Introduction

Breast augmentation has been a popular cosmetic procedure for many years, but over time, some women may choose to have their breast implants removed. This could be due to various reasons such as lifestyle changes, cosmetic preferences, or medical issues. In New York City, there are several top - notch hospitals and surgeons that specialize in breast augmentation prosthesis removal surgery. This article will explore the 2025 list of these facilities, providing in - depth information about each, including the surgeons, procedures, recovery, and more.

Why Breast Implant Removal?

There are multiple reasons why a woman might opt for breast implant removal:

1. Medical Complications:
   • Implant Rupture: Both saline and silicone implants can rupture. Saline implants may leak the salt - water solution they contain, while silicone implants can leak the gel, which may cause health concerns.
   • Capsular Contracture: This occurs when the scar tissue around the implant tightens and hardens. It can cause pain, distortion of the breast shape, and discomfort.
   • Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): A rare 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 an increased risk of BIA - ALCL.
2. Cosmetic Reasons:
   • Change in Aesthetic Preferences: A woman's idea of beauty may change over time. She may no longer like the look or feel of her breast implants and wish to return to her natural breast size.
   • Unsatisfactory Initial Results: If the initial breast augmentation did not produce the desired results, such as asymmetry or an unnatural appearance, the patient may choose to have the implants removed.
3. Lifestyle Changes:
   • Some women may find that the implants interfere with their physical activities, or they may have personal or cultural reasons for wanting to remove the implants.

Top Hospitals and Surgeons in New York City for Breast Implant Removal

1. Practice of Dr. Darrick E. Antell

Dr. Darrick E. Antell is widely regarded as one of the most experienced breast surgeons in the New York area and worldwide. He has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country.

Services Offered

• Custom Breast Implant Removal (Explant): Dr. Antell removes existing silicone or saline implants from the body. When indicated, he also performs an en bloc capsulectomy to remove the tissue that has grown around the breast implant.
• Removal of Recalled Implants: He also performs the removal of the Allergan textured breast implants recently recalled by the FDA due to their association with a heightened risk of BIA - ALCL.

Consultation Process

During the initial consultation, Dr. Antell thoroughly evaluates the patient's general health and medical history, as well as assesses the current condition of the breasts. If the patient desires implant removal due to medical complications, it is important to discuss any symptoms. The patient should bring any information about the existing implants and previous breast augmentation surgery. Based on the patient's expectations, Dr. Antell may recommend pairing the explant surgery with another procedure, such as a breast lift.

Surgery and Recovery

Most patients prefer to have the procedure in Dr. Antell's discreet, private operating room across the street from Lenox Hill Hospital. The surgery usually takes between one to two hours, and an en - bloc resection can take even longer. After surgery, patients recover in his state - of - the - art recovery suite. Breast implant removal is an outpatient procedure, but patients need an escort home as they cannot drive for 24 hours after anesthesia. The majority of patients can return to most daily activities within days, but should refrain from vigorous exercise for around two weeks.

2. New York Group for Plastic Surgery

The New York Group for Plastic Surgery offers breast implant removal procedures. Patients can be treated by either Dr. Andrew Salzberg or Dr. Jordan Jacobs.

Services Offered

• Breast Explant: This procedure removes breast implants and some or all of the surrounding scar capsules. The surgeons also remove silicone from the shell of the implant and clean within the breast pocket.

Pre - operative Preparation

Patients should avoid taking medications like aspirin, ibuprofen, and anti - inflammatory medications for one week prior to the procedure. They should also avoid blood - thinning medications for up to six weeks. An examination is required to determine if the breasts are healthy enough for the procedure. Arrangements should be made for someone to drive the patient home after the procedure and stay with them for at least 24 hours.

Surgery and Recovery

The surgeon may administer either local or general anesthesia. The incisions can be made in one of three locations: the crease under the breast, around the areola, or vertically in the armpit. The surgery takes anywhere from one to three hours, depending on the extent of the work. After the procedure, patients spend about an hour in the recovery room and are provided with post - procedure instructions. Recovery is similar to that after initial breast augmentation, with three days of downtime, and most patients can resume light activities within one week and more vigorous activity in about six weeks.

3. Millennial Plastic Surgery (Dr. David Shokrian)

Dr. David Shokrian at Millennial Plastic Surgery is known for working with patients to create the perfect balance of surgical and natural remedies for breast implant removal.

Services Offered

• Breast Implant Removal (Explant): Dr. Shokrian offers to remove breast implants and associated scar tissue, addressing various reasons such as implant rupture, position change, and medical issues like autoimmune diseases aggravated by implants.

Surgery Process

Breast implant removal is usually an outpatient procedure. On the day of surgery, the patient receives anesthesia (either general or intravenous sedation), an incision is made under the breast or around/ below the areola, the implants and scar tissue are removed, and the incisions are closed with stitches or skin adhesions. After surgery, the patient is moved to a recovery room, and their vital signs are monitored.

Recovery

Patients need to wear a compression garment or support bra for a few weeks. They may take pain medication. Most women can return to work within a few days but should follow the plastic surgeon's instructions, such as changing bandages, avoiding certain activities like swimming and heavy lifting, and sleeping on their back. Drains may be placed under the skin and usually come out within 10 days.

4. Zuckerman Plastic Surgery (Dr. Joshua D. Zuckerman)

Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery understands that the decision to undergo breast implant removal or exchange is deeply personal and offers these procedures to meet patients' changing needs.

Services Offered

• Breast Implant Removal: For reasons such as health concerns (implant rupture, capsular contracture, breast implant illness), cosmetic preferences, or aging implants.
• Breast Implant Exchange: Allows patients to adjust the size or type of their implants (switch between silicone and saline implants).

What to Expect

Both breast implant removal and exchange procedures are performed under general anesthesia. The complexity and duration vary depending on the type of procedure. Dr. Zuckerman aims to minimize scarring and optimize recovery. Post - operative care includes managing discomfort with medication, wearing a support bra, and avoiding strenuous activities for several weeks. Most patients return to work within one to two weeks, with full recovery taking up to six weeks.

5. Practice of Dr. Barry Weintraub

Dr. Barry Weintraub is an experienced plastic surgeon who performs breast implant removal and replacement procedures.

Services Offered

• Breast Implant Removal (Explant): Often done to change the size, location, or type of implants. Some patients concerned with breast implant illness also opt for removal.
• Breast Implant Replacement: Can be combined with removal to improve the appearance of the breasts. Options include replacing with different implants or autologous fat, and a breast lift may also be performed in some cases.

Consultation and Patient Criteria

During the consultation, patients should check the surgeon's board certification, hospital privileges, and reputation. The best candidates are in good general health, highly motivated, able to take time off for the procedure, and have the financial means for elective cosmetic surgery. Breast implant removal and replacement should not be considered before the age of 18.

Surgery and Recovery

Dr. Weintraub prefers patients to be in a twilight sleep state during surgery. The procedure is performed in his hospital - grade surgical center. After surgery, there may be minimal swelling and bruising. Patients should follow all of Dr. Weintraub's instructions, and he advises on when to return to normal lifestyle and exercise routines.

What to Expect During the Consultation

A consultation is a crucial step in the breast implant removal process. Here's what you can expect:

1. Medical History Review: The surgeon will ask about your medical history, including any past surgeries, allergies, current medications, and any existing health conditions. This helps them assess your overall health and any potential risks associated with the surgery.
2. Breast Examination: The surgeon will examine your breasts to assess the current condition of the implants, the surrounding tissue, and the overall breast shape. They may also check for any signs of complications such as capsular contracture or implant rupture.
3. Discussion of Goals: You should discuss your reasons for wanting the implant removal and your desired outcome. If you are considering additional procedures, such as a breast lift, this is the time to mention it.
4. Procedure Explanation: The surgeon will explain the breast implant removal procedure in detail, including the type of anesthesia that will be used, the incision locations, and the expected duration of the surgery. They will also discuss the risks and potential complications associated with the procedure.
5. Recovery and Aftercare: You will be informed about the recovery process, including how long you can expect to be off work, the restrictions on physical activities, and the post - operative care required. The surgeon may also provide you with a timeline for recovery.
6. Cost and Insurance: The cost of the breast implant removal surgery will be discussed. In most cases, breast implant removal is not covered by insurance unless it is deemed medically necessary. The surgeon's office can help you understand the cost breakdown and may offer financing options if needed.

Preparing for Breast Implant Removal Surgery

Proper preparation is essential for a successful breast implant removal surgery. Here are some general steps you may need to take:

1. Medical Tests: Your surgeon may order certain medical tests, such as an ultrasound, mammogram, or MRI, to evaluate the condition of your breasts and implants. These tests can help the surgeon plan the procedure more effectively.
2. Medication Adjustment: You may need to stop taking certain medications, such as blood thinners, aspirin, and anti - inflammatory drugs, for a period of time before the surgery to reduce the risk of bleeding. Always consult your doctor before stopping any medications.
3. Smoking and Alcohol: Smoking can delay the healing process and increase the risk of complications. It is recommended to stop smoking for at least a few weeks before and after the surgery. Limiting alcohol consumption is also advisable.
4. Arrange for Help: Since breast implant removal is usually an outpatient procedure, you will need someone to drive you home after the surgery. You may also need assistance with daily activities during the initial days of recovery.
5. Prepare Your Home: Make sure your home is ready for your recovery. Stock up on groceries, prepare meals in advance, and create a comfortable resting area. You may also need to purchase a support bra or compression garment as recommended by your surgeon.

The Breast Implant Removal Procedure

The breast implant removal procedure typically involves the following steps:

1. Anesthesia: Breast implant removal can be performed using local anesthesia with intravenous sedation or general anesthesia. The choice of anesthesia depends on various factors, such as the patient's preference, the complexity of the procedure, and the surgeon's recommendation. A board - certified anesthesiologist will be present to monitor your vital signs during the surgery.
2. Incision: The surgeon will make an incision in one of several locations, such as the crease under the breast (inframammary fold), around the areola, or in the armpit. The choice of incision location depends on the original incision used during breast augmentation and the surgeon's judgment.
3. Implant Removal: The surgeon will carefully remove the breast implants through the incision. If there is scar tissue around the implants, they may also remove it. In some cases, such as when there is a suspicion of BIA - ALCL or capsular contracture, an en - bloc capsulectomy may be performed, which involves removing the implant and the surrounding scar tissue as a single unit.
4. Closure: After the implants and any necessary scar tissue are removed, the surgeon will close the incision using sutures. In some cases, dissolvable sutures or skin adhesions may be used.

Recovery After Breast Implant Removal

Recovery after breast implant removal varies from patient to patient, but here are some general guidelines:

1. Immediate Post - operative Period: After the surgery, you will be taken to a recovery room where your vital signs will be monitored. You may experience some pain, swelling, and bruising, which can be managed with pain medication prescribed by your doctor. You will be given specific instructions on how to care for the incision site, such as keeping it clean and dry.
2. First Few Days: You will need to rest and limit your physical activities during the first few days. Most patients are able to return home the same day as the surgery, but they should have someone to assist them. You may need to wear a support bra or compression garment to reduce swelling and support the breasts.
3. Return to Normal Activities: Many patients can return to light activities within a few days to a week. However, you should avoid strenuous exercise, heavy lifting, and activities that may put stress on the chest area for several weeks. Your surgeon will provide you with a specific timeline for resuming normal activities.
4. Follow - up Appointments: It is important to attend all follow - up appointments with your surgeon. During these appointments, the surgeon will check the healing progress of the incision, monitor for any signs of complications, and answer any questions you may have.
5. Long - term Recovery: Most of the swelling and bruising will subside within a few weeks, but it may take several months for the final results to be visible. You may experience some numbness in the breast area, which usually improves over time. In some cases, a breast lift may be recommended to address any sagging or drooping of the breasts after implant removal.

Risks and Complications

Like any surgical procedure, breast implant removal carries some risks and potential complications:

1. Bleeding: There is a risk of bleeding during or after the surgery. In most cases, minor bleeding can be controlled during the procedure, but in rare cases, additional treatment may be required.
2. Infection: The risk of infection is present with any surgery. Your surgeon will take precautions to minimize this risk, such as using sterile techniques during the procedure and prescribing antibiotics if necessary. Symptoms of infection include fever, pain, redness, and swelling at the incision site.
3. Scarring