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David Rapaport, MD, FACS

905 5th Avenue
( @72nd Street )
New York, New York 10021
T. 
212.752.1129
E
. info@drrapaport.com


Surgical Procedures

Abdominoplasty
Breast Augmentation
Breast Reconstruction
Breast Implants
Breast Lift
Breast Reduction
Breast Implants Revision
Chin Implants
Ear Lobe Repair
Endoscopic Brow Lift
Eyelid Surgery
Face Lift
Liposuction
Liposculpture
Melanoma Surgery
Mole Removal
Rhinoplasty
Scar Revision

Nonsurgical Procedures

BOTOX®
Lip Enhancement
Radiesse
Restylane

Sculptra
VelaShape
Laser Hair Removal
Photofacials
Fractional Facial Resurfacing
Laser Wrinkle Reduction


Breast Augmentation
 


Before

After
23 year old shown before, (left), and after, (right), breast augmentation performed endoscopically via the underarm. There are no breast scars. The saline implants are under the (pectoralis) muscle. The ability to breastfeed has been preserved, as has normal nipple sensation.
 


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42 year old woman underwent bilateral saline breast augmentation via endoscopic underarm incision using 300cc breast implants.
 


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33 year old female before and months after breast augmentation using saline (300cc fill) via the endoscopic approach.  No breast scars.
 

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32 year old woman underwent bilateral silicone breast augmentation via periareolar approach using 304 cc breast implants.
 

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26 year old woman underwent bilateral silicone endoscopic breast augmentation using 475cc breast implants.
 


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34 Year old woman underwent bilateral silicone endoscopic breast augmentation using 286cc breast implants.
 

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25 year old woman underwent bilateral silicone breast augmentation via endoscopic underarm incision using 286 cc implants.
 

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35 year old woman underwent bilateral silicone endoscopic breast augmentation using 339cc breast implants.
 

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24 year old woman underwent bilateral saline breast implants via periareolar approach using 425cc breast implants.

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37 year old female before and 4 months after breast augmentation using 300 cc saline filled implants via the endoscopic approach.  No breast scars.
 

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After

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27 year old woman shown before and 3 months following augmentation with 275cc (left) and 250cc (right) implants via the areolar approach. Her scars are already virtually invisible. The patient preferred the areolar approach because she did not want to deal with an underarm scar. Dr. Rapaport emphasizes that the choice of scar placement is a personal one, and each patient should choose the approach with which she is most comfortable. In addition, note the pre-existing asymmetry, with the left breast notably higher than the right.
 


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30 year old desired modest augmentation, (left). Procedure performed via underarm (axillary) approach under the muscle with endoscopic assistance (right). Smooth, round 250 cc saline implants were used. No breast scars.
 

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36 year old mother or two desired augmentation to a large size, 42Scc implants were placed via the axillary (underarm) approach, endoscopic technique, no breast scars.
 

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25 year old before and after augmentation with 325cc saline implants. Procedure performed via underarm approach with endoscopic assistance (underthe muscle). No breast scars.
 

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36 year old desired enlargement (left) but without breast scarring. Augmentation performed using 300 cc implants, via underarm approach, endoscopic assist, submuscular with no breast scarring.
 

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30 year old desired breast enlargement and elevation of nipples,(left) She first underwent augmentation with 325cc implants placed under the muscle, and at a second procedure had her nipples raised (mastopexy). These procedures are sometimes staged, as they were here, in order to achieve an optimal result with maximum safety and reliable positioning of the nipple.
 

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After
36 year old desired enlargement (300cc implants) but without breast scarring. Augmentation performed via underarm approach, endoscopic assist, submuscular with no breast scarring.
 

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38 year old mother of one complained of empty-saggy breasts". She underwent augmentation with saline implants filled to 325cc, placed under the muscle. No formal lift procedure was required in this case.
 


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After

24 year old shown before, (left), and after, (right), endoscopically assisted breast augmentation. As in the example above, there are no breast scars. Implant placement under the muscle provides the best chance for a soft, natural appearing result, and also allows for a more thorough mammogram, an important long term consideration. Implant size is determined based on extensive discussion with the patient to best meet her goals. Please see disclaimer below.
 


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41 year old before and after endoscopic enlargement via underarm approach. 325cc smooth round implants were filled to 360 cc on left and 375 cc on the right.
 


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23-year-old woman shown before and after breast augmentation performed endoscopically and submuscularly via the underarm approach. This particular patient returned back to work in less than a week. Recovery time varies from person to person but most are expected to be able to resume regular activities in several days.
 


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The above 23 year old woman was extremely self-conscious of her breasts. Medically, her condition is called Tubular Breast Deformity. In this condition, the fold under the breast is very high and narrow and the breast tissue protrudes into an enlarged areolus. She was treated with 325 cc (left) and 380cc (right) implants placed under the muscle with simultaneous areolar reduction and fold release. Even at her 4-month photo, her scars are barely visible; they can be expected to fade even more with time.
 


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This 40-year old mother of four complained of "empty breasts" as well as sagging nipples (yes, she breast-fed each one) Dr. Rapaport performed augmentation with 295cc implants on the left breast and 300cc on the right breast placed under the muscle via the underarm approach, as well as nipple reduction performed at the same time. The nipple scars are invisible in this case. Nipple reduction, If performed alone, can be done under local anesthesia.
 


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26-year-old woman shown before and after breast augmentation with 325 cc saline-filled implants placed endoscopically via the underarm. Note the natural breast shape achieved with no scars on the breast.
 


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34-year-old before and after breast augmentation with 300 cc implants filled to 325 cc (left breast) and 315 cc (right breast). Both were placed beneath the pectoralis muscle. This patient chose the areolar approach rather than via the underarm.
 


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30-year-old woman shown before and after breast augmentation performed endoscopically via the underarm approach Natural results can be achieved with augmentation of very small breasts, as displayed above.
 


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29 year old woman 18 months postop breast augmentation using 325cc filled saline via the endoscopic approach.
 


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29 year old female shown before and after breast augmentation via the endoscoplc approach using saline breast implants filled to 325cc.
 


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30 year old female with Inverted nipples shown before and after nipple revision and breast augmentation via the endoscopic approach using saline implants filled to 300cc.
 





 

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Copyright © 2008 NYC Plastic Surgeon: David Rapaport, Board Certified Plastic Surgeon
Manhattan, New York Plastic Surgeon:  905 5th Avenue (@72nd Street) , NYC, New York 10021
Contact Manhattan Plastic Surgeon, David Rapaport:  T. 212-752-1129    email: info@drrapaport.com