Clinical topics - for before your operation

- New patient packets - diagnosis-specific

- New patient packets - procedure-specific

- Initial consultation paperwork

- ASPS consents

- Breast implant new disclaimer forms

Clinical topics - for after your operation

- Postoperative surgical care videos

- Postoperative exercise recommendations

- Postoperative diet recommendations

- Scar management recommendations

Logistics

- Office location:

10 Union Square East (at 14th Street)

Suite 2L

New York, New York 10065

Our main office is centrally located in the middle of New York City, next to Union Square Park.

- Office hours:

Monday - Friday: 9am - 5pm
24-hour answering service active whenever the office is closed.

- Transportation:

By subway: our office is immediately next to the Union Square subway station, which receives subway trains on the 4/5/6, N/Q/R/W, and L lines.

By car: our office can be reached from all major freeways. Parking is available throughout the area, but is most easily found on 15th Street, between Irving Place and Union Square East.

- Surgery locations:

We are fortunate to offer many different locations within New York City where we are able to perform your surgery. The options include both hospitals as well as ambulatory surgery centers.

Hospitals (for procedures involving overnight stay)

- Mount Sinai – Beth Israel (1st Avenue, at 16th Street)

- Mount Sinai – West (10th Avenue, at 59th Street)

- Mount Sinai – Morningside (Amsterdam Avenue, at 114th Street)

- Mount Sinai Hospital (Madison Avenue, at 100th Street)

Ambulatory surgery centers (for outpatient procedure)

- Mount Sinai – Union Square/Philipps Ambulatory Care Center (Union Square East, at 14th Street)

- Mount Sinai – Chelsea (15th Street, at 8th Avenue)

- Out-of-town travel

Women frequently travel to New York to be evaluated and treated by our team at HBR. Our team is able to help with transportation and accommodations.

- My Mount Sinai

My Mount Sinai is the smartphone app (available on iOS and Android) that allows you to access your medical records, lab results, and appointment listings.

Finance and billing

- Insurance accepted:

We are fully in-network with many major insurance carriers, including:

Aetna

Amerigroup

Amida Care

Bright Health

Cigna

Crystal Run Healthcare

Elderplan

Empire BCBS

Fresenius Health Plans

GHI

HIP

Hotel Trades

Local 1199

Magnacare

Medicaid

Medicare

Oxford

Partners Health Plan

POMCO/UMR

Railroad Medicare

Senior Whole Health

United Healthcare

VNSNY

Wellcare

Though we are not fully in-network with Fidelis, Healthfirst, or Metroplus, we are often able to work with these companies in order to cover breast reconstruction procedures.

- WHCRA of 1998

Thanks to the Women’s Health and cancer Rights Act of 1998, all breast reconstruction procedures are required by law to be covered by insurance including immediate reconstruction, delayed reconstruction, revisions to reconstruction, and symmetrizing procedures on the non-diseased breast.

- Self-pay methods

If you are interested in pursuing additional procedures that are not covered by your insurance company, we will work with you to provide an estimated pricing package prior to your operation.

- Insurance medical necessity guidelines

- Breast reduction

- Breast reshaping

- Excess skin

HBR Annual Reports

DIEP Dive database:

The HBR research team has created the world’s most comprehensive research database for worldwide, open-access study of breast reconstruction procedures.

Glossary of breast reconstruction terms

• ALCL: anaplastic large cell lymphoma, which is very rare form of cancer that has been shown to associated with long-term presence of textured silicone breast implants

• APEX flap: abdominal perforator exchange flap, technique during which abdominal muscles can be best preserved in some circumstances during abdominal perforator breast reconstruction 

• Autologous breast reconstruction: using only one’s own tissue, and not a foreign body, during breast reconstruction 

• Bipedicled flap: a variant of DIEP flap where two separate sets of blood vessels are used instead of one, thereby allowing for more tissue to be safely used

• Breast lift: also known as a mastopexy, where the shape of a sagging breast is improved by removing extra skin, repositioning the underlying breast tissue, and moving the nipple-areola complex to a higher, more forward-pointing position

• Breast reduction: also known as a reduction mammaplasty, where the weight, size, and shape of a large and heavy breast is improved, leading to decreased symptoms and a pleasing, lifted, youthful appearance

• Delayed breast reconstruction: breast reconstruction that is performed months or years after the time of mastectomy

• DIEP flap: deep inferior epigastric perforator flap; abdomen tissue that can be moved to the chest in order to perform reconstruction of a breast after mastectomy

• Direct-to-implant: breast reconstruction where the permanent implant is placed at the same time as the mastectomy (and therefore a tissue expander is not necessary)

• Fat grafting: fat is removed from a distant part of the body via liposuction (usually the abdomen, flanks, or thighs) and then injected via syringe into areas of the breast in order to improve subtle contour irregularities

• Flap: tissue that is moved from one part of the body to another, and has its own blood supply intact at the end of the procedure

• Graft: tissue that is moved from one part of the body to another, and does not have its own blood supply intact at the end of the procedure (and therefore relies upon small blood vessels reconnecting to the tissue in the days following the procedure)

• “Gummy bear” silicone breast implant: an informal term to describe the consistency of the silicone within a silicone breast implant (in this case, somewhat solid, similar to the consistency of a gummy bear) 

• IGAP flap: inferior gluteal artery perforator flap; a form of autologous (tissue-based) breast reconstruction where tissue is taken from the lower buttock and moved to the breast

• Immediate breast reconstruction: breast reconstruction that is performed at the same time as the mastectomy

• Implant-based breast reconstruction: breast reconstruction that utilizes breast implants

• LVA: lymphovenous anastomosis, a form of lymphedema treatment where a lymphatic vessel and a vein are connected in order to improve drainage of lymphatic fluid from an area suffering from lymphedema

• Lymphatic system: a delicate and complex network of vessels within the body that returns watery fluid that has leaked into the tissues back into the bloodstream; disruption of this network can cause lymphedema 

• Mastopexy: see breast lift

• Nipple reconstruction: a sequence of procedures that uses surgery, tattoos, or both in order to recreate the appearance of the nipple-areola complex if it has been removed during a mastectomy

• PAP flap: profunda artery perforator flap, a technique for breast reconstruction where the tissue is moved from the inferior thigh to the chest

• Perforator flap: a powerful technique that allows for large areas of tissue to be moved to other areas in the interest of reconstruction, while minimizing the consequences to the tissue at the donor site

• Reduction mammaplasty: see breast reduction

• Saline breast implant: a type of permanent breast implant that is filled with saline (salt water)

• SGAP flap: superior gluteal artery perforator flap; a form of autologous (tissue-based) breast reconstruction where tissue is taken from the upper buttock and moved to the breast

• SIEA flap: superficial inferior epigastric artery flap; an alternative to DIEP flap breast reconstruction where the lower abdominal tissue is based on slightly different vessels in order to be moved to the chest in order to perform breast reconstruction

• Silicone breast implant: a type of permanent breast implant that is filled with silicone

• Smooth breast implant: a type of permanent breast implant that has a smooth (non-textured) surface

• Textured breast implant: a type of permanent breast implant that has a textured (non-smooth) surface

• Tissue expander: a type of temporary breast implant that can be placed at the time of mastectomy in order to gradually stretch the skin, before being removed and replaced with a permanent breast implant (filled with either silicone or saline)

• TUG flap: transverse upper gracilis flap; a form of breast reconstruction whether skin and fat from the inner thigh is moved to the chest

• VLNT: vascularized lymph node transfer; a form of lymphedema treatment where a small number of lymph nodes are collected from one part of the body and moved to an area that suffers from lymphedema