BREAST AUGMENTATION SURGERY BY DR. ZUCKERMAN IN NEW YORK CITY

Frontal view of a breast augmentation surgery outcome from Dr. Zuckerman before surgery and one year after surgery.

A before and after of one of Dr. Zuckerman’s breast augmentation surgery patients. Images taken before surgery and one year after surgery.

Introduction to Breast Augmentation Surgery

Breast augmentation is the most popular type of cosmetic surgery nationwide, according to statistics from the American Society of Plastic Surgeons released in 2016. It is also one of the most popular procedures that Dr. Zuckerman performs in his practice in New York City. Whether you desire a large augmentation or a subtle enhancement, Dr. Zuckerman will customize his approach to your peronsal needs and goals to attain the best surgical outcome for you. In the guide below, learn more below about all aspects of the surgery including breast implant sizes and profiles, incision locations, recovery time and more. Dr. Zuckerman has also included answers to many common patient pre-operative questions that he has received during consultations over the years. When you’re ready, visit the Contact page to schedule your consultation with Dr. Zuckerman.


Breast Augmentation Surgery

Am I A Candidate For Breast Augmentation Surgery?



Breast augmentation can help women achieve a fuller, more symmetrical bustline with larger breasts and more attractive decolletage. Breast implants today are extremely safe and can produce a natural-looking, youthful, fuller, more sensual enhancement that is proportionate to your body’s frame. Breast augmentation can also compensate for reduced breast mass after pregnancy or surgery, correct a congenital breast defect, and be used to reconstruct the breast after mastectomy or injury in breast reconstruction. While all Dr. Zuckerman’s patients electing to undergo breast augmentation share a pre-operative frustration with their breasts, the reasons stem from a variety of conditions including breast size, asymmetry, shape and droopiness. Dr. Zuckerman has gained valuable insight consulting with patients over the years and understands how a woman’s feelings about her breasts can affect both her appearance, her self-confidence, and her view of her own femininity. There are several decisions that Dr. Zuckerman will help you make including implant type, implant size, incision location, corrective action if needed for breast asymmetry, etc and depend on your personal goals for surgery. He trained at some of the most prestigious and respected medical institutions in the world including Brown University and NYU, and is committed to giving you a new aesthetic with breasts that both look and feel natural. Dr. Zuckerman and his team of professionals truly care about you, your individual treatment, and the successful achievement of your goals.



A synchronized video breast augmentation result before surgery and two months afterward. Dr. Zuckerman placed 300cc Mentor MemoryGel round, smooth silicone implants submuscular through an inframammary fold incision.


Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


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Breast Augmentation Surgery

Breast Augmentation Surgery in Detail



An example Mentor, round, silicone breast implant, one of the most common types of breast implants used in breast augmentation surgery.

Dr. Zuckerman holds an example Mentor round, silicone breast implant, the most common type used in breast augmentation surgery..

Every woman’s pre-operative anatomy is unique, as are her post-operative goals, so Dr. Zuckerman customizes each breast augmentation procedure for each individual. Before surgery, Dr. Zuckerman will walk you through the key choices required to determine the approach to your augmentation. The main choice is what size implants you would like to have, which is a discussion Dr. Zuckerman will have with you at your consultation, and is based on your goals, body frame, starting amount of breast tissue, and medical history. The second most important choice is silicone versus saline implants. For other choices, Dr. Zuckerman will make a recommendation, but he is happy to perform your breast augmentation with any style of implant you decide upon. Click into the below sections for more information on each of the aspects to be considered when undergoing breast augmentation.

Silicone versus Saline Implants
Round versus Shaped Implants
Implant Profile
Implant Manufacturer
Smooth versus Textured Implants
Implant Insertion Location
Implant Placement

Breast implants, both saline and silicone, have proven to be a safe and effective cosmetic enhancement option that provides women with breasts that are fuller and more youthful in appearance. This procedure can also be combined with a breast lift (or mastopexy) to give the breasts a smoother, more “perky” aesthetic. Dr. Zuckerman is happy to address any and all other concerns or questions you may have about the surgery at your breast augmentation cosmetic consultation.

Breast Augmentation Procedure

Once the breast implant insertion incision has been made in the location as detailed in the section above, the breast tissue is lifted to form a pocket to hold the implant. If placing silicone implants, Dr. Zuckerman uses a “no-touch” technique involving a sleeve called the Keller funnel. This allows Dr. Zuckerman to insert the implant without actually touching it. The implant is then placed and the incisions are closed.

Breast augmentation surgery typically takes two hours or less to complete and is performed under general anesthesia or local anesthesia combined with a sedative. The procedure can be performed on an outpatient basis.

Dr. Zuckerman performs breast augmentation procedures at the private, technologically advanced operating room located inside his office in midtown Manhattan. The surgery center is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF), a distinction that signifies surgical environments operating under the highest standard of care. During your consultation, you may ask to visit the operating room, and see how Dr. Zuckerman and his staff offer patients privacy and discretion.

Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


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Breast Augmentation Surgery

Breast Augmentation Surgery Recovery



Dr. Zuckerman uses several techniques to minimize swelling and downtime after surgery, offering what is often informally called “rapid recovery” breast augmentation. Most patients can undergo surgery on Friday and be back at work by Monday or Tuesday if their job does not involve physically intensive movement. Breast augmentation surgery patients can expect some pain and discomfort after breast augmentation surgery, but this can be managed with medication. Dr. Zuckerman also employs EXPAREL®, a long acting analgesic, for all his breast augmentation surgery patients. Whereas most pain traditional pain medicines last up to a maximum of twelve hours, EXPAREL® gradually releases medication to a particular region for up to three days. This approach is a significant departure from previous techniques and minimizes postoperative pain and discomfort. As a result, some of Dr. Zuckerman’s patients are able to recover without any narcotic pain medication.

Some bruising, swelling, and numb sensation will likely affect the breasts and nipples within the first few weeks following the procedure. Stitches are typically removed within the first 10 days after surgery. Patients can usually get back to their normal routines within a few days to a week.

Mammograms should be continued after breast augmentation surgery. A special mammogram will need to be used in order to see around the implants and deliver accurate results.

Dr. Zuckerman will discuss further details of recovery in your particular case and give you information on how long you can expect the healing process to last.

Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


SCHEDULE YOUR CONSULTATION WITH DR. ZUCKERMAN


Breast Augmentation Surgery

Before & After Images of Dr. Zuckerman’s Breast Augmentation Surgery



Left oblique view of a breast augmentation surgery outcome from Dr. Zuckerman before surgery and one year after surgery.
Right oblique view of a breast augmentation surgery outcome from Dr. Zuckerman before surgery and one year after surgery.

Dr. Zuckerman publishes many of his previous breast augmentation surgery results with patient consent. The before and after image gallery has pairs of high resolution images from three to four angles for each patient. Many prospective patients enjoy finding a similar case to their own that Dr. Zuckerman has performed in the past. Take a look through the gallery by clicking on the button below.


BEFORE & AFTER IMAGE GALLERY

Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


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Breast Augmentation Surgery

Risks of Breast Augmentation Surgery



Dr. Zuckerman is a highly skilled and experienced plastic surgeon who takes every precaution to ensure your safety. Breast augmentation with implants is an extraordinarily safe procedure, but every cosmetic surgery has risks and potential complications even if they are low probability. The most common reason for re-operation is to change the size of implant, often to go larger. However, below are some of the, albeit uncommon, potential risks or complications:

• Implant rupture or deflation (Read Dr. Zuckerman’s discussion related to silicone implants for more detail.)
• Implant wrinkling (More common with saline implants.)
• Asymmetry
• Scarring
• Pain
• Infection at the incision site
Capsular contracture
For more information on possible risks of this procedure, you may visit the American Society of Plastic Surgeons page or The American Society of Aesthetic Plastic Surgery page, in both of which Dr. Zuckerman is an active member.

Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


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Breast Augmentation Surgery

Frequently Asked Questions About Breast Augmentation Surgery



Below are the answers to some questions Dr. Zuckerman most frequently receives from prospective patients. If you don’t see your question below, feel free to contact Dr. Zuckerman’s office, and a member of his staff will be glad to reach out to you.

• What size breast implant will get me a C cup? A D cup?
Unfortunately, bra sizes are not standardized, so it is not possible to say what size implant may achieve a certain bra cup size. However, at your consultation, Dr. Zuckerman can give you an estimate based on existing breast tissue. He can also lead you through a virtual reality simulation, so you can “see” what your breasts might actually look like after surgery! The most common implant size Dr. Zuckerman uses is around 350cc. Most patients desire a “full C cup or small D cup”.

• Do I need a breast lift as well as a breast augmentation?
If you wish to raise the level of the breast mound on the chest wall, a mastopexy (breast lift) is the appropriate option, with or without the addition of an implant. A well-done mastopexy results in a high, round, but natural-looking breast. Breast lift surgery will reduce the size of the areola as well. Placement of a breast implant is appropriate for you if you desire additional volume, and an implant can to some extent disguise mild ptosis or sag. However, a breast lift is required if you desire a substantially higher breast mound and smaller areola. Breast augmentation and mastopexy can be combined into a single operation called an augmentation mastopexy.

• Can I combine a breast augmentation with a tummy tuck or liposuction?
Yes, combining a breast augmentation with a tummy tuck or liposuction is very common and is known informally as a mommy makeover, because many women suffer from deflated or sagging breasts and excess abdominal skin or muscle separation after pregnancy and breastfeeding.

• What is the youngest age I can undergo breast augmentation?
Saline implants are FDA-approved for use in those 18 years and older. Silicone implants are approved for those 22 years and older. I generally recommend that a prospective patient wait until their breasts have finished growing before undergoing breast augmentation. This depends from patient to patient, but the breasts may continue to grow into a woman’s early twenties.

• Subglandular versus submuscular breast implant placement?
I may recommend the subglandular placement if the patient is very fit and has a very active pectoralis muscle. Otherwise, while subglandular was the original breast implant placement in the 1980’s, it has somewhat fallen out of favor today. I place the most breast implants submuscular today among breast augmentations I perform.

• How common is breast asymmetry and can it be addressed with breast augmentation surgery?
Most women actually have some degree of breast asymmetry. If your breast asymmetry bothers you, you might be well served by a breast augmentation. For augmentation, I would not want to place a single implant on one side, but it is common to place breast implants of different sizes in the left versus right breast.

• Risks of breast augmentation for people prone to keloids?
As a patient prone to forming keloids, you are not necessarily at any higher risk than anyone else for capsular contracture. You are, however, at significant risk for developing keloids at your incision sites. It is imperative that your surgeon be aware of this risk, and take proper precautions – meticulous incision closure, proper scar care, and likely the use of steroid injection at the incision site during the healing process.

• Breast augmentation before pregnancy and breastfeeding?
Breast augmentation does not impair your ability to breastfeed a child or to become pregnant.

• Breast augmentation after breastfeeding?
Pregnancy and breastfeeding can have some unpredictable effects upon breast size and shape. Often, breast volume increases significantly during pregnancy and lactation, then subsequent “deflation” occurs afterward. In order to restore breast fullness with an attractive shape, a woman would likely benefit from breast augmentation, with or without a breast lift (mastopexy), depending upon the degree of the problem.

• Will weight loss after breast augmentation affect my result?
As the breast is one of the more weight-sensitive areas of the body, you can expect some degree of change in their appearance with significant weight loss. The degree of this change will depend on the amount of your own breast tissue that was present before your augmentation: a greater change with more pre-op breast, lesser change with a smaller breast before surgery.

• Can breast augmentation improve the appearance of stretch marks?
Stretch marks are, in reality, scars of the dermal (thick underside) layer of the skin. As such, there is no treatment (other than removing the involved skin) that will make them completely vanish. Breast augmentation will likely stretch and spread the stretch-marked skin to some degree. This can often lessen and improve their overall appearance.

• I have tuberous breasts. Can I undergo breast augmentation?
To improve the aesthetic appearance of tuberous breasts, you would need to undergo a modified breast augmentation, where the surgeon would perform radial scoring of the breast glandular tissue and would lower the inframammary fold in addition to placing the implants. You may also need a tissue expander before implants would be able to be placed.

• Is there an alternative to general anesthesia for breast augmentation?
General anesthesia is the anesthetic method of choice for most breast augmentation. In a healthy patient who has undergone proper pre-op medical evaluation, and performed by a board-certified anesthesiologist in a properly accredited facility, it is extremely safe and comfortable. That said, breast augmentation can be successfully performed without true general anesthesia – by employing deep sedation with liberal use of local and regional anesthetic nerve blockade. But again, this should be performed by an anesthesiologist and surgeon who are well experienced in these methods.

• Is it dangerous if a silicone breast implant leaks while inside the body?
This is the most common question Dr. Zuckerman receives from prospective breast augmentation patients with regard to silicone breast implants. Today’s breast implants are extremely safe, and leak or rupture is a very low probability event that requires an intense amount of force directly to the chest. When a breast implant of either silicone or saline is placed into the body, fibrous tissue known as a capsule forms around the implant. For a saline implant, leaks are easily reabsorbed by the body. For silicone, most often, leaks or ruptures are contained within the capsule, which is called a “silent failure” or “silent rupture”. It is possible, however, for this capsule to then become inflamed causing the patient pain, swelling, soreness, or changes in breast firmness. If this case, a patient would possibly need to have the implant replaced. Leaks or rupture can be detected via an MRI scan. (Breast implants of either type are not intended to be lifetime devices and may need replacement later in life.) In the very rare case that the silicone gel from an implant escapes the fibrous capsule, the silicone gel has been shown to be biologically inert. It has been shown not to increase the risk of breast cancer and not to increase the risk of autoimmune disease. And, it doesn’t leach out into breast milk while breastfeeding.

Ready for your breast augmentation surgery consultation with Dr. Zuckerman? Click the button below to schedule. We welcome your visit.


SCHEDULE YOUR CONSULTATION WITH DR. ZUCKERMAN


Breast Augmentation Surgery

Schedule Your Breast Augmentation Surgery Consultation with Dr. Zuckerman



Are you ready for your breast augmentation surgery consultation with Dr. Zuckerman? He will perform a thorough evaluation of your desired outcome and needs based on your anatomy and medical history. Dr. Zuckerman will also address any questions or concerns you may have about the surgery and discuss with you the details of his approach: incision location(s), procedure length and techniques, likely operative outcome, etc. Contact his office by clicking the button below or by calling 212-231-9897. Dr. Zuckerman also offers consultations via Skype and a process for out-of-town patients to visit New York City to have surgery with him.


SCHEDULE YOUR CONSULTATION WITH DR. ZUCKERMAN

Dr. Zuckerman speaks with a cosmetic surgery patient.

OTHER LINKS


ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic Botox and Juvederm treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


Copyright 2017 Joshua D. Zuckerman, MD, FACS, P.C. All rights reserved.