Epstein Plastic Surgery

Epstein Plastic Surgery We are committed to providing state of the art cosmetic surgery services in a safe and nurturing env

12/23/2025

We gave this young woman a Preservé breast augmentation, and she is already seeing beautiful, natural results.

For her procedure, we used Motiva Ergonomix implants with a Demi profile, placing 205 cc on one side and 230 cc on the other to correct pre-existing asymmetry. This selective sizing allowed us to achieve improved balance while maintaining a soft, proportional look.

One of the things we value most about the Preservé technique is the ability to precisely control implant placement and volume distribution. This approach helps optimize breast shape, supports long-term tissue health, and delivers consistently natural-appearing results when compared to traditional augmentation techniques.

Every surgical plan is individualized, and this case is a great example of how thoughtful implant selection and precise placement can make a meaningful difference.

12/19/2025

These days, the dual plane breast augmentation technique has become widely known as the Kylie Jenner technique. While I performed this procedure frequently in the past, advances in implant technology have changed how we approach breast augmentation. With the introduction of modern sixth generation implants, we now often prefer over the muscle placement. This approach allows us to avoid many of the complications associated with under the muscle and dual plane augmentation, including animation deformity, waterfall deformity, and the so called Snoopy deformatity.

12/18/2025

Considering breast augmentation? Here are 4 things you should know.

1️⃣ You no longer need to be fully put to sleep. With the Motiva Preservé® procedure, breast augmentation can be performed under IV (twilight) sedation rather than general anesthesia.

2️⃣ It is now possible to achieve a very natural result with an exceptionally low complication rate. Preservé has the lowest complication rate of any implant placement technique .

3️⃣ You no longer need large implants to achieve fullness. Preservé allows selective volumization, placing volume precisely where it’s needed, particularly in the upper inner breast.

4️⃣ Smaller implants mean lower complication rates and greater longevity of your results over time.

Modern breast augmentation is about precision, balance, and long-term outcomes, not oversized implants.

12/16/2025

Do you share the same view?

One of the biggest misconceptions I hear is that patients always come back asking for larger implants. In my experience, that’s simply not true.

After more than 30 years in practice and decades of long-term follow-up, only about 1–2% of my patients return wanting bigger implants. The vast majority are very happy with the volume we originally chose.

Where problems arise is when implants are too large for a patient’s frame. Oversizing overstretches tissue, compromises support, accelerates aging, and often leads to dissatisfaction, especially after pregnancy and breastfeeding.

Breast implants are not lifetime devices. If you plan to have them over the course of your life, additional procedures are likely. That’s why the goal should always be longevity, balance, and respecting the patient’s anatomy; not starting with the biggest implant possible.

Do you agree with this philosophy?

This past Friday, we hosted our Annual Holiday Dinner, and I couldn’t be more proud of the people who make all of this p...
12/16/2025

This past Friday, we hosted our Annual Holiday Dinner, and I couldn’t be more proud of the people who make all of this possible.

This year has marked a period of amazing growth for the practice. Patient volume has increased significantly, but beyond numbers, it’s been a year defined by progress, education, and most importantly the impact we continue to have on our patients lives.

As Janet so perfectly said, “Even the busiest days can be done with grace.” That mindset has carried the team through an exceptionally busy year filled with dedication, professionalism, and truly incredible patients.

We’re incredibly grateful for the trust and support of our patients, and we remain fully committed to providing the highest level of expertise in both plastic surgery and MedSpa treatments as we continue to grow.

Thank you for choosing us as your provider, it’s a responsibility we don’t take lightly

Happy Holidays from the Epstein Team!

12/12/2025

Is Motiva really better… or just hype?

Motiva isn’t a trend… it’s a 6th-generation breast implant, while most implants used in the U.S. today are still 5th generation.

What makes it different:
• The most adaptable gel, designed to move and feel like natural breast tissue
• Lower rates of capsular contracture and rupture based on worldwide data
• Over 4.5 million implants placed globally with the lowest device-related complication rates
• Softer feel, more natural movement, and better interaction with the body’s tissue

This is why I now feel comfortable placing Motiva above the muscle, something I didn’t feel confident doing with older implant technology.

When done correctly, it shouldn’t feel “augmented.”

It should feel natural

This week I had the incredible opportunity to host two outstanding surgeons, and , for Motiva Preservé breast augmentat...
12/10/2025

This week I had the incredible opportunity to host two outstanding surgeons, and , for Motiva Preservé breast augmentation training, along with Motiva representatives and Melanie Jacobs who joined us to observe. Over the course of two days, I provided each surgeon with comprehensive Preservé training and demonstrated the new tool I designed to help dilate the implant channel.

Overall, it was an exceptional experience, and I’m excited to see both surgeons continue their Preservé journeys.

12/08/2025

This woman is absolutely right. When implants are too large for the natural diameter of the breast, you get that artificial “sphere-on-the-chest” look. It isn’t good aesthetics, and it isn’t good medicine.

A well-done breast augmentation should be difficult to detect. That’s the entire point. The implant should fit your anatomy, preserve the natural slope, and age gracefully over time.

Oversizing doesn’t just look unnatural. It increases your risk of complications and often attracts the kind of attention many patients don’t want.

My focus is simple: natural, long-lasting results that complement your physiology… not fight against it.

12/05/2025

One of the top mistakes in breast augmentation is choosing implants that are too large for someone’s anatomy. I put a good deal of thought into this and the biggest thing that stands out is how damaging oversized implants can be. So many complications can arise and these aren’t just short term issues. Waterfall deformities, tissue thinning, bottoming out, and long term weakening of breast support structures are all far more common when the implant is simply too big. These problems often lead to revision surgery much earlier than patients expect.

Thankfully, the trend now is toward natural results. More women are choosing smaller implants and with the Preservé procedure the focus is on sizing that respects the natural breast ligaments and overall anatomy. The technique is designed for natural, proportional outcomes rather than large implants, which is what ultimately leads to long term safety, durability, and timeless results.

12/04/2025

A common question we get with the Preservé procedure; especially since it’s so limited and performed by only about 50 surgeons in the U.S. is: How soon after breast augmentation can I fly?

With Preservé, we typically recommend resting for 1–2 days after your augmentation before getting on a flight. Beyond that short window, there’s no medical reason you can’t fly.

This recovery timeline is one of many factors making Preservé such a low-friction option for first-time breast augmentation patients.

12/04/2025

Not only was I one of the principal investigators of the Motiva trials in the United States, and one of roughly 50 surgeons certified to perform the Preservé procedure, but breast augmentation holds a very personal place in my life through my daughters.

And the truth is this: if I could go back in time, I would choose the Preservé procedure for them for four key reasons:
1. The recovery time - dramatically faster and easier.
2. The super-small incision -typically around 2 cm (often 2–3 cm), resulting in a far more discreet scar.
3. The extremely natural results - this technique preserves the natural ligaments of the breast.
4. No need for general anesthesia - ideal for first-time breast augmentation patients who want a lighter, safer experience.

For anyone considering their first breast augmentation, my hope is that this procedure eases many of the fears you may have had. Our patients have been genuinely elated with their results.

12/02/2025

One of the most common things I see with women coming in for their first breast augmentation is how long they’ve waited to take the jump.

Many women wait 5, 10, 15, even 20 years to finally move forward; and I understand why. It’s a big decision. There’s so much information, so many doctors, so many opinions… and ultimately, it’s a deeply personal journey.

The truth is, once our patients are done with their procedures, they almost always say, “I can’t believe I waited this long.” Their confidence skyrockets.

Listen to the thousands of women who share this exact story.

Fortunately, with advancements in breast augmentation, the barrier to entry is lower than ever. The new Preservé breast augmentation technique preserves your natural breast ligaments, uses an incredibly small incision, offers the fastest recovery, requires no anesthesia, and delivers the most natural-looking results we’ve seen yet.

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200 Motor Parkway, Suite B12
Hauppauge, NY
11788

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Wednesday 9am - 5pm
Thursday 12pm - 7pm
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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!