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Breast Augmentation Miami
Breast augmentation surgery, also know as augmentation mammaplasty or augmentation mammoplasty, is a surgical procedure in which breast implants are used to increase the size of the breasts and improve their symmetry. Breast implants also help restore breast volume lost after pregnancy or weight reduction, and may be used for breast reconstruction after an injury or mastectomy.
Note, breast augmentation surgery will not correct breasts that are severely sagging. In conjunction with a breast augmentation, a breast lift may be required to correct drooping breast. While both procedures can often be performed at the same time, separate operations may be required. Your plastic surgeon will guide you in this decision.
Breast Augmentation Surgery
There are two techniques in the placement of breast implants. Breast implants are typically inserted either into a pocket over the pectoral muscle directly behind the breast tissue (submammary / subglandular placement) or under the pectoral muscle (submuscular placement).
Sometimes when a patient has low pectoral tissue, and their implants are placed between the breast tissue and pectorals, they develop what is known as rippling, wrinkles of the implant.
Some patients cannot manage breast implants placed in the subpectoral plane because of the movements of their pectoral muscles. In these cases, a discussion with your surgeon to determine best course of action is advised.
For submuscular breast augmentation surgery, the pectoral muscle needs to be removed off the ribs, which may cause the breast to move in a deformed manner. Once the implant is placed in its desired location, the pectoral muscle is stitched back to the rib cage. This will insure that the implant stays in its intended location.
The method of insertion for the breast implants depends on various factors: degree of desired enlargement, the type of implant, the patient’s body type and the recommendation of the plastic surgeon. Some of the more common techniques for implant insertion are: through an areolar incision, via inframammary fold incision, transaxillary, and trans-umbilical. The first two techniques are the preferred techniques due to ease of access to the breast pocket and minimal scarring associated with that incision location.
The peri-areolar incision is made in the areola area, the dark-pigmented skin around the nipple. It produces fewer scars and can be used in conjunction with a breast lift.
The inframammary incision is made below the inframammary fold, on the underside of the breast where it meets the chest. This incision is preferred by plastic surgeons when the breast augmentation involves silicone breast implants because it offers direct access to the pectoral muscles.
The transaxillary incision is made in the armpits. While this incision produces a scarless breast augmentation, it’s a procedure that requires an expert hand.
The trans-umbilical incision is made in the navel or belly button. This incision also produces a scarless breast augmentation since the surgeon has to tunnel up the belly button into the breast. Silicone implants are harder to place with this incision.
The incision method for the breast implants depends on various factors: degree of desired enlargement, the type of implant, the patient’s anatomy and patient-surgeon preference.
Breast augmentation surgery is a 1-day outpatient procedure. The patient is given a mild sedative the day of surgery. When the patient is asleep, a certified anesthesiologist applies general anesthesia. Upon completion of the surgery, the surgeon places bandages on the breasts. An elastic surgical bra is used to cover the bandages for support. Then, the patient is taken into recovery and her progress is monitored. After a couple of hours the patient will be allowed to return home, unless the doctor feels an overnight stay is required. Dr. Salama requests all patients to come in the following day for immediate post-operative inspection. This appointment is crucial in order to avoid any complications from occurring and that the healing process is progressing as desired.
Types of Breast Implants
There are always new developments in the breast implant industry, and breast implant manufacturers occasionally introduce new types and styles of breast implants. Dr. Salama uses breast implants manufactured by Allergan. He has been using this brand for the last seven years. Allergan has the largest array of implants. They come in all types, sizes, and shapes in order to achieve the desired result.
Round breast implants usually make breasts appear fuller than form-stable implants. There is also less concern over them rotating since they are the same shape all around.
Smooth breast implants feel the softest and may provide more of a natural movement since they can move with the breast implant pocket, but may have some visible rippling.
Textured breast implants have less probability of moving or repositioning since they develop scar tissue that sticks to the implant. They also reduce the risk of a tight scar capsule.
Silicone vs. Saline Breast Implants
Silicone breast implants are made with silicone gel, which gives it more of a natural breast tissue feel. If the implant has a leak, the gel may escape into the pocket of the breast implant or remain within the shell of the implant. A leaking implant will not collapse if it is filled with silicone gel. Regular visits to the plastic surgeon are recommended for patients who select silicone implants to make sure they are functioning properly. The condition of the breast implants can be assessed via an MRI screening or ultrasound. Silicone implants are FDA-approved for women age 22 or older.
Gummy bear implants, also known as cohesive gel breast implants, are form-stable silicone breast implants. These are the only silicone implants that Dr. Salama uses at his practice. Gummy bear breast implants were named after the gummy bear candies because of their denser silicone gel. Even when the implant shell is broken, this type of silicone breast implant maintains its shape. Made up of a thicker semi-solid silicone gel than the traditional silicone gel breast implants, gummy bear breast implants are firmer and have less probability to break. Rather than being round, gummy bear implants have a shape to them, projecting more at the bottom and narrowing towards the top. The firmer silicone gel also helps to maintain the shape of the breast implants and keep them in an upright position. In addition, gummy bear implants are less likely to wrinkle or fold, and have a softer, more natural feel to them. Gummy bear breast implants require a longer incision for placement.
Saline breast implants are filled with sterile salt water. They offer a uniform feel, firmness and shape. If a saline breast implant should leak, the saline implant collapses and the saline is absorbed and naturally expelled by the body. Saline breast implants are FDA-approved for women age 18 or older.
Patients should note the amount of original breast tissue could influence how the implants will look and feel, and the outcome of the breast augmentation. Patients with less subcutaneous fat or less natural breast tissue tend to be better candidates for silicone implants because saline implants generally produce more rippling.
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I chose Dr. Salama because I felt comfortable with him from his reviews and my friend’s experience with him. His office staff is unbelievable and made me feel so warm and welcome there.
Whether you choose silicone or saline implants, you need to monitor your breast implants regularly and continue follow-up checkups with your plastic surgeon.
What are the Benefits of Breast Augmentation?
Breast augmentation can enhance appearance, self-confidence and self-image; improve the balance of a figure and increase the volume and projection of breasts.
Breast Augmentation Risks
Just like with any other surgery, there are potential complications and risks to consider with breast augmentation. Some risks and complications associated with breast augmentation include: infection, skin ripples or wrinkles, implant ruptures, necrosis, capsular contracture, altered bust sensation, physical suffering, discontent with results, and the requirement of additional surgery; which is why the selection of your plastic surgeon is of the utmost importance. Your plastic surgeon should be board-certified with a high level of experience, artistry and technical skill. Dr. Salama takes all precautions necessary to reduce the possibility of complications. Dr. Salama will address all of these concerns during your consult and pre-operatively.
Who is a good candidate for Breast Augmentation?
Some women are interested in breast augmentation when they are dissatisfied with the physical characteristics of their breasts such as sagginess, asymmetry, shape, feel and size. For other women, it may be of necessity due to an injury, a mastectomy or related reason. Potential candidates should have a relatively healthy lifestyle that includes no smoking at least four weeks prior to surgery, cannot be pregnant or breastfeeding when seeking the operation, have no history of problems related to anesthesia or infections. According to Florida law, saline implants are only available for women age 18 or older and silicone implants are only available for women age 22 or older.
Before having a breast augmentation procedure, patients should do extensive research to select their plastic surgeon and have reasonable expectations concerning the procedure. At Elite Plastic Surgery, patient safety and satisfaction are our main priority. Dr. Moises Salama is a board-certified plastic surgeon by the American Society of Plastic Surgeons (ASPS) that specializes in breast augmentation with all types of implants. He also has an impeccable track record and can help you determine if you’re a good candidate for breast augmentation. Call us today for your complimentary consultation.
Preparing for Breast Augmentation Surgery
Patients will need to undergo a baseline mammography (mammogram) prior to their breast implant surgery. If there are any abnormalities, they need to be addressed and cleared prior to undergoing a breast augmentation surgery.
There should be no smoking a month prior to surgery. Smoking increases the risks of complications and can cause delayed healing since it reduces the level of oxygen in the blood.
Do not take aspirin or any other blood thinners two weeks prior to surgery unless your plastic surgeon advises otherwise.
Organize transportation with a family member or friend to and from surgery and arrange for someone to stay with you for at least a day.
Enlist a friend or a nurse to check up on you on a regular basis.
Arrange for pet care to avoid any harm from them.
Be sure to keep your post surgery medicine and massage creams easily accessible.
Stock a healthy supply of food for your post surgery recovery.
Inform your employer of any anticipated missed days due to surgery.
Prepare a recovery area where you’ll be most comfortable.
More tips can be found in our patient resources tab.
What Happens After Breast Augmentation Surgery?
For about 24 hours after surgery, the patient must stay in bed. The patient may experience fatigue during that time. For three weeks following the surgery, the patient may need help with tasks around the house and be restricted from performing certain movements until she has fully healed. The stitches from surgery will be removed during those weeks. The patient may return to work after three days from surgery if the job does not require and lifting or bending. For at least a month, it is likely that the breasts will remain swollen. The incisions should return to their natural color after a few months. The fully recovery time varies depending on the procedure. In general, the Trans-umbilical Breast Augmentation (TUBA) surgery has the least complications and quickest recovery time. As time passes, patients need to remember that breasts may continue to grow.
A couple of things to facilitate healing during home recovery include: applying cream over surgical scars at least once daily, wearing loose clothing to avoid pressure or rubbing on the operated area, and wearing a sport support bra once the surgical bra is removed.
Breast Implants Can Have Long Lasting Results
There is really no way to predict the length of time any particular breast implant will last. However, they can have a long life should no complications arise. Complications such as implant leaks or ruptures and scar tissue can occur causing the need for breast implant removal. When a silicone breast implant ruptures, an MRI scan is needed to confirm the rupture. When a saline breast implant ruptures, the body absorbs the solution. In any case, when there is a rupture your plastic surgeon will most likely recommend removal and replacement of the implant.
What Does a Breast Augmentation Cost?
Breast augmentation costs depend on the size and type of implant, if the breast implants come with a guarantee, the type of incision for the surgery and the patient’s features. On average, pricing ranges from $3,500 to $10,000. Typically, silicone implants cost more than saline implants, up to $2,000 more. At Elite Plastic Surgery we offer quality breast enhancement surgery at competitive pricing, starting at $3,499.
Frequently Asked Questions about Breast Augmentation
Which implants have a more natural feel, silicone or saline?
Both types of implants have a natural feel to them and can provide equally nice results. It all depends on what’s the best fit for you, which you and your surgeon should decide on mutually.
How can pregnancy affect my breast implants?
While pregnancy does not harm the breast implants, the increasing and decreasing of the breasts due to lactation may cause them to droop or sag. A breast lift or bigger implants may be needed to correct this.
How does the doctor determine the right size for your breast implants?
While doctors do take a patient’s opinion of the breast size into consideration, some factors need to be taken into account. For example, when a patient wants extremely large breasts which may be too much for their frame, the doctor may advise against them due to probability of back problems. The surgeon may recommend a size by showing the patient before and after pictures of patients with similar body types that underwent similar augmentation. In addition, the surgeon may show the patient a visual from a computer-imaging device and have her try on breast implant sizers to help her evaluate the size.
Do I need to replace my breast implants?
If you are not having any problems with your breast implants, then it is not necessary to replace them. Many people are under the misconception that breast implants need to be replaced every so often, but this is not true.
Are breast implants covered by insurance?
Insurance does not cover breast augmentation for cosmetic reasons. Usually, insurance will cover breast implants for corrective surgery. In which case, you should supply your surgeon with a letter from your insurance.