Dr. Krishna Vyas, MD, PhD, MHS is a plastic, reconstructive, and aesthetic surgeon with a distinguished background that includes training at Harvard, Mayo Clinic, Johns Hopkins, and the University of Kentucky. Dr. Vyas completed a fellowship with The Aesthetic Society in Manhattan, followed by a highly selective fellowship at Massachusetts General Hospital and Harvard Medical School in Boston. Specializing in breast and body surgery, Dr. Vyas focuses on breast reductions, augmentations, lifts, and gender- affirming top surgeries, including chest masculinization and feminization. Dr. Vyas has advanced and unique expertise in preserving and restoring breast, chest, and nipple nerves to help maintain sensation after breast surgery. Dr. Vyas graduated with a perfect GPA and earned a Ph.D. in Clinical and Translational Science with Honors, with research centered on stem cell biology, fat grafting, adipose tissue immunology, regenerative therapies, and improving outcomes in aesthetic and breast surgery. He earned his master’s in immunology and microbiology from the Johns Hopkins Bloomberg School of Public Health, the oldest and largest school of public health in the U.S., where he researched immunological tolerance in transplant surgery. Dr. Vyas has authored over 200 peer-reviewed publications and award-winning national and international presentations. He serves on the editorial boards of numerous leading medical journals and educational platforms. Recognized for his expertise, Dr. Vyas was appointed as an Instructor of Surgery at Mayo Clinic, a hospital consistently ranked as the top hospital in the world. While at Mayo Clinic, Dr. Vyas held numerous leadership roles, including President of the Mayo Clinic Resident and Fellows Association, Chair of the Mayo Clinic Young Investigators Research Symposium, Board Member of the Graduate Medical Education Committee, and Board Member of the Mayo Clinic Alumni Association. Dr. Vyas also held junior staff attending privileges as Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital in Boston. Dr. Vyas is a Candidate Member of several societies, including the American Society of Plastic Surgeons (ASPS), American Society for Aesthetic Plastic Surgery (ASAPS), New York State and Regional Society of Plastic Surgeons, World Professional Association for Transgender Health (WPATH), Mass General Brigham Alumni Association, International Society of Plastic Regenerative Surgeons (ISPRS), Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE), American Society for Laser Medicine and Surgery (ASLMS). As a passionate mentor, Dr. Vyas has guided hundreds of aspiring students, physicians, surgeons, and researchers, shaping the next generation of healthcare leaders. His contributions to the field have earned him several awards and recognitions, including the Presidential Scholarship and honorary title of Kentucky Colonel in his home state. As an innovative leader in breast and aesthetic surgery, Dr. Vyas continues to make significant impacts through his surgical expertise, innovative research, commitment to education, and unwavering commitment to patient-centered care.
During your complimentary 15-minute phone consultation with one of our Patient Coordinators you can ask questions about surgery, costs, financing, and health insurance coverage. You will then be able to schedule an appointment with one of our Plastic Surgeons. We are in-network with Cigna, United Healthcare, and Oxford (but do NOT accept United Healthcare Community Plan and Oxford Metro plans). We may accept The Empire Plan (NYSHIP), Blue Cross Blue Shield, and Aetna plans only if you have out-of-network benefits. Unfortunately, we do NOT accept Medicare, Medicaid, Medi-Cal, Tri-Care, Amida Care, Fidelis, and MetroPlus plans. If you have a plan we do not accept you need to proceed as Self-Pay.
We are in-network with United Healthcare and Cigna, and may accept certain health insurance plans with out-of-network benefits. Cost-sharing responsibilities apply.
Yes, it is generally possible to have more than one breast lift, even after a previous breast reduction and lift. However, there are some important factors to consider, including blood supply & nipple sensation. Since you’ve already had a reduction and lift, the tissue and nipple area have been altered. A second lift can slightly increase the risk of compromised blood flow to the nipple-areolar complex, which could potentially cause delayed healing or, in rare cases, tissue loss. The longer it’s been since your initial surgery, the lower this risk typically becomes. Previous scars and the elasticity of your skin will impact the surgical plan. I recommend consulting an experienced plastic surgeon with experience in revision breast surgery. They can assess your specific situation, review your previous surgical records, and discuss your goals to determine if another lift is right for you. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York ABOUT DR. VYAS Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.
A Wise-pattern breast lift would provide the best shape to recontour the breast, but does involve an areolar scar, vertical, and horizontal. This technique is the most reliable for achieving optimal breast elevation and shape. The vertical scar is usually well-placed and fades over time with appropriate care, including post-operative laser treatments and silicone gel sheets. It's also worth noting that many patients, including those of Indian descent, experience satisfactory results with healing scars that tend to improve as time passes. Regarding the circumareolar (donut) lift, while it can reposition the nipple and offer modest lifting, it may not provide the level of elevation you're seeking. This technique is typically less effective for more significant breast ptosis, which seems to be the case based on your photos. Additionally, RF microneedling won't likely give you enough skin tightening to achieve the desired results. For the best results, you may also want to consider a breast lift with auto-augmentation (using your own tissue for fullness) or combining a lift with implants if additional volume is desired. However, it's essential to have a consultation with an experienced plastic surgeon who can assess your specific situation and discuss the potential outcomes of these procedures. Ultimately, while scars are a concern, they are part of the solution to restoring a youthful, lifted appearance to your breasts. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York ABOUT DR. VYAS Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.
Many patients do see some changes in shape over the course of the first year as the tissue heals, but it's also possible that some of these issues may not resolve on their own. If you concerns are boxy appearance and an indentation along the scar, you have a few potential options. Scars typically soften and mature over time. Discuss your concerns with your plastic surgeon who can evaluate the boxy appearance. Sometimes this is the result of the skin pattern design and underlying parenchymal resection and modeling. In some cases, a minor revision may be necessary, which could involve additional skin removal or reshaping the breast tissue. A discussion with your primary surgeon or with a second opinion may provide a more personalized assessment. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York ABOUT DR. VYAS Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.
To answer this question, it is helpful to have an in-person consult with a plastic surgeon. The exact size depends on your body frame, chest wall measurements, and tissue quality. Implant sizers or 3D can help to visualize a potential result. Implant profile, shape, type, and size will be based on your goals. We do not guarantee a cup size, but on average, a cup size will increase for every 150cc volume difference. The implant recommendation will be based on your unique anatomy. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York ABOUT DR. VYAS Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.
You have hypertrophic scars, widened nipples and areolas, significant asymmetry and sagging. You may be eligible for another breast reduction to improve the symmetry, size, and scars. Dr. Krishna Vyas, MD, PhD, MHS Harvard, Johns Hopkins, & Mayo Clinic Educated Double Fellowship Trained Aesthetic Plastic Surgeon New York, New York Dr. Krishna Vyas, MD, PhD, MHS is a double-fellowship trained plastic surgeon specializing in aesthetic surgery and breast surgery. He has received advanced training from renowned institutions, including Harvard, Mayo Clinic, and Johns Hopkins. Dr. Vyas is widely regarded for his expertise in aesthetic breast and body surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization for transgender and non-binary individuals). Dr. Vyas is recognized for his expertise in breast and nipple sensory nerve preservation and restoration. His PhD in clinical and translational science focused on stem cell biology, fat grafting, and improving outcomes in aesthetic surgery, breast surgery, and regenerative medicine. He has authored over 200 peer-reviewed publications and presentations and serves on the editorial boards of multiple medical journals. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital. At Mayo Clinic, he embraced the core value of "the needs of the patient come first," contributing to its status as one of the best hospitals worldwide. Dr. Vyas has served in leadership roles, including as President of the Mayo Clinic Fellows Association, Board of Directors for the Mayo Clinic Alumni Association, Chair of the Mayo Clinic Young Investigators Research Symposium, and Board Member of the Graduate Medical Education Committee. A dedicated mentor, Dr. Vyas has guided hundreds of aspiring medical students and professionals, shaping the next generation of surgeons and researchers. His contributions to the field have earned him recognition as a Kentucky Colonel. As an innovative leader in aesthetic surgery, breast surgery, and gender-affirming surgery, Dr. Vyas continues to make a significant impact through his surgical expertise, research, and unwavering commitment to patient-centered care.
