212.920.6800
Daniel Y. Maman, MD FACS

Breast Augmentation
Services

Premiere plastic surgery expertise and concierge patient care custom-tailored for you, your body, and the superior results you deserve.

What is Breast Augmentation?

Breast augmentation—synonymous with breast implants—is one of the most common plastic surgery options today. It’s no surprise— ideal 21st-century breast augmentation is about natural, long-lasting results, manageable recovery time, and more patient choices than ever before.

Harvard-educated and certified by the American Board of Plastic Surgery, Dr. Daniel Y. Maman has specialized training in contemporary breast augmentation techniques along with an exceptional standard of patient care.

Thorough preliminary consultations. Luxury recovery options. Attentive pre- and post-surgical care. Your comfort and satisfaction are the priority.

Implants

What do beauty and confidence look like for you? Whether you want a new aesthetic, renewed confidence after pregnancy, improvements after a weight loss journey, or restored breasts after a mastectomy, breast augmentation can help you enhance your appearance.

Your options depend on the desired outcome and standards of care you are looking for.

What choice is best for you? Here are a few important items to consider:

Implant material 

Breast augmentation  with saline or silicone implants? Different implant materials yield different results. 

Silicone is the most popular breast implant material because it looks and feels more like natural breasts with less obvious wrinkling or rippling which sometimes accompanies saline implants. The downside to silicone implants: They usually require slightly larger incision sites. If there’s a leak, you’ll need an MRI to locate it. 

On the other hand, saline implant insertion sites are easier to hide. Leaks are easier to detect, too. A note though—saline implants look less natural on the average person and can sometimes show wrinkles or ripples over time.

Incision Location

Your incision location is decided based on your recommended implants type and size, your anatomy, and any concern about preserving nipple sensation. 

Dr. Maman’s breast augmentation is typically done via your natural breast fold. This approach is the most discreet, but also makes placement more direct and limits time during surgery. 

However, some patients are better candidates for incisions along the bottom of the areola. Our office doesn’t suggest using the armpit as an incision location. While this is common for silicone implants, accurate placement is challenging, and the incision can create a more obvious scar.

Shape 

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.

Implant Placement 

In most patients, breast implants are typically placed between or behind the pectoral muscles (subpectoral). For certain patients with specific anatomy, they may also be placed above the muscles but behind the breast tissue (subglandular). 

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.

Fat Transfer

Concerned about using silicone or saline implants? You might be considering natural breast enhancement—also known as fat transfer—to increase your breast volume and give you enhanced breasts using your own tissue. Not all patients are ideal candidates. Learn more about who benefits from this approach below.

The Procedure

Having breast augmentation surgery is a choice you make for your self-confidence. We make sure you have the information you need to feel good about your decision throughout the entire process, beginning with your inquiry to our practice, the consultation and beyond.

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 and make sure you’re recovery-ready
  • Specialized surgery coordinators to help you navigate scheduling, financial and insurance processes

Surgery

Once you’ve moved forward with surgery, we make sure you’re just as cared for. You’ll get:

  • Convenient and safe operating facilities in NYC
  • Luxury recovery rooms at NYC hotels for out-of-town patients or patients uncomfortable recovering at home 
  • 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

We take every measure to provide the highest degree of comfort for our patients throughout their breast augmentation. 

We believe that all patients should be fully informed. That’s why we schedule multiple pre-op appointments so you know what to expect from your procedure. We stay in close contact during this period and each patient receives prompt and personalized care.

Once surgery is complete, you have the option to recover at home if you are a local, or one of our luxury recovery rooms at select hotels in New York City. Recovery timelines vary depending on your procedure, but we offer thorough aftercare to ensure your optimized recovery and results. 

The result? Patients that are confident and comfortable with their surgical plan and results. 

For more information, read our FAQs below. 

See our other patients’ outstanding results. Let’s find the right approach for you and work together to achieve the results you’re looking for.  

Breast Augmentation Gallery

 

Meet Dr. Daniel Y. Maman, Board-Certified NYC Plastic Surgeon

A graduate of Harvard Medical School with post-doctoral training at the prestigious Mount Sinai Hospital in New York City, Dr. Maman 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

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 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 and some wait years.

The central thing to remember is 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 gives you time to prepare for your surgery without a long wait time.

Can I breastfeed if I have breast implants?
Implants themselves won’t affect your ability to breastfeed, but using an areolar incision to place the implant can disrupt milk ducts and affect milk transfer to the main nipple duct. During your consultation, Dr. Maman will explain the risks involved so you can make an informed decision that best fits in with your lifestyle.
How much do you charge for breast augmentation?
We customize treatment for each patient. That means pricing can vary. During your initial consultation, Dr. Maman conducts a detailed assessment of your goals. Afterward, you’ll receive an itemized price quote to help you make your decision.
Will my nipple sensation change after breast augmentation surgery?
Most patients don’t experience a change in nipple sensation, also known as paresthesia. 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

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 few 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, it looks and feels significantly less natural. 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.

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.

Can I combine my breast augmentation with other procedures?
While it depends on what type of procedures you are hoping to combine, the answer is generally yes. Combining procedures can minimize overall recovery time and reduce costs. Dr. Maman works with you to find the best way to achieve your desired results with the least amount of operating time so you can get back to living your life.

Post-Surgery Questions

When can I go home?
You’ll likely be able to return home with an adult companion several hours after your surgery is completed. If you don’t live nearby or are uncomfortable recovering at home, our office will arrange for you to stay nearby at The Carlyle, The Mark, or The Surrey hotels.
Will I need special clothes after my surgery?
We want our patients to have the best possible recovery, so we provide custom-ordered surgical bras at no extra cost. Most patients 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.

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 or two weeks.

Workouts that require significant upper body involvement (yoga, weight lifting, core training) shouldn’t happen until 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.

Will I have to pay for follow-up visits after my surgery?
Because we value our patients’ health and satisfaction above everything else, we don’t charge for post-operative visits, whether they are part of your detailed follow-up plan during the first year after surgery or the annual visits that we recommend to ensure your results are maintained.

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Call Today 212.920.6800

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1165 Park Avenue, New York, NY 10128