Introduction
Breast implant removal is a surgical procedure that has gained increased attention in recent years. There are various reasons why women opt to have their breast implants removed, such as medical complications, personal preference changes, or aging of the implants. In New York City, a hub of top - notch medical facilities and experienced plastic surgeons, there are hospitals that stand out for their expertise in breast implant removal. This article will introduce you to the top 3 well - reputed hospitals for removing breast implants in New York City.
Reasons for Breast Implant Removal
Before delving into the hospitals, it's essential to understand why women may choose to have their breast implants removed.
Medical Reasons
- Implant Rupture or Leakage: Both silicone and saline implants can rupture or leak over time. For silicone implants, a rupture might not be immediately noticeable, while a saline implant rupture will cause the implant to deflate rapidly. For example, a patient who has had silicone implants for many years may find that an MRI reveals a silent rupture, leading to the decision to remove the implants.
- Capsular Contracture: This occurs when the scar tissue around the implant tightens and hardens. It can cause discomfort, pain, and distortion of the breast shape. Severe cases may require implant removal. As mentioned in the references, patients with capsular contracture may experience aesthetic and functional issues that prompt them to seek removal.
- Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL): A rare cancer specifically related to breast implants. Although it is extremely infrequent, it is primarily associated with the biocell textured surface present in some implants. In cases where a patient has textured implants and shows symptoms such as pain, swelling, or a mass around the breast, the risk of BIA - ALCL may lead to implant removal.
- Breast Implant Illness (BII): Refers to a wide variety of symptoms that patients may report after undergoing breast augmentation or reconstruction with implants. Symptoms include fatigue, fever, gastrointestinal complaints, migraines, breathing difficulties, depression or anxiety, rashes, pain and discomfort, and brain fog. While the exact cause is uncertain, it is believed to be associated with pre - existing autoimmune problems. Women experiencing these symptoms may choose to have their implants removed to alleviate the condition.
Cosmetic Reasons
- Unsatisfactory Results: Some women may be unhappy with the size, shape, or position of their implants. For instance, the implants may have shifted over time, resulting in an asymmetrical appearance or a “double bubble” effect. In such cases, they may want to remove the implants to return to their natural breast size or pursue a different aesthetic outcome.
- Change in Personal Taste: As personal style and preferences evolve, a woman may no longer desire to have breast implants. This could be due to a change in lifestyle, a desire for a more natural look, or a shift in body image perception.
Top 3 Hospitals for Breast Implant Removal in New York City
Hospital 1: Zuckerman Plastic Surgery
Surgeon Expertise
Dr. Joshua D. Zuckerman at Zuckerman Plastic Surgery is a highly skilled plastic surgeon. He has extensive experience in breast implant removal and exchange procedures. According to their website, he understands that the decision to undergo breast implant removal is deeply personal and tailors his approach to meet the unique needs of each patient.
Range of Services
- Simple Implant Removal: For patients who simply want to remove their implants without any additional procedures.
- Implant Exchange: This option allows patients to change the size or type of their implants. For example, a patient who previously had saline implants may choose to switch to silicone implants during the removal procedure.
- Removal with a Lift: In cases where the patient's breasts have sagged after having implants, a breast lift can be performed in conjunction with the implant removal to create a more youthful appearance.
Patient Experience
The facility emphasizes patient comfort and support throughout the entire process. They provide detailed information about the procedure, the recovery process, and answer all patient questions. Patients typically report positive experiences, with Dr. Zuckerman and his team being professional, caring, and attentive.
Hospital 2: Antell Plastic Surgery
Surgeon Reputation
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 magazines such as Harper’s Bazaar as one of the best breast plastic surgeons in the country. Many of his breast implant removal patients are referred by former patients, which speaks volumes about his surgical skills and the quality of his results.
Specialized Techniques
- Custom Breast Implant Removal (Explant) Surgery: Dr. Antell tailors the explant surgery to each patient's specific needs. He can remove existing silicone or saline implants from the body and, when indicated, perform an en - bloc capsulectomy to remove the tissue that has grown around the breast implant. An en - bloc capsulectomy is beneficial as it helps reduce the risk of silicone leakage and ensures the complete removal of scar tissue.
- Handling of Recalled Implants: He also performs the removal of allergan textured breast implants recently recalled by the FDA due to their association with a heightened risk of BIA - ALCL.
Patient - Centered Care
During the consultation, Dr. Antell thoroughly evaluates the patient's general health, medical history, and the current condition of their breasts. He discusses all the surgical options, risks, and recovery process in detail with the patient, enabling them to make an informed decision. The surgery is often performed in his discreet, private operating room across the street from Lenox Hill Hospital, and patients receive personalized care from his well - trained staff.
Hospital 3: Dr. Barry Weintraub's Practice
Medical and Aesthetic Expertise
Dr. Barry Weintraub has a strong aesthetic sense and combines medical science with artistic skills in his practice. He is well - known for his work in breast implant removal and replacement procedures. He studied medicine at Cornell and bases his practice on strong core values, emphasizing humility, respect, and patient - centered care.
Comprehensive Services
- Breast Implant Removal and Replacement: He can change the size, location, and/or type of implants. For example, he can remove saline implants and replace them with more natural - feeling silicone gel implants. He also performs repositioning of implants under the pectoralis - major muscle to create a more natural - looking result.
- Use of Autologous Fat: In some cases, he uses autologous fat (the patient's own fat) to replace lost volume after implant removal. Fat can be liposuctioned from areas such as the abdomen, flanks, and thighs and then injected into the breasts.
- Breast Lift: When patients have drooping breasts, he can perform a lift in conjunction with the removal and replacement of implants to achieve a more elegant and proportionate breast appearance.
Operating Environment and Support
Dr. Weintraub performs breast implant - revision surgery in his quad A - accredited NYC surgical facility attached to his office at 800a Fifth Avenue. The facility offers a private and comfortable environment, and patients can expect high - quality medical and plastic - surgical care from his team of board - certified anesthesiologists, certified registered nurses, and fully licensed operating - room staff.
Choosing the Right Hospital and Surgeon
Surgeon Qualifications
It is crucial to choose a board - certified plastic surgeon. Board certification by the American Board of Plastic Surgery ensures that the surgeon has undergone rigorous training and passed strict exams. Surgeons with long - term experience in breast implant removal are more likely to handle complex cases and minimize risks. For example, as seen in the references, Dr. Antell has a long - standing career with over twenty years and more than ten thousand procedures.
Hospital Reputation and Facilities
Research the hospital's reputation by reading patient reviews and checking its accreditations. A hospital with state - of - the - art facilities and advanced equipment can provide a safer and more comfortable surgical experience. Hospitals like Zuckerman Plastic Surgery, Antell Plastic Surgery, and Dr. Weintraub's practice are known for their modern facilities and high - quality care.
Patient - Surgeon Communication
Good communication between the patient and the surgeon is essential. A surgeon who listens to the patient's concerns, explains the procedure clearly, and answers all questions will help the patient feel more confident and comfortable. During the consultation, the patient should feel free to ask about the surgical plan, expected results, risks, and recovery process.
Preparing for Breast Implant Removal
Consultation
Schedule a consultation with the chosen surgeon. During this appointment, the surgeon will assess your medical history, including any previous surgeries, allergies, and current medications. They will also examine your breasts to determine the current condition of the implants and the surrounding tissue. Be honest about your reasons for wanting the implant removal and your expectations for the outcome.
Medical Clearance
You may need to obtain medical clearance from your family physician. This is to ensure that you are in good health and can safely undergo the surgery. The surgeon may also order imaging tests such as an ultrasound, mammogram, or MRI to get a better view of the implants and any potential complications.
Lifestyle Changes
- Smoking: Stop smoking at least two weeks before the surgery as smoking can increase the risk of complications during surgery and slow down the healing process.
- Medications: Avoid taking medications that can increase bleeding, such as aspirin and ibuprofen, for two weeks before the surgery. Follow your surgeon's instructions regarding any other medications or supplements you should stop taking.
- Arrangements: Arrange for someone to drive you home after the surgery and to stay with you for at least 24 hours. Make sure you have comfortable clothing that is easy to put on and take off after the surgery.
The Breast Implant Removal Procedure
Anesthesia
Breast implant removal is typically performed under general anesthesia or “twilight” sedation. General anesthesia puts you to sleep during the entire procedure, while “twilight” sedation makes you relaxed and drowsy but still able to respond to commands. The type of anesthesia used will depend on your medical history, the complexity of the procedure, and your preferences, as discussed with your anesthesiologist.
Incisions
If possible, the surgeon will make an incision in the same location as the original breast augmentation incision. This can help minimize scarring. The most common incision sites are the inframammary fold (under the breast), the areola, or the armpit. However, if there are complications such as capsular contracture or a silicone implant rupture, a different or larger incision may be necessary.
Implant Removal Techniques
Technique | Description | Benefits | Considerations |
---|---|---|---|
En Bloc Removal | Removing the entire implant, including the capsule that forms around it, in one piece. | Minimizes the risk of contamination, reduces postoperative pain and discomfort, and ensures complete removal of all silicone gel or saline solution from inside the capsule. | Requires a skilled surgeon, larger incisions, and general anesthesia. Not suitable for all patients, such as those with a thin implant capsule or scar tissue that adheres too closely to the rib cage. |
Capsulectomy | Removing only the capsule that forms around an implant while leaving the implant itself in place. | Less invasive than en bloc removal and may be associated with fewer risks and complications. | May not be suitable for patients with severe capsular contracture or those who wish to remove their implants due to health concerns. |
Explantation with Mastopexy | Removing the implant, excess skin, and lifting the breast tissue to create a more youthful appearance. | Addresses both cosmetic concerns related to sagging breasts and health concerns related to implant removal. Avoids leaving behind excess skin that can lead to further sagging after surgery. | More complex procedure with a longer recovery time. |
Explantation with Fat Transfer | Removing the implant and using the patient's own fat from another area of their body to reshape and enhance their breasts. | Avoids the need for additional implants or foreign materials in the body and uses the patient's own fat cells, reducing the risk of rejection or allergic reactions. | Requires an additional step of liposuction, and the amount of fat that can be transferred may be limited. |
Recovery and Aftercare
Immediate Post - operative Care
After the surgery, you will be taken to a recovery room where your vital signs will be monitored. You may experience some pain, swelling, and bruising in the breasts. Your surgeon will prescribe pain medication to manage the discomfort. A compression garment or support bra will be worn to reduce swelling and support the breasts during the healing process.
Short - term Recovery
Most patients can return home the same day as the surgery if it is an outpatient procedure. You should rest for the first few days and avoid strenuous activities and heavy lifting. Swelling and bruising will gradually subside over the first few weeks. You may also experience some numbness in the breast area, which typically fades over time. Follow your surgeon's instructions regarding wound care, such as keeping the incisions clean and dry.
Long - term Recovery
It may take several months for the final results to be visible. Your breasts will gradually return to a more natural shape. You should continue to follow up with your surgeon for regular check - ups to monitor your healing progress. It is important to wear a proper support bra during this time to support the breast tissue and help maintain the shape.
Potential Risks and Complications
While breast implant removal is generally a safe procedure, there are some potential risks and complications:
- Bleeding: There is a risk of bleeding during or after the surgery. This can usually be managed, but in some cases, a secondary procedure may be required to stop the bleeding.
- Infection: Infection can occur at the incision site. Symptoms may include redness, swelling, pain, and discharge. Prompt treatment with antibiotics is usually necessary.
- Changes in Breast Sensation: Some patients may experience a loss of sensation in the breasts or nipples. In most cases, this is temporary, but it can be permanent in some instances.
- Scarring: Although efforts are made to minimize scarring, all surgical incisions will leave some scarring. The appearance of the scars will gradually fade over time, but they may never completely disappear.
- Dissatisfaction with Cosmetic Outcomes: There is a possibility that the final result may not meet your expectations. This could be due to factors such as unevenness, sagging, or a change in breast shape that is different from what you anticipated.
Conclusion
In New York City, the top 3 hospitals for breast implant removal - Zuckerman Plastic Surgery, Antell Plastic Surgery, and Dr. Barry Weintraub's Practice - offer a high level of expertise, comprehensive services, and patient - centered care. When considering breast implant removal, it is essential to thoroughly research the hospitals and surgeons, have open communication with your chosen surgeon, and follow all pre - operative and post - operative instructions. By making an informed