Top Hospitals for Removing Nasal Silicone Implants in New York City in 2025

Introduction

In recent years, cosmetic procedures involving nasal silicone implants have become quite popular. However, there are instances where patients may need to have these implants removed. This could be due to various reasons such as infection, extrusion, dissatisfaction with the aesthetic result, or complications related to the implant. If you're in New York City and are looking for a reliable hospital to remove your nasal silicone implant, this article will provide you with valuable information. We'll explore different hospitals, their services, and the expertise of their medical staff.

Reasons for Nasal Silicone Implant Removal

Before diving into the hospitals, it's important to understand why someone might need to remove a nasal silicone implant.

Infection: When a foreign body like a silicone implant is placed in the body, there's always a risk of infection. An infected implant can cause pain, swelling, and discharge from the nose. In some cases, the infection may spread to other parts of the face or even cause systemic symptoms like fever. For example, if bacteria enter the surgical site during the implant placement or later through a break in the skin, an infection can develop.
Extrusion: This occurs when the implant starts to push through the skin. It can be a painful and disfiguring complication. Extrusion may happen due to improper implant placement, thin skin over the implant, or excessive pressure on the nose. For instance, if the implant is too large for the nasal tissues, it may gradually work its way out.
Dissatisfaction with Aesthetic Result: Sometimes, patients may not be happy with the way their nose looks after the implant surgery. The shape may not match their expectations, or it may cause an imbalance in their facial features. For example, the bridge of the nose may be too high or the tip may be misshapen.
Autoimmune Disorders: Patients with autoimmune diseases such as lupus or scleroderma may be at higher risk for complications from silicone nasal implants. The body's immune system may react to the implant, leading to inflammation and other problems.
Nasal Trauma: If a patient experiences a trauma to the nose, such as a fracture, the silicone implant may need to be removed to repair the damage. The implant could also be damaged during the trauma, which may cause further complications.
Desire to Switch to a Different Implant: Some patients may want to change to a different type of implant, such as a cartilage implant, and the silicone implant needs to be removed first.

Top Hospitals in New York City for Nasal Silicone Implant Removal

Mount Sinai - New York

Mount Sinai is a well - known and respected medical institution in New York City. Its division of facial plastic and reconstructive surgery offers a comprehensive range of services related to cosmetic and reconstructive procedures, including the removal of nasal silicone implants.

Expertise of Surgeons

The facial plastic surgeons at Mount Sinai are double board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This dual certification means they have in - depth knowledge of both the functional and aesthetic aspects of the nose. Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients not only have the implant removed but also that their nose will function properly and look natural afterward. For example, if a patient has had breathing problems due to the implant, the surgeons can address these issues during the removal process.

Available Procedures

Mount Sinai offers both closed (endonasal) and open (external) rhinoplasty techniques for implant removal. The closed approach involves making all incisions inside the nose, resulting in no external scar and a relatively shorter operation time. The open approach, on the other hand, adds a small incision at the base of the nose to provide better visualization of the nasal anatomy and allows for more complex alterations and grafting if needed. For example, if the implant is firmly adhered to the surrounding tissues or if there are complications like scar tissue formation, the open approach may be more suitable.

Multidisciplinary Approach

Patients at Mount Sinai have access to a wide range of specialists and subspecialists within the health system. For patients with specific concerns related to their nasal breathing, nasal allergies, or sinus disease, the hospital's team works closely with the division of rhinology and sinus surgery and the head and neck institute. This multidisciplinary approach ensures that all aspects of a patient's condition are addressed during the implant removal and recovery process. For instance, if a patient has chronic sinusitis in addition to the need for implant removal, the team can develop a comprehensive treatment plan that takes both conditions into account.

New You Plastic Surgery

New You Plastic Surgery, led by Dr. Jeremy Nikfarjam, is also a notable option for nasal silicone implant removal in New York City. Although Dr. Nikfarjam is well - known for his work in silicone injection removal in general, his expertise can be applied to nasal implant removal as well.

Expertise of Dr. Nikfarjam

Dr. Nikfarjam is a board - certified plastic surgeon who has extensive experience dealing with the complications of silicone injections. He has developed unique surgical techniques for safely and effectively removing foreign body materials from the body while maintaining an aesthetically pleasing outcome. His understanding of the molecular science of silicone and its effects on the body allows him to approach nasal silicone implant removal with a high level of precision. For example, he can identify and remove any remaining silicone material that may be causing inflammation or other problems.

Surgical Approach

Dr. Nikfarjam's surgical approach for nasal silicone implant removal is likely to be comprehensive. He may perform the procedure in multiple stages if necessary, with each stage carefully planned to ensure the best possible results. The procedure is typically performed in an inpatient hospital setting with several dedicated teams, including immunology, pathology, physical therapy, and nursing. This multidisciplinary team approach helps in managing any potential complications and ensuring a smooth recovery. For example, the immunology team can monitor the patient's immune response to the implant removal, while the physical therapy team can assist with post - operative rehabilitation.

Insurance Coverage

One of the advantages of choosing New You Plastic Surgery is that silicone removal can often be covered by insurance. Since many patients with nasal silicone implants experience pain, redness, difficulty breathing, or other symptoms that can be considered medically necessary, insurance companies may cover the cost of the removal procedure. Dr. Nikfarjam's team of insurance experts will work with patients to pre - authorize the surgery and hospital stay, providing financial peace of mind.

Shafer Plastic Surgery

Shafer Plastic Surgery, specifically the Shafer Clinic Fifth Avenue, offers reoperative cosmetic surgery services, which can include the removal of nasal silicone implants.

Dr. David Shafer's Expertise

Dr. David Shafer is a highly skilled and expertly trained board - certified plastic surgeon. He focuses on understanding his patients' plastic surgery goals and using his technique and artistry to provide beautiful and natural - looking results. In the context of nasal silicone implant removal, he can assess the patient's situation carefully and develop a personalized treatment plan. For example, if a patient has had a previous rhinoplasty with a silicone implant and is unhappy with the results, Dr. Shafer can use his expertise to correct any issues and improve the appearance and function of the nose.

Reoperative Cosmetic Surgery

The clinic offers reoperative cosmetic surgery to correct issues and unsatisfactory results from previous procedures. When it comes to nasal silicone implant removal, this can be crucial. If a patient has had complications or is dissatisfied with the outcome of the initial implant surgery, Dr. Shafer can address these problems during the removal and reconstruction process. For example, if the implant has caused changes in the shape of the nose, he can use advanced surgical techniques to restore a more natural and balanced appearance.

Recovery Support

Dr. Shafer provides detailed information on the recovery process during the consultation. He also gives patients a thorough list of post - operative instructions to help make their recovery as comfortable as possible. This includes advice on pain management, wound care, and when to resume normal activities. For example, he may recommend using cold compresses to reduce swelling and taking prescribed pain medications to manage discomfort.

What to Expect During the Implant Removal Process

Consultation

When you visit a hospital or clinic for nasal silicone implant removal, the first step is usually a consultation. During this consultation, the surgeon will ask about your medical history, including any previous surgeries or treatments. They will also perform a physical examination of your nose and may take photographs or use computer imaging software to help you visualize possible outcomes. The surgeon will discuss the removal process with you, including possible risks and potential complications. They will also explain what to expect during recovery, such as swelling, bruising, and pain management. It's important to be open and honest with your surgeon about your concerns and expectations for the surgery.

Pre - operative Preparation

Before the surgery, you will need to make some preparations. These may include:

Medication Adjustments: You may need to stop taking certain medications, such as blood thinners like aspirin, about two weeks before the surgery. This is to reduce the risk of excessive bleeding during the procedure.
Smoking and Nicotine Avoidance: Smoking and nicotine can cause the narrowing of blood vessels and impaired blood circulation, which can delay the healing process. It's recommended to avoid consuming them at least two weeks before the surgery.
Fasting: You will usually be asked to avoid eating and drinking for six hours before the operation, unless your surgeon tells you otherwise.
Showering: Taking a shower the day before the procedure helps to clean the body from all cosmetics, lotions, and creams.
Bringing Documents: You should bring your tests and medical records with you on the day of surgery.
Inform Your Surgeon: Let your surgeon know about any medical conditions, allergies, and any medications you take, including supplements and over - the - counter medicines.

Surgery

The implant removal surgery typically requires general anesthesia, which means you will be completely unconscious and not feel any pain during the procedure. The surgeon will make an incision either inside or outside the nose, depending on the location of the implant and the surgical approach. They will then carefully remove the implant and any surrounding scar tissue. In some cases, the surgeon may use cartilage grafts from other parts of your body, such as the rib, septum, or ear, to reshape the nose after the implant removal. After the surgery, the incision will be closed with stitches.

Recovery

The recovery process after nasal silicone implant removal can vary from person to person, but there are some general guidelines.

Immediate Post - operative Period: In the first 24 hours after the surgery, you may experience headaches, swelling, bruising, and nosebleeds. You will need to rest and use the painkillers prescribed by the doctor. You should also use liquid, mixed, and soft foods until the day after the procedure and sneeze or cough with your mouth open to avoid putting pressure on your nose.
First Few Weeks: You should avoid laughing and talking too much for the first few weeks, as well as pinching and pressing the nose. Applying cold compresses around the nose and under the eyes for at least a few days after surgery can help reduce bruising and swelling. You may also need to wear a splint or cast on your nose for a week or two to support your nose and hold it in place as it heals.
Long - term Recovery: It may take several weeks for the nose to heal fully and the swelling to subside. You should avoid strenuous activities and certain medications during this time. The surgeon will schedule follow - up appointments to monitor your healing and address any concerns or complications that may arise.

Risks Associated with Nasal Silicone Implant Removal

As with any surgical procedure, there are risks associated with nasal silicone implant removal. Some of these risks include:

Infection: There is always a risk of infection when a foreign body is removed from the body. If an infection occurs, the surgeon may need to take additional steps to treat it, such as re - removing the implant or prescribing antibiotics.
Bleeding: The surgery may cause bleeding, which may be difficult to control in some cases. This may require additional surgical intervention to stop the bleeding.
Scarring: Depending on the surgical approach, there may be some scarring on the outside of the nose. However, surgeons take steps to minimize scarring and make the incisions as inconspicuous as possible.
Changes in Nose Shape: Removing the implant can cause changes in the shape of the nose. In some cases, the nose may have a less defined shape or volume. Additional surgeries or treatments may be required to achieve the desired aesthetic result.
Anesthesia Risks: Any surgical procedure that requires anesthesia carries risks, such as an allergic reaction, nausea, or difficulty breathing. The anesthesia team will carefully monitor you during the surgery to minimize these risks.
Pain and Discomfort: You may experience pain and discomfort after the surgery, which can be relieved with pain medication. However, the pain should gradually improve over time as you recover.

Cost of Nasal Silicone Implant Removal

The cost of nasal silicone implant removal can vary depending on several factors. These include the complexity of the surgery, the surgeon's experience, the geographic location, and the facility where the procedure is performed. In addition to the surgery cost, factors such as pain medications, post - operative care, antibiotics, and follow - up visits with the surgeon during the recovery period can also affect the total cost. Insurance may cover the surgery if it is deemed medically necessary, such as in cases of infection or breathing problems. However, if the removal is for cosmetic reasons, insurance may not cover the cost. It's important to discuss the cost with your surgeon during the consultation and to check with your insurance provider to understand your coverage.

Conclusion

Removing a nasal silicone implant is a serious decision that requires careful consideration. If you're in New York City, there are several excellent hospitals and clinics that can provide high - quality care for this procedure. Mount Sinai offers a comprehensive approach with its double - board - certified surgeons, multiple surgical techniques, and multidisciplinary support. New You Plastic Surgery, under the leadership of Dr. Nikfarjam, provides expertise in silicone removal and often has insurance coverage options. Shafer Plastic Surgery, with Dr. David Shafer's skill and experience, can help correct issues from previous surgeries. When choosing a hospital or surgeon, make sure to do your research, have a thorough consultation, and ask any questions you may have. Remember, your health and satisfaction are the top priorities.

If you're considering nasal silicone implant removal, don't hesitate to take the next step. Schedule a consultation with one of the hospitals or clinics mentioned in this article to discuss your options and get the care you need. Share this article with others who may be in a similar situation to help them make informed decisions.