Thinking of breast augmentation? Wishing you could fill out your bikini top by the time swimming suit season rolls around again? You’re not alone. Last year over 300,000 women underwent breast augmentation using implants in the United States, making it the most popular plastic surgery procedure performed.
Thank you very much for my new look!
"First, I want to start by telling you and your Tampa staff, thank you very much for my new look. If it wasn't for you, Dr. Perez, I wouldn't be looking this good. My breasts were deformed and hard, but due to your unbelievable talent they now look awesome! Thank you so much, you are truly an artist." FlorianRead More Patient Testimonials
New Developments in Breast Augmentation
Since the first breast augmentation with prosthetic implants was performed in 1962, breast augmentation as well as the available and preferred breast implants have undergone much research and debate. Whether breast implants are round or shaped, textured or smooth, saline or silicone, preferences and safety considerations abound.Recently, the Food and Drug Administration (FDA) presented its research on Anaplastic Large Cell Lymphoma (ALCL). ALCL is a type of non-Hodgkin’s Lymphoma that can infrequently be found in the scar tissue or fluid near a breast implant. Removal of the implant, fluid, and scar tissue is usually curative for anaplastic large cell lymphoma, however, in extremely rare cases, the cells can move beyond the implant and capsule.
What should you, a patient or potential patient, know about Breast Implant Associated- Anaplastic Large Cell Lymphoma (BIA-ALCL):
- ALCL has only been found in patients with a history of textured implants. There has currently been no reported case of ALCL in patients who have only had placement of smooth breast implants.
- Out of the millions of breast implant patients, there are 457 known cases of BIA-ALCL including nine deaths. The incidence of breast implant associated anaplastic large cell lymphoma is unknown but thought to be around 1:30,000.
- Warning signs of ALCL include late onset, one-sided, pain or swelling in a breast with a history of breast implants.
- If you have late-onset breast swelling and a history of breast implants, see your plastic surgeon immediately. If BIA-ALCL is suspected, seroma fluid and a sample of capsule tissue or mass should be sent for cytologic examination and undergo specific testing (i.e. Wright Giemsa stained smears and cell block immunohistochemistry/flow cytometry testing for cluster of differentiation (CD30) and Anaplastic Lymphoma Kinase (ALK)).
- Curative treatment usually includes removal of the breast implant and capsule, or scar tissue, surrounding the breast implant. In patients desiring to maintain implants, replacement with a smooth-shelled breast implant is recommended. The need for aggressive forms of treatment for extensive disease is rare.
Dr. Jaime Perez is a board-certified plastic surgeon in Tampa, FL, specializing in breast augmentation, revision breast augmentation, and breast augmentation with lift. Dr. Perez is knowledgeable about all available breast implants and will help you pick the right breast implant to best meet your anatomy, goals, and lifestyle. Please call Jaime Perez, M.D. today at 813-877-3739 to discuss your breast augmentation goals and the best breast implant for you!
Our Patient Results
I am so happy with my results
"Thank you so much for the amazing job you have done at your Tampa practice!! I am so happy with my results! You truly have been given the special gift and use that to make people feel beautiful, physically and mentally!! Again thank you so much!!" AmandaRead More Patient Testimonials
Refined Surgical Skills and Techniques
Gone are the days when a plastic surgeon performed standardized breast augmentations, with every patient "leaving the factory with the same make and model." To ensure the most natural, attractive, and long-lasting results, the best plastic surgeons must be up-to-date and well-versed in all approaches and techniques. Dr. Jaime Perez continues to refine his surgical skills at his practice in Tampa Bay, FL, remaining at the forefront of plastic surgery by attending professional meetings, contributing to scientific literature, and most importantly, listening to and learning from his patients. Dr. Perez’s approach to breast augmentation is not limited to a single technique learned many years ago; he has the experience and skill to allow his surgical plan to be dictated by his patients’ individuality, anatomy, and goals
Am I a Candidate?
Many women who undergo breast augmentation have always been unhappy with the size or shape of their breasts and wish to increase their self-esteem and confidence, and improve their appearance in clothes. Other women who consider breast implants were once satisfied with their figure but after pregnancy, weight loss, or aging, have experienced a loss of volume or fullness and wish to regain a full, firm bust.
Dr. Perez Discusses Breast Augmentation Procedures in Tampa
Dr. Perez is versed in a variety of breast augmentation techniques to help patients achieve a larger, more symmetrical bust line. One of the most important aspects of the procedure is the technique of making the incision, which should be tailored to each patient. Our doctors are experienced in delivering exceptional results to reduce scarring.
Modern Advances in Surgical Techniques
Since the modern era of breast augmentation began in 1962 with the introduction of first-generation silicone implants, many women have chosen to surgically enhance their bust in order to increase their self-confidence and improve their physical proportions. Breast implant technology as well as the surgery itself is a continually evolving field with more advances each year. Dr. Perez in Tampa is comfortable with all methods of breast augmentation, incision placement, implant position, and implant type. He does not dictate to patients which technique they must use; rather, he and his staff listen to each patient’s desires. After careful examination and consideration, they decide upon a treatment plan that his patients understand and are comfortable with.
Breast Augmentation Incisions
There are many inconspicuous areas of the body through which we can gain access to the breast. Each incision placement has advantages and disadvantages.
The inframammary fold is the crease beneath the breast where the breast tissue meets the chest wall. Placing the incision in this location allows the surgeon access to all areas of the breast during surgery. This type of incision is best for patients with a well-defined inframammary fold. It is also appropriate for those receiving larger silicone implants. The inframammary fold scar generally heals well and is usually visible only if the patient is lying down.
The areola is the dark, pigmented skin surrounding the nipple. A periareolar incision is placed at the junction of the breast and areola, usually at the bottom portion of the areola. This incision also allows good visualization and access to the breast tissue and is best for patients undergoing simultaneous mastopexy, or breast lift. This incision may not be appropriate for patients with small nipples, less than 3-cm in diameter, and may be more visible in patients with very light skin or an indistinct border between the breast skin and areola.
The axillary, or armpit, incision has the obvious advantage of not placing scars directly on the breast itself. With this incision, an endoscope, or a retracting device with a camera, is used as a visual aid during surgery. This incision placement is best for patients with small breasts, who have an indistinct inframammary fold. As placing a silicone implant can be difficult through an axillary incision, Dr. Perez uses a surgical “funnel” to aid in silicone implant placement at our Tampa facility when using this approach.
While it is possible to place saline (not silicone) implants through an umbilical, or belly button, incision, this is usually a long and potentially bloody procedure. Dr. Perez does not utilize this technique for our Tampa patients as he feels he obtains better results with less trauma by using other, more well-established incision types.
I absolutely LOVE the results!
"I was very impressed and satisfied with my procedure and how well I was treated. The entire staff always has a smile on their face and a kind word. Dr. Jaime Perez has a bedside manner that evokes confidence and appreciation in his abilities"Read More Patient Testimonials
The implant can be placed into different layers of the chest and we can discuss these options during your visit to our Tampa practice.
Subpectoral or Submuscular
The term subpectoral and submuscular are often used interchangeably and describe placement of the breast implant beneath the pectoralis major muscle, which lies under the breast tissue. This position is the most commonly used and allows the superior and medial portion of the breast implant to be covered by breast tissue and muscle. Subpectoral placement is best for thin patients with little (less than 2cm) superior breast or subcutaneous tissue. This position helps decrease the chances that the implant will be visible through the skin postoperatively and may decrease longer-term complications like capsular contraction. However, some breast augmentation patients may notice implant movement with contraction of the muscle.
A subglandular implant is placed below the breast tissue but above the pectoralis major muscle. This position is best for patients with thicker upper chest skin, those with minimal ptosis (i.e. drooping of the breasts), or women with previously placed subpectoral implants requiring certain revision operations.
The term “dual plane” is used to describe a breast augmentation that places the implant beneath the pectoralis major muscle superiorly but lies directly under the breast tissue inferiorly. This technique requires dissection in both planes and is best for thin patients with moderate amounts of ptosis (i.e. drooping of the breasts) that would be difficult to correct with subpectoral or subglandular implant placement alone.
The fascia of the pectoralis major muscle is a strong, fibrous, connective tissue layer between the breast tissue and the muscle itself. Subfascial implants are placed beneath the breast tissue and fascia of the pectoralis major but above the actual muscle tissue. While this is a rather new technique, some surgeons feel that this position may allow extra coverage of the implant, decrease implant visibility, and decrease “bottoming out” (i.e. unwanted descent of the inframammary fold and implant over time) while decreasing movement of the breast implants seen with subpectoral implants.
Since the introduction of first-generation silicone implants nearly fifty years ago, they have been the subject of much controversy and have undergone many changes. While no medical or scientific correlation was ever made between silicone implants and rheumatologic diseases, silicone implants were pulled from the market in 1992 mainly because of media pressure. Newer, fourth-generation implants were made available for aesthetic breast augmentation in 2008. Today’s implants have a double-walled shell to help prevent leakage and are filled with thick, “gummy-like” filler (i.e. “gummy bear implants”). Silicone implants tend to have a more natural feel and show less visible rippling when placed in the subglandular plane. Because silicone implants have “silent leaks” and do not deflate like saline implants when ruptured, it is recommended that patients undergo MRI monitoring three years after placement then every two years thereafter.
Saline implants have the benefit of showing obvious deflation if ruptured and do not require routine monitoring. They are less expensive than silicone implants but tend to have a slightly less natural feel and may show more rippling if placed in a subglandular plane in patients with thin skin and little natural breast tissue.
The size of implant chosen for breast augmentation is a very personal decision. While there is no exact formula to determine the ideal breast size for every patient, there are guidelines with the goal being to create harmony and balance between the lower and upper body while providing the patient with long-term satisfaction. During the initial consultation or preoperative evaluation, Dr. Perez can review the patient’s goals for breast augmentation, conduct a thorough physical exam at our Tampa office, and take measurements. Most importantly, Dr. Perez can determine the width of the breast, amount of skin laxity, amount of existing breast tissue, and nipple and inframammary fold location.
In general, patients with a larger breast width, looser skin, and little existing breast tissue require a larger implant to obtain an attractive result. Conversely, younger patients with a small chest, tight skin, and adequate amounts of breast tissue may not be able to safely accommodate a very large implant. Placement of implants that are larger than recommended may lead to long-term complications such as permanent loss of the existing breast tissue, stretching of the skin and early ptosis (i.e. sagging breasts), deformation of the chest wall, and possible implant extrusion (i.e. thinning of the breast tissues to such a degree that the implant becomes exposed). Dr. Perez’s skill lies in being able to deliver a beautiful result consistent with the patient’s desires while ensuring long-term satisfaction and patient safety.
I had a Breast augmentation May of 2017. My Breast implants bottomed out and the previous doctor told me that it was fine. Ended up going to Perez in Tampa. Felt completely comfortable and insured with the procedure I was getting done. He fixed my implants and put in silicone implants. I am completely happy and now confident in my new look. I absolutely love him and his team. I would recommend anyone to go to him. View On Google
I am about a month post op from a breast augmentation and so extremely satisfied! Would recommend Dr.Perez to anyone looking for an amazing cosmetic Dr. I was referred to him from multiple friends that has many procedures done by him. I was worried that what he suggested wouldn't look good on me but he explained why and made me feel comfortable about his decision. I am so very happy I listened to his recommendation and I absolutely LOVE my results! Thank you Dr.Perez. And post op visits have been great and I will be coming back for all my cosmetic procedures!!
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Considerations About the Procedure
Satisfaction rates among breast augmentation patients are among the highest of all plastic surgery procedures performed in the United States. Over 90 percent of patients report high satisfaction with their results and over 95 percent of patients feel their appearance was significantly improved. Despite such positive results, like all surgeries, there are risks associated with breast augmentation.
The most frequently encountered postoperative complications of breast augmentation are hematoma (i.e. bleeding into the implant pocket requiring surgical removal), which occur in one to three percent of patients nationwide, and infection of the implant occurring in less than 1 percent of patients nationwide. Most all patients will experience some temporary change in breast and/or nipple sensation immediately after surgery. 15 percent of patients may experience permanent increases or decreases in breast sensitivity and nipple sensation. Dr. Perez examines all of his patients on the day after surgery so that in the unlikely event there is a complication, it can be diagnosed and treated efficiently at our Tampa office.
Over 90 percent of patients report high satisfaction with their results and over 95 percent of patients feel their appearance was significantly improved.
While not considered a complication of surgery, it is important to note that like a natural breast, augmented breasts will change over time, especially after weight loss and pregnancy. Additionally, the implants placed, whether saline or silicone, may also need to be replaced after a number of years. In general, the reoperation rate ten years after breast augmentation is approximately 25 to 40 percent for implant-related causes such as implant rupture or capsular contracture (i.e. excessive amounts of normal scar tissue formation around the implant that leads to distortion of the breast tissue).
Proper Postoperative Care
Breast augmentation surgery typically takes one to two hours at our Tampa facility and is performed on an outpatient basis under general anesthesia. Recovery times vary but patients are generally able to return to work in a couple days, light exercise in two to three weeks, and full exercise in five to six weeks. Antibiotics and pain medicines are usually prescribed following the surgery.
A Specialist in Breast Augmentation
Dr. Jamie Perez has been a practicing plastic surgeon since 2000. He prides himself on staying up-to-date on the latest breast augmentation techniques to ensure his patients achieve the best results possible. At Plastic Surgery Center of Tampa, our team prides themselves on providing attractive, natural-looking augmentations that suit the unique needs of each individual patient.
In addition to over 19 years of experience, Dr. Perez is board-certified by the:
- American Board of Plastic Surgery
- American Board of Surgery
To schedule a free breast augmentation consultation at our practice, contact us online or call (813) 877-3739 today.