Introduction
Breast reconstruction surgery is a crucial part of the post - mastectomy or lumpectomy journey for many women. It not only restores the physical appearance of the breasts but also plays a significant role in the emotional well - being and self - confidence of the patients. In New York City, a global hub of medical excellence, there are numerous hospitals and medical professionals offering breast reconstruction services. This article aims to provide a comprehensive ranking and in - depth analysis of regular hospitals for breast reconstruction surgery in the city, taking into account various factors such as doctor ratings, hospital reputation, available techniques, and patient experience.
What is Breast Reconstruction Surgery?
Breast reconstruction is a reconstructive procedure carried out to reform or reshape the breast(s) after a mastectomy or lumpectomy. A mastectomy involves the surgical removal of the entire breast, often including the nipple and areola, to treat or prevent breast cancer. On the other hand, a lumpectomy is the removal of a piece of the breast where a smaller tumor is present.
This surgical process is of great importance as it helps women regain their self - confidence and feel better during their cancer recovery. Breast reconstruction can be performed immediately after breast cancer surgery (immediate reconstruction) or months or years later (delayed reconstruction). It can be used to reconstruct both breasts or to replace/reshape one breast to match the other.
There are two main types of breast reconstruction:
- Flap reconstruction (autologous/skin flap surgery): In this technique, a tissue flap is taken from a donor site of the patient's body, such as the abdomen, thighs, buttocks, or back. The flap is then grafted at the place of the breasts. The blood supply of the flap can either be taken from the donor site or cut off and a new supply established, ensuring that the nutrition of the flap is not disturbed. After the flap is in place, stitches are applied, drainage tubes are inserted to drain excess fluid or blood from the site, and bandages are put on.
- Tissue expander (implants/prosthetics): This is the most commonly used technique worldwide. A synthetic implant, usually silicone, is inserted under the pectoralis major muscle. Animal dermal grafts are used to cover the site for a more aesthetic appearance. Over a few months, saline solution is injected to expand the tissue until it reaches the appropriate size.
Factors to Consider When Choosing a Hospital for Breast Reconstruction Surgery
Expertise and Experience
The expertise and experience of the surgical team are of utmost importance. Look for hospitals with specialized breast reconstruction teams that consist of board - certified surgeons, oncologists, and reconstructive specialists. These professionals should have extensive experience in performing complex breast reconstruction procedures. Experienced surgeons are more likely to achieve successful outcomes and handle any complications that may arise during or after the surgery.
Comprehensive Care
A good hospital should offer comprehensive pre - operative evaluations to accurately assess the patient's medical condition, anatomy, and suitability for different types of breast reconstruction. Personalized treatment plans should be developed based on the patient's specific needs, preferences, and medical history. Post - operative support is also crucial, which includes access to rehabilitation services, psychological counseling, and support groups to address the emotional and psychological aspects of recovery.
Advanced Technology and Techniques
State - of - the - art technology and advanced surgical techniques can significantly improve the outcomes of breast reconstruction surgery. Hospitals equipped with the latest equipment and techniques can offer patients better options, reduced complications, and shorter recovery times. For example, advanced microsurgical techniques in flap reconstruction can lead to more natural - looking results and better blood supply to the grafted tissue.
Patient - Centered Approach
A patient - centered approach involves clear communication between healthcare providers and patients. The hospital staff should be empathetic, listen to the patient's concerns, and involve them in the decision - making process. Ensuring the patient's safety, comfort, and satisfaction throughout the treatment journey is essential for a positive surgical experience.
Hospital Reputation
The overall reputation of the hospital matters. Consider hospitals that are well - known for their high - quality medical care, positive patient reviews, and accreditations. A hospital with a good reputation is more likely to adhere to strict medical standards and provide reliable services.
Ranking of Regular Hospitals for Breast Reconstruction Surgery in New York City
New York - Presbyterian/Columbia University Irving Medical Center
This hospital is ranked highly on a national level. It was named the top hospital in New York and rose to No. 4 in the nation according to U.S. News & World Report’s Best Hospitals. It ranks nationally in 15 adult specialties and 8 pediatric specialties. In terms of breast reconstruction, the hospital's national ranking in cancer care reflects the high quality of surgical oncology expertise provided by many of its specialists, including those in breast surgery. The breadth and depth of the services offered, both clinically and in terms of cultural and socioeconomic aspects, set it apart.
Surgeons at this hospital are likely to have access to the latest research and technologies, which can benefit patients undergoing breast reconstruction. The diverse patient population also provides the medical staff with a wide range of experiences in handling different cases.
New York Eye and Ear Infirmary of Mount Sinai
Dr. Joshua L. Levine, a world - renowned surgeon, has established the first dedicated perforator flap breast reconstruction program in New York City at this hospital. The hospital has been ranked among “America’s best hospitals” for nine years straight since 2006 and has achieved Magnet® status by the American Nurses Credentialing Center’s Magnet Recognition Program® for excellence in nursing services. Dr. Levine also works with expert breast surgeons and has personally directed the advanced training of surgical teams in state - of - the - art procedures here.
The combination of Dr. Levine's expertise and the hospital's high - quality nursing care and reputation makes it a top choice for breast reconstruction. The hospital also offers a comprehensive approach to patient care, from pre - operative evaluations to post - operative support.
Hackensack University Medical Center
This is another hospital associated with Dr. Joshua Levine. It earned the distinction of being New Jersey’s #1 hospital and is among the top 30 hospitals in the nation to have 10 or more (11) national specialty rankings in U.S. News & World Report’s 2014 - 15 best hospitals rankings. With its strong national standing, it is likely to have a high - quality medical team and advanced facilities for breast reconstruction surgery.
The hospital's focus on specialty care and its high rankings indicate that patients can expect a high level of care and expertise during their breast reconstruction journey.
Doctors Performing Breast Reconstruction in New York
Healthgrades lists several doctors who perform breast reconstruction in New York. Here are some of the top - rated doctors:
| Doctor's Name | Rating | Number of Ratings | Location |
|---|---|---|---|
| Dr. Philip Torina, MD | 5.00 out of 5 stars | 19 | 5 E 98th St #2 New York, NY 10029 |
| Dr. Alexander Swistel, MD | 4.90 out of 5 stars | 225 | 425 E. 61st St. 8 - 11th floor New York, NY 10065 |
| Dr. Kimberly Van Zee, MD | 4.80 out of 5 stars | 32 | 300 E 66th St New York, NY 10065 |
| Dr. Evan Matros, MD | 4.80 out of 5 stars | 25 | 1275 York Ave New York, NY 10065 |
| Dr. Alexandra Heerdt, MD | 4.70 out of 5 stars | 30 | 300 E 66th St New York, NY 10065 |
What to Expect During the Breast Reconstruction Process
Pre - operative Consultation
During the pre - operative consultation, the surgeon will review the patient's medical history, including previous surgeries, current medications, and any underlying health conditions. A physical examination of the breasts and potential donor sites (if applicable for flap reconstruction) will be conducted. The surgeon will discuss the different types of breast reconstruction available, their pros and cons, and help the patient choose the most suitable option based on their individual circumstances.
Surgery
As mentioned earlier, the surgical process differs for flap reconstruction and tissue expander techniques. In both cases, the patient will be anesthetized to prevent pain and discomfort during the surgery. The surgery can take several hours, especially for flap reconstruction, which is a more complex procedure. The surgical team will work carefully to ensure the best possible results.
Post - operative Care
After the surgery, the patient will need to stay in the hospital for a certain period. For tissue expander surgery, one or two days of hospital stay may be required, while flap reconstruction may necessitate a stay of two or three days. During this time, the patient's vital signs, pain levels, and the condition of the surgical site will be closely monitored. Drainage tubes will be in place to remove excess fluid, and bandages will need to be kept clean.
Once the patient is discharged, follow - up appointments will be scheduled. The doctor will give instructions on wound care, pain management, and activity restrictions. It is important to follow these instructions carefully to ensure proper healing and minimize the risk of complications.
Recovery Time and Aftercare
Recovery Time
The recovery time for breast reconstruction depends on the type of surgery performed. On average, 3 - 4 weeks are needed to recover from tissue expander surgery, while 4 - 6 weeks are required for flap reconstructive surgery. Most women need a couple of weeks to start feeling better, with swelling and soreness around the site being common in the first week. It takes about 8 weeks to start seeing signs of a full recovery. However, it may take almost 1 - 2 years for the reconstructed breasts to get the proper shape and for the scars to fade away.
Aftercare
- Medication: Take the prescribed medicines as directed by the doctor to relieve pain and prevent infection.
- Diet: Consult a nutritionist for a diet plan. A healthy diet rich in nutrients can help the patient recover faster.
- Bra Usage: Do not wear a padded or underwire bra until allowed by the doctor. Use surgical bras in the early days after the surgery to support the reconstructed breasts.
- Activity Restrictions: Avoid excessive unnecessary movement of the breasts, do not lift heavy objects or children, as this could stretch the stitches.
- Wound Care: Change the bandage whenever it gets dirty to prevent infection. Do not take a bath when the bandages are still intact.
- Sexual Activity: Abstain from sexual activity for at least 6 weeks to allow proper healing.
- Rest: Give yourself enough time to rest and recover. Avoid strenuous activities until cleared by the doctor.
Success Rate and Risks of Breast Reconstruction Surgery
Success Rate
Breast reconstruction surgery generally has a high success rate. According to a study by the American Society of Plastic Surgeons, the success rate is about 98% in the case of flap reconstruction surgery. For tissue expander surgery, the success rate is within the region of 94 - 96%. However, the success rate can be influenced by various factors such as the patient's overall health, the complexity of the surgery, and the skill of the surgical team.
Risks and Complications
As with any surgical procedure, breast reconstruction surgery comes with risks and side effects. These may include:
- Infection: At the surgery site, which can cause pain, redness, swelling, and discharge.
- Blood Clot Formation: This can be dangerous if it travels to other parts of the body, such as the lungs.
- Itching, Pain, and Discomfort: Common side effects after surgery, which can usually be managed with medication.
- Tingling and Numbness: In the breasts or donor site area, which may be temporary or permanent.
- Fluid Collection: Under the wound, which may require drainage.
If the patient notices any fluid leaking from the incision sites, experiences increased pain or swelling, notices a change in color in the scar area or the breast, or has a fever above 100°Fahrenheit (37.7°Celcius), they should contact their doctor right away.
Alternatives to Breast Reconstruction Surgery
Surgery is not the only option for women who have undergone mastectomy or lumpectomy. Here are some alternatives:
Breast Prosthetics
Prosthetic breasts can be worn inside the bra or attached to the body. They give the appearance of natural breasts and come in different shapes and sizes to match the patient's body type. However, they may require regular maintenance and replacement.
Padded Bras
Padded bras are a more comfortable and non - invasive option compared to prosthetic breasts. They can provide a more natural shape and a perfect body posture without the need for surgery.
Going Flat
Some women choose to accept their new body shape and not pursue any form of breast restoration. This option allows them to embrace their freedom and avoid the potential risks and complications associated with surgery.
Conclusion
Breast reconstruction surgery is a life - changing procedure for many women in New York City. With a wide range of hospitals and medical professionals available, patients have the opportunity to choose the best option for their needs. When making a decision, it is important to consider factors such as the hospital's reputation, the expertise of the surgical team, the available technology and techniques, and the level of patient - centered care.
Recovery from breast reconstruction surgery requires patience and adherence to aftercare instructions. While the surgery generally has a high success rate, it is also important to be aware of the potential risks and complications. Alternatives to surgery are also available for those who may not wish to undergo a surgical procedure.
If you or someone you know is considering breast reconstruction surgery in New York City, take the time to research the hospitals and doctors, and have in - depth discussions with the medical team to make an informed decision. Your journey to physical and emotional recovery can be a positive and empowering experience.
For more information on breast reconstruction surgery, talk to your healthcare provider or explore other reliable medical resources. Share this article with others who may benefit from the information, and don't hesitate to ask questions if you have any concerns about the process.
