Introduction
Breast prosthesis capsular contracture is a common complication after breast augmentation surgery. In New York City, a number of specialized hospitals and doctors are well - known for their expertise in capsular contracture repair. This review will explore the top options for breast prosthesis capsular contracture repair, including information about hospitals, doctors, treatment methods, and patient - related considerations.
What is Breast Prosthesis Capsular Contracture?
When breast implants are inserted, the body naturally forms a tissue capsule around them. However, in some cases, this capsule can thicken and tighten, squeezing the breast implant. This is known as capsular contracture. As described in the reference about capsular contracture treatment in NYC, the condition can cause breast pain, firmness, changes in breast shape and position, and restricted movement. There is a grading system for capsular contracture, from Grade 1 (soft and normal) to Grade 4 (severe, with hard, painful, and abnormally - looking breasts). Grades 3 and 4 usually require surgical intervention.
The exact causes of capsular contracture are not fully understood. Possible causes include bacterial infection (formation of a biofilm inside the breast pocket), hematoma or seroma (accumulation of blood or fluid), incomplete breast cancer treatment, genetic predisposition, and random chance. For instance, if there is a family history of autoimmune disorders, the risk of capsular contracture may be greater. Silicone implants are more likely to develop capsular contracture compared to saline implants, and smooth - textured implants may have a lower chance. Implants placed under the muscle tissue in the chest may also be less prone to this condition.
Top Doctors for Breast Prosthesis Capsular Contracture Repair in New York City
Healthgrades provides information about doctors who treat capsular contracture of breast implants in New York and Brooklyn. Here are some of the highly - rated doctors:
| Doctor's Name | Rating | Address |
|---|---|---|
| Dr. Stephanie Bernik, MD | 4.60 out of 5 stars | 425 W 59th St Lbby 5, New York, NY 10019 |
| Dr. Lauren Cassell, MD | 4.90 out of 5 stars | 114a E 78th St, New York, NY 10075 |
| Dr. Jeffrey Ascherman, MD | 4.90 out of 5 stars | 51 West 51st Street Suite 380, New York, NY 10019 |
| Dr. Clare Hochreiter, MD | 5.00 out of 5 stars | 525 East 68th Street M - 404, New York, NY 10065 |
| Dr. Jonathan Villena - Vargas, MD | - | 525 East 68th Street M - 404, New York, NY 10065 |
| Dr. Emile Bacha, MD | 3.60 out of 5 stars | 525 East 68th Street F677, New York, NY 10065 |
| Dr. David Otterburn, MD | 5.00 out of 5 stars | 525 East 68th Street Starr 8, New York, NY 10065 |
| Dr. Amber Guth, MD | 4.70 out of 5 stars | 560 1st Ave Fl 10, New York, NY 10016 |
| Dr. Virgilio Sacchini, MD | 5.00 out of 5 stars | 300 E 66th St, New York, NY 10065 |
| Dr. Alexandra Heerdt, MD | 4.70 out of 5 stars | 300 E 66th St, New York, NY 10065 |
| Dr. Jennifer Lehman, MD | 4.50 out of 5 stars | 10 Union Sq E Ste 4, New York, NY 10003 |
| Dr. Kimberly Van Zee, MD | 4.80 out of 5 stars | 300 E 66th St, New York, NY 10065 |
| Dr. Andrea Barrio, MD | 4.80 out of 5 stars | 300 E 66th St, New York, NY 10065 |
Doctors like Dr. Darrick Antell are also renowned in New York City for breast implant revision, which may involve treating capsular contracture. He is a world - renowned board - certified plastic surgeon, trained at Stanford and Cornell University. He is known for his exceptional surgical skills and use of advanced techniques, and has been named a “top plastic surgeon” by multiple magazines.
Dr. Daniel Maman is another highly - qualified option. He is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He has completed a fellowship in aesthetic breast surgery and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City, and has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists.
Dr. Kaveh Alizadeh is a specialist in breast surgeries and has over 23 years of experience. He is a fellowship - trained, double Ivy - league alumnus and the founder and medical director of CosmoPlastic Surgery. He is known as a precision artist with the female figure and is highly in demand for his compassionate, professional, and effective approach.
Top Hospitals for Breast Prosthesis Capsular Contracture Repair in New York City
Although the direct ranking for breast prosthesis capsular contracture repair hospitals is not fully available, we can infer some top - tier hospitals in related fields:
- Mount Sinai Hospital: It is nationally ranked in 12 adult specialties and 4 pediatric specialties. While mainly evaluated for hip replacement in some rankings, its overall reputation and medical resources suggest it could be a reliable option for breast - related procedures. Their breast implant revision specialists are known for their expertise in correcting problem areas related to breast implants, including capsular contracture.
- New York - Presbyterian Hospital - Columbia and Cornell: Nationally ranked in 14 adult specialties and 10 pediatric specialties. The surgical breast care program at Columbia University provides comprehensive treatment for all forms of breast disease, with advanced services, state - of - the - art equipment, and personalized management from leading clinical experts. Their breast cancer program offers better results than national averages, indicating high - quality breast - related care.
- NYU Langone Orthopedic Hospital: Nationally ranked in 13 adult specialties and 3 pediatric specialties. While its orthopedic focus is prominent, a hospital with such a wide - ranging set of specialties and high national rankings may also have a well - equipped department for breast implant revision and capsular contracture repair.
Treatment Methods for Breast Prosthesis Capsular Contracture
The treatment of capsular contracture depends on the severity of the condition. As per the reference on capsular contracture treatment in NYC, the initial step is diagnosis. The doctor will ask about symptoms, examine the breasts, and may perform additional tests.
- Removal of a portion of capsule tissue: This is possible if the capsular contracture is caught early. A portion of the capsule tissue is removed, which creates more space in the breast pocket and can correct early - stage capsular contracture.
- Secondary breast augmentation with a capsulectomy: For more advanced capsular contracture, both the capsule tissue and the implant are removed (capsulectomy). New implants can be placed if the patient wishes to keep their breasts augmented. Surgeons like Dr. Antell will carefully place the new implant using a no - touch technique and close the incisions with multiple layers of internal, dissolving sutures.
- Use of Cellular Dermal Matrix (ADM): Placing ADM such as Strattice or Alloderm has shown promising results for resisting capsular contracture. This can be combined with prescribing medications like Accolate to significantly lower capsular contracture rates.
Patient - Related Considerations
When considering breast prosthesis capsular contracture repair in New York City, patients need to take several factors into account:
- Consultation: A thorough consultation with the doctor is crucial. For example, Dr. Antell will evaluate the patient's general health, medical history, and the current condition of the breasts. Patients should bring information about their existing implants and previous breast augmentation surgery. They should have an open discussion about their desired outcome so that the doctor can create a proper surgical plan.
- Pre - operative Preparation: Based on factors like age and implant condition, patients may need to undergo imaging tests such as ultrasound, mammogram, or MRI. They will receive guidelines on eating, drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. Arrangements should be made for someone to drive the patient home after surgery and assist during the initial recovery period.
- Recovery: After surgery, patients can expect some pain and swelling, which usually start to diminish after the first week. They will wear a surgical bra to reduce swelling and support the breasts. Most patients can return to daily activities within a week or two, but should avoid vigorous exercise for about two weeks. External sutures, if used, are usually removed around 7 - 10 days after the procedure. It may take several months for the final results to be visible, and scars will take at least six weeks to start fading.
- Cost and Insurance: The cost of breast prosthesis capsular contracture repair can vary depending on the doctor, hospital, and the complexity of the procedure. Some insurance policies may cover the surgery if it is deemed medically necessary, for example, if the capsular contracture is causing severe pain or other health problems. Patients should consult with their insurance provider and the doctor's office to understand the financial aspects.
Conclusion
New York City offers a wealth of options for breast prosthesis capsular contracture repair, with highly - rated doctors and well - respected hospitals. The understanding of capsular contracture has advanced, and various treatment methods are available to address different severities of the condition. Patients considering this type of surgery should carefully research doctors and hospitals, have detailed consultations, and follow pre - and post - operative instructions for a successful outcome.
If you or someone you know is dealing with breast prosthesis capsular contracture, don't hesitate to reach out to one of the recommended doctors or hospitals in New York City. Take the time to read patient reviews, understand the treatment process, and ask all your questions during the consultation. Share this article with others who may benefit from this information, and explore more on breast health and cosmetic surgery to stay informed.
