Breast Augmentation in Orlando, FL

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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 elective breast 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 modest, 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 remain 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, leaking or rupture of the implant is easily and quickly detected by the patient as the saline is 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. Any patient who is otherwise deemed a good candidate for breast augmentation may choose to use saline filled implants.

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. Silicone gel filled implants have now been proven by many years of study and experience to be as safe as saline filled implants, and have been cleared as such by the US FDA, 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. While this used to require a visit to a radiology center and be associated with additional expense,  Dr. Soto  now offers high resolution ultrasound evaluation of breast implants at Aesthetic Enhancements 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 who would prefer to not use an implant to achieve this look, there is also an option known as a fat transfer. In this procedure, Dr. Soto will harvest fat from areas you may have a bit of excess fat, 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 syringes such that the volume is evenly distributed. This technique is best suited to those women whose goals include a more modest increase in size or subtle refinement in shape.

Product Information

Manufacturers

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

Profile

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. It is important to realize that, while the implant profile will have an affect on your final appearance, you should not choose the implant profile based solely on your goal. Rather, it will be important to consider your body type and shape, and the dimensions of your chest wall and breasts, as well as the guidance offered by Dr. Soto in order to maximize the odds of achieving the look you desire. 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.

Shape

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 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.

Texture

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 in the crease under the breast.

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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 minor bruising and swelling, and a specially designed postoperative 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. While most patients can resume daily activities within a day or two; 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 significantly 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 increase in volume and transformation of shape that is reasonable to expect from fat transfer is quite modest compared to what can be achieved with an implant. 

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 world-wide, 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 or deflated 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 to achieve the patient's goals. Occasionally, when required to maximize the safety of the procedures, breast lift and augmentation are performed in staged fashion, with the breast lift usually performed first. Dr. Soto will help you understand whether or not concurrent breast lift and augmentation is safe for you. 

Silicone Leakage?

Today’s silicone filled 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 the 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 free of charge if Dr. Soto performed your augmentation, and are recommended periodically beginning 2-3 years after your initial augmentation procedure.

Implant Replacement?

Implants may last up to an average of 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.

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