Breast Augmentation
in Manhattan

Board Certification & Academic Credentials

• Board-Certified: American Board of Plastic Surgery and American Board of Surgery
• Medical Education: Yale University School of Medicine (1985)
• Surgical Training:
  • General Surgery Residency: Mount Sinai Medical Center
  • Plastic Surgery Fellowship: Massachusetts General Hospital and Hôpital Necker (Paris)
  • Chief Residency in Plastic Surgery
• Academic Position: Associate Clinical Professor of Plastic Surgery, Icahn School of Medicine at Mount Sinai
• Professional Memberships:
  • American Society of Plastic Surgeons (ASPS)
  • American College of Surgeons (ACS)
  • New York State Society of Plastic Surgeons

Recognition & Awards

• Castle Connolly Top Doctor: 14+ consecutive years of recognition
• New York Magazine Top Doctor: 2006-2012
• Media Features: Harper’s Bazaar, Glamour, The Plastic Surgery Channel
• Institutional Affiliation: Mount Sinai Health System

Surgical Philosophy

As Dr. Broumand explains, “The goal of breast augmentation should be to enhance your natural beauty and create a result that looks like it’s authentically yours—not like you’ve had surgery.” This philosophy guides every consultation and surgical plan, ensuring patients achieve results that feel true to their aesthetic vision.

Clinical Experience & Expertise

Dr. Broumand has performed thousands of breast augmentation procedures throughout his career, combining extensive clinical experience with a refined aesthetic philosophy. His approach prioritizes:

• Natural Results: Creating harmony and proportion rather than simply increasing size
• Individualized Planning: Customized surgical plans based on each patient’s unique anatomy and goals
• Advanced Pain Management: Minimizing post-operative discomfort through advanced techniques and comprehensive protocols
• Hybrid Techniques: Combining implants with fat grafting for optimal natural-looking results
• Patient Safety: Meticulous surgical technique and comprehensive post-operative care

Advanced Pain Management

One distinguishing feature of Dr. Broumand’s practice is his commitment to minimizing post-operative discomfort. By combining advanced surgical techniques with comprehensive pain management protocols, patients often report significantly less pain during recovery compared to traditional approaches. This allows for faster return to normal activities and improved overall surgical experience.

Hybrid Augmentation Techniques

Dr. Broumand specializes in combining breast implants with fat grafting to achieve optimal results. This hybrid approach allows for:

• Enhanced upper pole fullness and natural contours
• Improved cleavage definition
• Smoother transitions between implant and natural breast tissue
• Reduced risk of visible implant edges
• More natural-looking results in thin-framed patients

Silicone Gel Implants

Silicone implants are filled with cohesive silicone gel and are the most popular choice among breast augmentation patients.

Advantages:

• Natural look and feel, closely mimicking natural breast tissue
• Less likely to ripple or show visible edges
• Preferred by most patients for aesthetic results
• Available in various profiles and shapes

Considerations:

• Require regular monitoring through MRI imaging
• Slightly higher cost than saline alternatives
• Require a slightly larger incision for placement

Saline Implants

Saline implants are filled with sterile saltwater solution and offer a different set of benefits.

Advantages:

• Smaller incision required for insertion
• Can be adjusted during surgery for optimal sizing
• No special monitoring required if rupture occurs
• Generally lower cost

Considerations:

• May feel firmer than silicone implants
• Higher risk of visible rippling, particularly in thin patients
• More noticeable if rupture occurs

Incision Options

Dr. Broumand offers multiple incision approaches, each with distinct advantages:

Inframammary Incision (Under the Breast Fold)

• Most common approach, allowing excellent implant visualization and control
• Incision hidden in the natural breast fold
• Ideal for most patients and implant types
• Minimal impact on nipple sensation

Periareolar Incision (Around the Nipple)

• Incision placed at the border between the areola and surrounding skin
• Good for patients with larger areolas
• May have slightly higher risk of nipple sensation changes
• Excellent for combined lift and augmentation procedures

Implant Placement Options

Submuscular (Under the Muscle)

• Implant placed beneath the pectoralis major muscle
• Provides natural appearance and better long-term support
• Reduces risk of capsular contracture
• Slightly longer recovery period
• Recommended for most patients, particularly those with minimal natural breast tissue

Subglandular (Over the Muscle)

• Implant placed between breast tissue and chest wall muscle
• Faster recovery compared to submuscular placement
• May be appropriate for patients with adequate natural breast tissue
• Slightly higher risk of visible implant edges in thin patients

Dual Plane

• Combines benefits of both submuscular and subglandular placement
• Upper portion of implant sits under muscle; lower portion over muscle
• Provides optimal support while maintaining natural upper pole fullness
• Excellent for patients seeking natural-looking results with good projection

Immediate Post-Operative Period (Days 1-3)

• You’ll experience some swelling, bruising, and discomfort, which is normal
• Pain is typically well-controlled with prescribed medications
• You’ll wear a surgical bra to support healing and minimize swelling
• Avoid strenuous activity and heavy lifting
• Sleep with your head elevated to reduce swelling

Early Recovery (Weeks 1-2)

Most patients can return to light activities and desk work within 1-2 weeks following breast augmentation. However, individual recovery varies based on implant placement and personal healing factors.

• Swelling and bruising gradually decrease
• You may return to light activities and desk work
• Continue wearing supportive bra
• Avoid heavy lifting and strenuous exercise
• Attend follow-up appointments as scheduled

Intermediate Recovery (Weeks 3-6)

• Most patients can resume normal daily activities
• Light exercise such as walking is encouraged
• Avoid heavy lifting and high-impact activities
• Implants continue to settle into their final position
• Swelling continues to diminish

Full Recovery (Weeks 6-12)

• Most patients can resume all normal activities, including exercise
• Implants reach their final position and appearance
• Final results become apparent as all swelling resolves
• You can return to all sports and strenuous activities

Important Recovery Guidelines:

• Follow all post-operative instructions provided by Dr. Broumand’s team
• Attend all scheduled follow-up appointments
• Avoid smoking and secondhand smoke, which impairs healing
• Stay well-hydrated and maintain a healthy diet
• Wear compression garments as recommended
• Avoid sleeping on your stomach for at least 2 weeks
• Don’t submerge incisions in water until cleared by Dr. Broumand

Common, Temporary Issues:

• Swelling and bruising (resolves within weeks)
• Temporary numbness or tingling (usually resolves within months)
• Mild asymmetry (often improves as implants settle)

Less Common Complications:

• Capsular contracture (hardening of scar tissue around implant) – occurs in approximately 1-3% of patients
• Implant rupture or deflation – silicone implants have a rupture rate of approximately 0.1-1% per year
• Infection – occurs in less than 1% of cases
• Changes in nipple sensation – usually temporary
• Visible rippling – more common with saline implants in thin patients

Risk Mitigation:

Dr. Broumand minimizes complications through:

• Meticulous surgical technique
• Appropriate implant selection for your anatomy
• Submuscular placement when appropriate
• Comprehensive post-operative care instructions
• Regular follow-up monitoring
• Use of advanced imaging and assessment techniques