The Breast Implant Removal Surgery in New York City A New Hair Transplant Institution Ranks Second on the List!

Introduction

Breast implant removal surgery has become an increasingly common procedure in New York City. There are various reasons why women may opt for this surgery, including health concerns, cosmetic preferences, or simply a change in lifestyle. In this article, we will explore the details of breast implant removal surgery in New York City, including the procedures, top surgeons, risks, and recovery process.

What is Breast Implant Removal?

Breast implant removal, also known as “explant” surgery, is often done to change either the size, location, and/or type of implants currently in place. Some patients who are concerned with breast implant illness (BII) wish to have the implants removed to determine the effect on their health, while others wish to remove saline implants in favor of more natural - feeling, - looking, and - acting implants made of FDA - approved silicone gel. Due to the valve of saline implants, leakage is an all - too - common problem, unlike silicone implants which are factory sealed. Additionally, saline implants can feel firm and unnatural, and rippling can occur more often.

The outer shell of both silicone and saline implants is comprised of silicone, a totally inert substance used medically in many devices, including heart valves. Another reason for breast implant replacement is the occurrence of capsular contracture, which is when the tissue around prior implants becomes firm.

Reasons for Breast Implant Removal

Health Concerns

• Implant Rupture: Over time, the outer shell of the implant can break down, causing silicone to leak if it's a silicone implant or the saline solution to escape in the case of saline implants. This can lead to various complications and discomfort for the patient.
• Capsular Contracture: This is a condition where the scar tissue around the implant tightens and hardens. It can cause pain, distortion of the breast shape, and discomfort. In severe cases, it may require the removal of the implant.
• Breast Implant Illness (BII): BII refers to a wide variety of symptoms that patients may occasionally report after undergoing breast augmentation or reconstruction with implants. These symptoms include fatigue, fever, gastrointestinal complaints, migraines, breathing difficulties, depression or anxiety, rashes, pain and discomfort, brain fog, and other non - specific complaints. While it’s uncertain what causes BII, it is believed to be associated with pre - existing autoimmune problems.
• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a type of non - Hodgkin lymphoma occurring in the scar tissue surrounding the implant. When left untreated, it can spread to nearby lymph nodes. Treatment typically involves surgically removing the implants and surrounding scar tissue. In more serious cases, chemotherapy or radiation may also be necessary.

Cosmetic Preferences

• Change in Size or Shape: Over time, a woman's aesthetic preferences may change. She may desire smaller or larger breasts, or a different shape of implants to better suit her body type and lifestyle.
• Unsatisfactory Results: Some women may be unhappy with the result of their original breast augmentation. This could be due to factors such as an unnatural appearance, asymmetry, or a “double bubble” appearance where the implant is not centered under the breast.

Aging Implants

Breast implants are not lifelong devices. They may require replacement or removal as they can degrade or shift over time. It is generally recommended to have them exchanged or removed approximately every 10 - 15 years, depending on the individual and the patient's needs and desires.

Types of Breast Implant Removal Surgeries Available in NYC

En Bloc Removal

En bloc removal is a surgical procedure that involves removing the breast implant and its surrounding capsule in one piece. This technique is recommended for patients who have developed capsular contracture or those who want to remove their implants due to health concerns. Capsular contracture occurs when the scar tissue surrounding the implant becomes thick and hard, causing discomfort and distortion of the breast shape. En bloc removal reduces the risk of rupturing or spilling of silicone gel into the body during surgery.

The en bloc removal technique requires a skilled surgeon who has experience with this type of procedure. It involves making an incision around the perimeter of the capsule and carefully dissecting it away from surrounding tissues until it can be removed intact. This technique provides several benefits over other methods of implant removal. First, it minimizes the risk of contamination by preventing contact between the implant and surrounding tissues during surgery. Second, it reduces postoperative pain and discomfort by minimizing trauma to surrounding tissues. Third, en bloc removal ensures complete removal of all silicone gel or saline solution from inside the capsule.

Capsulectomy

Capsulectomy is another surgical option for breast implant removal in NYC. Unlike en bloc removal, this procedure involves removing only the capsule that forms around an implant while leaving the implant itself in place. This method is typically recommended for patients who want to remove their implants due to cosmetic reasons or discomfort caused by capsular contracture but do not wish to undergo a more invasive surgery like en bloc removal.

During a capsulectomy procedure, an incision is made around the perimeter of the capsule and then carefully dissected away from surrounding tissues until it can be removed intact. The surgeon will then inspect both sides of the removed capsule to ensure complete excision of all scar tissue. Capsulectomy is a less invasive procedure than en bloc removal and may be associated with fewer risks and complications. However, it may not be suitable for patients who have developed severe capsular contracture or those who wish to remove their implants due to health concerns.

Explantation with Mastopexy

Explantation with mastopexy is a surgical procedure that involves removing the breast implant, excess skin, and lifting the breast tissue to create a more youthful appearance. This technique is recommended for patients who have experienced sagging or drooping of their breasts after having implants.

During this procedure, an incision is made around the perimeter of the areola or underneath the breast fold. The implant is then removed along with any surrounding scar tissue. The surgeon will then lift the remaining breast tissue to create a more youthful appearance before closing the incisions. This technique provides several benefits over other methods of implant removal. First, it addresses both cosmetic concerns related to sagging breasts as well as health concerns related to implant removal. Second, it avoids leaving behind excess skin that can lead to further sagging after surgery.

Explantation with Fat Transfer

Explantation with fat transfer is another surgical option for breast implant removal in NYC. This procedure involves removing the implant and using the patient’s own fat from another area of their body such as thighs, hips or abdomen to reshape and enhance their breasts. This method is typically recommended for patients who want to remove their implants but still desire some degree of breast augmentation.

During this procedure, an incision is made around the perimeter of the areola or underneath the breast fold. The surgeon will then remove the implant along with any surrounding scar tissue before harvesting fat from another area of your body through liposuction techniques. The fat is then purified before being injected into the breast tissue to create a more natural - looking and fuller appearance. This technique provides several benefits over other methods of implant removal. First, it avoids the need for additional implants or foreign materials in the body. Second, it uses your own fat cells which reduces the risk of rejection or allergic reactions.

En Bloc and Explant Surgery: Understanding the Differences

Explant surgery is a procedure in which the breast implants are removed from the body. This can be done for various reasons, including complications with the implant or dissatisfaction with the results. The procedure is typically performed under local anesthesia, and smaller incisions are made to remove the implant. On the other hand, en bloc surgery involves removing both the implant and surrounding tissue in one piece. This technique requires larger incisions and general anesthesia to ensure that all of the tissue is removed safely. En bloc surgery is often recommended for patients with certain types of implants or complications because it reduces the risk of silicone leakage into surrounding tissues.

While both explant and en bloc surgeries can effectively remove breast implants, they differ significantly in terms of invasiveness and recovery time. En bloc surgery requires a longer recovery period due to its more invasive nature, while explant surgery can often be done on an outpatient basis with minimal downtime. Medical literature suggests that both techniques have their advantages and disadvantages depending on each patient’s individual case. It is important to discuss these options thoroughly with a qualified surgeon before making any decisions about which approach to take.

Top Surgeons in NYC Specializing in Breast Implant Removal Surgery

Dr. Barry Weintraub

Dr. Barry Weintraub is a well - known plastic surgeon in New York City. He performs breast implant - revision surgery in the comfort of his quad A - accredited NYC surgical facility. He has a strong aesthetic sense and a unique blend of medical science and artwork. His attention to detail ensures that he gets the best results possible, and he is meticulous about everything he does, from pre - op to post - op care and beyond. He always places implants under the pectoralis - major muscle so that implants look and feel the most natural. He is also known for performing complex redos of surgeries performed by other offices, and he takes great pride in getting the best results for his patients.

Dr. Darrick E. Antell

Dr. Darrick E. Antell is a top New York plastic surgeon who is widely regarded as being among the most experienced breast surgeons both in the New York area and worldwide. He performs custom breast implant removal (explant) surgery and also the removal of the Allergan textured breast implants recently recalled by the FDA due to their association with a heightened risk of breast implant - associated anaplastic large cell lymphoma (BIA - ALCL). He has been listed in Harper’s Bazaar and other magazines as being among the best breast plastic surgeons in the country. Many of his breast implant removal patients are referred by former patients, speaking volumes about how they felt about their new look.

Dr. Olivia Hutchinson

Dr. Olivia Hutchinson is recognized as a top breast implant removal surgeon in NYC. She has over 20 years of experience evaluating patients with breast implant - related concerns and performing breast implant removal. Cosmetic breast surgery is one of her main areas of focus, and she is considered to be one of the top breast implant removal surgeons on the upper east side in NYC. As a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon, she distinguishes her practice by her desire to ensure the finest surgical results for her patients.

Dr. Joshua D. Zuckerman

Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery offers breast implant removal and exchange procedures to meet the changing needs and preferences of his patients. He is meticulous in employing techniques that aim to minimize scarring and optimize recovery. His post - operative care plans are comprehensive, and he ensures that patients are well - informed about the entire process.

Dr. Casian Monaco

Dr. Casian Monaco's practice in New York City’s upper east side offers services in breast implant removal and exchange. His approach combines medical expertise with an artistic eye, ensuring results that are both natural - looking and aligned with the patient's vision. His state - of - the - art facility provides a comfortable and safe environment for the procedures, and his compassionate team supports patients throughout their experience, from the initial consultation to the final stages of recovery.

Choosing the Right Surgeon

Qualifications

When choosing a plastic surgeon for breast implant removal surgery, it is essential to check their qualifications. A board - certified plastic surgeon has undergone rigorous training and passed stringent exams to ensure they have the necessary skills and knowledge to perform surgical procedures safely and effectively. Patients should look for credentials such as American Board of Plastic Surgery (ABPS) certification or membership in professional organizations such as the American Society of Plastic Surgeons (ASPS).

Experience

Experience is another crucial factor when selecting a plastic surgeon for breast implant removal surgery. It is important to choose a surgeon who has performed many successful surgeries similar to what you need. Experienced surgeons can provide patients with realistic expectations about the outcome of their procedure while minimizing risks associated with any surgical procedure.

Patient Reviews

Patient reviews can be an excellent way to gauge the quality of care provided by potential surgeons. Online review platforms like RealSelf.com allow patients to leave feedback on their experiences with specific surgeons. Patients should read through these reviews carefully and consider factors such as bedside manner, communication skills, and overall satisfaction with results.

Preparing for Breast Implant Removal Surgery in NYC

Consult with Your Surgeon

One of the first steps you should take is to schedule a consultation with your surgeon. During this consultation, you will discuss your reasons for wanting breast implant removal surgery and determine if you are a good candidate for the procedure. Your surgeon will also provide you with pre - operative instructions that you need to follow to prepare for the surgery. These instructions may include dietary restrictions, such as avoiding food and drink after midnight on the night before your surgery, as well as any medications or supplements that you should avoid taking before the procedure.

Stop Smoking and Avoid Certain Medications

Smoking can increase the risk of complications during surgery and slow down the healing process. Therefore, it is important to stop smoking at least two weeks before the surgery. If you are having trouble quitting smoking on your own, talk to your doctor about options for quitting. Additionally, avoid taking medications that can increase bleeding, such as aspirin and ibuprofen, for two weeks before the surgery. Your surgeon may also advise you to stop taking certain supplements or herbal remedies that could interfere with anesthesia or cause bleeding.

Arrange for Post - Operative Care

Breast implant removal surgery is an outpatient procedure, but you will need someone to drive you home after the surgery. You should also arrange for someone to stay with you for at least 24 hours after the surgery to help you with daily activities. During this time, it is important to rest and avoid strenuous activity or heavy lifting until your surgeon gives you clearance. You may experience some pain or discomfort after the procedure, which can be managed with pain medication prescribed by your surgeon. Make sure you have comfortable clothing that is easy to put on and take off after the surgery. You may want to wear loose - fitting clothing that does not rub against your incision sites.

Follow - up Appointments

After breast implant removal surgery, it is important to attend follow - up appointments with your surgeon. During these appointments, your surgeon will monitor your healing and recovery progress and address any concerns or complications that may arise. You should also report any unusual symptoms or changes in your condition to your surgeon immediately. These could include fever, severe pain, bleeding, or signs of infection such as redness or swelling around the incision sites.

What to Expect During the Breast Implant Removal Surgery Procedure

Implant Removal Procedure

The implant removal procedure typically takes around 1 - 2 hours, depending on the complexity of the case and whether any additional procedures are being performed. During the surgery, the surgeon will make an incision in the same location as the original breast augmentation incision to remove the implant. If there is any scar tissue or calcification around the implant, this will also be removed. The surgeon will then evaluate the remaining breast tissue to determine if any additional procedures are necessary, such as a breast lift or fat transfer to restore volume.

Anesthesia Options

Anesthesia is typically used during the procedure to ensure patient comfort. The type of anesthesia used will depend on the patient’s medical history and preferences, but options may include local anesthesia with sedation or general anesthesia. Local anesthesia with sedation involves numbing only a specific area of your body while you remain conscious but relaxed. General anesthesia involves putting you into a deep sleep so that you do not feel anything during surgery.

Recovery Time

Recovery time after breast implant removal surgery varies depending on individual cases, but most patients can expect to return to work and normal activities within 1 - 2 weeks. It is important to follow all post - operative instructions provided by your surgeon to ensure proper healing and minimize complications. It’s common for patients who undergo this procedure to experience some discomfort after surgery. Pain medication can help alleviate these symptoms while they subside over time. Patients may also experience swelling and bruising around their breasts for several days following surgery; however, these symptoms should gradually improve over time.

Potential Risks

As with any surgery, there are risks associated with breast implant removal. The most common risks include bleeding, infection, and scarring. In rare cases, patients may experience complications such as damage to the surrounding tissue or nerve damage. It’s important to discuss these risks with your surgeon before undergoing the procedure. Your surgeon can provide you with a comprehensive list of potential complications and help you determine if this procedure is right for you.

Recovery Process after Breast Implant Removal Surgery in NYC

After your surgery, you will be taken to a recovery room where you will spend some time under close observation to ensure that you are stable and comfortable. During this time, your vital signs will be