Introduction
Breast augmentation has been a popular cosmetic procedure for many years, but as time goes on, some women may choose to have their breast implants removed. In New York City, there is a growing demand for breast augmentation prosthesis removal due to various reasons. This article will explore the predicted list of breast augmentation prosthesis removal in New York City in 2025, including the reasons for removal, the types of procedures available, the recovery process, and more.
Reasons for Breast Augmentation Prosthesis Removal
There are several reasons why women may decide to have their breast implants removed. These reasons can be categorized into medical and non - medical factors:
Medical Reasons
- Capsular Contracture: This is a common complication where scar tissue forms around the implant and tightens, causing pain, distortion of the breast shape, and discomfort. According to studies, the rate of capsular contracture is about 3 - 4%, and it gradually increases over the years.
- Implant Rupture or Leakage: Both saline and silicone implants can rupture. A saline implant rupture is usually obvious as the breast deflates, while a silicone implant rupture may be silent. If a silicone implant ruptures, the gel can leak into the surrounding tissue and cause irritation.
- Breast Implant Illness (BII): Although not recognized by all insurance companies as a covered medical diagnosis, many women report symptoms such as chronic fatigue, brain fog, joint aches, and skin and hair problems after getting breast implants. Once the implants are removed, these symptoms often resolve.
- Infection: Breast implants are at a higher risk of infection than natural breast tissue. If the implant becomes infected, it usually needs to be removed to treat the infection.
- Anaplastic Large Cell Lymphoma (ALCL): There is an association between breast implants and a rare type of non - Hodgkin lymphoma called ALCL, especially in textured breast implants. The incidence of breast implant - associated ALCL (BIA - ALCL) is approximately 1 in 450 women with textured breast implants.
- Breast Implant - Associated Squamous Cell Carcinoma (BIA - SCC): This is an even rarer but potentially aggressive epithelial - based cancer that appears to be associated with breast implants.
Non - Medical Reasons
- Change in Aesthetic Preferences: Over time, a woman's personal taste in appearance may change. She may no longer like the size, shape, or feel of her breast implants and wish to return to her natural breast size or choose a different type of augmentation.
- Lifestyle Changes: Some women may find that their breast implants are no longer suitable for their active lifestyles, causing discomfort during physical activities.
- Age - Related Changes: As women age, their breasts naturally change in size and shape. The implants may no longer fit well with these age - related changes.
Types of Breast Augmentation Prosthesis Removal Procedures in NYC
En Bloc Removal
En bloc removal involves removing the entire implant, including the capsule that forms around it, 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. It reduces the risk of rupturing or spilling silicone gel into the body during surgery. A skilled surgeon is required for this procedure, as 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.
Capsulectomy
Capsulectomy is the removal of 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 the procedure, an incision is made around the perimeter of the capsule, and it is dissected away from the surrounding tissues.
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. An incision is made around the perimeter of the areola or underneath the breast fold, the implant and surrounding scar tissue are removed, and then the remaining breast tissue is lifted.
Explantation with Fat Transfer
Explantation with fat transfer 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 suitable for patients who want to remove their implants but still desire some degree of breast augmentation. After removing the implant and scar tissue, fat is harvested through liposuction, purified, and then injected into the breast tissue.
Top Surgeons in NYC Specializing in Breast Augmentation Prosthesis Removal
Dr. Brian Bassiri - Tehrani at Pearlman Aesthetic Surgery
Dr. Bassiri - Tehrani provides personalized breast explant surgery in NYC. He offers capsulectomy and capsulotomy procedures to remove implants and/or scar tissue. With an individualized approach, he listens to each patient's concerns and goals and creates a tailored treatment plan. The surgery takes place in their state - of - the - art operating room in Manhattan, and the recovery process is well - supported by the medical team.
Dr. Steven Wallach
Dr. Wallach is a well - known plastic surgeon who performs breast implant removal. He uses the previous breast implant surgical approach to access the pocket and remove the implants. During the consultation, he walks patients through the options and techniques available for their procedure, aiming to provide the best results with the least amount of scarring. He also addresses non - medical and medical reasons for implant removal and can help patients decide if they want to replace the implants.
Dr. David Shokrian at Millennial Plastic Surgery
Dr. Shokrian has experience in breast implant removal and creates a balance of surgical and natural remedies for patients. He performs the procedure as an outpatient in his well - appointed offices in midtown Manhattan. His team provides comprehensive consultations and after - care support to ensure patients feel comfortable throughout the process.
Dr. Constance M. Chen
Dr. Chen has 20 years of expertise in performing breast implant removal through a limited - scar technique. She performs an en bloc capsulectomy through an incision limited to the patient's existing scar, which is a unique approach. She removes the entire breast implant and capsule in one piece without extending the original scar, addressing various reasons for implant removal such as BII, capsular contracture, and rupture.
Dr. Darrick Antell
Dr. Antell is a top New York plastic surgeon widely regarded as being among the most experienced breast surgeons. He performs custom breast implant removal (explant) surgery and also an en bloc capsulectomy when indicated. He has an impeccable reputation for his exceptional surgical results, performed with total discretion, and many of his patients are referred by former patients.
Dr. Darren Smith
Dr. Smith performs breast implant removal surgery in his state - of - the - art medical facility in NYC. He often uses the original incision from breast augmentation to minimize scarring and helps patients decide whether to replace the implants or not based on their individual needs and body goals.
Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery
Dr. Zuckerman offers breast implant removal and exchange procedures. He is meticulous in employing techniques that aim to minimize scarring and optimize recovery. He understands the personal nature of the decision to remove or exchange implants and guides patients through every step of the process.
Choosing the Right Surgeon
When choosing a surgeon for breast augmentation prosthesis removal in NYC, several factors should be considered:
Qualifications
Look for a board - certified plastic surgeon with credentials such as American Board of Plastic Surgery (ABPS) certification or membership in professional organizations like the American Society of Plastic Surgeons (ASPS). These certifications ensure that the surgeon has undergone rigorous training and has the necessary skills and knowledge to perform the procedure safely and effectively.
Experience
Experience is crucial in breast implant removal. A surgeon who has performed many successful surgeries similar to what you need can provide realistic expectations about the outcome of the procedure and minimize the risks associated with it. Ask about the number of breast implant removal surgeries they have performed and their success rate.
Patient Reviews
Read patient reviews on online platforms like RealSelf.com or Yelp. These reviews can give you an idea of the surgeon's bedside manner, communication skills, and the overall satisfaction of their patients. Look for comments about the results of the surgery, the recovery process, and the level of care provided.
Facility
Choose a surgeon who operates in a reputable facility with experienced staff and state - of - the - art equipment. The facility should be accredited to ensure the highest standards of safety and quality during the surgery.
The Consultation Process
The consultation is a crucial step in the breast augmentation prosthesis removal process. Here's what you can expect during the consultation:
Medical History Assessment
The surgeon will assess your medical history in detail, including any previous surgeries, medical conditions, medications, and supplements you are currently taking. They will also ask about any allergies that could potentially impact your ability to undergo surgery safely.
Physical Examination
The surgeon will perform a physical examination of your breasts, checking for any signs of complications such as capsular contracture, rupture, or infection. They may also measure your breasts and assess the skin elasticity to determine the best approach for the removal procedure.
Discussion of Reasons for Removal
You should discuss your reasons for wanting to remove your breast implants with the surgeon. Whether it's due to medical complications, aesthetic preferences, or lifestyle changes, the surgeon can better tailor the treatment plan to meet your individual needs and expectations.
Explanation of the Procedure
The surgeon will explain the different types of removal procedures available, including en bloc removal, capsulectomy, explantation with mastopexy, and explantation with fat transfer. They will discuss the pros and cons of each procedure and recommend the most suitable one for you based on your situation.
Recovery and After - care
The surgeon will also provide information about the recovery process, including the expected downtime, pain management, and any restrictions on activities. They will give you instructions on how to care for yourself after the surgery, such as wearing a compression garment, taking medications, and attending follow - up appointments.
Cost and Financing
The cost of breast augmentation prosthesis removal can vary depending on several factors, such as the type of procedure, the complexity of the case, and the surgeon's fees. The surgeon's office will provide you with a cost estimate and may discuss financing options if needed.
Preparing for Breast Augmentation Prosthesis Removal Surgery
Consultation Follow - up
After the consultation, follow the surgeon's pre - operative instructions carefully. This may include dietary restrictions, such as avoiding food and drink after midnight on the night before the surgery, and stopping the use of certain medications or supplements that can increase the risk of bleeding, such as aspirin and ibuprofen.
Stop Smoking
Smoking can increase the risk of complications during surgery and slow down the healing process. It is important to stop smoking at least two weeks before the surgery. If you need help quitting, talk to your doctor about available options.
Arrange for Post - operative Care
Since breast implant removal is usually an outpatient procedure, you will need someone to drive you home after the surgery and stay with you for at least 24 hours to help with daily activities. Make sure you have comfortable clothing that is easy to put on and take off after the surgery, and prepare a quiet and comfortable place to rest during the recovery period.
Follow - up Appointments
Schedule all the necessary follow - up appointments with the surgeon after the surgery. These appointments are important for monitoring your recovery, checking for any complications, and ensuring that you are healing properly.
What to Expect During the Surgery
Anesthesia
Most breast augmentation prosthesis removal surgeries are performed under general anesthesia or intravenous sedation to ensure your comfort during the procedure. The type of anesthesia used will depend on your medical history and preferences, as well as the surgeon's recommendation.
Incision
The surgeon will make an incision in the same location as the original breast augmentation incision to remove the implant. This helps to minimize scarring. In some cases, if there is a need to access the capsule or remove scar tissue, a larger or additional incision may be required.
Implant and Capsule Removal
The surgeon will remove the breast implant and, if necessary, the surrounding capsule and scar tissue. If the implant has ruptured, special care will be taken to remove any leaked silicone gel or saline solution from the surrounding tissues.
Closure
After the implant and capsule are removed, the incisions will be closed with stitches or skin adhesions. The surgeon may also place a layer of gauze or a bandage over the incisions to protect them and promote healing.
The Recovery Process
Immediate Post - operative Period
After the surgery, you will be taken to a recovery room where your vital signs will be monitored closely. You may experience some swelling, bruising, and pain in the breast area, which can be managed with pain medication prescribed by the surgeon. You will also be given a compression garment or support bra to wear to reduce swelling and support the breasts during the healing process.
First Week
The first week after surgery is usually the most uncomfortable. You should rest as much as possible and avoid any strenuous activities or heavy lifting. You may need to change the bandages and clean the incision sites as instructed by the surgeon. Most patients are able to return to light activities within a few days, but it is important to follow the surgeon's advice on activity restrictions.
Two Weeks to Six Weeks
As the swelling and bruising gradually subside, you can start to increase your activity level. However, you should still avoid intense exercise and heavy lifting for at least six weeks. The surgeon will monitor your progress during follow - up appointments and may adjust the treatment plan if necessary.
Long - term Recovery
It may take several months for your breasts to fully recover and for the final results to be visible. The skin will contract, and any remaining breast tissue will re - expand. You may notice some changes in the appearance and texture of your breasts over time. It is important to be patient and follow the surgeon's long - term after - care instructions.
Risks and Complications
Like any surgical procedure, breast augmentation prosthesis removal carries some risks and complications:
Infection
There is a risk of infection at the incision site or in the breast tissue. Signs of infection include redness, swelling, pain, and fever. If you notice any of these symptoms, contact your surgeon immediately.
Bleeding
Bleeding can occur during or after the surgery. In some cases, a hematoma (a collection of blood) may form, which may require additional treatment.
Scarring
Although the surgeon will try to minimize scarring, there will be some scarring at the incision site. The appearance of the scars will depend on various factors, such as your skin type and how well you heal. In some cases, scar revision surgery may be required to improve the appearance of the scars.
Asymmetry
There is a risk of asymmetry in the breasts after the removal of the implants. This may be due to differences in the amount of remaining breast tissue, the way the skin contracts, or other factors. In some cases, additional procedures may be needed to correct the asymmetry.
Changes in Sensation
You may experience changes in nipple or breast sensation after the surgery. This can range from temporary numbness to permanent changes in sensitivity. In most cases, the sensation will gradually improve