Epstein Plastic Surgery

Epstein Plastic Surgery -Board-Certified Plastic Surgeon
-Motiva FDA Study Investigators
-Offering the Preservé technique

03/26/2026

The most common reason I see patients for breast augmentation revision is simple: the implants are too large.

Over time, excessive volume can overstretch the breast, distort the contours, and create a look that no longer feels balanced. And if years go by and a patient gains some weight, natural breast tissue can increase as well—making the overall size even greater.

For years, revision meant rebuilding and tightening the existing pocket and downsizing the implant. That can work, but today we often have a better option.

With Motiva implants, I can frequently move into a fresh, controlled plane above the muscle—essentially creating a new pocket that I can size correctly from the start—then place an implant that fits the patient’s anatomy and goals. In many cases, I use the Motiva Preservé technique to create that pocket in a precise, tissue-respecting way.

Revision surgery is about restoring proportion and stability—not chasing bigger.

DrMarkEpstein PatientEducation

03/25/2026

Here’s the recovery routine I give my breast augmentation patients (traditional or Motiva Preservé), and it’s simpler than most people expect. 

For the first 6 weeks, I have patients wear a sports bra or gentle compression bra for support. It doesn’t need to be tight. Think “light support,” not a squeeze. If you have a special event or outfit, you can take it off when you need to. 

Incision care starts in the OR. I close with dissolving stitches and use a surgical glue sealant that acts like a waterproof dressing, so you can typically shower the day of surgery. 

At around 3 weeks, we begin scar massage and I often recommend a scar gel.  If someone is healing a bit red or wants to accelerate scar improvement, we can use laser treatments to reduce redness and soften the scar sooner. 

For patients with a breast lift (where scars are more visible), I’m more proactive and typically start a series of broadband light plus profractional laser beginning around 2 months after surgery, repeating every few weeks for a total of 6–8 treatments. 

As always, this is general education—your exact plan depends on your surgery and how you’re healing.

Breast augmentation using Motiva ERSD 300cc implants. 🍒 .markepstein
03/24/2026

Breast augmentation using Motiva ERSD 300cc implants. 🍒

.markepstein

03/24/2026

One of my favorite Motiva Preservé cases because it shows what precision actually means.

She came in with a good amount of natural tissue, but most of it sat lower and more to the outer breast. The goal wasn’t “bigger.” It was to strategically add volume where it would make the biggest difference: the upper inner breast, to improve balance, cleavage, and overall contour. 

With a traditional augmentation, I would have needed a larger implant just to get that upper-inner fullness, and that often overfills the lower/outer breast first. Preservé let me accomplish the shape we wanted with a more refined approach. 

We used Motiva Ergonomix Full profile implants, 275cc on the right and 315cc on the left, to correct asymmetry and create a proportional, natural look that enhances her torso without looking overstated. 

Great cleavage, great fullness, and a beautiful balance through the waist and hips—exactly the goal.

03/23/2026

One of my most prized possessions isn’t surgical. It’s this Wolfgang guitar.

A close friend of mine, Eddie Van Halen, gave it to me as a gift—and I’ve held onto it ever since. Beyond the fact that it’s an incredible instrument, it represents something bigger: inspiration.

I didn’t pick up the guitar young. I started later than most people do. But this guitar was a reminder that you don’t have to be “early” to start something meaningful—you just have to start.

Medicine has always been my life’s work, but music has become one of the ways I reset, stay creative, and remind myself there’s always more to learn.

Every time I look at it, I’m grateful—for the friendship, the memory, and the push to try something new.

03/22/2026

The key to a truly natural breast augmentation isn’t a trendy implant or a magic CC number. It’s respecting the breast’s natural borders.

There is a ligamentous “ring” that frames where the breast naturally sits on the chest wall, called the circummammary ligament. You can appreciate it along the cleavage and under the breast—and you can even find the upper border by gently lifting the breast and noticing where the chest skin stops moving. 

As long as an implant is moderate and placed within that ring, the breast tends to look balanced and natural. Problems happen when a surgeon tries to force more height or size by cutting through that border and lifting the chest-wall skin to create extra space—this is what often creates an overly “fake” look and can lead to issues over time. 

Stay within the natural boundaries, and you’ll usually get the best, most timeless result.

Honored to present at the New England Society of Plastic Surgeons, sharing my 36-year evolution in breast augmentation a...
03/22/2026

Honored to present at the New England Society of Plastic Surgeons, sharing my 36-year evolution in breast augmentation and the journey toward Preservé.

Grateful to be alongside an incredible group of colleagues — Anna Steve, Neil Tanna, Renee Burke, Tara Huston, and Andrew Weinstein.

03/22/2026

If you don’t know much about me, here’s the short version.

I began my plastic surgery residency in 1990, and I’ve been practicing since 1994.  My early career was heavily focused on complex work—microsurgery, hand surgery, craniofacial surgery, trauma, and cancer reconstruction. Cosmetic surgery wasn’t my original plan. 

Over time, my practice evolved. I found aesthetic surgery incredibly challenging and rewarding—the combination of precision, technology, and artistry—and for the last 20–25 years it has become the main focus of what I do, and now it’s all I do. 

The part I value most is the impact on people’s lives. My patients are healthy, they don’t “need” surgery, but the right procedure can meaningfully improve confidence and quality of life. 

After all these years, I still genuinely love the work—and I’m grateful I get to do it every day.

Address

200 Motor Parkway, Suite B12
Hauppauge, NY
11788

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 12pm - 7pm
Friday 9am - 5pm

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+16316511306

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Mark D Epstein MD FACS - Center for Aesthetic Surgery

Our plastic surgery practice is dedicated to providing the finest surgical and non-surgical aesthetic services provided by dedicated professionals in a caring and compassionate environment dedicated to your safety as priority one!