Top three hospitals for correcting breast expansion after prosthetic breast augmentation in New York City
Prosthetic breast augmentation is a common cosmetic procedure, but sometimes the results may not meet patients' expectations, or there could be complications such as improper implant positioning, wrinkled implants, or capsular contracture. In such cases, corrective surgery is needed. New York City is home to several world - class hospitals that specialize in breast implant revision. Here, we will introduce the top three hospitals for correcting breast expansion after prosthetic breast augmentation in 2025.
1. Mount Sinai - New York
Comprehensive Breast Enhancement Services
Mount Sinai offers a wide range of breast enhancement procedures. Their plastic surgeons are highly qualified and experienced in performing surgeries such as breast augmentation, breast implant revision, breast lift, and breast reduction. According to the official website, at the consultation, patients' plastic surgeons will listen carefully to their goals. Using new technology built specially for Mount Sinai by Microsoft and Touch MD, they can help patients visualize their desired results and develop a personalized breast enhancement plan.
Expertise in Breast Implant Revision
If patients are not satisfied with the results of a previous breast augmentation or breast reconstruction procedure, Mount Sinai's breast implant revision specialists can help. They are experts in matching and repairing the body's tissue with breast implants to ensure the natural position, shape, and texture of the breasts. They can address various problems, including incorrectly positioned breast implants (too low, too far to the side or center), wrinkled or rippled implants, extraordinary scar tissue around the implants (capsular contracture), stretched tissues around the implants, sagging breast implants and tissues, and implant rupture. Before starting the procedure, patients will consult with nationally - recognized specialists. The hospital may recommend new materials or meshes to stabilize the area around the breast implant and enhance the support and repair of the body's tissue. They may also suggest fat transfer from other parts of the body to improve the natural shape and texture of the breasts.
Advanced Technology and Patient - Centered Approach
For breast augmentation, Mount Sinai uses advanced 3D imaging technology. This technology allows patients to virtually try on different sizes of breasts on a computer monitor, helping them make more informed decisions about the size and shape of their breast implants. The focus is on providing a natural - looking and satisfactory result for each patient. Their patient - centered approach ensures that patients are involved in every step of the decision - making process, from consultation to the final outcome.
2. Columbia University's Plastic and Reconstructive Surgery
World - Class Reputation and Research
Columbia University is one of New York's best hospitals and a world - class medical center. Its plastic surgery division has extensive experience and is at the forefront of clinical and laboratory research in plastic surgery. The mission is to deliver the highest - quality care for cosmetic and reconstructive procedures. The plastic surgeons on the clinical staff are proficient in multiple areas of specialization, ranging from routine non - surgical cosmetic procedures to complex reconstructive operations and body contouring surgery after significant weight loss.
Breast Reconstructive and Augmentation Services
The hospital offers a variety of breast - related services, including breast augmentation and breast reconstruction after breast cancer. Their breast cancer reconstructive surgery program is dedicated to helping individuals who have undergone breast cancer surgery reclaim their physical and emotional well - being. The program brings together cancer experts and reconstructive plastic surgeons to provide compassionate and personalized post - lumpectomy or post - mastectomy reconstruction. For breast augmentation, they work closely with patients to understand their goals and choose the most suitable implant type and technique to achieve a natural - looking result.
Multidisciplinary Team
Columbia's approach to plastic surgery involves a multidisciplinary team. For example, in orthoplastic surgery, leading experts in orthopedic and reconstructive plastic surgery collaborate to provide personalized treatment options. This approach often leads to lower wound complication rates and higher patient satisfaction during the recovery process. The team also conducts extensive research, such as studies related to stem cells, tissue engineering, and gene therapy applications in wound healing, which can potentially benefit patients undergoing breast - related surgeries.
3. Dr. Maman's Practice for Breast Implant Revision
Personalized Care and Expert Surgeon
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face. He has completed a Harvard fellowship in aesthetic breast surgery and a 6 - year plastic surgery residency at the Mount Sinai Hospital in New York City. He has also appeared on the New York Times top doctors and Super Doctors in plastic surgery lists. His practice offers personalized care, with a 90 - minute consultation that includes a thorough review of the patient's medical history, an in - depth physical assessment by Dr. Maman, a comprehensive and detailed operative plan, a review of cost, accommodations, and follow - up visits, and the scheduling of surgery.
Specialized in Breast Implant Revision
Breast implant revision is a key service at his practice. Dr. Maman and his team understand the complexity of revisional surgeries, which may involve managing scar tissue, changes in breast tissue, and complications from the original procedure. They can address various issues such as implant rupture, capsular contracture, poor initial placement, rippling, changes in breast tissue due to aging or weight loss, and breast cancer reconstruction. Before surgery, patients receive multiple pre - op visits to answer all their questions, and specialized surgery coordinators help them navigate scheduling, financial, and insurance processes.
Patient - Focused Recovery
The practice emphasizes patient comfort and a smooth recovery. They offer convenient NYC operating facilities and luxury recovery room options at NYC hotels. Patients also receive complimentary, custom post - operative support garments and scar treatment regimens, as well as attentive and routine aftercare visits. The team stays in close contact with patients during the pre - op and post - op periods to ensure prompt and personalized care. The recovery timeline varies depending on the procedure, but the comprehensive aftercare options aim to optimize recovery and results.
Factors to Consider When Choosing a Hospital for Breast Implant Revision
Surgeon's Experience and Qualifications
The experience and qualifications of the plastic surgeon are crucial. A well - trained and experienced surgeon is more likely to handle complex cases and achieve satisfactory results. Look for surgeons who are board - certified and have a good reputation in the field. For example, Dr. Darrick Antell at Mount Sinai is one of the most renowned board - certified plastic surgeons in the world, trained at Stanford and Cornell University, and is often a featured lecturer at national and international seminars.
Hospital's Reputation and Resources
A hospital with a good reputation is more likely to have state - of - the - art facilities and a high - quality medical team. Consider hospitals that are well - known for their plastic surgery departments and have a history of successful breast - related surgeries. Columbia University, for instance, is a world - class medical center with extensive resources and a strong research background in plastic surgery.
Range of Services Offered
Choose a hospital that offers a comprehensive range of breast - related services. This allows for flexibility in case there are additional needs during or after the breast implant revision surgery. For example, Mount Sinai offers not only breast implant revision but also breast augmentation, breast lift, and breast reduction.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an idea of the hospital's and surgeon's performance. Look for feedback on the quality of care, the patient experience, and the final results. Many hospitals, such as Dr. Kolker's practice, have real patient testimonials on their websites, which can provide valuable insights.
Comparing the Top Three Hospitals
| Hospital | Surgeon's Expertise | Services Offered | Technology and Resources | Patient - Centered Approach |
|---|---|---|---|---|
| Mount Sinai - New York | Highly qualified and experienced plastic surgeons, some well - known globally | Breast augmentation, breast implant revision, breast lift, breast reduction | Advanced 3D imaging technology, Microsoft and Touch MD - built visualization tools | Personalized breast enhancement plans, thorough consultations |
| Columbia University's Plastic and Reconstructive Surgery | Surgeons proficient in multiple areas of plastic surgery, world - class research | Breast augmentation, breast reconstruction after cancer, various cosmetic and reconstructive procedures | Extensive research in stem cells, tissue engineering, gene therapy | Multidisciplinary team approach, personalized care for cancer survivors |
| Dr. Maman's Practice for Breast Implant Revision | Harvard - trained and board - certified plastic surgeon specialized in breast surgery | Focus on breast implant revision, addressing various issues with implants | Personalized operative plans, comprehensive pre - op and post - op care | 90 - minute consultations, luxury recovery options, attentive aftercare |
The Procedure of Breast Implant Revision
Consultation
The first step is the consultation. During this stage, the surgeon will thoroughly evaluate the patient's general health and medical history, as well as assess the current condition of the breasts. They will examine and precisely measure the breasts in preparation for the surgery. Patients should bring any information they have about their existing implants and previous breast augmentation surgery. An open and honest conversation about the desired outcome is crucial to create a proper surgical plan. The surgeon will guide the patient through selecting the proper implant type, incision size, implant placement, and size based on their specific anatomy and will also explain the procedure, risks, and recovery in detail.
Preparation
Based on factors such as age and implant condition, the patient may need to undergo imaging tests such as an ultrasound, mammogram, or MRI prior to the procedure. Before the surgery day, the patient will be given 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 before the surgery. Depending on their history, they may need to provide pre - operative clearance from another doctor. Since the procedure is often performed under “twilight” sedation, patients 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.
Surgery
The chosen incision and placement of the new implant will be customized based on the patient's individual anatomy and the condition of the existing implant. When possible, the same incision site as used in the initial breast augmentation may be used. After removing the existing implant and any scar tissue, the surgeon will carefully place the new implant with a no - touch technique. Multiple layers of internal, dissolving sutures are typically used to close the incisions, and a layer of gauze and a bandage may be placed over the breasts to speed healing. The surgery usually takes between one and three hours to complete.
Recovery
After the surgery, patients will recover in a state - of - the - art recovery suite while being monitored by a nurse until they feel well enough to be discharged. A specialized, long - lasting local anesthesia is used to decrease discomfort. It is an outpatient procedure, so patients can return home the same day. They should be prepared to have an escort to bring them home and follow the thorough discharge instructions. The breasts may be covered in a layer of gauze and a bandage, and patients may feel tired or sore. Most patients can return to most daily activities within days, but they should refrain from vigorous exercise for around two weeks. It is normal to experience some loss of feeling in the breast area and around the incisions, and this numbness typically fades over time. Fluid drainage from the incision site may occur, and a small tube may be temporarily placed under the skin. Patients will usually return to the office the day after the surgery for monitoring, and external sutures, if used, are usually removed around 7 - 10 days after the procedure. It may take several months for the final results to be visible.
Risks and Complications of Breast Implant Revision
Although breast implant revision surgery is generally safe when performed by an experienced, board - certified plastic surgeon, there are still risks and complications. The most common complication is capsular contracture, a condition in which the capsule surrounding the implant restricts the implant, resulting in a misshapen appearance, hardening of the area, and pain. This can be treated by removing the implant and scar tissue and, if desired, placing new implants. Placing an acellular dermal matrix (ADM) such as Strattice or Alloderm has shown promising results in resisting capsular contracture, and it may also be combined with prescribing Accolate to significantly lower the rates. Other complications include bleeding, infection, numbness, and implant rupture. Infection typically presents within a week after surgery and can usually be treated by antibiotics and, in some cases, removing the implant. Rupture can occur due to injury or normal compression and movement of the breast, causing friction with the man - made shell of the implant. If a saline implant ruptures, the salt water is harmlessly absorbed by the body, and the breast appears deflated. In the case of both saline and silicone implant ruptures, a revision surgery is performed to replace the implant and remove any troublesome scar tissue.
Conclusion
When it comes to correcting breast expansion after prosthetic breast augmentation in New York City, the top three hospitals - Mount Sinai - New York, Columbia University's Plastic and Reconstructive Surgery, and Dr. Maman's Practice for Breast Implant Revision - offer high - quality services, experienced surgeons, and patient - centered care. Each hospital has its own unique strengths, whether it's advanced technology, a world - class research background, or a focus on personalized care. Patients should carefully consider factors such as surgeon's experience, hospital's reputation, range of services, and patient reviews when choosing a hospital for their breast implant revision surgery. By making an informed decision, patients can increase their chances of achieving a satisfactory result and a smooth recovery.
If you're considering breast implant revision surgery, we encourage you to do further research, schedule consultations with the hospitals mentioned above, and discuss your concerns and goals with the plastic surgeons. Share this article with others who may be interested in this topic, and explore more information on breast - related surgeries to make the best decision for your health and appearance.
