Dr. Kassir is partnering with Dr. Michael Fiorillo. The procedures that Dr. Fiorillo perform are listed below. Click on a procedure below to learn more. For more information or if you want to schedule an appointment, please call Dr. Fiorillo's office at 845-623-6141.

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the U.S. It can give women with small or unevenly-sized breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.

Implants are silicone shells filled with either saline (salt water) or silicone gel (recently approved by the FDA). They are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient's bustline may be increased by one or more cup sizes.

Patient 1
Before	After

Patient 2
Before	After

A woman's breasts may droop as a result of the natural effects of aging, heredity, gravity, pregnancy, breastfeeding, or weight loss. A breast lift, also called a mastopexy, is performed to return youthful shape and lift to breasts that have sagged or lost volume and firmness.

Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola-the dark skin surrounding the nipple-which may have stretched or drooped.

Mastopexy is usually performed on an outpatient basis under general anesthesia and lasts from 1 to 3 hours. Most patients are immediately satisfied with their new breasts and can typically return to work one to two weeks following the procedure.

Patient 1
Before	After

Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two- to four-hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.

Patient 1
Before	After

Modern surgical technology makes it possible to construct a natural-looking breast after mastectomy (breast removal) for cancer or other diseases. The procedure is commonly begun and sometimes completed immediately following mastectomy, so that the patient wakes with a new breast mound. Alternatively, reconstruction may begin years after mastectomy. There are several ways to reconstruct the breast, both with and without implants; your surgeon(s) should work together with you in deciding which is the best for you. Breast reconstruction does not affect the recurrence of cancer, does not cause any other diseases, and does not affect chemotherapy or radiation treatment.

Although rarely discussed, enlarged male breasts is a common condition. Gynecomastia affects approximately 40 to 60 percent of men. There is often no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions.

Men who feel self-conscious about their appearance are helped with breast reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.

Patient 1
Before	After

Patient 2
Before	After

Abdominoplasty helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles. The best candidates have pockets of fat or loose skin that haven't responded well to diet and exercise. The procedure can also be useful for women with stretched skin and muscles from pregnancy.

The procedure takes approximately two to five hours and can be performed with general anesthesia or local anesthesia with a sedative. Recovery time ranges from two weeks to a few months. With a balanced diet and regular exercise, results are long-lasting. Abdominoplasty will likely leave a permanent scar stretching between the hips, although it should be low enough for even a bikini to conceal it.

Patient 1
Before	After

Patient 2
Before	After

Also called belt lipectomy, torsoplasty and panniculectomy, the circumferential body lift is performed to remove excess skin from the torso and upper legs.

Candidates for body lifts typically suffer from loose (inelastic) skin on many or most areas of the body as a result of age, childbearing or significant weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breast lifts, arm lifts and liposuction to retain a proper body proportion. Body lifts tighten and tone the abdomen, back, buttocks, hips and thighs.

During the procedure, skin is lifted from underlying tissue, muscles are tightened and stitched and fat is removed where necessary, and the skin is sutured closed. The navel is often removed and replaced in its new position. Surgical tubes may be needed for a few days to drain any fluid, and patients may need to wear compression garments for a few weeks to faciliate faster healing.

After surgery, patients are encouraged to walk as soon as they are able, although stenuous activities must be limited for about a month. Results are visible immediately.

Patient 1
Before	After

Patient 2
Before	After