Introduction
Prosthetic breast augmentation is a popular cosmetic procedure, but sometimes, the results may not meet the patients' expectations, or complications may arise over time. In New York City, a bustling hub for plastic surgery, there are numerous highly - skilled surgeons who specialize in the correction of breast expansion after prosthetic breast augmentation. This article will present the top ten aspects related to this correction, including surgeons, procedures, and frequently asked questions.
1. What is Breast Implant Revision?
Breast augmentation aims to change the size or shape of the breasts through techniques like implant placement or fat transfer. On the other hand, breast implant revision is a surgical procedure designed to address issues with the size, shape, feel, or placement of the original implants. Common reasons for revision include implant rupture, capsular contracture (the hardening of scar tissue around the implant), changes in breast tissue due to aging, pregnancy, or breastfeeding, breast cancer, or initial results that failed to achieve the desired aesthetic.
According to the information from drmaman.com, revisional surgeries are often necessary due to pain or implant migration caused by excessive scar tissue, poor initial placement, “rippling” (where implant folds are visible through the skin), changes in breast tissue over time, implant failure, or breast cancer reconstruction. Breast implant revision can be more complex than the initial breast augmentation as it involves managing scar tissue, changes in breast tissue, and any complications from the original procedure. It usually involves the removal of the original implants.
2. Top Surgeons for Breast Implant Revision in NYC
Dr. Daniel Maman
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon. He specializes in cosmetic and reconstructive surgery of the breast, body, and face. He completed a Harvard fellowship in aesthetic breast surgery and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. His 90 - minute consultation with patients includes a thorough review of medical history, an in - depth physical assessment, comprehensive operative plans, and a review of cost, accommodations, and follow - up visits.
Dr. Adam R. Kolker
Dr. Adam R. Kolker is a double - board - certified plastic surgeon in New York City. His education and training span some of the most prestigious medical institutions, including Harvard Medical School, New York University, and the University of Melbourne in Australia. He is an associate clinical professor of surgery at the Mount Sinai School of Medicine. Dr. Kolker is known for his ability to deliver beautiful, natural, and proportional results. He has been featured in New York Magazine's Best Doctors issues from 2008 - 2024 and is one of America's best plastic surgeons according to Newsweek. His specialties include breast augmentation, lift, reduction, and reconstruction, among other procedures.
Dr. Darrick Antell
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. 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.
Dr. Olivia Hutchinson
Dr. Olivia Hutchinson is a board - certified surgeon trained in both aesthetic and reconstructive surgery. Based on nycbreastrevisionsurgeon.com, she is considered a top breast revision surgeon on NYC’s Upper East Side. With an educational background at Harvard and Columbia, she has been in private practice on Manhattan’s Upper East Side for over two decades. She can address a variety of issues related to breast implants, such as malposition, deflation, rippling, and capsular contracture.
3. Factors to Consider When Choosing a Surgeon
Selecting the right surgeon for breast implant revision is crucial for achieving the desired results. Here are some important factors to consider:
- Medical Credentials: A surgeon should be board - certified in plastic surgery. This indicates that they have met the high standards of education, training, and ethical practice in the field. For example, surgeons like Dr. Daniel Maman, Dr. Adam R. Kolker, Dr. Darrick Antell, and Dr. Olivia Hutchinson are all board - certified, which gives patients confidence in their skills and expertise.
- Experience: Surgeons with more experience in breast implant revision are likely to have encountered a wide range of cases and can handle potential complications more effectively. For instance, a surgeon who has performed hundreds of breast implant revision surgeries will have a better understanding of the different challenges that may arise during the procedure.
- Before - and - After Photos: Reviewing before - and - after photos of the surgeon's previous patients can provide insight into their aesthetic sensibilities and technical proficiency. This helps patients visualize the potential results of the revision surgery.
- Patient Reviews and Testimonials: Reading reviews and testimonials from other patients can give an idea of the surgeon's bedside manner, the quality of care provided, and patient satisfaction. Online platforms and social media have made it easier for patients to share their experiences, which can be a valuable resource for prospective patients.
- Communication Skills: A good surgeon should be able to communicate clearly with patients, explain the procedure in detail, answer all their questions, and address their concerns. This ensures that patients are well - informed and comfortable throughout the process.
4. Common Reasons for Breast Implant Revision
There are several common reasons why patients may seek breast implant revision:
| Reason | Description |
|---|---|
| Implant Rupture or Leakage | Over time, implants can rupture or leak. A saline implant rupture will cause the saltwater to be harmlessly absorbed by the body, making the breast appear deflated. A silicone implant rupture may not be as obvious, but it can still cause problems. |
| Capsular Contracture | This occurs when the scar tissue (capsule) around the implant hardens and tightens, restricting the implant and causing pain, a misshapen appearance, and hardening of the breast area. |
| Desire for a Different Implant Size or Type | Patients may want to change to a larger or smaller implant, or switch from saline to silicone implants, or vice versa. For example, due to changes in body shape or personal preference. |
| Implant Malposition | The implants may be positioned too high, too low, too wide, or too close together on the chest wall, which can affect the appearance of the breasts. |
| Changes in Breast Tissue | Natural aging, pregnancy, breastfeeding, or significant weight loss can cause changes in breast tissue, making the implants look out of place or the breasts saggy. |
5. The Breast Implant Revision Procedure
Consultation
The first step in the breast implant revision process is a consultation. During this consultation, the surgeon will thoroughly evaluate the patient's general health and medical history, assess the current condition of the breasts, and discuss the patient's desired outcome. For example, Dr. Darrick Antell will examine the breasts and precisely measure them in preparation for surgery. Patients are advised to bring any information they have about their existing implants and previous breast augmentation surgery to the appointment. The surgeon will guide the patient through selecting the proper implant type, incision size, implant placement, and size based on their specific anatomy.
Pre - operative Preparation
Based on various factors, such as age and implant condition, 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 to fill before the surgery. In some cases, the patient may need to provide pre - operative clearance from another doctor. As the procedure is usually performed under “twilight” sedation, the patient should arrange for someone to drive them home after surgery and assist them during the first few days of recovery.
Surgery
The chosen incision and placement of the new implant will be customized based on factors such as the patient's individual anatomy and the condition of the existing implant. When possible, the surgeon may use the same incision site as the initial breast augmentation. After removing the existing implant and any scar tissue, the new implant will be carefully placed. Multiple layers of internal, dissolving sutures are typically used to close the incisions. The surgery usually takes between one and three hours to complete.
Recovery
After the surgery, the patient will recover in a 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. However, they will need an escort as they cannot drive for 24 hours after the administration of anesthesia. The patient may feel tired or sore after surgery, and it is best to refrain from vigorous exercise for around two weeks. The surgeon will provide an individualized recovery plan, and it is important to follow all post - operative instructions carefully. It may take several months before the final results are visible.
6. Risks and Complications of Breast Implant Revision
While breast implant revision is generally a safe procedure when performed by an experienced, board - certified plastic surgeon, there are still risks and complications to be aware of:
- Capsular Contracture: This is the most common complication after breast implant revision. It can be treated by removing the implant and scar tissue and, if desired, placing new implants. Placing an acellular dermal matrix (ADM) such as Strattice or Alloderm has shown promising results in resisting capsular contracture, and prescribing Accolate may also lower the rates.
- Bleeding: Some bleeding may occur during or after the surgery. In most cases, it can be managed, but in rare cases, additional treatment may be required.
- Infection: Infection typically presents within a week after surgery and can usually be treated by antibiotics. In some cases, the implant may need to be removed.
- Numbness: Some patients may experience temporary or permanent numbness in the breast area or around the incisions. This numbness may fade over time.
- Implant Rupture: Although rare, implant rupture can occur as a result of injury or normal compression and movement of the breast. A revision surgery will be needed to replace the implant and remove any troublesome scar tissue.
7. Post - operative Care and Recovery Tips
Proper post - operative care is essential for a successful recovery and achieving the best results:
- Follow the Surgeon's Instructions: This includes taking medications as prescribed, wearing any recommended support garments, and avoiding activities that could put stress on the incisions.
- Rest: Allow your body enough time to heal. Take time off work and avoid strenuous activities for the recommended period.
- Monitor for Complications: Keep an eye on the incisions for signs of infection, such as redness, swelling, or discharge. Contact your surgeon immediately if you notice any unusual symptoms.
- Attend Follow - up Appointments: Regular follow - up appointments with your surgeon are important to monitor your recovery and ensure that everything is healing properly.
- Maintain a Healthy Lifestyle: Eating a balanced diet, getting enough sleep, and avoiding smoking can all contribute to a faster and more successful recovery.
8. Technological Advancements in Breast Implant Revision
In recent years, there have been several technological advancements in breast implant revision surgery:
- 3D Imaging Technology: This allows surgeons to create a virtual model of the patient's body and simulate the potential results of various implant sizes and shapes. Patients can make more informed decisions about their surgery, and surgeons can improve surgical planning and accuracy.
- New Implant Materials: Bio - engineered implants are becoming more popular. They offer enhanced durability and a more natural look and feel than traditional implants. They may also help reduce the risk of implant rejection and capsular contracture.
- Minimally Invasive Surgical Techniques: Endoscopic and robotic - assisted approaches are being used more widely. These techniques offer smaller incisions, fewer complications, quicker recovery times, and less post - operative pain compared to traditional open surgery.
9. Cost and Insurance Coverage for Breast Implant Revision
The cost of breast implant revision can vary depending on several factors, including the surgeon's expertise, the complexity of the operation, the type of implants used, and the geographic location of the clinic. Top surgeons in New York City may charge higher fees due to their experience and reputation.
Insurance coverage for breast implant revision also varies. Many insurance companies do not cover the cost of elective cosmetic surgeries. However, if the revision is necessary for medical reasons, such as due to implant rupture or capsular contracture causing pain, or for breast cancer reconstruction, insurance may cover a portion or all of the costs. It is important for patients to communicate with their insurance providers and surgeons to understand the projected costs and potential coverage.
10. Conclusion and Call - to - Action
Breast implant revision is a complex but rewarding procedure that can help patients achieve the desired results after an initial breast augmentation. In New York City, there are many highly - skilled surgeons who specialize in this area, and by carefully considering the factors mentioned in this article, patients can make an informed decision about their revision surgery. Remember to thoroughly research the surgeons, understand the procedure and its risks, and follow the post - operative care instructions.
If you are considering breast implant revision in New York City, we encourage you to schedule a consultation with a board - certified plastic surgeon. Take the time to discuss your concerns and goals, and review the surgeon's before - and - after photos and patient testimonials. Share this article with anyone you know who may be interested in breast implant revision to help them make an informed decision. Explore related topics on breast health and cosmetic surgery to further educate yourself.
