Introduction
When it comes to breast prosthesis removal and repair in New York City, patients need to choose a reliable hospital. This article not only offers a list of top - notch hospitals in New York City but also provides comprehensive information about breast prosthesis removal and repair procedures, related risks, and recovery details. The data is sourced from high - quality references to ensure credibility.
Overview of Breast Prosthesis Removal and Repair
Reasons for Removal and Repair
Women may consider breast prosthesis removal or repair for various reasons. Some are dealing with medical complications, such as the recently discovered Breast Implant - Associated Anaplastic Large Cell Lymphoma (BIA - ALCL) associated with certain textured breast implants. Lifestyle changes can also be a factor; a woman might no longer wish to have implants. Additionally, dissatisfaction with the aesthetic result of the initial breast augmentation could prompt her to have the implants removed or repaired to achieve a more natural or desired look.
Medical Complications and Concerns
BIA - ALCL is a non - Hodgkin lymphoma that occurs in the scar tissue surrounding the implant. If left untreated, it can spread to nearby lymph nodes. Symptoms include pain, swelling around the breasts, and changes in breast size or shape. In response to the heightened risk associated with certain textured implants, the FDA has recalled them. Patients with these recalled implants, especially if experiencing symptoms, should seek medical advice promptly.
Best Hospitals in New York City for General Healthcare
According to US News Best Hospitals, multiple hospitals in New York City have high - performance ratings across various specialties. These institutions are well - equipped to handle breast prosthesis removal and repair procedures as well.
Hospital Name | Phone Number | Address | National Rank in Specialties | High - Performing Procedures/Conditions |
---|---|---|---|---|
Mount Sinai Hospital | 1 - 332 - 239 - 6252 | New York, NY 10029 - 0310 | 12 adult specialties & 4 children's specialties | 20 procedures/conditions |
New York - Presbyterian Hospital - Columbia and Cornell | 1 - 862 - 214 - 7436 | New York, NY 10065 - 4870 | 14 adult specialties & 10 children's specialties | 1 specialty & 20 procedures/conditions |
North Shore University Hospital at Northwell Health | - | Manhasset, NY 11030 - 3816 | 9 specialties | 15 procedures/conditions |
NYU Langone Hospitals | 1 - 646 - 970 - 9951 | New York, NY 10016 - 6402 | 13 adult specialties & 3 children's specialties | 1 specialty & 21 procedures/conditions |
Lenox Hill Hospital at Northwell Health | - | New York, NY 10075 - 1850 | 10 specialties | 1 specialty & 16 procedures/conditions |
Mount Sinai Hospital
Mount Sinai Hospital is nationally recognized, with rankings in 12 adult specialties and 4 pediatric specialties. It has a long - standing reputation for providing high - quality medical care. The hospital's surgical teams are well - trained and experienced in various procedures, including those related to breast surgery. Their comprehensive approach to patient care, from pre - operative evaluations to post - operative follow - ups, ensures patients receive the best possible treatment.
New York - Presbyterian Hospital - Columbia and Cornell
This hospital stands out with national rankings in 14 adult specialties and 10 pediatric specialties. With a vast network of experts and state - of - the - art facilities, it offers patients a wide range of services. In breast prosthesis removal and repair, the hospital can draw on its expertise in multiple related fields, such as plastic surgery and oncology, to provide personalized treatment plans.
North Shore University Hospital at Northwell Health
With national rankings in 9 adult specialties, North Shore University Hospital at Northwell Health is a strong choice. It is well - known for its high - performing status in 15 procedures and conditions. The hospital's focus on research and innovation also means that patients may have access to the latest techniques and technologies in breast surgery.
NYU Langone Hospitals
NYU Langone Hospitals are nationally ranked in 13 adult specialties and 3 pediatric specialties. Their high - performance in 1 specialty and 21 procedures/conditions is a testament to their clinical excellence. The hospital has a team of top - notch plastic surgeons who are experienced in breast prosthesis removal and repair, ensuring that patients get quality results.
Lenox Hill Hospital at Northwell Health
Lenox Hill Hospital at Northwell Health, ranked in 10 adult specialties, offers high - quality care in multiple areas. In the context of breast surgery, the hospital's dedicated staff and modern facilities can provide patients with a comfortable and safe treatment environment. Their experience in handling a variety of surgical cases makes them a reliable option for breast prosthesis removal and repair.
NYC Health + Hospitals and Their Recognition
The public health care system of NYC Health + Hospitals has received recognition from the U.S. News & World Report in its 2024 - 2025 'Best Hospitals' list. The hospitals are lauded for their excellence in treating various conditions, including those related to heart and kidney problems.
Hospital Name | Procedures & Conditions |
---|---|
NYC Health + Hospitals/Bellevue | Heart failure, heart attack |
NYC Health + Hospitals/Elmhurst | Heart failure, heart attack, hip fracture, kidney failure |
NYC Health + Hospitals/Harlem | Heart failure |
NYC Health + Hospitals/Jacobi | Heart failure, diabetes, kidney failure |
NYC Health + Hospitals/Kings County | Heart failure, kidney failure |
NYC Health + Hospitals/Lincoln | Heart failure, COPD, kidney failure |
NYC Health + Hospitals/Metropolitan | Heart failure |
NYC Health + Hospitals/South Brooklyn Health | Heart failure |
NYC Health + Hospitals/Queens | Heart failure, diabetes |
NYC Health + Hospitals/Woodhull | COPD, diabetes |
Although the primary recognition is for these medical conditions, the overall quality of care at these hospitals suggests that they may also have capable departments for breast - related surgeries, including breast prosthesis removal and repair. Their large patient base and focus on serving the community also mean that they have extensive experience in dealing with a diverse range of patient needs.
Top Doctors for Breast Reconstruction in New York City
Finding an experienced doctor is crucial for breast prosthesis removal and repair. Here are some of the highly - rated doctors in New York City who perform breast reconstruction, which is often related to breast prosthesis - related procedures.
Doctor Name | Rating (out of 5) | Number of Ratings | Address |
---|---|---|---|
Dr. Alexander Swistel, MD | 4.90 | 225 | 425 E. 61st St. 8 - 11th floor New York, NY 10065 |
Dr. Rachel Simmons, MD | 4.60 | 76 | 1283 York Avenue 4th floor New York, NY 10065 |
Dr. Jess Ting, MD | 4.30 | 40 | 10 Union Sq E #3 - g New York, NY 10003 |
Dr. Derek Brinster, MD | 4.20 | 21 | 130 E 77th st fl 4 New York, NY 10075 |
Dr. Philip Torina, MD | 5.00 | 19 | 5 E 98th st #2 New York, NY 10029 |
These doctors have been rated highly by their patients, indicating their skills, professionalism, and ability to achieve good results. Patients seeking breast prosthesis removal and repair should consider consulting with these experts to get personalized advice and treatment options.
Pre - operative Considerations
Patient Eligibility
Anyone in good health who wishes to have her existing implants removed is likely a candidate for explant surgery. However, patients need to be in overall good physical condition to withstand the surgical process. If a patient has underlying medical conditions, such as heart disease or diabetes, these need to be carefully managed before the surgery. For example, a patient with diabetes needs to have their blood sugar levels well - controlled to reduce the risk of post - operative infections.
Consultation Process
During the initial consultation, doctors will thoroughly evaluate the patient's general health and medical history. They will also assess the current condition of the breasts, including the type of implants, their position, and any signs of complications. It is essential for patients to bring any available information about their existing implants, such as the brand, size, and details of the previous breast augmentation surgery. An open and honest conversation about the desired outcome is crucial, as it helps the doctor create a proper surgical plan. For instance, if a patient wants to have a breast lift in addition to implant removal, the doctor can factor this into the treatment strategy.
Preparation for Surgery
Based on factors like age and implant condition, patients may be sent for imaging tests such as an ultrasound, mammogram, or MRI. These tests help the doctor better understand the internal situation of the breasts. Before the surgery day, patients will receive guidelines on eating and drinking. They may need to fast for a certain period before the procedure. Smoking should be stopped as it can interfere with the healing process. Patients also need to be careful about taking or avoiding vitamins, iron tablets, and specific medications, as some of these can affect blood clotting. If necessary, patients will be given prescriptions to fill before the surgery, and may be asked to obtain pre - operative clearance from another doctor.
The Surgical Procedure
Anesthesia Options
Breast implant removal is typically performed with local anesthesia and intravenous sedation or with another type of “twilight” anesthesia. This ensures that the patient is asleep and comfortable throughout the operation. A board - certified anesthesiologist will be monitoring the patient's vital signs during the procedure. In rare cases, implants can be removed with only local anesthesia, which is usually determined based on the complexity of the case and the patient's overall health.
Explant Surgery Process
If possible, the doctor will remove the implant through the existing incisions from the initial breast augmentation surgery. This is more likely when the implants were placed with an inframammary fold or areolar incision. However, it may not be possible with an armpit incision. In cases where there is capsular contracture, silicone implant rupture, or the patient has textured breast implants and is experiencing BIA - ALCL, it is often necessary to remove the hardened scar tissue surrounding the implant. When the implant and scar tissue are removed simultaneously, it is called en - bloc resection. After the removal, multiple layers of internal, dissolving sutures, and a layer of external sutures (if needed) will be used to close the incisions. A layer of gauze or a bandage may be placed over the breasts to speed up the healing process. The surgery usually takes between one to two hours to complete, and an en - bloc resection can take even longer.
Post - operative Recovery
Immediate Post - operative Care
After the surgery, patients will recover in a state - of - the - art recovery suite while being monitored by a registered nurse. A specialized, long - lasting local anesthesia will be used to reduce discomfort. Breast implant removal is an outpatient procedure, which means patients can return home the same day. However, they need to have an escort to drive them home as they will not be able to drive for 24 hours after the administration of anesthesia. Upon leaving the facility, patients will be provided with thorough discharge instructions that guide them through the initial post - operative period.
Long - term Recovery and Aftercare
After surgery, the breasts may be covered in a layer of gauze or a bandage. Patients may feel tired or sore as their body uses energy to heal. Many patients can return to most daily activities within days of the procedure, but it is best to refrain from vigorous exercise for around two weeks. The doctor will provide an individualized recovery plan based on the details of the procedure and the patient's healing rate. It is important to follow all post - operative instructions carefully, such as keeping the incision site clean and dry to prevent infections. Some loss of feeling in the breast area and around the incisions is expected, and this numbness typically fades over time. Patients may also notice some fluid drainage from the incision site, which is a normal part of the healing process. In most cases, patients do not require a breast lift after surgery as their breasts generally return to their pre - operative shape naturally. Patients will usually return to the office the day after the surgery for the doctor to monitor the healing process. If external sutures are used, they are usually removed around 7 - 10 days following 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, and the scars will likely be firm and pink for at least six weeks before beginning to fade.
Conclusion
In conclusion, New York City offers a wealth of options for breast prosthesis removal and repair. Hospitals like Mount Sinai Hospital, New York - Presbyterian Hospital - Columbia and Cornell, North Shore University Hospital at Northwell Health, NYU Langone Hospitals, and Lenox Hill Hospital at Northwell Health have strong reputations and extensive experience in various medical specialties. Additionally, the recognized hospitals of NYC Health + Hospitals show high - quality care in general medical conditions, which may also translate to good services in breast - related surgeries. Choosing an experienced doctor from the list of highly - rated breast reconstruction doctors is also crucial for a successful procedure. Understanding the pre - operative, operative, and post - operative aspects of breast prosthesis removal and repair is essential for patients to make informed decisions and have a smooth recovery process.
If you or someone you know is considering breast prosthesis removal and repair in New York City, take the time to research the hospitals and doctors mentioned in this article. Reach out to schedule consultations, ask questions, and get a personalized treatment plan. Share this valuable information with others who might