The lobby of Madison Plastic Surgery is pictured. The almost 2,000-square-foot offices on the main floor of the townhouse includes a surgical suite which Dr. Tornambe added when he did a two-year gut renovation after purchasing the townhouse. The suite was built at the back of the building, in the backyard, and a 550-square-foot outdoor terrace was added above for the family, who occupy the top four floors.

The renovation converted the layout of the upper floors from two duplex apartments to a single family home. In the process, a skylight above the staircase was uncovered, brightening the home. Dr. Tornambe also installed an elevator.

The house is decorated with turn-of-the-century Empire antiques, including an 1860s English Church desk used by Ms. Tornambe. Many of the antiques were acquired from Forney, Texas, which the couple describes as having a "strip mall" of antique shops and warehouses, known as 'Antique Row.'

The couple estimates that the initial renovation, which included replacing the plumbing and wiring and most of the windows and flooring, cost approximately $2 million. In 2002 they replaced the roof, at an estimated cost of $200,000.They also renovated the formal dining room on the first floor, pictured, 10 years ago.

Living above his 2,000-square-foot medical offices continued a family tradition for Dr. Tornambe. His father, also a doctor, had offices attached to their home in Queens so that he wouldn't have to commute or miss spending time with his children. But the next generation of Tornambes took it one step further: their home is steps from their children's school, P.S. 6.

The home's terrace, which has been the location of some 'rip-roaring parties' according to Dr. Tornambe, provides a glimpse of the school's playground as well as the construction of large single-family household next door. The area, filled with the sounds of children's laughter during the day, falls quiet in the evening and on weekends, he says.

Shown here, the home's master bedroom on the third floor. The home has provided more than enough space for professional and personal living - so much so that the family was able to keep a series of bullmastiff dogs as pets. Weighing around 120 pounds, the dogs were praised by Ms. Tornambe for their disposition.

The dressing room attached to the master bathroom, which has two walk-in closets, is one of Ms. Tornambe's favorite parts of the home. 'It's a great place to hang out' and get ready with friends, she says. 'It's got a good vibe there.'

Shown here, one of the home's four bedrooms. The house is a five-minute walk from the Metropolitan Museum of Art and Central Park, which was a 'beautiful thing' for the family, says Ms. Tornambe. 'I was in that park everyday,' she says. 'I raised my kids in that park.'

Another bedroom in the home is pictured. Ms. Tornambe is a volunteer and fundraiser for the Good Dog Foundation, a charity that promotes and provides animal-assisted therapy. She hopes that a move will allow her to have more animals. 'Basically I want my own mini-therapy stable,' laughs Ms. Tornambe. 'So I can pick which animal goes where.'

The top-floor playroom of the townhouse , which also has a guest suite with a small kitchen, ideal for live-in help, the couple says. Dr. Tornambe says he would be happy to continue occupying the medical offices, paying rent if that arrangement would suit a future owner. The property was listed in April for $10 million with Nikki Field and Patricia Wheatley of Sotheby's International Realty.