Breast Surgery

Park Plaza Plastic Surgery offers a full range of breast procedures in Manhattan, including augmentation with saline or silicone implants, mastopexy (breast lift), breast lift with augmentation, breast reduction, and implant revision. Dr. George Lefkovits MD uses multiple incision techniques and implant placements tailored to each patient's anatomy. Procedures are performed under general or conscious sedation, with most patients returning to work within seven to ten days. Insurance may cover breast reduction when medically necessary. Free in-person and virtual consultations are available.

Park Plaza Plastic Surgery provides a comprehensive breast surgery programme in its Upper East Side Manhattan practice, spanning the full range of augmentation, reshaping, and reduction procedures for patients at different life stages and with varied aesthetic and functional objectives. Breast augmentation at the clinic uses both saline and silicone gel implants in a range of profiles, sizes, and textures, with implant selection made collaboratively between the patient and Dr. Lefkovits to match the patient's existing breast footprint, chest wall dimensions, and aesthetic goal. Two primary incision approaches are employed: the periareolar incision, placed at the lower border of the areola for maximum scar concealment, and the inframammary incision, placed in the fold beneath the breast where it is hidden in the natural crease. Implant placement is tailored to the individual — subfascial or subglandular positioning is used where there is adequate soft-tissue coverage, while submuscular (under the pectoralis major) positioning provides additional upper pole coverage and a more gradual upper breast slope suited to patients with limited native tissue. Procedures run approximately one to two hours and are performed under general anaesthesia or conscious sedation with local anaesthetic. Mastopexy (breast lift) at Park Plaza addresses ptosis — the downward displacement and loss of projection of the breast — without necessarily adding volume. Dr. Lefkovits uses either a single periareolar incision for minor degrees of ptosis or a three-incision technique (periareolar, vertical, and horizontal inframammary) for moderate to significant descent, repositioning the nipple-areolar complex to a higher anatomical position and reshaping the breast envelope. Breast lift with augmentation combines both procedures in one operative session for patients seeking both improved projection and volume restoration — frequently requested after pregnancy and breastfeeding or following significant weight loss. Breast reduction (reduction mammaplasty) removes excess glandular tissue, fat, and skin to reduce breast volume, alleviate musculoskeletal symptoms including neck and back pain, and improve breast shape and symmetry. The procedure uses a periareolar plus vertical incision or the anchor (inverted-T) incision depending on the volume of tissue to be removed. Park Plaza Plastic Surgery accepts Aetna, BlueCross BlueShield, and UnitedHealthcare for medically necessary breast reduction cases — a significant cost offset for patients whose symptoms qualify. Return to work follows within seven to ten days, with full exercise cleared at four to six weeks. Breast implant revision surgery is also performed for patients requiring implant exchange, removal, capsulectomy for capsular contracture, or correction of implant malposition following prior augmentation.