Breast Augmentation Overview
At Aesthetic Enhancements Plastic Surgery in Orlando, board-certified Plastic Surgeon Dr. Armando Soto offers his patients the benefit of years training under some of the nation's preeminent experts in surgery. This includes breast augmentation to improve breast volume and shape. Breast augmentation most often involves the use of implants to increase or restore volume to the breasts, and is ideal for patients who want to move up a cup size or for patients who have lost breast volume after pregnancy. Implants are available in many shapes and sizes to create the silhouette and appearance each patient desires using silicone cups that are either filled with a saline solution or silicone gel. Instead of implants, patients can also choose to have a fat transfer to the breasts, which is a great option for those who have excess fat on their body and want a more natural-looking result. Whatever method you prefer, Dr. Soto will be able to discuss the varying details of each option during your consultation to develop a customized treatment plan.
Breast Augmentation Reviews
"Needed Two Revisions but Finally Got It Right with Under Muscle Implants - What a great site for answers and looking for the most experience and competent surgeon.My Dr.not only fits this description he was an exceptional listener to All of my concerns. I met him when my girlfriend and I went to his office for laser resurfacing which also turn out amazing.I have been leery for years of PS's as I have had two breast augmentation surgeries and was not pleased with either one. The first one over 25 years ago and the second one just 15 years ago. I had both done over the muscle. As of late my left breast was experiencing capsular contraction. Dr. S told me I didn't have to live like this and we scheduled the exchange of implants (saline to silcone), and placing them under the muscle.The day of the operation I had no anxiety as I felt I had done all my research, check out the qualifications of my surgeon and had also talk to the anesthesiologist. After veiwing this site, I can't agree more with others who wrote how important it is to research and find the best doctor for your specific needs.My operation was a complete sucess. For the first time in a very Long time I am Absolutely thrilled with the results!!! And so is my husband. I only wished I had met Dr. S and his caring staff years ago. And I am 50 with beautiful breasts!! "- 5. / RealSelf / Jul 16, 2009
"First-rate Doctor - Orlando, FL - I remember the first time I walked into Dr. Armando Soto's office, I felt like I was at home. It was a very peaceful environment, the staff was very kind and sweet. Then, I met Dr. Soto he gave me such a good vibe that I knew at the moment that I met him that I wanted him to perform my breast augmentation surgery. I had visited other doctors and I had other consultations scheduled after I met with him but after meeting with him I cancelled the other appointments and decided to go with him. I really want to share what a great experience I had with Dr. Soto. He is a great surgeon and did an excellent job with my breasts. I truly recommend him with me eyes closed. The surgery was so smooth, I did not feel anything at all. I am so happy with the results! Dr. Soto and his staff are so caring and wonderful. I do not regret at all choosing Dr. Soto for my breast augmentation. I thanked god for finding him. I will always be thankful with him and his staff because they were awesome! I cannot describe what an excellent service. I felt and feel safe at Dr. Soto's facility. Thank you so much for everything! Without a doubt the best surgeon in town! God bless you! :). "- C. / RealSelf / May 19, 2014
"Consultation with Dr. Soto - Orlando, FL - I'm so grateful to have had a consultation with Dr. Soto today. As a result of this site I was able to get a free consultation. The fee to book the appointment was $25.00. Dr. Soto definitely live up to his five star review. He listened, he answered all of my questions and took various measurements of my breast. He's board certified and creates absolutely wonderful mommy makeovers. The quote that I received for the mommy makeover with breast implants (no lift) was $14,171.00. If I had all of the money right now I would have the surgery today. However, after reviewing, I would only be able to get the breast augmentation done at this current time.I'm happy that I've found Dr. Soto. He carefully listened to the outcome I am seeking and answered all of my questions. He certainly lived up to his five star reviews. Initially, I was soo embarrassed to show my body but Dr. Soto make me feel at ease. He is a plastic surgeon and is obviously fixing patients imperfections, I should have not been embarrassed-but I still was. My goal is to have my surgery in June. Yaaay.I'm now awaiting a quote for the breast augmentation only. I will post that price once I receive it. Thank you RealSelf and thank you Dr. Soto for your time and expertise. It was deep appreciated. :). He carefully listened to the outcome I am seeking and answered all of my questions. :) "- G. / RealSelf / Apr 06, 2015
"My New Breasts Complete Me - Orlando, FL - Dr. S preformed my Breast Augmentation surgery 12/21/09. I got a lift and implants of 400cc's. I went from a B to a D (in some bras I am now a DD). I will be honest. 2 weeks before I met Dr. S, I found a "good deal" coupon for a local surgeon. I quickly called the practice and after only 1 visit with the competitor, I booked my surgery. When mentioning the other surgeon's name to a close friend, I realized what a HUGE mistake I was making by considering using this other doctor. Turns out the other doctor was not Board Certified by the ASPS and had a HORRIBLE reputation! I am thankful that I found Dr. S and had a great experience. Some others aren't so lucky. Certification by an ABMS Member Board involves a rigorous process of testing and peer evaluation that is designed and administered by specialists in the specific area of medicine. Did you know that someone can be board certified in other areas (not plastic surgery) and list "board certified" on their qualifications? Seems like false advertising to me, but it's done all the time. I am 120% happy with my results with Dr. S. He is phenominal! "- N.N. / RealSelf / Mar 17, 2010
"Awesome Experience - Orlando, FL - Dr. Soto and his staff are always approachable with any questions I have. I loved the results of my breast augmentation and lift immediately after the surgery but when I finally put on my fitted shirts I was ecstatic!! For the first time in years I loved the way I looked. I am so glad I took the referral of a friend and came to see him. I could not have asked for a better outcome."- L. / RealSelf / Feb 06, 2014
Saline vs Silicone vs Fat
Saline Breast Implants
Saline implants have always remained a positive choice for patients when deciding what type of implant to use for breast augmentation. Because these implants are filled with a sterile saltwater solution, any potential leakage does not pose a threat as the solution is safely absorbed by the body. Saline implants also cost less than the silicone type. Disadvantages of saline implants are most often related to patient dissatisfaction caused by the ability to see and/or feel the implant through the skin, or because they look less natural than the patient hoped. This is caused by rippling of the implant and is much more common with saline implants than with silicone gel. This is especially something to consider for women who are thin and have low breast tissue volume of their own. Those who opt for this type of implant must be at least 18 years old.
Silicone Breast Implants
Silicone breast implants are the most popular implants currently in use, and are highly recommended by surgeons for patients who are thin and desire a more natural look. Since the FDA validated their safety and efficacy, safety concerns surrounding these implants are no different than those of saline, provided you adhere to recommended follow up. The silicone shell is prefilled with silicone gel and comes in different sizes, shapes and textures. Unlike saline implants in which leakage is absorbed by the body and implant volume appears to visibly diminish over time, it is difficult to tell when a silicone implant ruptures. An Ultrasound or MRI is usually required to detect any rupture- Aesthetic Enhancements now offers high resolution ultrasound evaluation of breast implants for the peace of mind of his patients. Patients considering silicone implants must be at least 22 years old, except under specific circumstances.
For patients who desire fuller breasts but do not want an artificial implant to achieve this look, there is also an option known as a fat transfer. In this procedure, the doctor will harvest fat from donor sites of the patient, such as the flanks, abdomen and thighs via liposuction. The fat collected will undergo a process of refinement and purification, and then is gradually re-injected into the breasts with smaller syringes so the shape is evenly distributed. This technique is best suited to those women whose goals include a more modest increase in size.
Breast Augmentation Product Information
There are several manufacturers approved by the FDA.
- Natrelle by Allergen – silicone and saline-based implants
- Mentor – silicone and saline-based implants
- Sientra – silicone-based implants
Breast implants come in a variety of different profiles. The selection is most appropriately based on the patient's goals for appearance and the details of her examination. Close communication between yourself and Dr. Soto about your goals, your exam and history, and how these affect the planning of your procedure, will maximize the likelihood of safely achieving those goals and your ultimate satisfaction.
The standard shape of a breast implant can either be rounded or tear-drop shaped. Each shape serves a different aesthetic function as it pertains to the patient’s goals. Because almost all tear-drop shaped implants come with a textured surface (where the surface of the implant feels like sandpaper), and we currently believe that this textured surface is linked to a rare form of cancer, Dr. Soto does not use tear-drop shaped implants and believes they should be avoided. It has been his experience that women can achieve the desired natural look by careful planning and execution with safer, smooth-shelled implants.
Implants are made with either a smooth or a textured surface. In general, smooth implants cost less and are more common. The textured implants were initially conceived out of the idea that it reduces the chances of capsular contracture (the constriction of scar tissue around the implant) although this is no longer believed to be a real benefit. The textured type is more common with the teardrop shape as the rough texture adheres to tissues helping the implant stay in place. As mentioned above, use of implants with a textured shell is now believed to be associated with an increased risk of a rare cancer. Because this risk does not seem to occur when a smooth implant is used, Dr. Soto ONLY uses smooth implants at Aesthetic Enhancements Plastic Surgery & Laser Center.
The two most common placements are on top of the chest muscle (Pectoralis Major)or under it. Most experienced surgeons (including Dr. Soto) agree that the most favorable benefit to risk ratio for the majority of women occurs when the implants are placed behind the muscle. There are certain circumstances in which it may be better for you to have the implant placed in front of the muscle, but this would necessarily require you to accept higher risks of complications over time. Dr. Soto will review the pros and cons with you in detail and answer all questions at your consultation.
There are several standard incision approaches for breast implants. The most common is known as an inframammary incision, which is an incision near the breast fold. Second, is an incision made under the areola, which is known as a peri-areolar incision. A third option is to place the incision within the armpit, known as a trans-axillary approach. There is also an incision approach that takes place around the belly button, but this is the least recommended way. While Dr. Soto has experience with all of these options, because of increased rates of patient satisfaction and significantly reduced rates of complications, he most often recommends using an easily hidden incision near the crease under the breast.
Plan Your Procedure
- Procedure Recovery Location
Breast Augmentation During/After Surgery
Breast augmentation is an outpatient procedure that may last from 45 minutes, to several hours if combined with other techniques. It is performed using general anesthesia in Dr. Soto's internationally accredited and on-site surgical facility. All activities must be limited within 48 hours after surgery. There may be bruising and swelling, and a compression support bra will also be worn to help in healing. It is normal to feel pressure and tightness around the chest area as the tissues adjust to the breast’s new shape. Most patients can resume daily activities within a few days; exercise should be avoided for 4-6 weeks. Depending on the patient and the details of her surgery, it may take a few months for the breasts to look, feel and function normally in regards to softness, sensation and final placement.
Breast Augmentation FAQs
Natural or Artificial?
This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. The vast majority of patients now choose silicone gel filled implants, due to their more natural appearance and feel to the touch. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.
Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and look and feel more natural. The rates of reported complications have significantly decreased in the last decade.
Implant or Lift?
Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. In some cases the procedures are performed simultaneously when it is agreed that a breast lift with augmentation is necessary.
Today’s silicone implants are strong, durable and safe. Technical advancements have come so far, that most often, even if a silicone implant does rupture, the bonds between the silicone molecules will keep the material in place. In a rare case that a silicone implant does rupture, an Ultrasound or MRI will be needed to detect the rupture. This is the reason Dr. Soto acquired a high definiton ultrasound machine for his practice. These exams are recommended periodically beginning 2-3 years after your initial augmentation procedure.
Implants may last up to 15 years, depending on the details of your procedure and your lifestyle. As long as the implant shows no signs of damage or visible defects, such as breast rippling or a deformity, replacing them is not necessary. What’s necessary, however, is a periodic check of the implants to make sure that they are still intact.