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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 Implants

There are many options when it comes to selecting breast implants. On Long Island, many breast augmentation patients trust the experienced breast surgeons at Romanelli Cosmetic Surgery to guide them through their options. Our goal is to help you choose breast implants that will complement your body type, aesthetic preferences, and lifestyle. During your consultation, your doctor will work closely with you to evaluate your anatomy and health history, and recommend an implant type that best fits your needs.

Are you ready to visit our practice on Long Island and select the breast implants that are right for you? Request your surgical consultation or call us now at (631) 424-3600.

Implant Types for Long Island Breast Enlargement

Silicone Gel Implants

Dr. Romanelli has had uninterrupted experience with silicone gel implants since 1990. During his plastic surgery fellowship at the famed Baylor College of Medicine in Houston, Texas Dr. Romanelli trained with the 2 inventors of the silicone gel implant: Drs. Frank Gerow and Thomas Cronin. From 1992-2006, during the FDA moratorium on silicone implants, Dr. Romanelli's patients continued to have access to silicone breast implants for reconstructive needs. Dr. Romanelli also served as a clinical investigator on several FDA approved studies on the new silicone gel implants.

Learn more about VectraAfter extensive experience with all of the available implant types Dr. Romanelli generally prefers the use of cohesive silicone gel implants. These implants hold their shape while retaining a soft, supple feel. This is reassuring to many women from a safety standpoint, since the gel clings to itself even if the implant is cut, squeezed or punctured, as shown below.

Mentor MemoryGel® Cohesive Silicone Gel Implant Cut in Half

Our surgeons and most women considering breast augmentation on Long Island prefer cohesive-gel silicone implants over saline, since silicone looks and feels more like natural breast tissue.

Some patients, however, really prefer an "implanted look" as shown in the patient photos below. For those patients, there are 2 strategies: first, going with a larger size will tend to give you more of an artificial look. Second, it is possible to overfill saline implants, which will also give more of an "implanted" look. At your consultation, you can discuss your desires, questions and concerns with your surgeon and get the latest information.

Before & After Breast Augmentation "Implanted Look"


This patient, age 27, wanted a bigger, fuller bustline. Dr. Romanelli performed breast augmentation using moderate-profile silicone gel breast implants.


This patient came to see Dr. Romanelli for revision of breast augmentation that was performed by another surgeon. In addition to correction of her implants that were bottoming out, she wanted her breasts to be larger. Dr. Romanelli changed her 550 cc implants to 750 cc smooth, round, high-profile, cohesive gel implants. For additional breast augmentation patient photos, visit our photo gallery.
Keep in mind that each patient is unique and your results may vary.

Keller Funnel TechniqueThanks to the innovative Keller Funnel™, choosing silicone gel implants can mean shorter incisions, more choices for incision placement, and improved comfort and safety. The Keller Funnel allows the implant to be compressed through a smaller incision and inserted with great precision. It also allows for a "no touch technique" that keeps the implant sterile and reduces the risk of infection. Romanelli Cosmetic Surgery has been certified to use the Keller Funnel for silicone breast augmentation.

Saline Implants

From 1992 until late 2006, saline implants (filled with a salt water solution) were the only choice for most U.S. breast augmentation surgeries. Even though silicone gel implants are now available and continue to grow in popularity, saline implants still may be a good option for you. For instance, this implant type is less expensive and offers slightly more options for incision site location. In addition, saline remains the only option for primary breast augmentation in women under the age of 22.

The facts on breast enhancement

Other Considerations

In your breast augmentation consultation, you will learn about other aspects of breast implants including:

  • Size: While a very personal choice, Dr. Romanelli, Dr. Pincus, or Dr. Layliev can help you determine the implant size that will achieve your ideal appearance through the use of VECTRA® 3D imaging, which creates an approximation of the results you can achieve with a variety of breast implant sizes.
  • Shape: Implants may be either round or teardrop in shape to approximate the natural contour of the breast.
  • Profile: Also known as "projection," implant profile determines how far the breast will stick out from the chest wall after surgery. Implants are available in high, medium, or low profile.
  • Texture: The shell of an implant may be made using either textured or smooth silicone. Studies have shown that smooth implants are associated with a lower risk of deflation, rippling or wrinkling, and our doctors have found that this implant type tends to look more natural once placed.

In addition to these considerations, your body shape and amount of existing breast tissue will affect recommended implant width, type, and size. And of course, personal preference also plays a key role. Dr. Romanelli, Dr. Pincus, and Dr. Layliev understand that a natural look and the enhanced confidence that can come from breast surgery can help women feel their very best. They pay attention to the finer details of breast augmentation surgery so that you can achieve a result that remains satisfying for years to come.

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