Epstein Plastic Surgery

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

05/26/2026

Series 11: Do You Need a Breast Lift with Breast Augmentation? 🍒

05/26/2026

For most of my career, I placed implants under the muscle. I did thousands of cases that way, and the early results often looked very good.

Over time, I saw the tradeoffs: the implant sitting unsupported in the pocket, breast tissue “falling off” the implant (waterfall effect), visible movement with muscle contraction (animation deformity), and limitations when it comes to creating the best cleavage.

I didn’t love the way older-generation implants behaved above the muscle, either. But with newer Motiva implant technology and breast tissue preservation, that changed. I can now place implants above the muscle and create a more stable, ligament-supported environment around them, which has dramatically improved the consistency of my results.

Good surgeons evolve. Technology evolves. And patient outcomes should improve with it.

05/24/2026

Social media can be misleading when it comes to breast augmentation.

The women who post the most are often the ones with very large, very obvious results because that’s what gets attention. There’s nothing “wrong” with that if it’s what they wanted. But it’s not what most patients are asking me for.

The majority of women want a result that simply looks good in real life. It fills out clothing and a bathing suit, and if you didn’t know them, you wouldn’t be sure whether they’re augmented or not. That “under the radar” look is what I tend to specialize in and those patients usually aren’t on social media talking about it.

Enjoying some much-needed time with my wife, Amy, in beautiful Barbados before a busy week ahead. Grateful for the reset...
05/24/2026

Enjoying some much-needed time with my wife, Amy, in beautiful Barbados before a busy week ahead. Grateful for the reset, the sunshine, and the moments that matter most. ☀️🌴❤️

2 weeks after 170cc minis….She’s already in Mexico. 🍒
05/23/2026

2 weeks after 170cc minis….She’s already in Mexico. 🍒

05/23/2026

After 100+ Motiva Preservé cases, here’s the biggest takeaway: trust the process.

Preservé often uses a slightly smaller implant, but it’s placed in a way that selectively builds the upper inner breast. In many patients, the result is a level of shape and balance that’s difficult to achieve with a traditional approach.

What I also hear less of, surprisingly, is “I wish I went bigger.” Patients tend to be extremely pleased with the outcome and the overall experience.

05/22/2026

Wide awake Motiva Preservé breast augmentation testimonial.

She watched parts of the procedure on ultrasound, sat up to see her result, and then did something I almost never see, she walked from the OR table into recovery.

Her report right afterward: no discomfort, and her advice to other women was simple, “Do Preservé.”

Not every patient is a candidate, but for the right woman, this can be an incredibly calm, controlled experience with a smooth recovery.

05/21/2026

Wide awake breast augmentation.

For the right patient, breast augmentation can be performed with local anesthesia and minimal or no sedation so you stay alert, in control, and avoid the experience of going fully to sleep.

Who is a good candidate
You’re a strong candidate if you want to be awake (or lightly sedated but still conversant), you’re calm with the idea of hearing what’s going on, and you prefer a more controlled experience. It’s usually not the best fit if the thought of being awake would increase anxiety.

Why we do it
Because for many women, the biggest barrier isn’t the implants it’s fear of general anesthesia. Wide awake gives an option that aligns with that preference while still prioritizing safety and comfort.

DM us for more information on breast augmentation and to see what options make sense for you.

05/20/2026

Before the implant ever goes in, the work starts on the back table.

In this video you’re seeing my Motiva implant prep routine: verify the labeling and packaging, confirm everything again for redundancy, open it into a sterile field, rinse with a Betadine saline solution per my protocol, and keep it covered until the moment of implantation.

It may look “extra,” but in surgery, repetition is the point. Details and discipline are what keep patients safe and outcomes consistent.

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

Telephone

+16316511306

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