Introduction
Breast reconstruction surgery is a crucial procedure for many women who have undergone mastectomy or lumpectomy due to breast cancer. It not only helps in restoring the physical appearance of the breasts but also plays a significant role in enhancing the emotional well - being of patients. In New York City, there are several top - notch hospitals and clinics that offer high - quality breast reconstruction services. In this article, we will update the top ten list of hospitals for breast reconstruction surgery in New York City, along with detailed information about each institution, the procedures they offer, and their unique features.
Understanding Breast Reconstruction
What is Breast Reconstruction?
Breast reconstruction is a surgical procedure aimed at reforming or reshaping the breast(s) after a mastectomy or lumpectomy. A mastectomy involves the removal of the entire breast, often including the nipple and areola, to treat or prevent breast cancer. On the other hand, a lumpectomy is the removal of a piece of the breast where a smaller tumor is present. This reconstruction process enables women to regain their self - confidence and have a more positive outlook during their cancer recovery journey.
Types of Breast Reconstruction
- Flap Reconstruction (Autologous/Skin Flap Surgery): In this technique, a tissue flap is taken from a donor site of the body, such as the abdomen, thighs, buttocks, or back. The flap is then grafted at the breast site. The blood supply can either be maintained from the donor site or re - established. Stitches are applied, drainage tubes are inserted to remove excess fluid or blood, and bandages are placed over the area.
- Tissue Expander (Implants/Prosthetics): This is the most common method globally. A synthetic implant, usually silicone, is inserted under the pectoralis major muscle. Animal dermal grafts may be used to enhance the aesthetic appearance. Over a few months, saline solution is injected to expand the tissue until it reaches the appropriate size.
Top Ten Hospitals for Breast Reconstruction Surgery in New York City
1. Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center is the oldest and largest hospital in the world specializing in oncology treatment. It is among the top 2 facilities in the USA for pediatric cancer treatment. The oncologists at Sloan Kettering hospitals develop innovative cancer research programs and provide training for new - generation specialists. With over 15,600 medical specialists treating 200 types of cancer, many of them are members of national academies of science and medicine. The hospital offers comprehensive breast reconstruction services, leveraging its extensive oncology expertise to ensure seamless coordination between cancer treatment and reconstruction.
2. Weill Cornell Medicine
Weill Cornell Medicine's plastic and reconstructive surgeons offer the most advanced breast reconstruction surgery options and techniques. They have been leaders in the evolution of breast reconstruction, especially in nipple - sparing mastectomies with concurrent reconstruction, which they have been performing for the past 20 years. The team provides individualized breast reconstruction based on each patient's unique body. They also offer breast reinnervation during both autologous and implant reconstruction to improve sensation. The multidisciplinary approach, involving oncologists, geneticists, and nurses, ensures comprehensive care for patients.
3. Mount Sinai - New York (Mount Sinai West)
The breast reconstruction program at Mount Sinai West, led by Hani Sbitany, MD, an internationally renowned leader in breast reconstruction, offers a full range of breast reconstruction options. The hospital has specialized expertise in advanced muscle - sparing and microsurgical techniques, which are not available at many other medical centers. They work closely with breast oncology surgeons to provide comprehensive breast care.
4. New York - Presbyterian
New York - Presbyterian plastic and reconstructive surgeons are leaders in breast reconstruction. They have extensive experience in nipple - sparing mastectomies with concurrent reconstruction. The hospital offers autologous reconstruction using tissue from the abdomen, thighs, and buttocks, as well as breast innervation during both autologous and implant reconstruction. Diep flap reconstruction is also available, which creates a slimmer abdomen and natural - looking breasts. Surgeons use both saline and silicone breast implants from all manufacturers to meet clinical needs.
5. Center for Breast Reconstruction (Dr. Joshua L. Levine)
Dr. Joshua L. Levine is a world - renowned surgeon who offers highly sophisticated, advanced microsurgical breast reconstruction procedures. The center has developed 12 dedicated natural tissue breast reconstruction centers in the New York, New Jersey, and Connecticut area. The flagship office is located in New York City. The hospital provides first - class concierge care for traveling patients, helping with logistics and planning. Dr. Levine is affiliated with top - ranked hospitals such as the New York Eye and Ear Infirmary of Mt. Sinai and Hackensack University Medical Center.
6. Doctors Plastic Surgery (Dr. Ross Ratner)
Dr. Ross Ratner is a double - board - certified plastic surgeon and a leading expert in breast reconstruction surgery in New York City. With over 15 years of experience and thousands of successful procedures, he and his team are affiliated with leading hospitals in the city. They use advanced surgical methods to minimize recovery time and discomfort. The practice offers implant - based reconstruction, flap reconstruction, and nipple and areola reconstruction. They also provide personalized care and accept insurance, with affordable prices and flexible financing options.
7. Sophie Bartsich, MD FACS
Dr. Sophie Bartsich is a top - notch cosmetic surgeon in Manhattan. Patients who have worked with her praise her excellent surgical skills and meticulous care during each step of the operation. She also has great bedside manners, which helps patients feel more comfortable during their treatment. The price for breast reconstruction at her practice is available on request.
8. Aristocrat Plastic Surgery & Medaesthetics
Aristocrat Plastic Surgery & Medaesthetics has received high praise from patients. Dr. Kevin and his team are known for making the breast reconstruction journey smooth for patients. Patients love their results and the fast healing process. They also offer a high level of patient satisfaction, with many patients recommending the practice. The price for breast reconstruction is on request.
9. NYU Langone Health - Tisch Hospital
NYU Langone Health - Tisch Hospital has a team of skilled medical professionals, including neurologists, dermatologists, urologists, and other specialists who may be involved in the breast reconstruction process. The hospital provides comprehensive medical support and access to the latest research and treatment options. Although not specifically known only for breast reconstruction, its overall medical capabilities contribute to a high - quality experience for patients undergoing the procedure.
10. Hackensack University Medical Center (associated with breast reconstruction through Center for Breast Reconstruction)
Hackensack University Medical Center has earned the distinction of being New Jersey’s #1 hospital and is among the top 30 hospitals in the nation with 11 national specialty rankings in U.S. News & World Report’s 2014 - 15 best hospitals rankings. Through its association with the Center for Breast Reconstruction, it offers access to advanced natural tissue breast reconstruction services.
Factors to Consider When Choosing a Hospital for Breast Reconstruction
Surgeon's Experience and Expertise
The experience and expertise of the surgeon are crucial factors. Look for surgeons who are board - certified and have extensive experience in breast reconstruction surgery. Check their track record of successful procedures and patient testimonials. A skilled surgeon will be able to choose the most appropriate reconstruction technique based on your individual needs and body type.
Hospital Reputation
Research the hospital's reputation in the field of breast reconstruction. Consider factors such as the hospital's accreditation, patient satisfaction ratings, and its standing in national and international rankings. A hospital with a good reputation is more likely to have access to the latest technology and resources, as well as a team of highly qualified medical professionals.
Range of Procedures Offered
Ensure that the hospital offers a wide range of breast reconstruction procedures, including both flap reconstruction and implant - based reconstruction. This allows you to choose the option that is best suited to your preferences and medical condition. Additionally, the hospital should offer post - operative care and follow - up services to ensure a smooth recovery.
Cost and Insurance Coverage
Breast reconstruction surgery can be expensive, so it is important to understand the cost and insurance coverage. Most insurance plans cover breast reconstruction when it is part of the treatment plan following a mastectomy. However, it is advisable to check with your insurance provider for specific details regarding your plan. Some hospitals may also offer financing options to help manage the cost.
Patient Support Services
Undergoing breast reconstruction can be a physically and emotionally challenging experience. Look for hospitals that offer patient support services, such as counseling, support groups, and educational resources. These services can help you cope with the emotional aspects of the surgery and make the recovery process easier.
Procedure Details and Recovery
Procedure for Flap Reconstruction
- Anesthesia: The patient is anesthetized to ensure she does not experience pain or discomfort during the surgery.
- Tissue Harvesting: A tissue flap is taken from a donor site, such as the abdomen, thighs, buttocks, or back.
- Grafting: The flap is grafted at the breast site. The blood supply can be maintained from the donor site or re - established.
- Stitching and Drainage: Stitches are applied, and drainage tubes are inserted to remove excess fluid or blood from the site.
- Bandaging: Bandages are applied over the area to protect the wound.
Procedure for Tissue Expander (Breast Implant)
- Anesthesia: Similar to flap reconstruction, the patient is anesthetized.
- Implant Insertion: A synthetic implant, usually silicone, is inserted under the pectoralis major muscle.
- Tissue Expansion: Over a few months, saline solution is injected into the tissue expander to gradually expand the tissue until it reaches the appropriate size.
- Final Implant Placement: Once the tissue is ready, the permanent implant is placed.
Recovery Time
The recovery time depends on the type of reconstructive surgery. Most women need a couple of weeks to recover, with swelling and soreness around the site in the first week. On average, 3 - 4 weeks are needed to recover from tissue expander surgery and 4 - 6 weeks for flap reconstructive surgery. Patients usually need to take 2 - 3 weeks off work. Regular activities can be restarted after 2 months, and it may take 1 - 2 years for the breasts to get the proper shape and for the scars to fade away.
Aftercare
- Follow doctor's instructions and take prescribed medications.
- Consult a nutritionist for a healthy diet to aid recovery.
- Avoid wearing a padded or underwire bra until allowed by the doctor; use surgical bras in the early days.
- Avoid excessive movement of the breasts and do not lift heavy objects or children.
- Change the bandage when it gets dirty to prevent infection.
- Do not take a bath when the bandages are intact.
- Abstain from sexual activity for at least 6 weeks.
- Take adequate rest to allow the body to heal.
Success Rate and Risks
Success Rate
Breast reconstruction surgery has a high success rate. According to a study by the American Society of Plastic Surgeons, the success rate is 98% in the case of flap reconstruction surgery, and for tissue expander surgery, it is within the range of 94 - 96%. However, the success also depends on factors such as the patient's overall health, the skill of the surgeon, and adherence to post - operative care instructions.
Risks
Like any surgical procedure, breast reconstruction carries some risks. These may include infection at the surgery site, itching, pain and discomfort, tingling, numbness, or fluid collection under the wound. In flap reconstructions, there is a small chance of partial or complete loss of the flap. For implant - based reconstruction, potential complications could include capsular contracture or implant rupture. If you experience any unusual symptoms such as fluid leaking from incision sites, increased pain or swelling, a change in color in the scar area or the breast, or a fever above 100°Fahrenheit/37.7°Celcius, contact your doctor immediately.
Alternatives to Breast Reconstruction
Breast Prosthetics
Prosthetic breasts can be worn inside bras or attached to the body. They give the appearance of natural breasts and can be a non - surgical alternative for some women. However, they may not provide the same level of comfort and permanence as surgical reconstruction.
Padded Bras
Padded bras are another option. They are less uncomfortable than prosthetic breasts and can give a perfect body posture without the need for surgery. However, they only provide a temporary solution and do not address the psychological aspects of breast loss.
Going Flat
Some women choose to embrace their new body shape without any form of reconstruction. This is a personal choice that allows them to accept themselves as they are and avoid the risks and costs associated with surgery.
Conclusion
Choosing the right hospital for breast reconstruction surgery in New York City is a crucial decision that can significantly impact your recovery and overall well - being. The top ten hospitals mentioned in this article offer a wide range of services, from advanced surgical techniques to comprehensive patient support. It is important to consider factors such as surgeon experience, hospital reputation, procedure options, cost, and aftercare when making your choice. Remember that breast reconstruction is a personal decision, and you should take the time to explore all your options and consult with your healthcare team. Whether you opt for surgical reconstruction or one of the alternatives, the most important thing is to make a choice that makes you feel confident and comfortable in your own body.
Are you considering breast reconstruction surgery? Share this article with others who may find it helpful. If you have any questions or need more information, feel free to research further on the hospitals and surgeons mentioned. You can also schedule a consultation with a trusted medical professional to discuss your options in detail.
