Breast Augmentation in NYC

Breast augmentation is one of the most popular procedures performed at Dr. Rapaport’s New York plastic surgery facility. This procedure was in the top five surgical cosmetic plastic surgery procedures in 2006, according to the American Society of Plastic Surgeons. Dr. Rapaport offers both saline and silicone breast implants. David P. Rapaport, a board certified plastic surgeon, is a world recognized expert who specializes in breast augmentation and breast implant revision for women who have had previous breast surgery.

About Breast Implant Surgery

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:

  • To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small
  • To correct a reduction in breast volume which occurs naturally or with age after pregnancy
  • To balance a difference in breast size (uneven breasts)
  • To correct a congenital deformity
  • As a reconstructive technique following breast surgery


The IDEAL IMPLANT® Structured Breast Implant is a new, FDA-approved breast implant only available from about 45 doctors nationwide—including our office. Made to contour to the natural curves of the chest, this implant is made of saline instead of silicone in order to offer the natural look and feel that women desire. Its unique structure controls saline movement and supports the implant’s edges in a way that minimizes folding and wrinkling. What’s more, unlike silicone ruptures that can rupture silently, the rare rupture of an IDEAL IMPLANT is easy to spot simply by looking in the mirror. Contact us today to learn more!
Learn More About Ideal Implants

Breast Augmentation Incision Techniques and Scarring

The scar for breast augmentation can be placed either in the underarm, under the breast itself, or at the lower border of the areolus (the pigmented skin surrounding the nipple). Many patients, when given the option, prefer an underarm scar because it removes all scarring, and anxiety relating to scarring, from the breast. New York City plastic surgeon Dr. Rapaport performs this procedure using an endoscope. This means that instead of bluntly tearing the lower border of the muscle, and risking implant malposition due to incomplete muscle division, the muscle is precisely divided under magnified endoscopic visualization, allowing for control of any bleeding and precise implant positioning.
While silicone breast implants offer the advantage of a potentially softer and more natural feel, there are disadvantages to take into account. Because the Silicone Breast implants come prefilled, they require a somewhat longer scar. While a scar under the breast is always an option, a scar on the border of the areolus is possible when the areolus is large enough. However, many patients prefer to have no scar on the breast at all. Dr. Rapaport has been performing underarm, endoscopic breast augmentation for 20 years, and has become a pioneer in endoscopic breast surgery. This technique, combined with Dr. Rapaport’s experience, has drawn patients locally, nationally and internationally to New York City to seek out Dr. Rapaport for silicone breast augmentation without breast scars.
Board Certified Plastic Surgeon David P. Rapaport, MD has more experience at the endoscopic underarm technique of breast augmentation (breast implants) than any other plastic surgeon in the New York area and has in fact been a pioneer in the development of the endoscopic breast implants technique, as well as other endoscopic procedures.

Your Customized Breast Augmentation Plan and Breast Implant Sizing

The breast augmentation / breast implant plastic surgery operation involves several important choices on the part of the patient. What size would you like your breasts to be after the surgery? Are you interested in saline or silicone breast implants? Where would you like the incisions to be placed? Should you have the implants placed above or below the muscle (Pectoralis Muscle)? Implant size is selected based on a thorough consultation as well as obtaining a full understanding of the patient’s goals and concerns. Implant size will also depend on the patient’s individual anatomic considerations including skin laxity and chest diameter.

“There are two general ways to perform breast implant sizing,” says Dr. Rapaport. “One method is for the doctor, based on his or her experience, to select the size that he or she feels would look best on the patient. Although I will always share my aesthetic opinion with the patient, I do not like this technique, and I do not want to be the one to decide what looks best for the patient. Ultimately, I feel that this is a very personal decision and my aesthetic taste may not match the patient’s. Clearly, the patient’s preferences are the ones that matter.” For this reason, Dr. Rapaport has his assistants perform very careful sizing with the patient, trying on a variety of breast implant sizes and profiles. With the doctor’s expert guidance, the patient herself decides which size is best for her. Dr. Rapaport will clearly indicate if a patient’s request for size is not compatible with her anatomy and will review in great detail what tradeoffs may be involved in her particular size selection.

These decisions may seem overwhelming, but Board Certified NYC Plastic Surgeon, David P. Rapaport will discuss all your options with you during your consultation.

Breast Implant Position

With regard to breast implant position when undergoing breast augmentation, Dr. Rapaport generally recommends positioning the implants under the pectoralis muscle. The muscle covering the top part of the implant results in a more natural appearing breast with less likelihood of a visible implant edge or visible rippling. Secondly, there is a reduced likelihood of capsular contracture, or hardness, developing over time. This is believed to be due to the massaging action of the muscle on the scar tissue surrounding the implant. Finally, the submuscular implant position allows for a better view of the breast when a mammogram is obtained.

Just like the fact that other choices noted above involve tradeoffs, implant position also does involve a trade off. The dissection required to place the implant under the muscle does result in increased postoperative discomfort. Patients commonly take pain medication prescribed by Dr. Rapaport for two or three days after surgery and find the discomfort to be quite tolerable. A final trade off with the implants being positioned under the muscle is that when the patient flexes her pectoral muscles, the breasts will actually move upward. This is generally an unflattering situation, but this muscle action only happens rarely when one is out of clothing. The overwhelming majority of patients enjoy the advantages of submuscular implant placement and accept the tradeoffs noted above.


Saline vs Silicone Breast Implants
Potential Breast Augmentation Complications
“Gummy Bear” Silicone Breast Implants
If you have questions about breast augmentation surgery, or would like to schedule a consultation with the Board Certified Plastic Surgeon, please phone David P. Rapaport’s Manhattan, New York Plastic Surgery office at 212.249.9955 or email the NYC Plastic Surgeon at
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Actual breast augmentation patients of Dr. Rapaport.

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Introducing Portrait 3D

See what you will look like after breast augmentation surgery – on your body – in photo-realistic 3D. Using brand new scanning technology coupled with Portrait 3D, you can finally envision the outcome of your breast augmentation.

Dr. David P. Rapaport is the first and ONLY doctor in New York to have this new technology.