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Breast Procedures

Meet The Surgeons

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

Breast Augmentation

For many women, how they feel about their breasts sets the tone for how they feel about themselves. Breast augmentation is a popular way for women to enhance their figures and feel more feminine. A breast augmentation can help Long Island and New York City women who have lost breast volume due to weight loss or childbirth — or women who simply want to increase the size of their breasts — to gain the confidence they deserve.

If you're ready to take the next step to a beautiful, more self-assured you, request a consultation online, or call our office directly at (631) 424-3600 to set up an appointment.

Breast Augmentation
Before & After Photos


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Breast Augmentation
Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Breast Augmentation case #15 before photo
    Breast Augmentation case #15 after photo

    Case #15

    As a teenager, this New York resident had an uneven development of her breasts.  It was truly embarasing for her to swim in a pool or go to a dance.  Once she was on her own, at the age of 2... View Case 

  • Breast Augmentation case #18 before photo
    Breast Augmentation case #18 after photo

    Case #18

    This busy mother of 4 young children from New York City came seeking breast augmentation on Long Island because pregnancies deflated her breasts.  She gained about 70 pounds during each pregnancy... View Case 

  • Breast Augmentation case #38 before photo
    Breast Augmentation case #38 after photo

    Case #38

    This very charming 19-year-old woman came to the office seeking breast augmentation on Long Island, and correction of a mi... View Case 

  • Breast Augmentation case #39 before photo
    Breast Augmentation case #39 after photo

    Case #39

    This petite 20 year old patient came to the office for a breast augmentation, referred by a friend who had a rhinoplasty by Dr. Romanelli.  She worked for a doctor and was looking for ful... View Case 

  • Breast Augmentation case #44 before photo
    Breast Augmentation case #44 after photo

    Case #44

    This 27-year-old woman, who works in the medical field, came from Queens to talk about breast augmentation at our Long Island office.  She was referred by several friends who had sur... View Case 

  • Breast Augmentation case #74 before photo
    Breast Augmentation case #74 after photo

    Case #74

    This 35 year old Long Island mother of 4 came to our plastic surgery office to fill out her breasts, which she described as "deflated" and "droopy."She wanted more full... View Case 

  • Breast Augmentation case #77 before photo
    Breast Augmentation case #77 after photo

    Case #77

    This 41 year old woman was finished with childbearing, and wanted some reworking of her breasts when she came to our Huntington, New York plastic surgery office. She wanted more fullness, but also hop... View Case 

The Consultation

Your confidential consultation will take place in the privacy of our Long Island office. During your breast augmentation appointment, Dr. Romanelli, Dr. Pincus, or Dr. Layliev will discuss your goals and desired outcome after your surgery, as well as review your medical history. At Romanelli Cosmetic Surgery, our surgeons encourage patients to ask questions and voice their concerns. The consultation is the perfect opportunity for an unhurried, candid dialogue.

Learn more about Vectra

Dr. Romanelli, Dr. Pincus, or Dr. Layliev will thoroughly discuss your breast implant options, including material, size, shape, and placement, and offer a detailed explanation of the surgery. At this appointment, you may try on implant sizers to help you better visualize your desired results. Your surgeon will determine whether there is any asymmetry in your breasts that needs to be addressed, and he may recommend an optional breast lift at the same time as your augmentation.

A Mommy Makeover Gives You More

For many women, whether they've had children or not, their breasts aren't the only part they'd like to improve. A mommy makeover is customized to rejuvenate the rest of the body as well—wherever it matters most to you. Our doctors can safely perform multiple procedures together to give patients a greater change with a single surgery and recovery period.

Why Choose Breast Enlargement on Long Island?

The Procedure

Breast augmentation is performed as an outpatient procedure at Romanelli Cosmetic Surgery. A light general anesthesia is administered by our board-certified MD anesthesiologist. Once the anesthetic has taken effect, the initial incision will be made.

Incision Options

The location and size of the incisions are dependent on several factors. At your consultation, you and your surgeon will determine which of the following options works best for you:

  • Periareolar incision: This incision is placed along the lower edge of the areola. This option gives your surgeon direct access to the interior of the breast. The resulting scar is typically not noticeable because it lies along the transition between the areola and the breast skin.
  • Inframammary incision: Placed along the breast crease, this incision is the choice of many of our patients. This approach provides the surgeon the most direct route for implant placement. The scar is hidden within or slightly above the fold of the breast.
  • Transaxillary incision: This option is placed in a natural crease of the underarm. This incision may limit the size of silicone implants and cannot be used in the future for secondary procedures such as implant exchange or a breast lift as can other incisions.

Breast Augmentation Incision Options

After the incision is made, your surgeon will create a pocket, usually behind the chest wall muscle, for the implants. The implants will be placed in the pocket, along with a long-lasting local anesthetic to minimize post-surgical discomfort. After your incisions are closed and bandaged, a surgical bra or stabilizing band will be placed over your breasts. The entire breast augmentation procedure takes about 1 hour.

With the latest techniques, even silicone gel breast implants can be placed through short incisions.

The facts on breast enhancement

Before & After Breast Augmentation


This 31-year-old patient had breast augmentation with silicone gel breast implants. For additional breast augmentation patient photos, visit our photo gallery.
*Your results may vary.

Recovery & Results

Discomfort and pressure are common within the first 24 to 48 hours after breast augmentation, though the pain is usually manageable with prescribed medication and cool compresses applied to the upper chest. Swelling is also normal, although bruising, if it occurs at all, should be minimal.

Give yourself time to rest and heal at home, and don't rush into activities if you don't feel ready. You may shower or bathe 48 hours after your surgery. Your stitches will dissolve on their own and your follow-up appointment will be scheduled within 2 to 4 days.

Most patients are able to resume light activity and exercise 1 week after their procedures, and more strenuous activity, such as jogging, may be resumed in about 2 to 3 weeks. Refrain from upper-body exercises for at least 6 weeks following your breast augmentation. Nipple numbness or sensitivity is normal, and you should regain normal sensation over the next several months. Your surgeon will provide you with a comprehensive guide to caring for yourself post-procedure.

Common Questions

How long will my breast augmentation last?

Under the right conditions, the results of a breast augmentation are long lasting. However, breast implants should not be considered lifetime devices. Throughout your life, gravity, aging, hormones, weight, and other factors will continue to affect your breasts. A breast lift may be considered in the future to help you maintain a youthful appearance, if needed. Breast implants do NOT have to be replaced every 10 years - that is an internet legend!

What are the risks of a breast augmentation?

As with all surgeries, there is some degree of risk associated with a breast augmentation. Scar tissue, skin wrinkling (sometimes called "rippling"), implant rupture, and loss of sensation are all risks associated with breast augmentation. Using FDA-approved implants, working with a qualified plastic surgeon, and complying with post-op directions will minimize these risks. Dr. Romanelli, Dr. Pincus, or Dr. Layliev will discuss these risks with you before your surgery to ensure you stay fully informed throughout the breast augmentation process.

Who is a good candidate for breast augmentation?

A good breast augmentation candidate has realistic expectations about the outcome of the surgery and is well informed of the preparation, techniques, recovery, and risks associated with the procedure. Good candidates are emotionally stable and physically healthy. People who smoke should quit well in advance of their procedure. As with other cosmetic procedures, you should undergo a breast augmentation for yourself, not to comply with someone else's desires or ideals.

For more answers to other common questions about breast augmentation surgery, visit our Breast Augmentation FAQ page.

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