
Breast Lift
By repositioning and reshaping the breast tissue, this procedure restores a lifted, more youthful profile.
Enhancing your breast size and shape to fit your frame and goals.
Implant or fat transfer augmentation for fuller breasts, balancing with the rest of your figure.
Breast augmentation enhances breast size and shape using implants (saline, or silicone gummy bear implants) or fat transfer. Whether restoring volume after pregnancy, improving symmetry, or enhancing naturally small breasts, plastic surgery breast augmentation at North Shore Cosmetic Surgery is tailored to your body, lifestyle, and aesthetic vision.
Proportion That Feels Perfect
Breast augmentation before and after results reveal breasts that look natural, feel soft, and suit your frame beautifully. You'll notice improved fullness, better cleavage, and the confidence to wear what you love without padding or adjustment. This is enhancement that fits—creating balance and proportion that feels so natural, even you might forget you had surgery. It simply becomes part of who you are.
“Dr. Layliev is a confident, and professional surgeon. I felt like I could trust him. I am over the moon with my results. My breasts feel and look so natural.”G.A.
Explore your options with confidence and discover what’s right for you. Your surgeon is here to guide you every step of the way, so you can make a fully informed decision.

Saline implants are filled with sterile saltwater after placement, allowing for adjustable volume and a uniform, natural or super round breast shape.
Silicone implants are pre-filled with a cohesive gel that closely mimics the look and feel of natural breast tissue.
Motiva Silicone Implants are a next-generation of silicone implants, allowing a choice of more natural (ERSD) or rounder (RSD) devices. These are especially useful when implants are placed subfascial rather than submuscular.
Subfascial implants are very attractive for women who excercise a lot, especially if chest exercises are important. Subfascial implants, unlike subpectoral implants, don't move signficantly with exercise, while subpectoral implants can move, creating an unattractive look.
We begin by listening to your goals and the story behind them. Together with your plastic surgeon, you’ll explore options and define an approach aligned with your proportions, lifestyle, and vision.
Your surgical plan is thoughtfully designed around your anatomy, desired outcome, and our philosophy of natural, balanced refinement. Nothing is rushed. Nothing is one-size-fits-all.
From arrival to recovery, every detail is intentional. Our team creates a calm, reassuring environment so you feel informed, supported, and fully cared for.
Healing is guided by close communication, attentive follow-ups, and steady support. We’re with you at every step, ensuring your recovery feels smooth and predictable.
As healing progresses, balance and confidence come into focus. Our goal is for your results to feel unmistakably yours — refreshed, aligned, and effortlessly natural.

Silicone feels a bit more natural and is less likely to ripple, while saline allows smaller incisions and easier monitoring for rupture. But it all depends! On your current breast shape and size. We'll discuss pros and cons of each during consultation.
We use 3D imaging, sizing systems, and detailed discussion about your goals and lifestyle to determine ideal size. Plastic surgery breast augmentation should enhance your frame proportionally—we'll guide you to a size that feels authentically you.
Implants aren't guaranteed to last a lifetime—but most last decades before replacement becomes necessary. Many women keep original implants longer without issues. Changes such as pregnancy, weight gain or loss or menopause may lead a woman to consider implant revision. Regular monitoring ensures long-term health and aesthetic satisfaction.
Most patients return to desk work within 1 week and resume exercise after 2-4 weeks. Initial tightness and discomfort are normal, managed with medication. Breast augmentation swelling subsides gradually over 1-3 months.
This is not cosmetic surgery for a different you.
This is clarity — revealed through balance, intention, and deeply human listening.


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“I recently had Breast Augmentation with Dr. Romanelli and I could not be happier, he was the absolute best. Recovery was much better than expected, back to work shortly after. Thank you Dr. Romanelli for giving me my confidence back.”Verified Patient
“Amazing! I'm very happy with my results. Tummy Tuck - Mastopexy - Liposuction. I feel like a new woman. Thank you Dr. James Romanelli. 5 stars.”A.O.
Whether you’re exploring treatment options or simply gathering information, your journey should feel informed, intentional, and fully supported. At North Shore, our focus is on results that feel natural, balanced, and true to you — guided by experience, artistry, and an unwavering commitment to patient care.
A consultation is a conversation, not a commitment. Let’s talk through your goals and determine the path that makes the most sense for you.

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