Breast augmentation has given women throughout Miami and Florida added confidence in their appearance. Breast Augmentation is one of the most frequently performed procedures in the United States today. Breast implants enhance the size and shape of the breast by adding firmness and fullness. Breast augmentation can be used to enhance body symmetry and self-image primarily or following pregnancy. Breast implants can also be used for correcting asymmetry and for reconstructive purposes. We offer complimentary breast augmentation consultations at our Miami office.
The following is a review of the information you discussed personally with Dr. Gershenbaum regarding possible breast enlargement or augmentation. It is presented to aid you in making a decision regarding this surgery. Remember, each person’s surgery will receive very close special attention and individual thought, planning and care.
There are many details you will want to know and although you discuss them personally with Dr. Gershenbaum, this packet is made available to you so that you may refer to it and review it at your leisure. Please read all the information several times. Discuss any questions or comments with Dr. Gershenbaum prior to making any final decision regarding breast augmentation.
Miami cosmetic surgeon Dr. Gershenbaum routinely performs breast augmentation using either saline filled breast implants or the new FDA approved cohesive gel silicone implants. Most plastic surgeons and patients agree that the new cohesive silicone gel implants have a more natural feel. They are also less likely to produce rippling than saline breast implants. The cohesive gel implant will require a slightly larger incision to allow placement of the implant compared to a saline breast implant.
Breast Implants also come in different shapes and profiles. Anatomic or “teardrop” shaped implants were created with a more natural shape in mind and designed to be fuller at the lower half similar to a natural breast. However, this distinct vertical orientation can result in distortion or breast asymmetry if the implant should rotate. A textured surface allowing tissue in-growth helps reduce the chance of rotation however may result in more visible or palpable rippling. For these reasons, anatomic implants are not commonly used.
Dr. Gershenbaum routinely uses the most common, round implant. Since the breast implant is round, it is free to rotate without any adverse consequences. With gravity alone the saline or cohesive silicone gel will gravitate or fill the bottom portion of the implant when sitting or standing erect or fill the breast more uniformly when lying down supine, more closely imitating a natural breast. Unless otherwise indicated, Dr. Gershenbaum will use smooth round implants.
Breast Implant Location
The breast implant may be placed above the chest muscle (pectoralis muscle) or under the chest muscle. Dr. Gershenbaum generally places the implant under the chest muscle. Reasons for submuscular placement include a lower rate of capsular contracture (firmness and hardening of the healing tissues around the implant) and a more natural result due to more soft tissue coverage over the implant. Placement of the implant beneath the muscle may produce some movement and/or distortion of the breast and implant with active movement or exercise of the chest muscle, arms and shoulders.
Infra mammary Incision: placed in or near the crease under the breast
Areolar Incision: placed in the border of the lower part of the areola (pigmented area around the nipple)
Axillary Incision: placed in a natural crease in the hair bearing skin of the armpit
Trans-umbilical: incision in the upper aspect of the “belly button” – reserved for saline implants only
Dr. Gershenbaum generally prefers the areolar incision because of the excellent quality of the scars which are generally imperceptible. However, the final choice of incision placement will ultimately be up to the patient.
For breast augmentation contact this board certified plastic surgeon today. Dr. Sam Gershenbaum serves areas throughout Florida including Aventura, Boca Raton and Palm Beach.