Introduction

Breast augmentation with prostheses is a common cosmetic procedure, but sometimes issues such as breast flaring may occur after the surgery. In New York City, there are several renowned hospitals and clinics that offer high - quality correction services for these post - augmentation problems. This article will provide an in - depth look at the top institutions, the procedures they offer, and other related aspects to help patients make informed decisions.

Importance of Correcting Breast Flaring after Breast Augmentation

Breast flaring can have a significant impact on a patient's appearance and self - confidence. After breast augmentation, the ideal result is natural - looking, symmetrical breasts. However, when breast flaring occurs, it can lead to an uneven or misshapen appearance. For example, the implants may be incorrectly positioned, resulting in the breasts looking too wide apart or having an abnormal contour.

Moreover, this issue can also cause physical discomfort in some cases. Extraordinary scar tissue around the implants, known as capsular contracture, can lead to pain and a hardening of the breast area. Correcting breast flaring is not only about aesthetics but also about improving the patient's overall well - being and quality of life.

Top Hospitals for Correction of Breast Flaring in New York City

Mount Sinai

Mount Sinai's plastic surgeons are highly experienced in breast implant revision surgery. They can address a wide range of problems associated with breast flaring, such as incorrectly positioned implants, wrinkled or rippled implants, and capsular contracture. Before any procedure, patients will consult with nationally recognized specialists. The surgeons will discuss options with the patients, which may include using new materials or meshes to stabilize the area around the breast implant and fat transfer to enhance the natural shape and texture of the breasts. Mount Sinai also has advanced 3D imaging technology for breast augmentation, which can be useful in planning the revision surgery as well. For example, during a consultation, the technology can show patients what their corrected breasts will look like on their unique body, helping them make more informed decisions.

Dr. Darrick Antell

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. He is often a featured lecturer at national and international seminars, presenting his advancements in the field. Patients considering breast implant revision with Dr. Antell will undergo a thorough evaluation during the initial consultation. He will assess the patient's general health, medical history, and the current condition of the breasts. Based on the findings, he will guide the patient through selecting the proper implant type, incision size, implant placement, and size based on their specific anatomy. His private operating room, located just across the street from Lenox Hill Hospital, offers a discreet and comfortable environment for the surgery. The state - of - the - art outpatient surgery facility is fully accredited and equipped with the latest technology.

Columbia University

Columbia University's plastic surgery department is at the forefront of clinical and laboratory research in plastic surgery. The plastic surgeons on their clinical staff are proficient in multiple areas of specialization, including breast reconstruction and cosmetic breast surgery. They offer a wide range of cosmetic and reconstructive procedures related to the breasts, such as breast augmentation, breast reduction, and breast lift. In the case of breast flaring correction, their surgeons can combine their in - depth knowledge and experience to develop personalized treatment plans for patients. For instance, they may use the latest techniques in microsurgery or tissue engineering to achieve the best results. The department also emphasizes patient education, providing educational guides to help patients make informed decisions about their cosmetic or reconstructive care.

NYU Langone Health

NYU Langone's plastic surgeons are experts in performing breast reconstruction and cosmetic breast surgery. They offer all of the latest reconstruction techniques, including breast reduction using the short scar method, breast lift surgery, and secondary breast reconstruction and augmentation surgery. When it comes to correcting breast flaring, they can use advanced perforator flap techniques. For example, they may perform a deep inferior epigastric perforator (DIEP) or superior gluteal artery perforator (S - GAP) procedure, where tissue from the stomach or buttocks is used to create a new breast. Their breast surgical oncologists at the Perlmutter Cancer Center and plastic surgeons work closely together, maintaining ongoing communication throughout the planning process to create a customized surgical plan for each patient. They also use three - dimensional imaging to assist in preoperative planning, long - term evaluation, and follow - up care.

Weill Cornell Medicine

Weill Cornell Medicine's plastic and reconstructive surgeons offer the most advanced breast reconstruction surgery options and techniques. They have been leaders in the evolution of breast reconstruction, particularly in nipple - sparing mastectomies with concurrent reconstruction. For patients with breast flaring issues after breast augmentation, they can provide individualized breast reconstruction options, using either the patient's own tissue (autologous reconstruction) or breast implants. They also offer innovative techniques for breast reinnervation during both autologous and implant - based reconstruction, which can improve the sensation in the reconstructed breasts. Their multidisciplinary team, which includes oncologists, geneticists, and nurses, works together to ensure that patients receive comprehensive care and support throughout the process.

Procedure for Correcting Breast Flaring

Consultation

The first step in correcting breast flaring is the consultation. During this stage, the patient will meet with a plastic surgeon. The surgeon will ask the patient about their medical history, including any previous breast surgeries, allergies, and current medications. The surgeon will also conduct a physical examination of the breasts, measuring them precisely and evaluating the position, shape, and condition of the existing implants. For example, they will check for signs of capsular contracture, such as hardening of the breast area or an abnormal shape. The patient should be open and honest with the surgeon about their desired outcome, as this will help the surgeon create an appropriate surgical plan. If the patient has any information about their existing implants, such as the type, size, and brand, it is helpful to bring this to the appointment.

Pre - operative Preparation

Based on the patient's age, implant condition, and other factors, the surgeon may order imaging tests such as an ultrasound, mammogram, or MRI. These tests can provide detailed information about the implants and the surrounding tissue. Before the surgery day, the patient will be given guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may also be given prescriptions that should be filled prior to the surgery. Depending on the patient's history, they may be asked to provide pre - operative clearance from another doctor. Since the procedure is usually performed under “twilight” sedation, the patient should arrange for someone to drive them home after the surgery and have someone to assist them in the first few days of recovery.

Surgery

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 surgeon may use the same incision site as used in the initial breast augmentation. However, if there has been capsular contracture or a silicone implant rupture, it may be necessary to remove the hardened scar tissue surrounding the implant. After removing the existing implant and any scar tissue, the surgeon will carefully place the new implant using a no - touch technique. Multiple layers of internal, dissolving sutures are typically used to close the incisions. The surgery usually takes between one and three hours to complete.

Recovery

After the surgery, the patient will recover in a state - of - the - art recovery suite while being monitored by a nurse until they feel well enough to be discharged. A specialized, long - lasting local anesthesia is used to decrease discomfort. Since it is an outpatient procedure, the patient can return home the same day. The patient will not be able to drive for 24 hours after the administration of anesthesia, so an escort is necessary. The patient's breasts may be covered in a layer of gauze and a bandage. They may feel tired or sore following surgery, as the body is using its energy to heal. Many patients are able to return to most daily activities within days of the procedure, but it is best to refrain from vigorous exercise for around two weeks. The surgeon will provide an individualized recovery plan based on the extent of the procedure. It is normal to 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, so a small tube may be temporarily placed under the skin to prevent fluid collection. The patient will typically return to the office the day after surgery for a follow - up, and external sutures, if used, are usually removed around 7 - 10 days following the procedure. Although much of the swelling and bruising will fade in the first few weeks, it may take several months before the final results are visible, and the scars will be firm and pink for at least six weeks before beginning to fade.

Cost Considerations

The cost of correcting breast flaring after breast augmentation can vary widely depending on several factors. The complexity of the procedure is a major determinant. If there is significant capsular contracture or if the existing implants need to be removed and replaced with more advanced materials, the cost will be higher. The reputation and experience of the surgeon also play a role. Well - known and highly skilled surgeons may charge more for their services. Additionally, the location of the hospital or clinic can impact the cost. In New York City, where the cost of living is relatively high, the cost of the procedure may be more expensive compared to other areas. On average, the cost of breast implant revision surgery in New York City can range from a few thousand dollars to tens of thousands of dollars. It is important for patients to discuss the cost with their surgeon during the consultation and to check with their insurance provider to see if any part of the procedure may be covered.

Success Rates and Complications

Success Rates

When performed by experienced, board - certified plastic surgeons, the success rate of correcting breast flaring is relatively high. Success can be defined as achieving natural - looking, symmetrical breasts that meet the patient's expectations. However, it is important to note that the final results may take several months to fully appear as the implants settle and the swelling and bruising subside. Some patients may require multiple surgeries to achieve the desired outcome, but in general, most patients are satisfied with the results of their breast implant revision surgery.

Complications

As with any surgery, there are risks associated with correcting breast flaring. The most common complication is capsular contracture, which occurs when the capsule surrounding the implant restricts the implant, resulting in a misshapen appearance, hardening of the area, and pain. Capsular contracture can be treated by removing the implant and scar tissue and, if desired, placing new implants. Placing an acellular dermal matrix (ADM) such as Strattice or Alloderm has shown promising results in resisting capsular contracture, and this may be combined with prescribing Accolate to significantly lower the rates. Other complications include bleeding, infection, numbness, and implant rupture. Infection typically presents within a week after surgery and can usually be treated with antibiotics and, in some cases, removing the implant. Rupture can occur as a result of injury or from normal compression and movement of the breast causing friction with the man - made shell of the implant. If a saline implant ruptures, the salt water is harmlessly absorbed by the body, resulting in the breast appearing deflated. In both saline and silicone implant ruptures, a revision surgery is performed to replace the implant and remove any troublesome scar tissue.

Choosing the Right Hospital and Surgeon

When choosing a hospital and surgeon for correcting breast flaring after breast augmentation, patients should consider several factors. Firstly, the surgeon's experience and credentials are crucial. Board - certified plastic surgeons with extensive experience in breast implant revision surgery are more likely to achieve good results. Patients can research the surgeon's background, including their training, the number of similar procedures they have performed, and any awards or recognition they have received. Secondly, the reputation of the hospital or clinic is important. Facilities with a good reputation for patient care, safety, and high - quality surgical outcomes are preferable. Patients can read online reviews and testimonials from other patients. Thirdly, the hospital's technology and resources are also significant. Hospitals that have advanced imaging technology for preoperative planning and the latest surgical techniques can offer better treatment options. Finally, patients should feel comfortable with the surgeon and the staff. Good communication and a trusting relationship between the patient and the medical team are essential for a successful surgery and recovery.

Conclusion

In conclusion, correcting breast flaring after breast augmentation with prostheses is a complex but achievable procedure. In New York City, there are several top - notch hospitals and clinics, such as Mount Sinai, Dr. Darrick Antell's practice, Columbia University, NYU Langone Health, and Weill Cornell Medicine, that offer high - quality correction services. Patients considering this procedure should be well - informed about the process, including the consultation, pre - operative preparation, surgery, and recovery. They should also be aware of the cost considerations, success rates, and potential complications. By carefully choosing the right hospital and surgeon, patients can increase their chances of achieving natural - looking, symmetrical breasts and improving their overall quality of life.

If you are experiencing breast flaring after breast augmentation, we encourage you to schedule a consultation with a reputable plastic surgeon in New York City. Discuss your concerns and goals, and take the first step towards getting the results you desire. Share this article with others who may benefit from this information, and explore related topics to further your knowledge about breast implant revision surgery.