Epstein Plastic Surgery

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

04/17/2026

Today I had the pleasure of hosting Dr. Kenneth Kneesy, a highly experienced plastic surgeon here on Long Island, for Motiva Preservé surgeon education.

Dr. Kneesy has been in practice for 26 years and has been performing breast augmentation for that entire time, so I have a lot of respect for the level of experience he brings to the table. 

I’m grateful he took the time to come in, observe the technique, and share such kind words about Preservé as an exciting, minimally invasive advancement in breast augmentation.

Thank you again, Dr. Kneesy, for coming by and for the thoughtful feedback.

04/16/2026

This is a very common situation I see with younger women.

When you’re young, healthy, and your tissues are tight, a larger implant can make a bold statement and it can look great in the short term.

The issue is time. Everyone ages. Tissues change. Gravity always wins. And what feels like a “great idea” at 28 can look and feel very different at 45 or 50.

I truly wish her the best, and I’m glad she’s happy now. I just have real concern about how happy she’ll be with this choice in another 15 to 20 years.

That’s why my philosophy is simple: choose an implant that fits your anatomy and prioritizes long-term shape and stability, not just the immediate “wow.”

04/15/2026

Yesterday I had the pleasure of hosting Dr. Randall Feingold for Motiva Preservé surgeon education here in my operating room.

Dr. Feingold is an exceptional breast reconstruction surgeon and a true professional. I was genuinely happy to have him in, and I appreciate the time and attention he brought to the day.

In his testimonial, Dr. Feingold shares why he’s excited about Motiva’s continued innovation in breast augmentation and why learning Preservé is important to him as he continues to expand the options he can offer his patients.

Thank you again, Dr. Feingold, for coming to observe and for the kind words. Looking forward to continuing the work together.

Wow…I can’t believe I’ve officially hit 100 Motiva Preservé cases! 🍒What started as a passion for better outcomes has tu...
04/15/2026

Wow…I can’t believe I’ve officially hit 100 Motiva Preservé cases! 🍒

What started as a passion for better outcomes has turned into something so much bigger…

I’m now training other plastic surgeons on this advanced technique — focused on
✨ ultra rapid recovery
✨ no general anesthesia
✨ and getting patients back to their normal routine quickly

But more importantly…creating beautiful, natural results that align with each patient’s goals.

Every patient has their own story — and this technique allows us to honor that in the most intentional way.

So proud to be part of something that’s not only transforming patients…but also helping elevate the standard of care across the industry.

04/14/2026

Preservé case #100 today.

I’m incredibly grateful for everyone who made this milestone possible, especially the patients who trust me with their care and my outstanding team who supports this work every single day.

Motiva Preservé has become a meaningful part of my breast practice, and it’s a privilege to offer a technique that can help the right patient achieve beautiful, natural results with a smooth experience.

Thank you all. On to the next 100.

04/13/2026

Wearing a band above the breasts does not “push implants down” in any meaningful, reliable way.

In this reaction, I’m explaining a situation I see far too often: when a patient with very limited starting tissue is given an implant that’s simply too large for her measurements, the surgeon may have to create space outside the natural breast borders. That’s how you end up with implants sitting unusually high on the chest wall, rather than supported within the native breast footprint.

It can look very full early on, but long-term it tends to age poorly because the tissues stretch, the shape changes, and many patients end up unhappy years later and looking for revision.

My philosophy is simple: choose an implant that fits the patient’s anatomy and stays within natural boundaries. That’s what protects long-term aesthetics.

Educational commentary only. Individual anatomy and surgical plans vary.

04/12/2026

One of the most common misunderstandings I hear in breast augmentation is about “high profile” implants.

High profile does not mean the implant will sit “higher” on your chest. It simply refers to projection meaning how far the implant comes forward. 

And here’s the counterintuitive part. A higher profile implant can actually create less upper fullness than a similar-volume implant with a lower profile, depending on your anatomy and how the volume is distributed. 

This is exactly why I don’t pick implants based on buzzwords. I pick them based on measurements, tissue characteristics, and the specific look you want.

04/11/2026

My goal on social media is simple: educate patients so they can make informed decisions.

I’m not here to attack other surgeons. When I’m sharing an opinion, I’ll say it’s an opinion. When I’m stating facts, I try to keep them grounded in research and real-world surgical experience.

This video is a good example of why that matters. A clip we posted about Breast Tissue Preservation Surgery (Motiva Preservé) was criticized by another surgeon, and it raised two important issues.

First, nuance matters. Preservé is very close to an over-the-muscle/subglandular concept, but it is not the same. The difference is the tissue plane and what is preserved. In the preservation space, supportive structures are intentionally preserved, which changes stability and long-term behavior compared with a standard subglandular pocket.

Second, patients deserve transparency and reliable sourcing. Be careful using AI tools as “research.” AI can sound confident and still be wrong. If you want accurate information about my background and involvement with Motiva, use primary sources like my website and official documentation, not a chatbot summary.

I’ll keep doing what I’ve always done: focus on patient education, speak plainly, and separate opinion from fact.

04/11/2026

When came in for her consultation, she told me one thing right away—she’s a bikini athlete…and time out of the gym was NOT an option. 🍒

Her goal wasn’t just enhancement—it was proportion.

After losing weight, she felt like her upper body was lacking volume, especially in a bikini top. She wanted to feel balanced, confident, and stage-ready without sacrificing everything she’s worked for.

That’s exactly why the Preservé technique made sense for her.

When she heard about the ultra-rapid recovery—including the ability to be up and moving (like incline walking or stairmaster) the same day—she didn’t hesitate.

She booked…and never looked back.

For athletes and active women, this isn’t just about aesthetics—it’s about choosing a technique that fits your lifestyle.

Comment: “PRESERVE” When she came in for her consultation, she told me one thing right away—she’s a bikini athlete… and time out of the gym was NOT an option.

Her goal wasn’t just enhancement—it was proportion.

After losing weight, she felt like her upper body was lacking volume, especially in a bikini top. She wanted to feel balanced, confident, and stage-ready without sacrificing everything she’s worked for.

That’s exactly why the Preservé technique made sense for her.

When she heard about the ultra-rapid recovery—including the ability to be up and moving (like incline walking or stairmaster) the same day—she didn’t hesitate.

She booked… and never looked back.

For athletes and active women, this isn’t just about aesthetics—it’s about choosing a technique that fits your lifestyle.

Comment: “PRESERVÉ” for details 👇

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200 Motor Parkway, Suite B12
Hauppauge, NY
11788

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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!