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Breasts

Breast Enhancement Procedures

Reach your aesthetic goals with Dr K Miami Plastic Surgery and let us help you achieve the results you are looking for.


Implant-based breast augmentation

We offer implant-based breast augmentation procedures to enhance the size, shape, and symmetry of the breasts using safe and effective procedures with minimal scarring. Whether you want to restore lost volume, improve your body proportions, or boost your confidence, our implant-based breast augmentation services can help you achieve the look you desire.

Fat-transfer breast augmentation

We offer a natural alternative to traditional implant-based breast augmentation called fat-transfer breast augmentation to enhance the size and shape of your breasts using your own natural fat. The technique takes fat from areas of your body, such as the abdomen or thighs, and transfer it to your breasts to create a fuller, more voluptuous appearance.


Breast revision

We also offer breast revision procedures to correct and improve your breasts from previous surgery complications or if want to make changes to your existing implants, removal or replacement, correction of asymmetry, or revision of scarring, our goal is to help you achieve the looking you desire.

Breast lift

We offer breast lift procedures to help women achieve a more youthful and lifted appearance of their breasts by lifting and reshaping the breasts by removing excess skin and repositioning the nipple and areola. This procedure is ideal for women who are experiencing sagging or drooping breasts due to factors such as pregnancy, breastfeeding, weight loss, or aging.

Breast Implant Removal

Breast implant removal is a procedure that safely extracts implants, often for personal, medical, or cosmetic reasons. Whether it’s due to complications, changes in aesthetic preference, or concerns about health, the surgery restores the body to a natural look. The procedure is tailored to each patient, offering options like implant replacement, breast lift, or reconstruction to achieve the desired outcome.


Breast reduction

Breast reduction surgery can provide a lifestyle-altering procedure designed to alleviate discomfort and enhance confidence by reshaping and resizing your breasts, providing relief from back, neck, and shoulder pain often associated with disproportionately large breasts to achieve a balanced, natural-looking appearance.

Nipple reduction

Nipple reduction surgery delicately resizes and reshapes your nipples to create a more balanced, harmonious appearance in line with your aesthetic goals. Natural-looking, proportionate results can help you feel more confident in your own skin.

Inverted Nipple Correction

Inverted nipple correction surgery is an effective solution to address concerns related to inverted or retracted nipples by reshaping and repositioning the nipple which help you can achieve a more natural appearance.

Faqs

What Are Breast Enhancement Procedures?

Breast enhancement procedures encompass surgical techniques designed to modify breast size, shape, or position through implants, tissue removal, or lifting methods. These procedures serve both cosmetic desires and reconstructive medical needs, with each technique targeting specific anatomical concerns.

Breast enhancement procedures address two primary categories of patient needs. Cosmetic purposes focus on aesthetic improvements to boost confidence and achieve desired appearance goals.

Cosmetic Applications:

  • Increasing breast size and volume
  • Improving breast symmetry
  • Restoring breast shape after pregnancy or weight loss
  • Enhancing overall body proportions

Reconstructive purposes serve medical needs following disease, injury, or congenital conditions. These procedures restore normal breast appearance and function.

Reconstructive Applications:

  • Post-mastectomy breast reconstruction
  • Correcting congenital breast deformities
  • Addressing asymmetry from developmental issues
  • Repairing trauma-related breast damage

Plastic surgeons evaluate each patient’s specific needs to determine the most appropriate approach. The chosen procedure depends on existing breast tissue, desired outcomes, and medical history.

Both cosmetic and reconstructive procedures use similar surgical techniques. The main difference lies in the underlying motivation and insurance coverage considerations.

Differences Between Breast Augmentation, Lift, and Reconstruction?

Three distinct types of breast enhancement procedures target different anatomical concerns and patient goals.

Breast Augmentation (Mammoplasty) This procedure increases breast size using implants or fat transfer. Surgeons place saline or silicone implants beneath breast tissue or chest muscle. Fat transfer augmentation uses the patient’s own fat from other body areas.

Breast Lift (Mastopexy) A breast lift repositions sagging breasts to a higher, more youthful position. This procedure removes excess skin and reshapes breast tissue without significantly changing size. It addresses ptosis (breast drooping) caused by aging, pregnancy, or weight fluctuations.

Breast Reconstruction Reconstruction rebuilds breast shape following mastectomy or trauma. Surgeons use implants, tissue flaps from other body parts, or combination techniques. This procedure often requires multiple stages to achieve optimal results.

Many patients combine procedures for comprehensive results. A lift with augmentation addresses both size and position concerns simultaneously.

What Different Breast Augmentation Procedures are There?

Breast augmentation offers multiple approaches to enhance breast size and shape, with implant types and surgical techniques tailored to individual goals. The primary decisions involve choosing between saline or silicone implants, considering fat transfer alternatives, and determining optimal implant placement.

Breast Implants: Saline vs. Silicone

Saline implants contain sterile salt water and are inserted empty before being filled during surgery. They require smaller incisions and can be adjusted for size during the procedure.

If a saline implant ruptures, the body safely absorbs the solution. These implants are approved for patients 18 years and older.

Silicone implants come pre-filled with silicone gel that closely mimics natural breast tissue. They typically provide a more natural feel and appearance compared to saline options.

Silicone implants require slightly larger incisions for placement. They are approved for patients 22 years and older for cosmetic augmentation.

FeatureSaline ImplantsSilicone Implants
FeelFirmer textureMore natural feel
Incision SizeSmallerSlightly larger
Rupture DetectionImmediately obviousRequires imaging
Age Requirement18+ years22+ years

Breast Lift

Breast lift surgery becomes necessary when breasts lose their natural position and firmness. Pregnancy and breastfeeding frequently cause breast tissue to stretch and lose elasticity.

Significant weight loss often results in excess skin that cannot retract naturally. The breasts may appear deflated or positioned lower on the chest wall.

Aging naturally reduces skin elasticity and breast tissue density. Gravity gradually pulls breast tissue downward over time.

Candidates typically experience nipples positioned below the breast crease. The areola may appear enlarged or stretched beyond normal proportions.

Women seeking mastopexy usually want to restore a more youthful breast contour. The procedure addresses shape and position rather than breast size alone.

Fat Transfer Breast Augmentation

Fat transfer breast augmentation uses the patient’s own fat cells harvested through liposuction. The surgeon removes fat from areas like the abdomen, thighs, or flanks.

The harvested fat undergoes purification before injection into the breasts. This technique provides natural-looking results without foreign materials.

Fat transfer typically increases breast size by one cup size or less. The procedure combines body contouring benefits with breast enhancement.

Some transferred fat may be reabsorbed by the body over time. Multiple sessions might be necessary to achieve desired results.

Surgical Techniques for Sagging Breasts

Three primary incision patterns accommodate different degrees of breast sagging:

Incision TypeBest ForScarring
PeriareolarMild saggingAround areola only
VerticalModerate saggingAreola to breast crease
AnchorSevere saggingFull T-shaped pattern

The periareolar technique works for minimal lifting requirements. Surgeons make incisions around the areola perimeter to tighten surrounding skin.

Vertical incisions extend from the areola to the breast crease. This method addresses moderate tissue drooping and repositions the nipple-areola complex.

Anchor incisions provide maximum correction for severely sagging breasts. The technique removes significant excess skin and allows extensive tissue reshaping.

Surgeons select techniques based on individual breast anatomy and desired outcomes. Skin quality and elasticity influence the appropriate surgical approach for each patient.

What is Capsular Contracture?

Capsular contracture occurs when scar tissue forms around the implant and tightens. This natural healing response can cause breast hardness, pain, and shape distortion.

Baker Grade Classification:

  • Grade I: Soft, natural appearance
  • Grade II: Slightly firm but normal appearance
  • Grade III: Firm and abnormal appearance
  • Grade IV: Hard, painful, and distorted

Grade III and IV contractures typically require surgical correction. The condition affects approximately 10-15% of patients within the first few years after surgery.

Implant rupture represents another major complication. Saline implants show immediate deflation when ruptured, making detection obvious.

Silicone breast implants present different challenges when ruptured. The gel may remain contained within the scar tissue capsule, creating a “silent rupture” that requires MRI screening to detect.

Rupture rates increase over time:

  • 5-10% at 10 years
  • 15-20% at 15 years
  • 25-30% at 20 years

Both complications often necessitate additional surgery for implant replacement or removal.