Introduction

Breast silicone prosthesis implantation repair is a crucial procedure for many women in New York City. Whether it's for cosmetic enhancement, reconstruction after breast cancer treatment, or revision of previous implants, choosing the right hospital is of utmost importance. In this article, we will explore the top five hospitals in New York City that specialize in breast silicone prosthesis implantation repair, highlighting their unique features and specialties.

1. Mount Sinai Hospital

Overview of Services

Mount Sinai stands at the forefront of breast reconstruction surgery. Their services include both primary breast implant surgery and breast implant revision. They offer different surgical approaches to meet the diverse needs of patients.

Implant Types

Breast implants at Mount Sinai are made of a flexible silicone casing filled with either saline (sterile salt water) or silicone gel (a soft gelatin - like substance). Many women find that silicone gel implants feel softer and more like a natural breast than saline implants. Both types of implants are approved by the U.S. Food and Drug Administration (FDA), ensuring their safety.

Surgical Processes

There are two main surgical processes. The tissue expander process is usually a two - step process. First, the surgeon inserts a tissue expander (like an empty balloon) under the chest muscles. Over several weeks, the expander is inflated until the desired size and shape are reached. Then, a second surgical procedure is performed to replace the expander with the chosen saline or silicone implant. The direct - to - implant process is an option for eligible patients. This approach avoids the use of a tissue expander. The surgeon inserts the implant immediately behind the pectoralis major muscle, using innovative techniques to provide additional soft tissue support. If a patient does not have enough skin and muscle to cover the implant, other methods such as stretching the existing tissue over time with a tissue expander or Alloderm® (an acellular tissue matrix) may be used.

Expertise

C. Andrew Salzberg, MD, the chief of the division of plastic and reconstructive surgery at The Mount Sinai Hospital and professor of surgery at the Icahn School of Medicine at Mount Sinai, pioneered the direct - to - implant approach. Along with other highly skilled reconstructive surgeons, they are available to advise patients on the best options.

Implant Revision

If patients are not satisfied with the results of a previous breast augmentation or reconstruction procedure, Mount Sinai's breast implant revision specialists can help. They correct problems such as incorrectly positioned implants, wrinkled or rippled implants, capsular contracture, stretched tissues, sagging implants, and implant rupture. They may recommend new materials or meshes to stabilize the area around the implant and may suggest fat transfer to enhance the natural shape and texture of the breasts.

2. Millennial Plastic Surgery

General Information

Millennial Plastic Surgery is one of the best plastic surgery centers in New York City for silicone breast implant surgery. They have years of experience and a proven track record, and patients who have undergone surgery with them have been delighted with the results.

Location and Accessibility

The center is located on Fifth Avenue, one block from Central Park, making it easily accessible by subway or taxi.

Implant Options

They offer both saline and silicone gel breast implants. The medical team believes that patients should have the opportunity to choose the type of material for their cosmetic procedures. When considering breast augmentation, it is essential for patients to research and find a surgeon they feel comfortable with. Patients are encouraged to ask lots of questions to know what to expect from the procedure.

Patient - Surgeon Interaction

The plastic surgeons at Millennial Plastic Surgery work closely with patients to understand their goals and help them achieve the desired results. They take the time to discuss all the options and guide patients through the entire process, from consultation to post - operative care.

3. Dr. Darrick Antell's Practice

Surgeon's Reputation

Dr. Darrick Antell is one of the most renowned board - certified plastic surgeons in the world. Trained at Stanford and Cornell University, he is known for his exceptional surgical skills and use of advanced techniques. He is often a featured lecturer at national and international seminars, presenting his advancements in the field to other plastic surgeons. He has been named a “top plastic surgeon” by Town and Country, Vogue, and New York Magazine, and recognized by Harper’s Bazaar as one of the best breast plastic surgeons in the country due to his leadership in the field of custom breast surgery.

Breast Implant Revision

His practice specializes in breast implant revision surgery. This surgery involves replacing old breast implants with new ones for either cosmetic or medical reasons. Some women may want to change the size of their implants, while others may require new implants due to an implant rupture or capsular contracture.

Patient Consultation

During the initial consultation, Dr. Antell thoroughly evaluates the patient's general health and medical history, as well as assesses the current condition of the breasts. The breasts are examined and precisely measured in preparation for the surgery. If the patient wants to remove the implants due to medical complications, they should discuss any symptoms with Dr. Antell. It is also helpful to bring information about the existing implants and previous breast augmentation surgery. Dr. Antell will work with the patient to create a proper surgical plan, guiding them through the selection of the implant type, incision size, implant placement, and size based on their specific anatomy. He will also discuss the procedure, risks, and recovery in detail.

Pre - operative Preparation

Based on factors such as age and implant condition, Dr. Antell may send the patient for imaging, such as an ultrasound, mammogram, or MRI, prior to the procedure. The patient will be given guidelines on eating, drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. Prescriptions may be given to be filled before the surgery. Depending on the patient's history, pre - operative clearance from another doctor may be required. Since the procedure is performed under “twilight” sedation, the patient should arrange for someone to drive them home after the surgery and have assistance during the first few days of recovery.

Surgical Facility

Most patients prefer for the procedure to take place in his discreet, private operating room located just across the street from world - renowned Lenox Hill Hospital. The state - of - the - art outpatient surgery facility is fully accredited, designed for the patient's comfort, and equipped with the latest technology. It has a private back entrance to ensure total discretion, and all staff members are thoroughly trained to offer personalized care.

Complications and Risks

The most common complication after breast implant revision is capsular contracture, which can cause a misshapen appearance, hardening of the area, and pain. It can be treated by removing the implant and scar tissue and, if desired, placing new implants. Other complications include bleeding, infection, numbness, and implant rupture. Dr. Antell will provide a thorough discussion of all risks during the initial consultation.

Recovery and Results

After the surgery, the patient will recover in Dr. Antell's state - of - the - art recovery suite while being monitored by a nurse until they are well enough to be discharged. A specialized, long - lasting local anesthesia is used to decrease discomfort. It is an outpatient procedure, so the patient can return home the same day. Patients should have an escort as they cannot drive for 24 hours after the administration of anesthesia. Detailed discharge instructions will be provided to guide the patient through the initial post - operative period. Dr. Antell and his staff will be available to answer any questions during the recovery process. It may take several months for the final results to be visible, and patients should be patient with the recovery process. If the new appearance brings greater happiness and confidence or relieves medical problems, the surgery is considered a success.

4. NewYork - Presbyterian Hospital

Breast Reconstruction Services

NewYork - Presbyterian plastic and reconstructive surgeons offer the most advanced breast reconstruction surgery options and techniques. They have been leaders in the evolution of breast reconstruction, especially in nipple - sparing mastectomies with concurrent reconstruction, which they have been performing for the past 20 years.

Types of Breast Reconstruction

Breast reconstructions are typically performed on the same day as the mastectomy. There are two main types: autologous reconstruction and implant - based reconstruction. Autologous reconstruction uses the patient's own body tissue to reconstruct nerves and breast structure. At NewYork - Presbyterian, tissue from the abdomen, thighs, and buttocks can be used to reconstruct breast tissue. A novel reinnervation procedure during autologous reconstruction only takes about 20 minutes, where a nerve in the abdominal flap is reconnected to a nerve in the chest. During implant reconstruction, the nerves that supply the skin and nipple are preserved and reconnected to the breast skin and nipple. Diep flap reconstruction is an innovative technique that uses a flap of complete tissue from the abdomen to reconstruct the breast, creating a slimmer abdomen and natural - looking breasts. For implant - based reconstruction, although current practice guidelines discourage the use of textured implants, surgeons at NewYork - Presbyterian utilize both saline and silicone breast implants from all implant manufacturers to best meet the patient's clinical needs.

Patient Care

Whether the patient visits virtually through a video visit or in person, they can be assured of the highest standards of care with compassion. The hospital's team has taken every step to keep the facilities safe for the patient to continue their care.

5. Weill Cornell Medicine

Patient - Centered Approach

At Weill Cornell Medicine, the plastic and reconstructive surgeons are passionate about helping patients feel their best. Starting with the initial consultation, they work closely with patients to understand their goals and discuss the best options for their individual needs.

Advantages of Choosing Weill Cornell Medicine

Exemplary surgeons: Their surgeons are leaders in plastic and reconstructive surgery, and the care team is equipped to promote comfort throughout the process. Weill Cornell Medicine partners with NewYork - Presbyterian, one of the top hospital systems in New York City and the U.S. Individualized breast surgery: The plastic and reconstructive surgeons are highly skilled and can help patients achieve the natural look they want. They work with patients of all races, ethnicities, genders, and gender identities to make them feel confident in their appearance. Focus on comfort: The team prioritizes the patient's comfort at every step. Before surgery, patients have time to ask questions to feel comfortable with the procedure. In state - of - the - art surgical suites, the surgeons use the latest anesthetics and medications to help patients recover more quickly and heal faster. After surgery, the care team manages pain with medication and teaches patients how to care for themselves during the healing and recovery process.

Cosmetic Breast Surgery Options

Their team of surgeons offers a wide range of cosmetic breast surgery options, including breast reduction surgery, breast lift surgery (mastopexy), breast augmentation with implants, and diep flap surgery.

Comparison of the Five Hospitals

Considerations When Choosing a Hospital

Surgeon's Expertise

The experience and reputation of the surgeon are crucial. A highly skilled surgeon is more likely to achieve better results and handle any complications that may arise during the surgery.

Implant Options

Each patient has different preferences and needs regarding implant types, such as saline or silicone gel. The hospital should offer a variety of options to meet these requirements.

Patient - Centered Care

Good communication between the patient and the medical team, personalized treatment plans, and focus on the patient's comfort during the entire process are essential for a positive surgical experience.

Cost and Insurance

Cost is an important factor. Patients should understand the pricing structure of the surgery and check if their insurance covers any part of it.

Conclusion

In New York City, the five hospitals mentioned above - Mount Sinai Hospital, Millennial Plastic Surgery, Dr. Darrick Antell's Practice, NewYork - Presbyterian Hospital, and Weill Cornell Medicine - each have their own specialties and advantages when it comes to breast silicone prosthesis implantation repair. Mount Sinai is known for its innovative surgical approaches, Millennial Plastic Surgery offers patient - friendly options, Dr. Darrick Antell's Practice excels in breast implant revision, NewYork - Presbyterian has advanced breast reconstruction techniques, and Weill Cornell Medicine provides a comprehensive range of cosmetic breast surgery options with a patient - centered approach.

If you are considering breast silicone prosthesis implantation repair, take the time to research these hospitals, consult with their surgeons, and make an informed decision based on your specific needs and preferences. You can further explore their official websites or contact them directly for more detailed information. We encourage you to share this article with others who may be interested in breast implant surgery, and feel free to explore related topics on breast health and plastic surgery to enhance your knowledge.