Florida Breast Augmentation - Breast Implants - Plastic Surgery FL
In his Miami Beach practice, Dr. Rian Maercks can provide you with several breast implant options, and advanced techniques like COLD-SUBFASCIAL breast augmentation, to enhance your feminine silhouette.
Through breast augmentation at our Miami plastic surgery practice, you can achieve:
- A more feminine body shape
- Correction of breast asymmetry
- Restoration of breast fullness
For everyone from celebrities to your next-door neighbor, breast augmentation is one of the most frequently performed cosmetic surgical procedures in the United States. In 2009 alone, nearly 300,000 breast augmentation surgeries were performed, according to the American Society of Plastic Surgeons. The reasons women elect to have breast augmentation surgery are varied and can range from desiring a more feminine appearance or better body proportion to having increased clothing options and self-confidence.
The Surgical Procedure
For patients in Miami, breast augmentation surgery takes between one and two hours and is generally performed under general anesthesia. Incisions are made in one of the sites pictured below and the surrounding tissue and skin is lifted to make a pocket for the implant. Once inserted, the implant is centered below the nipple. The incisions are closed with sutures and skin adhesive or surgical tape are applied.
The three most common incisions for breast augmentation
Options for Breast Implants in Miami
Like the various reasons women elect to undergo this surgery, the options for how the surgery is performed are also numerous. The ideal candidate for breast augmentation surgery should be able to understand and weigh the benefits and risks and able to make the choice to complete the surgery independently. When making the decision, the best candidates often elect breast augmentation as a means to correct breast asymmetry, tuberous breast, correct a lack of body proportion due to breast size or to restore a loss of breast fullness over time or after weight loss.
Dr. Maercks uses a very unique technique in the majority of his breast augmentations. Most surgeons use a 'below the muscle technique' which while having high patient satisfaction, results in strange changes of the breasts' shape when the patient moves their arms. Some surgeons put the implant inside the breast tissue which looks good initially but ages quickly. Dr. Maercks prefers a unique technique called subfascial breast augmentation in which he delicately elevates the strong supporting tissue that overlies the pectoralis muscle, leaving the muscle in place. The breast tissue is never entered and thus is continuous and able to drape very naturally over the implant. Because the implant is completely surrounded by strong fascial tissue, the breast tissue and skin are relatively protected from the implant's weight, delaying aging and descent of the breast. By entering through the armpit, Dr. Maercks also avoids putting any scars on the breast.
The first option the patient and plastic surgeon have to weigh is what type of breast implant is ideal for the patient. Breast implants are either filled with saline or silicone. Saline implants are filled with sterile saltwater in silicone rubber during surgery, are adjustable and are less expensive than silicone implants. Silicone implants, meanwhile, have a lighter, more natural feel, have less chance of visible ripple, but are more expensive and individuals must be 22 years old to receive them, per the FDA. The texture, profile and diameter of the implant are also factors which must be decided on prior to surgery.
The plastic surgeon and patient must also discuss the implant size and shape. These decisions are largely made based on the patient's desires, but the plastic surgeon's recommendations and technique play a role, as well. The size of the implant can be affected by how much tissue covers the area and how it will affect the proportion of the body. While proportion to the body is the goal, most implants are filled between 200 to 600 ml. The shape of the implant can either be round, which can rotate freely, or anatomical, which cannot rotate without causing asymmetry.
When deciding where incisions for the implants will be made, the plastic surgeon has to consider the patients needs and body. Common incision sites include the crease below the breast, in the armpit, through the bellybutton or around the areola. The implant placement, below the glands and/or muscle also plays a role in the recovery time for the patient.
Life Post-Breast Augmentation in Miami
Following the surgery, the patient should expect one to two weeks for recovery, but is expected to move around within 24 hours after the surgery. The patient will also wear a special bra following surgery and can expect to have the sutures removed about ten days later. Any pain is managed with medication and regular check-ups are recommended. It is important to note that breast implants are not guaranteed for life and future surgeries may be required.
Patients may experience some side effects following breast augmentation surgery and these may include: changes in nipple sensation, hematoma, seroma, infection, inflammation and later capsular contracture or implant rupture/deflation.
To learn more about breast augmentation or breast implants in Miami, contact Miami Beach plastic surgeon Dr. Rian Maercks.