Introduction
Breast implant removal has become a significant concern for many women in New York City. There can be various reasons for this, such as medical complications, aesthetic dissatisfaction, or the recall of certain types of implants. In this article, we will explore the top 5 publicly announced hospitals with strong reputations for breast implant removal in New York City, selected based on word - of - mouth. These hospitals have experienced surgeons, state - of - the - art facilities, and a commitment to patient care, making them stand out in the field of breast implant removal.
Reasons for Breast Implant Removal
Before delving into the top hospitals, it's essential to understand the common reasons why women opt for breast implant removal. The following are some of the most prevalent causes:
- Medical Complications:
- Severe Capsular Contracture: This occurs when the scar tissue around the implant hardens and squeezes the implant, causing pain, distortion of the breast shape, and discomfort. For example, a patient may experience tightness in the chest area and visible changes in the appearance of the breast.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): It is a rare type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. Symptoms may include pain, swelling, or a change in the size or shape of the breast. In some cases, fluid may accumulate around the implant. The FDA has recalled certain textured breast implants due to their association with a heightened risk of BIA - ALCL.
- Breast Implant Illness (BII): Women may experience a wide range of symptoms after breast augmentation, including fatigue, fever, gastrointestinal complaints, migraines, breathing difficulties, depression or anxiety, rashes, pain and discomfort, and brain fog. Although the exact cause of BII is uncertain, it is believed to be associated with pre - existing autoimmune problems.
- Infection and Bleeding: Infections can occur shortly after the initial breast augmentation surgery or develop over time. Bleeding may also be a complication, which can lead to hematomas and other issues.
- Aesthetic Dissatisfaction:
- Implant Visibility or Palpability: The implant may become visible through the skin, or a patient may be able to feel the implant, especially if it is folded, rippled, or wrinkled. This can result in an unnatural appearance of the breast.
- Implant Malposition: The implant may move from its original position, such as shifting up, down, to the side, or towards the middle of the chest. It can also cause a “double bubble” appearance or “symmastia” where the implants seem to touch in the middle.
- Breast Asymmetry: Unequal appearance of the breasts can occur after breast augmentation, which may be a source of dissatisfaction for the patient.
- Unsightly or Widened Scars: The scars from the initial breast augmentation surgery may not heal well, becoming thick, wide, or discolored, which can affect the overall appearance of the breasts.
Top 5 Hospitals for Breast Implant Removal in New York City
1. Dr. Darrick E. Antell's Practice
Dr. Darrick E. Antell is a top New York plastic surgeon who is widely regarded as being among the most experienced breast surgeons both in the New York area and worldwide. He performs custom breast implant removal (explant) surgery, including the removal of silicone or saline implants from the body. In cases where it is indicated, he also performs en - bloc capsulectomy to remove the tissue that has grown around the breast implant.
Dr. Antell has been listed in Harper’s Bazaar and other magazines as one of the best breast plastic surgeons in the country. His breast implant removal patients often refer others, which speaks volumes about the satisfaction they have with their results. He has performed custom breast removal surgeries on many celebrities and well - known persons in New York and beyond, maintaining an impeccable reputation for his exceptional surgical results with total discretion.
Facility: Dr. Antell has privileges in numerous hospitals throughout New York City. Most patients prefer the procedure to take place in his discreet, private operating room located just across the street from the world - renowned Lenox Hill Hospital. The state - of - the - art outpatient surgery center is fully accredited, designed for patient comfort, and equipped with the latest technology. It has a private back entrance to ensure total discretion, and all members of his staff are thoroughly trained to offer personalized care.
Consultation and Preparation: During the initial consultation, Dr. Antell will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. If the patient desires implant removal due to medical complications, it is important to discuss any symptoms. It is helpful to bring information about the existing implants and previous breast augmentation surgery. Based on the patient's expectations, he may recommend pairing the explant surgery with another procedure, such as a breast lift. Dr. Antell will also discuss the procedure, risks, and recovery in detail. Before the surgery, depending on various factors, he may send the patient for imaging such as an ultrasound, mammogram, or MRI. The patient will be given guidelines on eating, drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. Prescriptions may be provided, and pre - operative clearance from another doctor may be required.
Procedure and Recovery: The breast implant removal surgery is typically performed with local anesthesia and intravenous sedation or “twilight” anesthesia. If possible, Dr. Antell will remove the implant through the existing incisions from the initial breast augmentation surgery. In cases of 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 (en - bloc resection). The surgery usually takes between one to two hours, and an en - bloc resection can take even longer. After the surgery, the patient will recover in Dr. Antell’s state - of - the - art recovery suite while being monitored by a registered nurse. Breast implant removal is an outpatient procedure, and the patient can return home the same day. The patient will be provided with thorough discharge instructions. Many patients are able to return to most daily activities within days, but it is best to refrain from vigorous exercise for around two weeks. The patient will typically return to the office the next day for a follow - up, and dissolvable sutures or dermabond are often used to avoid external sutures. External sutures, if used, are usually removed around 7 - 10 days after the procedure. Although much of the swelling and bruising will fade in the first few weeks, it may take several months before the final results are visible.
2. New York - Presbyterian/Columbia University Irving Medical Center
New York - Presbyterian/Columbia University Irving Medical Center was named the top hospital in New York and made the honor roll as No. 7 in the nation by U.S. News & World Report’s Best Hospitals. It has been recognized for its excellence in 14 adult specialties and 8 children’s specialties. The institution's surgical excellence is well - established, with nationally - ranked surgical specialties including heart surgery, GI surgery, lung surgery in adults, and pediatric heart surgery, pediatric GI surgery, and pediatric lung surgery.
In the context of breast implant removal, the hospital's multi - disciplinary approach is a significant advantage. The team of experts may include breast surgeons, plastic and reconstructive surgeons, nurse practitioners, medical and radiation oncologists, and genetic counselors. This comprehensive team can address all aspects of breast implant removal, from the initial diagnosis and pre - operative planning to the surgical procedure and post - operative care.
Facility and Technology: The hospital is equipped with state - of - the - art facilities. For diagnostic purposes, it offers advanced breast imaging techniques such as 3D mammograms, which combine multiple breast images (x - rays) to provide a superior three - dimensional view of breast tissue, especially beneficial for women with dense breast tissue. It also provides breast ultrasound with cyst aspiration, breast MRI, stereotactic mammography biopsy, ultrasound - guided core biopsy, and MRI - guided core biopsy. In the operating room, the latest surgical technologies are available to ensure precise and safe breast implant removal procedures.
Patient - Centered Care: The hospital is committed to providing the best, groundbreaking care for its community. It takes the patient's experience seriously, from the moment of consultation to post - operative follow - up. The staff is trained to offer compassionate care, and the hospital provides support services to help patients through the entire process. This includes answering patients' questions, providing education about the procedure and recovery, and offering emotional support.
3. Dr. Olivia Hutchinson's Practice
Dr. Olivia Hutchinson is recognized as one of the top breast implant removal surgeons on the Upper East Side in NYC. As a board - certified, Harvard and Columbia - educated female aesthetic plastic surgeon, she has over 20 years of experience evaluating patients with breast implant - related concerns and performing breast implant removal.
She is well - aware of the various reasons why women may want to have their breast implants removed, including both functional and aesthetic issues. Dr. Hutchinson will advise patients on the various surgical options available and the best course of action to help them achieve their goals. In some cases, a secondary procedure such as a breast lift may be necessary to achieve the best aesthetic results.
Patient Experience: Patients who have visited Dr. Hutchinson and her staff often report an exceptional experience. The atmosphere in the office is calming, and everything is super clean. The staff is professional and nice, and Dr. Hutchinson makes patients feel comfortable throughout the process. Many patients are very satisfied with the results of their breast implant removal surgeries.
Knowledge of Special Conditions: Dr. Hutchinson is knowledgeable about rare conditions related to breast implants, such as Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL) and Breast Implant Illness (BII). She can provide patients with accurate information about these conditions and guide them through the decision - making process regarding implant removal. For example, she can explain the implications of the recall of certain textured breast implants due to the risk of BIA - ALCL and help patients determine the best course of action.
4. Mount Sinai West
At Mount Sinai West, the team of experts for breast care is comprehensive. It includes breast surgeons, plastic and reconstructive surgeons, nurse practitioners, medical and radiation oncologists, and genetic counselors. They have vast experience treating breast disease, including cases related to breast implants.
The hospital offers a wide range of breast care services, which are beneficial for patients considering breast implant removal. These services include consultation, annual screenings, genetic testing, a high - risk breast surveillance program for women with an elevated risk of breast cancer, and both medical oncology and radiation oncology services.
Surgical Options: If surgery is recommended for breast implant removal, Mount Sinai West offers a range of inpatient and outpatient procedures. Minimally invasive breast surgery techniques are available, which can result in less pain, shorter recovery times, and fewer complications compared to traditional open surgeries. Sentinel node biopsy and axillary node dissections may be performed as part of the evaluation process. Breast conservation surgery (lumpectomy) and excisional biopsy can also be carried out. For more extensive cases, mastectomy, including nipple - sparing and skin - sparing techniques, may be an option. Oncoplastic reconstruction and reconstruction surgery, including microvascular reconstruction and implant reconstruction, such as pre - pectoral implants, are also offered to help patients achieve the best aesthetic results after implant removal.
Diagnostic Services: The hospital works seamlessly with its on - site radiology service to provide state - of - the - art diagnostic breast imaging and biopsy services. This includes 3D mammograms, breast ultrasound with cyst aspiration, breast MRI, stereotactic mammography biopsy, ultrasound - guided core biopsy, MRI - guided core biopsy, and seed/reflector and wire - directed/wireless localization procedures to pinpoint lesion sites before biopsy. These accurate diagnostic tools are essential for proper pre - operative planning and ensuring the best outcome for breast implant removal procedures.
5. Dr. Barry Weintraub's Practice
Dr. Barry Weintraub has a long - standing reputation in the field of breast implant removal and replacement. He always places implants under the pectoralis - major muscle to create the most natural - looking result. His approach to breast implant removal and replacement is comprehensive, taking into account the patient's aesthetic needs and health conditions.
He offers both breast implant removal and sometimes subsequent breast implant replacement. For patients concerned about breast implant illness (BII), he can remove the implants to determine the effect on their health. Some patients may choose to replace their saline implants with more natural - feeling silicone gel implants, or they may opt for autologous fat to replace lost volume. In cases where patients have drooping breasts, a lift can be done in conjunction with a removal and replacement of implants.
Patient - First Philosophy: Dr. Weintraub believes that the patient is always number one. He takes the time to listen to the patient's concerns and desires during the consultation process. He does not rush the surgery but instead focuses on achieving the best results for the patient. His attention to detail ensures that every aspect of the surgery, from pre - op to post - op care, is handled with precision. For example, he insists on the most sterile conditions in the operating room, with on - staff, board - certified anesthesiologists and state - of - the - art monitoring equipment commensurate with the highest hospital standards.
Facility: Although Dr. Weintraub has privileges at Lenox Hill Hospital, Manhattan Eye Ear and Throat Hospital, and the Center for Specialty Care (outpatient limb of Weill - Cornell Hospital), he prefers the privacy of his hospital - grade, state - of - the - art surgical center attached to his office at 800a Fifth Avenue. The facility is attended by his team of board - certified anesthesiologists, certified registered nurses, and fully licensed operating - room staff. It has a private entrance, and its standards are of the highest quality, offering patients the utmost in medical and plastic - surgical care.
Choosing the Right Hospital for Breast Implant Removal
Selecting the right hospital for breast implant removal is a crucial decision. Here are some factors to consider:
- Surgeon's Experience and Reputation: Look for a surgeon who has extensive experience in breast implant removal procedures. Check for board certification, as well as any awards, recognitions, or memberships in professional organizations. Patient testimonials and word - of - mouth recommendations can also provide valuable insights into the surgeon's reputation.
- Facility and Technology: The hospital or surgical facility should be equipped with the latest technology for accurate diagnosis and safe surgical procedures. This includes advanced imaging techniques, state - of - the - art operating rooms, and up - to - date monitoring equipment. Accreditation of the facility is also an important factor to ensure high - quality care.
- Multi - Disciplinary Approach: A hospital that offers a multi - disciplinary team of experts, including breast surgeons, plastic surgeons, medical oncologists, and other specialists, can provide comprehensive care for patients. This is especially important in cases where there may be medical complications or the need for additional procedures.
- Patient - Centered Care: The hospital should prioritize the patient's experience, from the initial consultation to post - operative follow - up. This includes providing clear information about the procedure, answering questions, and offering emotional support throughout the process. A comfortable and welcoming environment can also contribute to a positive patient experience.
- Cost and Insurance: Consider the cost of the breast implant removal procedure and whether your insurance will cover it. It is important to get a detailed quote from the hospital or surgeon, including all associated fees, such as the surgical fee, anesthesia fee, and facility fee. If insurance is involved, make sure to check with your insurance provider about the coverage details and any pre - authorization requirements.
Conclusion
Breast implant removal is a significant decision that requires careful consideration. The top 5 hospitals in New York City that we have discussed - Dr. Darrick E. Antell's Practice, New York - Presbyterian/Columbia University Irving Medical Center, Dr. Olivia Hutchinson's Practice, Mount Sinai West, and Dr. Barry Weintraub's Practice - all have strong reputations in the field of breast implant removal. They offer experienced surgeons, state - of - the - art facilities, and a commitment to patient - centered care. Whether you are considering breast implant removal due to medical complications or aesthetic dissatisfaction, these hospitals can provide the comprehensive care you need.
If you are thinking about breast implant removal, we encourage you to reach out to these hospitals or surgeons for a consultation. Take the time to ask questions, understand the procedure and recovery process, and make an informed decision that is right for you. Share this article with others who may be interested in breast implant removal, and explore related topics such as post - operative care, the latest surgical techniques, and the long - term effects of breast implant removal.
