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Gerald Imber, M.D.


Breast Augmentation

Based in New York City

Breast augmentation involves the use of implants placed beneath the breast to increase breast size. The procedure, in very much its current form, has been performed successfully since the early 1970’s. Nearly 300,000 women undergo the procedure annually. At our practice in NYC, breast augmentation is a highly sought out procedure.

Dr. Imber’s Tips!

Everybody knows about breast augmentation. Breasts should look natural, move naturally, and not to look like half a cantaloupe stuck to your chest. I choose subglandular, not submuscular, implant placement for the above reasons. It’s simply more natural appearing.

Gerald Imber, MD

Breast implants are made of silicone envelopes filled with either saline solution or silicone gel, which some people may find worrisome. The fact is that silicone is everywhere, and silicone gel implants have been extensively studied by government groups and scientific panels, and are deemed fully safe for use. This is good news. In my practice I favor silicone gel filled implants over saline filled, as they provide a generally more natural result.

Your Breast Augmentation will be performed in Dr. Imber‘s Surgery center located in NYC.

  • Castle Connolly Top Doctors
  • Member, American Society of Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

The implants push the natural breast forward and enlarge its projection and width. This can be achieved by placing the implant on top of the pectoralis muscles, in a natural plane just beneath the breast, or under the pectoralis muscles themselves. Why choose one over the other? The most common complication of breast augmentation is fibrous capsule formation. This happens when the body reacts excessively to the foreign body (the implant) and forms a thick internal scar around it. The result is a firm feeling breast. To mask this firmness, many surgeons place the implant beneath the pectoralis muscles. In effect, to hide the firmness with the muscle padding. To my way of thinking this placement is less anatomical, and too often results in a significant double hump deformity. I choose to place the implants above the muscle. If there is significant capsule formation it is usually easily dealt with, but the incidence of capsule formation requiring surgery is small. Neither method is perfect, but under the best of circumstances I find placing the implant under the breast and on top of the muscle to give undetectable, natural results…and that, after all, is our goal.

There are numerous methods for placement of implants and these should be discussed with Dr. Imber at your consultation. Additionally, there has been a rare but important side effect associated with formerly used textured implants and exceedingly rare with others called anaplastic large cell lymphoma (BIA-ALCL). This should be covered thoroughly in your consultation.

He is very thorough, meticulous, detail oriented and you cannot negotiate services or anything with him. It’s his way or the highway. I had a lot of work done years ago long before plastic surgery was so common. My daughter went to him last year for lipo and he is exactly as thorough and precise as he was then. If you are a Botox junkie looking for quick fixes on the cheap, he probably won’t be right for you. His work is very subtle, understated, natural and undetectable.
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Incisions can be placed under the breast, near the inframammry fold, around the areola, or under the arm. Usually, the inframammary incision offers the best access, and is best tolerated.

After Surgery

After Breast Augmentation surgery a surgical bra is worn as a dressing. There is pain or discomfort for 24-48 hrs, and most patients return to work in a week.

How Much Does A Breast Augmentation Cost in NYC?

The cost of an NYC breast augmentation can vary on a number of factors. Dr. Imber will meet with you in his New York City office to discuss all pricing and options.

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