Breast Augmentation

Breast Augmentation with Implants

Are you dreaming of a more shapely, feminine figure?  Or wanting to restore what pregnancy and breast feeding has taken away? Breast augmentation is an incredibly personal decision.  Fiala Aesthetics is here to help you sort out the many implant choices that are currently available, and help you achieve the look you desire.

Through a combination of listening to your appearance goals, careful measurements and extensive experience, Dr. Fiala can help you achieve your new look. Fiala Aesthetics offers offers a full selection of FDA-approved breast implants, including saline implants, traditional silicone implants from Mentor and Allergan, and “gummy bear” silicone implants by Sientra.

Why have a breast augmentation?Keller Funnel Partners In Education Seal

Women have a variety of reasons for considering breast enhancement surgery:

  • To have a more proportional, feminine shape
  • To feel better about themselves, improve self-confidence and self-esteem
  • To restore breast size after a post-partum loss of breast volume
  • To correct asymmetry
  • To replace existing breast implants

Who is a candidate for breast augmentation surgery?

If you are over 18 and healthy, have a good understanding of the procedure and reasonable expectations about the limitations of the procedure, you may be a good candidate for this procedure.

Who shouldn’t have breast augmentation?

  • women who are having the procedure to please someone else, or in an attempt to salvage a failing relationship.
  • women with significant health problems that make them an increased risk for anesthesia
  • women with untreated breast cancer or other pre-malignant breast problems
  • women with any type of active infection
  • women that are pregnant or nursing
  • women who have had prior radiation treatments to the chest

How do you pick the right implant?

It starts with an open discussion between you and our surgeons.  Most women have a pretty good idea of the shape and size they’re hoping for.  Most commonly, we hear “a full C cup – something that is proportional for me”.  For some patients, it’s more conservative. And some ladies want a very full, round and voluptuous look.  Let us know what you have in mind.  Bring in a few pictures of breast shapes you like – it’s helpful for discussion purposes.

The key concept is to start by matching the width of the implant to the width of the patient.  It’s about measurements, not cc’s, of the implant at this stage .  For example, a petite lady, who has a narrower breast width needs a smaller diameter implant than a broad-shouldered lady who has a wider breast width.Using this measurement-based approach helps us get nice cleavage without excessive space between the breasts. It also helps avoid unwanted excess fullness at the side of the breast, aka “side boob”.  Once the width of the implant has been determined, then we can talk about the implant shape, or “profile”.  Higher profile implants give more fullness in the upper part of the breast.  Lower profile implants give less fullness, and a very “natural, nonsurgical” look.  Women who want a much fuller, rounder shape may want to look at the high profile or super-high profile implants.

Often, the selection is a matter of the patient’s personal preference and taste.  There may be several implants that could potentially look good for a particular patient – they can pick the one they like the best.

We spend a lot of time with our patients, having them “try on” implant sizers.  We find this is a helpful method to figure out the optimal implant for each person, and explains the effects that different sizes and implant profiles will have.  Additionally, the Volume Sizing System shaped sizers by Mentor also help to predict what the post-op shape of the breasts will look like.

What is an average implant size?  The smallest? The largest?

While it depends on the patient, average implant sizes commonly run in the 350-450 cc range.  The smallest implants we typically use are in the 180-250 cc range, while the largest have been in excess of 1 liter.

Should I bring photos of what I like to the consultation?

Many patients do – and these are a good starting place to discuss what your preferences are for breast shape and size. It’s often convenient to have these loaded on your smartphone or tablet.  Dr. Fiala will discuss with you the best strategies to achieve your desired size and shape.

How is the breast augmentation procedure performed?

Breast augmentation is performed by our board-certified surgeons in our AAAASF-certified, hospital-grade operating room, under general anesthesia. The anesthesia is provided by one of our board-certified MD anesthesiologists. The selected implant is inserted behind the breast and pectoral muscles, in a carefully-tailored tissue pocket.  Dr. Fiala usually prefers the “dual plane” method, which has proven benefits of safety, effectiveness, and a very natural looking result. The incision is typically placed in the crease area. This is also known as the “inframammary incision”.  Surgery typically takes between 60 and 90 minutes, with another hour or so for recovery from anesthesia.  A responsible adult then takes the patient home.

If you also have breast droop or sagging, you may require a breast lift operation for the best possible result. In most cases, this can be performed at the same time as the breast augmentation. The lift repositions the nipple upward, and tightens the loose skin of the breast, for a more youthful contour.

Does a breast augmentation lift my breast?  Will it replace a breast lift?

No – if the breast is droopy and the nipple position is low, typically a breast lift is needed.  Sometimes a breast lift and a breast augmentation are combined in the same surgery.  An augmentation, by itself, just gives you a “bigger version of what you already have”.  If you find yourself lifting up your breast in order to see the look you would like – then you’ll probably need a breast lift.  Click here for more information about breast lift surgery.

I already have breast implants and am looking for a size change.  Can you help me with that?

Yes – the size change can either be an increase in volume, or a decrease, depending on your goals.  Click here for more information on implant exchange and other secondary breast implant surgery.

Does Fiala Aesthetics perform a lot of breast augmentation surgeries?

Yes, it’s our #1 most common procedure, with more than 200-300 breast augmentation surgeries performed each year for women from all over the United States, and from all walks of life.

Why should I choose Fiala Aesthetics for my breast augmentation surgery?

Communication: we spend a lot of time with each patient, understanding their goals, and helping them find an implant that can meet their needs.

Technically: Fiala Aesthetics was one of the first surgery centers in Central Florida to adopt the rapid recovery technique for dual plane breast augmentation, and was one of the first locally to adopt the proportional sizing method, based on measurements of the patient.  We were also one of the first locally to adopt the use of the Keller funnel for all augmentations – both silicone and saline.  These advances make the surgery experience better for the patient and improve outcomes.  In addition, we have a great deal of experience with this operation.

BREAST SURGERY RANGE MONTHLY PAYMENTS*
BREAST IMPLANTS $4,500 – $6,500 $105 – $150
BREAST IMPLANTS WITH BREAST LIFT $6,500 – $12,000 $150 – $280
IMPLANT EXCHANGE $4,500 – $9,000 $105 – $290
IMPLANT EXCHANGE WITH BREAST LIFT $7,000 – $15,000 $165 – $350
BREAST LIFT $4,500 – $10,000 $105 – $235
BREAST REDUCTION $10,000 – $12,500 $235 – $290
CAPSULE WORK $3,500 – $5,000 $80 – $120
EXPLANTATION $1,500 – $5,500 $40 – $130
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