There are many aspects to successful breast enhancement surgery. Women seeking breast augmentation in the Miami area should ask their prospective surgeon many questions before deciding on who will perform their surgery, including what type of implants will be used. Dr. Lampert is a board-certified authority in the complex and delicate field of breast surgery who will deliver a natural-looking result meticulously tailored to your wishes. Combining sophisticated artistry with precision and skill, Dr. Lampert has built a reputation for being among the top breast surgeons Miami has to offer.

What is Breast Augmentation?

Breast enhancement, also known as mammoplasty or breast augmentation, is a procedure that increases the size of the breasts or improves breast volume, generally through the use of breast implants. Size matters greatly when deciding on the correct breast implants to choose from. Many revision surgeries are done to change breast implant size because the patient was unhappy. Frequently, the patient did not have enough input in her breast implant sizing and selection. 
All breast augmentation patients should play an active role in their breast implant selection. Dr. Lampert takes the extra time and listens to the patient’s goals in order to better achieve patient satisfaction and the best personal outcome and desired breast volume.

The Procedure


Before Surgery

Patients are seen in initial consultation prior to surgery, and a surgical plan is developed based on their goals. If breast implants are desired, breast implant sizing is performed without "surgeon bias" so that the patient ultimately gets to pick their breast implant size range. Sometimes patients come back several times with family, friends, or significant others to help them decide. They are not rushed. 

Once the surgery day is decided, Dr. Lampert typically sees patients back for another question and answer session.

When applicable, any preoperative work-up or breast imaging is reviewed. Any required blood work not obtained by the patient's primary doctor is obtained by one of our registered nurses during this visit as well. 

Photographs for preoperative planning are also taken during this visit. (These photos are never shared without informed consent from the patient but are always taken for preoperative planning and intra-operative reference.) Prescriptions are written for the patent this day also, so they can fill them prior to surgery. Written instructions are given and reviewed. These are again repeated the day of surgery. 

Day of Surgery

The patient has nothing to eat or drink after midnight the evening before surgery. Our team meets the patient at the door the day of surgery and escorts them and their family to the preoperative waiting area. There they will meet Dr. Lampert. With the help of his nurse, Dr. Lampert will perform the necessary markings, typically while the patient is standing. Dr. Lampert likes the patients to bring in their favorite bikini or bra top to evaluate the figure both in and out of clothing while creating the surgical markings. Good surgical plan draftsmanship (i.e., the surgical markings) takes a little time, but once marked, the patient is allowed to get comfy. They can lay back in one of our recovery beds and get comfortable under a warm blanket provided by the nurse. 

The patient and family next meet the second most important doctor that day, the board-certified anesthesiologist. After the anesthesiologist's interview and exam, the paperwork is completed, and all questions are answered. “Premedication" is then given in the form of an intravenous sedative that usually makes the patient feel "warm and fuzzy." People frequently say that this "premedication" makes them feel less anxious and is similar to a "strong margarita or a pina colada.” 

After giving any family or friends present a big hug, the patient, warm blanket, and the surgical team wheel into the operating room where soft music is playing (music is always subject to change based on the patient's request.) Once in the operating room, the surgical team helps the patient slide over to the well-padded operating room bed (or table.) Anesthesia is gently administered by the anesthesiologist doctor, with Dr. Lampert and the team assisting. 

During surgery, the patient's family member, friend, or contact person is notified every hour, typically via text, regarding the procedure’s progress. Patient family or friends can wait in our family waiting area, surf the internet, or watch live-streamed television or movies while they wait. Alternatively, family or friends can return to work, social activities, or even go shopping at the award-winning mall nearby while they wait. We will constantly update them when it is time to come back. 

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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.

Why Choose Dr. Lampert for Breast Augmentation?

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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Dr. Lampert’s Approach

Dr. Lampert places more value on the individual results than the sheer volume of cases he performs. He spends a lot of time in the operating room making sure every single breast augmentation is his absolute best performance. In the operating room, he uses sizers and incremental breast implant pocket development, frequently sitting the patient up in order to get the best possible size, shape, and breast pocket. Dr. Lampert repeats field sterilization efforts prior to every breast implant device placement and uses breast implant funnel technology in an effort to reduce the risk of capsular contracture.

In order to achieve the best outcomes, he ensures every breast augmentation patient (and every patient for that matter) has a board-certified anesthesiologist (a doctor) to provide safe anesthesia. Dr. Lampert has spared no expense when it comes to providing his patients with the best possible surgical performance and end results. This is clearly visible and exemplified in his team's integrity, next-generation high-tech surgical equipment, and ultimately in the building of his state-of-the-art plastic surgery facility and AHCA-accredited ambulatory surgery center.

Dr. Lampert takes his time and never rushes. His operative times may be longer, but they are necessary to achieve the detail-oriented expectations he has for his results and his patients.

Breast Surgery Patient Testimonial

Breast Implants: Size and Shape Matters

One of the most stressful decisions for our Miami breast augmentation patients is how to determine the right breast implant size for their individual goals. Going too large or being too conservative can be equally disappointing. Dr. Lampert is aware of this dilemma and has made it as easy as possible for patients to visualize how they will look within a range of implant sizes.

How to Pick the Right Sized Implant

There are many different methods to achieve this visualization. Dr. Lampert uses various sizer implants that can be inserted into a sports bra. This gives patients a glimpse into how they would potentially look in clothing with various-sized breast implants. Patients can also view Dr. Lampert's before and after photos of patients with similar breasts and body structures.

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Breast Surgery 101

"Test-Driving" Your Implants

Another old-fashioned classic sizing method used is to fill a ziplock bag with various amounts of dry rice and then make sure to express all the air from the bag.

The patient can then stuff these dry rice-filled bags into her sports bra and wear a tight t-shirt over this. The patient can play with various amounts of rice until the perceived desired volume is achieved while looking in the mirror.

The selected bags can then be brought into the office, and Dr. Lampert can measure the volume of rice in the bag. While not a perfect way to decide, this will give the patient a chance to try out or “test-drive” their new size at home. Dr. Lampert uses this information along with the patient’s chest wall measurements and intra-operative sizing to determine the perfect implant selection. The patient's opinion and personal goals are always of the utmost importance.

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Breast Augmentation to Fit Your Body

Breast implants must fit body structure, the breast envelope, and chest wall in order to look and feel natural. For example, a petite woman with small breasts and a small rib cage frequently won’t look natural with very large breast implants. A very large and wide breast implant in a very small breast pocket has a higher probability of implant visibility due to the base or width of the implant. Higher profile implants have a more narrow base and would be a better choice for petite women who want a larger cup size and larger breast implant volume.

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Gummy Bear, Silicone, or Saline Implants?

There are three types of implants: gummy bear, silicone, and saline. There are positives and negatives for each type, which we will cover here.


Gummy Bear Implants

Some of the newer silicone breast implants are called “gummy bear” implants. They are firmer and shaped more like a natural breast.

This shape can help with certain patients, including those who have some mild breast droop or ptosis. 

The other advantage of “gummy bear breast implants” is that they contain a highly cohesive silicone gel filler. This highly cohesive silicone gel tends to stay in place, even if the gummy bear implant shell ruptures. These implants are stiffer and less flexible than prior silicone gel implants.

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.

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Breast Augmentation Recovery

After surgery is complete and the patient is awake, they are taken to the post-anesthesia recovery room by Dr. Lampert, the anesthesiologist doctor, and the registered nurse. Once in recovery, the nurse usually requires about 20 minutes to work with the patient and help them further wake. After this time, the patient's family or friend is escorted back into the recovery area to greet them again.

Our nursing team will again go over any postoperative instructions and confirm necessary postoperative visits at this time. The patient usually has to stay in recovery for about an hour prior to being discharged. Our nursing team will show the family how to help the patient up out of bed and will help escort the patient via wheelchair to the family or friend's car in our first-floor parking area.

Written instructions and contact phone numbers are provided to the family or friend taking care of the patient as well. The first day of surgery check-up is either performed in person or via video conferencing (i.e., Face Time or Whatsapp, depending on patient preference.

Breast Augmentation Recovery Timeline

Although it is very safe and very commonly performed, breast augmentation is nevertheless a significant surgical procedure. The recovery period that follows it is uncomfortable but certainly bearable. While the recovery experience varies from patient to patient, you can typically expect the following:


Immediately after surgery

You will feel groggy and less attentive than usual, having just woken from anesthesia. As the anesthesia hasn’t yet fully worn off, you won’t feel strong pain but more of a deep soreness. You will need someone to drive you home and, ideally, to stay the night with you.

The first 3 to 5 days after surgery

These days are the least comfortable. Strong pain medication is prescribed and works wonders; however, because these narcotics also prevent regular bowel movements, they should be discontinued as soon as is feasible, being replaced by higher doses of over-the-counter pain medication.

During this time, tightness and aching should be expected in the breasts, neck, back, and shoulders, and bruising, swelling, and a small amount of bleeding is normal. If you experience anything unexpected or have any concerns or questions, please contact us. Taking a short walk or two daily, eating a healthy diet, getting plenty of rest, and staying hydrated will help ease and speed up the recovery period.

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Week 1

You will likely feel only minimal discomfort, managed by OTC pain medication. Driving is usually possible toward the end of the first week of recovery, as is returning to a light, non-physically taxing desk job. Rushing to return to work, however, isn’t advised; please allow yourself the time to rest and heal if you need it. If drains were placed, Dr. Lampert may see the patient earlier to remove them. Wounds are checked, and surgical bras are placed. Fat transfer breast augmentation patients are placed in a compression garment, or faja if not already wearing one. 

Week 2

You’ll likely have returned to your normal routine, gradually increasing your range of motion and the activities you can perform, avoiding any sudden movements or motions that cause you sharp pain.

Upper body exercise and all lifting should be postponed for 4 to 6 weeks. Any loose surgical tapes (i.e., steri strips) are removed and wounds are again checked.

Month 1

The surgical bra fit is checked. The healing progress is evaluated, and light lower body exercise is usually permitted at this time while in a supportive sports bra. Any necessary massage protocols are started.

Month 3

Patients are often still swollen, and sometimes their implants have not dropped or fluffed. (See: Implant Settling Page) Dr. Lampert will evaluate this process and may take early post-op photos to document your progress. Dr. Lampert likes the patient in a supportive bra for 3 months after surgery to help splint the healing breast and maintain the ideal breast implant and/or fat graft position.

Month 6

Typically breast implant settling, softening, or "fluffing" is almost complete or "90% there" by this point.

Now we are closer to seeing what we will get with our ultimate end result. Dr. Lampert usually takes early post-op follow-up photos.

Year 1

Dr. Lampert likes to see his patients for long-term follow-up. He typically takes photos to monitor progress and likes to see his patients yearly in order to evaluate the long-term postoperative results. Dr. Lampert likes to see how his results hold up and stand the test of time! This yearly check-up also encourages patients to stay on top of any recommended breast imaging and the FDA's suggested MRI schedule.

Fat Transfer Breast Augmentation

Fat transfer in breast augmentation has become popular due to the double bonus of removing excess fat from another area and transferring it to the breasts. The fat is extracted using liposuction, at which point it is purified and re-injected into multiple locations in the breast. 

A significant amount of fat is needed, and some fat does get absorbed by the body. There is a gradual loss of fat grafts with time. Repeat injections can help to correct this issue. Fat graft to the breast gives a very natural look and feel, but the degree of size increase does have limitations.

What is the Next Step?

Contact Dr. Lampert for a consultation to discuss breast augmentation in Miami, from conception to the fulfillment of beautiful, natural-looking breasts. Deciding to have breast implants is very personal. Dr. Lampert has the surgical skill and artistic ability to create the most natural-looking augmented breasts. Dr. Lampert is locally available in Miami to provide you with a safe and supportive surgical practice. He will fully explain the procedure, the recovery time, and any other concerns.  Dr. Lampert only sees a small volume of patients daily in consultation. This allows him to take his time and ensure that quality is kept high. He prefers that his patients have access to him, as he makes himself always available. Find out why Dr. Lampert is one of the leading breast augmentation surgeons in Miami and why his patients refer their friends and family only to him.

Fat Transfer Breast Augmentation with Dr. Lampert

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Welcome

Our award-winning facility was designed with you, the patient, in mind.

FAQ

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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*The content/images on this website are not a guarantee of individual results. Individual results may vary. The information provided on this site is for general informational purposes only, and does not replace the need for a formal consultation.

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