Introduction

Breast implant removal is a surgical procedure that has seen an increase in demand in New York City, mirroring the popularity of breast augmentation. Women opt for this surgery for various reasons, including medical complications and changes in aesthetic preferences. In this article, we will delve into the doctor ranking and case - sharing for prosthetic breast implant removal plastic surgery in New York City, providing valuable insights for those considering this procedure.

Reasons for Breast Implant Removal

There are numerous reasons why a woman might choose to have her breast implants removed. Some are medical, while others are cosmetic in nature.

Medical Reasons

• Implant Rupture: Both saline and silicone implants can rupture. For saline implants, a rupture leads to rapid deflation as the sterile saline solution leaks out and is absorbed by the body. In the case of silicone implants, a rupture may not be as obvious, and an MRI might be required to confirm. Dr. Steven Wallach, a well - known plastic surgeon in New York, often has to address implant rupture cases during breast implant removal surgery and also ensures the removal of any seeped - out silicone gel if necessary.
• Capsular Contracture: This occurs when the scar tissue that forms around the implant hardens. It can cause pain, tightness, and distortion of the breast's appearance. The rate of capsular contracture is about 3 - 4% and gradually increases over the years. When this happens, a patient may need to have the implants removed, and the scar tissue (capsule) might also be taken out during the procedure.
• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare cancer related to breast implants, specifically some textured implants. It often presents as a mass or fluid accumulation in the breast, usually several years after the initial surgery. Treatment typically involves surgical removal of the tumor, capsule, and breast implant. The FDA has recalled certain textured breast implants due to the heightened risk of BIA - ALCL.
• Breast Implant Illness (BII): Also known as “Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA),” BII refers to a wide range of symptoms such as fatigue, fever, gastrointestinal complaints, and migraines that some patients report after breast augmentation. Although the exact cause is uncertain, it is believed to be associated with pre - existing autoimmune problems.

Cosmetic Reasons

• Desire for Natural Look: Some women may want to return to their natural breast size and appearance over time, especially if their aesthetic preferences change. They may no longer feel comfortable with the look of their breast implants and wish to have them removed.
• Unsatisfactory Results: This could include issues such as implant malposition (e.g., “double bubble” appearance, where the implant is not centered under the breast), visible or palpable implants (folded, rippled, or wrinkled), or asymmetry between the breasts. Dr. Olivia Hutchinson, a top breast implant removal surgeon in NYC, frequently addresses these cosmetic concerns during consultations with patients.

Top Doctors for Breast Implant Removal in New York City

Here are some of the highly - regarded plastic surgeons in New York City for breast implant removal procedures:

Dr. Steven Wallach

Dr. Wallach has extensive experience in breast implant removal surgery. He typically makes an incision using the previous breast implant surgical approach to access the pocket and remove the implants. He also removes the implant filler material from ruptured silicone implants when necessary. His practice provides a comprehensive service that includes consultations, preparations, and post - operative care. He is known for explaining the options and techniques available to patients to achieve the best results with the least amount of scarring.

Dr. Joshua A. Greenwald

Dr. Greenwald is a board - certified New York plastic surgeon who has performed thousands of breast surgeries. He is known for achieving natural results and is a frequently sought - after expert for revision breast surgery. He offers customized plans for breast implant removal, taking into account each patient's unique needs. For example, he may perform intact total capsulectomies when indicated and has the expertise to decide whether additional procedures like breast lift or reduction are required after explant surgery.

Dr. Barry Weintraub

Dr. Weintraub is a skilled plastic surgeon who prefers performing breast implant removal and replacement in a comfortable state of twilight sleep for patient safety and comfort. He has a high - end surgical facility attached to his office, which is attended by a team of board - certified anesthesiologists and experienced nursing staff. Dr. Weintraub is known for his attention to detail and aesthetic sense, aiming to achieve long - lasting aesthetic improvements to the breasts.

Dr. Darrick E. Antell

Dr. Antell is widely regarded as one of the most experienced breast surgeons in the New York area and worldwide. He has been listed in several magazines as one of the best breast plastic surgeons in the country. He performs custom breast implant removal surgery and is also well - versed in en bloc capsulectomy. Many of his patients are referred by former patients, and he has a reputation for his exceptional surgical results and discretion.

Dr. Olivia Hutchinson

As a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon, Dr. Hutchinson is considered one of the top breast implant removal surgeons on the upper east side in NYC. She has over 20 years of experience evaluating patients with breast implant - related concerns and can address both aesthetic and medical issues. She will advise patients on the various surgical options available to achieve their goals and may recommend a secondary procedure like a breast lift for the best aesthetic results.

Case Sharing

Case 1: Medical Necessity - Capsular Contracture

Mrs. Smith had breast augmentation surgery several years ago. Over time, she started experiencing pain and noticed a change in the shape of her breasts due to capsular contracture. She consulted Dr. Steven Wallach. During the consultation, Dr. Wallach explained the procedure in detail, including the option of implant removal with capsulectomy. He used the previous surgical incision to access the implants and carefully removed the hardened capsule along with the implants. Mrs. Smith had a relatively smooth recovery, and within a few months, her breasts returned to a more natural appearance, and the pain was completely gone.

Case 2: Cosmetic Desire - Return to Natural Look

Ms. Johnson decided that she no longer wanted her breast implants and wished to return to her natural breast size. She visited Dr. Joshua A. Greenwald. Dr. Greenwald performed an in - office deflation of her saline implants to give her an idea of how she would look without them. After considering the results, Ms. Johnson decided to proceed with the explant surgery. Dr. Greenwald removed the implants, and as her skin retracted nicely, no additional intervention like a breast lift was needed. Ms. Johnson was very satisfied with her new, natural look.

Case 3: Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL)

Mrs. Davis had textured breast implants. She noticed swelling in one of her breasts and consulted Dr. Darrick E. Antell. After a series of tests, including an MRI, it was diagnosed as BIA - ALCL. Dr. Antell performed an en bloc resection, removing the implants, the surrounding scar tissue, and the tumor. The surgery was successful, and Mrs. Davis underwent further treatment as recommended. Thanks to early detection and Dr. Antell's expertise, her prognosis is positive.

Consultation Process

The consultation process is a crucial step in breast implant removal surgery. It allows patients to discuss their concerns and goals with the surgeon and helps the surgeon formulate an appropriate surgical plan.

Medical Evaluation

During the consultation, the surgeon will evaluate the patient's general health and medical history. This includes checking for any pre - existing medical conditions, current medications, and previous surgeries. For example, if a patient has a history of heart disease or diabetes, it may impact the surgical plan and the patient's ability to recover. Surgeons may also ask about smoking habits, as smoking can increase the risk of complications during and after surgery.

Breast Assessment

The surgeon will carefully examine the patient's breasts, assessing the condition of the implants, the surrounding tissue, and the overall breast appearance. They will check for signs of implant rupture, capsular contracture, or any other issues. For example, if the implants are palpable or visible through the skin, it may indicate a problem. The surgeon may also measure the breasts and note any asymmetry.

Discussion of Goals

Patients should clearly communicate their goals for the surgery. Whether it is to remove the implants due to medical reasons or to achieve a certain aesthetic outcome, the surgeon needs to understand the patient's expectations. For example, a patient may want to have a breast lift in addition to implant removal to achieve a perkier breast profile. The surgeon will then discuss the available options and recommend the most suitable approach.

Review of Options and Risks

The surgeon will explain the different surgical techniques and options available for breast implant removal. This may include whether a capsulectomy is necessary and the type of capsulectomy (total or partial). They will also discuss the risks associated with the surgery, such as bleeding, infection, and changes in nipple sensation. Patients should feel free to ask questions during this stage to ensure they fully understand the procedure and its implications.

Preparation for Surgery

Proper preparation is essential for a successful breast implant removal surgery and a smooth recovery.

Medical Clearance

Patients may need to obtain medical clearance from their primary care physician or other specialists, especially if they have any underlying medical conditions. This ensures that the patient is in good health to undergo the surgery. For example, a patient with high blood pressure may need to have their blood pressure under control before the surgery.

Imaging Tests

Depending on the patient's situation, the surgeon may order imaging tests such as an ultrasound, mammogram, or MRI. These tests can help determine the condition of the implants and the surrounding tissue. For instance, an MRI can detect a silicone implant rupture that may not be visible on a physical examination.

Lifestyle Changes

Patients are usually advised to make some lifestyle changes before the surgery. This includes quitting smoking if they are smokers, as smoking can impede the healing process. They may also need to avoid taking certain medications and supplements that can increase the risk of bleeding, such as aspirin and fish oil. A healthy diet and regular exercise are also recommended to improve overall health and enhance the body's ability to recover.

Pre - operative Instructions

Patients will receive detailed pre - operative instructions from the surgeon, which may include guidelines on eating and drinking before the surgery, when to stop taking certain medications, and what to wear on the day of the surgery. They will also be provided with prescriptions for medications to be taken before and after the surgery, such as antibiotics and painkillers.

The Surgery Procedure

Breast implant removal surgery can be performed under different types of anesthesia, depending on the patient's condition and the surgeon's preference.

Anesthesia

Commonly, breast implant removal is performed with local anesthesia and intravenous sedation or “twilight” anesthesia. This allows the patient to be asleep and comfortable during the procedure. In some rare cases, only local anesthesia may be used. A board - certified anesthesiologist will monitor the patient's vital signs throughout the surgery to ensure their safety.

Incision and Implant Removal

If possible, the surgeon will use the existing incisions from the initial breast augmentation surgery to remove the implants. This can help minimize scarring. Once the incision is made, the surgeon will access the breast pocket and carefully remove the implants. In cases of implant rupture or capsular contracture, the surgeon may also need to remove the surrounding scar tissue (capsule). When the implant and the capsule are removed together, it is called en - bloc resection.

Closure of Incisions

After the implants and any necessary tissue have been removed, the surgeon will close the incisions. Multiple layers of internal, dissolving sutures are typically used, and an external layer of sutures may be added if needed. The surgeon may also place a layer of gauze or a bandage over the incisions to promote healing.

Recovery Process

The recovery process after breast implant removal varies from patient to patient, but there are some general guidelines.

Immediate Post - operative Period

After the surgery, the patient will recover in a recovery suite while being monitored by a nurse. A specialized local anesthesia may be used to reduce discomfort. Since breast implant removal is an outpatient procedure, the patient can usually return home the same day. However, they will need an escort to drive them home as they will not be able to drive for 24 hours after the administration of anesthesia.

Initial Recovery

In the first few days after surgery, the patient may experience swelling, bruising, and soreness in the breast area. They may also feel tired as their body is using energy to heal. Most patients are advised to take it easy and avoid strenuous activities. They may need to wear a specialized bra or bandage to support the breasts and reduce swelling.

Return to Normal Activities

Many patients can return to light activities within three to five days. However, they should avoid aerobic activity for three to four weeks and heavy lifting for about six to eight weeks. The surgeon will provide an individualized recovery plan based on the patient's specific situation. For example, if a patient had a more complex procedure like an en - bloc capsulectomy, their recovery time may be longer.

Long - term Recovery

It may take several months for the final results to be visible. During this time, the swelling and bruising will gradually fade, and the scars will start to soften and become less noticeable. Some patients may experience a loss of feeling in the breast area, which usually improves over time. The majority of patients do not require a breast lift after surgery, as their breasts often return to their pre - operative shape naturally.

Conclusion

Breast implant removal is a significant decision that requires careful consideration. There are many qualified plastic surgeons in New York City who can perform this procedure safely and effectively. The reasons for breast implant removal can range from medical necessity to cosmetic preference, and each patient's case is unique. Through proper consultation, preparation, and post - operative care, patients can achieve their desired results and improve their quality of life. If you are considering breast implant removal, it is important to do your research, choose a reputable surgeon, and have an open and honest conversation with them about your goals and concerns.

Take the next step towards your desired breast implant removal by reaching out to one of the top surgeons in New York City. Schedule a consultation to discuss your specific situation and get personalized advice. Share this article with others who may be interested in learning more about breast implant removal surgery.