Introduction
Prosthetic breast augmentation is a popular cosmetic procedure, but sometimes, patients may encounter issues such as breast flaring. Correcting this problem requires the expertise of a skilled surgeon and the right hospital environment. In New York City, there are several top - notch hospitals that are well - equipped to handle the correction of breast flaring after prosthetic breast augmentation. This article will carefully introduce five of these hospitals, discussing their facilities, surgeons, and procedures in detail.
1. Mount Sinai - New York
Overview of the Hospital
Mount Sinai is a well - known medical institution in New York City, renowned for its high - quality medical care and advanced plastic surgery department. Their breast implant revision specialists are among the best in the field, with in - depth knowledge and rich experience in handling various breast - related issues.
Surgeons and Their Expertise
The plastic surgeons at Mount Sinai are highly trained and have extensive experience in secondary or breast implant revision surgery. They can match and repair the body's tissue with breast implants, ensuring that the position, shape, and texture of the implants are natural and beautiful. For example, when dealing with breast flaring, they understand how to adjust the implant placement and tissue support to correct the problem.
Procedures for Correcting Breast Flaring
Before starting the correction procedure, patients will first consult with a nationally recognized specialist. The surgeon will discuss options with the patient, including the possibility of using new materials or meshes to stabilize the area surrounding the breast implant. This will increase the support available and repair the body's tissue. To enhance the natural shape and texture of the breasts, fat transfer from the abdomen, hips, thighs, or other spots may also be suggested.
The hospital uses techniques similar to those in breast reconstruction. If the breast flaring is due to incorrect implant positioning (too low, too far to the side or center), the surgeon will re - position the implant. In cases where there is wrinkled or rippled implants, extraordinary scar tissue around one or both implants (capsular contracture), stretched tissues around one or both implants, sagging breast implants and tissues, or implant rupture, they have the skills to address these issues.
2. Under the Care of Dr. Darrick Antell
About Dr. Darrick Antell
Dr. Darrick Antell is one of the most renowned board - certified plastic surgeons in the world. Trained at Stanford and Cornell University, he is known for his exceptional surgical skills and use of advanced techniques. He has been named a “top plastic surgeon” by Town and Country, Vogue, and New York Magazine, and recognized by Harper’s Bazaar as one of the best breast plastic surgeons in the country. His leadership in the field of custom breast surgery gives patients confidence in his abilities.
Patient Evaluation for Breast Flaring Correction
During the initial consultation, Dr. Antell will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. The breasts will be examined and precisely measured in preparation for the surgery. If the patient desires to correct breast flaring, Dr. Antell will have an open and honest conversation with the patient about the desired outcome. He can guide the patient through selecting the proper implant type, incision size, implant placement, and size based on the patient's specific anatomy.
The Breast Implant Revision Process
The chosen incision and placement of the new implant will be customized based on factors such as the patient's individual anatomy and the condition of the existing implant. When possible, Dr. Antell may use the same incision site as used in the initial breast augmentation. If the breast flaring is associated with capsular contracture or a silicone implant rupture, it is often necessary to remove the hardened scar tissue surrounding the implant. After removing the existing implant and any scar tissue, he will carefully place the new implant with a no - touch technique. Multiple layers of internal, dissolving sutures will typically be used to close the incisions, and a layer of gauze and a bandage may be placed over the new breasts to speed healing. The surgery usually takes between one and three hours to complete.
3. Manhattan Plastic Surgeon Dr. Douglas Senderoff
Dr. Senderoff's Experience
Board - certified Manhattan plastic surgeon Douglas M. Senderoff, MD, FACS has extensive experience in corrective breast revision surgery. He has been correcting the unsatisfactory results of breast implants operations for over a decade in his Manhattan, New York outpatient surgical facility.
Conditions That May Cause Breast Flaring and Their Correction
There are several conditions that may cause breast flaring, and Dr. Senderoff can address them. Conditions such as capsular contracture, asymmetry, wrinkling, implant malposition, poor shape, implant deflation, incorrect size, scarring, and breast sagging can all lead to breast flaring. At the time of consultation, Dr. Senderoff will examine the patient's breasts to determine the nature of the problem and how it may be best corrected. He uses computer imaging to help evaluate the breast and communicate with patients the possible results of surgery using different sizes of breast implants.
Operative Techniques for Correction
There are several operative techniques that Dr. Senderoff may use to improve the appearance of the breast and correct breast flaring. For example, converting the breast implant from a subglandular position to a subpectoral position in cases of capsular contracture or severe rippling can be beneficial. Changing the breast implant size or the type of implant used (saline or silicone) can also help. Repositioning the implant by enlarging or reducing the breast implant pocket can restore symmetry in cases where the implants may have shifted. The use of Alloderm to reinforce the base of the implant pocket for implant “bottoming out” has proven effective in maintaining breast shape over the long term. A breast lift or mastopexy can be performed in cases of breast sagging after breast augmentation, and areola revision to create a rounder shape or smaller size can improve the appearance of the breasts. Scar revision is commonly performed during breast revision surgery.
4. New York Eye & Ear Infirmary of Mount Sinai
The Center for Breast Reconstruction
The New York Center for the Advancement of Breast Reconstruction at New York Eye & Ear Infirmary of Mount Sinai is a unique center of excellence. Led by Joshua Levine, MD, the center specializes in state - of - the - art, muscle - sparing, and implant - free microsurgical breast reconstruction options for women of every body type. While their main focus is on breast reconstruction, their expertise in handling breast tissues can also be applied to correcting breast flaring after prosthetic breast augmentation.
Reconstructive and Corrective Techniques
The center utilizes the patient's own tissue (skin and fat) to make a breast, resulting in a more natural, long - lasting reconstruction. Their experience in using these natural materials and techniques can be relevant when correcting breast flaring. They perform almost 150 such cases a year and have the pioneers in the deep perforator flap technique and the nipple - sparing operation on their staff, which are advanced techniques that can be adapted to address various breast issues including flaring.
5. NYU Langone Health
Comprehensive Breast Plastic Surgery Services
Plastic surgeons at NYU Langone reconstruct the breast after breast cancer surgery and improve the overall appearance of the breast for those seeking reconstructive or cosmetic plastic surgery. They offer all of the latest reconstruction techniques, which can also be used for correcting breast flaring.
Specific Techniques for Breast Issues
Techniques such as breast reduction using the short scar method, breast lift surgery (mastopexy), secondary breast reconstruction and augmentation surgery, and breast reconstruction using perforator flaps can be useful in correcting breast flaring. For example, if the breast flaring is due to sagging or incorrect shape, a breast lift or mastopexy may be performed. Their plastic surgeons, including Dr. Eduardo D. Rodriguez and Dr. Nolan S. Karp, specialize in the latest techniques to perform breast reconstruction and cosmetic breast surgery, and they can tailor the treatment to each patient's specific needs.
Comparative Analysis of the Five Hospitals
| Hospital | Surgeon Expertise | Key Techniques | Facility Features |
|---|---|---|---|
| Mount Sinai - New York | Highly trained specialists in breast implant revision | Tissue matching, fat transfer, techniques similar to breast reconstruction | Well - known medical institution with advanced facilities |
| Under Dr. Darrick Antell | World - renowned board - certified plastic surgeon with custom breast surgery skills | No - touch implant placement, customized incision and implant positioning | Private operating room near Lenox Hill Hospital, fully accredited and state - of - the - art |
| Dr. Douglas Senderoff | Extensive experience in corrective breast revision surgery | Multiple operative techniques like implant position change, use of Alloderm | Outpatient surgical facility in Manhattan |
| New York Eye & Ear Infirmary of Mount Sinai | Specialized in muscle - sparing and implant - free microsurgical breast reconstruction | Deep perforator flap technique, nipple - sparing operation | Center of excellence with unique expertise |
| NYU Langone Health | Surgeons specialized in latest breast reconstruction and cosmetic surgery techniques | Short scar breast reduction, breast lift, perforator flap reconstruction | Internationally renowned department with advanced imaging for preoperative planning |
Factors to Consider When Choosing a Hospital
Surgeon's Experience and Reputation
The experience and reputation of the surgeon are crucial. A surgeon with a long - standing record of successful breast correction surgeries is more likely to achieve good results. You can look at patient testimonials, awards, and media recognition to gauge a surgeon's reputation.
Hospital Facilities
State - of - the - art facilities can ensure a safer and more comfortable surgical experience. Advanced equipment for diagnosis, surgery, and post - operative care can contribute to better outcomes.
Cost and Insurance Coverage
Cost is an important factor for many patients. It's essential to understand the total cost of the procedure, including surgeon's fees, hospital charges, and post - operative care. Additionally, check if your insurance covers breast correction surgery.
Patient - Surgeon Communication
Good communication between the patient and the surgeon is necessary. A surgeon who listens to your concerns, answers your questions thoroughly, and involves you in the decision - making process can make you feel more confident and at ease during the treatment.
Conclusion
Correcting breast flaring after prosthetic breast augmentation is a delicate procedure that requires the expertise of a skilled surgeon and a well - equipped hospital. In New York City, Mount Sinai - New York, the practice of Dr. Darrick Antell, Dr. Douglas Senderoff's facility, New York Eye & Ear Infirmary of Mount Sinai, and NYU Langone Health are all excellent choices. Each hospital or surgeon has their unique strengths, whether it's in surgical techniques, patient care, or innovative approaches. By carefully considering the factors mentioned above, patients can make an informed decision about which option is best for them.
If you're considering breast flaring correction, don't hesitate to reach out to these institutions. Schedule a consultation, discuss your concerns with the surgeons, and take the first step towards achieving the desired breast appearance. Share this article with others who may be interested in this topic, and explore more about breast plastic surgery and related procedures to be better informed.
