Introduction

Breast implant removal has become a significant procedure in the field of plastic surgery, especially in bustling cities like New York City. Women may opt for breast implant removal due to various reasons, such as implant expiration, changes in personal aesthetic preferences, or medical issues. In this article, we will explore the top plastic surgery hospitals and surgeons in New York City for breast implant removal, and also provide comprehensive information about the procedure itself.

Reasons for Breast Implant Removal

There are multiple reasons why a woman might choose to have her breast implants removed. These reasons can be broadly categorized into medical and non - medical factors.

Medical Reasons

• Implant Rupture or Leakage: Both saline and silicone implants can rupture or leak over time. Saline implants will deflate rapidly if they rupture, while silicone implants may have a more subtle leakage, which might require an MRI to detect. According to various studies, the implant rupture rates are about 5%.
• Capsular Contracture: This is the hardening of scar tissue that forms around an implant after it is placed in the body. Normally, the tissue is soft and unnoticeable, but it can become hard and painful, distorting the appearance of the breasts. The rate of capsular contracture is about 3 - 4% and increases gradually over the years.
• Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare type of non - Hodgkin lymphoma occurring in the scar tissue surrounding the implant. It is often associated with certain types of textured breast implants, which has led to the recall of some specific implants by the FDA.
• Chronic Pain: Some women may experience chronic pain in the breasts, neck, back, or shoulders due to the presence of large breast implants.
• Autoimmune or Inflammatory Syndrome Induced by Adjuvants (Asia) or Breast Implant Illness (BII): Patients may report a wide variety of symptoms such as fatigue, fever, gastrointestinal complaints, migraines, and more after undergoing breast augmentation with implants.

Non - Medical Reasons

• Change in Aesthetic Preferences: Over time, a woman's aesthetic goals may change. She may no longer desire the enhanced breast size or shape provided by the implants and wish to return to her natural breast size.
• Lifestyle Changes: Certain lifestyle changes, such as a more active or minimalist lifestyle, may make breast implants inconvenient or less appealing.

Top Plastic Surgeons and Hospitals for Breast Implant Removal in New York City

Breast Reconstruction Center of NYC

The breast surgery expert plastic surgeons at the Breast Reconstruction Center of NYC in Manhattan are highly trained in breast implant removal surgery. They are renowned for their advanced breast implants removal techniques. Most plastic surgeons at this center recommend breast augmentation patients to replace their breast implants every 10 - 15 years to ensure optimal implant hardness, texture, and resilience. They offer different types of breast implant removal procedures, including en bloc, partial capsulectomy, and total capsulectomy.

Procedures Offered

Contact Information

Address: 461 Park Ave S, #7K, New York, NY 10016. Phone: (212) 481 - 0110. Website: http://www.breastreconstructioncenternyc.com/best-breast-implant-removal-plastic-surgeon-in-manhattan-nyc

Dr. Darrick E. Antell

Dr. Darrick E. Antell is a top New York plastic surgeon, widely regarded as one of 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. He performs custom breast implant removal (explant) surgery and is known for his extraordinary experience, surgical skills, and beautiful results. He also performs the removal of the allergan textured breast implants recently recalled by the FDA due to their association with BIA - ALCL.

Patient Consultation and Experience

During the initial consultation, Dr. Antell thoroughly evaluates the patient's general health, medical history, and the current condition of the breasts. He works with the patient to create a proper surgical plan based on their desired outcome. Many of his breast implant removal patients are referred by former patients, which speaks to his excellent reputation.

Contact Information

Phone: (212) - 988 - 4040. He has privileges in numerous hospitals throughout New York City, and most patients prefer the procedure to take place in his discreet, private operating room located just across the street from world - renowned Lenox Hill Hospital.

Dr. Olivia Hutchinson

Dr. Olivia Hutchinson is recognized as a top breast implant removal surgeon in NYC, especially on the Upper East Side. With over 20 years of experience, she is skilled at evaluating patients with breast implant - related concerns. She addresses both aesthetic and medical issues related to breast implants and can advise on the best surgical options and course of action for each patient. In some cases, she may recommend a secondary procedure such as a breast lift to achieve the best aesthetic results.

Common Breast Implant Issues Addressed

• Aesthetic Issues: These include palpable or visible implants (folded, rippled, or wrinkled), implant rupture, leakage or deflation, implant malposition, capsular contracture, breast asymmetry, unsightly scars, and nipple or areola problems.
• Medical Issues: Such as severe capsular contracture, chronic pain, BIA - ALCL, breast implant illness (BII), infection, and bleeding.

Contact Information

Phone: (212) 452 - 1400. To book a consultation with Dr. Hutchinson, you can contact her office or call the provided number.

Millennial Plastic Surgery - Dr. David Shokrian

Dr. David Shokrian at Millennial Plastic Surgery is known for working with patients to create the perfect balance of surgical and natural remedies for breast implant removal. He understands the reasons why women may want to remove their breast implants and offers comprehensive consultations both virtually and in person.

Breast Implant Removal Process

Breast implant removal at Millennial Plastic Surgery is usually an outpatient procedure. The process includes anesthesia (either general anesthesia or intravenous sedation), making an incision under the breast or around/below the areola, removing the implants and any present scar tissue, and closing the incisions with stitches or skin adhesions.

Contact Information

Addresses: 56 West 45th Street, 4th floor, New York, NY 10036; 3190 Riverdale Ave., Level C #4A, Bronx, NY 10463. Phone: (212) 421 - 7123 for consultation.

The Breast Implant Removal Procedure

Consultation

The first step in the breast implant removal process is the consultation. During this stage, the plastic surgeon will evaluate the patient's general health, medical history, and the current condition of the breasts. The patient should bring any information they have about their existing implants and previous breast augmentation surgery. The surgeon will discuss the patient's desired outcome and explain the different procedures available, as well as the risks and recovery process. For example, if a patient is experiencing complications such as capsular contracture, the surgeon may perform an examination to confirm the diagnosis and then schedule the explantation surgery. If the issue is cosmetic, other options for breast implant replacement or breast enhancement may be explored.

Preparation

Before the surgery, the patient will need to follow certain preparation guidelines. These may include undergoing imaging tests such as an ultrasound, mammogram, or MRI, depending on factors like age and implant condition. The patient will also be given instructions on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may need to get pre - operative clearance from another doctor, especially if they have underlying medical conditions. Additionally, the patient should arrange for someone to drive them home after the surgery and assist them in the first few days of recovery.

Anesthesia

Breast implant removal is typically performed with local anesthesia and intravenous sedation or with another type of “twilight” anesthesia. In some rare cases, only local anesthesia may be used. A board - certified anesthesiologist will monitor the patient throughout the procedure to ensure their comfort and safety.

Surgical Process

If possible, the surgeon will remove the implant through the existing incisions from the initial breast augmentation surgery. However, if there are issues such as capsular contracture, silicone implant rupture, or textured breast implants with BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant. When the implant and scar tissue are removed simultaneously, it is called en - bloc resection. After the removal, the incisions are closed with multiple layers of internal, dissolving sutures, and a layer of external sutures if needed. A layer of gauze or a bandage may be placed over the breasts to speed healing. The surgery usually takes between one to three hours, and an en - bloc resection can take even longer.

Recovery

After the surgery, the patient will recover in a recovery suite while being monitored by a registered nurse. A specialized, long - lasting local anesthesia may be used to reduce discomfort. Since it is an outpatient procedure, the patient can return home the same day, but they will need an escort as they cannot drive for 24 hours after the administration of anesthesia. The breasts may be covered in a layer of gauze or a bandage, and the patient may feel tired or sore. Most patients can return to light activity 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. Some loss of feeling in the breast area and around the incisions is expected, and this numbness typically fades over time. There may also be some fluid drainage from the incision site. Patients will usually return to the office the day after the surgery for a follow - up, and if external sutures are used, they are usually removed around 7 - 10 days following the procedure. It may take several months before the final results are visible, and the scars will likely be firm and pink for at least six weeks before beginning to fade.

Risks and Complications

While breast implant removal is typically a safe procedure when performed by an experienced, board - certified plastic surgeon, there are still potential risks and complications. These include:

• Unfavorable Scarring: The incisions can leave scars, and in some cases, these scars may be more prominent or take longer to fade.
• Asymmetry: There may be a difference in the appearance or shape of the breasts after the removal.
• Infection: An infection can occur at the incision site, which may require antibiotics or further treatment.
• Bleeding: Excessive bleeding during or after the surgery can be a concern.
• Nipple Loss: In rare cases, there may be damage to the nipple during the procedure.
• Skin Loss: There could be a loss of skin around the incision area.
• Fat Necrosis: The death of fat cells in the breast tissue can occur.
• Fluid Collections: Fluid may accumulate in the breast area, which may need to be drained.
• Dysesthesias: Abnormal sensations in the breast or surrounding areas, such as numbness, tingling, or pain.
• Need for Revision Surgery: In some cases, a follow - up surgery may be required to correct any issues or achieve the desired results.

Cost of Breast Implant Removal

The cost of breast implant removal can vary depending on several factors. These factors include the complexity of the procedure, the type of anesthesia used, the location of the surgery, and whether any additional procedures are performed, such as a breast lift or replacement. On average, the cost may start around $3,000 - $6,000, but it can go up to $15,000 or more if a more complex procedure is required. If the procedure is deemed medically necessary due to a health risk, the insurance company may cover part or all of the cost. However, in most cases, breast implant removal for cosmetic reasons is not covered by insurance. Some practices may offer financing options, such as payment plans or third - party financing, to help patients manage the cost.

Conclusion

Breast implant removal is a significant decision for many women in New York City, whether it is for medical or non - medical reasons. The city is home to some of the top plastic surgeons and hospitals in the field, offering a range of procedures and personalized care. When considering breast implant removal, it is crucial to choose an experienced, board - certified plastic surgeon who can guide you through the process, explain the risks and benefits, and help you achieve your desired outcome. By being well - informed about the procedure, recovery, and potential costs, you can make the best decision for your health and well - being.

If you are considering breast implant removal, we encourage you to schedule a consultation with one of the top plastic surgeons mentioned in this article. Take the time to discuss your concerns and goals, and ask any questions you may have. Your journey towards a more comfortable and confident you starts with that first step. Share this article with others who may be interested in learning more about breast implant removal in New York City.