![woman with arms up looking in the mirror](https://mdface.com/wp-content/uploads/2021/12/t20_OJ7rVg-1024x683.jpg)
There are many reasons a person may elect to get breast surgery. If the look of your chest makes you feel self-conscious and less confident, there are plenty of surgical options available that can help you.
Breast surgery can help you look great and feel great in your own skin, but it’s important to be well-informed about the procedures. Therefore, our surgeons took the time to break down some of our most popular options for breast surgery near you:
Primary Breast Surgery
- Breast Augmentation
- Breast Reduction
- Breast Lift (Mastopexy)
- Breast Lift + Augmentation (Mastopexy/Augmentation)
- Gender Affirming Surgery (Breast Augmentation for trans male patients and Mastectomy for trans female patients)
- Tuberous Breast Surgery
- Nipple / Areola Reduction
Secondary breast surgery
- Revision Mastopexy Augmentation (ex. Capsulectomy, Implant Exchange, Repeat Breast Lift, Fat Grafting)
- Breast Explantation (ex: fat grafting and breast lift after breast explantation)
At Pearlman Aesthetic Surgery, we offer breast surgical services to meet the needs of our patients who visit us from all over New York City and the world. Our renowned practice is located in the heart of Manhattan on Park Avenue. We Empower Beauty®: Our team takes a personalized approach for every patient, so your procedure and results are a natural complement to your individual appearance.
TYPES OF BREAST SURGERY NEAR YOU
Before we dive into specifics about breast augmentations, lifts, and reductions, here is a summary of our other breast surgery services.
BREAST AUGMENTATION
Breast augmentation enhances the volume and shape of the breast mound for a fuller look and feel. Many factors – like pregnancy, breastfeeding, and menopause – can affect the appearance of breasts. Of course, many women seek breast enhancement because they are just unhappy with their natural breast size. Whatever your reasons for this procedure, a breast augmentation can help you achieve your desired look.
Treatable Conditions:
- Small Breasts (Mammary Hypoplasia)
- Volume Loss / Breast Deflation
- Breast Asymmetry
- Tuberous Breast
- Congenital Breast Anomalies
FREQUENTLY ASKED QUESTIONS
HOW MUCH DO BREAST IMPLANTS COST?
Breast augmentation at Pearlman Aesthetic Surgery ranges from $9,000 to $15,000. The cost depends on many factors that we will discuss during your surgical consultation.
WHAT KIND OF BREAST IMPLANTS FEEL THE MOST NATURAL?
Dr. Stein will recommend the kind of implant based on your specific requests and anatomy. We most commonly use smooth, round silicone implants.
AM I A GOOD CANDIDATE FOR BREAST IMPLANT SURGERY?
If you feel unsatisfied with the volume and/or shape of your breasts, you may be an excellent candidate for breast implant surgery. We can fully evaluate if you are a suitable candidate with an in-depth breast augmentation consultation with Dr. Stein.
BREAST REDUCTION
Breast reduction can greatly enhance the quality of life in patients who suffer from large and heavy breasts. If you have back, neck or shoulder pain, have problems wearing certain clothes or performing physical activities, this is a great option for you.
We perform breast reduction surgery for our patients to provide a long-term solution that relieves symptoms of heavy breasts while lifting and improving the shape of the breasts.
Treatable Conditions:
- Macromastia (large breast size)
- Breast Sagging
- Nipple/Areola Malposition
- Breast Asymmetry
FREQUENTLY ASKED QUESTIONS
WHO QUALIFIES FOR A BREAST REDUCTION?
A patient with large, heavy breasts seeking functional and aesthetic improvement is an ideal candidate for breast reduction surgery.
HOW MUCH DOES A BREAST REDUCTION COST?
A breast reduction at Pearlman Aesthetic Surgery costs between $9,000 and $15,000.
IS A BREAST REDUCTION WORTH IT?
Many women find breast reduction worth it since it improves both the aesthetic appearance of your breasts and helps relieve pain associated with oversized breasts. Better-fitting clothes, easier physical activity, and greater comfort are all common reasons our patients cite for feeling that a breast reduction was worth it for them.
BREAST LIFT
Many factors can cause a woman’s breasts to sag, such as aging, breastfeeding, menopause, weight loss, and genetics. Skin can stretch and nipples may point downwards, creating a less round appearance. A breast lift surgery can correct skin laxity and improve nipple malposition for restorative results.
Treatable Conditions:
- Skin Laxity
- Ptosis / Sagging
- Nipple Position and Asymmetry
- Volume Loss
- Excess Skin
- Breast Asymmetry
FREQUENTLY ASKED QUESTIONS
HOW MUCH DOES A BREAST LIFT COST?
A breast lift at Pearlman Aesthetic Surgery can cost between $9,000 and $15,000.
HOW LONG DO BREAST LIFT RESULTS LAST?
The longevity of your breast lift depends on your lifestyle, age, skin elasticity level, and size of breasts. Just as everything else on your body, breasts will continue to age.
BREAST LIFT WITH AUGMENTATION
When patients want to increase the size of their breasts but their nipples are pointing downwards, the nipple needs to be raised and the skin tightened over the new implant. A mastopexy/augmentation (breast lift and augmentation) is the best option for these patients.
Treatable Conditions:
- Skin Laxity
- Ptosis / Sagging
- Nipple Position and Asymmetry
- Volume Loss
- Excess Skin
- Asymmetry
- Breast hypoplasia
- Breast deflation
FREQUENTLY ASKED QUESTIONS
How much does a breast lift cost?
A breast lift at Pearlman Aesthetic Surgery can cost between $10,000 and $25,000.
CAN I GET A SECOND BREAST LIFT AND AUGMENTATION IF I HAVE HAD ONE ALREADY?
Yes, over time the breast tissue can sag over your implant so the breast shape may change. Scar tissue may develop over the implant as well leading to implant malposition on your chest. If either of these happens and you are unhappy with your breast shape or nipple malposition, a second mastopexy augmentation can be performed to get you back the shape you desire.
YOU GET A BREAST LIFT WITH AUGMENTATION?
You can receive a breast lift at any age over 18 as long as you are fit and healthy and there are no counterindications to surgery.
GENDER AFFIRMING SURGERY
Female to Male (FTM) and non-binary patients seek “top surgery” to remove breast tissue and masculinize the chest. Multiple techniques are used based on the breast size. These include a “keyhole” technique that uses liposuction and a small incision in the areola to remove breast tissue, and the “Double Incision and Free Nipple grafting” technique that removes skin and fat to contour the chest.
Male to Female (MTF) and non-binary patients seek breast augmentation to feminize the chest wall. Incision placement and type of implant vary based on specific patient anatomy.
At Pearlman Aesthetic Surgery, we follow the guidelines and standards of care published by the World Professional Association for Transgender Health (WPATH).
Treatable Conditions:
- Gender Dysphoria
FREQUENTLY ASKED QUESTIONS
How much is gender affirming “top surgery”?
A double incision and free nipple graft procedure at Pearlman Aesthetic Surgery can cost between $9,000 and $15,000.
Do i need to do mammograms after a double incision and free nipple graft?
Yes. This procedure is not equivalent to a mastectomy for breast cancer. Breast tissue may be leftover and must be monitored.
what are the criteria to be eligible for surgery?
Pearlman Aesthetic Surgery follows the World WPATH criteria for gender affirming surgery. Patients must get referral letters from two separate providers, be living as the opposite sex for 1 year.
BREAST REVISION
Breast revision surgery seeks to improve the shape of the breasts and position of the areola in someone who has already undergone breast surgery. techniques vary based on your anatomy.
If there is hardening of the implants from scar tissue (capsular contracture) a capsulectomy may need to be performed.
If the implant is too mobile in the breast pocket it may need to be adjusted to stabilize the position of the implant.
If your breast tissue has drooped over your implant, “waterfall deformity”, leading to nipple malposition you might need a breast lift.
If there is nipple or breast asymmetry you may need a breast lift or adjustment of just one breast.
FREQUENTLY ASKED QUESTIONS
How much is breast Revision Surgery?
The cost of breast revision surgery depends on the type of surgery performed. It can be anywhere from $6,000 to $30,000.
Can breast revision surgery be covered by insurance?
Yes. For specific cases insurance can be billed for a portion of the procedure.
EXPLANT SURGERY
There are a variety of reasons why patients choose to have their implants removed.
The options for explant surgery depend on the patients anatomy and desires:
- Explantation alone
- Explantation with breast lift
- Explantation with breast lift and fat grafting
- Explantation with implant exchange.
FREQUENTLY ASKED QUESTIONS
How much is EXPLANT Surgery?
The cost of breast revision surgery depends on the type of surgery performed. It can be anywhere from $9,000 to $30,000.
NIPPLE / AREOLA RECONSTRUCTION & CORRECTION
We offer nipple or areola reconstructive and corrective procedures for patients who want to:
- Reshape the size of the areola or nipple
- Reduce the projection of the nipple
- Treat inverted nipples
- Reconstruct nipples due to prior breast trauma
NIPPLE REDUCTION
Nipple reduction reshapes the nipple and areola for a proportional look.
COMBINING BREAST SURGERY PROCEDURES
Many patients choose to combine breast surgery with other procedures. Here are the most common combinations at Pearlman Aesthetic Surgery.
BREAST AUGMENTATION + BREAST LIFT
While every patient is unique, many of our patients who have had children experience breast deflation and nipple malposition. For these patients, a breast augmentation will not be enough to get the ideal breast shape. The volume is restored with an implant then the skin is tightened , the nipple lifted to an optimal position on the chest wall.
BREAST REDUCTION + LIFT
All patients who receive a breast reduction receive a breast lift at the same time.
BREAST LIFT/REDUCTION WITH LIPOSUCTION OF LATERAL CHEST AND BRA ROLL.
Sometimes a breast reduction or lift does not completely address fat rolls on the lateral chest and axilla (bra roll). After breast surgery, liposuction is commonly performed for these patients to flatten out the lateral chest fat and improve the final aesthetic.
BREST LIFT/REDUCTION/AUGMENTATION WITH TUMMY TUCK
This is the most common procedure we do at Pearlman Aesthetic Surgery. This was historically referred to as the “mommy makeover” but you don’t need to have children to benefit from this procedure. This procedure is the ultimate body transformation.
CONSULTATION PROCESS
You’ll meet with Dr. Stein for an in-depth breast surgery consultation. He will listen to your specific concerns and design an individualized approach that best addresses your goals.
![Dr. Stein and patient during a breast surgery consultation near you in NYC](https://mdface.com/wp-content/uploads/2022/01/Pearlman-Aesthetic-Surgery-Dr.-Stein-Surgical-Consultation-4007-1024x683.jpg)
For a breast surgery, Dr. Stein uses 3D imaging tools to help you visualize your results virtually. This also helps women determine the best size and style of implants.
For a breast lift, he will recommend either an areolar, lollipop, or anchor lift pattern.
For a breast reduction, the plan will include approximately how much breast tissue will be removed and the type of lift pattern used, which is either a lollipop (“vertical breast lift”) or anchor type (“wise pattern breast lift”).
We highly encourage you to ask any and all questions during your breast surgery consultation. Many patients ask about the surgical technique, recovery period, and when they can return to normal activities like exercise. Our goal is for you to feel comfortable and confident with your decision. We have a team of nurses and medical assistants that work to make the process effortless, comfortable and anxiety-free.
HOW TO PREPARE FOR YOUR BREAST SURGERY
Dr. Stein and his team will provide you with a detailed information packet that covers every aspect of your surgery. You are encouraged to contact our staff at any time before or after your procedure with any questions.
Some of the most important preparation steps for pre-surgery are below, but make sure to follow all instructions given to you by your surgeon.
4 WEEKS BEFORE
To ensure you are healthy and ready for surgery, we will recommend the following guidelines for 4 weeks before your surgery:
- Preoperative blood work and testing
- No smoking cigarette or marijuana for at least 4 weeks prior to surgery
- Avoid drinking alcohol and stay hydrated with water to help your body prepare for the healing process
- If you are on a blood thinner, make sure both you and your surgeon make a plan together about taking this medication around your surgery.
- At times your surgeon may ask you to start a blood thinner around your surgery. If this is the case make sure you are clear about the instructions.
- Do not take any supplemental medication that may increase bleeding risk (you will get a list of these before surgery)
- Pick up the medications at your local pharmacy that were prescribed by Dr. Stein. Please bring these medications with you the day of your surgery.
- Arrange for someone to bring you home after surgery and monitor you overnight (significant other/family member/friend). You should not be alone the first 3 days after your surgery.
- Buy Chlorhexidine body wash and shower with it for 5 days before your surgery.
THE NIGHT BEFORE
Take it easy the day and night before surgery and avoid smoking, alcohol, and blood-thinning medications or supplements.
- Bathe and wash yourself with antibacterial soap (Hibiclens)
- Do not eat or drink anything after midnight the day before surgery.
- Get a good night’s sleep (and if you have trouble sleeping, don’t worry about it, it doesn’t change anything.
THE DAY OF YOUR SURGERY
- Shower the morning of surgery with hipaclens soap and dress in comfortable loose-fitting clothing. If you have compression stockings wear them to your surgery.
- Arrive on time.
- Let Dr. Stein know the morning of surgery if you have an allergy/sensitivity to skin adhesives (tape).
- After checking in and changing into a gown, you will be positioned in a stretcher or chair where the anesthesiologist, nurses and surgeon will come and speak with you. You will sign consent forms and the nurse may place an IV.
- Dr. Stein will draw marks on your skin in the preoperative holding area and take preoperative pictures.
- You will walk into the operating room where we will confirm your name and surgical plan.
- You will comfortably go off to sleep for your surgery.
POST-SURGERY INSTRUCTIONS AND WHAT TO EXPECT AFTER BREAST SURGERY
- After your surgery you will be brought to our recovery area where our OR Nurse will take care of you and make sure you are comfortable.
- Have someone in place to take you home and be there to monitor you overnight. You should not be alone the first 3 days post-surgery
SHOWERING
- 48 hours after your surgery you can take your first shower. Take the bra off, as well as any loose gauze. Leave the underlying tape (stuck on dressing) intact over your breast incisions. They fall off by themselves around a week after your surgery. Shower normally over this tape. Allow water to run over incisions but don’t scrub. Pat dry. You can shower daily afterwards and keep the incisions (with stuck-on dressings) exposed to air without gauze or bandages. Put your surgical bra on over any medical dressings and wear this at all times for 1 month after surgery.
DRESSINGS AND DRAINS
- You may have 1 or 2 drains after surgery. Drains decrease swelling and collect excess fluid. The first is typically pulled a few days after surgery and the second around 1 week after surgery. To empty your drain at home sit in a comfortable chair with an empty cup beside you. Carefully undo the top so the suction is released and squeeze the fluid out into a cup. When the bulb is empty, squeeze it, then press in the stopper. Please the total volume of fluid that comes from each drain over each 24-hour period. Bring this record with you to each post operative appointment for Dr. Stein to review.
PHYSICAL ACTIVITY
- It is important for you to walk after surgery to decrease the chance of blood clots. Do everything slowly for the first 2 weeks after surgery. No intercourse for 2 weeks after surgery. No aerobic or weight exercises for 4 weeks after your surgery.
THE UNIQUE SETTING AND PATIENT EXPERIENCE AT PEARLMAN AESTHETIC SURGERY
When looking for breast surgery near you, it’s important to find a surgical clinic with superior providers and high-quality facilities. Our office is unique in that we provide all of our surgeries onsite; you get the personalized care of our state-of-the-art clinic.
![waiting room at Pearlman Aesthetic Surgery on Park Avenue in Manhattan](https://mdface.com/wp-content/uploads/2022/01/Pearlman-Aesthetic-Surgery-Misc-6017-1024x683.jpg)
Located in the Upper East Side, we provide our patients with concierge-level care with the ability to schedule car service, arrange high-quality accommodations, and offer an AAAASF accredited on-site surgical suite.
As a patient of Pearlman Aesthetic Surgery, you will also meet our Patient Care Coordinator, Stefanie Dailey, who works closely with our surgeons as a patient liaison and advocate. Many of our patients participate in an ongoing dialogue with her about any and all concerns regarding your care—from consultation through your final results and beyond.
VISIT OUR RENOWNED NEW YORK CITY PRACTICE TO LEARN MORE ABOUT BREAST SURGERY NEAR YOU AT PEARLMAN AESTHETIC SURGERY
Pearlman Aesthetic Surgery is a Manhattan plastic surgery clinic on Park Avenue. At Pearlman Aesthetic Surgery, we help our patients to actualize the best possible version of themselves, restoring a sense of self-confidence and comfort in their own skin. Through innovative, cutting-edge technology coupled with an intuitive understanding of how to accomplish each patient’s unique objectives, Dr. Pearlman and Dr. Bassiri-Tehrani consistently deliver exceptional cosmetic surgery results.
Our approach is always centered on our core values: outstanding care, innovation, compassion, transparency, and accountability. With years of experience serving patients from New York City, the United States, and world wide with our premier treatments and unmatched service, we love providing individualized care for the best results possible.