David P. Rapaport
About My Practice
How would you summarize your philosophy?
I am extremely detail-oriented and emphatic that the work I do appears natural. I’m a big believer in really listening to my patients to determine what will make them happy. If I do not feel that surgery is the preferred way to address patients’ aesthetic concerns, I opt not to operate.
What type of anesthesia do you provide?
I am a proponent of monitored sedation or 'twilight anesthesia.' Many of the procedures i perform, like liposuction and even facelifts, do not require general anesthesia.
What new noninvasive procedures are you offering?
I am proud to be the founder and medical director of Coolspa, which is dedicated to noninvasive body contouring using CoolSculpting, as well as other cool treatments that actually work! Coolspa is New York’s leading provider of CoolSculpting*. And, with our new CoolSmooth applicator, we are now able to permanently reduce fat on the outer thighs and hips with no needles, anesthesia or downtime.
What are some of your hobbies?
I like playing seasonal sports with our four sons, traveling, fishing and skiing.
When did your love for medicine begin?
I remember seeing my father a holocaust survivor who became a dentist in scrubs, and I knew that when I grew up I wanted to be in the medical profession like him. My induction into the medical field was only natural.
What is the best advice you've received?
When you think about a patient or problem, think about it thoroughly and always plan ahead.
A Minute With
My happiest professional moment
There is nothing more gratifying than receiving a thank-you note from a patient years after treating them—knowing I made a difference makes me feel that it was all worthwhile
What sets my practice apart
Highly individualized and informational consultations and treatments geared to the personality and body of each patient
My dream innovation
Regeneration of skin and limbs
CoolSculpting, which led to
my founding of Coolspa, one of
New York’s leading CoolSculpting
providers, changed my career by
offering a noninvasive treatment
that really works, finally
My late father, a Holocaust survivor, who became a dentist after the war, was a source of inspirational grace and dignity
Give more to the world than you take
- Facelift / Necklift
- Liposuction / Fat Transfer
- Breast Augmentation
- IDEAL IMPLANT®
- Breast Lift / Reduction
- Revisional Breast / Liposuction Procedures
- Chin Enhancement
- CoolSculpting® / SculpSure®
- CoolMini™ / Kybella®
- Surgical Chin Enhancement
- Nonsurgical Rhinoplasty
- Cellfina™ Cellulite Reduction
- Juvéderm® Fillers
- Botox® Cosmetic / Dysport®
- NeoGraft® Hair Restoration
- AccuTite / BodyTite™ / FaceTite™
- Platelet-Rich Plasma (PRP) Therapy
- Removal (Moles / Birthmarks Skin Tags / Lesions)
- Scar Revision
- Earlobe Repair
- Facial / Skin Rejuvenation
- Radiesse® / Sculptra®
- Advanced Microneedling
- Restylane® Fillers
- Stem Cell BankingCo
- Cosmetic Injectables
How do I decide if I want my breast implants over or under the muscle?What our experts say:
Especially if a woman is quite lean, when you go over the muscle, you can more distinctly see the edges of the implant, making the breasts look more round or fake. What I tell my patients is to imagine a beach ball on your bed. Now imagine that same beach ball with your comforter over it. When you have the comforter, that’s like the muscle covering the implant. You don’t see the edges and it has a more natural slope. Even with silicone, if someone has little breast tissue, then there is the potential to see subtle ripples beneath the skin. The muscle helps camouflage that. Additionally placing the implant under the muscle allows for better mammograms in the future. All of the data we have looking backward will tell us that the rate of capsular contracture is lower when we do it this way too.
What amount of fat is safe to remove during liposuction done in an office setting?What our experts say:
It's important to remember that liposuction is a contouring procedure and not a weight-loss procedure. You don’t judge the result by how many pounds you lost, you judge the result by how you look in the mirror. If someone is excessively overweight there is very little that liposuction can do. A liposuction that is more than 5 liters, is considered a large liposuction. The good news it that you don’t need enormous amounts of fat removal in order to improve someone’s contours.
Can I enlarge my breasts without scars on them?What our experts say:
The answer is yes for many women. The primary option for enlarging the breasts if one doesn’t want a scar on the breast is to go through the armpit. However, no one can guarantee how a scar is going to look and the phrase “invisible scar” is an unrealistic concept. Almost all scars on the body are forever visible. They may not be obvious but you can expect at minimum a pink line for a few months that will change to a white line forever.
Can I get silicone breast implants with an incision in the underarm?What our experts say:
Absolutely. The underarm scar for saline implants measures about a ¾ inch long and it’s typically in a skin crease. Silicone, because it’s already filled, is bigger. That scar will be about an inch and a half in length.
Is the recovery the same for the different breast augmentation incision options?What our experts say:
Regardless of the incision placement, whether it’s areola, underarm or under the breast, one incision does not have more pain than another. The post-operative discomfort from breast augmentation deals more with how tight you’re filling the skin and whether or not you placed the implants under the muscle. The underarm incision does not limit movement more than any other scar. There is not any additional pain or a higher risk of numbness. It’s more a matter of where you would rather have that pink line.