Breast Augmentation
Conveniently located to serve New York City
Breast augmentation may be an option for patients who want fuller, more balanced breasts or wish to restore volume lost after pregnancy, aging, or weight changes. At Manhattan Surgical Care, located in the heart of New York City, Dr. Basil Pakeman helps patients achieve natural-looking breast contours through a personalized surgical plan.
Dr. Basil Pakeman, M.D., F.R.C.S., brings decades of cosmetic surgical experience to each breast augmentation plan, with careful attention to safety, proportion, and natural-looking results.
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What Is Breast Augmentation?
Breast augmentation, also known as breast enhancement surgery, is a cosmetic procedure that uses saline or silicone implants to enhance the size, shape, and overall balance of the breasts. This procedure may be appropriate for patients who want fuller curves, improved symmetry, or restored volume after pregnancy, aging, or weight changes.
Dr. Pakeman customizes each breast augmentation procedure at Manhattan Surgical Care to reflect the patient’s unique proportions and goals. The goal is to create natural-looking breast implants that align with the patient’s body and lifestyle.
Is Breast Augmentation Right for You?
Breast augmentation may be right for patients who feel self-conscious about having smaller, uneven, or less full breasts. Some patients consider the procedure after trying to compensate with padded bras, clothing choices, or styles that minimize the chest.
Breast augmentation may help address:
- Small or underdeveloped breasts
- Breast asymmetry
- Loss of breast volume after pregnancy or weight changes
- Desire for a fuller breast shape
- Improved cleavage and breast proportion
- Better balance between the breasts and overall figure
- A more natural-looking enhancement that fits the patient’s frame
During consultation, Dr. Pakeman will review your concerns, evaluate your anatomy, and help determine whether breast augmentation is the right option for your goals.
Discuss Your Breast Augmentation Goals
Benefits of Breast Augmentation
Breast augmentation can provide both aesthetic and confidence-boosting benefits for patients seeking to improve breast size, shape, or balance.
Potential benefits include:
- A fuller, more balanced figure
- Increased clothing and bra options
- Restoration of breast volume after pregnancy or weight changes
- Improved breast symmetry
- Enhanced cleavage
- A boost in self-confidence and body image
Dr. Pakeman’s approach emphasizes proportion, natural movement, and results that complement the patient’s body rather than overpower it.
Breast Implant Options
Choosing the right breast implant is one of the most important parts of breast augmentation planning. At Manhattan Surgical Care, patients can discuss implant type, size, shape, profile, and placement during consultation.
Saline Breast Implants
Saline implants are filled with sterile salt water after placement. They may allow for smaller incisions and can be adjusted during surgery to help achieve the desired breast size and balance.
Silicone Breast Implants
Silicone implants are filled with cohesive silicone gel that closely mimics the feel of natural breast tissue. Many patients choose silicone implants because of their soft, natural feel and appearance.
Round and Teardrop Implants
Round implants can provide greater fullness in the upper breast and may be chosen by patients who want a fuller look. Teardrop, or anatomical, implants are tapered at the top to create a more gradual, natural slope.
Choosing the Right Implant Size, Shape, and Profile
The right breast implant is not determined solely by size. Dr. Pakeman considers each patient’s natural breast tissue, body frame, lifestyle, and desired outcome when helping patients choose an implant option.
Important planning factors may include:
- Existing breast tissue
- Chest width and body proportions
- Desired breast size
- Implant projection and profile
- Implant material
- Lifestyle and activity level
- Desired balance between natural and fuller results
The goal is to select implants that support the patient’s desired appearance while maintaining proportion, comfort, and long-term satisfaction.
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Breast Implant Placement Options
Breast augmentation can be customized based on where the implant is placed. Dr. Pakeman will recommend placement based on the patient’s anatomy, tissue coverage, implant type, and desired result.
Subglandular Placement
Subglandular placement positions the implant above the chest muscle and beneath the breast tissue. This option may be appropriate for patients with enough natural breast tissue to provide coverage. It may also allow for an easier recovery in select cases.
Submuscular Placement
Submuscular placement positions the implant below the chest muscle. This approach may create a more natural contour for thinner patients, help reduce implant visibility, and may lower the risk of capsular contracture.
Breast Augmentation Incision Options
Incision placement is another important part of breast augmentation planning. Dr. Pakeman will explain the benefits and considerations of each option during the consultation.
Common incision options include:
- Inframammary incision: Placed under the breast fold and often well-concealed.
- Periareolar incision: Placed around the edge of the areola, where the scar may blend with natural pigment.
- Transaxillary incision: Placed in the underarm, avoiding a scar directly on the breast in select candidates.
The best incision option depends on anatomy, implant type, scar preferences, and the surgical plan.
Breast Augmentation Alone vs. Lift Considerations
Some patients may benefit from breast augmentation alone, while others may need to discuss whether lift-related concerns should be considered. Breast augmentation primarily improves volume, while breast sagging or stretched skin may require a different planning discussion.
If the breasts have lost volume but the nipple position and skin quality remain favorable, implants alone may be sufficient to create a fuller appearance. If there is more noticeable sagging, Dr. Pakeman can discuss the most appropriate next steps during consultation.
This recommendation is based on a review of the patient’s anatomy, skin quality, and goals.
What to Expect During Breast Augmentation Surgery
Breast augmentation is performed under general anesthesia and typically takes about one to two hours. The procedure is customized based on the implant type, implant placement, and incision technique selected during consultation.
The procedure generally involves:
- Creating a small incision based on the selected technique
- Inserting the implant in the chosen position
- Checking breast shape, symmetry, and implant placement
- Carefully closing the incisions for optimal healing and scar placement
Patients usually go home the same day with a surgical bra and detailed recovery instructions.
Breast Augmentation Recovery
Recovery is typically smooth for most patients, but the experience can vary based on implant placement, surgical technique, and individual healing.
A general recovery timeline may include:
- First few days: Mild bruising, swelling, soreness, and tightness across the chest are common.
- First week: Many patients can return to work and light activity within 5 to 7 days.
- Weeks 2 to 4: Swelling continues to improve, and patients gradually feel more comfortable with normal daily movement.
- Weeks 4 to 6: Strenuous exercise and heavy lifting are usually avoided until cleared by the surgical team.
- Weeks 6 to 8: Final results become more visible as swelling decreases and the implants settle.
Manhattan Surgical Care provides detailed aftercare instructions and monitors healing throughout the recovery process.
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Breast Augmentation Cost in NYC
The cost of breast augmentation in New York City varies based on each patient’s treatment plan. Pricing may depend on implant type, surgical complexity, anesthesia, facility considerations, and whether any additional planning is needed.
Factors that may affect breast augmentation cost include:
- Saline vs. silicone implants
- Implant size, shape, and profile
- Incision and placement technique
- Surgical complexity
- Anesthesia and facility-related fees
- Follow-up care and recovery support
At Manhattan Surgical Care, patients receive detailed, transparent pricing during consultation. The practice accepts major credit cards and offers financing through CareCredit to help make treatment more accessible.
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Why Choose Dr. Basil Pakeman for Breast Augmentation?
Dr. Basil Pakeman, M.D., F.R.C.S., is the medical director of Manhattan Surgical Care and brings extensive experience in cosmetic surgery to each procedure. He is double board-certified by the American Board of Ophthalmology and the Royal College of Physicians and Surgeons of Canada. He is also a fellow of the American Academy of Cosmetic Surgery and a diplomat of the American Academy of Ophthalmology.
Patients choose Dr. Pakeman and Manhattan Surgical Care for breast augmentation because of:
- Board-certified surgical expertise
- Personalized planning based on body proportions and goals
- Natural-looking breast enhancement
- Transparent communication
- Compassionate patient care
- Focus on safety, comfort, and long-term satisfaction
From the first consultation through recovery, Dr. Pakeman and the Manhattan Surgical Care team help patients understand their options and make informed decisions.
Planning Your Breast Augmentation Consultation
A breast augmentation consultation is the best time to discuss goals, ask questions, and understand which options may be appropriate. During this visit, Dr. Pakeman may review your anatomy, desired breast size, implant preferences, incision options, recovery expectations, and pricing.
Patients may discuss:
- Desired breast size and shape
- Implant type, size, and profile
- Breast symmetry concerns
- Incision and placement options
- Recovery timeline
- Cost and financing
- Expected results
This consultation helps create a surgical plan tailored to the patient’s body and goals.
Schedule Your Breast Augmentation Consultation
Breast Augmentation FAQs
Schedule Your Breast Augmentation Consultation in NYC
If you would like to improve the size, shape, or balance of your breasts, Manhattan Surgical Care can help you explore whether breast augmentation is right for you. Dr. Pakeman will take the time to understand your goals and guide you through a safe, personalized treatment plan.
