He said that in a conservative area like Westchester County, where he practices, when women have breast augmentations they want subtle changes.
Most of the 250,000 breast augmentations done in the United States each year use saline implants - plastic bags filled with water that can slosh during activity.
Some have appointments for $7,000 breast augmentations.
Voluptuous claims to feature women who have had no breast augmentations.
They show breast augmentations are still by far the most popular cosmetic surgery procedure for women and have risen year on year.
I was astounded, because I thought it would be mostly men who had invented these breast augmentations, but actually it was mostly women.
Indeed, plastic surgeons performed 32,607 breast augmentations in 1992; five years later, they did 122,285.
Frequently I see students showing off their hyperbolic breast augmentations and belly-button piercings.
Tummy tucks and breast augmentations are also gaining ground.
But breast augmentations were up to 1,172, liposuctions increased to 788 and tummy tucks to 130.