Introduction
Breast prosthesis removal is a significant surgical procedure that many women in New York City may require due to various reasons such as medical complications, dissatisfaction with the aesthetic results, or other personal factors. Finding a top - notch hospital with experienced surgeons and high - quality care is crucial for a successful outcome. In this article, we will explore the top 10 hospitals for breast prosthesis removal in New York City, taking into account their rankings, specialties, and patient experiences. We will also discuss the reasons for breast prosthesis removal, the surgical process, and recovery tips.
Reasons for Breast Prosthesis Removal
There are multiple reasons why a woman might choose to have her breast prosthesis removed. Some of the common reasons include:
- Medical Complications: Conditions such as severe capsular contracture, where significant scar tissue forms around the implants, causing pain and discomfort. Another serious medical issue is breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), a rare cancer that has been linked to certain textured breast implants. Infections and bleeding related to the implants can also necessitate removal. Additionally, breast implant illness (BII), which is a collection of symptoms like fatigue, fever, and gastrointestinal complaints, may prompt women to remove their implants.
- Aesthetic Dissatisfaction: Breast implants may become palpable or visible, with issues like folding, rippling, or wrinkling. Rupture, leakage, or deflation of the implants can also lead to an unsatisfactory appearance. Malposition of the implants, such as a “double bubble” appearance or “symmastia,” where the implants touch in the middle, as well as breast asymmetry, unsightly scars, and nipple or areola problems can all be reasons for removal.
Overview of Hospital Rankings
Several organizations provide hospital rankings based on various criteria. U.S. News & World Report is one of the most well - known institutions for ranking hospitals. Their rankings are based on a comprehensive evaluation of 16 specialties, 10 procedures and conditions. They award hospitals points if they rank in one or more of these areas, with more points given for higher rankings. The Women's Choice Award also identifies America's best hospitals & healthcare facilities, with a focus on relevant clinical performance, patient satisfaction, and appropriate accreditations, especially from the perspective of the female experience.
Top 10 Hospitals for Breast Prosthesis Removal in New York City
1. Mount Sinai Hospital
Mount Sinai Hospital is ranked #1 in New York, NY according to US News Best Hospitals. It is nationally ranked in 12 adult specialties and 4 pediatric specialties and is high - performing in 20 procedures/conditions. This hospital likely has a team of highly skilled surgeons who are experienced in breast prosthesis removal. The wide range of specialties and high - performing procedures indicate a high level of medical expertise and resources available. For example, their comprehensive medical infrastructure can handle any potential complications that may arise during or after the breast prosthesis removal surgery. They also have a reputation for providing quality patient care, which is essential for a patient's well - being during the recovery process.
2. New York - Presbyterian Hospital - Columbia and Cornell
This hospital has achieved a high - level ranking in New York. It was once named the top hospital in New York and rose to No. 4 in the nation, and has also been ranked No. 7 in the nation by U.S. News & World Report’s Best Hospitals. It is nationally ranked in 14 adult specialties and 10 pediatric specialties and is high - performing in 1 specialty & 20 procedures/conditions. In the area of surgical excellence, its adult specialties include heart surgery, GI surgery, and lung surgery, while children's specialties cover pediatric heart, GI, and lung surgery. The high - quality surgical oncology expertise, including in breast surgery, makes it a strong candidate for breast prosthesis removal. The institution's focus on providing groundbreaking care, along with its research and educational initiatives, likely contributes to its surgeons' ability to perform complex breast surgeries safely and effectively.
3. North Shore University Hospital at Northwell Health
Located in Manhasset, NY, it is nationally ranked in 9 adult specialties and is high - performing in 15 procedures/conditions. The hospital's focus on adult specialties suggests a well - developed medical infrastructure for adult patients undergoing breast prosthesis removal. With its experience in multiple specialties, it can offer a multidisciplinary approach to patient care. For instance, if a patient has underlying health conditions along with the need for breast prosthesis removal, the hospital can coordinate the care between different departments to ensure a successful outcome.
4. NYU Langone Hospitals
NYU Langone Hospitals in New York, NY are nationally ranked in 13 adult specialties and 3 pediatric specialties and are high - performing in 1 specialty & 21 procedures/conditions. Their wide range of high - performing procedures indicates a high level of surgical skill and experience. In the context of breast prosthesis removal, their comprehensive medical services can provide pre - operative, operative, and post - operative care. They may also have access to the latest medical technologies, which can enhance the safety and efficacy of the surgery.
5. Lenox Hill Hospital at Northwell Health
Ranked #5 in New York, NY, it is nationally ranked in 10 adult specialties and is high - performing in 1 specialty & 16 procedures/conditions. The hospital's reputation in adult specialties can be an advantage for breast prosthesis removal. Its experienced medical staff can handle the surgical and non - surgical aspects of the procedure. For example, they can provide appropriate pain management during the recovery period and offer counseling services to address any psychological concerns related to the surgery.
6. Hackensack University Medical Center at Hackensack Meridian Health
Although located in Hackensack, NJ, it is considered in the New York, NY metropolitan area. It is nationally ranked in 6 adult specialties and 4 pediatric specialties and is high - performing in 3 specialties & 19 procedures/conditions. The hospital has earned distinctions such as being New Jersey’s #1 hospital and having multiple national specialty rankings in U.S. News & World Report’s best hospitals rankings. Its experience in oncology and surgical specialties can be beneficial for breast prosthesis removal, especially if there are any underlying medical issues related to the implants.
7. Long Island Jewish Medical Center at Northwell Health
In New Hyde Park, NY, it is nationally ranked in 9 adult specialties and 8 pediatric specialties and is high - performing in 1 specialty & 14 procedures/conditions. The hospital's comprehensive range of specialties allows for a well - rounded approach to patient care. For breast prosthesis removal, they can address any potential complications that may arise during or after the surgery. Their experience in pediatric specialties also indicates a high level of medical knowledge and skill in general.
8. St. Francis Hospital and Heart Center
Located in Roslyn, NY, it is nationally ranked in 8 adult specialties and is high - performing in 1 specialty & 16 procedures/conditions. The hospital's focus on adult specialties, including potential cardiovascular expertise, can be important for patients who may have pre - existing heart conditions. During breast prosthesis removal, a patient's cardiovascular health can play a role in the surgical outcome, and the hospital's experience in this area can ensure patient safety.
9. Morristown Medical Center
In Morristown, NJ, it is nationally ranked in 6 adult specialties and is high - performing in 3 specialties & 18 procedures/conditions. The hospital's high - performing specialties and procedures suggest a competent medical team. In the case of breast prosthesis removal, their surgical skills and post - operative care can contribute to a successful recovery. They may also have access to advanced medical equipment and resources.
10. Montefiore Medical Center
In the Bronx, NY, it is nationally ranked in 4 adult specialties and 3 pediatric specialties and is high - performing in 5 specialties & 15 procedures/conditions. The hospital's experience in multiple specialties can provide comprehensive care for patients undergoing breast prosthesis removal. They can offer a range of services from diagnosis to post - operative follow - up, ensuring that the patient's needs are met at every stage of the process.
Surgeons Specialized in Breast Prosthesis Removal
Dr. Darrick Antell
Dr. Darrick Antell is a top New York plastic surgeon widely regarded as one of the most experienced breast surgeons in the New York area and worldwide. He performs custom breast implant removal (explant) surgery, including the removal of recalled allergan textured breast implants associated with BIA - ALCL. He has been listed in magazines such as Harper’s Bazaar as one of the best breast plastic surgeons in the country. His patients often refer others, which speaks to his excellent surgical results and patient satisfaction. During the consultation, he thoroughly evaluates the patient's health and medical history, and he creates a personalized surgical plan based on the patient's desired outcome. He also offers detailed information about the procedure, risks, and recovery.
Dr. Olivia Hutchinson
Dr. Olivia Hutchinson is a board - certified, Harvard and Columbia educated female aesthetic plastic surgeon. She is considered one of the top breast implant removal surgeons on the upper east side in NYC. With 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. She advises patients on the available surgical options and helps them choose the best course of action to achieve their goals. In some cases, she may recommend a secondary procedure such as a breast lift to enhance the aesthetic results.
The Breast Prosthesis Removal Procedure
Pre - operative Evaluation
Before the surgery, the patient will have a consultation with the surgeon. The surgeon will evaluate the patient's general health and medical history, including any previous breast surgeries and the current condition of the breasts. If the patient has any symptoms related to medical complications, such as pain or swelling, these will be discussed in detail. The patient is advised to bring any information about their existing implants, such as the type, size, and brand, as well as details about the previous breast augmentation surgery. Based on various factors, the surgeon may order imaging tests such as an ultrasound, mammogram, or MRI to assess the condition of the implants and the surrounding tissue.
Anesthesia
Breast implant removal is typically performed with local anesthesia and intravenous sedation or with another type of “twilight” anesthesia. In some rare cases, implants can be removed with only local anesthesia. A board - certified anesthesiologist will monitor the patient throughout the procedure to ensure their safety and comfort.
Surgical Process
If possible, the surgeon will remove the implant through the existing incisions from the initial breast augmentation surgery. However, if the patient has experienced capsular contracture, silicone implant rupture, or has textured breast implants with BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant, which 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. The surgeon may place a layer of gauze or a bandage over the breasts to aid in healing. The surgery usually takes between one to two hours to complete, and an en - bloc resection can take even longer.
Recovery after Breast Prosthesis Removal
Immediate Post - operative Period
After the surgery, the patient will recover in a state - of - the - art recovery suite while being monitored by a registered nurse until they are well enough to be discharged. A specialized, long - lasting local anesthesia will be used to reduce discomfort. Since breast implant removal is an outpatient procedure, the patient can return home the same day. However, they will need an escort to drive them home as they will not be able to drive for 24 hours after the administration of anesthesia. The patient will be provided with thorough discharge instructions, which will guide them through the initial post - operative period.
First Few Days and Weeks
The patient's breasts may be covered in a layer of gauze or a bandage. They may feel tired or sore as their body uses energy to heal. Many patients are able to return to most daily activities within days of the procedure, but it is best to refrain from vigorous exercise for around two weeks. The surgeon will provide an individualized recovery plan based on the patient's specific procedure and rate of healing. It is important to follow all post - operative instructions carefully and avoid activities that could put stress on the incisions. Some loss of feeling in the breast area and around the incisions is expected, and this numbness typically fades over time. There may also be some fluid drainage from the incision site.
Long - term Recovery
The majority of patients do not require a breast lift after surgery, as their breasts generally return to their pre - operative shape naturally. The patient will typically return to the office the day after the surgery so that the surgeon can 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. The scars will likely be firm and pink for at least six weeks before beginning to fade.
Cost of Breast Prosthesis Removal
The cost of breast prosthesis removal can vary depending on several factors. These include the complexity of the surgery, the type of anesthesia used, the location of the hospital, and any additional procedures that may be required, such as a breast lift. According to some sources, in general, the cost of breast - related surgeries in New York can range widely. For example, a lumpectomy can start from $4300, and a mastectomy can start from $15000. However, the specific cost of breast prosthesis removal would need to be determined through a consultation with the surgeon. Some insurance companies may cover the cost of breast prosthesis removal if it is deemed medically necessary, such as in the case of BIA - ALCL or severe capsular contracture. Patients should check with their insurance providers to understand their coverage options.
Choosing the Right Hospital for Breast Prosthesis Removal
When choosing a hospital for breast prosthesis removal, patients should consider several factors:
- Hospital Rankings: As discussed earlier, rankings from organizations like U.S. News & World Report and the Women's Choice Award can provide an indication of the hospital's quality and expertise. Hospitals with high rankings in relevant specialties are more likely to have experienced surgeons and better resources.
- Surgeon Experience: Look for surgeons who have extensive experience in breast prosthesis removal. Check their credentials, including board certifications, and read patient reviews to get an idea of their surgical skills and patient - centered care.
- Hospital Facilities: Consider the hospital's facilities, such as the quality of the operating rooms, recovery suites, and available medical technologies. State - of - the - art facilities can contribute to a safer and more successful surgery.
- Patient Care: Good patient care is essential for a positive surgical experience. Look for hospitals that provide comprehensive pre - operative, operative, and post - operative care, including counseling services and support during the recovery process.
Conclusion
Breast prosthesis removal is a complex surgical procedure that requires careful consideration and the expertise of a skilled surgeon. New York City is home to many top - notch hospitals that offer high - quality care for this procedure. The top 10 hospitals we have discussed, including Mount Sinai Hospital, New York - Presbyterian Hospital - Columbia and Cornell, and others, have shown excellence in various medical specialties and procedures. Surgeons like Dr. Darrick Antell and Dr. Olivia Hutchinson are well - known for their experience in breast prosthesis removal. Understanding the reasons for the procedure, the surgical process, and the recovery period is crucial for patients. By considering factors such as hospital rankings, surgeon experience, facilities, and patient care, patients can make an informed decision when choosing a hospital for breast prosthesis removal.
If you or someone you know is considering breast prosthesis removal, we encourage you to research these hospitals further, schedule consultations with experienced surgeons, and take the necessary steps to ensure a successful and safe surgical experience. Share this article with others who may find it helpful, and feel free to explore more about breast - related medical topics on our platform.