Introduction to Breast Implant Removal Surgery in New York City

Breast implant removal surgery has become an increasingly sought - after procedure in New York City. Many women opt for this surgery due to a variety of reasons, including the expiration of implant lifespan, dissatisfaction with the appearance, or medical complications. In this article, we will delve into the details of breast implant removal surgery in NYC, including top surgeons, procedures, and key considerations.

Why Women Consider Breast Implant Removal

There are multiple reasons why women may choose to have their breast implants removed:

• Implant - related medical issues: Capsular contracture, a condition where the scar tissue around the implant hardens, can cause pain and distort the shape of the breasts. Also, implant rupture, leakage, or deflation can lead to discomfort and a change in appearance. Additionally, some rare medical conditions such as Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL) have been linked to certain types of breast implants, leading to the need for removal.
• Changing aesthetic preferences: Over time, a woman's aesthetic preferences may change. She may no longer desire the size, shape, or look of the implants, or she may wish to return to her natural breast appearance.
• Lifestyle changes: Changes in lifestyle, such as a more active lifestyle where the implants may feel cumbersome, can also be a reason for removal.

Top Surgeons for Breast Implant Removal in New York City

New York City is home to some of the best plastic surgeons for breast implant removal. Here are some highly - rated surgeons:

Breast Reconstruction Center of NYC

The breast surgery expert plastic surgeons at the Manhattan - based Breast Reconstruction Center of NYC are well - known for their skills in breast implant removal. They offer state - of - the - art facilities and advanced techniques. The team is highly trained and understands the unique needs of each patient. They perform various breast implant removal procedures, including en bloc, partial capsulectomy, and total capsulectomy.

Most plastic surgeons at the center recommend breast augmentation patients to replace their breast implants every 10 - 15 years. Whether it's time for replacement or complete removal, they provide high - quality services. They take the time to explain each procedure variation during the initial consultation and customize the treatment plan according to the patient's desired post - operative goals.

Dr. Darrick Antell

Dr. Darrick Antell is a premier breast surgeon in NYC. He 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 and is skilled in en bloc capsulectomy. Many of his patients are referred by former patients, a testament to his excellent results.

Dr. Antell has been listed in magazines such as Harper’s Bazaar as one of the best breast plastic surgeons in the country. He thoroughly evaluates patients during the consultation, considering their general health, medical history, and breast condition. He also has privileges in numerous hospitals in NYC but often performs the procedure in his private, state - of - the - art outpatient surgery center.

Dr. Steven Wallach

Dr. Steven Wallach is another well - known plastic surgeon in NYC who performs breast implant removal surgery. He usually makes an incision using the previous breast implant surgical approach to access the implant pocket and remove the implants. He also addresses other related issues such as removing implant filler material from ruptured silicone implants if necessary.

During the consultation, Dr. Wallach discusses different options with patients, including implant replacement or exploring other breast enhancement options like a breast lift. He also provides detailed information about the procedure, recovery, risks, and cost.

Dr. Olivia Hutchinson

Dr. Olivia Hutchinson is recognized as a top breast implant removal surgeon in NYC, especially on the Upper East Side. With over 20 years of experience, she evaluates patients with breast implant - related concerns and offers personalized surgical options. She can address both functional and cosmetic issues related to breast implants.

Dr. Hutchinson advises patients on the best course of action, which may sometimes include a secondary procedure like a breast lift to achieve the best aesthetic results. Her patients often praise her for her professionalism and the quality of her work.

Dr. Barry Weintraub

Dr. Barry Weintraub is known for his breast implant removal and replacement procedures. He focuses on providing natural - looking results by placing implants under the pectoralis - major muscle. His surgical approach emphasizes safety, precision, and patient comfort.

He prefers to have his patients in a state of twilight sleep during the surgery and ensures the highest standards of sterility in the operating room. He takes time to understand each patient's needs and desires and customizes the treatment plan accordingly.

Comparison of Surgeons

Types of Breast Implant Removal Procedures

En Bloc Removal

During an en bloc breast implant removal surgery, the plastic surgeon removes the implants and the capsule in a single procedure. This method is often preferred when there are concerns about implant - related diseases or to ensure the complete removal of any potentially contaminated tissue. For example, in cases of BIA - ALCL, en bloc removal is recommended to remove the tumor, capsule, and breast implant.

Partial Capsulectomy

A partial capsulectomy involves solely removing the breast implant material and trimming or shaping some of the capsule material. This is done to create the patient's desired chest contour. It is a less invasive option compared to total capsulectomy and may be suitable for patients who want to keep some of the capsule in place.

Total Capsulectomy

A total capsulectomy consists of removing the implant, the capsule, and the remaining scar tissue. The procedure begins with the removal of the breast implants, followed by a complete removal of the capsule and associated scar tissue. This procedure is often used when there is significant capsular contracture or other issues related to the capsule.

The Breast Implant Removal Process

Consultation

The consultation is a crucial step in the breast implant removal process. During the consultation, the surgeon will thoroughly evaluate the patient's general health, medical history, and the current condition of the breasts. If the patient is experiencing medical complications related to the implants, it is important to discuss any symptoms. It is also helpful for the patient to bring any information about their existing implants and previous breast augmentation surgery.

The surgeon will explain the different procedures available, the risks involved, and the expected results. They will work with the patient to create a personalized surgical plan based on the patient's goals, such as whether they want to remove the implants only, replace them, or have a secondary procedure like a breast lift.

Preparation

Before the surgery, the patient may need to undergo some tests, such as an ultrasound, mammogram, or MRI, depending on the surgeon's recommendation. The patient will also receive guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. In some cases, the patient may need to provide pre - operative clearance from another doctor.

It is important for the patient to arrange for someone to drive them home after the surgery and to have assistance during the first few days of recovery. They may also be provided with a custom - made post - surgical garment.

Surgery

The breast implant removal surgery is typically performed under general anesthesia or intravenous (IV) sedation. The surgeon will make an incision, usually using the previous breast implant surgical approach. They will then remove the implants and, depending on the procedure, the capsule and scar tissue. If the patient has elected to have the implants replaced, the new implants will be inserted according to the surgical plan.

The surgery usually takes about 1 - 3 hours, but en bloc resection may take longer. After the implants are removed and any necessary procedures are completed, the incisions are closed with sutures and bandaged.

Recovery

Immediately after the procedure, the patient will experience swelling and bruising around the breasts and may be in mild pain. They will need a caregiver to drive them home and stay with them for about a day. Most patients can return to light activity within three to five days, but they should avoid aerobic activity for three to four weeks and heavy lifting for about six to eight weeks.

The patient may experience some loss of feeling in the breast area and around the incisions, which typically fades over time. There may also be some fluid drainage from the incision site. 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 need to follow up with the surgeon for post - operative check - ups to monitor the healing process.

Risks and Complications of Breast Implant Removal

While breast implant removal is generally a safe procedure when performed by an experienced, board - certified plastic surgeon, there are some risks and complications:

• Scarring: There may be unfavorable scarring at the incision site. The appearance of the scar can vary depending on the patient's skin type and the surgical technique used.
• Asymmetry: There is a risk of the breasts becoming asymmetrical after the surgery. This can be due to differences in the healing process or the removal of different amounts of tissue.
• Infection: Infection can occur at the incision site or in the breast tissue. Symptoms may include redness, swelling, pain, and fever. Prompt treatment with antibiotics is usually required.
• Bleeding: Some bleeding may occur during or after the surgery. In most cases, it can be controlled, but in rare cases, additional procedures may be needed.
• Nipple and skin loss: Although rare, there is a risk of nipple or skin loss due to damage during the surgery or complications during the healing process.
• Fat necrosis: This is the death of fat cells in the breast, which can cause lumps or changes in the texture of the breast tissue.
• Fluid collections: Fluid may collect in the breast area after the surgery, which may require drainage.
• Dysesthesias: This refers to abnormal sensations in the breast area, such as numbness, tingling, or pain.
• Need for revision surgery: In some cases, the patient may require revision surgery to correct any issues that arise after the initial breast implant removal.

Cost of Breast Implant Removal in New York City

The cost of breast implant removal in New York City can vary depending on several factors:

• Surgeon's fees: Experienced and well - known surgeons may charge higher fees.
• Type of procedure: En bloc removal or total capsulectomy may be more expensive than partial capsulectomy due to the complexity of the procedure.
• Location of the surgery: Surgeries performed in a private surgical center or a hospital may have different cost structures.
• Additional procedures: If the patient chooses to have the implants replaced or a secondary procedure like a breast lift, the cost will increase.

On average, the cost of breast implant removal can start at around $5000, but it can be significantly higher depending on the above factors. It is important for patients to discuss the cost with their surgeon during the consultation and to understand what is included in the fee.

Insurance Coverage for Breast Implant Removal

Insurance coverage for breast implant removal depends on the reason for the removal. If the removal is medically necessary, such as in cases of implant rupture, capsular contracture causing pain, or BIA - ALCL, insurance may cover some or all of the costs. However, if the removal is for cosmetic reasons, it is usually not covered by insurance.

Patients should check with their insurance carrier to determine their coverage. They may need to provide documentation from their surgeon about the medical necessity of the procedure.

Making the Decision for Breast Implant Removal

Deciding to have breast implant removal is a personal decision. Women should carefully consider their reasons for removal, their expectations, and the potential risks and benefits. It is important to have a thorough consultation with a board - certified plastic surgeon to understand all aspects of the procedure.

Patients should also take the time to research different surgeons, read patient reviews, and ask for before - and - after photos. They should feel comfortable with their surgeon and confident in their ability to perform the surgery safely and effectively.

Conclusion

Breast implant removal surgery in New York City offers women the opportunity to address various concerns related to their breast implants. Whether it's for medical reasons, changing aesthetic preferences, or lifestyle changes, there are experienced surgeons and advanced procedures available. The process involves a consultation, preparation, surgery, and recovery, with potential risks and costs to consider. Insurance coverage may vary depending on the situation.

If you are considering breast implant removal, we encourage you to take the next step. Schedule a consultation with a board - certified plastic surgeon in New York City to discuss your options, have your questions answered, and make an informed decision. Share this article with others who may be interested in learning more about breast implant removal surgery.