Breast Augmentation in New York City

Breast size, shape and proportion play a unique role in every woman’s self-perception, sense of physical balance, femininity, and confidence. The art of breast augmentation is so much more than simply “enlarging” the breasts—it is realized through the profound consideration of each individual’s desires, inherent anatomical forms, and meticulous attention to the techniques and safety of their union.

Breast Augmentation Before & Afters

These Breast Augmentation before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

“My experience with Dr. Kolker has been nothing short of life changing. Having my breast augmentation and lift procedure has boosted my self-esteem and given me a confidence that I had not felt for years.”

— S.V. / New Jersey

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No two breast augmentations are the same; each is as diverse as a woman's unique goals and physique, and as different as the surgeon who performs them.

As a double board-certified, Harvard-trained plastic surgeon with a clinical focus on aesthetic breast surgery, and as a lifelong studio artist, Dr. Kolker brings to bear vast experience in the science and art of breast augmentation. Dr. Kolker believes that while an increase in breast size may be important, beautiful always supersedes bigger, curves should always be gentle rather than geometric, and the quality of the aesthetic result always prevails over the quantity of the breast implant volume. Achieving a gorgeous, natural and proportional outcome is always the ultimate goal.

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The plastic surgeon you choose as your breast augmentation surgeon is of paramount importance. What differentiates care by Dr. Kolker and his team is comprehensive:

  • Extraordinary finesse, technical skill, and experience,
  • Superlative certification, accreditation, and safety standards,
  • A deep understanding and perspective of beautiful, natural, and proportional breast and body aesthetics,
  • A passion for achieving gorgeous results that can be stunning yet subtle, and
  • A connection between patient, surgeon, and staff that is exceptionally warm, intimate, and comfortable.

From the initial consultation at his office on Park Avenue in New York City, through the perioperative phase, and throughout the entirety of your recovery and follow-up, you will experience the thoroughness, attention to detail, and warmth with which Dr. Kolker and his team welcome and care for you. The first visit is an opportunity for Dr. Kolker to get to understand your desires, to examine and evaluate physical requirements, to thoroughly inform you about the procedure(s) or alternative treatments that will suit you best, to answer any questions you may have, and to introduce you to our incredibly warm, professional, caring and compassionate staff.

Dr. Kolker's Message to Those Considering Breast Implants

“Many women would like to increase the size of their breasts. If you’re one of these women, and you’re also over 18, physically healthy, emotionally stable, and have realistic expectations about what plastic surgery can accomplish, you may be a candidate for breast augmentation.

The best way to determine with any certainty if breast augmentation is appropriate for you is to meet with one of our surgeons.”

Dr. Adam Kolker
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When planning your breast augmentation, there are four primary components that are essential to consider.

These include the type of implant, where it is inserted, it’s position and placement, and the style of implant used. These choices are predicated on your innate anatomy, on your desired outcome, and on certain personal preferences. New York City Breast Augmentation Surgeon, Dr. Adam Kolker will carefully consider each of these factors with you, and will design the best breast augmentation treatment plan that is personalized to achieve your goals. Click on any of the four components below for more detailed explanation.

Type Of Breast Implants: Silicone Gel Vs. Saline

The two primary breast implant options available for cosmetic breast augmentation are silicone implants and saline implants. Both breast implants are safe, FDA approved devices that are excellent choices for breast enlargement. The current generation of silicone breast implant is pre-filled with a cohesive silicone gel, and saline implants are filled with salt water solution at the time of surgery. Each has a similar silicone elastomer outer shell. At comparable volumes, the look of each implant is virtually identical. To the touch, the silicone gel implants have a more natural, breast-like feel.

Access Incisions For Breast Enlargement

Breast augmentation can be performed using incisions in the lower crease beneath the breast (inframammary crease incision), along the lowest border of the pigmented areola (periareolar incision), or within the underarm (transaxillary incision). In consideration of a variety of factors including areolar size, breast shape, breast glandular density, inframammary fold definition, size goals, implant selection, and personal preferences, Dr. Kolker will advise you on the best breast augmentation incision options.

To minimize incision length and to gently introduce silicone gel implants with a minimal or “no-touch” technique, a Keller Funnel is uniformly used. The Keller Funnel is an implant insertion device with a slick, low-friction surface that enables the placement of silicone breast implants through smaller incisions. Using these devices since 2010, Dr. Kolker uses the Keller Funnel for every breast augmentation.

Position Of Breast Implants

Breast implants can be placed below the muscle (submuscular augmentation), or above the muscle (subglandular augmentation). Submuscular augmentation confers the following benefits:

  • Provides increased coverage of the breast implants
  • Softens the upper pole of the breast leading to a more seamless, natural transition from collar bone to nipple
  • Maintains long term stability of the breast pocket
  • Markedly decreases rates of capsular contracture
  • Lessens influence on mammography

Dr. Kolker uniformly utilizes a submuscular pocket plane. “Dual plane” augmentation is a form of submuscular augmentation that allows for maximal coverage of the upper pole of the implant by muscle, and direct effacement of the lower breast gland; this maneuver is employed when there is minor lower pole soft tissue excess or mild droop (ptosis) of the breast.

Breast Implant Style, Profile, & Sizing

Breast implants are available in a wide array of shapes, profiles, and sizes. Round implants or anatomical implants can be used. Both implants assume a tear-drop shape when upright. Implant profile refers to the projection of an implant for a given base dimension. Choices are made from among three profiles, corresponding to low or moderate projection (less volume and anterior convexity), midrange or moderate plus projection (intermediate volume and convexity), and high profile (maximum volume and convexity). Considering the nuances of your anatomy and the subtleties of your specific desires, Dr. Kolker will advise you on the best breast implant style, profile, and projection options to achieve your goals.

Choosing the correct breast implant size is a process that begins with your initial consultation. Dr. Kolker is fastidious about getting to know the nuances of every individual’s wishes and goals. These desires are married with the careful anatomical measurements and tissue assessment to establish an initial size “range”. At a preoperative visit approximately two weeks before surgery, the goal is further confirmed with a series of neoprene bead-filled sacs used as “sizers” that are placed into a special brassiere; you will try a range of sizes to get a better sense of dimension and proportion. Finally, Dr. Kolker uses silicone gel or saline implant sizers during surgery to confirm the size selection. As a rule in realizing the most beautiful endpoint, Dr. Kolker strives to achieve natural and proportional size and shape, directed by your thoroughly considered desires and goals. With his years of experience and attention to detail, Dr. Kolker has earned a reputation amongst his patients for providing high quality breast implants and cosmetic surgery.

Gummy bear breast implants

Gummy bear breast implants are specialized implants that hold their shape and are often referred to as "form-stable" implants, but they are remarkably soft and stable.

Gummy Bear implants are breast implants that have been widely used in Europe and elsewhere outside the United States for nearly twenty years. A variety of alterations and improvements in the crosslinking of the silicone gel fill as well as an increase in the range of shapes and sizes have made these implants an outstanding addition to the breast implant spectrum.

Learn More About Gummy Bear Breast Implants

Choosing the best breast implant size is a multifaceted and seamless process that Dr. Kolker will guide you through during your consultation.

Informed by your desires, the selection of the ideal breast implant volume, base width, and projection will be primarily biodimensional, meaning it will be based on the unique qualities of your anatomy that Dr. Kolker gleans by careful breast measurements, evaluation of skin elasticity, breast tissue density, chest wall shape, and body proportions. Once these calculations have been made, you will “size” with breast implant sizers that you will be able to insert into a special bra that help to further approximate your perfect breast implant parameters.

Additionally, Dr. Kolker can assist you in visualizing possible breast augmentation outcomes using the Crisalix 3D platform. Crisalix is an elegant tool that enables Dr. Kolker to render a 3-dimensional template of your anatomy, and then digitally enhance the construct with a variety of breast implant sizes that are appropriately matched to your measurements and desires. Potential breast augmentation “results” can be visualized in Dr. Kolker’s New York City office using an iPad or computer, or in VR with an Oculus virtual reality headset. While the Crisalix 3D predictive outcomes are a simulation only, and no assurances can be made with regard to an exact end result, the following images illustrate a Crisalix 3D simulation of a patient cared for by Dr. Kolker, in addition to the actual results achieved by Dr. Kolker at one year follow up



Crisalix simulation 240cc


Crisalix simulation 240cc

Crisalix 3D Breast Augmentation Simulation

Crisalix simulation 240cc

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for Breast Augmentation

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710 Park Avenue, New York, NY 10021