Introduction
Silicone breast augmentation has been a popular cosmetic procedure for many years, but there are various reasons why individuals may choose to have their implants removed. Whether it's due to medical complications, changes in personal aesthetic preferences, or concerns about implant - related illnesses, finding a reliable hospital or surgeon for the removal procedure is crucial. In New York City, a hub of medical excellence, there are several top - notch options for silicone breast augmentation removal. This article will explore the top 5 selected hospitals and surgeons that can provide high - quality care for this specific procedure.
Why Consider Silicone Breast Augmentation Removal?
There are multiple reasons why someone might opt for silicone breast augmentation removal. Medical issues can be a significant driving factor. Capsular contracture, where the scar tissue around the implant hardens and can cause pain and distortion of the breast, is one common complication. Implant rupture or leakage is another concern, as it can lead to changes in breast appearance and potential health risks. Breast implant - associated anaplastic large cell lymphoma (BIA - ALCL), although rare, has also been linked to certain types of implants and can prompt removal.
On the other hand, non - medical reasons also play a role. Over time, an individual's aesthetic preferences may change. They might want to return to their natural breast size or simply no longer feel comfortable with the implants. Lifestyle changes, such as a more active athletic lifestyle where the implants may be a hindrance, can also be a motivation for removal.
Top 5 Hospitals and Surgeons for Silicone Breast Augmentation Removal in NYC
1. Steven Wallach MD, FACS
About the Surgeon
Dr. Steven Wallach is a well - established plastic surgeon in New York City. He has extensive experience in breast implant removal procedures. As breast augmentation has become more popular in the United States, the demand for implant removal has also increased, and Dr. Wallach is at the forefront of providing this service.
Procedure
For the breast implant removal procedure, Dr. Wallach usually makes an incision using the previous breast implant surgical approach. This could be along the breast fold, the periareola region, or through a transaxillary incision in the armpit. He then accesses the pocket created for the implants and removes them. If necessary, he also removes implant filler material from ruptured silicone implants. During a capsulectomy, he removes the breast implant and the scar tissue that has formed around it. The surgery may be performed under intravenous (IV) sedation or general anesthesia for the patient's comfort and safety.
Benefits for Patients
One of the major benefits of choosing Dr. Wallach is his experience. He has dealt with various cases of breast implant removal, whether for medical or cosmetic reasons. He can offer a personalized approach to each patient, discussing all the options and techniques available. Patients can also get advice on whether they want to replace the old implants with new ones at the same time.
Recovery
Immediately after the procedure, patients can expect swelling and bruising around the breasts and may be in mild pain. They will need a caregiver to drive them home and stay with them for about a day. Most patients can return to light activity within three to five days, but are advised to avoid aerobic activity for three to four weeks and heavy lifting for about six to eight weeks.
2. Dr. Darrick Antell
Professional 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 Harper’s Bazaar and other magazines 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 to his excellent results and patient satisfaction.
Procedures Offered
Dr. Antell performs custom breast implant removal (explant) surgery. He can remove existing silicone or saline implants and also performs en bloc capsulectomy when indicated, which is the removal of the tissue that has grown around the breast implant. He also specializes in removing the recalled Allergan textured breast implants due to their association with BIA - ALCL.
Consultation Process
During the initial consultation, Dr. Antell thoroughly evaluates the patient's general health, medical history, and the current condition of the breasts. He has an open - and - honest conversation with the patient about their desired outcome and creates a personalized surgical plan. If the patient has medical complications, he discusses the symptoms in detail. He also advises on whether to pair the explant surgery with another procedure, such as a breast lift, to achieve a more plump and rounded appearance.
Surgical Facilities
Dr. Antell has privileges in numerous hospitals throughout New York City. However, most patients prefer his discreet, private operating room located just across the street from world - renowned Lenox Hill Hospital. The state - of - the - art outpatient surgery center is fully accredited, designed for patient comfort, and equipped with the latest technology.
Recovery and Aftercare
After the surgery, patients recover in Dr. Antell's state - of - the - art recovery suite. Breast implant removal is an outpatient procedure, and patients can return home the same day. They are provided with thorough discharge instructions. Although patients may experience some loss of feeling in the breast area and fluid drainage from the incision site, most do not require a breast lift after surgery as their breasts generally return to their pre - operative shape naturally. It may take several months for the final results to be visible.
3. New York Group for Plastic Surgery (Dr. Andrew Salzberg or Dr. Jordan Jacobs)
Services for Breast Implant Removal
The New York Group for Plastic Surgery offers breast explant procedures. A breast explant is a cosmetic procedure performed to remove breast implants and some or all of the surrounding scar capsules. Their surgeons also remove silicone from the shell of the implant and clean within the breast pocket during the procedure.
Reasons for Removal
Common reasons for a patient to need an explant surgery in NYC include removing leaking or ruptured implants, getting rid of implants causing pain or other complications, replacing damaged implants, improving the aesthetics and feel of the breasts, and removing capsular contracture.
Preparation
Before the procedure, patients are advised to avoid certain medications that can interfere with the surgery, such as aspirin, ibuprofen, and anti - inflammatory medications for one week. They should also stop taking blood - thinning medications for up to six weeks. Patients need to arrange for a driver to take them home after the procedure and stay with them for at least 24 hours. An examination is also necessary to determine if the breasts are healthy enough for the explant.
Surgical Process
The surgeon administers either local or general anesthesia based on the consultation. Once the patient is under anesthesia, the surgical area is prepared and cleaned. Incisions can be made in the crease under the breast, around the areola, or vertically in the armpit. The implants are then removed using various methods, followed by the removal of excess skin or scar tissue. The incisions are then sealed, and the surgery usually takes between one to three hours depending on the extent of work.
Recovery
Patients spend about an hour in the recovery room before going home. They are provided with post - procedure instructions on how to wear a compression bra, take prescribed antibiotics, and apply cold compresses. Most patients experience three days of downtime and can return to light activities within a week, with more vigorous activity possible in about six weeks.
4. Dr. Barry Weintraub
Expertise in Implant Removal and Replacement
Dr. Barry Weintraub specializes in breast implant removal and replacement. He performs these procedures to change the size, location, or type of implants. He also addresses concerns related to breast implant illness (BII) and capsular contracture. He can replace lost volume with autologous fat or perform a breast lift in conjunction with implant removal.
Consultation and Patient Selection
During the consultation, Dr. Weintraub helps patients understand their own issues and creates a personalized surgical plan. The best candidates for breast - implant removal and replacement are in good general health, have realistic expectations, are highly motivated to make the change, can pause their daily responsibilities, and have the financial means to undergo the elective cosmetic surgery.
Surgical Approach
Dr. Weintraub prefers his patients to be in a comfortable state of twilight sleep during the procedure. He insists on the most sterile conditions in the operating room, with on - staff, board - certified anesthesiologists and state - of - the - art monitoring equipment. The surgery is never rushed, and he performs every maneuver with precision and care.
Recovery and Results
There may be a short period of minimal swelling and sometimes bruising after the surgery. Patients must follow all instructions provided by Dr. Weintraub. He advises on when patients can return to their normal lifestyle and exercise routine. Patients can expect significant, long - lasting aesthetic improvements to their breasts following the implant removal and replacement.
5. Dr. Olivia Hutchinson
Reputation in Breast Implant Removal
Dr. Olivia Hutchinson is recognized as a top breast implant removal surgeon in NYC, especially on the Upper East Side. With over 20 years of experience, she has evaluated numerous patients with breast implant - related concerns and performed many breast implant removal procedures.
Reasons for Implant Removal
Patients may seek implant removal due to aesthetic issues such as the implant becoming palpable or visible, rupture, leakage, deflation, or movement from its original position. Medical issues like severe capsular contracture, chronic pain, BIA - ALCL, and breast implant illness (BII) can also be reasons for removal.
Approach to Treatment
Dr. Hutchinson advises patients on the various surgical options available and the best course of action to achieve their goals. In some cases, a secondary procedure like a breast lift may be necessary to achieve the best aesthetic results. She helps patients make informed decisions about their implant removal, especially in cases related to the recall of textured implants due to BIA - ALCL.
What to Consider When Choosing a Hospital or Surgeon
Experience and Expertise
One of the most important factors is the surgeon's experience in silicone breast augmentation removal. A surgeon who has performed numerous procedures is more likely to handle any complications that may arise during the surgery. Look for surgeons who have a long - standing practice in the field and have dealt with a variety of cases, whether it's for medical or cosmetic reasons.
Reputation
Check the surgeon's reputation through patient reviews, testimonials, and any awards or recognitions they have received. A surgeon with a good reputation is more likely to provide high - quality care and achieve satisfactory results. You can also look for referrals from other patients who have undergone similar procedures.
Consultation Process
A thorough consultation process is crucial. The surgeon should take the time to understand your goals, evaluate your medical history, and discuss all the available options. They should answer all your questions and address any concerns you may have about the procedure, recovery, and potential risks.
Surgical Facilities
The quality of the surgical facilities is another important consideration. Accredited facilities with the latest technology and a well - trained staff can ensure a safe and comfortable surgical experience. Private operating rooms can also offer more privacy and personalized care.
Cost
While cost should not be the only determining factor, it is still an important consideration. The cost of silicone breast augmentation removal can vary depending on several factors, such as the complexity of the procedure, whether replacement is involved, and the surgeon's fees. It's important to get a detailed quote during the consultation and understand what is included in the cost.
Preparing for Silicone Breast Augmentation Removal
Medical Consultation
Before the surgery, you will have a medical consultation with your chosen surgeon. During this consultation, the surgeon will evaluate your overall health, review your medical history, and examine your breasts. They may also order some tests, such as an ultrasound, mammogram, or MRI, to assess the condition of the implants and surrounding tissue.
Medication and Lifestyle Changes
As mentioned earlier, you may need to stop taking certain medications, such as blood - thinners and anti - inflammatory drugs, for a period of time before the surgery. Your surgeon will also give you guidelines on eating and drinking, smoking, and taking or avoiding vitamins and iron tablets. It's important to follow these instructions to reduce the risk of complications during the surgery.
Arrangements for After - Surgery
You should arrange for someone to drive you home after the surgery and stay with you for the first few days of recovery. You may also need to take some time off work, depending on your job requirements. Make sure you have a comfortable place to rest and have all the necessary supplies, such as pain medication, compression bras, and cold compresses.
Recovery and Aftercare
Immediate Post - Surgery
After the surgery, you will be taken to a recovery room where you will be monitored until you wake up from anesthesia. You may experience some swelling, bruising, and mild pain in the breast area. Your surgeon will provide you with pain medication and instructions on how to manage the discomfort. You will also be given instructions on how to care for the incision sites, such as keeping them clean and dry.
Return to Normal Activities
The recovery time can vary from person to person, but most patients can return to light activities within a few days to a week. However, you should avoid strenuous exercise and heavy lifting for several weeks. Your surgeon will give you a personalized recovery plan based on the complexity of the procedure and your rate of healing.
Follow - up Appointments
It's important to attend all your follow - up appointments with your surgeon. During these appointments, the surgeon will monitor your healing progress, check for any signs of complications, and remove any sutures if necessary. They will also provide you with further instructions on how to care for your breasts as they continue to heal.
Potential Risks and Complications
Common Risks
Like any surgical procedure, silicone breast augmentation removal carries some risks. These can include unfavorable scarring, asymmetry, infection, bleeding, nipple loss, skin loss, fat necrosis, fluid collections, dysesthesias, and the need for revision surgery. However, these risks can be minimized by choosing an experienced and qualified surgeon and following all pre - and post - operative instructions.
BIA - ALCL and Other Implant - Related Concerns
There is also a risk of BIA - ALCL, especially with certain types of textured implants. Symptoms of BIA - ALCL include pain or swelling around the breasts, a difference in the size or shape of the breasts. If you experience any of these symptoms, it's important to consult your surgeon immediately. Breast implant illness (BII) is another concern, although the exact cause and prevalence are still being studied.
Conclusion
In conclusion, choosing the right hospital and surgeon for silicone breast augmentation removal in New York City is a crucial decision. The top 5 hospitals and surgeons mentioned in this article - Steven Wallach MD, FACS, Dr. Darrick Antell, New York Group for Plastic Surgery, Dr. Barry Weintraub, and Dr. Olivia Hutchinson - all offer high - quality services, experienced surgeons, and state - of - the - art facilities. When making your decision, consider factors such as experience, reputation, consultation process, surgical facilities, and cost. It's also important to properly prepare for the surgery and follow all aftercare instructions to ensure a smooth recovery and the best possible results.
If you are considering silicone breast augmentation removal, we encourage you to schedule a consultation with one of these top surgeons. Discuss your goals, concerns, and expectations to get a personalized plan that meets your needs. Share this article with others who may be in the same situation and help them make an informed decision about their breast implant removal journey.
