Epstein Plastic Surgery

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

✨ From Patient to Surgeon…..from this moment on. I knew I wanted to be a surgeon.This is the surgery that changed my lif...
01/10/2026

✨ From Patient to Surgeon…..from this moment on. I knew I wanted to be a surgeon.

This is the surgery that changed my life.

.markepstein

01/10/2026

Capsular contracture is one of the most talked-about complications in breast augmentation, but most patients don’t actually understand what it is.

Anytime a foreign material is placed in the body, the body responds by forming a thin layer of scar tissue around it. With a breast implant, that thin layer is called the capsule, and in most cases it stays soft and unnoticeable, almost like an onion-skin layer. 

Capsular contracture happens when an inflammatory process causes that capsule to thicken and tighten. As it contracts, it can make the implant and the breast feel firm, tense, and sometimes uncomfortable. 

In this video I demonstrate the difference between a normal, loose capsule versus a tightened capsule and why that changes how the breast feels.

I also discuss why implant technology matters. Motiva implants use a Silk surface that has been associated in experimental and clinical studies with a lower inflammatory response, less thick capsule formation, and lower capsular contracture rates. 

If you’re considering breast augmentation, ask your surgeon about capsular contracture risk, pocket technique, and implant selection. Those details matter.

Comment “CAPSULE” if you want more education on prevention, early warning signs, and what treatment options look like.

01/09/2026

For athletes, gym girls, busy moms, and women who don’t want the traditional under-the-muscle approach and want to get back to their routine immediately…..

✨Comment: PRESERVÉ to learn about a newer over-the-muscle breast augmentation technique.

Disclaimer: This post is for educational purposes only and is not medical advice. Consult with a board-certified plastic surgeon to see if you’re a candidate.

.markepstein

01/08/2026

Shannon traveled from New Hampshire to see me in Long Island for her breast augmentation, and her reaction after surgery is exactly what I want every patient to feel—calm, comfortable, and taken care of.

About 30 minutes after waking up, she told us she had no nausea, no pain, and she was already comfortably touching her breasts. She’s currently pain-free and not taking pain medication. 

She also did what I encourage every patient to do when possible—she talked to someone who’s been through it. A friend of hers had surgery with me, loved her results, and had a smooth recovery, which gave Shannon the confidence to move forward. 

At her pre-op visit, we discussed a newer approach that can be done with light sedation rather than general anesthesia, with the goal of supporting a smoother recovery experience for the right candidate. 

If you’ve been thinking about breast augmentation but feel nervous about the process, schedule a consultation. My team and I will walk you through your options, your sizing, and the plan that makes the most sense for your body and goals.

01/06/2026

Let’s talk about Kylie Jenner’s breast augmentation because this is exactly what I mean when I tell patients that bigger isn’t always better.

With all due respect, in some photos she looks over augmented for her frame. She reportedly has 445cc implants, and that is a very large implant volume for someone with a petite build, a narrow chest, and a small natural breast footprint. 

Here is the key concept. In breast augmentation, you want to stay within the natural borders of the breast on the chest wall. When an implant is too large for the patient’s breast footprint, the surgeon has to create space outside those natural confines, often by elevating chest skin above the breast to fit the implant. That is when implants can end up sitting too high, and patients often say my implants aren’t dropping. 

The bigger issue is long term. Too much volume can distort the breast, lead to continued stretching over time, and eventually the breasts can drop, widen, and lose the balanced look, especially as tissues relax. In 5 to 10 years, oversized implants can create problems that are hard to fix, regardless of whether implants were placed over or under the muscle. 

If you are considering breast augmentation, this is why we do not start with a CC number. We start with your measurements, your tissue, and your breast footprint so your result looks natural now and holds up over time.

Have you ever been told a specific CC number by a friend or social media

01/05/2026

24 hours post-op and already glowing.

Meet Kaylin she’s here for her first post-op visit after her breast augmentation with Dr. Mark Epstein. She chose 245cc in each breast with Motiva Ergonomix (Demi profile) and her reaction says it all 

What I want you to take from this: implant size is not a trend—it’s anatomy + proportion. Kaylin said it perfectly: trust your surgeon to choose a size that fits your frame, because the goal isn’t “bigger,” it’s balanced, natural, and proportionate to your body. 

If you’re considering breast augmentation, the consult is where we dial in:
• your measurements
• your tissue characteristics
• your aesthetic goals
• and the implant style/profile that fits your body best

Comment “CONSULT” and we’ll send details.

01/02/2026

Two women. Two different bodies. Two different implant sizes. One shared theme: the “right” augmentation is the one that matches you,not a random number someone else throws at you.

One of the biggest mistakes I see is friends saying, “You need at least ___cc.” That’s flawed logic. Your result is the total volume: what you start with plus what we add—and we plan that based on your measurements, your tissue, and your goals. 

These two patients talk about their Preservé experiences, why they chose their specific cc sizes, what the process felt like, and how they found our practice. What I love most is how clearly this comes through: confidence comes from a personalized plan… not pressure to “go bigger.”

Why women consider Motiva Preservé: it’s an advanced breast augmentation approach built around precision and tissue-preservation principles, with the goal of creating a natural-looking result while respecting your anatomy and supporting a stable, balanced outcome over time.

If you’re considering breast augmentation, focus less on a “must-have” cc number and more on:
1. your starting anatomy, 2) your lifestyle, and 3) the look you want to live with long-term.

Comment “PRESERVÉ” and I’ll send details on how we plan sizing and shape during a consult.

01/01/2026

I’ve been invited by Establishment Labs (the makers of Motiva) to serve as a surgical trainer for the Motiva Preservé procedure. 

Becoming a Preservé surgeon isn’t a “watch a video and go” situation. It requires rigorous education plus hands-on, in-the-OR training alongside an experienced Preservé surgeon. 

My goal is simple: help train the next generation of surgeons so they can confidently bring this technique to their own practices—and deliver the level of outcomes patients deserve.

If you’re a surgeon interested in learning more about Preservé training, or a patient curious about whether Preservé is right for you, send me a message.

12/30/2025

If you’re considering a breast augmentation, please don’t choose your implant size based on what your friend got. That’s not a plan. It’s a guessing game.

Implant volume in ccs has to match your anatomy. Chest width, breast base diameter, skin elasticity, tissue thickness, and your goals all matter. Two women can both get 450cc and end up with completely different results because they did not start with the same foundation.

In my consultations, we focus on the outcome you want, including shape, proportion, cleavage, and upper pole fullness. Then we use meticulous measurements and sizing tools, often including 3D imaging and or sizers, to select the Motiva implant that fits you, not a number you heard from someone else.

Think of it this way. Breast size equals what you already have plus what we add. The right plan is individualized, measured, and intentional.

Questions to bring to your consult
1. What is my breast base width and what implant range fits it safely
2. What profile and shape best match my goals and tissue
3. What size looks proportional on my frame

12/29/2025

Before we talk procedures, I want to learn what makes you… you.

If you’re coming to me for surgery, I’m going to ask questions beyond the medical checklist because the best plan is the one that fits your life. After 30+ years as a plastic surgeon, what I still love most is taking care of patients and building real trust along the way.

Outside the OR: husband to Amy, dad to Amanda, Bethany, and Lisette… guitarist-in-training… and a proud dog dad (Stella and the whole crew). And no, I’m not retiring anytime soon… unless it’s to play classic rock in a dive bar one day.

If you’re considering plastic surgery and want a surgeon who listens first, I’d be honored to meet you. Book a consultation via the link in bio.   

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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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!