Introduction
Prosthetic breast augmentation has been a popular cosmetic procedure for many women. However, there are various reasons why some women may opt for prosthetic removal surgery. In New York City, there are numerous plastic surgeons, but only a select few make it to the top - ten ranking for prosthetic removal surgery in prosthetic breast augmentation. This article will explore the key factors influencing the ranking, introduce the top - ten surgeons, and provide comprehensive information about prosthetic removal surgery.
Reasons for Prosthetic Removal Surgery
There are several reasons why a woman might choose to have her breast implants removed. Firstly, the implants may be due for replacement. Most plastic surgeons recommend breast augmentation patients to replace their breast implants every 10 - 15 years to ensure optimal implant hardness, texture, and resilience. Over time, the technology of breast implants has advanced, and patients may desire the new - generation implants or may no longer want implants at all. Secondly, the current implants may be ineffective or causing problems. Some patients may experience complications such as capsular contracture, where the tissue that surrounds the implant hardens and squeezes the implant, causing pain or an unnatural shape. In addition, the recent recall of certain textured breast implants by the FDA due to an increased risk of breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) has also led many women to consider implant removal.
Factors Influencing the Ranking of Surgeons
- Experience and Expertise: Surgeons with many years of experience in performing prosthetic removal surgeries are more likely to be ranked highly. They have encountered a variety of cases and have developed effective techniques to handle different situations. For example, they are more proficient in dealing with complex issues such as removing implants with severe capsular contracture or performing en bloc capsulectomy.
- Reputation: A surgeon's reputation is crucial. Positive reviews from previous patients, recommendations from other medical professionals, and media recognition can significantly boost a surgeon's ranking. Surgeons who have been featured in well - known magazines or news outlets for their excellent work in prosthetic removal surgery are more likely to be trusted by patients.
- Training and Certifications: Surgeons who are board - certified by relevant medical boards, such as the American Board of Plastic Surgery, have met high - quality standards in their education and training. Their specialized training in plastic and reconstructive surgery gives them the necessary skills to perform safe and effective prosthetic removal surgeries.
- Success Rate: A high success rate in prosthetic removal surgeries, including a low complication rate and high patient satisfaction rate, is a key factor in the ranking. Surgeons who can consistently achieve good results, such as restoring the natural shape of the breasts and minimizing scarring, are highly regarded.
Top Ten Surgeons for Prosthetic Removal Surgery in New York City
| Surgeon's Name | Clinic Name | Specialties | Notable Achievements |
|---|---|---|---|
| Dr. Darrick Antell | Not specified | Custom breast implant removal (explant) surgery, en bloc capsulectomy | Listed in Harper’s Bazaar and other magazines as one of the best breast plastic surgeons in the country. Repeatedly appears on the best doctors lists for Town and Country, Vogue, and New York Magazine. An official spokesperson for the American Society of Plastic Surgeons. |
| From the Breast Reconstruction Center of NYC | Breast Reconstruction Center of NYC | En bloc breast implant removal, partial capsulectomy, total capsulectomy | The top - rated breast surgery team is highly trained in breast implant removal surgery and world - renowned for their advanced breast implants removal techniques. |
| Dr. Adam R. Kolker | Not specified | Breast augmentation, breast asymmetry, breast lift, breast reconstruction, breast reduction, etc. Also skilled in prosthetic removal | Double - board certified. Featured as a top plastic surgeon in New York Magazine's best doctors issues from 2008 - 2024 and as one of America's best plastic surgeons in 2021 - 2024 by Newsweek. |
| Dr. David L. Cangello | Cangello Plastic Surgery | Facial and body plastic surgeries, including breast augmentation and likely prosthetic removal with his comprehensive plastic surgery skills | Developed a reputation for achieving superior, natural - looking results. His results have been featured in publications such as Seventeen magazine. Trusted by many celebrities and models. |
| Dr. Daniel Y. Maman | Not specified | Breast surgery, including breast augmentation, breast lift, breast reduction, and breast cancer reconstruction | Nominated for “Best Doctors of 2021” by New York Magazine and featured in several reputable magazines. |
| Dr. Nina S. Naidu | Not specified | Breast surgery, such as breast augmentation and breast reconstruction | Creator of her own line of luxury skin - care cosmetics. Has a lot of experience and participates in humanitarian missions. |
| Dr. Olivia Hutchinson | Office on the upper east side of Manhattan | Cosmetic surgery of the face, breast, and body | Deeply believes that plastic surgery serves to enhance already existing beauty. Prioritizes honesty with clients and is a speaker and published author. |
| Dr. Adam Kolker (again as there are details about his breast - related expertise in different sources) | 710 Park Avenue | Breast procedures including breast augmentation, breast lift, tuberous breast correction, and relevant removal procedures | American Board of Plastic Surgery certified, American Board of Surgery certified. Has an impressive educational background and is well - known in the field. |
| Dr. Nadia Afridi | 815 Park Ave | Mommy makeovers, breast surgery, body contouring, facial treatments | Received impressive reviews from clients. Experienced with both saline and silicone implants and can correct various breast - related complications from previous surgeries. |
| Dr. Richard Swift | 110 E 87th st | Breast enhancement, body contouring, facial treatments | Board - certified by the American Board of Plastic Surgery and the American Board of Surgery. Provides detailed consultations and pre - and post - operative care. |
Procedures in Prosthetic Removal Surgery
En Bloc Breast Implant Removal
During an en bloc breast implant removal surgery, the plastic surgeon removes the implants and capsule in a single procedure. This method is often preferred when there are concerns about possible contamination or when the patient wants to ensure that all the implant - related tissue is removed. It is a more complex procedure compared to others and requires a high level of surgical skill. Surgeons need to carefully separate the capsule and implant from the surrounding tissue without rupturing the capsule, which could potentially release silicone or other substances into the body.
Partial Capsulectomy
A partial capsulectomy consists of solely removing the breast implant material and trimming / shaping some of the capsule material in order to create the patient’s desired chest contour. This procedure is suitable for patients who want to keep some of the capsule tissue or for those where complete removal of the capsule is not necessary or too risky. The surgeon will assess the condition of the capsule and determine how much tissue needs to be removed to achieve the best aesthetic result.
Total Capsulectomy
A total capsulectomy consists of removing the implant, capsule, and remaining scar tissue. The procedure begins with the removal of the breast implants, followed by a complete removal of the capsule and associated scar tissue. This is a more invasive procedure but may be required in cases where there is severe capsular contracture or other complications related to the implant and capsule. After the removal, the surgeon will carefully close the incisions and manage the post - operative recovery process.
The Consultation Process
When considering prosthetic removal surgery, the consultation process is very important. During the initial consultation, the plastic surgeon will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. If the patient desires to have the implants removed due to medical complications, it is crucial to discuss any symptoms they may be experiencing with the surgeon. It is also helpful for the patient to bring any information they have about their existing implants and their previous breast augmentation surgery to the appointment.
The surgeon will explain each variation of the breast implant removal procedure and work with the patient to create a customized treatment plan that reflects the patient's desired post - operative goals. The surgeon will also go through the procedure, the risks, and the recovery in detail so that the patient can feel confident and fully informed. For example, they will discuss potential risks such as bleeding, infection, numbness at the incision site, or an adverse reaction to the anesthesia. They will also provide guidelines on how to prepare for the surgery, including dietary restrictions, smoking cessation (if applicable), and any necessary pre - operative tests.
Preparing for Prosthetic Removal Surgery
Based on various factors such as age and implant condition, the surgeon may send the patient for imaging, such as an ultrasound, mammogram, or MRI, prior to the prosthetic removal procedure. Ahead of the surgery day, the patient will be given detailed guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. They may be given prescriptions that should be filled prior to the surgery. Depending on the patient's medical history, they may be asked to provide pre - operative clearance from another doctor.
As the procedure is usually performed under some form of anesthesia, the patient should arrange for someone to drive them home after the surgery and ensure they have someone to assist them in the first few days of recovery. It is important for the patient to follow all the pre - operative instructions carefully to minimize the risk of complications during and after the surgery.
What to Expect During and After the Surgery
During the Surgery
Breast implant removal is typically performed with local anesthesia and intravenous sedation or with another type of “twilight” anesthesia. A board - certified anesthesiologist will be monitoring the patient throughout the procedure to ensure their safety and comfort. The surgeon will try to remove the implant through the existing incisions from the initial breast augmentation surgery if possible. If there are complications such as capsular contracture, silicone implant rupture, or concerns about BIA - ALCL, it may be necessary to remove the hardened scar tissue surrounding the implant, which could make the procedure more complex and time - consuming. Multiple layers of internal, dissolving sutures, and a layer of external sutures (if needed) will typically be used to close the incisions, and the surgeon may place a layer of gauze or a bandage over the breasts to aid in healing.
After the Surgery
After undergoing the surgery, the patient will recover in a state - of - the - art recovery suite while being monitored by a registered nurse until they feel well enough to be discharged. The surgery is usually an outpatient procedure, meaning the patient can return home the same day. However, they should be prepared to have an escort to bring them home, as they will not be able to drive for 24 hours after the administration of anesthesia. The patient may feel tired or sore following surgery, and their breasts may be covered in a layer of gauze or a bandage. 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 expected to experience some loss of feeling in the breast area and around the incisions, which typically fades over time. The patient may also notice some fluid drainage from the incision site. In most cases, 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 their healing process. If external sutures are used during surgery, 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, prosthetic removal surgery in prosthetic breast augmentation is a significant decision for many women in New York City. There are multiple reasons for choosing this surgery, and it is essential to select a highly - ranked surgeon who can provide safe and effective procedures. The top - ten surgeons in New York City offer a range of expertise and experience in handling different aspects of prosthetic removal, from various surgical techniques to personalized patient care. The consultation, preparation, and recovery processes are all crucial steps in ensuring a successful outcome. By being well - informed and working closely with a qualified surgeon, patients can make the best decision for their health and aesthetic goals.
If you are considering prosthetic removal surgery, we encourage you to research further, read patient reviews, and schedule consultations with some of the top - ranked surgeons in New York City. Take the time to discuss your concerns and expectations with them to find the surgeon who is the best fit for you. Share this article with others who may be interested in this topic to help them make more informed decisions.
