Breast Augmentation

Breast Augmentation Surgery at our Miami Office

Breast Augmentation MiamiDo you feel that your breasts are lacking in volume? If so, you’re not alone – many women all over the world feel self-conscious about the size and projection of their breasts. Breast augmentation, also referred to as breast implant surgery, is a popular solution to this issue.

Breast augmentation is a plastic surgery procedure that increases breast volume and projection. This surgical option helps to fill out and improve 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 databank statistic reports of 2015, breast augmentation ranked as the number one cosmetic procedure, with 279,143 cases performed in that year. This is a 31% increase when compared to 2000.

When it comes to other plastic surgeons’ breast augmentation procedures, a frequent complaint is that the results do not look natural. Dr. Tal Roudner’s surgical goal is to augment the breasts as desired by the patient while maintaining the breasts’ natural and youthful appearance. Part of this is ensuring that any post-surgical marks will be minimal and well-camouflaged.

Dr. Roudner may use saline or silicone implants or fat grafting while performing the augmentation procedure depending on the patient’s desires and needs. Anatomical and soft-tissue characteristics will be taken into account when planning out the procedure.

View our Breast Augmentation Before & After Photo Gallery

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

Interested in Gummy Bear Implants for Your Breast Augmentation?

Breast Augmentation MiamiAside from the traditional silicone and saline breast implants we offer, we are also proud to provide gummy bear breast implants. These state-of-the-art implants are the newest option in implant technology and have already become quite popular.

The key difference between gummy bear implants and traditional implants is that gummy bear implants are filled with a highly cohesive silicone gel that is form stable, allowing the implant to maintain a natural breast shape at all times. This creates a natural breast appearance and feel.

Gummy bear implants also have the added benefit of being much less likely to rupture in case of injury due to the stronger nature of the shell of the implant and the silicone gel filling. Because of these benefits, gummy bear breast implants may be the ideal choice for you. Be sure to ask Dr. Tal Roudner about these implants to learn more information.

Find out more about Gummy Bear Breast Implants (Form Stable Highly Cohesive Gel Breast Implants).

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 Keller Funnel for both breast augmentation and reconstruction surgeries. Using the Keller Funnel can provide patients with the following benefits:

  • Shorter incision lengths
  • 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.

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, a board-certified plastic surgeon 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.

Dr. Roudner’s patients come to his state-of-the-art surgical center in Miami in search of both his expertise in breast augmentation and his personable approach. For more info on breast augmentation or to schedule an appointment for an informative consultation, simply call 305-767-7719 today!

Reasons for Breast Augmentation Surgery

Women who suffer from low self-esteem and feel lacking in femininity due to small breasts are often interested in breast augmentation. Those with asymmetrical breasts may find this helpful as well. Women who have lost breast volume after pregnancy or significant weight loss may be seeking out breast augmentation surgery as an effective solution.

What Can Breast Augmentation Do for Me?

Breast augmentation surgery can improve the shape, contours, and volume of the breasts. It may also improve on very mild sagging of the breasts and give more cleavage to certain patients. It can improve on some asymmetries of the breasts, creating a more even appearance. All these benefits may improve the self-esteem and confidence of women who have been bothered by these deficiencies.

Who Is a Good Candidate for Breast Augmentation Surgery?

Most healthy women 18 years of age are good candidates for saline implants, and most 22-year-old women are good candidates for silicone gel implants.

Women who are pregnant, breastfeeding, have an active infection, have malignant or pre-malignant breast cancer that has not been adequately treated, or are under the age of 18 are not good candidates for breast augmentation surgery.

People with poor overall health and a history of poor healing capabilities (such as smokers and those who abuse alcohol or various medications), those who have had previous breast surgeries, those who suffer from bleeding tendencies and infections, and those who are predisposed to develop a hardened capsule around the breast implant should be selected out carefully for surgery after these issues have been corrected.

Is Breast Augmentation Safe?

In the 1990s, an evaluation and subsequent approval of breast implants was triggered by questions regarding their safety. In 1997, an extensive study of breast implants was conducted by the federal Department of Health and Human Services, focusing on potential causes of disease, cancer detection, effects on pregnancy and children, and much more.

A conclusion was reached that there was no link between implants and any systemic or autoimmune diseases. Although some women who have implants may develop systemic disorders throughout their lives, the studies imply that the primary cause would be a pre-existing condition rather than a result of the implant procedure.

As of today, breast augmentation is approved by the FDA and is thus considered very safe. When you visit our office for your initial consultation, we will determine whether implants are suitable for you based on your individual health condition and medical history.

Breast Augmentation Surgery in Our Miami Office

Before 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.

During your consultation with Dr. Roudner, you will be able to communicate your breast enhancement goals. The better Dr. Roudner understands your breast volume and projection goals, the better he will be able to help you achieve them. You will also be able to ask any questions you may have regarding the breast augmentation procedure, preparation for the procedure, breast augmentation aftercare, and more.

One of the key issues that will be discussed during this consultation at our Miami office is your own personal goals and expectations for 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 natural-looking breasts with good shape and symmetry. During your consultation, 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 breastfeeding.

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 of implants are filled 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.

Breast Implant Incision Sites

Periareolar Incision

This incision is made at the border of the areola and the lighter breast skin. It is typically the most concealed option out of the four incision types and offers a good amount of control when it comes to creating the pocket and positioning the implant.

Inframammary Incision

This commonly used incision is made below the breast fold. It is generally less concealed than the periareolar incision but gives a faster approach for creating the breast pocket for the implant. Some recent studies have shown a lower capsular contracture (hardening of the breast) rate with the inframammary approach.

Transaxillary Incision

An incision is made in the axilla (underarm). An endoscope (lighted camera) is used to assist in creating the breast pocket for the implant. The incision is less concealed than the periareolar approach, and if a second procedure is needed in the future, scar tissue in the region may make this approach less attractive. This option also has a tendency to result in higher-riding implants.

Transumbilical Incision

During this method, an incision is made in the belly button and a tunnel created to the breast. This approach is only applicable for saline implants. It carries a higher risk of chest trauma, since it is a blind approach. This incision site is typically not recommended.

Breast Implant Placement

Subglandular Implant Placement

With this technique, the 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 breasts (ptotic breasts) but has a higher rate of capsular contracture and may make the breasts sag faster.

Submuscular Breast Implant Placement

This is the preferred implant placement option. In this method, 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” method).

This placement offers better coverage of the implants, reduces the palpability and visibility of the implants, and 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’s 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 regimen.

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

The procedure maybe performed under twilight sedation (the patient is sedated but not unconscious) with local anesthesia or it may be performed under general anesthesia. These options help to avoid any pain during the procedure by either numbing the region (local anesthesia) or placing them in a temporary unconscious state for the duration of the augmentation surgery (general anesthesia).

The procedure should take between 45 minutes and two hours depending on the case’s complexity, the surgeon, and the technique used. 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 inframammary 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, so any post-surgical marks 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 the implants 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

While you are healing, it is best to 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. The doctor and the nurses review post-surgical care instructions with the patients as recovery progresses. If you have any questions regarding your post-op instructions, please don’t hesitate to call our office.

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.

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. Avoid sun exposure for a minimum of six weeks and ideally for a six-month period.

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. It is not uncommon for one breast to swell more than the other. For most women, significant reduction of swelling begins by about the sixth week. Swelling continues to subside over a period of six months to a year.

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

How Long Will I Need to Recover from Breast Augmentation Surgery?

Patient should plan to have five days of rest, starting with complete bed rest the day of surgery. The day after surgery, the patient should be gradually becoming more mobile at home without strenuous activity (no heavy lifting). On day five, the patient should be able to drive.

By three to four weeks after the procedure, patients may be able to return to light activity at the gym with exercises like the stationary bike. By six weeks, the patient should be fully recovered.

Is the Recovery Process Painful or Uncomfortable?

It depends on the individual case. 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 three 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 safeguard 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 permanently. This is mostly due to nerve regeneration or compression and needs to be treated immediately.

Breast Implant Rupture and Leakage

Should any physical trauma occur to your chest, please call our Miami office. You will need to be checked to make sure the implants have not been damaged in any way, as damage to the implants could cause leaking or deflation.

Anytime you get a mammogram, be sure to let the technician know that you have breast implants so that a special technique can be used to prevent potential damage to the implant. A 2004 study of Food and Drug Administration’s (FDA) manufacturer and user facility device database revealed 66 reports of problems occurring during mammographic testing to women with breast implants, and 41 of these (62.1 percent) resulted from pressure applied by the machinery used for the evaluation. A possible reason is the implants’ obstruction of the internal tissue that is examined during the test, and thus a specialized technique is required to increase tissue visualization.

While the database does not track how frequently this problem occurs, it points to the necessity of taking precautions. In fact, additional studies by the FDA reveal that although implants have a higher risk of rupture after 10 years or more, mammographic testing is likely to increase the risk of breakage and subsequent leaking earlier in the implant’s’ lifespan.

It is very important to see Dr. Roudner immediately if you have silicone implants and are experiencing a confirmed or even suspected rupture.

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 due to scar-tissue formation around the implant), scarring, change in nipple sensation (undersensitive, oversensitive, or numb), and nipple-areolar compromise (extremely rare). Other less severe complications include asymmetry, rippling, palpability, malposition, rupture, deflation, and leaking.

With breast implants filled with saline 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 saline 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. Implants have been studied extensively by the FDA, and no correlation between the presence of the silicone implants and those symptoms has been found.

The FDA considers breast implants as a safe device to use in surgery. Ongoing studies are being conducted to further evaluate correlation between symptoms and the implants. Dr. Tal Roudner is one of the few selected investigator of the Natrelle 410 Highly Cohesive Form Stable Anatomically Shaped Implants also known as the gummy bear implants. He was selected as an investigator due to the amount of breast implants he uses and the length of time he has been using them.

There’s no evidence that breast implants could cause breast cancer. Some clinical studies have shown that women with breast implants may detect the presence of breast cancer earlier than women who do not due to the heightened awareness of their breasts and frequent breast massage.

Those with breast implants do not experience negative side effects in terms of fertility, pregnancy, or the ability to breastfeed, although breastfeeding may require additional supplementation.

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