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Breast augmentation is a cosmetic surgery that increases the size of the breasts, often by using implants. The procedure is considered by women in Florida who are concerned about the size, shape, or proportions of their breasts.
Contact our Miami office today to request a consultation with breast augmentation expert Dr. Silvia Rotemberg!
- 1 About Breast Augmentation
- 2 Why Undergo Breast Augmentation in Miami?
- 3 Good Candidates
- 4 Implant Options
- 5 Before & After Photos
- 6 Breast Augmentation Techniques
- 7 Recovery
- 8 Maintaining Results
- 9 Consultation
About Breast Augmentation
Breast augmentation, also known as mammoplasty, is a procedure designed to increase the size of the breasts. There are many reasons why a woman may desire a breast augmentation. Some of these reasons may include that she feels like her body is disproportionate, that she doesn’t feel feminine enough, or her breasts are not symmetrical. Other times women need breast reconstruction surgery in order to recreate the breasts after a mastectomy or a lumpectomy.
There are two methods for increasing breast size available to our clients: breast implants and fat transfer. A fat transfer harvests fat from another part of the body and then injects it into the breasts to add volume. Fat transfers are appealing because they utilize organic material sourced from the patient’s own body. However, the results are much more subtle and will not be as dramatic as the results offered by the other method, implants.
Implants, which are to be discussed in detail below, allow for more striking results. Implants come in either silicone or saline composition. An incision is made in one of four locations and the implant will be inserted into the created breast pocket. The results are immediate and long lasting. However, it is important that women hoping to undergo breast augmentation understand that breast augmentation does not correct ptosis, or breasts that sags significantly. Often, a breast augmentation is performed in conjunction with a breast lift to offer more comprehensive results.
Why Undergo Breast Augmentation in Miami?
The decision to get a breast augmentation is a personal one, and Dr. Rotemberg deeply understands this. It can be fueled by many different concerns, but some of the more common reasons why women may choose to get breast implants include:
- Feeling that their breasts are too small or they are not feminine
- Concerned with the proportion of their breasts to the rest of their body
- Asymmetrical breasts
- Major weight loss
- Changes in the breasts after pregnancy or breastfeeding
- Loss of volume due to aging
If a woman, for any reason, is uncomfortable with her breasts, then they may qualify as a candidate for breast augmentation surgery. A preliminary consultation with Dr. Rotemberg provides a safe space for women to express their concerns, and gives Dr. Rotemberg the opportunity to create a custom surgical plan that will provide each individual patient with their desired results. Contact Rotemberg Plastic Surgery today to request a Miami breast augmentation consultation and a member of our friendly staff will gladly assist you.
Good candidates for breast augmentation in Miami with Dr. Rotemberg are women who are dissatisfied with the size, shape, or proportion of their breasts and hope to increase their volume. Breasts must be fully developed. In most cases, they should also be at least 18 years old for saline implants or 22 years old for silicone implants. However, there are some exceptions for patients seeking reconstructive surgery. Candidates should be non-smokers in good health and who do not suffer from an illness that may impact their ability to heal.
There are many different considerations to take into account when choosing the right implants. The first consideration is usually the material: saline or silicone. Saline implants have a solid silicone outer shell, but the inside of the implant is hollow. The implant is typically placed into the breast pocket and then filled with a saline salt water solution. Silicone implants are composed of semi-solid silicone that have a gelatinous feeling to them. Although some women believe that silicone implants feel more like natural breasts than saline.
Another decision that patients will need to make is the size of their desired implants. Breast implants are measured in cubic centimeters and not cup sizes, since cup sizes can vary depending on the authority. Breast implant sizes generally range from 100cc to 900cc.
Finally, breast augmentation patients will have to choose whether they want smooth or textured implants, and round or teardrop shaped implants. The pros and cons of each will be discussed in detail at the consultation.
Dr. Silvia Rotemberg works closely with all clients to make sure they have a full understanding of what decisions they have to make and that they are confident in their choices.
Before & After Photos
Breast Augmentation Techniques
In order to insert the implant, Dr. Rotemberg will make an incision in one of four locations. The location will be determined by a number of factors, including the patient’s preference and the type of implant that they are getting. The inframammary crease and peri-areolar incisions tend to be the more popular choices.
Inframammary Crease Incision
This is a horizontal incision that follows the natural crease underneath the breast, where it folds against the ribcage. Some of the benefits of this incision spot is that it gives the doctor great control in placing the implant either in front of or behind the muscle, and the resulting scar is naturally hidden.
The periareolar incision is made around the areola, where the darker skin of the areola meets the lighter skin of the breast. This incision also gives a great amount of control to the doctor and leaves a scantily noticeable scar.
A transaxillary incision is made in the fold of the arm pit. A channel is created through which to transport the implant to the breast pocket. This technique is typically utilized with saline implants, since they can be inserted prior to be filled with saline and therefore will not require a very large incision. Women like this incision placement because there is no noticeable scarring on the breast itself. Also, there is very little risk that the incision will have any effect on the mammary gland or the woman’s future ability to breastfeed. However, if the patient needs a replacement implant in the future, a new incision will be necessary and it is not possible to reuse a transaxillary incision location.
A transumbilical incision, also called a TUBA incision, is an incision made along the upper portion of the belly button. Similar to the transaxillary incision, the implant is inserted through the navel and then up to the breast. This doesn’t give the doctor much control over the placement of the implant, so they typically utilize a small camera to help situate the implant. Patients will also need a new incision to replace an implant in the future. However, the transumbilical incision is for all practical purposes imperceptible.
Patients will be provided with individualized recovery plans depending on their surgery. In general, patients will be bandaged and equipped with a surgical bra that aids in healing. They will also be asked to avoid strenuous activity or sleeping on their stomach for some time. However, they will be expected to do a series of low impact exercises and stretches daily.
In order to heal properly after breast augmentation, Dr. Rotemberg suggests taking a week off of work. The healing is just as important as the actual procedure in order to ensure accurate and long lasting results.
Common side effects may include slight bruising and swelling as the breasts settle into their final form. In order to minimize these side effects, please refrain from taking anti-inflammatory medications and sleep with the head elevated. Dr. Rotemberg will provide patients with pain medication to reduce discomfort.
All patients will be required to return for a follow-up appointment. At this time, Dr. Rotemberg will remove any stitches if necessary and make sure that everything is healing according to plan.
After a woman has had her breast implant surgery, there is not much maintenance that needs to be done. For women with silicone implants, it is necessary to get routine MRI checkups to help monitor the integrity of the implants. In general, implants usually need to be replaced every 10 years. Dr. Rotemberg will give a more clear time frame on an individual cases basis.
During the breast augmentation consultation with Dr. Rotemberg, patients should come in ready to discuss their goals for a breast augmentation. We hope that all patients take careful time to consider their reasons for wanting surgery. The doctor will also conduct an examination, which includes taking measurements and photographs. At this time, we ask all patients to provide us with their thorough medical background, including past surgeries and medications they currently take. Based on this information, Dr. Rotemberg will determine a patient’s candidacy for breast augmentation and work with them to choose the best procedure methods for them.
Dr. Rotemberg will provide detailed information on all aspects of the procedure: preparation, operation, and recovery. She will also provide before and after pictures of past surgeries, so that patients have an idea of the outcome to expect. However, since breast augmentation surgery is extremely customizable in nature, please be aware that results will vary.
We hope that all patients feel comfortable asking any questions they may have about the procedure or any additional procedures they may be interested in. Our goal is to make our patients feel as relaxed as possible. For those living in or traveling to the Miami area and that are interested in breast augmentation or any cosmetic surgery, please contact our office today to request a private consultation.