Introduction
Breast augmentation with prosthesis has been a popular cosmetic procedure for many women seeking to enhance their breast size and shape. However, there are various reasons why individuals may opt to have their breast implants removed. In New York City, a bustling metropolis with a high concentration of medical facilities, both public and private hospitals offer services for breast implant removal. This article will explore the key aspects of breast implant removal in the context of New York City, including reasons for removal, top surgeons, available procedures, recovery, and more.
Reasons for Breast Implant Removal
There are multiple reasons why women in New York City might consider removing their breast implants. These can be broadly categorized into medical, aesthetic, and lifestyle factors:
Medical Reasons
- Breast Implant Illness (BII): A rare condition where the body reacts adversely to breast implants. Symptoms can include swelling, infection, discomfort, and changes in breast skin texture. Some women report experiencing fatigue, joint pain, and cognitive difficulties, leading them to seek implant removal.
- Capsular Contracture: This occurs when excessive scar tissue forms around the implant, causing firmness, an irregular shape, or discomfort. The pressure from the scar tissue can make the breasts feel hard and sometimes painful.
- Implant Rupture: Both saline and silicone implants can rupture. A ruptured saline implant will usually result in the deflation of the breast as the saline solution is absorbed by the body. A silicone implant rupture may be less obvious, as the silicone gel may remain within the implant capsule or migrate to surrounding tissues.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): A type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. The FDA has recalled certain textured breast implants due to their association with a heightened risk of BIA - ALCL. Symptoms include pain or swelling around the breasts and changes in breast size or shape.
Aesthetic Reasons
- Dissatisfaction with Results: Some women may not be happy with the appearance of their breasts after augmentation. This could be due to issues such as incorrect implant size, shape, or position, which can lead to an unnatural look.
- Desire for a More Natural Look: Over time, personal aesthetic preferences may change, and a woman may wish to return to her natural breast size and shape.
Lifestyle Reasons
- Discomfort or Heaviness: Larger implants can cause discomfort, back pain, or make it difficult to engage in certain physical activities. This is particularly relevant for active individuals or those with a change in lifestyle that makes the implants cumbersome.
- Change in Personal Circumstances: For example, a woman may be planning to have children and is concerned about the potential impact of implants on breastfeeding or the overall health of her baby.
Top Surgeons for Breast Implant Removal in New York City
New York City is home to many highly skilled plastic surgeons who specialize in breast implant removal. Here are some of the top surgeons:
Dr. Darrick E. Antell
Dr. Antell is widely regarded as one of the most experienced breast surgeons in the New York area and worldwide. He is 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, when indicated, en bloc capsulectomy. He has performed surgeries on many celebrities and is known for his exceptional surgical results and total discretion.
Dr. Darren Smith
Dr. Smith performs breast implant removal surgery in a state - of - the - art medical facility in NYC. He uses general anesthesia for the procedure and often re - uses the original incision from breast augmentation to minimize scarring. He will also remove scar tissue or silicone from implant leaks if necessary. He helps patients decide whether to replace their implants based on individual needs and body goals.
Dr. Andrew Salzberg and Dr. Jordan Jacobs
As part of the New York Group for Plastic Surgery, these surgeons perform breast explant procedures. They are involved in removing silicone from the implant shell and cleaning the breast pocket. They administer either local or general anesthesia depending on the patient's situation and ensure that all necessary steps are taken to create a more natural appearance after the surgery.
Dr. Barry Weintraub
Dr. Weintraub is known for his sophisticated aesthetic and meticulous approach to breast implant removal and replacement. He performs the surgery in a private, hospital - grade surgical center. He always places implants under the pectoralis - major muscle for a more natural look and feel. He has extensive experience in dealing with complex redo surgeries and has a strong sense of compassion for his patients.
Dr. Mark G. Albert
Dr. Albert at Albert Plastic Surgery can perform breast implant removal in NYC. He offers different techniques such as capsulectomy and en bloc removal, depending on the patient's needs. He uses the same incision lines from the initial breast augmentation when possible to avoid additional scarring and is committed to providing naturalistic, incredible results.
Dr. Stafford Broumand
Dr. Broumand at 740 Park Plastic Surgery is dedicated to providing compassionate care and exceptional results for breast implant removal. He tailors the procedure to meet the specific needs of each patient, whether it's for personal choice or medical reasons. He can perform en bloc capsulectomy in cases of capsular contracture.
Dr. Joshua D. Zuckerman
At Zuckerman Plastic Surgery, Dr. Zuckerman offers breast implant removal and exchange procedures. He is meticulous in his techniques to minimize scarring and optimize recovery. He understands that the decision to undergo these procedures is deeply personal and provides guidance to patients throughout the process.
Dr. Maura Reinblatt
Dr. Reinblatt is a board - certified plastic surgeon with extensive experience in breast implant removal. She offers advanced techniques such as en bloc capsulectomy and open capsulotomy to address medical issues associated with breast implants. She has a personalized approach to patient care and is highly regarded in the field.
Procedures for Breast Implant Removal
Explant Surgery
Explant surgery is the basic procedure for removing breast implants. The surgeon will make an incision, either along the inframammary fold (under the breast), beneath the areola, or in the armpit (although using the armpit incision for removal may be more challenging). The implants are then removed from the breast capsule. In some cases, the capsule itself may also be removed, especially if there is capsular contracture or other issues.
En Bloc Capsulectomy
This is a more comprehensive procedure where the entire implant along with the surrounding scar tissue capsule is removed as one piece. It is often recommended for patients with capsular contracture, silicone implant rupture, or those at risk of BIA - ALCL. This technique aims to minimize the risk of leaving any potentially problematic tissue behind.
Open Capsulotomy
Open capsulotomy is used to address issues related to capsular contracture. Small incisions are made to access and partially remove the scar tissue capsule surrounding the implant. By selectively cutting and releasing the capsule, the procedure aims to alleviate pressure, improve breast shape, and enhance overall comfort for the patient. It is a less invasive alternative to en bloc capsulectomy in certain cases.
Preparing for Breast Implant Removal Surgery
Consultation
The first step in preparing for breast implant removal is to schedule a consultation with a qualified plastic surgeon. During this consultation, the surgeon will thoroughly evaluate your general health and medical history, as well as assess the current condition of your breasts. It is important to be open and honest about your reasons for wanting the implants removed and your desired outcome. You should bring any information you have about your existing implants and your previous breast augmentation surgery. The surgeon will discuss the procedure, risks, and recovery in detail and may recommend pairing the explant surgery with another procedure, such as a breast lift, depending on your expectations.
Medical Clearance
Based on your age, implant condition, and overall health, the surgeon may send you for imaging tests such as an ultrasound, mammogram, or MRI prior to the surgery. You may also need to obtain pre - operative clearance from another doctor, especially if you have any underlying medical conditions. You should inform the surgeon if you smoke or if you're taking any medications, vitamins, or drugs, as some may need to be adjusted or stopped before the surgery.
Lifestyle Adjustments
You will be given guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. You should arrange for someone to drive you home after the surgery and ensure you have someone to assist you in your first few days of recovery. Some surgeons recommend avoiding certain activities such as heavy lifting and strenuous exercise in the weeks leading up to the surgery.
What to Expect During the Surgery
Anesthesia
Breast implant removal can be performed using different types of anesthesia. Local anesthesia with intravenous sedation or “twilight” anesthesia is commonly used. In this state, you will be asleep and comfortable throughout the operation, and a board - certified anesthesiologist will monitor you. In some rare cases, only local anesthesia may be used, especially for smaller implants or certain situations. General anesthesia may also be an option, depending on the complexity of the procedure and the patient's preference.
The Surgical Process
If possible, the surgeon will remove the implant through the existing incisions from the initial breast augmentation surgery. The surgeon will then carefully remove the implant from the breast capsule and may also remove any scar tissue or silicone from implant leaks. Once the implant and any associated tissue are removed, multiple layers of internal, dissolving sutures, and a layer of external sutures (if needed) will be used to close the incisions. The surgery usually takes between one to three hours, depending on the complexity of the procedure, such as whether en bloc capsulectomy is required.
Recovery from Breast Implant Removal
Immediate Post - Operative Period
After the surgery, you will recover in a recovery suite while being monitored by a registered nurse. A specialized, long - lasting local anesthesia may be used to reduce discomfort. Since breast implant removal is an outpatient procedure, you can return home the same day, but you will need an escort as you will not be able to drive for 24 hours after the administration of anesthesia. You will be provided with thorough discharge instructions, which may include information on pain management, wearing a support garment, and caring for the incision sites.
Short - Term Recovery
In the first few days after surgery, you may feel tired or sore, and your breasts may be covered in a layer of gauze or a bandage. You should rest and allow your body to heal. Many patients can return to most daily activities within a few days, but it is best to refrain from vigorous exercise for around two weeks. You 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, which is normal.
Long - Term Recovery
It may take several months for the final results to be visible. Most of the swelling and bruising will fade in the first few weeks, but it can take longer for the breasts to fully settle into their new shape. If external sutures are used, they are usually removed around 7 - 10 days following the procedure. Your scars will likely be firm and pink for at least six weeks before beginning to fade. It is important to follow all post - operative instructions carefully and attend all follow - up appointments with your surgeon.
Potential Risks and Complications
While breast implant removal is generally considered a safe procedure when performed by an experienced, board - certified plastic surgeon, there are still potential risks and complications:
- Bleeding: There is a risk of bleeding during or after the surgery, which may require additional treatment or even a return to the operating room to control the bleeding.
- Infection: Infections can occur at the incision site or within the breast tissue. Symptoms may include redness, swelling, pain, and fever. Antibiotics are usually prescribed to treat infections, and in severe cases, further surgical intervention may be necessary.
- Numbness at the Incision Site: Some patients may experience temporary or permanent numbness around the incision site. This can be due to nerve damage during the surgery and may improve over time but may not completely resolve.
- Adverse Reaction to Anesthesia: Although rare, some patients may have an adverse reaction to the anesthesia used during the surgery. This can range from mild symptoms such as nausea and vomiting to more serious reactions that require medical intervention.
- Changes in Breast Shape or Symmetry: Removing the implants may result in changes in breast shape or symmetry. In some cases, a breast lift or other additional procedures may be recommended to achieve a more satisfactory outcome.
Cost of Breast Implant Removal
The cost of breast implant removal in New York City can vary widely depending on several factors:
- Surgeon's Fees: The experience and reputation of the surgeon can significantly impact the cost. Top - rated surgeons may charge higher fees for their services.
- Facility Fees: If the surgery is performed in a private surgical center or a hospital, there will be facility fees associated with the use of the operating room, equipment, and nursing staff.
- Anesthesia Fees: The cost of anesthesia depends on the type of anesthesia used and the length of the procedure.
- Post - Care Essentials: This includes medications, follow - up appointments, and support garments.
- Additional Procedures: If you choose to have a breast lift or other procedures in conjunction with the implant removal, the cost will increase.
In most cases, breast implant removal for cosmetic reasons is not covered by health insurance. However, if there are medical reasons such as complications or implant rupture, insurance coverage may apply. It is essential to check with your insurance provider beforehand.
Choosing Between Public and Private Hospitals
Public Hospitals
Public hospitals in New York City may offer breast implant removal services at a lower cost compared to private hospitals. They often have a diverse patient population and a large pool of medical staff, including experienced plastic surgeons. However, the wait times for consultations and surgeries may be longer, and the facilities may not be as luxurious as those in private hospitals. Public hospitals may also have more standardized procedures and less personalized care.
Private Hospitals
Private hospitals typically provide a higher level of personalized care and a more comfortable environment. They often have state - of - the - art facilities and the latest medical technologies. The wait times for appointments and surgeries are usually shorter, and patients may have more options when it comes to choosing a surgeon. However, the cost of services in private hospitals is generally higher.
Conclusion
Breast implant removal is a significant decision that many women in New York City may consider for various reasons, including medical, aesthetic, and lifestyle factors. There are numerous highly skilled plastic surgeons in the city, both in public and private hospitals, who can perform the procedure safely and effectively. It is important to thoroughly research and consult with a qualified surgeon to understand the procedure, potential risks, recovery process, and expected results. By making an informed decision and following the surgeon's instructions, patients can achieve a more satisfactory breast appearance and overall well - being.
If you are considering breast implant removal in New York City, we encourage you to reach out to a reputable plastic surgeon for a consultation. Take the time to discuss your concerns, goals, and expectations, and make the choice that is right for you. Share this article with others who may be interested in learning more about breast implant removal in NYC and explore related topics on our website for further information.
