From DIEP Flap and TUG Flap procedures to lesser-known SHAEP and Stacked Flaps, we offer a range of natural tissue reconstruction and breast sensation restoration options. Whether you're interested in direct-to-implant or expander implant reconstruction, we are experienced in both prepectoral and subpectoral approaches. We perform a wide range of procedures, like conversion to prepectoral implants, flap revision, fat grafting, and surgery on the opposite breast, to improve your breast reconstruction. We offer surgical and non-surgical options, like 3-D tattoo, that allow our surgeons to create a natural appearing nipple as the final touch for your breast reconstruction. We help our patients understand the types of mastectomies available and how genetic information, like BRCA gene mutations, can factor into your decisions. We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. We offer procedures to help prevent as well as ease lymphedema, a condition where limbs swell after lymph node removal. Radiation can be an important part of your breast cancer treatment. Learn how to coordinate it with your reconstructive timing and approach. For men facing mastectomy, we offer a variety of procedures including natural tissue flaps, fat grafting, and nipple reconstruction. Our team can help you navigate surgical options from facelift and browlift to necklift and eyelid rejuvenation. Non-surgical facial rejuvenation options include Botox, fillers, laser peels, and chemical peels. In addition to nose-reshaping, our surgeons perform procedures that can alleviate breathing difficulties associated with deviated septum and internal nasal blockages. We’re experts in cosmetic breast procedures, including augmentation with fat grafting, implant augmentation, reduction, and lift. Liposuction, abdominoplasty, or tummy tuck, and butt augmentation can all reshape the body to improve your appearance. We offer brachioplasty, or arm lift, and thigh lift to transform your extremities. Enjoy body sculpting and facial rejuvenation treatments like CoolSculpting, IPL, Microneedle Skin Tightening, and more administered by our Aesthetician. Oncoplastic procedures like oncoplastic closure, reduction and lift, and local tissue flaps for volume loss preserve breast shape after a lumpectomy. A systematic approach to post mastectomy pain. Specialized tattooing and micro-needling can help create or refine nipple reconstruction, manage scars, and more. Tattooing can create permanent makeup, improve the appearance of hair density, and more.

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Nikolas McEnerney, PA-C

Color photo of Nik McEnerney

Nikolas McEnerney, PA-C

Nikolas McEnerney, PA-C, is a board-certified Physician Assistant with over 20 years of clinical experience in plastic and reconstructive surgery, with a foundation in internal medicine and cardiology. He earned his AS with honors from Nassau Community College and his BS in Physician Assistant Studies from Touro College.

Nikolas completed clinical training at Nassau University Medical Center, Long Island Jewish Medical Center, and Winthrop University Hospital, and advanced his expertise as Chief PA at Jacobi Medical Center. Since 2005, he has been a surgical PA at NYBRA Plastic Surgery, specializing in cosmetic procedures and microvascular breast reconstruction. He has assisted in over 2,500 free flap surgeries and advanced techniques including two-stage post-mastectomy reconstruction with biologic matrices, contributing to national clinical trials.

He also serves as a clinical preceptor for PA students, mentors future surgical PAs, and is an active member of AAPA, AASPA, and APSPA. Board-certified through NCCPA, Nikolas holds BLS and ACLS certifications.

Known for combining technical mastery with compassionate care, he is dedicated to improving surgical outcomes and patient experiences.

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