Introduction
Breast augmentation injection removal is a significant procedure that many individuals in New York City may require. Whether due to dissatisfaction with the current state of breast implants, complications, or other concerns, finding the right hospital for this procedure is crucial. In this article, we will explore various aspects related to breast augmentation injection removal in New York City, including what the procedure entails, leading plastic surgeons and clinics, and important considerations throughout the process.
Understanding Breast Implant Removal
What is Breast Implant Removal (Explant)?
Breast implant removal, also known as “explant” surgery, is often carried out to change the size, location, and/or type of implants currently in place. Some patients are concerned with breast implant illness (BII) and wish to have the implants removed to determine the effect on their health. Others may want to replace saline implants with more natural - feeling, - looking, and - acting implants made of FDA - approved silicone gel. Saline implants have issues such as valve leakage, a firm and unnatural feel, and more frequent rippling compared to silicone implants. Another reason for removal could be capsular contracture, where the tissue around prior implants becomes firm.
According to top Google search results, patients may also come to reposition their implants under the pectoralis - major muscle to create a more natural - looking result. In cases of drooping breasts, a lift may be done in conjunction with the removal and replacement of implants.
What is Breast Implant Replacement?
Breast implant replacement is sometimes combined with breast implant removal. The goal is to effectively improve the appearance of the breasts. This can involve using autologous (one's own) fat to replace lost volume or placing new implants of a different size, shape, or type. For example, some patients may choose to switch from saline to silicone implants for a more natural aesthetic. The replacement process can take between half an hour and multiple hours, depending on the specific modality chosen and aesthetic needs. After surgery, patients often return to work within three days and require little downtime to fully recover, with swelling and bruising resolving within a week.
Reasons for Breast Implant Removal
Medical Reasons
- Leakage or Rupture: Saline implants are more prone to leakage due to their valve design. When an implant leaks or ruptures, it can cause various issues in the body and often requires removal. For instance, silicone gel implants can rupture silently, and the leakage may not be immediately noticeable but can still cause long - term problems.
- Capsular Contracture: As mentioned earlier, this occurs when the scar tissue around the implant tightens, causing pain, discomfort, and an abnormal appearance of the breasts. In severe cases, the breasts may feel hard and look distorted.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare type of non - Hodgkin lymphoma that can occur in the scar tissue surrounding the implant. Symptoms include pain, swelling, or a change in the size or shape of the breasts. If left untreated, it can spread to nearby lymph nodes. The FDA has recalled certain textured breast implants due to an increased risk of BIA - ALCL.
- Breast Implant Illness (BII): BII refers to a wide variety of symptoms that patients may report after undergoing breast augmentation or reconstruction with implants. These symptoms can include fatigue, fever, gastrointestinal complaints, migraines, breathing difficulties, depression or anxiety, rashes, pain and discomfort, and brain fog. While the exact cause of BII is uncertain, it is believed to be associated with pre - existing autoimmune problems.
Aesthetic Reasons
- Dissatisfaction with Size or Shape: Over time, a patient's aesthetic preferences may change. They may have initially chosen implants that were too large or too small for their body, or the implants may have shifted or changed shape, resulting in an unsatisfactory appearance.
- Visible or Palpable Implants: In some cases, the implants may become visible or palpable under the skin, causing an unnatural look. This can be due to factors such as thin breast tissue or improper implant placement.
- Asymmetry: Breast implants can sometimes cause asymmetry in the breasts, either due to uneven placement or differences in how the body reacts to the implants. Patients may choose to have the implants removed to correct this issue.
Top Plastic Surgeons and Clinics in New York City for Breast Implant Removal
Dr. Barry Weintraub
Dr. Barry Weintraub is well - known for his expertise in breast implant removal and replacement. He has a strong aesthetic sense and combines medical science with artwork in his practice. His approach emphasizes precision and care, and he always strives for the best results. Dr. Weintraub prefers his patients to be in a comfortable state of twilight sleep during the procedure, which reduces the risk of nausea, vomiting, or grogginess. He performs surgeries in his quad - A accredited NYC surgical facility at 800a Fifth Avenue, which offers high - quality medical and plastic - surgical care. Over 60% of his practice consists of complex redos of surgeries performed by other offices, and he takes great pride in getting the best results for his patients.
New York Group for Plastic Surgery
The New York Group for Plastic Surgery has plastic surgeons like Dr. Andrew Salzberg and Dr. Jordan Jacobs who perform breast implant removal procedures. They provide solid information to patients before any procedure so that they can make an educated choice about their bodies. The clinic offers a range of services related to breast implant removal, including removing the implants, silicone from the shell, and cleaning the breast pocket. They also perform procedures to correct complications and improve the aesthetics and feel of the breasts.
Dr. Darrick E. Antell
Dr. Darrick E. Antell is a top New York plastic surgeon 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 one of the best breast plastic surgeons in the country. Dr. Antell performs custom breast implant removal (explant) surgery and, when indicated, an en bloc capsulectomy to remove the tissue that has grown around the breast implant. He also removes the allergan textured breast implants recalled by the FDA. His patients often refer others, and he has an impeccable reputation for his exceptional surgical results, performed with total discretion.
Dr. Olivia Hutchinson
Dr. Olivia Hutchinson is recognized as a top breast implant removal surgeon on the upper east side in NYC. As a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon, she focuses on ensuring the finest surgical results for her patients. She has over 20 years of experience evaluating patients with breast implant - related concerns and can advise on various surgical options. In some cases, she may recommend a secondary procedure such as a breast lift to achieve the best aesthetic results.
New You Plastic Surgery
New You Plastic Surgery, with multiple locations in Long Island and Manhattan, has board - certified plastic surgeons Dr. Jeremy Nikfarjam and Micheline Goulart, MD. They are an ideal option for breast implant removal in New York as they have the education and training to help patients feel and look their best. The clinic offers a comprehensive range of cosmetic procedures and provides personalized treatment plans based on each patient's needs and goals.
Preparing for Breast Implant Removal
Medical Clearance
Once you decide to undergo breast implant removal, you will need to obtain medical clearance from your family physician. This is to ensure that you are in good general health and can safely undergo the procedure. Your physician will evaluate your overall health, including your cardiovascular system, respiratory system, and any pre - existing medical conditions.
Medication and Lifestyle Adjustments
Certain medications can interfere with the breast implant removal procedure. You should avoid taking medications like aspirin, ibuprofen, and anti - inflammatory medications for one week prior to the procedure. Blood - thinning medications, such as coumadin and heparin, should be avoided for up to six weeks before the surgery. It is important to inform your prescribing physician about your plans to undergo breast implant removal so that they can recommend when to stop taking these medications. Additionally, you should stop smoking and limit alcohol consumption before the surgery, as these can affect the healing process.
Arranging for Support
You will need someone to drive you home after the procedure and stay with you for at least 24 hours. This is to ensure your safety and well - being during the initial recovery period. It is also a good idea to have someone assist you with daily activities such as cooking, cleaning, and taking care of any children or pets.
Pre - operative Examination
Before the surgery, you will undergo a thorough examination to determine if your breasts are healthy enough to undergo the breast explant. This may include a physical examination, imaging tests such as an ultrasound, mammogram, or MRI, and blood tests. These tests help the surgeon assess the condition of your breast tissue, the position of the implants, and any potential complications.
The Breast Implant Removal Procedure
Anesthesia
There are different options for anesthesia during breast implant removal. Your surgeon may administer either local or general anesthesia, depending on factors such as your overall health, personal desires, and the location and size of the breast implants that will be removed. Local anesthesia is often used for those wanting to remove smaller breast implants from over the chest muscle. Those with implants beneath the chest muscle or larger implants may receive general anesthesia, which means you will be completely unconscious during the entire procedure. A board - certified anesthesiologist will continuously monitor your vital signs to ensure your safety throughout the surgery.
Skin Preparation
Once you are under the effects of anesthesia, your surgeon will prepare the surgical area. The area around your breasts will be cleaned with antibacterial soap to prevent infection. The surgeon will also ensure that all needed equipment is on hand and ready for the procedure.
Placement of Incisions
The incisions for breast implant removal can be made in one of three locations: the crease under the breast, around the areola, or vertically placed in the armpit. The choice of incision location depends on various factors, including the type of implants, your body anatomy, and the surgeon's preference. Your surgeon will create the necessary incisions and drain any accumulated fluid in the area.
Removal of Implants
The surgeon may use a variety of methods to remove the implants. These can include prying out implants from beneath breast tissue, cutting through the shell of the implant if it is sticking to nearby tissues, or using instruments attached to the breast implant for slow removal through pulling. In cases of capsular contracture, silicone implant rupture, or textured breast implants associated with BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant, which is called en - bloc resection.
Scar Tissue Removal
After removing the implants, the surgeon will also remove any excess skin or scar tissue around the nipples. The area will then be cauterized to stop bleeding. Once the scar tissue is removed, the surgeon will reconstruct the area to create a more natural appearance.
Sealing of Incisions
The final step is to re - attach the skin and stitch it up. Dressings will be applied to prevent infection while you are healing. The time taken for the explant surgery in NYC normally ranges from one to three hours, depending on the extent of the work needed, including the removal of scar tissue and area reconstruction.
Recovery after Breast Implant Removal
Immediate Post - operative Period
Once the procedure is complete, you will be awakened from anesthesia and taken to a recovery room. As sensation returns to the area, you may experience some discomfort. You will be provided with pain relief medication in the recovery area. You will likely spend about an hour in the recovery room before being allowed to return home. You will receive post - procedure instructions on how to care for yourself and the incision sites in the days and weeks following the surgery.
Initial Recovery Phase
For the first few days after the surgery, you can expect swelling, bruising, soreness, and sensitivity in the breast area. You will need to rest and limit your activity. Most patients experience three solid days of downtime, which is the most difficult part of the recovery. You may be advised to wear a compression bra to support the breasts and reduce swelling. It is important to follow all the instructions provided by your surgeon, such as taking prescribed antibiotics, applying a cold compress to the surgical site, and avoiding strenuous activities.
Long - term Recovery
Within one week, most patients are able to resume light activities, and more vigorous activity is possible in about six weeks. However, it may take several months before the final results are visible, and the swelling and bruising fully subside. You may also experience some loss of feeling in the breast area and around the incisions, which typically fades over time. Your scars will likely be firm and pink for at least six weeks before beginning to fade. It is important to attend all follow - up appointments with your surgeon to monitor your healing progress.
Cost of Breast Implant Removal
The cost of breast implant removal in NYC varies widely depending on a range of factors. These factors include the cost related to the operating facility, post - care essentials, tests used, and prescription medication cost. In most cases, breast implant removal procedures are not covered by health insurance. However, if the procedure is medically necessary, such as following a mastectomy, insurance companies may be obligated to cover the costs due to the Women’s Health and Cancer Rights Acts of 1988. To determine the cost of your breast implant removal, you should schedule a consultation with a plastic surgeon, who can assess your specific needs and provide an accurate quote.
Conclusion
Breast augmentation injection removal is a complex but important procedure for many individuals in New York City. Whether for medical or aesthetic reasons, finding a reputable plastic surgeon and clinic is crucial for a successful outcome. The process involves careful preparation, a well - executed surgical procedure, and a proper recovery period. By understanding the various aspects of breast implant removal, including the reasons for the procedure, the top surgeons and clinics in the area, and what to expect during and after the surgery, patients can make informed decisions and achieve the best possible results.
If you are considering breast augmentation injection removal in New York City, we encourage you to schedule a consultation with a qualified plastic surgeon. They can provide personalized advice and guidance based on your specific situation and help you take the first step towards achieving your desired outcome. Don't hesitate to reach out and explore your options for a more comfortable and satisfying body appearance.
