Introduction
Breast implant removal, often known as explant surgery, is gaining popularity in Albany, New York. As more women consider their options for natural - looking breasts or deal with complications from previous augmentations, understanding the ranking and key aspects of silicone breast implant removal in this area becomes crucial. In this article, we will delve into various aspects related to breast implant removal in Albany, including reasons for the procedure, available surgeons, the procedure itself, recovery, costs, and more.
Reasons for Silicone Breast Implant Removal in Albany
There are several common reasons why women in Albany opt for silicone breast implant removal:
- Desiring a Different Size: Over time, women's bodies change due to factors such as pregnancy, menopause, and weight fluctuations. As a result, they may find that their current breast implants no longer suit their lifestyle. Some may want larger implants for a more dramatic look, while others desire smaller breasts for increased comfort and a more natural appearance. For instance, a woman who has had her implants for 10 - 20 years may notice that her body has changed significantly, and the implants now seem out of proportion.
- Capsular Contracture: This is a prevalent issue that can occur after breast augmentation. Capsular contracture refers to the hardening and tightening of scar tissue around the implant. It can make the breasts look distorted, asymmetric, and may also cause pain. This can happen shortly after the initial surgery or many years later. As reported in the sources, this is one of the top reasons for implant revision surgery in Albany.
- Breast Implant Rupture: Both saline and silicone implants can rupture due to daily wear and tear over the years. With silicone implants, the rupture may not always be obvious as there may be no visible symptoms. However, in some cases, a woman may notice a shape change, a lump, or new discomfort. Detection of a silicone implant rupture may require high - definition ultrasound or a breast MRI, as a mammogram may not be sufficient.
- Implant Malposition: The position of the implant behind the breast can sometimes end up too low, too high, too close together, or too far apart. This can occur either soon after the first procedure or gradually over many years. Factors contributing to this include capsular contracture, gravity, asymmetric pocket creation during the initial surgery, and tissue changes related to age, weight, pregnancy, and menopause.
- Implant Rippling: This is more common with saline implants, especially in thinner patients. However, even silicone implants can show visible rippling if the tissues covering them are thin or stretched. Rippling is a cosmetic concern that can be difficult to correct, but procedures like switching to a cohesive ‘gummy’ silicone implant or fat injections into the thin tissues may be effective.
- Recalled Implants, ALCL, and BII: There are rare but serious risks associated with breast implants, such as anaplastic large cell lymphoma (ALCL) linked to textured implants, which have led to recalls. Breast implant illness (BII), a term used by women experiencing a wide range of symptoms, is also a growing concern. In such cases, breast implant removal may be considered.
Surgeons Offering Silicone Breast Implant Removal in Albany
There are several board - certified plastic surgeons in Albany who are experienced in breast implant removal:
- Dr. Steven Yarinsky: With over 30 years of experience, Dr. Yarinsky is well - known for his surgical skill and consistently beautiful breast enhancement results. He uses the most advanced techniques for breast implant removal and can determine if an “en bloc” capsulectomy is suitable for a patient after a thorough evaluation. The “en bloc” capsulectomy involves the simultaneous removal of the implant and the surrounding scar tissue (capsule) and is favored for its benefits, such as reduced risk of leakage.
- Dr. Lucie Capek: Dr. Capek has extensive experience in breast implant removal procedures. At a personalized consultation, she discusses the best options for each patient, which may include a breast lift, replacement of implants with a different type or size, or a fat transfer procedure. She performs various procedures, including simple implant removal under local anesthesia in some cases, and capsulectomy for patients with capsular contracture.
- Dr. William F. DeLuca Jr.: He has performed over 2,000 + breast augmentation and breast lift surgeries in 26 years of private practice. Dr. DeLuca has a low complication/revision rate compared to the national average. When it comes to breast implant removal, he can handle cases related to implant rupture, capsular contracture, and other issues, and may also perform additional procedures like mastopexy (breast lift) if needed.
- Dr. Susan M. Gannon: A board - certified plastic surgeon with 19 years of experience. Dr. Gannon specializes in breast augmentation, among other procedures, and also has experience in breast implant removal. Patients have described her as kind, attentive, and knowledgeable. She takes the time to understand each patient's aesthetic goals and provides natural - looking results.
- Dr. Kayastha: He is a board - certified plastic surgeon serving Albany and the entire capital region. Dr. Kayastha can perform breast implant removal procedures and is well - versed in discussing the risks associated with breast implants, such as potential links to autoimmune diseases and other complications. He provides clear instructions for the procedure and aftercare.
The Silicone Breast Implant Removal Procedure
Pre - Procedure Consultation
Before the surgery, a consultation with the chosen surgeon is essential. Surgeons like Dr. Capek and Dr. Yarinsky will assess the patient's unique situation, including the type of implant, any existing problems, and the patient's aesthetic goals. They will explain the various procedure options available, such as simple implant removal, capsulectomy, or implant replacement. Patients are encouraged to be informed participants in the planning process to ensure they are comfortable and satisfied with the results.
Patients are also advised to be in optimum health before the surgery. This includes following a healthy lifestyle, having a balanced diet, exercising regularly, and refraining from smoking. For patients with chronic conditions like high blood pressure, they should follow their primary care physician's advice.
Types of Procedures
- Simple Implant Removal: This can potentially be done in the office under local anesthesia for both saline and silicone implants when no capsule removal is needed and the silicone implants are not ruptured. For saline implants, they may be drained prior to removal to allow the skin to contract over time. This procedure has minimal downtime and discomfort.
- Capsulectomy: When there is capsular contracture, the surgeon performs a capsulectomy to remove the scar tissue. This also creates a fresh pocket for a new implant if the patient desires replacement. Dr. Capek may switch the implant pocket from under the gland to under the muscle in some cases. The incision used may be the same as the one for the original implant insertion, but it may be different or larger depending on the situation.
- “En Bloc” Capsulectomy: Although more accurately called a total capsulectomy, it involves removing the capsule in one piece with the implant inside. This is often considered for ruptured silicone implants, but it may not be feasible if the capsule is very thin or adherent to the ribs in submuscular implants.
- Implant Replacement: In many cases, patients choose to replace their breast implants at the same time as the explant. The surgeon will use the original incision for removal and replacement in most cases. If the patient wants a larger - sized implant, the surgeon will surgically enlarge the implant pocket. For a smaller size, the pocket may be reduced with permanent sutures. The surgeon will recommend the most suitable type of implant and may also suggest additional procedures like a breast lift.
- Replacement with Autologous Fat: This is a popular option for patients who want to go smaller or have a more natural look and feel. It works well when the natural breast tissue has been pre - expanded with implants. The patient's own fat is used to replace the implants.
- Implant Repositioning: This procedure usually involves modifying the capsular tissue around the implants. Capsulorrhaphy and capsulotomy are used to tighten or release the capsule surgically. In rare cases, a biological mesh ‘sling’ may be added to support the implant in a stable position.
- Simultaneous Breast Lift and Resizing of the Areolae: If the patient is going smaller or has loose skin, a breast lift (mastopexy) may be performed at the same time. This can range from a simple resizing of the areola to a more extensive skin removal, resulting in a lollipop or anchor scar.
During the Procedure
Most breast implant removal surgeries are performed under general anesthesia in an accredited facility, such as Dr. Yarinsky's joint commission - accredited facility or Dr. Capek's state - of - the - art quad a accredited operating suite. A single incision is usually made along the inframammary fold (the crease beneath the breasts). However, if the implants are large or if a breast lift or skin tightening is needed, additional incisions may be required. The surgeon will then carefully remove the implant(s), and in some cases, the capsule as well. The pocket is cleansed with an antibiotic solution to prevent postoperative infection before closing the incision.
Recovery after Silicone Breast Implant Removal
The recovery timeline can vary depending on several factors, including the patient's overall health, the type of procedure performed, and the extent of the surgery. Here is a general overview of what to expect:
- Immediate Post - Operative Period: Patients can expect some swelling and bruising, which are normal reactions and should subside within a few weeks. Swelling may take a few months to completely disappear. Prescription pain medications are usually provided to manage discomfort, and patients are advised to rest quietly for 24 to 48 hours. They can shower after 48 hours.
- First Few Weeks: Patients are recommended to wear a surgical bra around the clock for the first 2 - 3 weeks. The type of bra will depend on the procedure. If a capsulectomy has been performed, there may be drains for a few days. Dissolvable sutures and glue are often used, so minimal wound care is required. Patients with sedentary jobs may be able to return to work within a week, while strenuous or high - impact activities like running should be restricted for 6 - 8 weeks.
- Long - Term Recovery: Over the long term, patients should continue with regular mammograms and breast exams with their primary care physician or gynecologist. If they have silicone implants, periodic high - definition ultrasounds are recommended to screen for silent implant rupture. Recovery times can vary from patient to patient, and follow - up appointments will be scheduled to monitor the recovery process.
Cost of Silicone Breast Implant Removal in Albany
The cost of silicone breast implant removal can vary widely depending on several factors, such as the complexity of the procedure, the type of procedure (simple removal, capsulectomy, etc.), and the surgeon's experience. The average cost of breast implant removal ranges from $6,000 to $18,000. At the consultation, the surgeon will determine the most suitable procedure for the patient and provide a “global fee,” which includes the surgeon's fee, anesthesia costs, supplies, use of the operating facility, nursing care, and follow - up visits. Some clinics may also offer financing options to help patients manage the cost.
Comparing Surgeons and Their Services
Surgeon | Experience | Specialties | Patient Reviews | Cost Considerations |
---|---|---|---|---|
Dr. Steven Yarinsky | Over 30 years | Advanced breast implant removal techniques, en bloc capsulectomy | Patients praise his surgical skill and consistent results | Customized global fee based on procedure complexity |
Dr. Lucie Capek | Extensive experience in breast procedures | Breast implant removal, replacement, fat transfer, breast lift | Patients appreciate her personalized approach and expertise in multiple procedures | Cost depends on specific procedure and patient needs |
Dr. William F. DeLuca Jr. | 26 years of private practice with over 2,000 + breast surgeries | Breast augmentation, breast lift, breast implant removal | High - rated for low complication rate and quality results | Fee based on individualized treatment plan |
Dr. Susan M. Gannon | 19 years | Breast augmentation, mommy makeovers, breast implant removal | Patients find her kind, attentive, and knowledgeable | Costs include all - in - one service with possible financing |
Dr. Kayastha | Well - trained with board certification | Breast implant removal, discussion of implant risks | Positive reviews for his bedside manner and surgical skills | Cost details provided at consultation |
Ranking the Surgeons for Silicone Breast Implant Removal in Albany
It's challenging to provide a definitive ranking for silicone breast implant removal in Albany as the “best” surgeon can vary depending on individual patient needs. However, we can consider several factors to evaluate their suitability:
- Experience and Expertise: Surgeons like Dr. Steven Yarinsky, with over 30 years of experience, and Dr. William F. DeLuca Jr., who has performed thousands of breast surgeries, may be ranked highly in terms of experience. Their long - standing practice allows them to handle a wide range of cases and complications.
- Patient Reviews: Patient reviews are a valuable source of information. Dr. Susan M. Gannon has received positive feedback for her kindness and ability to understand patients' goals. Patients also praise her for providing natural - looking results. These positive reviews can influence a surgeon's ranking.
- Specialties and Techniques: Dr. Lucie Capek's expertise in multiple procedures, such as fat transfer and implant replacement, can make her a top choice for patients who may want additional options. Her proficiency in various techniques gives patients more flexibility in achieving their desired results.
- Complication Rates: Surgeons with low complication rates, like Dr. DeLuca, are more likely to be ranked higher. A low complication rate indicates the surgeon's skill and attention to detail during the procedure.
Conclusion
In 2025, the field of silicone breast implant removal in Albany offers a variety of options for women considering this procedure. There are several experienced and skilled surgeons available, each with their own areas of expertise and strengths. The decision to have silicone breast implants removed can be based on various reasons, such as changing aesthetic preferences, complications, or health concerns. It's important for patients to have a thorough consultation with their chosen surgeon to understand the available procedures, the recovery process, and the associated costs.
If you're considering silicone breast implant removal in Albany, we encourage you to research the surgeons mentioned in this article, read patient reviews, and schedule a consultation to discuss your specific needs. By making an informed decision, you can achieve the results you desire and regain confidence in your appearance.