Breast Augmentation in Miami: more information
Mammoplasty or what is commonly known as breast augmentation in Miami is a technique to increase breast size, rejuvenate and enhance them, through the placement of an implant or breast prosthesis. In addition, it reshapes the breast and gets a very natural shape and a size proportionate to the size of the torso and the body of the patient, while adapting to the tastes and lifestyles of the patient.
For best results it is essential to assess each patient individually in order to choose the right prosthesis in shape and size, for each particular case. For this reason, there is a protocol for choosing implants based on body proportions of each patient. The prostheses used nowadays are from the latest generation, among which the high quality cohesive silicone gel implants stand out, are the safest on the market.
Breast augmentation in Miami is a technique to increase breast size, rejuvenate and enhance them, through the placement of an implant or breast prosthesis.
This type of operation is especially meant for women who have a very small bust for their constitution, also women having significant asymmetries or visible space between breasts, those who have lost a lot of volume or those whose breasts are sagging after pregnancy and breastfeeding. And also those women who have undergone a mastectomy.
What is breast hypoplasia?
Mammary hypoplasia is defined as underdeveloped breast volume in relation to the general morphology of the patient. Hypoplasia may be primary (small breasts after puberty) or appear secondarily, after a major weight loss or pregnancy followed by breastfeeding. It can be isolated or associated with ptosis (drooping) of the gland and skin distension.
Although there are different surgical approaches (the site where the incision is made) for the placement of the implant -areola, axillary or inframammary fold, the choice will depend on the circumstances of each patient and the surgeon’s assessment. It should be noted that they all leave scars, which very soon become invisible.
The approach in the inframammary fold
In cases where there are no malformations or a large sagging and, consequently, the shape or position of the areola do not need to be changed, the most recommended approach is the incision or surgical approach through inframammary fold. The reasons to use this surgical approach in breast augmentation in Miami are:
- Low visibility: The areola is the optimal center of the breast, so any scar at that level will be more visible than a scar of equal quality located at the inframammary fold, an inconspicuous place. In addition, the incision is made at the lowest point of the breast, so its natural fall usually covers it completely.
- Minor loss of sensitivity: sensitivity loss or alteration are pretty unusual. Most cases occur and are more severe when the areola is used as an approach.
- Capsular Contracture: The bacterial flora of the skin of the areola and nipple is much richer than the skin of inframammary fold. For this reason, contamination of the implant, which starts capsular contracture, is more likely to occur in the areolar than in the inframammary surgical approach.
In breast augmentation in Miami the usual placement of the breast implant is over or behind the pectoral muscle. Many surgeons choose the placement of the prosthesis behind the muscle, as this position ensures a more natural result because it increases the thickness of tissue between the skin and the implant. Also because it facilitates breast exams with mammograms and MRIs.
In breast augmentation in Miami the usual placement of the breast implant is over or behind the pectoral muscle.
Submuscular breast implant placement does not interfere at all in sports or other activities that require participation of the pectoral muscle; even in professional athletes, this technique can still be used without compromising muscle activity.
The breast enlargement operation in Miami
In an intervention for breast augmentation in Miami anatomically shaped implants can be used as with them a more natural result of the female breast is achieved, besides, they allow breast lifting in case of moderate ptosis (drooping) without additional scars. Also round prosthesis can be used in cases that the patient desires so, who must also give her opinion on whether she wants cohesive silicone gel or saline implants.
In an intervention for breast augmentation in Miami anatomically shaped implants can be used as with them a more natural result of the female breast is achieved.
Breast augmentation is performed under general anesthesia and hospitalization. That is, the patient must remain in hospital at least 24 hours. The patient is admitted to the hospital the morning of surgery.
Before surgery, the surgeon performs preoperative marking, in which she draws a series of lines on the skin of the patient that will be her references during the breast augmentation operation.
After making the incision at inframammary fold, the surgeon accedes to the space behind the pectoral muscle, where the pocket that will host the prosthesis is created. Coagulation of all blood vessels form an essential part of this phase of the breast augmentation in Miami. A drainage is then placed in each breast to remove the liquid remaining in the area. The patient will have this drainage for two or three days. Once the pocket is ready and drainage placed, we proceed to the introduction of the implant in the correct position. Then the incision is closed layer by layer and the wounds are covered with a bandage (compressive garment) to control the inflammation.
During the first day, the patient will receive medical team visits to assess if the process is adequate and there are no complications. During the operation and the first days after surgery, the patient is treated with antibiotics to prevent infection and prevent possible capsular contracture. Postoperative discomfort or pain are normal, which will be controlled with painkillers, and also the feeling of pressure and even the feeling of milk coming in.
After surgery, the patient must wear a special bra for the first three days and then a chest strap or sports bra, which should be worn day and night for a month. That chest strap should only be removed for bathing. Your social life will continue within a few days, but your return to work will depend on the nature of the work you do. If it is an administrative job without much physical effort, you can return within a week after breast augmentation in Miami.
The body will always form a membrane made of collagen around the surface of the prosthesis. This membrane is called capsule. The formation of this capsule is a normal and expected reaction to any implant, not only breast implants. This occurs in cardiac implants, pacemakers, testicular implants, valves, etc. However, sometimes the membrane or capsule is thick or can be contracted slightly, causing a condition known as capsular retraction or capsular contracture.
This rare complication can cause less soft breast, which in most cases is not perceived by the patient and very occasionally cause discomfort such as twitching or a mild pain. If the patient feels some discomfort, she should see a plastic surgeon for a checkup so that the surgeon prescribes appropriate treatment. It is not advisable to self-medicate. Capsular contracture has four levels of intensity and level four is only operable, others can be treated with antibiotics and massages.
Results of breast augmentation in Miami
The patient must have patience because the result will be perceived gradually, and begin to be appreciated after the third month, a period needed for the breasts to soften and the prostheses to stabilize. By that time the inflammation will already have decreased. In addition to physical improvement, the psychological benefit is very important.
Duration of the breast implants
A breast implant, regardless of whether cohesive silicone gel or saline, has an indeterminate duration, which cannot be estimated a priori, since it depends on the possible complications that may arise. Since the duration of the implant cannot be predicted or guaranteed, it is recommended that after 10 years periodic checkups at your doctor’s to check the condition of the prosthesis and it should be your surgeon the one to discard that the implant has an abnormality. They currently have a very long life period, of more than 20 years, and many manufacturers offer a lifetime guarantee.
A good quality implant does not have a limited duration, there is no deadline after which it has to be necessarily changed.
A good quality implant does not have a limited duration, there is no deadline after which it has to be necessarily changed. It is not known whether breast implants last forever, but they do last many years as there are patients who have had breast implants for over 25 years and have no problems at all.
What determines the price of a breast augmentation?
- The clinic or hospital where the operation is performed: It is a variable point in terms of prestige and installations.
- Surgeon Fees: depend a lot on experience, prestige and the resume of the professional, and where the operation is performed. It is understandable that a plastic surgeon who has been doing this job many years, who has invested hundreds of hours in research, education, lectures, who has taught her colleagues and introduced new techniques, has a different salary than his colleagues who have not done the same. In addition, the patient can be sure that her operation will be a success with these types of surgeons. Not all plastic surgeons perform breast augmentation surgery in the same way and not all dominate all techniques. They usually have their preferences when it comes to a surgical approach (incision), implants and implant placement (submuscular or subfascial). Every patient who is in the hands of a good plastic surgeon with enough experience, is sure that the surgeon has the necessary training and competence to prevent these complications or treat these effectively when they arise.
- The type of implant: it also depends a lot on the quality of the prosthesis. The price difference is due to exclusive criteria of the suppliers and their greater or lesser international presence, which leads to a greater or lesser infrastructure. All prostheses used in Miami are certified and approved by the health authorities and have the highest safety and quality.
- The imperfections of the results: In rare cases the scar may have an abnormal evolution, it may be thickening or retracting. You may also experience breast pain and changes in nipple sensation. On the other hand, dissatisfaction of the aesthetic results can motivate reoperation or secondary surgery.
FAQ about breast implants
- Is it possible to breastfeed after a breast augmentation in Miami?
Implant placement behind the gland seems to have no influence on breastfeeding. It is important that in the first consultation with your plastic surgeon, you talk about your intentions to become a mother and breastfeed so that the surgeon takes that into account when choosing the placement of the prosthesis.
- Do breast implants favour the development of breast cancer?
The relationship between breast cancer and breast implants has been investigated and it showed no link between the two, therefore the implant of a breast prosthesis does not increase the risk of breast cancer. Moreover, plastic surgeons at cancer centers often use breast implants in reconstructive surgery when the patient has undergone a mastectomy.
- Is monitoring the breast possible?
Considering that the implant is behind the mammary gland, clinical monitoring is simple. The presence of an implant can modify the ability of X-rays to detect breast cancer. Patients who have breast implants should inform the radiologist about it so that the specialist can use specific methods and adapted to their case (ultrasound, digital mammography, etc.).
- Why were silicone implants so controversial some years ago?
Breast implants filled with silicone gel were accused of triggering autoimmune diseases in some patients. Today, many scientific studies show that there is no significant increased risk of autoimmune diseases in women who have breast implants and, in particular, those filled with silicone gel.
- Can my partner notice the prostheses?
One of the questions that women ask is whether their partner can notice the breast implants. The answer is that a perfectly tolerated implant can be noticeable depending on its position, its volume, the thickness of the gland and tissues. In general, you can feel its peripheral edge if you search for it, but this does not mean that it is not aesthetically pleasing to the touch, so there is no need to worry.
Anesthesia and hospitalization
Type of anesthesia: Usually general anesthesia is used so the patient is completely asleep.
Type of local anesthesia is used when the process is on outpatient basis and local anesthesia is combined with sedation.
Modalities of hospitalization: It is enough with one day of hospitalization and only when general anesthesia is applied to the patient.
Potential risks and complications of breast augmentation in Miami
There are risks and complications inherent to breast augmentation in Miami as it happens with any surgical procedure. The patient should know the potential risks and discuss questions and concerns with her surgeon before surgery.
Breast augmentation surgery presents some general risks associated with any surgery but they are very low. There are always some special risks associated with breast implants and among the most common risks that occur in saline implants is the loss of saline solution. Some saline prostheses can deflate in the first months after being placed and others after several years. However, some remain intact after 10 or more years after surgery. You cannot predict when it is more likely to occur. Rupture can occur due to any traumatic injury or to normal wear over time, with consequent saline leakage. This component is not harmful to the body as it is reabsorbed without problems or side effects.
There are risks and complications inherent to breast augmentation as it happens with any surgical procedure.
As a precaution for better healing it is recommended not to sunbathe for at least two months after the operation. You should check with your surgeon about the necessary rest period before returning to work, doing sports or having sex and also if massages are necessary.
History of breast augmentation surgery
As discussed breast augmentation in Miami is one of the most requested cosmetic surgeries nowadays. Breasts are considered as symbols of beauty, femininity and they have a direct impact on women’s self-esteem. Getting attractive or the chest desired by the patient is the priority for the plastic surgeon because no two breasts are alike, the anatomy of every woman is differen, there are always small asymmetries and each patient has their own aesthetic taste in size, form and expectations.
It is a very old surgery practiced since 1880 although the materials used at that time included, among other things, crystal balls, cartilage, sponges, and bags of different synthetic materials, etc. Many years later they began using teflon and silicone.
In 1940, many breasts were increased with liquids such as paraffin and other petroleum substances with disastrous results. Subsequently, industrial silicone and other silicone for medical use were used, which was sometimes introduced by unauthorized persons or with no experience, which caused consequences such as severe pain, discoloration of the skin, infection, ulceration, loss of breasts, liver problems and respiratory disorders, which in some cases could lead to death.
Until 1962 the breast augmentation intervention did not have a reliable technique. Two specialists devised the first breast implants consisting of a foil bags filled with silicone oil for medical use.
In 1963, the first silicone implant was introduced with molecules of high weight and gradually this kind of surgery began to be popular. In the 70s rupture rate of breast implants was very low but there were many other complications.
Until 1962 the breast augmentation intervention did not have a reliable technique.
Between 1972 and 1975, a much heavier molecule was introduced and polyurethane coating was developed, which caused a significant decrease in local complications, because at the same time the local inflammatory reaction that was generated was reduced.
Different materials were used for breast augmentation including silicone infiltrations injected directly into the breasts, which were popular during the 50s and 60s. These infiltrations provoked the development of silicone granulomas within the breast and tightening of the breasts which was sometimes so severe that women needed to undergo a mastectomy to solve the problem.
The implant surface became texturized in 1980, decreasing slightly the risk of rupture and capsular contracture and silicone gel diffusion into other tissues and, in general, significantly decreased the risk of local complications.
Currently, the silicone gel implants of the last generation are used in nearly 95% of breast augmentation surgeries with a very low risk of complications during each surgery.
Breast implants most commonly used today in breast augmentation in Miami are anatomical with textured surface.
Nowadays there is a great quality in the development and manufacture of implants, in all its different shapes and sizes including advances such as micro textured surface and a high cohesive silicone gel, among others.
With the advancement of technology, breast implants used in breast augmentation in Miami have evolved greatly, however, the original idea remains essentially the same: a bag filled with another element.
The most important part of an implant is the outer cover and it has evolved from the original model with a single layer to current multiple layers, more resistant to wear and to possible diffusion or leakage of the content outside the bag.
Another important element is the outer surface of the cover which has evolved since the smooth surface to current prostheses with textured surface, which are able to alter the shape and distribution of the fibers constituting the scar that forms around the prosthesis or capsule and thus greatly reduce the incidence of capsular contracture.
Finally the contents of the prosthesis, i.e. the filling, which initially was liquid silicone and that has evolved in its cohesiveness until the 90’s, when highly cohesive silicone in semisolid state was achieved, which prevents the possible migration or leakage in case of rupture. The main advantage of these prostheses is that they are very safe for the patient because in cases of rupture gel does not go outside, so it decreases the occurrence of rippling, which prevents reoperations. The possibility of diffusion, leakage and rupture of the implant decreases, so its half-life increases significantly.
Cohesive gel prostheses are able to maintain the shape and decrease the capsular contracture rate, rupture and rotation, which results in a decrease in reoperation rates, and, therefore, greater patient satisfaction.
Breast implants most commonly used today in breast augmentation in Miami are anatomical with textured surface as they provide a much more natural result both in form and to the touch. They correct breast asymmetries better.
For over a century, doctors and patients have become interested in subcutaneous injections for aesthetic purposes. The use of liquid silicone injected reached its fame in Asian countries in the 1950s and since then remains popular as a rapid method of feminization in transsexuals.
Liquid silicone injection is not available or authorized for use in humans, however, there are several preparations containing silicone in varying degrees, which some irresponsible continue injecting it into people. They have been known to use very large quantities, especially in cases of transsexualism. Amounts range of up to four and five liters, which are spread throughout the body as small or not so small infiltrations to modify the body and facial contour. Patients undergoing such interventions have a long latency period until the very onset of complications that can reach 20 years.
Complications are the result of multiple granulomas generated and multiple migrations that can generate large and spectacular deformities, severe inflammatory conditions, including death. Normally, it is not the nature of the granuloma which generates complications but the number, length and size of them. In addition, we must mention the effects related to quality and adulteration of injected silicone, the injected amount and the conditions under which it is injected.
Cohesive gel prostheses are able to maintain the shape and decrease the capsular contracture rate, rupture and rotation.
According to experts, breast augmentation does not prevent women from breastfeeding and it is not related to the appearance of breast cancer, on contrary to many beliefs about this surgery.
Besides, it does not affect the conduct of future diagnostic tests such as mammograms, although the specialist should be informed about the implants, to take this into account during the test.