Woman laying in bed and smiling after implant breast reconstruction surgery

Implant Breast Reconstruction

Are you undergoing a mastectomy and concerned with how your reconstructed breasts will look after the procedure?

Implant breast reconstruction is an effective way to get your breasts looking and feeling natural again.

Manhattan, NY-based plastic surgeon Oren Z. Lerman can expertly place your implants, giving you a natural look after your mastectomy.

Breast Reconstruction vs. Breast Augmentation What's the Difference?

Breast augmentation is a type of cosmetic breast surgery that some women elect to improve the shape, size, and overall symmetry of their natural breasts. Women undergoing cosmetic breast augmentation still have their natural breast tissue in place. Unlike breast augmentation patients, women who have undergone a mastectomy have had that tissue removed, so the implant must be placed under the pectoralis muscle after the use of a tissue expander has created a space for the implant. 

What to Expect
When Undergoing Implant Breast Reconstruction

The first operation is performed at the same time as the mastectomy.
The first operation is performed at the same time as the mastectomy.

The Tissue Expander

After your breast tissue has been removed for the mastectomy, a special type of breast implant called a tissue expander is placed under the skin and the pectoralis muscle. The expander is a firmer, empty breast implant that can be filled with saline solution over time to stretch the overlying skin.

Stretching the Skin

Over the next few weeks and months, Dr. Lerman will slowly fill the expander with saline solution until it is fully expanded. Once the breast mound has been created, you will schedule your second surgery.

Final Breast Reconstruction Surgery 

During your second and final surgery, Dr. Lerman will remove the tissue expander and fill the space with your breast implants. 

Get the Results You Want With Breast Implant Revision

If you're no longer satisfied with the results your breast implants provide, Dr. Oren Lerman can help. He offers multiple surgical options, including replacement with newer, higher-quality implants and a lift, as well as natural restoration with fat grafting. Our goal is to create an outcome that you'll be able to love for the long term.

The Women of New York City Trust Us  With Their Breast Reconstruction Surgery


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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Nicole Sofia


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Dr. Oren Lerman is the only doctor you should be considering for cosmetic surgery and breast reconstruction surgery.  Prior to seeing Dr. Lerman, I had a Double Mastectomy with Reconstruction.  I had several complications and it was a terrible experience.  When I found Dr. Lerman, it was an incredible blessing...

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Experienced & Dependable

Dr. Lerman

Dr. Lerman is a recognized leader in breast reconstruction and cosmetic procedures of the face, breast, and body. 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, where he oversees the training of the next generation of DIEP flap breast reconstruction and cosmetic surgeons.

Through his experience and continued training, Dr. Lerman can reconstruct your breasts to get them back to looking and feeling natural. If you've been diagnosed with breast cancer and need a mastectomy, send us a message or call our Manhattan, NY, office to request your breast implant reconstruction consultation.

(212) 434-6980

Types of Breast Implants

Both saline and silicone implants are safe. Your unique health condition and aesthetic goals can help us determine which type of implant is best for you.

Saline Breast Implants

Doctor holing saline implant

These implants are filled with sterile saltwater. They are placed in the chest while empty then filled once implanted. This is beneficial in that your plastic surgeon can control the amount of saline going into each implant to make sure they are symmetrical and your previously agreed upon size.

Silicone Breast Implants

Person holding silicone breast implant

These implants are pre-filled with a silicone gel that mimics the look and feel of natural breasts. Silicone is safe to be implanted into the body, and if a rupture or leak does occur, it is not an emergency. Most patients prefer the look and feel of silicone implants over saline.

Gummy Bear Implants

Gummy bear implant

The latest generation of silicone breast implants is called form stable, also known as "gummy bear" implants because of their consistency and feel. They are anatomically shaped implants with a natural teardrop shape and a firmer consistency, helping to achieve a more natural-looking reconstruction. 

Am I a Good Candidate for Implant Reconstruction?

If you are a cancer survivor, are choosing to have a preventative mastectomy, or if you have suffered an injury that left your breasts disfigured, you are a good candidate for an implant breast reconstruction. For those having a mastectomy, preventative or otherwise, the reconstruction process will begin at the same time as that surgery. However, for some breast cancer patients who will still require further medical treatment like radiation, the implant process will begin once they are cleared by your oncologist. Patients who have suffered a severe injury will need to be cleared by your doctor to ensure you are in good enough health to undergo the implant surgery.

Potential Risks Of Implant Breast Reconstruction

While implant breast reconstruction is a common and generally safe breast surgery, there is always the potential for risks and side effects.

Capsular Contracture

Capsular contracture is the most common side effect for women who have undergone implant breast reconstruction surgery. This is where the scar tissue around the implant (capsule) hardens, which can deform the breast implant and cause pain for the patient.

Possible Rupture

With the current generation of implants, the likelihood of rupture is extremely low but not impossible. If you have a saline implant, your body will absorb the sterile solution with no health risk to you, but your implant will deflate and need to be replaced. If you have a silicone implant, you may not even realize when the rupture happens as the silicone gel tends to stay in place. This is referred to as a "silent rupture." However, after time, your breast could change its shape, and you could notice an increase in pain, firmness, and swelling around your implant. It is important to have your implant replaced as soon as you notice a rupture has happened to eliminate those side effects.

Rippling or Folding

This is when you can see the edges, folds, or wrinkles of your implant, typically noticed between the cleavage or around the edges of your breasts. This is seen more often in saline implants, but there is potential for it to happen with silicone implants, as well. 

Changes in Nipple Sensation

If you have had a nipple-sparing mastectomy, your nipple sensation may be dulled due to all the underlying tissue being removed. It is also common for women to experience a change in nipple sensation after implant breast surgery. Some report an increased sensation or tingling, while others have reported a dullness. These symptoms should resolve themselves within a few months.

In or Around Manhattan, NY?  Schedule a Consultation With Our Experienced Plastic Surgeon

Surviving breast cancer and going through the difficult process of a mastectomy is something to be proud of. But if you find yourself to be self-conscious about life after your surgery, don't wait to take the next step. Our experienced plastic surgeon Dr. Lerman can give you your confidence back after having a mastectomy. He can help you choose which implant or reconstruction breast surgery best suits you and your needs. If you live near New York City, reach out to our Manhattan, NY, office to request your consultation.

(212) 434-6980

Dr. Lerman

Quality Care That Patient in New York City Rate 5-Stars


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...

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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!!!...

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Benefits of Implant Breast Reconstruction

Shorter Surgery and Hospitalization

With implant breast reconstruction, the first surgery typically occurs during your mastectomy, and the only other surgery you need is short with minimal hospitalization time.

New-Generation Implants Maintain Their Shape 

The new-generation implants are filled with a highly cohesive gel that maintains its teardrop shape continuing to give your breasts a natural look and feel.

The Risks Are Low

Especially with new-generation implants, like form stable silicone implants, the rupture rate is much lower than that of previous generations, and the gel allows these implants to hold their shape without rippling or folding.

Corrective Breast Surgeries

While they can last over a decade, implants will eventually need to be replaced or corrected. Many patients think their only option is to get new implants, but that is not the case. Dr. Lerman has several corrective solutions for women who are unhappy with their results or experiencing problems with their current implants.

DIEP Flap Reconstruction

DIEP flap diagram

DIEP (deep inferior epigastric perforator) flap breast reconstruction utilizes the patient’s own tissue to create a breast mound. Rather than replacing the implants, Dr. Lerman can remove them and use the excess skin and fat from the lower abdomen. Since the reconstructed breast is composed of the patient’s own tissue, this technique eliminates the risks associated with saline and silicone breast implants. Similar to AlloDerm, this advanced procedure is typically performed at the time of the mastectomy but can also be used as corrective breast surgery.

Breast Lift

Over time, the thin skin left from the mastectomy can begin to sag. A breast lift can add support and correct malpositioning. The AlloDerm® method is a single-stage direct-to-implant breast reconstruction that uses a biological mesh or dermal graft that acts as an internal bra to support the implant rather than placing it behind the muscle. By using AlloDerm® or another form of biologic mesh, Dr. Lerman can reinforce your implant and remove any excess skin that is not aesthetically pleasing. Your breasts will look more youthful, and the new internal bra will help prevent future sagging. Typically, this innovative biomaterial allows us to place the final breast implant and reconstruct the breast at the same time as the mastectomy in one single stage without the need for any tissue expansion or second stage surgery; however, many patients choose to use it as a corrective surgery after their original implants.

Lumpectomy Revision

A lumpectomy occurs when only a small area needs to be removed due to cancer rather than all of the breast tissue. While the surgeon does try to preserve the appearance, it can often leave the breasts asymmetrical and with abnormal dents and contours that are aesthetically displeasing to the patient. Depending on the amount of tissue removed will determine the type of corrective surgery Dr. Lerman will use. For asymmetry, a breast reduction to one breast can sometimes be all that is needed to correct the issue. For breasts that need severe contour or disfigurement correction, a DIEP flap reconstruction may be suggested.

Breast cancer ribbon

Revision Breast Surgery

A great revision breast surgery requires the expertise of an experienced and exceptional surgeon such as Dr. Lerman. Breast revision surgery might be necessary for breast implant patients whose body has changed since receiving their implants. This procedure is also for women who are unhappy with their previous breast surgery results.

From Breast Reduction to Implant Reconstruction You're in Good Hands With Dr. Lerman


Melodie Mane


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Dr Oren Lerman is the best at what he does and gets incredible results. Bonus he has a pleasant personality, he is a true professional ,and is trustworthy...

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Lizbeth Maxwell


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

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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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