Premiere plastic surgery and concierge patient care that is personalized, modern, and sophisticated.
What is Breast Augmentation?
Breast augmentation is a surgical procedure that changes the size or shape of the breasts using techniques such as implant placement or fat transfer.
Refined and state-of-the-art procedures produce natural-looking, long-lasting results with a manageable recovery time.
Meet Dr. Marman
Dr. Daniel Y. Maman is a Harvard-fellowship trained and board-certified plastic surgeon with extensive experience in contemporary breast augmentation techniques.
His fellowship at Massachusetts General Hospital focused on implant and microsurgical flap techniques for aesthetic and reconstructive breast surgery.
Thorough consultations. Contemporary atmosphere. Concierge care.
Patient comfort and satisfaction are our top priority.
Breast augmentation can offer a new aesthetic, renewed confidence after pregnancy, improvements after a weight loss journey, or restored breasts after a mastectomy.
Your options depend on the desired outcome and lifestyle considerations.
What choice is best for you? Here are a few important items to consider:
Breast augmentation uses either saline or silicone implants, and different implant materials yield different results.
Silicone implants are the most popular option and are often preferred to saline for their more natural look and feel. They also usually require slightly larger incision sites than saline options, and ruptures can be more difficult to detect without an MRI.
Saline implant insertion sites are generally smaller, and ruptures are more easily detected. Some people also find saline implants to be less natural-looking on the average person and can sometimes show wrinkles or ripples over time.
Your incision location is decided based on your recommended implant type and size, your anatomy, and any concern about preserving nipple sensation.
Dr. Maman’s breast augmentation is typically done via an incision hidden within your natural breast fold or within the nipple. This approach is discreet, and also makes placement more direct and limits time spent during surgery.
Some patients, however, are better candidates for incisions along the bottom of the areola.
Because of increased likelihood of scarring and difficulty obtaining an accurate placement, our office doesn’t typically suggest using the armpit as an incision location.
Implants come in two standard shapes: round and teardrop. Round implants are the most common and provide the most upper fullness. Teardrop implants are less common due to their specific use and risk of malpositioning within the breast pocket. A thorough evaluation and discussion of your goals will be key in determining which shape may suit you best.
In most patients, breast implants are placed between or behind the pectoral muscles (or subpectoral placement). For certain patients with specific anatomy, they may also be placed above the muscles behind the breast tissue (subglandular placement).
Several factors determine how to best approach your breast augmentation with implants. Subglandular implant surgery is more straightforward and has a less painful recovery. But there’s a tradeoff—these implants may look and feel less natural. An athletic patient, for example, may benefit from this approach due to the level of dynamic muscular activity they experience regularly.
On the other hand, subpectoral implants create natural-looking breasts with less risk of visible aspects of the breast implant. They are also good for patients worried about how their implants will hold up over time: implants placed behind pectoral muscles fall more naturally into the breast pocket and show less obvious rippling.
Learn more about our approach to breast implant placement below.
Natural breast enhancement—also known as fat transfer— increases your breast volume and gives you enhanced breasts using your own tissue. Learn more about who benefits from this approach below.
We make sure you have the information you need to feel informed about your decision, from your inquiry about our practice through the consultation and recovery.
The first step is a thorough, collaborative consultation. Before surgery, we provide:
- 60- to 90-minute in-depth initial consultations with a complete medical history review and physical assessment by Dr. Maman
- Multiple pre-op visits to answer all your questions
- Specialized surgery coordinators to help you navigate scheduling, financial, and insurance processes
Once you’ve decided to move forward with surgery, we emphasize convenience, comfort, and a smooth recovery. This includes:
- Convenient NYC operating facilities
- Luxury recovery room options at NYC hotels
- Complimentary, custom post-operative support garments and scar treatment regimens
- Attentive and routine aftercare visits
Personalized, Holistic Patient-Centered Approach
Understanding each patient’s personal and clinical needs is central to our practice. We customize treatment plans for each patient, and each patient receives Dr. Maman’s personal contact information along with direct round-the-clock access to our nurse and surgical coordinator.
“Dr. Maman is very thorough during the consultation, and I felt confident my results would look natural while achieving my aesthetic goals.”
Results & Recovery
Our priority is to provide the highest degree of comfort for our patients throughout their breast augmentation procedure and recovery.
We schedule multiple pre-op appointments to make sure that our patients are fully informed and know exactly what to expect from the procedure. We also stay in close contact during the pre-op period in order to ensure that each patient receives prompt and personalized care.
Once surgery is complete, local patients have the option to recover at home in NYC or in one of our luxury recovery rooms located in select hotels in the city. Recovery timelines vary depending on procedure, and our thorough aftercare options ensure optimized recovery and results.
For more information, read our FAQs below.
See our results. Contact us to find the right approach for you.
Breast Augmentation Gallery
Meet Dr. Daniel Y. Maman, Board-Certified NYC Plastic Surgeon
Dr. Maman completed a Harvard fellowship in aesthetic breast surgery as well as a 6-year plastic surgery residency at the Mount Sinai Hospital in New York City. He has appeared on The New York Times Top Doctors and Super Doctors in Plastic Surgery Lists.
Dr. Maman is certified by the American Board of Plastic Surgery-certified. This recognition is granted only after six years of rigorous education training in plastic and reconstructive surgery. He’s also a member of the American College of Surgeons, the American Society of Plastic Surgeons, and the American Society for Aesthetic Plastic Surgery.
Whether your reasons for breast augmentation surgery are personal, clinical, or both, you deserve an exceptionally well-trained, professional who is more than just a surgeon, but a partner in your care.
Contact us today to schedule your consultation.
Breast Augmentation FAQs
How much do you charge for breast augmentation?
Because we customize treatment for each patient, pricing can vary. During your initial consultation, Dr. Maman will conduct a detailed assessment of your goals. Afterward, you’ll receive an itemized price quote to help you make your decision.
Which type of implant—silicone or saline—is best?
99% of our patients choose smooth, round silicone implants. Often called gummy-bear implants, silicone implants feel and look more like natural breasts, last longer, and maintain their shape even after micro-ruptures.
The only benefits of saline implants are their comparatively lower cost and the fact that they can be placed with a smaller incision. Ruptures are also immediately detectable as the affected breast will flatten within hours.
Can breast augmentation be done using fat?
Natural breast enhancement—injecting fat to increase breast volume—provides more natural-feeling breasts. It also doesn’t introduce any material into your body, a concern for some patients. But this technique has several limitations.
Ideal candidates for this approach look for a small bust-size increase and have tight breast skin, no breast sagging, and adequate fat-harvest sites in your stomach/hips. The most significant risk with fat transfer augmentation is that fat can change position/texture or be reabsorbed by your body, leaving you with potentially misshapen or smaller-than-desired breasts.
How will I know which size breast implant is right for me?
Choosing the right implant size is both an art and a science, which is why we custom order implants for all our patients. Implants are measured in multiple ways, including width, volume, shape, projection, viscosity, and fill pressure. A careful balance of each of these factors, combined with your own goals, plays a critical role in achieving a natural, aesthetically pleasing breast augmentation.
After taking detailed measurements of your chest wall to determine basic implant dimensions, Dr. Maman works with you to select the implant options that meet your needs.
My breasts are saggy. Am I a good candidate for breast augmentation?
Saggy breasts—ptosis in medical terminology—is caused by a combination of age, gravity, and pregnancy/breastfeeding. The result can be deflated breast tissue. Mild ptosis can be treated with a straightforward breast augmentation, but severe ptosis usually requires both breast augmentation and a breast lift, or mastopexy, to achieve the desired result. During your consultation, Dr. Maman can determine which approach meets your needs.
I just had a baby. How long should I wait before my breast augmentation? Can I breastfeed with breast implants?
We typically wait an average of six months after childbirth to perform plastic surgery. But because individual scenarios vary so widely, some patients wait only three months, while others wait up to a year.
It is important to remember that any surgery requires in-depth discussion and planning across several appointments. We recommend you come in for a consultation as soon as you are ready to gather information. This will give you time to prepare for your surgery without a long wait time.
Can I breastfeed if I have breast implants?
Will my nipple sensation change after breast augmentation surgery?
Most patients don’t experience change in nipple sensation—known as paresthesia—after breast augmentation surgery. While areolar incisions present a slightly higher risk of paresthesia, 90% of women who have this type of surgery regain full nipple sensation.
Surgical Procedure FAQs
Where will my surgery be performed? How long will it take?
Dr. Maman usually performs breast augmentation surgeries at an in-office, AAAASF-certified facility or an outpatient ambulatory surgery center (ASC). He also has operating privileges at Mount Sinai Hospital, Lenox Hill Hospital, New York Eye & Ear Infirmary, and Englewood Hospital. We work with you to select the best facility for your needs.
Breast augmentation surgery usually takes about two hours, including prep and recovery time. If you’re combining breast augmentation with other procedures, your total time in the operating room may be longer.
What will my incisions look like, and where will they be?
Choosing an incision site depends on various factors, including the value you place on nipple sensation, your anatomy, and the type/size of your implant.
Regardless of where your incisions are, they’ll be small, usually 1.25–1.5” long, and produce minimal scarring that’s easily hidden. Carefully following our standard scar treatment protocols also lessens scarring.
Because it’s the least visible site and provides the best surgical visualization, most of Dr. Maman’s breast augmentations are done through a breast crease incision under your natural breast fold.
For smaller-breasted patients with a well-defined areolar border and no naturally occurring breast fold, incisions can be made along the areola’s bottom edge. This approach allows for excellent implant positioning but does affect nipple sensation for a minority of patients.
Armpit incisions, while not a first choice, are most commonly used for placing saline implants. Because saline implants are filled after placement and come deflated, they can be inserted through smaller remote incisions before being tunneled into the breast pocket. We don’t recommend placing silicone implants using this method, as accurate placement is difficult and the incision results in a scar that may be visible in short-sleeved shirts.
Should my breast implants be placed above or below the muscle?
While above-muscle implant placement is easier and causes less pain, the result looks and feels significantly less natural than below-muscle placement. By contrast, subpectoral implants (implants placed beneath your chest muscles), result in natural-looking breasts and a realistic slope down to your nipple. Additionally, subpectoral implants result in less internal scar tissue, are less likely to drop with time, are less likely to produce a rippling effect, and are less likely to impact mammography.
Dr. Maman almost exclusively uses a dual-plane approach, placing the top 80-90% of your implant below your pectoral muscle and the bottom 10-20% directly below your breast tissue. This technique delivers the benefits of subpectoral implant placement and allows your implants to drop slightly over time for a more natural-looking result.
Can I combine my breast augmentation with other procedures?
How long does recovery take?
Most of our breast augmentation patients find recovery easier than they expected. As long as you adhere to your activity restrictions and manage your pain medication well, you can return to work within a few days and resume lower body exercising (spinning, walking, etc.) in one to two weeks.
Workouts that require significant upper body involvement (yoga, weight lifting, core training) should be avoided for four to six weeks after surgery, and you shouldn’t lift anything heavier than 10 lbs for a full six weeks.
It’s important to remember that feeling better is not the same as being fully healed. Even if you aren’t in pain, observing the total recommended recovery time of four to six weeks will reduce your risk of bleeding and ensure your implants do not shift.
When can I go home?
Will I need special clothes after my surgery?
To ensure our patients have the best possible recovery, we provide custom-ordered post-surgical bras at no extra cost. Most patients also prefer to wear loose-fitting, button-down
tops for the first week or so, as taking clothes off overhead will be difficult at first.
Will I have to replace my breast implants in the future?
Possibly. The idea that breast implants need to be replaced every 10 years is based on a common misunderstanding of FDA implant recommendations. While it’s true that the risk of implant failure slightly increases after 10 years, implants can last as long as 25 years.
Typically, revisional surgeries are indicated either by a change in breast aesthetic because of aging, pregnancy/breastfeeding or implant failure. If your breast augmentation needs to be amended for aesthetic reasons, Dr. Maman works closely with you to determine optimal timing. In the event of an implant rupture, Dr. Maman and his team work with the implant manufacturer to determine warranty coverage.
Will I have to pay for follow-up visits after my surgery?
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