Introduction
Breast implant removal is a procedure that has gained increasing attention in recent years. Whether due to medical complications, changes in personal preference, or advancements in implant technology, many women in New York City are seeking reliable hospitals and surgeons for this surgery. In this article, we will explore the ranking of regular hospitals for breast implant removal in New York City, along with essential information about the procedure, candidates, and what to expect.
Understanding Breast Implant Removal
Reasons for Removal
There are numerous reasons why a woman might choose to have her breast implants removed. Some of the most common include:
- Medical Complications: Such as implant rupture, leakage, deflation, capsular contracture (the hardening of scar tissue around the implant), and the rare but serious breast implant - associated anaplastic large cell lymphoma (BIA - ALCL). Textured implants made by Allergan have been recalled due to their association with BIA - ALCL.
- Changes in Personal Preference: Over time, a woman's aesthetic preferences may change, and she may no longer desire to have breast implants.
- Implant Aging: Most plastic surgeons recommend replacing breast implants every 10 - 15 years to ensure optimal hardness, texture, and resilience. Some women may choose to remove rather than replace them.
Types of Breast Implant Removal Procedures
There are several surgical methods for breast implant removal, each tailored to the patient's specific needs and the condition of the implants and surrounding tissue:
- En Bloc Removal: The plastic surgeon removes the implants and the surrounding capsule in a single piece. This method is often used in cases of suspected implant - related issues like BIA - ALCL or capsular contracture.
- Partial Capsulectomy: The surgeon removes the breast implant material and trims or shapes some of the capsule material to create the desired chest contour.
- Total Capsulectomy: This involves removing the implant, the capsule, and any remaining scar tissue.
Top Hospitals and Surgeons for Breast Implant Removal in New York City
Breast Reconstruction Center of NYC
The breast surgery experts at the Breast Reconstruction Center of NYC, located in Manhattan, are highly trained in breast implant removal surgery. They offer a variety of procedures, including en bloc, partial capsulectomy, and total capsulectomy. Their top - rated board - certified plastic surgeons are world - renowned for their advanced breast implant removal techniques. They understand the importance of achieving the patient's desired chest aesthetic and work closely with patients to customize treatment plans. The surgery is performed at their state - of - the - art fully accredited surgical suite.
Steven Wallach MD, FACS
Dr. Steven Wallach has extensive experience in breast implant removal. He usually makes an incision using the previous breast implant surgical approach to access the implants and remove them. During the procedure, he also takes care of removing implant filler material from ruptured silicone implants if necessary. Dr. Wallach provides comprehensive consultations, discussing all options and techniques available for the procedure, as well as which will provide the best results with the least amount of scarring. His patients receive detailed instructions for preparation and recovery.
Olivia Hutchinson, MD
Recognized as one of the top breast implant removal surgeons on the Upper East Side in NYC, Dr. Olivia Hutchinson has over 20 years of experience evaluating patients with breast implant - related concerns. She is a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon. Dr. Hutchinson can address various aesthetic and medical issues related to breast implants, such as implant rupture, capsular contracture, and BIA - ALCL. She advises patients on the best surgical options and course of action to achieve their goals, and in some cases, may recommend a secondary procedure like a breast lift.
Pearlman Aesthetic Surgery
Pearlman Aesthetic Surgery, led by Dr. Brian Bassiri - Tehrani, provides capsulectomy and capsulotomy procedures to remove implants and/or scar tissue surrounding them. They offer personalized consultations to understand each patient's individual concerns and goals. The surgery takes place in their state - of - the - art OR in Manhattan. Dr. Bassiri - Tehrani follows an individualized treatment plan for each patient, and the team provides support and guidance throughout the post - surgery care process.
Dr. Barry Weintraub
Dr. Barry Weintraub is well - known for his breast implant removal and replacement procedures. He places implants under the pectoralis - major muscle for a more natural look. His patients are typically in a comfortable state of twilight sleep during the surgery, and he insists on the highest standards of sterility in the operating room. Dr. Weintraub has a reputation for meticulous pre - op to post - op care and is highly regarded for his aesthetic sense and surgical skills. He also deals with complex redo surgeries from other offices.
Dr. Darrick Antell
Dr. Darrick Antell is a widely respected breast surgeon both in the New York area and worldwide. He performs custom breast implant removal (explant) surgery, including en bloc capsulectomy when indicated. He also removes Allergan textured breast implants due to their association with BIA - ALCL. Many of his patients are referred by former patients, and he has an impeccable reputation for his exceptional surgical results and total discretion. He has privileges in numerous hospitals in New York City and most procedures are done in his private, fully accredited outpatient surgery center.
How to Choose the Right Hospital and Surgeon
Credentials and Experience
Ensure that the surgeon is board - certified by the American Board of Plastic Surgery. Check their experience in performing breast implant removal surgeries, including the number of procedures they have completed and their success rates. Surgeons with more experience are likely to handle complications better and achieve more satisfactory results.
Reputation and Patient Reviews
Look for reviews and testimonials from previous patients. Positive reviews can give you an idea of the surgeon's skills, bedside manner, and the overall patient experience. You can also ask for referrals from friends, family, or other medical professionals.
Facility and Technology
The hospital or surgical facility should be well - equipped and accredited. State - of - the - art technology can contribute to a safer and more successful surgery. Check if the facility has the necessary equipment for pre - op evaluations, such as imaging devices, and for post - op care.
Consultation Process
During the consultation, the surgeon should listen to your concerns, answer all your questions, and provide a detailed treatment plan. They should also explain the risks and benefits of the procedure clearly. A good surgeon will take the time to understand your goals and customize the treatment accordingly.
Preparing for Breast Implant Removal
Medical Evaluation
Before the surgery, you will need to have a comprehensive medical evaluation. This may include a physical examination, blood tests, and imaging studies such as an ultrasound, mammogram, or MRI. Your surgeon will also review your medical history to check for any underlying health conditions that may affect the surgery or recovery.
Lifestyle Changes
You may be advised to make certain lifestyle changes before the surgery. This may include quitting smoking, as smoking can interfere with the healing process and increase the risk of complications. You may also need to stop taking certain medications, such as blood - thinners, to reduce the risk of bleeding during the surgery.
Pre - op Instructions
Your surgeon will provide you with specific pre - op instructions, which may include fasting before the surgery, arranging for a caregiver to take you home after the procedure, and filling prescriptions for medications that you will need during the recovery period.
The Breast Implant Removal Procedure
Anesthesia
Breast implant removal is typically performed under general anesthesia or intravenous (IV) sedation to ensure your comfort during the surgery. A board - certified anesthesiologist will monitor your vital signs throughout the procedure.
Surgical Incision
The surgeon will make an incision using the same approach as the original breast augmentation surgery if possible. This may be along the breast fold, in the periareola region, or through a transaxillary incision in the armpit. Once the incision is made, the surgeon will access the breast pocket and remove the implants.
Capsule and Scar Tissue Removal
Depending on the type of procedure, the surgeon may also remove the capsule and any scar tissue around the implant. In an en bloc removal, the entire implant and capsule are removed as one piece.
Closure
After the implants and any necessary tissue are removed, the surgeon will close the incisions with sutures. A layer of gauze or a bandage may be placed over the incisions to protect them and promote healing.
Recovery After Breast Implant Removal
Immediate Post - op
Immediately after the surgery, you will be taken to a recovery area where you will be monitored by medical staff until you wake up from the anesthesia. You may experience swelling, bruising, and mild pain in the breast area. Pain medications will be prescribed to manage the discomfort.
First Few Days
You will need a caregiver to help you at home during the first few days. It is important to rest and avoid any strenuous activities. You may be advised to wear a special support bra to reduce swelling and support the breasts during the healing process.
Longer - Term Recovery
Most patients can return to light activities within a few days to a week. However, you should avoid aerobic activity for three to four weeks and heavy lifting for about six to eight weeks. Swelling and bruising usually subside within a few weeks, but it may take several months for the final results to be visible. Your surgeon will schedule follow - up appointments to monitor your recovery and ensure that everything is healing properly.
Risks and Complications
Like any surgical procedure, breast implant removal carries some risks. These may include:
- Unfavorable Scarring: Scarring is a normal part of any surgery, but in some cases, the scars may be more noticeable or take longer to fade.
- Asymmetry: There may be a slight difference in the appearance of the breasts after the surgery.
- Infection: The risk of infection can be reduced by following the surgeon's post - op care instructions, but it is still a possibility.
- Bleeding: Excessive bleeding during or after the surgery is a potential complication.
- Nipple Loss or Skin Loss: Although rare, there is a small risk of nipple or skin loss during the procedure.
- Fat Necrosis: This is the death of fat cells in the breast, which can cause lumps or changes in the breast tissue.
- Fluid Collections: Fluid may accumulate in the breast area after the surgery, which may require drainage.
- Dysesthesias: Numbness or abnormal sensations in the breast area may occur and may be temporary or permanent.
- Need for Revision Surgery: In some cases, a second surgery may be necessary to achieve the desired results.
Cost of Breast Implant Removal
The cost of breast implant removal can vary depending on several factors, including the type of procedure, the complexity of the case, the surgeon's experience, and the location of the surgery. On average, the cost can range from $5,000 to $15,000 or more. In some cases, if the removal is due to a medical complication, insurance may cover part or all of the cost. It is important to check with your insurance provider to understand your coverage.
Conclusion
When it comes to breast implant removal in New York City, there are several top - notch hospitals and surgeons to choose from. The decision to have the implants removed is a personal one, and it is important to thoroughly research your options and choose a qualified professional. By understanding the procedure, the recovery process, and the potential risks, you can make an informed decision and have a successful breast implant removal surgery. Whether you are looking to address medical issues or simply change your appearance, the right hospital and surgeon can help you achieve your goals.
If you are considering breast implant removal, we encourage you to schedule a consultation with a reputable surgeon in New York City. Take the time to discuss your concerns, ask questions, and get a clear understanding of what to expect. Don't hesitate to explore your options and take the first step towards a more comfortable and confident you.
