Introduction
Breast augmentation surgery has become increasingly popular over the years, but there are various reasons why women may opt for breast implant removal. In New York City, there are several highly skilled plastic surgeons and centers that specialize in this procedure. This article will explore the top ten aspects related to breast implant removal in breast augmentation surgery in New York City, including the reasons for removal, the surgeons, the procedures, and the recovery process.
Reasons for Breast Implant Removal
There are numerous reasons why a woman might choose to have her breast implants removed. Some of the most common reasons include:
- Medical Complications:
- Capsular Contracture: This occurs when the scar tissue around the implant hardens and squeezes the implant, causing pain, discomfort, and an abnormal appearance of the breasts. According to some studies, the rate of capsular contracture is about 3 - 4%, and it gradually increases over the years.
- Implant Rupture or Leakage: Both saline and silicone implants can rupture or leak. Saline implants will deflate if they rupture, while silicone implants may require an MRI to determine if they have ruptured. A ruptured implant can cause pain, swelling, and deformity.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): This is a rare type of non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. The FDA has recalled certain textured breast implants due to their association with a heightened risk of BIA - ALCL. Symptoms include pain or swelling around the breasts and a change in the size or shape of the breasts.
- Breast Implant Illness (BII): BII refers to a wide variety of symptoms that patients may report after undergoing breast augmentation, such as fatigue, joint pain, migraines, and rashes. Although the exact cause is unknown, it is believed to be associated with pre - existing autoimmune problems.
- Aesthetic Reasons:
- Unsatisfactory Results: The patient may be unhappy with the size, shape, or appearance of the breasts after the initial breast augmentation. For example, the implants may be too large or too small, or the positioning may be incorrect.
- Changes in Lifestyle or Preferences: As a woman's lifestyle changes, her aesthetic preferences may also change. She may no longer desire to have breast implants and want to return to her natural breast size.
- Implant Aging: Most plastic surgeons recommend breast augmentation patients to replace their breast implants every 10 - 15 years to ensure optimal implant hardness, texture, and resilience. Over time, the implants may lose their shape or integrity, leading to the need for removal.
The Top Surgeons and Centers for Breast Implant Removal in New York City
New York City is home to many world - renowned plastic surgeons and surgical centers that offer breast implant removal services. Here are some of the top ones:
- Breast Reconstruction Center of NYC:
Located in Manhattan, this center has a top - rated breast surgery team highly trained in breast implant removal surgery. Their board - certified plastic surgeons routinely perform breast implant removal surgery at their state - of - the - art boutique surgical suite. They offer a variety of breast implant removal procedures, including en bloc, partial capsulectomy, and total capsulectomy.
- Dr. Darrick E. Antell:
Dr. Antell is widely regarded as one of the most experienced breast surgeons both in the New York area and worldwide. He is 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 surgery and also an en bloc capsulectomy when indicated. He has performed breast implant removal surgeries on many celebrities and well - known persons.
- Dr. Steven Wallach:
Dr. Wallach conveniently serves the areas of New York, NY. He usually makes an incision using the previous breast implant surgical approach to access the pocket created for the implants and removes them. He will also remove implant filler material from ruptured silicone implants if necessary. He offers consultations to discuss the options and techniques available for the procedure.
- Dr. Olivia Hutchinson:
Recognized as a top breast implant removal surgeon in NYC, Dr. Hutchinson has over 20 years of experience evaluating patients with breast implant - related concerns. She can address various implant - related issues, whether they are functional or cosmetic. In some cases, she may recommend a secondary procedure such as a breast lift to achieve the best aesthetic results.
- Dr. Barry Weintraub:
Dr. Weintraub is known for his skill in breast implant removal and replacement. He always places implants under the pectoralis - major muscle to create the most natural - looking result. He performs breast implant - revision surgery in the comfort of his quad a - accredited NYC surgical facility. He has a high success rate in helping patients achieve their desired breast appearance.
- Dr. Darren Smith:
With over 20 years of specialized surgical experience in breast augmentation and reconstruction, Dr. Smith brings a high level of skill to breast implant removal. He takes a personalized approach, thoroughly understanding each woman’s unique goals and medical history. His state - of - the - art facilities in Manhattan ensure privacy, comfort, and safety throughout the process.
- New York Group for Plastic Surgery:
Patients at this group can have their breast implant removal procedure performed by either Dr. Andrew Salzberg or Dr. Jordan Jacobs. They provide detailed information to patients so that they can make an educated choice about their bodies. The group also offers comprehensive post - operative care instructions.
- Dr. Maura Reinblatt:
Dr. Reinblatt is a board - certified plastic surgeon serving patients in NYC, Westchester, and White Plains. She is renowned for her personalized approach to patient care. She offers advanced techniques such as en bloc capsulectomy and open capsulotomy to address medical issues associated with breast implants.
Types of Breast Implant Removal Procedures
There are several different types of breast implant removal procedures, and the choice of procedure depends on the patient's individual circumstances and desired outcome:
- En Bloc Capsulectomy:
During an en bloc breast implant removal surgery, the plastic surgeon removes the implants and the surrounding capsule in a single procedure. This is often recommended in cases where there is a concern about capsular contracture, implant rupture, or BIA - ALCL. It ensures the complete removal of the implant and the scar tissue around it, minimizing the risk of leaving behind any potentially problematic tissue.
- Partial Capsulectomy:
A partial capsulectomy consists of solely removing the breast implant material and trimming or shaping some of the capsule material in order to create the patient’s desired chest contour. This procedure is suitable for patients who do not require the complete removal of the capsule but want to address certain aesthetic or functional issues related to the implant and the capsule.
- Total Capsulectomy:
A total capsulectomy involves removing the implant, the capsule, and the remaining scar tissue. The procedure begins with the removal of the breast implants, followed by a complete removal of the capsule and associated scar tissue. It is a more extensive procedure but may be necessary in cases where there is significant scarring or other complications.
The Breast Implant Removal Process
The breast implant removal process typically involves the following steps:
- Initial Consultation:
During the initial consultation, the plastic surgeon will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. The patient should discuss any symptoms they may be experiencing, their desired outcome, and any information they have about their existing implants and previous breast augmentation surgery. The surgeon will then explain the different types of removal procedures and help the patient create a customized treatment plan.
- Pre - operative Preparation:
Based on the patient's individual situation, the surgeon 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 and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may also be given prescriptions that should be filled prior to the surgery. If the patient has certain medical issues, they may be asked to provide pre - operative clearance from another doctor. The patient should arrange for someone to drive them home after the surgery and ensure they have someone to assist them in the first few days of recovery.
- Surgery:
The breast implant removal surgery is usually performed under general anesthesia or “twilight” sedation. The surgeon will make an incision, either through the existing incisions from the initial breast augmentation surgery (if possible) or in a new location. The incisions can be made in the crease under the breast, around the areola, or in the armpit. The surgeon will then remove the implants and may also remove the capsule and scar tissue, depending on the type of procedure. After the implants are removed, the incisions will be closed with sutures and a dressing will be applied. The surgery usually takes between one to three hours, depending on the complexity of the procedure.
- Recovery:
After the surgery, the patient will recover in a recovery suite while being monitored by a nurse until they feel well enough to be discharged. The patient may experience swelling, bruising, soreness, and tenderness in the breast area, which typically subsides within six to eight weeks. They will be provided with post - operative instructions on how to care for the incisions, take prescribed medications, and wear a compression bra. Most patients can return to light activities within a few days and resume more vigorous activity after a few weeks. However, it may take several months for the final results to be visible, and the scars will gradually fade over time.
Cost of Breast Implant Removal
The cost of breast implant removal in New York City can vary widely depending on several factors, such as the surgeon's experience, the type of procedure, the complexity of the case, the location of the surgical facility, and the post - operative care required. Some of the factors involved in the cost include the cost related to the operating facility, post - care essentials, tests used, and prescription medication cost. In most cases, breast implant removal procedures are not covered by health insurance, but if the removal is medically necessary, such as in cases of implant rupture or BIA - ALCL, the insurance may cover some of the costs. It is important to have a consultation with the surgeon to get an accurate estimate of the cost.
Risks and Complications
Although breast implant removal surgery is generally considered safe when performed by an experienced, board - certified plastic surgeon, there are still some risks and complications associated with the procedure. These include:
- Bleeding: There is a risk of bleeding during or after the surgery, which may require additional treatment.
- Infection: An infection can occur at the incision site or in the breast tissue, which may require antibiotics or further surgical intervention.
- Numbness at the Incision Site: Some patients may experience temporary or permanent numbness in the breast area or around the incisions.
- Adverse Reaction to the Anesthesia: Although rare, some patients may have an adverse reaction to the anesthesia used during the surgery.
- Unsatisfactory Results: The patient may not be completely satisfied with the final appearance of the breasts after the implant removal. This could be due to factors such as unevenness, scarring, or a change in the shape of the breasts.
Choosing the Right Surgeon
Choosing the right surgeon for breast implant removal is crucial for a successful outcome. Here are some tips on how to choose the right surgeon:
- Board Certification: Make sure the surgeon is board - certified by the American Board of Plastic Surgery. This indicates that the surgeon has met the rigorous standards and requirements set by the board.
- Experience: Look for a surgeon who has extensive experience in performing breast implant removal surgeries. You can ask the surgeon about the number of procedures they have performed and see before - and - after photos of their patients.
- Reputation: Check the surgeon's reputation by reading online reviews, asking for referrals from friends or family, and speaking to other medical professionals in the community.
- Communication: Choose a surgeon who listens to your concerns and desires, and who explains the procedure and the risks in a clear and understandable way. You should feel comfortable asking questions and discussing your expectations with the surgeon.
- Facility: Ensure that the surgical facility where the procedure will be performed is accredited and meets high standards of safety and quality.
Post - operative Care and Follow - up
Proper post - operative care is essential for a smooth recovery and optimal results after breast implant removal. Here are some important aspects of post - operative care:
- Wound Care: Follow the surgeon's instructions on how to care for the incisions. This may include keeping the incisions clean and dry, changing the dressings regularly, and avoiding getting the incisions wet for a certain period of time.
- Medication: Take the prescribed medications as directed by the surgeon. This may include pain medication to manage discomfort, antibiotics to prevent infection, and other medications to aid in the recovery process.
- Compression Bra: Wear a compression bra as recommended by the surgeon. The compression bra helps to reduce swelling, support the breasts, and promote proper healing.
- Activity Restrictions: Avoid strenuous activities, heavy lifting, and exercise for the first few weeks after the surgery. Gradually increase your activity level as your body heals, but always follow the surgeon's instructions.
- Follow - up Appointments: Attend all follow - up appointments with the surgeon. The surgeon will monitor your healing progress, check for any complications, and remove the sutures (if necessary). They will also provide you with further instructions on how to care for your breasts and when you can resume normal activities.
Conclusion
Breast implant removal is a common procedure in New York City, and there are many highly skilled plastic surgeons and centers available to perform the surgery. Whether the reason for removal is medical, aesthetic, or related to implant aging, it is important to choose the right surgeon and to understand the procedure, the risks, and the recovery process. By making an informed decision and following the post - operative care instructions, patients can achieve a satisfactory outcome and feel confident in their new appearance.
If you are considering breast implant removal in New York City, we encourage you to schedule a consultation with one of the top surgeons mentioned in this article. Take the time to discuss your concerns, goals, and expectations, and let the surgeon guide you through the process. With the right approach, you can take control of your breast health and achieve the results you desire.