Breast Augmentation

Breast Augmentation in Orlando, Florida

Breast Augmentation with Implants

Breast augmentation is a safe and effective way to produce a shapelier, more feminine figure. Breast enhancement with implants can also restore volume, symmetry, and shape, which may be altered by factors including aging, genetics, and pregnancy and nursing.

No matter your reason for considering breast augmentation, board-certified plastic surgeon Dr. Thomas Fiala is here to listen carefully to your desires, provide an honest assessment of your options, and guide you towards the procedural options that can help you achieve your goals.

If you are considering breast augmentation in or around Orlando, Florida, please call Fiala Aesthetics at 407-339-3222 to schedule a consultation at our Altamonte Springs location.

Breast Augmentation with Implants | Before & After | Fiala Aesthetics
View More Breast Augmentation Surgery Results

Download our free e-book on breast augmentation surgery.  It’s filled with answers to frequently asked questions about implant surgery.  We recommend reading through this book, prior to your breast augmentation consultation.

Patient Testimonial

“The choice of trusting Dr. Fiala and his team with my breast augmentation is one which I’d make time and time again. The whole process from consultation to surgery and follow-up has been very impressive. Dr. Fiala listened when I explained what I wanted to look like and delivered in giving me natural, proportional and great-looking results! Friends who didn’t know I’d had the augmentation couldn’t believe they weren’t my natural breasts. I’m beyond impressed and satisfied with my results.”  Read more of Dr. Fiala’s Testimonials here »

Good Breast Augmentation Candidates

As with any plastic surgery procedure, women may have a variety of reasons for considering breast enhancement surgery. These include:

  • Having a more proportional, feminine shape
  • Feeling better about themselves
  • Improving self-confidence and self-esteem
  • Restoring breast size after a postpartum loss of breast volume
  • Correcting asymmetry
  • Replacing existing breast implants

Breast augmentation improves the size, shape, projection, fullness, and symmetry of the breasts. Dr. Fiala takes great care to produce lifelike and natural-looking results that enhance your entire frame.

If you are over the age of 18, in generally good health, and have a good understanding of the procedure and reasonable expectations about its limitations, you may be a good candidate for breast augmentation. However, it is important to bear in mind that women who are under the age of 22 can only have saline breast implants placed.

Are There “Bad” Candidates for Breast Augmentation?

It may be best to avoid breast augmentation if you:

  • Are having the procedure to please someone else or in an attempt to salvage a failing relationship
  • Have a significant health problem that increases surgical and anesthesia risks
  • Have untreated breast cancer or other pre-malignant breast problems
  • Have had prior radiation treatments to the chest
  • Have any type of active infection
  • Are pregnant or nursing

During your initial consultation, Dr. Fiala will carefully assess your candidacy for this procedure based on several factors including your health, your expectations, and your areas of concern to help him guide you towards the best decision for your needs.

The Breast Augmentation Procedure

In general, there are four possible placement options for breast implants:

  • Sub-glandular. Above the muscles in the chest
  • Sub-fascial. Just below fascial tissue in the chest
  • Sub-pectoral. Below the pectoral muscles in the chest
  • Dual-Plane. Partially above and partially below the pectoral muscles in the chest

Dr. Fiala has found that the dual-plane placement option offers the best results in many cases.

Dr. Fiala has found that inframammary incisions offer the best access for dual-plane placement. This placement option is linked to a reduced risk for certain operative and postoperative complications.  This incision also allows surgical scars to be carefully hidden in the natural folds of the breasts. During your initial consultation, Dr. Fiala can cover all of your options to help ensure the most pleasing results.

The Keller Funnel Technique

Dr. Fiala uses the Keller Funnel technique for the placement of all breast implants. This no-touch technique reduces surgical risks and allows for a smaller incision, helping to reduce the risk of an unsightly scar following breast augmentation.
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Breast Implant Options

Fiala Aesthetics offers a full selection of FDA-approved breast implants from Mentor and Allergan, with a variety of sizes and shapes. Both companies have warranties against implant leakage and other defects and have a long and trusted history of manufacturing quality implants in the United States.

Depending on your goals, Dr. Fiala may suggest:

  • Silicone Breast Implants. Silicone implants tend to look and feel very soft and natural. They are also less likely to ripple, wrinkle, or produce other surface imperfections versus saline ones.
  • Cohesive Silicone Breast Implants. Also known as “gummy bear” implants, cohesive gel breast implants are silicone implants where the gel has been made a thicker consistency. They are useful for very slender women, women who have rippling from prior breast implants, or those who want a little more fullness in the upper part of the breast.
  • Saline Breast Implants. Filled after they have been placed, saline implants can be adjusted in size, making them fully customizable.

The best option for your procedure will be based on your specific goals and anatomy. Dr. Fiala will discuss all suitable options during your initial consultation to help ensure you are making the best choice for your needs.

Breast Augmentation Recovery

Dr. Fiala follows the Breast Augmentation 14-Point-Plan which helps greatly reduce the risks of complications following breast implant placement. We also offer a rapid recovery protocol that minimizes the chances of post-operative nausea, reduces the need for narcotics, and shortens recovery time. During your initial consultation, we can discuss our rapid breast augmentation recovery program in greater detail to help you plan accordingly.

Most women are able to resume non-strenuous work and activities within just a few days of breast augmentation. Advanced exercise and hard labor may need to be avoided for a few weeks, but a full return to “normal” after breast augmentation should not take long. During your follow-up visits with Dr. Fiala, your progress will be assessed to help you determine when specific activities are safe to resume.

You can assist in your recovery by carefully following all pre and postoperative instructions provided by our office. Following these instructions will also help reduce your risk of complications and can assist in a shorter and more comfortable recovery period.

Contact Fiala Aesthetics

To schedule your breast augmentation consultation with Dr. Fiala, please call 407-339-3222 today. Located in Altamonte Springs, we welcome women from Winter Park, Orlando, and all surrounding areas of Florida.
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Breast Augmentation FAQ

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.  Between the 4 FDA approved implant companies, there are many choices for every body type.

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 325-425 cc range, which gives a proportional look for the average-frame patient.  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.  Think about the results you like, and the ones you don’t care for.  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, based on your preferences.

How is the breast augmentation procedure performed?

Breast augmentation is performed by our board-certified surgeons in our on-site AAAASF-certified, hospital-grade operating room, under general anesthesia. The anesthesia is provided by one of our board-certified MD anesthesiologists, for optimal safety. The selected implant is carefully inserted behind the breast and pectoral muscles, in a precisely-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 beneath the breast. 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.  With the modern techniques used, most patients are pleasantly surprised that the recovery from breast augmentation is much easier than they expected.  With our enhanced recovery protocol, most patients use very few prescription pain meds at all!

If you also have breast droop or sagging, you may require a breast lift operation to get an attractive 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 to get an attractive result.  Sometimes a breast lift and a breast augmentation can be combined in the same surgery.  An augmentation, by itself, just gives you a “bigger version of what you already have”, and the nipple position would continue to be low, with the lower breast hanging off the implant.  If you find yourself lifting up or pushing up your breast in order to see the appearance you would ideally 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.  Different shapes of implants can also be considered, in order to ensure that the implant width nicely fits the patient’s chest width in a proportional way.  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: We have a great deal of experience with this operation, and have been on the forefront of technological advances.  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 “no-touch” technique with the Keller funnel for all augmentations – both silicone and saline, which has been shown to reduce the chances of complications.  We were also one of the first practices in Central Florida to adopt the innovative structured saline implant, which dramatically improves the feel of the saline implant, compared to the traditional model.   This has been ideal for women who prefer a saline implant, but want an improved implant feel over the traditional saline device.

These advances and innovations make the surgery experience better for the patient, with a quicker recovery and improved outcomes.   

What is the 14 point plan for reducing complications in breast augmentation?

The 14 point plan was developed by Australian surgeons in 2013 and presented at US meetings shortly thereafter.  It is designed to minimize the number of bacteria that could potentially contaminate breast implants at the time of surgery.  Current thinking is that bacterial contamination – even at levels too low to cause actual infection – may be linked to capsular contracture development and subsequent revisional surgery. The suggested steps are:

  1. Use intravenous antibiotics prior to the incision.
  2. Avoid periareolar incisions (around the nipple).
  3. Use nipple shields during surgery.
  4. Perform careful dissection to minimize damage to the breast tissue.
  5. Carefully stop any bleeding during surgery, to minimize blood collecting around the breast implants.
  6. Avoid cutting into the breast tissue itself. Using a submuscular or dual plane pocket also decreases the risk of bacteria from the breast tissue coming into contact with the breast implant.
  7. Perform pocket irrigation with appropriate solutions, including half-strength betadine or proven antibiotics solutions.
  8. Use an introduction sleeve, so that the breast implant does not come into direct contact with the skin and its bacteria.
  9. Change surgical gloves before handling the implant.
  10. Minimize the time between opening the breast implant from its sterile packaging and placing it in the anatomical pocket.
  11. Minimize repositioning and replacement of the implant.
  12. Use a layered closure.
  13. Avoid using a drainage tube, which can be a potential site of entry for bacteria.
  14. Consider the use of antibiotic prophylaxis to cover subsequent procedures that breach skin or mucosa.

By using the 14-Point-Plan, the number of bacteria attaching to implants may be reduced, and the risk of breast implant complications may be minimized.  These are guidelines and are still awaiting confirmation by subsequent studies.  Dr. Fiala agrees with this concept and has used this plan since its introduction.

How much does breast augmentation cost?

BREAST SURGERY RANGE

average prices

Typical monthly payments, 36 mo. financing with interest

 

BREAST IMPLANTS

– traditional saline (“Mentor”, “Allergan”)

– structured saline (“Ideal”)

– silicone gel (“Mentor MemoryGel”, “Allergan Natrelle SR series”)

– extra-cohesive silicone gel (“Allergan Natrelle SS series”)

Cases with asymmetry may have an additional charge for extra OR time

……..

$ 5175

$ 6925

$ 6175

$ 6925

……..

$175+

$240+

$210+

$240+

BREAST IMPLANTS WITH BREAST LIFT

–  concentric (“donut”) with silicone gel (“Mentor MemoryGel”, “Allergan Natrelle SR”)

–  vertical lift with silicone gel (as above)

–  full lift (“inverted T”) with silicone gel (as above)

Does not include liposuction of lateral chest.

……

$8580

$11,245

$15,275

………

$300+

$390+

IMPLANT EXCHANGE $5,175 – $9,000 $175+
Note:  Complex revisionary surgeries may be more costly than shown here, due to additional time and materials necessary, such as mesh, ADM or fat grafting.
 
Certain patients may not be good candidates for short-scar lifts or certain types
or sizes of breast implant.  We do not offer breast lifts to active smokers.
 
Implant exchange and explantation prices vary with need for additional capsulectomy and other related procedures.

How do I schedule a breast augmentation consultation?

To schedule your breast augmentation consultation with Dr. Fiala, please call 407-339-3222 today. Located in Altamonte Springs, we welcome women from Winter Park, Orlando, and all surrounding areas of Florida.

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