Introduction
Breast implant revision surgery has become a sought - after procedure in New York City. Whether due to dissatisfaction with the initial breast augmentation results, implant - related complications, or a desire for a different aesthetic, many women are turning to top - notch institutions for high - quality breast implant revision. In this article, we will explore some of the popular institutions in New York City that are leading the way in this field, delving into their services, expertise, and what sets them apart.
Understanding Breast Implant Revision
Breast implant revision is a surgical procedure aimed at correcting issues with the size, shape, feel, or placement of the original breast implants. It can also address problems such as implant rupture, capsular contracture, and changes in breast tissue over time. Some of the common reasons for breast implant revision include:
- Unsatisfactory Aesthetic Results: Implants may not have achieved the desired size, symmetry, or natural appearance.
- Capsular Contracture: The formation of excessive scar tissue around the implant, leading to pain, hardness, and distortion of the breast shape.
- Implant Rupture: This can occur due to wear and tear, trauma, or the natural aging of the implant. Saline implants will deflate if they rupture, while silicone implants may have a more subtle sign of leakage.
- Changes in Breast Tissue: Pregnancy, breastfeeding, weight loss, or natural aging can cause changes in the breast tissue, making the implants look out of place.
Popular Institutions for Breast Implant Revision in New York City
1. Mount Sinai
Mount Sinai's plastic surgeons are well - known for their expertise in breast implant revision surgery. Their specialists are leaders in medical care and plastic surgery, with a wealth of experience in correcting problem areas related to breast implants.
Services Offered
- Correcting Implant Position: They can fix implants that are incorrectly positioned, such as those that are too low, too far to the side or center.
- Addressing Wrinkled or Rippled Implants: Using advanced techniques, they can correct the appearance of implants that show wrinkles or ripples.
- Treating Capsular Contracture: Mount Sinai's surgeons are skilled in removing the hardened scar tissue around the implants and, if desired, placing new implants. They may also use materials like Strattice or Alloderm to resist capsular contracture and prescribe medications like Accolate to lower the contracture rates.
- Handling Implant Rupture: In case of implant rupture, they can replace the implant and remove any troublesome scar tissue.
- Fat Transfer: To enhance the natural shape and texture of the breasts, they may suggest fat transfer from areas such as the abdomen, hips, or thighs.
Consultation Process
Before any procedure, patients will consult with one of Mount Sinai's nationally recognized specialists. The consultation will involve a detailed discussion of options, and the doctor may recommend new materials or meshes to stabilize the area surrounding the breast implant. This helps in increasing the support available and repairing the body's tissue.
2. Dr. Darrick Antell's Practice
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.
Patient Suitability
Breast implant revision at his practice is intended for patients who are unhappy with or concerned about the results of their original breast augmentation. The ideal candidate is a generally healthy woman who is unhappy with the size or shape of her current implants, experiencing capsular contracture or discomfort caused by the implant, or has a ruptured or leaking implant.
Consultation and Surgical Process
During the initial consultation, Dr. Antell will thoroughly evaluate the patient's general health, medical history, and the current condition of the breasts. He will assess the breasts through examination and precise measurement. Based on the patient's desires and anatomy, he will guide the patient through selecting the proper implant type, incision size, implant placement, and size. The surgical plan will be carefully crafted, and he will go through the procedure, risks, and recovery process in detail.
The surgery is usually performed in his discreet, private operating room located just across the street from world - renowned Lenox Hill Hospital. The state - of - the - art outpatient surgery facility is fully accredited and equipped with the latest technology. The chosen incision and placement of the new implant will be customized based on the patient's individual anatomy and the condition of the existing implant. When possible, the same incision site as the initial breast augmentation will be used.
Risks and Recovery
As with any surgery, there are risks. The most common complication is capsular contracture, but Dr. Antell has effective treatment methods. Other complications include bleeding, infection, numbness, and implant rupture. After the surgery, patients will recover in his state - of - the - art recovery suite. A specialized, long - lasting local anesthesia is used to decrease discomfort. The recovery time varies, but many patients can return to most daily activities within days, and strenuous exercise should be avoided for around two weeks.
3. Vantage Plastic Surgery (Dr. Aleksandr Shteynberg)
Dr. Aleksandr Shteynberg at Vantage Plastic Surgery is one of the top breast plastic surgeons in NYC. The clinic offers breast implant revision surgery at its locations in Manhattan and Brooklyn.
Reasons for Revision
Some patients may be unhappy with the results of their initial breast augmentation, as the results may not look natural or may be uneven. Also, even with the best initial procedures, implants may require future care or revisions over time. Many women will need to consider replacing or updating their implants after about 10 years.
Consultation and Treatment Plan
During the private consultation, Dr. Shteynberg will listen to the patient's concerns and recommend a treatment plan to achieve the desired result. Some patients may want a different size, shape, or type of implant, and in some cases, a breast lift may be beneficial with the implant replacement to improve the overall appearance of the breasts.
Other Notable Institutions in New York City
New York Group for Plastic Surgery
The cosmetic surgeons at the New York Group for Plastic Surgery are nationally - recognized pioneers in using biological materials to correct deformities and perform breast augmentation and reconstruction surgeries. They can address a wide range of issues related to breast implants, such as misaligned implants, wrinkled or rippled implants, capsular contracture, stretched tissues, sagging breast implants, symmastia, implant rupture, and correction of radiation problems.
Procedure and Expertise
Breast implant repair involves matching and repairing the body's tissues with the breast implants to ensure the optimal position, shape, and texture of the implants. They are experts in using new materials like Strattice and acellular dermal matrix (such as Alloderm or Dermacell) as tissue substitutes to stabilize the breast implant location and support the body's tissue. Fat transfer may also be used to enhance the natural shape and texture of the breast implants.
Candidate Assessment and Recovery
A suitable candidate for breast implant revision at this institution is someone who is disappointed with the appearance of their breasts after a breast augmentation or lift, wants to change the implant size, has experienced implant rupture, wants to restore the pre - augmentation breast size or shape, or is experiencing a breast - augmentation - related complication. After the surgery, patients will receive specific instructions for recovery and aftercare, including pain medication, antibiotic use, and care for the incisions.
Rapaport Plastic Surgery
Board - certified plastic surgeon David P. Rapaport, MD, offers breast implant revision at his Manhattan plastic surgery facility. He frequently sees patients who are dissatisfied with their previous breast augmentation or have developed complications.
Diagnosis and Technique
The first step in breast implant revision is diagnosing the problem. Dr. Rapaport will have a detailed consultation and physical examination. He will explain every aspect of the revision to the patient, addressing their questions and concerns. In cases of capsular contracture or implant migration due to lack of tissue support, more complex procedures may be required. He may introduce a supporting layer surgically using materials like Alloderm or Galaflex.
Procedure and Recovery
The implant revision surgery is performed under general anesthesia and may take several hours depending on the extent of the procedure. Recovery time varies, but most patients can return to normal activities within two weeks, and it may take a few weeks to resume strenuous activities. Dr. Rapaport will create a detailed aftercare plan for the patient.
Maman Plastic Surgery
Dr. Daniel Maman, a Harvard fellowship - trained and board - certified plastic surgeon, specializes in cosmetic and reconstructive surgery of the breast, body, and face. His practice offers personalized and sophisticated concierge patient care.
Consultation and Procedure Process
The consultation process includes a 90 - minute session with Dr. Maman, which involves a thorough review of the medical history, an in - depth physical assessment, a comprehensive operative plan, a review of cost, accommodations, and follow - up visits, and scheduling of the surgery. The surgery is usually performed at an in - office, AAAASF - certified facility or an outpatient ambulatory surgery center. He also has operating privileges at several well - known hospitals.
Recovery and Results
Patients can expect a smooth recovery, with multiple pre - op appointments to ensure they are fully informed. Local patients can choose to recover at home or in one of the luxury recovery rooms at select hotels. The recovery timeline varies depending on the procedure, and the aftercare options are designed to optimize the results.
Factors to Consider When Choosing an Institution for Breast Implant Revision
Selecting the right institution for breast implant revision is crucial for a successful outcome. Here are some important factors to consider:
Surgeon's Experience and Credentials
Look for a board - certified plastic surgeon with extensive experience in breast implant revision surgery. Check their educational background, training, and any awards or recognition they have received. Surgeons who are affiliated with top - notch medical institutions are often a good choice, as they have access to the latest research and techniques.
Patient Reviews and Testimonials
Read reviews and testimonials from previous patients. This can give you an idea of the quality of care, the surgeon's skills, and the overall patient experience. Positive reviews regarding the surgical results, the friendliness of the staff, and the post - operative support are all good signs.
Range of Services
Choose an institution that offers a comprehensive range of services for breast implant revision. This includes the ability to handle different types of complications, such as capsular contracture, implant rupture, and aesthetic issues. The institution should also offer options like fat transfer and the use of advanced materials for better results.
Facility Accreditation and Safety
Ensure that the surgical facility is fully accredited and meets all safety standards. A state - of - the - art facility with the latest technology can provide a safer and more comfortable surgical experience. Check if the facility has experienced anesthesiologists and well - trained support staff.
Cost and Insurance
Understand the cost of the breast implant revision procedure. It usually depends on factors such as the complexity of the case, the type of implants used, and the anesthesia fees. Inquire about insurance coverage, as in some cases, insurance may cover implant removal if it is deemed medically necessary.
Preparing for Breast Implant Revision Surgery
Proper preparation is essential for a successful breast implant revision surgery. Here are some steps to take:
Medical Evaluation
Your surgeon will conduct a thorough medical evaluation, including a review of your medical history, physical examination, and possibly some diagnostic tests such as an ultrasound, mammogram, or MRI. This helps the surgeon understand your current health status and the condition of your breast implants.
Lifestyle Changes
Stop smoking at least a few weeks before the surgery, as smoking can interfere with the healing process. Also, avoid taking certain medications and supplements that can increase the risk of bleeding, such as aspirin, ibuprofen, and some herbal supplements. Your surgeon will provide you with a list of medications to avoid.
Arrangements for Recovery
Since the surgery is usually performed under "twilight" sedation or general anesthesia, arrange for someone to drive you home after the surgery. Make sure you have someone to assist you in the first few days of recovery, as you may experience fatigue and discomfort. Stock up on groceries, and arrange for any necessary help around the house.
Risks and Complications of Breast Implant Revision
While breast implant revision surgery is generally safe when performed by an experienced surgeon, there are still some risks and complications to be aware of:
Capsular Contracture
This is one of the most common complications. The scar tissue around the implant can contract, causing the breast to feel hard, look misshapen, and may be painful. Treatment options include removing the implant and scar tissue and, if desired, placing new implants. The use of materials like ADM (acellular dermal matrix) and medications can help reduce the risk.
Bleeding and Infection
Bleeding can occur during or after the surgery, and infection can develop within a week after the procedure. Signs of infection include fever, redness, swelling, and pain at the incision site. In most cases, infections can be treated with antibiotics, and in some severe cases, the implant may need to be removed.
Implant Rupture
Implant rupture can happen due to trauma, normal wear and tear, or other factors. If a saline implant ruptures, the saltwater is harmlessly absorbed by the body, and the breast will appear deflated. A silicone implant rupture may be more difficult to detect, and in either case, a revision surgery is usually required to replace the implant.
Numbness
Some patients may experience numbness in the breast area or around the incisions. This is usually temporary, but in some cases, it may persist for a longer period. The numbness typically fades over time.
Recovery and Aftercare
The recovery process after breast implant revision surgery is an important part of achieving the best results. Here's what to expect:
Immediate Post - Operative Period
After the surgery, you will be monitored in the recovery suite until you are well enough to be discharged. You may have dressings and a bandage on your breasts. You will feel tired and sore, but a specialized local anesthesia can help reduce discomfort. You will need to have an escort to take you home, as you will not be able to drive for 24 hours after the anesthesia.
Initial Recovery Phase
Your breasts may be swollen and bruised, and you may feel some pain. Your surgeon will prescribe pain medications and antibiotics. You should follow the instructions for caring for the incisions, such as keeping them clean and dry. You may need to wear a support bra for a few weeks. Avoid strenuous activities for at least two weeks and follow your surgeon's individualized recovery plan.
Long - Term Recovery
Most of the swelling and bruising will fade in the first few weeks, but it may take several months for the final results to be visible. Your scars will gradually fade over time. You may experience some loss of feeling in the breast area, which usually improves. It's important to attend all follow - up appointments with your surgeon to monitor your healing progress.
Conclusion
In New York City, there are several popular institutions that offer high - quality breast implant revision surgery. Mount Sinai, Dr. Darrick Antell's practice, Vantage Plastic Surgery, New York Group for Plastic Surgery, Rapaport Plastic Surgery, and Maman Plastic Surgery are just some of the leading places where patients can get expert care. When considering breast implant revision, it's crucial to choose an institution based on the surgeon's experience, patient reviews, range of services, facility safety, and cost. By properly preparing for the surgery, being aware of the risks, and following the recovery and aftercare instructions, patients can achieve the desired results and improve their confidence and quality of life.
If you're considering breast implant revision, we encourage you to schedule a consultation with a qualified plastic surgeon at one of these institutions. Take the time to discuss your concerns, ask questions, and learn more about the procedure. You deserve to have the best possible