What is Breast Augmentation?

Breast augmentation, also known as mammoplasty, is a common surgical procedure to increase the size and shapeliness of the breasts. Breast augmentation in Miami is typically performed using breast implants, which are most commonly made from silicone or saline. In some cases, breast augmentation will utilize a procedure called fat transfer, in which excess fat is taken from another area of the body and injected into the breasts.

Who is a Candidate for Breast Augmentation?

If you’d like to increase the size, symmetry, or shapeliness of your breasts, you may be a candidate for breast augmentation. Ideal candidates for the procedure should meet the following requirements:

  • Be in generally good physical health
  • Have fully developed breasts
  • Have realistic expectations
  • Have a desire to increase the size of your breasts
  • Be over the age of 18
  • Be unsatisfied with the shape or symmetry of your breasts

Before & After

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Actual Patient Testimonial

"I went to Dr. Lampert with a concern I had from a breast augmentation done 4 years ago by another surgeon. The first thing I noticed as I walked in was his beautiful and clean office! He explained why it happened and why it was causing pain. Dr. Lampert was very thorough at explaining the surgical options for me and weighing the pros and the cons. Nothing felt rushed. The entire staff takes their time to make you feel at home.

The consultation was extremely informative (more than any other surgeon has ever taken the time to explain to me in the past.) I felt comfortable and was able to make an informed decision. I moved forward with surgery, and the entire surgical team was great! Everyone was welcoming and easily put any nerves at ease. I am SOOO happy with my breasts and feel more confident than ever. The recovery was so easy -- minimal pain and little discomfort! I am 2 weeks post-op and feeling great! Thank you Dr. Lampert, Natasha, and the entire Miami surgery team for making this such a great experience for me!" -- E.H.

What Are the Benefits of Breast Augmentation?

Breast augmentation can provide several or all of the following benefits:

  • Increased breast size
  • Improved breast symmetry and shapeliness
  • Long-lasting results
  • Increased self-confidence
  • Additional wardrobe options
  • More attractive cleavage
  • Restored breast appearance after pregnancy, weight loss, or a medical condition
  • More curvaceous figure
  • More youthful appearance
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Breast Surgery 101

Breast Augmentation Consultation

If you’re interested in breast augmentation in Miami, the first step is to have a consultation with Dr. Lampert. During this meeting, Dr. Lampert will work with you to devise a personalized surgical plan based on your goals and priorities. He will also have questions for you about your medical history and any medications you’re currently taking. This will be your opportunity to ask your plastic surgeon any questions you have about the procedure.

Gummy Bear, Silicone, or Saline Implants?

Gummy Bear Implants

Gummy bear breast implants are a popular alternative to standard silicone and saline implants. Also known as form-stable implants, gummy bear implants consist of an outer silicone shell filled with thick silicone gel. These innovative implants are known for consistently holding their shape while appearing and feeling natural.

Silicone Implants

The standard silicone gel implant (non-gummy bear) has been used with great success and safety in the United States for over 20 years. This implant is softer and less dense and is generally round and more pliable. This allows it to be placed using a significantly smaller incision than that required for the gummy bear implant. These implants come with a smooth shell or a textured shell which can help prevent implant migration.

Saline Implants

Saline implants are made with a silicone shell that is filled with saline or saltwater solution. Saline implants offer a very distinctive advantage: they can be filled after the outer shell is inserted. Thus an even smaller incision can be used. Saline implants may have more movement, rippling, and may not feel as natural as silicone implants.

Breast Surgery Patient Testimonial

Breast Augmentation Procedure

When the time comes for your breast augmentation surgery, you will first be administered general anesthesia to prevent any pain during the operation. Once you’re sleeping soundly, Dr. Lampert will carefully make the necessary incisions, which may be along the creases under the breasts, along the edges of the areolas, or in the armpits. The chosen areas for the incisions will be based on the specifics of the implants and how they need to be positioned. Next, Dr. Lampert will take your customized breast implants and carefully insert them. Depending on several variables, the implants may be placed under the breast tissue or under the pectoral muscles.

Once he has finished positioning the implants, Dr. Lampert will close the incisions with sutures. He will then apply bandages to the treatment area, and he may use drainage tubes to remove excess fluid as well. In total, the procedure should take between one and two hours to complete. After you wake up, Dr. Lampert and his team will monitor you for an hour or two to ensure that there aren’t any complications. Once they determine that you’re stable, you’ll be able to head home, but you will need someone else to drive you. Before you leave, Dr. Lampert will provide you with thorough instructions for the healing process and get you scheduled for a follow-up appointment.

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What Is the Recovery Like?

Ideally, you will have arranged for someone you trust to drive you home and stay with you the first night after your breast augmentation in Miami. You will likely feel some soreness immediately after the procedure, and if necessary, Dr. Lampert will prescribe you medication for the pain. For the first few days of your recovery, you will likely have a fair amount of discomfort, and regular rest will be imperative. You should also make a point to stay hydrated, eat nutritious foods, and take occasional walks around the house. During this period, it’s normal to experience bruising, swelling, aching, and even a small amount of bleeding.

After about a week, you should be able to start easing back into your normal daily activities. Around that time, you can expect to have a check-up with Dr. Lampert to have your drainage tubes removed, wounds checked, and surgical bra fitted. You should be back to your typical routine after two weeks of recovery, but you will need to avoid upper-body exercise and lifting for four to six weeks. You will continue to have check-ups with Dr. Lampert periodically for several months after the surgery, and you may need to continue wearing a supportive bra for up to three months.

Why Choose Dr. Lampert for Breast Augmentation in Miami?

Dr. Joshua Lampert, a board-certified plastic surgeon practicing in Miami, sees many breast implant revision patients who have been victimized by unrealistic promises made by slick ads or volume-based clinics. In stark contrast, Dr. Lampert prides himself on spending a substantial amount of time with each patient to thoroughly discuss the procedure, recovery, type of implants, and potential risks. Anyone looking to enhance their appearance through breast augmentation should only have their surgical procedure performed by a board-certified plastic surgeon. Patients with different-sized breasts or breasts that are asymmetrically placed on the chest will also benefit from implant-based augmentation. Once the decision has been made to pursue the surgery, there are several questions that need to be asked and answered in order to ensure a fantastic result.

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Breast Augmentation Frequently Asked Questions

What Can I Expect from the Consultation Process?

The surgeon's job during the initial consultation process -- which often takes more than one visit -- is to educate the patient and chaperone them through the decision-making process based on this communication. During this time, Dr. Lampert tries to understand the patient's condition, perspective, and ultimate goals. Breast implants are not permanent devices and require maintenance surgery throughout the course of the patient's lifetime. Breast augmentation with fat transfer currently provides more subtle augmentation than breast implants allow. Dr. Lampert always tries to take a step back and look at the patient as a whole. This includes evaluating prior surgeries, any medical conditions, and lifestyle. If modifications need to be made prior to surgery to optimize the end result, we do our best to enable our patients to make them. Dr. Lampert wants the patient to evaluate for herself the correct timing of the surgery. He encourages patients to step back themselves and look at their "10 or 5-year family plan" in order to realize how future life events like pregnancy or breastfeeding might influence their decision-making process. Patients who desire augmentation with breast implants are informed of the long-term expectations, risks, benefits, and FDA recommendations. With each and every breast implant patient, Dr. Lampert evaluates and discusses the anatomic options of implant plane placement, including submuscular, dual plane, and subfascial (subglandular.) He discusses the variety of breast implants currently available and the risks and benefits of each. He also reviews with each patient their incision placement options and answers questions on breast lifting, or mastopexy, if it is needed.

Breast Implant Sizing

Breast implant patients are given ample opportunity to "size" for their ideal breast implants in the office. Dr. Lampert’s team often has them come back and size several times in order to help best select the appropriate volume. The information gained through these sizing exercises and the anatomic measurements taken during physical examination helps Dr. Lampert choose an appropriate implant with an extremely high rate of patient satisfaction.

Fat Transfer Breast Augmentation

Some patients desire breast augmentation but do not want breast implants. In these cases, Dr. Lampert will discuss the risks, benefits, and expectations of fat grafting or fat transfer. Breast augmentation with fat transfer patients sometimes also suffer from breast ptosis, breast droop, or breast asymmetry. With these patients, Dr. Lampert always discusses simultaneous breast lift or mastopexy, if indicated. During consultation you will get a chance to review photos of prior patients to help better visually understand the differences between the specific breast augmentation procedure options available. This helps you to gain ultimate confidence in the decision-making process. There are many different paths to breast augmentation. Making the best decision takes time for both the patient and the surgeon. Dr. Lampert believes that patients should not be rushed through this important process.

Is Breast Augmentation Safe?

Breast augmentation on an otherwise healthy patient should be safer than driving your car to the doctor's office! Unfortunately, every year, many breast augmentation procedures are performed both locally and abroad in mass-marketed cosmetic surgery centers based on low prices, high volume, and very rapid procedures. Many of these high-speed, high-volume "chop shops" allow the patient a lower cost for surgery but also allow very little time to spend with an actual doctor, who often is not available on the weekend if complications arise. Furthermore, many of the surgeons at the "Cowboy Clinics" are not board certified by the American Board of Plastic Surgery, which is the only board that oversees residency training for cosmetic breast surgery. And even though some of these "cosmetic surgeons" may be board certified, they frequently have no actual hospital privileges at any nearby institutions, creating a serious problem for patients with minor or major complications, which can escalate without proper early intervention. Frequently, these patients "wash up" in the hospital ER and the on-call hospital plastic surgeon has to try to figure out what went wrong on the fly with no prior evaluation. With hospital privileges at many of the best hospitals in the region, Dr. Lampert has cared for many of these patients over the years.

The Pitfalls of High-Risk, Low-Cost Clinics

The business strategy of these heavily advertised, high-volume, budget chop shop cosmetic clinics is to provide surgery like breast augmentation as a commodity for the lowest possible price. Inevitably, as they chase the highest profit margin at the lowest competitive cost to the patient, corners are cut regarding preoperative work-ups, the procedure, staff, and all safety measures in general. Frequently, non-doctors are providing anesthesia, nursing assistance is deficient, and the patient pays the price by taking otherwise unnecessary risk. Breast augmentation procedures should be extremely safe and low-risk, but with a poorly trained and inexperienced team, things can go sideways pretty quickly. The overwhelming vast majority of these cosmetic surgery assembly lines are owned and operated by non-physicians, so profit often takes place over patient safety. These high-volume cosmetic surgery centers often give legitimate, ethical, and safe board-certified plastic surgeons a bad rap and sully the reputation of the field in general. Patient safety must always be perpetually assessed and evaluated. Every measure should be taken to always improve it. No cost should be spared when it comes to patient safety. It is expensive to afford the safest equipment, best medications, and most experienced doctors, nurses, surgical assistants, and medical professionals. Frequently in life, you get what you pay for. Cosmetic surgery is no exception!

Dr. Lampert’s World-Class Facility

Dr. Lampert performs all of his procedures at the hospital or his Ambulatory Surgery Center (ASC), Miami Surgery, LLC, which is Federally Certified by the Florida Agency for Health Care Administration (AHCA), the same certification and licensing agency that licenses all of the best hospitals in the state of Florida. It is currently one of only three other Plastic Surgery ASCs in Miami-Dade County Certified by AHCA. Dr. Lampert’s facility is held to the highest standards. Having control of his own ambulatory surgery center, he is able to provide patients the advantage of many cutting-edge surgical technologies and a higher quality of equipment that is not available at the hospital. He has equipped his facility with the latest breast surgery safety equipment, including a smoke evacuation system, high-definition imaging devices, LED lighting and visualization technology, power-assisted liposuction, video laryngoscopy, and much more. Please follow this link for more details: https://www.lampertmd.com/about-dr-lampert/our-facility/

Choosing the Right Plastic Surgeon

Cosmetic results and safety metrics are ultimately the best when the given surgeon takes his or her time to ensure they adhered to the highest standards, remained detail-oriented, and cut no corners to get there. The fast procedure is often not the right procedure, although it may be the cheaper one. When interviewing a plastic surgeon, ask them how much time they typically spend performing a procedure. If they pride themselves on sheer numbers, volume, and being fast, then they might not be the right surgeon for you! Good work takes time. In order to visualize the patient’s breast tissue, pocket development, and implant position, Dr. Lampert always sits the cosmetic breast surgery patient up in the operating room several times during the surgery. He does this in order to see how the breasts will look when they are standing up. He places and removes adjustable sizers. Using these sizers allows him to see the effects of slight implant volume adjustments. Frequently, minor breast asymmetries are hard to detect when there is a difference of less than 30 cc’s (which is equal to two tablespoons!) Dr. Lampert’s use of adjustable breast sizers allows him in the operating room to see and best correct these slight irregularities with proper implant selection. No two breasts are ever symmetrical or the same, even after the best surgery, but Dr. Lampert spends the time necessary to get them as close as possible and optimize results. He then tailors any excess skin if the patient needs a breast lift or tries to visualize regions of the breast that will require fat transfer, should patients decide on that option. He is also constantly referencing the implant, nipple, and areola position while the patient is upright. These steps take significant time but should not be skipped if the surgeon wants to best control the final aesthetic result.

What Are the Risks of Breast Augmentation?

Any time that skin is cut or an incision is made into the body, certain risks are inevitably being taken. The risks most commonly associated with breast augmentation include bleeding, bruising, and swelling. There are also some cosmetic risks of breast augmentation that include possible surgical complications, seroma (fluid accumulation), asymmetry, infection, or implant rupture, which indeed emphasize the importance of only ever seeing a board-certified plastic surgeon. As a board-certified Miami breast augmentation specialist, Dr. Joshua Lampert takes every precaution to ensure the safest, most seamless surgery possible, and his many satisfied patients are a testament to both his safety protocols and his keen aesthetic eye.

Can Breast Augmentation Be Combined With Other Procedures?

When evaluating a patient for first-time breast augmentation or breast implant revision procedures, Dr. Lampert always discusses the potential for a simultaneous breast lift (or mastopexy) if indicated. During the exam, any breast droop is measured and demonstrated to the patient in the mirror. Simultaneous breast lift, or mastopexy is probably the most common ancillary procedure performed with breast augmentation. Some patients also elect to undergo fat transfer or fat grafting to the breast at the same time. Many patients decide to "take advantage" of the downtime, anesthesia, and surgery day in order to undergo other desired elective surgical procedures at the same time in combination with their breast augmentation surgery. These include a variety of procedures, including liposuction, rhinoplasty (nose job), labiaplasty (vaginal rejuvenation), eyelid lifts (blepharoplasty), abdominal etching, and of course, the common mommy makeover, which includes some form of tummy tuck or abdominoplasty. A number of procedures can be performed on the same day. Depending on the exact surgical procedures desired and estimated length of time, each patient is evaluated, and Dr. Lampert will then make recommendations regarding which procedures can be performed together for that individual. Too much surgery in one day is never a good idea, however, as we put safety first. Each patient is different and must be evaluated individually. A good surgeon will be able to tell the patient how many and what kind of procedures can be combined during the same day of surgery.

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