Introduction

Breast augmentation with prostheses is a common cosmetic procedure, but in some cases, women may choose to have their breast prostheses removed. The reasons for breast prosthesis removal can vary widely, including medical complications such as capsular contracture, breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), breast implant illness (BII), or dissatisfaction with the aesthetic results. In New York City, a hub of medical excellence, there are numerous public doctors available for breast prosthesis removal. This article aims to provide a comprehensive overview of the ranking of these doctors, including their expertise, patient reviews, and other relevant factors.

Factors Affecting the Ranking of Doctors for Breast Prosthesis Removal

Several factors are considered when ranking doctors for breast prosthesis removal. These factors play a crucial role in determining the quality of care and the success of the procedure.

1. Experience: Doctors with more years of experience in performing breast prosthesis removal surgeries are generally more likely to handle complex cases with precision. For example, a doctor who has been performing these surgeries for over 20 years has likely encountered a wide range of scenarios and developed effective techniques.
2. Board Certification: Board - certified plastic surgeons have met specific educational and professional standards. They have completed rigorous training and passed comprehensive exams in plastic and reconstructive surgery. This certification is an important indicator of a doctor's competence and expertise.
3. Patient Reviews: Reviews from previous patients can provide valuable insights into a doctor's bedside manner, surgical skills, and post - operative care. Positive reviews often indicate a high level of patient satisfaction, while negative reviews may raise concerns.
4. Success Rate: A doctor's success rate in breast prosthesis removal surgeries, including a low rate of complications such as infection, bleeding, and poor cosmetic outcomes, is a significant factor in the ranking.
5. Medical Awards and Recognition: Doctors who have received awards or been recognized by professional organizations are often at the forefront of their field. Awards can be an indication of their innovation, research contributions, and excellence in patient care.

Top - Ranked Doctors for Breast Prosthesis Removal in New York City

Based on multiple sources, including patient reviews and industry rankings, the following are some of the top - ranked doctors for breast prosthesis removal in New York City.

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 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, including en bloc capsulectomy when indicated. He also handles the removal of recalled Allergan textured breast implants associated with BIA - ALCL. His patients often refer others to him, which speaks volumes about his surgical results and patient satisfaction. He has performed custom breast removal surgeries on many celebrities and well - known persons, maintaining a reputation for exceptional surgical results and total discretion.

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 can address both aesthetic and medical issues related to breast implants, such as implant rupture, capsular contracture, and BIA - ALCL. Her patients have reported exceptional experiences, highlighting her comforting bedside manner and excellent surgical results.

Dr. Daniel Maman

Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He is certified by the American Board of Plastic Surgery and is a member of several professional organizations. His practice offers comprehensive breast implant revision services, which often involve breast prosthesis removal. He provides a 90 - minute consultation that includes a thorough review of the patient's medical history, in - depth physical assessment, and detailed operative plans. His team emphasizes convenience, comfort, and a smooth recovery for patients.

Other Prominent Doctors in New York City

There are also many other doctors in New York City who are well - known for their skills in breast prosthesis removal.

• Kevin Tehrani, MD, FACS: He practices at Aristocrat Plastic Surgery & Medaesthetics. With 21 years of experience, he is a board - certified plastic surgeon. He has 30 before & after images and offers virtual appointments and a free consultation. Patients have given him positive reviews for his work.
• Adam Schaffner, MD, FACS: A facial plastic and reconstructive surgeon at the Plastic Surgery Institute of New York. He has 21 years of experience and 3 board certifications. He offers gender - affirming care and has received 139 reviews from patients who have praised his work on implant replacement and breast augmentation.
• Darren Smith, MD, FACS: He practices at Darren M. Smith, MD, FACS. He is an experienced plastic and reconstructive surgeon with 24 before & after images available.

Breast Implant - Related Medical Issues and their Impact on Doctor Selection

Medical issues related to breast implants can significantly influence the choice of doctor for breast prosthesis removal.

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

BIA - ALCL is a rare type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. If left untreated, it can spread to nearby lymph nodes. Treatment typically involves surgically removing the implants and surrounding scar tissue. In more serious cases, chemotherapy or radiation may also be necessary. When dealing with BIA - ALCL, it is crucial to choose a doctor with experience in handling such cases. Doctors like Dr. Darrick Antell have the expertise to perform the necessary en bloc resection procedures to ensure the complete removal of the affected tissue.

Breast Implant Illness (BII)

Breast implant illness refers to a wide variety of symptoms that patients may report after breast augmentation or reconstruction with implants. These symptoms include fatigue, fever, gastrointestinal complaints, migraines, and more. The cause of BII is uncertain but is believed to be associated with pre - existing autoimmune problems. Doctors who are well - informed about BII can provide better guidance to patients considering breast prosthesis removal as a potential solution. They can also help manage the patient's expectations during and after the procedure.

Capsular Contracture

Capsular contracture occurs when the soft tissue envelope around the implant hardens, causing distortion and an abnormal appearance of the breasts. Severe cases can also cause pain and discomfort. Doctors with experience in treating capsular contracture can effectively remove the hardened scar tissue along with the implant. They understand the best surgical techniques to minimize the risk of recurrence and achieve good aesthetic results.

The Consultation Process with Doctors for Breast Prosthesis Removal

The consultation process is a crucial step in the breast prosthesis removal journey. It allows patients to communicate their concerns and goals with the doctor and helps the doctor assess the patient's suitability for the procedure.

Initial Evaluation

During the initial consultation, the doctor will thoroughly evaluate the patient's general health and medical history. This includes asking about any pre - existing medical conditions, previous surgeries, and current medications. If the patient is seeking breast prosthesis removal due to medical complications, it is important to discuss any symptoms they may be experiencing, such as pain, swelling, or changes in breast appearance.

Breast Assessment

The doctor will also assess the current condition of the patient's breasts. This may involve a physical examination, including measuring the breasts, evaluating the position and integrity of the implants, and checking for any signs of complications. The patient should bring any information they have about their existing implants, such as the type, size, and date of implantation, as well as details about their previous breast augmentation surgery.

Discussion of Surgical Options

Based on the patient's evaluation, the doctor will discuss the available surgical options for breast prosthesis removal. This may include the possibility of an en bloc capsulectomy, which involves removing the implant and the surrounding scar tissue as a single unit. The doctor will also explain the potential risks and benefits of each option and help the patient make an informed decision.

Customized Surgical Plan

The doctor will work with the patient to create a customized surgical plan that takes into account the patient's goals and expectations. This may involve pairing the explant surgery with another procedure, such as a breast lift, to achieve a more plump and rounded appearance. The doctor will also discuss the details of the procedure, including the expected duration, the type of anesthesia to be used, and the recovery process.

The Surgical Procedure for Breast Prosthesis Removal

The surgical procedure for breast prosthesis removal typically involves several steps.

Anesthesia

Breast prosthesis removal is typically performed with local anesthesia and intravenous sedation or 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 safety and comfort.

Implant Removal

If possible, the doctor will remove the implant through the existing incisions from the initial breast augmentation surgery. However, if the patient has experienced capsular contracture, silicone implant rupture, or is dealing with BIA - ALCL, it may be necessary to make a new incision or perform an en bloc resection. During en bloc resection, the implant and the surrounding scar tissue are removed as a single unit.

Closure of Incisions

After the implant is removed, the doctor will close the incisions using 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 aid in healing.

Recovery and Aftercare

The recovery and aftercare process is an important part of the breast prosthesis removal journey.

Immediate Post - Operative Care

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

Discharge Instructions

Upon leaving the facility, the patient will be provided with thorough discharge instructions. These instructions may include guidelines on eating and drinking, rest, and taking medications. The patient should follow these instructions carefully to ensure a smooth recovery.

Follow - Up Appointments

The patient will typically return to the doctor's office the day after surgery for a follow - up appointment. The doctor will monitor the healing process, check for any signs of complications, and remove any external sutures if necessary. Further follow - up appointments may be scheduled over the next few weeks and months to ensure proper healing and to address any concerns the patient may have.

Recovery Timeline

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. 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.

Cost Considerations

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

• Doctor's Fee: The fee charged by the doctor is based on their experience, reputation, and the complexity of the procedure. Well - known and highly experienced doctors may charge more for their services.
• Anesthesia Fee: The cost of anesthesia depends on the type of anesthesia used and the duration of the procedure.
• Facility Fee: If the surgery is performed in a hospital or an outpatient surgical center, there will be a facility fee. This fee covers the use of the operating room, equipment, and nursing staff.
• Additional Procedures: If the patient opts for additional procedures, such as a breast lift, along with the breast prosthesis removal, the cost will be higher.

It is important for patients to discuss the cost with their doctor during the consultation process and to check if their insurance covers any part of the procedure. Some insurance plans may cover breast prosthesis removal if it is deemed medically necessary.

How to Choose the Right Doctor for Breast Prosthesis Removal

Choosing the right doctor for breast prosthesis removal is a critical decision. Here are some tips to help patients make an informed choice.

1. Research: Look for doctors who specialize in breast prosthesis removal and have a good reputation. Check their credentials, including board certification, years of experience, and any awards or recognition they have received.
2. Read Patient Reviews: Patient reviews can provide valuable insights into a doctor's surgical skills, bedside manner, and post - operative care. Look for reviews on multiple platforms to get a comprehensive view.
3. Consultation: Schedule consultations with several doctors. During the consultation, ask questions about the doctor's experience with breast prosthesis removal, the surgical options available, the expected outcomes, and the potential risks. Pay attention to the doctor's communication style and how comfortable you feel discussing your concerns with them.
4. Before - and - After Photos: Ask to see before - and - after photos of the doctor's previous breast prosthesis removal patients. This can give you an idea of the doctor's aesthetic results and their ability to handle different cases.
5. Referrals: Seek referrals from friends, family, or other healthcare providers. A personal recommendation can be a valuable source of information.

Conclusion

In New York City, there are numerous public doctors available for breast prosthesis removal. The ranking of these doctors is based on factors such as experience, board certification, patient reviews, success rate, and medical awards. Doctors like Dr. Darrick Antell, Dr. Olivia Hutchinson, and Dr. Daniel Maman are among the top - ranked professionals in this field. The decision to have breast prosthesis removed is an important one, and it is crucial for patients to choose the right doctor. By considering the factors mentioned in this article and following the tips for doctor selection, patients can increase their chances of a successful breast prosthesis removal procedure.

If you are considering breast prosthesis removal, we encourage you to take the time to research your options, schedule consultations with different doctors, and make an informed decision. Share this article with others who may be interested in learning more about breast prosthesis removal in New York City, and explore related topics to gain a more comprehensive understanding of the process.