient procedure, but you will need someone to drive you home after the surgery. Arrange for someone to stay with you for at least 24 hours after the surgery to help you with daily activities. Make sure you have comfortable clothing that is easy to put on and take off after the surgery, and consider purchasing a compression garment as recommended by your surgeon.
The Breast Implant Removal Procedure
Anesthesia
The type of anesthesia used during the procedure will depend on the patient's medical history and preferences. Options may include local anesthesia with sedation or general anesthesia. Local anesthesia with sedation involves numbing only a specific area of the body while the patient remains conscious but relaxed. General anesthesia involves putting the patient into a deep sleep so that they do not feel anything during surgery.
Incision and Implant Removal
The surgeon will make an incision in the same location as the original breast augmentation incision to remove the implant. If there is any scar tissue or calcification around the implant, this will also be removed. Depending on the type of procedure, the entire implant and capsule may be removed en bloc, or just the capsule may be removed. In some cases, additional procedures such as a breast lift or fat transfer may be performed.
Closure
After the implant and any scar tissue have been removed, the incisions will be closed with sutures. The surgeon may use multiple layers of internal, dissolving sutures and, if needed, a layer of external sutures. A layer of gauze or a bandage will be placed over the incisions to speed healing.
Recovery Process
Immediate Post - Operative Period
After the surgery, you will be taken to a recovery room where you will spend some time under close observation. Your vital signs will be monitored, and you may receive pain medication or other treatments as needed to manage any discomfort or side effects. Once you are cleared to leave the recovery room, you should rest and avoid any strenuous activity or heavy lifting for a few days.
Swelling and Bruising
It is normal to experience swelling, bruising, and soreness in the days following your surgery. These symptoms should gradually improve over time. Applying ice packs to the affected area can help reduce swelling and relieve discomfort. Your surgeon may also recommend wearing a compression garment around your chest area for several weeks following the procedure to help reduce swelling and promote healing.
Pain Management
Your surgeon may prescribe pain medication to help manage any pain or discomfort. Take these medications as directed and do not exceed the recommended dosage. As the healing process progresses, you should require less pain medication.
Return to Normal Activities
Most patients can return to work and normal activities within 1 - 2 weeks, but it is best to refrain from vigorous exercise for around two weeks. Your surgeon will provide an individualized recovery plan based on the extent of your procedure and your rate of healing. Follow all post - operative instructions carefully and attend all follow - up appointments with your surgeon to ensure proper healing and to address any concerns or complications that may arise.
Potential Risks and Complications
Bleeding and Infection
As with any surgery, there is a risk of bleeding and infection. Your surgeon will take precautions to minimize these risks, but it is important to be aware of the signs of infection, such as fever, redness, swelling, or discharge from the incision site. If you experience any of these symptoms, contact your surgeon immediately.
Capsular Contracture
Although the goal of breast implant removal is often to address capsular contracture, there is still a risk of it occurring again after the surgery. If you experience pain, firmness, or a change in the shape of your breasts, contact your surgeon for an evaluation.
Numbness and Scarring
You may experience some loss of feeling in the breast area and around the incisions. This numbness typically fades over time. Incisions are usually made in a way to minimize scarring, but scars may take several months to fade. Your surgeon can provide advice on scar management techniques to help improve the appearance of the scars.
Unsatisfactory Results
There is a possibility that you may not be completely satisfied with the results of your breast implant removal surgery. This could be due to factors such as changes in breast shape, asymmetry, or less - than - expected improvement in your appearance. Discuss your expectations with your surgeon before the surgery to minimize the risk of dissatisfaction.
Conclusion
Breast implant removal is a complex procedure that requires the expertise of a specialized surgeon. In New York City, the five departments on the list of hospitals for removing injected breast augmentation offer a range of experienced surgeons and high - quality facilities. When considering breast implant removal, it is important to carefully weigh the reasons for removal, choose the right surgeon, and