Introduction

Silicone breast implant removal has become an increasingly relevant procedure in New York City. As more women seek this option for various reasons, including medical complications, changing aesthetic preferences, or concerns about long - term effects, it is crucial to know which hospitals offer the best services. In this article, we will explore the top - ranked hospitals for silicone breast implant removal in New York City, the factors influencing their rankings, and what patients can expect during the process.

Factors Influencing Hospital Rankings

Several key factors contribute to the ranking of hospitals for silicone breast implant removal. Understanding these elements can help patients make informed decisions about where to undergo the procedure.

Surgeon Expertise

The skill and experience of the surgeons play a pivotal role. Surgeons who are board - certified, have extensive experience in breast implant removal procedures, and are up - to - date with the latest techniques are highly sought after. For example, surgeons like Dr. Darrick Antell, a top New York plastic surgeon, who has been listed in Harper’s Bazaar and other magazines as one of the best breast plastic surgeons in the country, bring a high level of expertise to the table. He has performed custom breast removal surgeries on many celebrities and well - known persons, which is a testament to his proficiency.

Success Rate

The success rate of the implant removal procedures is another crucial factor. A high success rate indicates that the hospital and its surgeons are capable of achieving the desired results with minimal complications. This includes successful removal of implants, management of scar tissue, and the ability to address any associated medical issues such as capsular contracture or breast implant - associated anaplastic large cell lymphoma (BIA - ALCL).

Patient Satisfaction

Patient reviews and satisfaction scores are important. Hospitals that prioritize patient comfort, communication, and after - care tend to have higher patient satisfaction rates. Patients look for a hospital where they feel heard, their concerns are addressed, and they receive proper support during the entire process, from consultation to recovery. For instance, patients have reported excellent experiences with Dr. Olivia Hutchinson and her staff, highlighting the calming atmosphere, cleanliness, and professional care they received.

Technology and Facilities

State - of - the - art technology and well - equipped facilities are essential. Advanced imaging techniques such as MRI and ultrasound can help in accurately diagnosing issues related to the implants. Additionally, hospitals with modern operating rooms and recovery suites can ensure a safe and comfortable surgical experience for patients. For example, Dr. Antell has a private, state - of - the - art outpatient surgery center located just across the street from Lenox Hill Hospital, fully accredited and equipped with the latest technology.

Range of Services

Hospitals that offer a comprehensive range of services related to breast implant removal are more highly ranked. This may include the option to perform additional procedures like breast lifts at the same time as implant removal, as well as the ability to handle complex cases such as the removal of recalled textured implants associated with BIA - ALCL.

Top - Ranked Hospitals for Silicone Breast Implant Removal in New York City

Steven Wallach MD, FACS

Dr. Steven Wallach offers breast implant removal procedures conveniently located to serve the areas of New York. He typically uses the previous breast implant surgical approach to access the pocket and remove the implants. During the procedure, if necessary, he also removes implant filler material from ruptured silicone implants.

Patient Selection

Good candidates for the procedure are generally healthy, non - smokers or those who stop smoking before the surgery, and need to stop taking blood - thinning medications. Patients with medical issues may require medical clearance from their primary care physician.

Benefits

The procedure can be medically necessary in cases of implant rupture or capsular contracture. It can also be done for cosmetic reasons when patients' preferences change. Patients may have the option to replace the old implants with new ones at the same time.

Procedure and Recovery

The surgery may be performed under intravenous (IV) sedation or general anesthesia. After the procedure, patients can expect swelling, bruising, and mild pain. They need a caregiver for about a day, and can usually return to light activity within three to five days.

Dr. Darrick Antell

Dr. Darrick Antell is widely regarded as one of the most experienced breast surgeons in the New York area and worldwide. He performs custom breast implant removal (explant) surgery and, when indicated, en bloc capsulectomy to remove the tissue around the breast implant. He also removes recalled allergan textured breast implants associated with BIA - ALCL.

Consultation

During the consultation, he thoroughly evaluates the patient's general health, medical history, and breast condition. He discusses the patient's desired outcome and creates a surgical plan, which may include pairing the explant surgery with a breast lift.

Procedure Location

Most patients prefer to have the procedure in his private operating room across from Lenox Hill Hospital. The facility is fully accredited, discreet, and equipped with the latest technology.

Recovery

After the surgery, patients recover in his state - of - the - art recovery suite. It is an outpatient procedure, and patients are given thorough discharge instructions. Most patients can return to daily activities within days but should refrain from vigorous exercise for about two weeks.

Dr. Olivia Hutchinson

Recognized as a top breast implant removal surgeon in NYC, Dr. Olivia Hutchinson has over 20 years of experience evaluating patients with breast implant - related concerns. She can address both aesthetic and medical issues related to breast implants.

Aesthetic and Medical Issues

Aesthetic issues may include palpable or visible implants, rupture, leakage, implant malposition, and capsular contracture. Medical issues can be severe capsular contracture, chronic pain, BIA - ALCL, and breast implant illness (BII).

Approach

She advises patients on the various surgical options available and the best course of action to achieve their goals. In some cases, a secondary procedure like a breast lift may be necessary.

New York Group for Plastic Surgery

Patients at the New York Group for Plastic Surgery can choose between Dr. Andrew Salzberg or Dr. Jordan Jacobs for their breast implant removal. The surgeons remove the implants and surrounding scar capsules and clean the breast pocket.

Reasons for Procedure

Common reasons for the explant procedure include leaking or ruptured implants, pain or complications, replacement of damaged implants, improvement of aesthetics, and removal of capsular contracture.

Preparation and Recovery

Patients need to avoid certain medications before the procedure, arrange for transportation and post - operative care, and undergo a breast examination. Recovery is similar to that of breast augmentation surgery, with most patients able to resume light activities within one week and more vigorous activity in about six weeks.

Pre - Procedure Considerations

Before undergoing silicone breast implant removal, patients need to take several important steps to ensure a smooth and successful procedure.

Medical Evaluation

A comprehensive medical evaluation is essential. This includes a review of the patient's medical history, current medications, and any pre - existing health conditions. Surgeons may also order imaging tests such as an MRI or ultrasound to assess the condition of the implants and surrounding tissue. For example, an MRI can help determine if a silicone implant has ruptured, as a leaking silicone implant may not show obvious external signs.

Medication Management

Patients need to stop taking certain medications that can increase the risk of bleeding during surgery. This includes aspirin, ibuprofen, anti - inflammatory medications, and blood - thinners like coumadin and heparin. It is important to inform the prescribing physician about the planned implant removal procedure so that they can provide appropriate guidance on when to stop taking these medications.

Emotional Preparation

Undergoing any surgical procedure can be emotionally challenging. Patients should take the time to understand the procedure, its potential risks and benefits, and what to expect during recovery. They can discuss their concerns with their surgeon, family, and friends. Joining support groups or reading about other patients' experiences can also help alleviate anxiety.

The Implant Removal Procedure

Anesthesia

There are different anesthesia options available for breast implant removal. Local anesthesia with intravenous sedation or "twilight" anesthesia is commonly used. This allows the patient to be relaxed and comfortable during the procedure while still being able to communicate with the surgical team. In some cases, general anesthesia may be required, especially for more complex procedures or if the patient prefers to be completely unconscious.

Incision Placement

The incisions for implant removal can be made in different locations. The most common sites are the crease under the breast (inframammary fold), around the areola, or in the armpit (transaxillary). The choice of incision location depends on several factors, including the type and location of the previous breast implant surgery, the condition of the implants, and the surgeon's preference.

Implant and Scar Tissue Removal

Once the incisions are made, the surgeon will carefully remove the implants. In cases where there is scar tissue around the implants (capsular contracture), the surgeon may perform a capsulectomy to remove the scar tissue as well. Special care is taken to ensure that all silicone gel, if the implant has ruptured, is removed from the breast pocket.

Closure

After the implants and scar tissue are removed, the surgeon will close the incisions using sutures. In some cases, multiple layers of internal, dissolving sutures may be used, along with an external layer of sutures if necessary. A layer of gauze or a bandage may be placed over the incisions to aid in healing.

Recovery Process

Immediate Post - Procedure

After the surgery, patients will be taken to a recovery room where they will be monitored by medical staff. They may experience some discomfort, swelling, and bruising around the breasts. Pain relief medication will be provided to manage any pain. Patients will need someone to drive them home and should plan to rest for the remainder of the day.

Short - Term Recovery

In the first few days after the procedure, patients should expect to have limited physical activity. They may need to wear a compression bra to help reduce swelling and support the breasts. Most patients can return to light activities such as walking 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.

Long - Term Recovery

It may take several months for the final results of the implant removal to become apparent. Swelling and bruising will gradually subside, and the breasts will return to a more natural shape. Some patients may experience numbness in the breast area, which usually fades over time. It is important to follow up with the surgeon regularly to monitor the healing process and address any concerns.

Potential Risks and Complications

As with any surgical procedure, breast implant removal carries some risks and potential complications.

Infection

There is a risk of infection at the incision site. This can be minimized by following the surgeon's instructions regarding wound care, taking prescribed antibiotics, and keeping the incision area clean. Signs of infection include redness, swelling, pain, and discharge from the incision.

Bleeding

Bleeding can occur during or after the surgery. Although this is rare, patients should be aware of the signs, such as excessive swelling, bruising, or a sudden increase in pain. If bleeding occurs, it may require additional treatment, such as compression or, in severe cases, surgical intervention.

Scarring

Scarring is a common concern after breast implant removal. The appearance of the scars can vary depending on factors such as the incision location, the patient's skin type, and how well the wound heals. Surgeons will try to minimize scarring by using appropriate incision techniques and providing post - operative scar management advice.

Asymmetry

There is a possibility of breast asymmetry after implant removal. This can be due to factors such as uneven scar tissue removal, differences in breast tissue, or natural changes in the breasts over time. In some cases, additional procedures may be required to correct asymmetry.

Other Complications

Other potential complications include nipple loss, skin loss, fat necrosis, fluid collections, dysesthesias (abnormal sensations), and the need for revision surgery.

Cost Considerations

The cost of silicone breast implant removal in New York City can vary widely depending on several factors.

Factors Affecting Cost

Factors that influence the cost include the complexity of the procedure, the experience of the surgeon, the location of the hospital or surgical facility, and any additional procedures that may be required. For example, if a patient also wants a breast lift at the same time as implant removal, the cost will be higher.

Insurance Coverage

In most cases, breast implant removal procedures are not covered by health insurance. However, if the removal is medically necessary, such as in cases of implant rupture, capsular contracture, or BIA - ALCL, insurance may cover part or all of the cost. Patients should check with their insurance provider to determine their coverage.

Conclusion

In New York City, there are several top - ranked hospitals and surgeons offering high - quality silicone breast implant removal services. Factors such as surgeon expertise, success rate, patient satisfaction, technology, and range of services play a significant role in determining the rankings. Patients considering breast implant removal should thoroughly research their options, understand the pre - procedure, procedure, and recovery processes, and be aware of the potential risks and cost implications. By making an informed decision and choosing a reputable provider, patients can achieve the best possible results and regain confidence in their bodies.

If you are considering silicone breast implant removal in New York City, we encourage you to schedule a consultation with one of the top - ranked surgeons mentioned in this article. Take the time to discuss your concerns, ask questions, and ensure that you are comfortable with the chosen provider. Share this article with others who may be interested in this topic, and explore our related resources for more information on breast health and cosmetic procedures.