Silicone Gel Implants
Silicone gel breast augmentation with Mentor or Allergan cohesive gel implants inserted under the breast or around the areola, under the practice standard of local anesthesia and advanced sedation.
Most people researching awake breast augmentation with local anesthesia want a lighter alternative to being fully put under. Instead of the general anesthesia most clinics use, Dr. Leonard Grossman’s practice standard is local anesthesia with advanced IV sedation, at his Brooklyn, NYC surgery center. Saline implants placed through the navel (TUBA) often take about 20 to 30 minutes, nausea is highly unlikely, and most patients return to work the next day.

Implant and fat transfer breast augmentation, each performed under local anesthesia with sedation at Dr. Grossman’s Brooklyn surgery center.
Silicone gel breast augmentation with Mentor or Allergan cohesive gel implants inserted under the breast or around the areola, under the practice standard of local anesthesia and advanced sedation.
Saline breast augmentation through TUBA: a small incision inside the navel, IV sedation with dilute local anesthetic, often about 20 to 30 minutes in surgery, no drain, and only a small scar hidden inside the navel.
Fat transfer breast augmentation moves your own purified fat into the breast through tiny entry points for minimal scarring, with liposuction performed under the tumescent local anesthesia Dr. Grossman favors.
Patients who search for awake breast augmentation with local anesthesia usually want one thing: to avoid general anesthesia. That has been Dr. Leonard Grossman’s standard for decades. His practice standard combines local anesthesia with advanced IV sedation for saline TUBA, silicone gel and fat transfer augmentation, and you recover in the same room where surgery took place before going home the same day. Each augmentation is planned around your anatomy and goals, aiming for natural-looking, outstanding results that suit your proportions.

TUBA patients are served hot tea on waking and are usually ready to go home within about half an hour.
Breast augmentation planned around lighter anesthesia, short operating times and a same-day trip home.
Local anesthesia with advanced IV sedation is the practice standard for breast augmentation.
Saline implants placed through the navel in about 20 to 30 minutes need much less anesthesia.
Surgery takes place in Dr. Grossman’s AAAHC-accredited Brooklyn surgery center, with no hospital stay.
After TUBA, “you will most likely smile, not cry or whimper like you may have seen on TV.”
Meet the Brooklyn surgeon who performed his first liposuction under local anesthesia in 1993.

Reconstructive and Plastic Surgeon
Dr. Leonard Grossman is a Brooklyn, New York City plastic and reconstructive surgeon with more than 30 years of experience and a pioneer of Organic Plastic Surgery, using patients' own fat in place of synthetic materials. He earned his medical degree from New York Medical College in 1985, completed his internship and General Surgery residency at Beth Israel Medical Center, and completed fellowships in Microsurgery at Montefiore Hospital and Burns and Reconstruction at Jacobi Hospital. In 1995 he completed a fully accredited plastic surgery residency at Scott & White Memorial Hospital in Texas; his practice reports he became the first American plastic surgeon to use Ultrasound Assisted Liposuction that year. He pioneered calf augmentation with fat grafting in 1995 and, by his practice's count, has performed more than 4,500 calf augmentations. He operates at his fully accredited (AAAHC) surgery center at 3039 Emmons Ave in Brooklyn. Recognized by the Castle Connolly Guide, Vitals.com and RateMDs.com, he is dedicated to privacy, professionalism, and helping patients make informed decisions about their care.
Unlike most clinics, which use general anesthesia, Dr. Grossman performs breast augmentation with local anesthesia combined with advanced IV sedation, often called twilight or light sleep. For transumbilical breast augmentation (TUBA), the local anesthetic is a dilute lidocaine and Marcaine mixture, and the technique requires much less anesthesia than other approaches. Nausea afterward is highly unlikely, and your exact anesthesia plan is confirmed at consultation.
Ask how local anesthesia and IV sedation would work for your breast augmentation.
Listed as one of the best plastic surgeons in New York City.
Listed among recommended plastic surgeons by Vitals.com.
Listed among recommended plastic surgeons by RateMDs.com.
Recognized by Vitals.com among its top 10 plastic surgeons.
Contact Dr. Grossman’s practice to ask about anesthesia, choose your augmentation method and request a quote.
For immediate assistance, feel free to give us a direct call at 212-585-2133. You can also send us a quick email at drgrossmanstaff@hotmail.com.
For immediate assistance, feel free to give us a direct call at 212-585-2133. You can also send us a quick email at drgrossmanstaff@hotmail.com.