Breast Augmentation

For patients seeking a more traditionally feminine silhouette, breast augmentation offers shape, volume, and proportion with careful surgical planning, refined outcomes, and a team focused on safety and authenticity.

Breast Augmentation as Gender Affirming Care

Dr. Bastidas offers breast augmentation for our transgender patients in New York. Silicone breast implants are the most common type of implants used to achieve volume and shape. A small incision is made at the bottom of the breast in the crease, which is used to create a pocket for placement of the breast implant.

Implant-Based Breast Augmentation

Silicone implant breast augmentation is the most frequently selected option for patients seeking reliable volume, shape, and long-term projection. At FFSNYC, implant selection is guided by body frame, chest width, skin elasticity, and individual goals rather than a one-size-fits-all approach. The latest generation breast implants are cohesive silicone gel, similar to a gummy bear. Dr. Bastidas uses smooth, round silicone implants usually from either Mentor or Sientra.

Before & After Breast Augmentation

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Personalized Implant Selection

For larger framed patients or those seeking greater volume, FFSNYC can safely offer silicone breast implants up to 1400cc when anatomically appropriate. Careful surgical planning ensures proportion, implant support, and long-term stability while maintaining a natural breast shape. Implants are often placed either sub-fascial or sub-muscular to provide the best coverage and protection against infection.

Motiva Implants and Advanced Implant Technology

FFSNYC now also offers Motiva silicone breast implants. These implants are commonly placed in a subfascial position, which may allow for improved movement, reduced implant visibility, and a lower risk of capsular contracture in select patients. Our surgeons have placed over 100 Motiva implants, with experience guiding appropriate candidate selection and placement technique.

Recovery, Longevity, and Future Considerations

Most patients do not report significant discomfort in this outpatient, less than 2-hour procedure. All patients are counseled that at some point in the future, implants will need to be replaced due to capsular contracture, excess scar formed around the implant, causing hardness and sometimes distortion. An average 10 – 12 year lifespan for the implants is typical.

Breast Augmentation With Fat

When our transgender patients present with an already significant breast mound, then fat grafting for augmentation is an option. Fat can be harvested from your belly, back, and thighs and then injected into the breast to provide better shape and volume.

Fat grafting is limited by the amount of projection you can obtain (which is inferior to implants). Multiple sessions of fat grafting may be required, as only 50% of what is injected is projected to remain.

Breast Lift With Implants (Mastopexy)

In some patients, breast augmentation alone may not adequately address breast position or skin laxity. A breast lift with implants, also known as augmentation mastopexy, combines implant placement with reshaping and lifting of the breast tissue.

This approach may be recommended for patients with lower breast position, stretched skin, or asymmetry following hormone therapy or weight changes. The goal is to improve breast shape, nipple position, and upper pole fullness while maintaining natural proportion and long-term support.

Surgical planning for mastopexy is highly individualized, balancing implant size, incision placement, and skin tightening to minimize scarring while achieving stable, feminine contours.