Miami Breast AUGMENTATION

Are you looking for a change? Perhaps a you feel like your breasts are too small, lopsided or just do not have the right look. You are not alone. It is estimated that 71% of women are not happy with their breasts with 47% of women who are looking bigger breasts.

While surgery is not the answer to all your problems, it can help you get back your self confidence.

Dr. Bart Kachniarz is Miami’s top breast augmentation surgeon, with the skillset and latest technology to guide you in your transformation. Please contact us at 303-335-0369 to schedule your free consultation.

What is breast Augmentation?

Breast augmentation (or “Breast Augmentation Mammaplasty”) is an outpatient aesthetic procedure that enhances the natural form and volume of the breast. It utilizes a combination of implants and/or the patient’s own fat tissue to achieve a natural breast aesthetic, and provide for a harmonious, feminine physique.

Breast augmentation helps restore lost volume, particularly in the upper aspects of the breast, which may have been lost following pregnancy or weight loss.

It also may help correct any asymmetry in the breasts, particularly when combined with a breast lift procedure.

Breast augmentation enhances the fullness of the breast, offers a more balanced feminine physique, and can serve as a transformational confidence boost.

Who is a good candidate for breast implants?

Ideal candidates for breast augmentation:

• Are interested in improving the size and shape of their breasts

• Are generally healthy, without medical conditions that could impair healing

• Do not smoke or are willing to stop smoking before the procedure

• Have a thorough understanding of the risks and benefits of breast augmentation

• Have no recent changes in breast size and shape (ex. from weight loss or breast feeding)

During your consultation, Dr. Kachniarz will guide you through all of your options and help you decide whether breast augmentation is the right fit for you.

Choosing the Right Breast Implants

Finding the right implants is about what works best for you. We will walk you through the different types of breast surgery procedure and implants that are currently available.

Are saline or silicone implants better?

Both types of implants share a similar outer silicone shell, they are filled with distinct materials that dictate their properties. Silicone implants contain a silicone gel of variable cohesivity that mimics natural breast tissue; whereas saline implants are placed while deflated, and subsequently filled with medical-grade saline.

Silicone implants have a more natural look and feel compared to their saline counterparts. The cohesive silicone gel tends to “ripple” and distort less along the upper aspect of the breast and provides more fullness. This is particularly true among thinner patients, or when placed above the muscle.

Furthermore, modern silicone implants come in a wide variety of cohesivities that afford the surgeon greater nuance in individualizing results. Less-cohesive implants tend to have a more natural feel and teardrop shape when upright.

Gummy Bear implants are highly cohesive and optimize upper breast fullness and provide a smooth, shapely cleavage. Saline implants have the benefit of being placed through a slightly smaller incision, since they are inflated while inside the breast.

They also generally do not require imaging surveillance for rupture; ruptured saline implants deflate in size and are readily noticeable.

What are Gummy Bear Implants?

Gummy Bear implants are a type of high-cohesivity silicone implant, and are among the latest technology within the Natrelle lineup. The implants optimize upper breast fullness and minimize “rippling” of the skin.

They also minimize any leakage within the implant pocket in case of implant shell rupture. You may discuss whether Gummy Bear implants are the right fit for you during your complementary consultation.

How do you select your implant size?

The most valuable technique in selecting your implant size is using specifically-designed implant sizers. These are shaped silicone inserts that allows you to “try on” different sized implants. You will have an opportunity to actually feel the fullness and volume of your new breasts.

It is also imperative to assess the impact on your overall physique and achieve harmony with your hips, waist, and chest structure. During your consultation, Dr. Kachniarz will also take careful measurements of each breast to ensure perfect fit of the final implant.

Are implants placed above or below the muscle?

Breast implants are placed either above or, at least partially, below the pectoralis major muscle. The benefits of each approach and select the option that best suits your body and lifestyle.

Frequently, breast implants are placed partially under the pectoralis muscle, which is known as a Dual-Plane technique. The muscle over the upper aspect of the breast masks the shape of the underlying implant and provides for a more naturally-sloping shape.

The muscle also masks any “rippling” or distortion of the implant, which is particularly important in thinner patients or when using low-cohesivity or saline implants. Implants placed under the muscle have also been shown to have lower rates of capsular contracture, which occurs when a tight layer of scar tissue forms around the implant.

Implants may also be placed above the muscle, and underneath the breast tissue. This greatly speeds recovery, as the pectoralis muscle remains undisturbed. This technique also preserves native muscle function and eliminates the risk of animation deformity, which is particularly helpful among physically active patients.

Animation deformity may occur when the contracting pectoralis muscle pushes on the underlying breast implant. Implants placed above the muscle may be more visible; this may be alleviated with careful fat transfer to better mask the implant and provide a natural upper breast form.

Where is the incision for breast augmentation?

In the vast majority of patients, the incision is placed within the inferior fold of the breast, also called the inframammary fold approach. This technique provides the most direct access to the implant pocket with minimal disruption of native breast tissue.

It has also been shown to carry the lowest risk of capsular contracture; the incision hides seamlessly within the breast fold. Other less-commonly used approaches include the edge of the areola, armpit, and belly button. These techniques each have advantages that you may discuss with Dr. Kachniarz at your complementary consultation.    

What to Expect on the Day of Your Miami based Breast Augmentation Surgery?

Our experienced team at Belcerna Plastic Surgery Miami will help guide you in preparation for your breast augmentation surgery. Your safety is a paramount priority, which is why all procedures are performed at an accredited ambulatory surgery center.

For procedures performed under general anesthesia, you will be asked to see your primary care doctor for an examination and obtain basic bloodwork. We will also have your Marena postsurgical garment and any prescription medication ready prior to your procedure.

Breast augmentation surgery is most commonly performed under general anesthesia, although it may be performed while awake. You may discuss the best option for you during your complementary consultation.

The procedure takes approximately two hours and will go home the same day. Dr. Kachniarz will call you the evening after your procedure to check in and answer any questions that may have come up. You will have 24/7 access to your surgeon following your procedure.    

Recovery and Results

Recovery from breast augmentation depends largely on whether the implant was placed under, or above, the muscle. Patients with implants placed under the muscle will note a degree of muscle tightness, which can last a couple of weeks.

This sensation is greatly relieved by muscle relaxants, which are usually prescribed prior to your procedure. Implants placed above the muscle tend to have a much faster recovery, which is generally limited to surgical site tenderness and recovery from anesthesia.

How much does a breast augmentation cost in Miami?

Breast augmentation surgery in Miami costs approximately $10-12k using implants, and approximately $14k using your own fat transfer.

You may schedule a complementary consultation to obtain an individualized surgical quote.

Surgical pricing is all-inclusive; it includes the surgeon fees, facility and anesthesia fees, implants, sizers, Keller funnel, a Marena postsurgical garment, and a supplemental CosmetAssure insurance policy.

We never charge hidden fees.

Can you perform breast Augmentation using your own fat?

Yes, fat transfer breast augmentation is a great option for patients desiring a more modest increase in volume and a natural long-lasting result.

Most frequently, the abdomen, waist and flanks are liposculpted to obtain fat tissue for the transfer. To optimize fat survival, the REVOLVE system is used to purify the fat prior to transfer.

For patients who desire higher volume augmentation, fat transfer may be combined with implant placement to provide a more natural upper breast shape and better conceal the implant.

Dr. Kachniarz will help you decide whether this is the right option for you during your complementary consultation.

Is breast Surgery painful?

Placement of implants above the muscle yields a more rapid recovery, often limited to postsurgical tenderness that generally subsides after a few days to a week.

Placement of implants underneath the muscle does result in more muscle tightness in the chest, which may take a couple of weeks to resolve.

Muscle relaxants frequently help alleviate tightness as the muscle grows accustomed to the new implant position.

Full healing of the area may take up to six weeks and the procedure incision will continue to mature and fade for up to a year.

Can you combine breast Surgery with other procedures?

Yes, breast augmentation is frequently combined with other aesthetic procedures. The two most common procedures performed at the time of augmentation are a breast lift and tummy tuck.

You may discuss your individualized treatment plan with Dr. Kachniarz during your complementary consultation.

FRequently Asked Questions