Introduction
Breast augmentation is a popular cosmetic procedure aimed at increasing breast size, enhancing shape, or improving symmetry. However, there are various reasons why a person might choose to have their breast implants removed, such as medical complications, dissatisfaction with the results, or lifestyle changes. In New York City, a new ranking list of hospitals for breast augmentation prosthesis removal surgery has been released, along with a price list to help patients make informed decisions. This article will delve into the details of breast implant removal, including the best hospitals in New York City, the associated costs, and important considerations before and after the procedure.
Understanding Breast Implant Removal
Reasons for Breast Implant Removal
There are several reasons why a woman might decide to have her breast implants removed:
- Medical Complications: This can include infections, bleeding, alterations in nipple or breast sensations, implant leakage or rupture, and the development of scar tissue. One particular concern is breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), a type of non - Hodgkin lymphoma occurring in the scar tissue surrounding the implant. The FDA has recalled certain textured breast implants due to their association with a higher rate of BIA - ALCL.
- Dissatisfaction with Results: Some women may be unhappy with the outcome of their original breast augmentation and wish to return to their natural breast size.
- Lifestyle Changes: Lifestyle factors may also prompt a decision to remove breast implants. For example, a woman may find that the implants are no longer compatible with her daily activities or personal preferences.
Procedure Overview
The goal of breast implant removal surgery is to remove breast implants and any scar tissue that has formed around the implants. If possible, the surgeon will remove the implant through the existing incisions from the initial breast augmentation surgery. However, in cases of capsular contracture, silicone implant rupture, or textured breast implants associated with BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant in a procedure called en - bloc resection. The surgery usually takes between one to two hours to complete, and an en - bloc resection can take even longer.
The New Ranking List of Hospitals in New York City for Breast Implant Removal
While a comprehensive ranking list might not be publicly available in all aspects, some well - known hospitals and surgeons in New York City stand out for breast implant removal procedures:
Dr. Darrick Antell
Dr. Darrick Antell is a top New York plastic surgeon, widely regarded as being among the most experienced breast surgeons both 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. Dr. Antell performs custom breast implant removal (explant) surgery and, when indicated, an en bloc capsulectomy. Many of his breast implant removal patients are referred by former patients, speaking volumes about his reputation. He has performed custom breast removal surgeries on many celebrities and other well - known persons in New York and beyond. His facility has a private back entrance to ensure total discretion, and it is a state - of - the - art outpatient surgery center fully accredited, designed for patient comfort and equipped with the latest technology.
Mount Sinai - New York
Mount Sinai's plastic surgeons have extensive experience in performing various breast - related procedures. Although information specific to breast implant removal may be less prominent compared to breast augmentation, their expertise in breast surgeries and use of advanced 3D imaging technology during breast augmentation consultations suggests a high - level of proficiency in related breast procedures. They can help patients visualize potential results and make informed decisions, which is also beneficial in the context of breast implant removal.
Price List for Breast Implant Removal in New York City
The cost of breast implant removal can vary significantly depending on several factors. According to the American Society of Plastic Surgeons, the average cost of breast implant removal surgery is $3,979. However, this average cost is only part of the total price – it does not include anesthesia, operating room facilities, or other related expenses.
A report from Sidecar Health shows that in New York, the average outpatient hospital cash price for breast implant removal is $6,165, and the average surgery center cash price is $3,412. However, these are just averages, and the actual cost for an individual patient can be affected by:
- Surgeon's Fee: Experienced and well - known surgeons may charge higher fees.
- Hospital or Surgical Facility Costs: The location and quality of the facility can impact the cost.
- Anesthesia Fees: The type of anesthesia used and the anesthesiologist's experience are factors.
- Prescriptions for Medication: Post - surgery medications are an additional cost.
- Post - surgery Garments: Specialized garments may be required for recovery.
- Medical Tests and X - rays: Pre - and post - operative tests are necessary.
Many plastic surgeons offer patient financing plans for breast implant removal in instances where health insurance does not cover it. It's important to consult with your plastic surgeon's office to determine your final fee.
Pre - operative Considerations
Consultation
During the initial consultation, the surgeon will thoroughly evaluate your general health and medical history, as well as assess the current condition of your breasts. If you are having the implants removed due to medical complications, it is crucial to discuss any symptoms you may be experiencing. Bring any information you have about your existing implants and your previous breast augmentation surgery to the appointment. Have an open and honest conversation with the surgeon about your desired outcome so that you can work together to create the proper surgical plan. The surgeon may recommend pairing the explant surgery with another procedure, such as a breast lift (mastopexy), to achieve a more plump, rounded appearance.
Preparation
Based on factors such as age and implant condition, the surgeon may send you for imaging, such as an ultrasound, mammogram, or MRI, prior to the procedure. You will be given guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. You may be given prescriptions that should be filled prior to your surgery. Depending on your history, you may be asked to provide pre - operative clearance from another doctor. Since the procedure is often performed under “twilight” sedation, you should arrange for someone to drive you home after your surgery and ensure you have someone to assist you in your first few days of recovery.
Post - operative Care and Recovery
Immediate Aftermath
After undergoing the surgery, you will recover in a recovery suite while being monitored by a registered nurse until you feel well enough to be discharged. A specialized, long - lasting local anesthesia will be used to reduce discomfort. Breast implant removal is an outpatient procedure, meaning you can return home the same day as the procedure. However, when performed with “twilight” sedation, you should be prepared to have an escort to bring you home, as you will not be able to drive for 24 hours after the administration of anesthesia. Upon leaving the facility, you will be provided with thorough discharge instructions that will guide you through the initial post - operative period.
Recovery Process
After surgery, your breasts may be covered in a layer of gauze or a bandage. You may feel tired or sore as your 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 intricacies of your customized procedure and your rate of healing. It is important to follow all post - operative instructions carefully and refrain from activities that could put stress on your incisions. Some loss of feeling in the breast area and around the incisions is expected, and this numbness typically fades over time. You may also notice some fluid drainage from the incision site. In most cases, patients do not require a breast lift after surgery, as their breasts generally return to their pre - operative shape naturally. You will typically return to the office the day after your surgery so that the surgeon can monitor your healing process. If external sutures are used during surgery, they are usually removed around 7 - 10 days following your 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. Your scars will likely be firm and pink for at least six weeks before beginning to fade.
Potential Risks and Complications
As with any surgical intervention, breast implant removal comes with its own set of risks and potential complications. These may include:
- Bleeding: There is a risk of excessive bleeding during or after the surgery.
- Infection: Infections can occur at the incision site or in the breast tissue.
- Numbness: Numbness at the incision site or in the breast area may occur and may be temporary or permanent.
- Adverse Reaction to Anesthesia: Some patients may have an adverse reaction to the anesthesia used during the procedure.
- Unsatisfactory Results: There is a possibility that the results may not meet your expectations, and further surgeries may be required.
It is essential to have an extensive conversation with your healthcare provider about these potential risks before making a decision to undergo the surgery.
Alternatives to Breast Implant Removal
If you are considering breast implant removal but are not sure if it is the right option for you, there may be alternatives to explore:
- Breast Implant Revision: This surgery corrects or replaces earlier breast implants, enhancing shape, size, and position for improved aesthetics and feel.
- Breast Capsulectomy: The procedure involves surgical removal of scar tissue around a breast implant, improving comfort and appearance without necessarily removing the implant.
Conclusion
The new ranking list of hospitals for breast augmentation prosthesis removal surgery in New York City, along with the price list, provides valuable information for women considering this procedure. It is important to carefully weigh the reasons for breast implant removal, understand the procedure, its associated costs, and the recovery process. Choosing an experienced and board - certified plastic surgeon is crucial to minimizing risks and achieving satisfactory results. Before making a decision, have an in - depth consultation with your surgeon, discuss all your concerns, and make sure you are fully informed.
If you are interested in learning more about breast implant removal in New York City, we encourage you to schedule a consultation with a reputable plastic surgeon. Share this article with others who may be considering the same procedure to help them make an informed decision.
