Breast Augmentation Miami

Breast Augmentation Miami

Breast Augmentation Video Testimonials

Breast Augmentation in Miami, FL by Dr. Tal Roudner – Breast Augmentation Surgery (Augmentation Mammaplasty)

 

View our Breast Augmentation Before & After Photo Gallery

Breast Augmentation Before & After Photos

(Click to view our entire Breast Augmentation Before & After Photo Gallery)

Breast Augmentation Surgery at our Miami office

Breast Augmentation MiamiChoosing an excellent plastic surgeon to perform your breast augmentation is extremely important to ensure that you attain the desired results. Dr. Tal Roudner in Miami, a Board Certified Plastic Surgeon, is a specialist in the fields of breast augmentation and enhancement. Dr. Tal Roudner’s patients come to his state-of-the-art surgical center in Miami in search of both his expertise in breast augmentation and personable approach. For more info on breast augmentation or to schedule a consultation simply call (305) 443-3531 today!

Breast augmentation, also referred to as breast implant surgery, fills out and improves the silhouette of the body for a more feminine figure.

Breast augmentation is the most popular cosmetic surgical procedure in the U.S according to the American Society of Plastic Surgeons. In their cosmetic national data bank statistic reports of 2014, breast augmentation ranked as the number one cosmetic procedure with 286,254 cases preformed in that year. That is a 35% increase when compared to 2000.

Dr. Roudner’s surgical goal is to augment the breast as desired by the patient, while maintaining a natural and youthful appearance of the breast with minimizing visible scars.

Dr. Roudner may use a Saline or Silicone Implants or use fat grafting while performing the augmentation procedure depending on the patients desires and needs while taking into account anatomical and soft tissue characteristics.

To find out more about breast augmentation and to schedule your consultation with Dr. Roudner, please call our Miami office today at (305) 443-3531.

The Keller Funnel – As seen on “The Doctors” TV show on CBS

Keller Funnel for Breast Augmentation as seen on The Doctors TV ShowDr. Tal Roudner uses the new Keller Funnel for both breast augmentation and reconstruction surgeries. Using the Keller Funnel can provide patients with the following benefits:

  • Shorter incision lengths
  • No touch technique
  • More choices for incision placement
  • Reduced force on the implant and incision
  • No touch technique which reduces the chance of capsular contracture (hardening of the breast).
  • Reduced force on the implant and incision decreasing trauma to the tissues and implants.

Click to read more about the Keller Funnel and its benefits.

Interested in Gummy Bear Implants for your Breast Augmentation

Breast Augmentation MiamiView the newest “Gummy Bear” Breast Implants (Form Stable Cohesive Gel Breast Implants).

The key difference between gummy bear implants and traditional implants, is that “gummy bear” implants are filled with a cohesive (sticks together) silicone gel that is form stable, allowing the implant to maintain a natural breast shape at all times. This allows for a natural breast appearance and feel. “Gummy bear” implants are much less likely to rupture in case of injury due to the stronger nature of the shell of the implant and the silicone gel fill.

If you’re interested in breast augmentation using “gummy bear implants” just call our Miami office at (305) 443-3531 to schedule a consultation.

Breast Implant Placement: Sub-Glandular VS Sub-Muscular

Breast Implant Placement: Submuscular vs Subglandular

Breast Implant Placement: Submuscular vs Subglandular

Sub-Glandular Breast Implant Placement

Breast Implants Surgery PlacementThe breast implant is placed between the pectoralis muscle and the glandular and soft breast tissue. This placement may reduce surgery and recovery time and may be less painful. It may improve the appearance of sagging breast (ptotic breast) but has a higher rate of capsular contracture and may make the breast sag faster. It has fallen out of favor.

Sub-Muscular Breast Implant Placement

The implant is placed below the chest muscle (pectoralis major muscle) or partially under the muscle in its superior portion and under the breast tissue in its inferior pole; also know as a “dual plane”. This placement offers better coverage of the implant, reduces the palpability and visibility of the implants as well as reduces the risk of developing capsular contracture. Another benefit of this approach is the increased amount of breast tissue that is visible on mammographic imaging of the breast.

 

 

Contact us for a free consultation in our Miami office.

From the FDA: About Breast Implants.

Breast Augmentation Surgery in our Miami office

Breast Implants Surgery PlacementBefore your breast augmentation surgery is scheduled, you will meet with Dr. Roudner at our Miami office to discuss breast augmentation and determine whether this procedure is truly right for you. One of the key issues that will be discussed during this consultation at our Miami office is your own personal goals and expectations from the augmentation surgery. At times people may have an unrealistic expectation for what breast augmentation can do, and Dr. Roudner wants to make sure you understand completely what this surgery can and cannot do.

The goal of every breast augmentation procedure is to create a natural-looking breast with good shape and symmetry. During your consultation at our Miami office, Dr. Roudner will ask questions about your current health and your health history, and it’s important that these questions are answered completely and honestly. Current and past medications will be discussed as will your plans for the future including goals for weight changes, pregnancies and breast feeding.

Breast Augmentation Miami FL

A thorough examination will also be performed during your breast augmentation consultation. During this examination, Dr. Roudner is looking for any unusual masses that may require a work-up as well as any asymmetries or other unusual conditions. Multiple measurements will be taken for your chart, and Dr. Roudner will take photographs as well for your medical record. If you are over the age of 30, a mammogram will also be necessary before you are approved for augmentation surgery.

Another important consideration that will be discussed during your consultation at our Miami office is the type of breast implants to be used in your augmentation surgery. Today’s new generation implants are filed with saline or silicone gel, the type that is appropriate for you will vary based on the goals of your surgery and the current size and shape of your breasts. Dr. Roudner will review the advantages and drawbacks of each type of implant with you to help you understand why one type of implant may be better for you than the other.

View our Breast Augmentation Before & After Photo Gallery

Miami Breast Augmentation Before & After Photo

(Click to view our entire Breast Augmentation Before & After Photo Gallery)

Breast Augmentation specialist and Board Certified Plastic Surgeon in Miami

Miami Plastic Surgeon: Tal T Roudner, MDChoosing an excellent plastic surgeon to perform your breast augmentation is extremely important to ensure that you get the results you want with minimal complications. Dr. Roudner in Miami, Florida, is a specialist in the fields of breast augmentation and reconstruction.

In addition to Dr. Roudner’s knowledge, he is also a compassionate and caring doctor who understands the natural association between a woman’s physical figure and her sense of self. He will listen carefully to your needs and concerns and make sure that all your questions about your breast augmentation surgery are answered.

To find out more about breast augmentation and to schedule your consultation with Dr. Roudner, please call our Miami office today at (305) 443-3531.

Breast Implant Incision Sites

Breast Implant Incision: Periareolar Incision

Breast Implants Surgery Periareolar Incision
An incision at the border of the areola and the lighter breast skin is made. This incision is typically the most concealed out of the four type of incision and gives an excellent approach to create the pocket and position the implant.

Breast Implant Incision: Inframammary Incision

Breast Implants Surgery Inframammary Incision
Commonly used incision made below the breast fold. This incision is generally less concealed than the periareolar but gives a faster approach to create the breast pocket for the implant. Harder to control the infra-mammary fold and can not be used in certain cases.

Breast Implant Incision: Trans-axillary Incision

Breast Implants Surgery Trans-Axillary Incision

An incision is made in the axilla (underarm). A endoscope (lighted camera) is used to assist in creating the breast pocket for the implant. Scar is less concealed then the periareolar approach and if a second procedure is needed in the future scar tissue in the region may make this approach less attractive. Also has a tendency to have higher ridding implants with this approach.

Breast Implant Incision: Trans-umbilical Incision

An incision is made in the belly button and a tunnel created to the breast. This approach is only applicable for saline implants. Higher risk of chest trauma since it is a blind approach. This incision site is not recommended.

Breast Implant Placement

Sub-Glandular Implant Placement

Breast Implants Surgery PlacementThe breast implant is placed between the pectoralis muscle and the glandular and soft breast tissue. This placement may reduce surgery and recovery time and may be less painful. It may improve the appearance of sagging breast (ptotic breast) but has a higher rate of capsular contracture and may make the breast sag faster. It has fallen out of favor.

Sub-Muscular Breast Implant Placement

The implant is placed below the chest muscle (pectoralis major muscle) or partially under the muscle in its superior portion and under the breast tissue in its inferior pole; also know as a “dual plane”. This placement offers better coverage of the implant, reduces the palpability and visibility of the implants as well as reduces the risk of developing capsular contracture. Another benefit of this approach is the increased amount of breast tissue that is visible on mammographic imaging of the breast.

Prepping for Breast Augmentation Surgery at our Miami office:

Once your augmentation surgery is scheduled, Dr. Roudner will give you very specific instructions to follow in the days preceding your surgery to make sure you have the best possible outcome with a minimal risk of complications.

You will meet with Dr. Roudner at our Miami office two weeks prior to your surgery. This appointment is important because at this time, Dr. Roudner staff will perform any necessary blood work or other tests. You will also sign consent forms and fill out medical clearance paperwork.

You may be asked to stop or avoid certain medications and supplements before your breast augmentation surgery as these can put you at an increased risk for bleeding. Dr. Roudner will also discuss your diet and lifestyle with you and make recommendations for a healthy pre-op diet and exercise.

On the day before your breast augmentation surgery, avoid strenuous exercise. Before you go to bed, take a shower and follow Dr. Roudner’s instructions for cleaning your breast area, which may include using a special antimicrobial soap. Once your skin is clean, do not apply any lotions, creams, powders, fragrances or deodorant. After midnight, do not eat or drink anything. This includes water.

You will need to make arrangements ahead of time for a friend or family member to drive you to and from our Miami office and also to remain with you for at least the next 24 hours while you are recovering from the anesthesia. If you have children, pets or other important responsibilities, make plans to have someone available to help you for the next several days while you are recovering from your breast augmentation surgery.

The Breast Augmentation Procedure:

Your procedure will mostly likely be performed in the surgical suite at our Miami office. In some cases, we may feel that it is necessary to move your procedure to one of Miami’s excellent local hospitals. If so, we will discuss this prior to scheduling your breast augmentation surgery.

Once you arrive at our Miami office you will be marked, prepped and anesthetized and your augmentation surgery will begin. Your implants will be placed through the incisions that Dr. Roudner will create. The location and size of these incisions will depend on your current breast size, the planned increase to your breast size and which type of implant you will be receiving. Dr. Roudner typically places the incisions for implant insertion at the infra mammary fold or as a periareolar incision (semi – circular incision in the lower portion of the areola).  

Because the goal of breast augmentation is to create more aesthetically pleasing breasts, Dr. Roudner will be careful to place your incisions in such a way that they will blend in with your own natural contours and scarring will be very minimal.

Working through the incisions, Dr. Roudner will create pockets to hold your implants in place. Once the pockets are created, your implants will be placed. When they are properly secured, your incisions will be closed, and you will be moved to the recovery area at our Miami office.

What to expect following your Breast Augmentation Surgery:

For the first few days following your augmentation surgery, you can expect to have some pain and discomfort. Dr. Roudner will help to alleviate your discomfort with prescription pain medication. About three days after your surgery, you will return to our Miami office so Dr. Roudner can examine you and make sure your implants are placed correctly and your incisions are healing well. You will continue to have follow-up appointments at our Miami office for the next year, and it’s very important that you attend these appointments as scheduled so Dr. Roudner can check your progress.

You can expect some swelling after your surgery, and initially it may obscure your true results although the increase in breast size will be immediately evident. For most women, the swelling goes down by about the sixth week.

While you are healing, follow Dr. Roudner’s post-operative instructions very carefully. These instructions are designed to help you have the best possible results from your surgery and minimize the risks of infection and scarring. Dr. Roudner will direct you to only wear a sports-type bra for the next three weeks following your surgery. After that, you can return to your preferred style of bra. If you have any questions regarding your post-op instructions, please don’t hesitate to call our Miami office.

Breast augmentation is a surgical procedure, and like any surgery, has risks of complications. Dr. Roudner will monitor you carefully for any complications, and you should contact our Miami office right away if you experience any complications such as bleeding, infection, hardening of your breast or changes in sensation in your breasts and nipples.

Should any trauma such as a hard hit occur to your breast, please call our Miami office. You will need to be checked to make sure the implant has not been damaged in any way as damage to the implant could cause leaking or deflation. Any time you get a mammogram, be sure to let the technician know you have breast implants so a special technique can be used to prevent damage to the implant.

Anesthesia used for Breast Augmentation:

The procedure maybe performed under twilight sedation (person is sedated but not unconscious) with local anesthesia or it maybe performed under general anesthesia.

Breast Augmentation Surgery length of time:

The procedure should take between 45 minutes to two hours depending on the complexity of the case the surgeon and technique used.

Breast Augmentation Post-Surgery:

The patients are seen in the office and follow a protocol given at the time of pre-operative visit. The doctor and the nurses review the instructions with the patients as recovery progresses. The first 3 weeks after surgery only sports bras are used and after that a wire bra maybe used. Swelling subsides over a period of six moths to a year but significant reduction of swelling is noticed by six weeks. It is not uncommon for one breast to swell more then the other.

The post-operative instructions are to avoid sun exposure for a minimum of 6 weeks but ideally a 6 months period.

Breast Augmentation Recovery Time:

Patient should plan to have 5 days of rest with complete bed rest the day of surgery except for getting up to the restroom. The day after surgery the patient should be out of bed gradually mobilizing at home with out strenuous activity. On day five the patient should be able to drive. Gradual light exercise maybe started on the 4th week after surgery with full activity at six weeks after the surgery.

More info regarding Breast Augmentation by our Miami Surgeon:

Any surgery has risk and possible complications. Serious complications after breast augmentation surgery are rare, but may include: Post- surgical bleeding (hematoma), infection, seroma, capsular contracture (hardness of the breast- scar tissue formation around the implant compresses the implant), scaring, change in nipples sensation (undersensitive, oversensitive or numb), nipple areolar compromise (extremely rare). Other less sever complications: asymmetry, rippling, palpability, malpostion, rupture, deflation, leaking.

With breast implants filled with saline (salt-water) solution, a deflation of the implant due to a break in the shell of the implant will be noticed as a reduction in the size of the breast, your body will absorb the solution with no harm.

Although it is rare, women with breast implants may experience symptoms such as joint pain or swelling, fever, fatigue, breast pain and others symptoms associated with diseases of the immune system. The implants were studied extensively by the FDA and no correlation between the presence of the silicone implants and those symptoms has been found. The FDA considers the implants as a safe device to use in surgery. On going studies are being conducted to further evaluate correlation between those symptoms and the implants.

There’s no evidence that breast implants cause breast cancer, some clinical studies have showed the females with breast implants may detect the presence of breast cancer earlier then women that do not due to the heightened awareness of their breast and frequent breast massage.

No negative effect of the implants on fertility, pregnancy, or the ability to breast feed has been found although breast feeding may require additional supplementation.

Women with breast implants require special technique while obtaining a mammogram and should make the technician aware that they have breast implants.

Reasons for Breast Implant & Augmentation Surgery

Women who suffer from low self esteem and lose of femininity due to a congenital or acquired absence or small breast. Women with asymmetric breasts or women that have lost their breast volume, shape and form after pregnancy or significant weight lose could be great candidates for breast augmentation surgery.

What can Breast Implants & Augmentation do for me?

Breast augmentation surgery can improve the shape, contour and volume of the breasts. It may also improve on very mild sagging of the breast as well as give more cleavage to certain patients. It may also improve on some asymmetries of the breast creating a more even appearance. All these benefits may improve the self esteem and confidence of women that have been bothered by these deficiencies at a young or more maturing age.

What anesthesia is recommended for Breast Augmentation surgery?

The procedure can be performed either under twilight sedation (person is sedated, but not unconscious) with local anesthetic or under general anesthesia.

Who is a good candidate for Breast Augmentation surgery?

Most healthy women 18 years of age are good candidates for saline implants and 22 years old women are good candidates for silicone gel implants. (Women how are not good candidates for breast augmentation surgery are women who are pregnant, breast-feeding, have an active infection, have malignant or pre-malignant breast cancer that has not been adequately treated, or are under the age of 18). People with poor overall health and history of poor healing capabilities (such as smokers, chronic alcohol users and various medications), who have had previous breast surgeries, suffer from bleeding tendencies, infections and are predisposed to develop a hardened capsule around the implant should be selected out carefully for surgery after these issues have been corrected.

How long will I need to recover from Breast Augmentation surgery?

Patient after breast augmentation surgery should have 5 days of rest at home. By the fifth day the patient should be able to drive and by 7 to 10 days should be able to return to non- strenuous work (no heavy lifting). By three to four weeks a gradual return to activity at the gym with exercise like stationary bike are OK. By six weeks the patient should be fully recovered except for rare cases.

Is the recovery process painful or discomforting?

It depends on the individual. Some patients recover with minimal pain or discomfort while some others have a more difficult time after surgery. Most patients have moderate pain in the first 3 days after surgery. After that period things improve rapidly. The more active the patient becomes the more often pain stops them from more strenuous activity. That is the safe guard mechanism of the body to prevent injury. The patient should stop any activity at that point and rest. In very rare occasions pain persists for a long period or permenantly and is mostly do to nerve regeneration or compression and needs to be treated if possible.