Breast Augmentation

Breast Augmentation Surgery at our Miami Office

Breast Augmentation, also known as Breast Implant Surgery, is a plastic surgery procedure in which breast implants are inserted to change the appearance of the breasts by increasing volume and enhancing shape. Breast augmentation can give symmetry to breasts that are different sizes, restore a youthful look, and create a more feminine silhouette. For women who are unhappy with the size or shape of their breasts, breast augmentation can do more than just fill out their figure – it can improve self-esteem and allow them to feel confident in their bodies.

Why Choose Dr. Tal T. Roudner for Breast Augmentation?

Choosing an excellent plastic surgeon to perform your breast augmentation is extremely important to ensure that you get the results you want while minimizing any chance of complications. Tal T. Roudner, M.D.,  F.A.C.S., a board-certified plastic surgeon in Miami, Florida, is a highly skilled specialist in the fields of breast augmentation and reconstruction. In addition to Dr. Tal Roudner’s expertise, he is also known for his caring treatment and approachable personality. He will ensure that all your questions and concerns are answered as he works with you to develop a personalized treatment plan to meet your needs and exceed your expectations.

Some of the things that set Dr. Tal Roudner apart from other breast augmentation surgeons:

  • Experience – Dr. Tal Roudner has been performing breast augmentation surgery since 2005, as well as a range of other cosmetic and reconstructive procedures
  • Knowledge – Dr. Tal Roudner has performed research at world renowned institutions and has co-authored textbooks on cosmetic surgery
  • Skill – Dr. Tal Roudner is certified by the American Board of Plastic Surgery and has won numerous awards.
  • Artistry – Dr. Tal Roudner takes great care to provide natural looking results
  • Character – Dr. Tal Roudner is compassionate and prides himself on being available and accessible to his patients
  • Convenience –  Our state-of-the-art facility in Coral Gables includes an on-site operating room and is easily accessible to the greater Miami area

Reasons For Breast Augmentation

Breast augmentation is a personal choice, and one that many women make for a variety of reasons. The most important concern is that a patient makes an informed decision that feels empowering for them. Some common reasons that women choose breast augmentation:

  • Restore loss of breast volume after breastfeeding
  • Create symmetry for breasts that are different sizes from each other
  • Balance a pear shaped body with a larger lower half
  • Correct congenital defects, such as tubular or hypoplastic breasts
  • Breast Reconstruction after breast cancer
  • Resolve feelings of self-consciousness or lack of femininity

Who Gets Breast Augmentation Surgery?

According to the American Society of Plastic Surgeons, breast augmentation was the #1 cosmetic surgery procedure in 2017, with 300,378 patients opting for breast implants – a 3% increase from the year before. There is no one type of person who gets breast implants. Breast Augmentation patients defy stereotypes – our patients span a diverse range of ages, backgrounds, careers, and personalities.

Is Breast Augmentation Safe?

Breast Augmentation presents the common risks of any surgery. Breast implants were FDA-approved in 2006 and breast augmentation surgery carries a low risk of complications. Many clinical studies have been administered to evaluate the safety of breast augmentation, including an extensive study of breast implants 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. Results are conclusive that there is no link between implants and any systemic diseases or autoimmune disorders1. Although some women who have implants may develop diseases throughout their lives, the studies imply that the primary cause would be a pre-existing condition rather than a result of breast implants. Recent reports from the FDA do report the possibility of a link between breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and certain types of textured breast implants in a small number of patients2. Dr. Tal Roudner takes safety information into account, along with your individual goals and medical history, when determining which types of breast implants to recommend.

Dr. Tal Roudner’s clinic is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Dr. Tal Roudner is highly experienced and he and his specially trained staff prioritize patient safety and only use FDA-approved breast implants and state-of-the-art equipment. When you visit our office for your initial consultation, we will determine whether implants are suitable for you based on your individual health and medical history.

Am I A Candidate for Breast Augmentation?

As part of Dr. Tal Roudner’s commitment to safety, only patients who are good candidates for a safe breast augmentation procedure will be scheduled for surgery. Dr. Tal Roudner will take time during your initial consultation to discuss your goals for breast augmentation and perform a comprehensive analysis of your health. In general, good candidates for breast augmentation are:

  • Over 18 years old
  • In general good health
  • Non-smoking and free of alcohol or drug abuse
  • Not currently pregnant or breastfeeding

View our Breast Augmentation Before & After Photo Gallery

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

Your Breast Augmentation Consultation

The consultation is the first step in the breast augmentation process. Breast augmentation is not a one-size-fits-all procedure. Dr. Tal Roudner works with each patient to understand your goals, get a full medical history, and develop a personalized surgical plan. If you are over the age of 35, a mammogram and possible an ultrasound will also be necessary before you are approved for augmentation surgery. During your consultation, Dr. Tal 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. Dr. Tal Roudner will also explain what is and isn’t possible with breast augmentation to ensure that each patient has realistic expectations for the process and outcome of breast implant surgery.

Before Your Breast Implant Surgery

Once you have had your initial consultation with Dr. Tal Roudner and you have scheduled your surgery you will receive specific pre-surgery instructions. It is critically important that you follow all instructions and contact us immediately if you have any questions. You will have an appointment for any necessary pre-surgical tests and paperwork scheduled for two weeks before surgery. You will be given complete instructions, but some general guidelines include:

  • Avoid strenuous activity the day before surgery
  • Do not eat or drink anything, including water, after midnight before surgery
  • Shower the evening before surgery and abstain from any lotions, fragrances or deodorant the day of surgery
  • Have a plan in place for a friend or family member to transport you to and from surgery and stay with you during the first 24 hours of recovery

Choosing Breast Implant Size, Type and Placement

Before your breast augmentation surgery, Dr. Tal Roudner will discuss all of your options with you to determine your surgical plan. It is important that you communicate your breast enhancement goals, so that he understands the breast volume and shape you’re seeking and can help you achieve your goals. The goal of every breast augmentation procedure is to create natural-looking breasts with good shape and symmetry. Dr. Tal Roudner will work with you to choose a size that suit your natural frame and meet your goals.

Breast Implant Types

Saline vs. Silicone Breast Implants

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Saline Breast Implants
Saline is sterile salt water and saline breast implants are contained within a silicone shell. Saline implant shells are inserted empty and then filled by the surgeon once in place.

Silicone Breast Implants
Silicone is a synthetic material that is hypoallergenic, and to date has not known to cause any negative reactions in the human body. Silicone is thicker than saline and more closely mimics the natural look of breast tissue. The FDA regulates that women must be 22 years of age or older to receive silicone implants.

Gummy Bear Breast Implants
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 may be less likely to rupture in the case of injury due to the stronger nature of the shell of the implant and the cohesivity of the silicone gel filling. Learn more about Gummy Bear Breast Implants (Form Stable Highly Cohesive Gel Breast Implants)

Breast Implant Placement

What are the breast implant placement options?

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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) in the short term, but also has a higher rate of capsular contracture and may lead to sagging breasts in the long term.

Partial Submuscular (Dual Plane) 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. This placement can cause animation of the breast implants with muscle contracture and has a downward and outwards movement of the implants over time.

Breast Implant Incision Sites

Where are the primary breast implant incision sites?

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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 at the breast fold. It maybe slightly 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. Since this incision does not affect the breast ducts it reduces the possibilities of inability, or reduced ability to breastfeed.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 as if someone raises their arms while wearing a bathing suit the scars maybe visible. In addition when 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 and capsular contracture.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 Augmentation Combined With Other Procedures

Depending on your goals, Dr. Tal. Roudner may be able to combine additional procedures with your breast augmentation. For mothers who have concerns about other parts of their bodies, and are finished with childbirth, a mommy makeover procedure can be customized to address multiple areas of the body. Some patients may also require a breast lift in order to achieve a more youthful look. Dr. Tal Roudner is experienced in a full range of cosmetic procedures for breast, face, and body and will work with you to meet your goals.

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, our surgical team will confirm your details and prep you for surgery.

Anesthesia For Breast Implant Surgery

Breast Augmentation surgery may be 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).

How Long Does Breast Augmentation Surgery Take?

Procedure time will vary, generally between 40 to 90 minutes, depending on the complexity of technique required and any additional procedures.

What Type of Incisions Are Used for Breast Augmentation?

The location and size of your breast implant 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.

What Happens During Breast Implant Surgery?

Once the incisions are carefully place, Dr. Tal 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.

The Keller Funnel – As Seen on “The Doctors” TV Show on CBS

Dr. 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 Recovery and Results – What to Expect

You will be given complete post-operative instructions. Please follow all instructions carefully, as they are designed to help you have the best possible results from your surgery and minimize the risks of infection and scarring. If you have any questions regarding your post-op instructions, please don’t hesitate to call our office. You will experience some discomfort and pain for a few days after surgery, which you will be prescribed pain medication to help alleviate. 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 patients, significant reduction of swelling begins by about the sixth week and continues to subside over a period of six months to a year.

Keeping in mind that it is very important to follow all specific post-operative instructions, here are a few general guidelines:

  • Plan for a minimum of 5 days rest, with complete bed rest the day of surgery
  • Light activity may be approved the third week after surgery, with return to normal activities  approximately at six weeks after surgery.
  • Keep all scheduled post-operative appointments, starting with one to be scheduled 3 days after surgery
  • Wear a bra only if instructed to do so
  • Avoid sun exposure for a minimum of six weeks and ideally for a six-month period

Life With Breast Implants – Answers to Frequently Asked Questions

Can I breastfeed with breast implants?

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Breast implants should have a minimal to no effect on your ability to breastfeed according to recent studies of woman who had undergone breast augmentation surgery3. If you were able to breastfeed before breast augmentation then you should be able to do so after your surgery. That said, if you plan to become pregnant after your breast augmentation, let Dr. Tal Roudner know so that he can advise you on the best surgical options for you.

Will my breast implants look natural?

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Dr. Tal Roudner combines skill with artistry and extensive experience to ensure a natural looking enhancement.

Can breast implants rupture?

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Although breast implants can rupture, it is extremely rare – especially with new FDA-approved implants. Breast implant rupture in modern implants generally only occurs in traumatic situations such as a car accident. If rupture or leakage does occur, it should be treated, but it does not pose any immediate health risk. MRI’s scheduled at 3 years after the surgery and every other year therefore are recommended to evaluate the breast implants integrity. It is also recommended to change the implants overtime according to the manufacturer recommendations.

Will my breast implants harden?

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Breast implants that look or feel hardened are generally a result of capsular contraction. Dr. Tal Roudner takes every precaution to prevent this complication. Learn more about capsular contraction.

Can I get a mammogram with breast implants?

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Yes. Mammograms are an important part of preventative healthcare and women with breast implants should get them, but special techniques may be needed to get the most accurate result. Make sure to inform the technician that you have breast implants.

How will my breast implants look as I age?

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Dr. Tal Roudner carefully considers breast implant type and placement while keeping in mind your medical history, goals, and lifestyle in order optimize the longevity of your results. All of us experience aesthetic changes as we age, but certain factors such as excessive sun exposure or significant weight changes can increase the loss of elasticity.

How Much Does Breast Augmentation Cost?

Breast Augmentation with Dr. Tal Roudner is customized for each patient, and there are many factors that will determine the price of your procedure. When considering breast augmentation, it is important to factor your surgeon’s experience, results and dedication to patient safety into your decision. Dr. Tal Roudner offers financing options for qualified patients. The price range for a primary breast augmentation procedure is typically between $4000 and $8000 depending on the type of implants used. In some instances, more complicated cases may require additional procedures, such as the use of a surgical scaffold or Acellular Dermal Matrix (ADM), the cost can range up to $12,000. Your individual costs will be discussed at your initial consultation appointment.

Contact Us

Dr. Tal Roudner offers patient centered and comprehensive care from an experienced, well regarded, and board-certified surgeon. Contact us if you have any questions or if you’re ready to take the first step toward realizing your vision of natural looking breast enhancement.


1 Institute of Medicine (US) Committee on the Safety of Silicone Breast Implants; Bondurant S, Ernster V, Herdman R, editors. Washington (DC): National Academies Press (US); 1999.

2 https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm239995.htm

3Low Risk of Skin and Nipple Sensitivity and Lactation Issues After Primary Breast Augmentation with Form-Stable Silicone Implants: Follow-Up in 4927 Subjects Herluf G. Lund, MD, FACS Janet Turkle, MD Mark L. Jewell, MDDiane K. Murphy, MBA Aesthetic Surgery Journal, Volume 36, Issue 6, 1 June 2016,Pages 672–680, https://doi.org/10.1093/asj/sjv266 Published: 26 April 2016