Breast Surgery — Augmentation, Lift & Reduction

Dr. Tornambe offers a full range of breast procedures including augmentation with saline or silicone implants, mastopexy (breast lift) for repositioning sagging tissue, and breast reduction for relieving physical discomfort. Augmentation takes approximately two hours under general anaesthesia with implants placed above or below the chest muscle through discreet incisions. Breast lift procedures use periareolar, vertical, or anchor techniques depending on the degree of ptosis. Reduction surgery may be covered by insurance when deemed medically necessary. Additional procedures include augmentation with fat transfer, augmentation with lift, and gynecomastia correction.

Madison Plastic Surgery at 815 Park Avenue in Manhattan provides comprehensive breast surgery under Dr. Robert Tornambe, whose fellowship training in cosmetic and reconstructive breast surgery gives him specialised expertise across the full spectrum of procedures. Breast augmentation enhances size and shape using either saline or silicone gel implants in round or shaped configurations, with incision placement under the nipple or in the inframammary crease and pocket position either subglandular or submuscular — choices made in consultation to match body proportions and lifestyle. The procedure is performed in approximately two hours under general anaesthesia or intravenous sedation, with most swelling resolving over 4–6 weeks and full recovery at around six months. Breast lift (mastopexy) addresses ptosis caused by pregnancy, weight change, or ageing: Dr. Tornambe selects among periareolar, vertical lollipop, or inverted-T anchor incision patterns to remove excess skin, reshape breast tissue, and reposition the nipple-areola complex to a more youthful position. Most patients return to work within 4–7 days and resume exercise within 2–4 weeks. Breast reduction removes excess skin, fat, and glandular tissue to reduce volume and relieve chronic back, neck, and shoulder discomfort; techniques include the vertical lollipop, anchor pattern, and liposuction-assisted reduction. When documented as medically necessary, breast reduction may qualify for insurance coverage — the office assists with pre-authorisation. Other breast procedures available include augmentation combined with lift, augmentation using fat transfer, breast reconstruction following mastectomy, correction of constricted or tuberous breast deformity, and gynecomastia surgery for male patients. All procedures are performed in the AAAASF-accredited on-site suite at the Park Avenue NYC location.