Breast Augmentation - Orlando, FL

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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.

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.

Fat Transfer

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.

Implant Placement

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.

Incision Type

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.

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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.

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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.

Silicone Risk?

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.

Silicone Leakage?

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.

Implant Replacement?

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.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.