Breast Surgery

Neinstein Plastic Surgery maintains a dedicated breast surgery subspecialty under Dr. Anna Steve, alongside the broader team. Services span the full breast surgery menu: augmentation with silicone gummy bear or saline implants (including fat transfer hybrid augmentation), breast lift in lollipop, anchor, or peri-areolar patterns, breast reduction with insurance verification support, explant surgery, revision breast surgery, tuberous breast correction, and Breast Boost — a minimally invasive standalone fat transfer procedure that increases breast volume by approximately half a cup size with no implants and virtually no scarring.

Breast surgery at Neinstein Plastic Surgery benefits from the expertise of a dedicated breast specialist, Dr. Anna Steve, within a multi-surgeon team that also includes the practice's founder Dr. Ryan Neinstein and fellowship-trained plastic surgeons Dr. Chris Funderburk and Dr. Daniel Lara. The comprehensive breast surgery offering encompasses the full range of augmentation, lifting, reducing, and revisional procedures, with treatment planning tailored to each patient's existing breast anatomy, skin quality, tissue envelope, and aesthetic objectives. Breast augmentation is performed using silicone gel (gummy bear cohesive gel) or saline implants, with implant selection, profile, base width, projection, and surface texture determined through detailed preoperative measurement and 3D imaging consultation. Below-muscle (submuscular) implant placement is the preferred technique at the practice for most patients, providing improved upper pole coverage, reduced implant palpability, and a more natural slope of the upper breast pole compared to subglandular positioning. A fat grafting hybrid augmentation is also offered for patients seeking a more subtle natural augmentation of approximately half a cup size using their own harvested fat, with reported long-term fat survival rates of 60–70% for standard grafting (and up to 80% using the Breast Boost technique). Breast lift (mastopexy) is performed using one of three incision patterns depending on the degree of ptosis and skin excess: peri-areolar (Benelli) for minimal ptosis; lollipop (vertical) for moderate ptosis; and anchor (Wise pattern) for significant ptosis with substantial skin excess. At the Neinstein practice, mastopexy can be combined with implant placement, fat transfer, or internal bra placement (using Galaflex or similar bioresorbable scaffold sutured to the chest wall fascia) to provide long-term projection support without permanent foreign body implantation. Breast reduction surgery addresses macromastia — pathologically enlarged breasts causing neck, back, and shoulder pain, skin irritation, and postural changes — through excision of excess glandular tissue using either the lollipop or anchor pattern, combined with lifting and reshaping of the remaining tissue into a smaller, more proportionate mound. Out-of-network insurance benefit verification is offered as a service to patients pursuing breast reduction, as many private health plans provide coverage for medically necessary reduction when specific criteria are met. The Breast Boost procedure is a minimally invasive fat transfer offering using a closed-system fat harvesting and injection protocol: liposuction is performed under local anaesthesia to collect fat from donor areas, the fat is processed and purified in a closed sterile circuit, and it is then injected into the breast parenchyma and subcutaneous layer through tiny needle entry points, leaving no visible scarring. The procedure can be repeated every six to eight months to accumulate volume incrementally. Additional breast procedures include implant removal (explant) surgery, revision breast surgery for patients experiencing complications or aesthetic dissatisfaction from prior augmentation performed elsewhere, and tuberous breast correction — a technically demanding procedure addressing the constricted, tubular breast deformity that affects the lower breast pole and areolar complex.