Breast Surgery (Augmentation, Lift & Reduction)

Dr. Rapaport's breast surgery practice covers augmentation, lift (mastopexy), reduction, implant revision, and gynecomastia correction. His signature technique for augmentation is the transaxillary (underarm) endoscopic-assisted approach — placing implants through the armpit with no breast or areola incisions — using the Keller Funnel no-touch method. Saline and silicone implants are available. Lift and reduction procedures use periareolar, lollipop, or anchor incisions depending on the degree of correction required.

Park Avenue Plastic Surgery offers a comprehensive breast surgery program led by Dr. David Rapaport on Manhattan's Upper East Side. The practice handles the full range of breast procedures, with particular expertise in breast augmentation via the transaxillary (underarm) approach. Breast Augmentation: Dr. Rapaport is known for his expertise in the transaxillary endoscopic technique, where implants are placed through a small incision in the natural fold of the armpit — leaving no scar on the breast or areola. The endoscopic camera provides direct visualization throughout. The Keller Funnel no-touch insertion method further reduces contamination risk and optimizes implant positioning. Both saline (adjustable volume, potentially scarless option) and silicone (more natural feel) implants are available, typically placed under the pectoral muscle for a more natural slope. Recovery: return to work in five days; full activity resumable at three weeks. Breast Lift (Mastopexy): Designed for patients with ptosis (sagging), asymmetry, stretched areolae, or post-pregnancy volume loss. Technique selection depends on severity — periareolar incisions for mild sagging, lollipop (vertical) for moderate, and anchor (inverted-T) for significant ptosis. The nipple-areola complex remains attached to preserve sensation and breastfeeding ability. May be combined with augmentation. Breast Reduction (Reduction Mammoplasty): Removes excess breast tissue to relieve back pain, shoulder strain, skin irritation, and postural issues. Dr. Rapaport uses minimally invasive techniques with internal dissolvable sutures — no external stitch removal needed. Over 95% patient satisfaction reported. Additional procedures include implant revision (size change, position correction, capsular contracture treatment) and gynecomastia correction (male breast tissue removal). The practice accepts patients from throughout New York City, Long Island, Westchester, and New Jersey.