BREAST AUGMENTATION SURGERY WITH IMPLANTS IN MIAMI
Breast Augmentation With Implants Surgery in Miami: Achieve your Desired Breast Size and Shape with Breast Augmentation with Implants. Top-Rated, Double Board Certified Plastic Surgeon.
Breast Augmentation With Implants Surgery in Miami: Achieve your Desired Breast Size and Shape with Breast Augmentation with Implants. Top-Rated, Double Board Certified Plastic Surgeon.
Breast augmentation, or augmentation mammaplasty, often referred to by patients as a “boob job” or “breast aug” involves using implants and/or fat transfer to augment or increase the size of your breasts. It can also restore breast volume lost after pregnancy or weight loss, achieve more upper pole fullness, a more rounded breast shape, or improve natural breast size asymmetry to a degree. Of note, if you have droopy nipples, you may need a breast lift along with breast augmentation to obtain a good result. Implant place will not significantly raise the nipple position.
There are many considerations in breast augmentation that will be discussed in your consultation. In the case of augmentation with implants, these include the type of implants, the shell of the implant, the shapes of the implants, the content of the implants, the anatomical locations where the implants are placed, the incisions required to place the implants, and the long-term consequences and potential drawbacks of having implants. In the following paragraph, you will encounter a summary.
There are many considerations in breast augmentation that will be discussed in your consultation. In the case of augmentation with implants, these include the type of implants, the shell of the implant, the shapes of the implants, the content of the implants, the anatomical locations where the implants are placed, the incisions required to place the implants, and the long-term consequences and potential drawbacks of having implants. In the following paragraph, you will encounter a summary.
The shell of breast implants is currently only made of medical-grade silicone. In the past, we had textured implants, but they were recently retired, and only smooth shells are now available in the United States. The only implant shape available in the United States is round. We used to have “teardrop” or “anatomical” implants, but these were recently discontinued. In terms of implant content, they can be filled with saline solution or silicone gel on the inside. Both have benefits and drawbacks. One of the main advantages of saline-filled implants is that if they rupture, the implant deflates, the breast becomes smaller, and the patient notices the difference almost immediately. In general, silicone-filled implants are preferred, especially in thin patients, given the breast appears more natural to palpation after surgery. Moreover, they can produce more upper pole fullness (“perkiness”) and potentially less implant edge visibility (“scalloping” or “rippling”). Silicone gel-filled implants have had several generations of improvements. We are currently in the 5th-6th generation.
Gel thickness is also known as “cohesivity.” There are different degrees of implant gel cohesivity, typically three: mildly cohesive, moderately cohesive, and highly cohesive. The last generations of implants have a gel filling that is more cohesive and less likely to bleed out if a shell rupture occurs. Their inside resembles the consistency of a “gummy bear.” This allows them to provide even more upper pole fullness, hold their shape better, and even further decrease the chances of the gel leaking out if the implant ruptures. There are a few more topics to cover about breast implants, including implant projection, which will be covered during the consultation with Dr. Rivera-Serrano.
In terms of the anatomical location of the implant, it depends on the initial size of the breast and the thickness of the breast fat under the skin. Most implants in the United States are placed partially under the muscle (also called “dual plane”). Dr. Rivera-Serrano sometimes also places the implants over the muscle (“subfascial” or “sub-glandular”) in selected patients. A dual plane can decrease the risk of capsular contracture, which is a fibrous capsule around the implant that becomes thicker with time. Of note, a capsule always forms around the implant, but most of the time is very soft, supple, and not noticeable.
In terms of the incisions to place the implant, in the United States, most implants are placed from an incision along the fold under the breast, which typically heals very well. This is currently the most favored incision. In some patients, the implants can be placed at the inferior border of the areola (pigmented area beneath the nipple) or through an axillary incision.
Most breasts are asymmetric. In practice, we rarely encounter symmetric breasts; hence we tell our patients that their breasts are more “siblings rather than twins.” Therefore, results may not lead to fully symmetric breasts, although the goal is to improve balance and proportions. A personal consultation will determine what is best for you.
You want a better proportioned or more appealing figure and wish your clothes fit better. When pregnancy, weight loss, or aging has affected the size and shape of your breasts. You believe you might gain self-confidence or self-esteem from such a procedure. To restore symmetry if one of your breasts is smaller than the other (keeping in mind that everyone’s breasts are asymmetric to some degree).
Before & after
Dr. Rivera-Serrano is among the country’s most highly trained plastic surgeons, having completed two separate residencies (plastic surgery & head & neck surgery / ENT) and two clinical fellowships in some of the most prestigious institutions in North America, Asia & Europe. He is double board certified by accredited bodies recognized by the American Board of Medical Specialties and the Florida Board of Medicine, and has vast surgical experience, having performed thousands of successful surgical cases. Dr. Rivera-Serrano has been a University Professor of Surgery teaching residents on how to perform plastic surgery and knows the intricacies of the field. He is a respected member of the Miami plastic surgery community, an innovator, and author of numerous articles in leading peer-reviewed journals and textbooks. Always aiming for natural results, he knows how to combine artistry with safety. All the above sets him apart as a top surgeon with one of the most comprehensive plastic surgery offerings throughout Miami, South Florida, and Colombia.
-You do not have time to recover. In general, for facial surgery, we recommend three months between surgery and a special or social (red carpet) event as a safety net. However, most people look presentable in normal social situation in three weeks, and oftentimes earlier. For body procedures, recovery can be from a few days (e.g. liposuction) to two to three weeks (tummy tuck or BBL). For most procedures, heavy activity such as exercise should be avoided for 3 weeks.
Complications are not common; however, they do occasionally happen, and delayed healing cannot be 100% avoided. This timeline is necessary in order to allow most of the swelling to go away and the results and tissues to appear natural, especially if the surgery is in a visible area.
-You want a perfect result because you will only be satisfied with perfection, and you know you will not be happy otherwise.
-You want perfect symmetry.
-You are taking blood thinners for medical conditions or immunosuppressants.
-You are a current smoker, or a current passive smoker (live with a partner that smokes next you)
-You are overweight or obese. Typically, we recommend not having surgery if your Body Mass Index is above 32-34, with the exception of some liposuction procedures (Link to: Liposuction for people with high BMI’s (obesity)). Use this link to calculate your BMI.
-You are doing it for someone else or fitting an ideal image. Plastic surgery is a personal decision, and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
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Our office in Miami Beach (near mid beach) across the bridge from the Miami Design District, Wynwood, Edgewater and Bay Point, routinely see local patients from South Beach, Bay Harbor Islands, Bal Harbor, Sunny Isles, North Miami, Aventura, Coral Gables, Coconut Grove, Brickell, Key Biscayne, Miami Gardens, Hallandale, Miramar, Davie, Coral Springs, Pembroke Pines, Southwest Ranches, Weston, Hollywood, Ft Lauderdale, Plantation, Pompano Beach, Boca Raton, Boynton Beach, Delray Beach, West Palm Beach, Jupiter, Homestead, Cutler Bay, Pinecrest, Kendall, Hialeah and Doral. We have also have had the privilege of seeing patients from Jupiter, Port St Lucie, Naples, Cape Coral, Ft Myers, Tampa, St Petersburg, Lakeland, Kissimmee, Orlando, Ocala, Gainesville, The Villages, Daytona, Jacksonville, Tallahassee, Atlanta, New York, New Jersey, Houston, El Paso, Austin, Bogota, Medellin & Bucaramanga in Colombia, and too many places others to name!
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