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Breast Augmentation

Are you unhappy with your asymmetrical or small breasts? Augmentation mammoplasty, or breast augmentation, can enhance your figure.

Oren Z. Lerman, MD, FACS, of Manhattan, NY, is a breast surgery expert who can give you the breast size, shape, and symmetry you desire.

Learn why Dr. Lerman has earned a reputation as one of New York City’s most respected plastic surgeons and what we can do for you...

Dr. Lerman Discusses Breast Augmentation

In this video, Dr. Lerman explains his approach to breast augmentation, the most popular form of plastic surgery in the United States. Breast augmentation surgery is a highly customizable procedure, and Dr. Lerman will work with you to plan a surgery that achieves your cosmetic goals.

Meet with a Board-Certified Plastic Surgeon Request a Consultation Today

Dr. Oren Lerman is one of New York City's foremost experts on breast implants, breast augmentation, and breast reconstruction:

  • He is certified by the American Board of Plastic Surgery
  • He is a Fellow of the American College of Surgeons
  • He previously served as President of the New York Regional Society of Plastic Surgeons
  • He is the Director of Breast Reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care
  • He is the Director of The Microvascular and Cosmetic Breast Fellowship, where he trains surgeons in the latest breast surgery techniques

Dr. Lerman performs breast augmentation for women who are reconstructing their breasts after breast cancer treatment, and for women who are dissatisfied with the size, shape, or symmetry of their breasts. He currently operates in Manhattan and in Westchester County. To schedule a consultation with Dr. Lerman, contact us online, or call the location that's closest to you.

Manhattan: (212) 434-6980

Westchester: (914) 440-1182

"Phenomenal Surgeon with Amazing Outcomes"


Cynthia Shechter


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Dr. Oren Lerman is not only a phenomenal surgeon with amazing outcomes, he is also a wonderful human being who cares about and listens to every single patient. His precise surgical techniques, skilled hands and creativity have earned him recognition with colleagues and patients alike. He has been rated the Top Doctor Award in Castle Connelly, however his skill speaks for itself. Dr. Lerman is nothing short of amazing. If I could give him 10 stars, I would.

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Julie Rosenberg


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After consulting with several physicians, I met with Dr. Lerman and immediately felt the most comfortable with his knowledge, experience, patience, ability to explain medical details and answer questions and overall bedside manner. I would highly recommend Dr. Lerman if you are selecting a plastic surgeon and want someone who cares about his patients as well as surgical outcomes. His office staff members are also pleasant, extremely responsive and provide a comprehensive positive patient experience.

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Before & After Breast Augmentation

Before Breast Augmentation
Before Our patient had naturally small breasts. She decided on breast augmentation to increase the size of her bust and improve her confidence.
After Breast Augmentation
After Dr. Lerman placed breast implants to enhance the size of our patient's breasts. The results are natural-looking, and the scarring is discreet.

Breast Reconstruction with Implants

Breast implant

Dr. Lerman's Manhattan practice is a premier destination for women who require mastectomies, breast reconstruction surgery, or both. Dr. Lerman is a recognized leader in the field of reconstructive surgery who performs a variety of techniques. In addition to advanced microvascular flap surgeries, Dr. Lerman performs breast reconstructions with breast implants for qualifying patients.

Breast reconstruction with implants is a wholly different discipline from purely cosmetic breast augmentation. Restoring a natural feel and appearance to the breasts after cancer treatment requires a doctor with particular expertise and the knowledge to choose the right approach based on each patient's unique needs. Dr. Lerman is the experienced professional you need to rebuild your feminine form and begin a new chapter of your life with complete confidence.

Whether you are considering a preventative mastectomy, you are currently undergoing cancer treatment, or you had a mastectomy in the past, Dr. Lerman is ready to work with you. Schedule a consultation at either our Westchester County or Manhattan office to discuss your reconstructive options with Dr. Lerman.

"His Skills and Dedication are Second to None"


Denise Nales


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Dr. Lerman performed 3 surgeries on me as I had a bilateral mastectomy. He is just such an amazing physician, who cares about his patients. Dr. Lerman is warm, caring and attentive to every detail. I am beyond satisfied with the results of my surgeries.

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Shelley Sperling


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I had the distinct pleasure of working with Dr. Lerman in the OR. His skills and dedication are second to none. He treats every patient with respect. He focuses completely on one patient at a time. He achieves amazing results and will work and work until the results are perfect. He sets the gold standard.

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Before & After Reconstruction with Implants

Before Mastectomy
Before Mastectomy
After Mastectomy
After Reconstruction
Our patient required a double mastectomy. Dr. Lerman performed the mastectomy using a nipple-sparing technique and then reconstructed the breasts with silicone "gummy bear" implants.

Understanding Your Breast Implant Options

Saline Implants

Saline implants are silicone shells that are filled with sterile saltwater. When you choose saline implants, Dr. Lerman will insert the implants deflated, and then he will fill them with the saltwater once they are in place. This method often allows Dr. Lerman to make smaller incisions than would be necessary with silicone implants. Also, saline implants are arguably less risky than silicone implants because the saltwater will be naturally absorbed by the body in the event of a rupture. On top of that, saline breast implants are usually more affordable. The biggest drawback to saline breast implants is that they don't feel as natural as silicone breast implants.

Silicone Implants

Silicone breast implants are pre-filled with a silicone gel. Because they are inserted at full size, the incisions required for silicone implants need to be a little larger. However, silicone implants are a popular option because they feel just like natural breast tissue, and they produce the most natural-looking results. The silicone gel in these implants is not biocompatible in the same way that saltwater is, so ruptures of silicone implants (which are rare) potentially pose a higher health risk. However, if you monitor the integrity of your breast implants with periodic checkups, then you'll have little to worry about in terms of future complications.

"Gummy Bear" Implants

"Gummy bear" breast implants are a type of silicone implant made of a more cohesive silicone gel. The silicone gel in these breast implants is form-stable, so you could cut them in half and no liquid would come out (just like a gummy bear). Therefore, there is no chance of these implants leaking. Also, these breast implants are designed to maintain their shape better than traditional silicone breast implants. "Gummy bear" implants do require relatively large incisions, and they are the most costly type of breast implant that Dr. Lerman offers in Manhattan and Westchester County, NY.

Hear from One of Our Happy Patients

Dr. Lerman and his staff are amazing!
I couldn’t be more satisfied with my results.
Lizbeth Maxwell

Get Started with a Consultation

If you are interested in breast augmentation surgery, schedule a consultation with Dr. Oren Lerman in Manhattan or Westchester County, NY, to discuss your options. During your initial appointment, Dr. Lerman will:

Review your medical history

Examine the size, shape, and placement of your breasts, nipples, and areolae

Examine the quality and thickness of your skin

Review any current health conditions, allergies, and medications that could influence your surgical outcome and healing

Recommend whether intravenous (IV) sedation or general anesthesia is ideal to ensure your optimal comfort

Help you decide what type of implant you want, where you want your implants placed, and where you want your incisions made

You can request your consultation right now by filling out our online form or by calling your preferred location.

Manhattan: (212) 434-6980

Westchester: (914) 440-1182

Breast Augmentation Candidacy

If you are a healthy adult woman with fully developed breasts, but are dissatisfied with the shape and size of your breasts, then you are most likely a good candidate for breast augmentation surgery. Questions you should consider include:

  • Are you physically healthy?
  • Are you self-conscious wearing swimsuits and form-fitting tops?
  • Are you unhappy with the natural shape of your breasts?
  • Have your breasts lost their shape or volume after breastfeeding, weight loss, or as part of the aging process?
  • Is one of your breasts larger or shaped differently than the other?
  • Did your breasts fail to develop normally?

Regardless of your unique situation, breast augmentation is a personal, individualized procedure, and we always stress to our patients that it should only be undertaken for your own health and self-empowerment, and never for the approval or expectations of others.

The Breast Augmentation Procedure

The breast augmentation procedure can typically be performed in two to three hours at our Manhattan or Westchester offices.

General Anesthesia

In most cases, we administer general anesthesia so you remain completely comfortable and sleep through the procedure.


Dr. Lerman will create the incisions around the areola, in the crease in the underside of the breast, or in the armpit.


Next, a pocket is created so the implant can be positioned in the ideal location for natural-looking results. Once the pocket for each breast is created, the implants are inserted and we can make any adjustments to achieve good symmetry.

Completing Surgery

After the incisions are closed with sutures, we will apply bandages as needed to protect the incision area and reduce swelling. We will also dress you in a surgical bra. The bandages should remain in place until you return for your first post-operative appointment.

Do You Have Sagging Breasts? Consider a Breast Lift

Before Breast Lift
Before Breast Lift
After Breast Lift
After Breast Lift
Many women with sagging breasts think they need a breast augmentation when a breast lift is actually better suited to their needs. Breast lift surgery repositions the breasts for a perkier, more youthful appearance. At his offices in Manhattan and Westchester County, Dr. Lerman can perform a breast lift on its own or in combination with breast augmentation.

"I Could Not be Happier with the Results"




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Dr. Lerman changed my life! After a double mastectomy, he did reconstruction via DIEP flap. My fears were quelled by his excellent care. His staff is amazing. They saw and spoke with me throughout my recovery. I could not be happier with the results. Thank you!

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Beth Stern


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I came to see Dr Lerman having begun the implant process post mastectomy but very unhappy with the tissue expander. I had constant discomfort and a misshapen breast. Within hours of Flap surgery my pain was gone. I am so thankful!

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What About Capsular Contracture?

Capsular contracture is a condition that can occur when the body forms a significant amount of scar tissue around a breast implant. In extreme circumstances, the scar tissue can start to constrict the breast implant, which can lead to discomfort and a distorted appearance of the breasts.

Capsular contracture is a relatively rare side effect of breast augmentation surgery, but Dr. Lerman does everything he can at his Manhattan practice to prevent it. To begin, he will conduct a very thorough screening during the consultation process to determine if you are at high risk of capsular contracture. Then, during the surgery, he will operate with extreme precision and adhere to the highest sanitation standards, making capsular contracture less likely.

Ultimately, perhaps the best way to avoid capsular contracture is to choose the right implant type, size, and shape for your body. Dr. Lerman will help you select the right breast implants for your needs, so the chances of complications will be as low as possible.

What to Do If You Have Capsular Contracture?

Contact Our Practice

Dr. Lerman

Although capsular contracture is rare, it does occur. Dr. Lerman has experience removing and replacing breast implants in women that experience this condition. If you have noticed hardening of the breasts, meet with Dr. Lerman to find out how he can improve the look and feel of your breasts. Contact our practice to request a consultation. You can also reach our Manhattan or Westchester offices by phone:

Manhattan: Call (212) 434-6980

Westchester: Call (914) 440-1182

Breast Augmentation Recovery Timeline

Light Walking

To prevent complications, patients should take short, light walks starting the day after surgery.

Returning to Work

Most patients take about a week off of work after surgery. Those with more strenuous jobs may need to take several weeks off of work to avoid lifting or straining in the treatment area.


Patients can slowly work light to moderate exercise into their routine after a few weeks. However, it is important to wait at least six weeks before engaging in strenuous workouts.

Surgical Bra

Patients should wear an approved surgical bra for at least four to six weeks after surgery. The bra should be worn both during the day and at night.

Breasts Settling

It can take up to three months for the breasts to settle and take on a more natural appearance. Patients will continue to see improvement in the position of their breasts for up to a year.

Breast Augmentation Scarring

Scarring is a natural side effect of most surgeries. The extent of scarring after breast augmentation depends on the incision technique, the type of implants, and the size of the implants.

Incision Type

Drawn breast augmentation incision lines

With the areolar approach, scarring is less visible because of the contrast between the color of areola and the surrounding skin. With the inframammary approach, scarring is slightly more visible and located on the underside of each of the breasts; with the transaxillary approach, the scarring is slightly more visible and located in the armpits.

Type and Size of Implant

Patient choosing a type of implant

Saline implants can be filled after they are placed in the breasts, so they require a smaller incision. Silicone gel implants come pre-filled, so the incision must be large enough to accommodate insertion of the implant. In some cases, large silicone breast implants don't allow for the areolar or transaxillary incision approach and may result in longer scars.

Contact Our Board-Certified Plastic Surgeon Reduced Scarring and Beautiful Results

You want to choose a surgeon that can safely perform your procedure and achieve the best possible outcome. A board-certified plastic surgeon has undergone a rigorous training process that includes a degree and surgical training from an accredited institution, along with a thorough peer review process. Dr. Lerman is board-certified and has experience performing all types of breast surgery with a low rate of complications and high satisfaction rate. Contact us to request an appointment or ask a question. You can also reach our office by phone:

Manhattan: (212) 434-6980

Westchester: (914) 440-1182

Read 5-Star Reviews About Our Manhattan Practice


Cecily Schwimmer


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Excellent service from front desk to surgeon. Appointments and surgery day were as pleasant as could be :). Results are amazing!!! Dr. Lerman was able to take my specific request and tailor it to be appropriate for my build.

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Fedra Pavlou


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Dr Lerman is an exceptional doctor, both in his skill as a surgeon and in his communication with his patients and provision of after care. After I underwent a single breast mastectomy, Dr Lerman has achieved the holy grail, symmetry; to look at, no one would know which breast has received the mastectomy! He's a genius.

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Dr. Oren Lerman

Oren Z. Lerman, MD

Dr. Oren Lerman performs a variety of cosmetic and reconstructive procedures with a specialty in reconstructive breast surgery. In fact, he is the director of breast reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care as well as the Microvascular and Cosmetic Breast Fellowship. In addition to the hospital, Dr. Lerman is affiliated with:

  • The New York Regional Society of Plastic Surgeons (Past President)
  • The American Board of Plastic Surgery (Diplomate)
  • The American College of Surgeons (Fellow)
  • The American Society of Plastic Surgeons
  • The American Society of Reconstructive Microsurgery

You can schedule a consultation with Dr. Lerman by filling out our online form or calling (212) 434-6980.

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"The one thing that is most important when we're doing cosmetic surgery and aesthetic surgery of the face or the body is to make sure that the patient is happy afterwards..." Dr. Oren Lerman

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