Breast augmentation surgery

Dr. Steven Rueda is one of the most sought after breast augmentation surgeons in West Palm Beach, Wellington and Jupiter. His attention to detail and methodical technique create beautiful and natural results. Breast augmentation allows woman to enjoy larger, fuller, and more youthful breasts. Besides the enhanced appearance, many woman also find themselves enjoying more confidence in their body and self. Breast augmentation surgery is not only about gaining a bigger size, but its also used to regain volume that may be lost after pregnancy, to achieve symmetry in uneven breasts, or to correct congenital breast deformities.

What can breast augmentation correct

Small breast

Most commonly a result of decreased size in the breast glands in proportion to the body. Breast augmentation places an implant that provides projection behind the breast gland or chest muscles, thus enlarging the breast.

Loss of breast volume

As aging progresses, some of the firm breast gland tissue is replaced by fatty tissue. This causes the breast to loose volume, projection, and firmness. Breast augmentation places an implant that replaces some of the lost volume.

Asymmetrical breasts

Although some degree of breast asymmetry is common and difficult to notice, significant unevenness of the breasts is obvious and distressful. Placement of implants can increase the volume of a smaller uneven breast.

Loss of breast volume

As aging progresses, some of the firm breast gland tissue is replaced by fatty tissue. This causes the breast to loose volume, projection, and firmness. Breast augmentation places an implant that replaces some of the lost volume.

Asymmetrical breasts

Although some degree of breast asymmetry is common and difficult to notice, significant unevenness of the breasts is obvious and distressful. Placement of implants can increase the volume of a smaller uneven breast.

What can breast augmentation correct

Small breast

Most commonly a result of decreased size in the breast glands in proportion to the body. Breast augmentation places an implant that provides projection behind the breast gland or chest muscles, thus enlarging the breast.

Loss of breast volume

As aging progresses, some of the firm breast gland tissue is replaced by fatty tissue. This causes the breast to loose volume, projection, and firmness. Breast augmentation places an implant that replaces some of the lost volume.

Asymmetrical breasts

Although some degree of breast asymmetry is common and difficult to notice, significant unevenness of the breasts is obvious and distressful. Placement of implants can increase the volume of a smaller uneven breast.

Loss of breast volume

As aging progresses, some of the firm breast gland tissue is replaced by fatty tissue. This causes the breast to loose volume, projection, and firmness. Breast augmentation places an implant that replaces some of the lost volume.

Asymmetrical breasts

Although some degree of breast asymmetry is common and difficult to notice, significant unevenness of the breasts is obvious and distressful. Placement of implants can increase the volume of a smaller uneven breast.

IMPLANT POSITION

There are two main positions to place the implant: below the gland (sublandular), or below the muscle (submuscular). Like every other decision in breast augmentation, the position needs to be tailored to every patient. Dr. Rueda is a strong advocate for positioning the implants below the muscle in the majority of patients. This is because there are clinical studies that show a lower rate of capsular contracture in submusclar implants, making them a better longterm option for patients. However, this decision becomes more difficult in woman that are very active.

Some of the pluses and minuses of positioning below the gland and below the muscle are:

Pluses

  • Better breast projection and shape
  • Decreased pain after surgery
  • The implant does not move when the chest muscles are contracted

Minuses

  • Increased rate of capsular contracture
  • Increased risk of palpable implant if skin and breast are too thin

Pluses

  • Decreased rate of capsular contracture
  • Better view of breast during breast mammography for cancer screening

Minuses

  • Slightly more pain after surgery than subglandular placement
  • Possible implant movement with contraction of the chest muscles (known as breast animation)

SILICONE VS SALINE

There are two main types of breast implants: silicone and saline. It is worth noting that both silicone and saline implants are made with an outer silicone shell. The difference really relies on the substance that fills the inside of the outer shell, which can be saline or silicone. Although silicone implants remain the most popular, there is not an implant that is better than other for all patients. Dr. Rueda tailors the decision to each patient’s needs, expectations, and concerns. Some of the pluses and minuses of each type of implant are shown below:

Pluses

  • Provides a more natural feel to the breast compared to saline
  • Implant ruptures are rare, and are less common than in silicone
  • No rippling in woman with thin skin and small breasts

Minuses

  • Implant ruptures are very rare, but are more difficult to diagnose
  • In the rare event of an implant rupture there can be silicone leakage, however, all the scientific studies have shown this does not result in any harmful effects to the  body and can be safely removed if needed

Pluses

  • Require a smaller incision than saline since they can be filled to their final
    volume after they have been placed into the body
  • In the rare event of an implant rupture, there is leakage of saline which is easily absorbed by the body
  • The rare event of an implant rupture is easily diagnosed since the implant deflates

Minuses

  • Implant ruptures are rare, but are more common than in silicone
  • The implant feels firmer and less similar to breast tissue compared to silicone implants
  • Potential for rippling in woman with thin skin and small breasts

Breast augmentation procedure

Incisions

Made and hidden in the lower breast fold.

Incisions

Made and hidden around the areola lower border.

RECOVERY AND DOWNTIME

Below the Gland: This is an ambulatory procedure, where you get to go home the same day. There is surprisingly lower amount of pain than expected. There is tightness, swelling and bruising for first few days after surgery. Usually a bandage is placed and removed in 48 hours. Exercises for breast softening may be recommended for 2 weeks.
Below the Muscle: This is an ambulatory procedure, where you get to go home the same day. There is discomfort and pressure in the chest area as the muscle adapts to the implant below it. There is tightness, swelling and bruising for first few days after surgery. Usually a bandage is placed and removed in 48 hours. Exercises for breast softening may be recommended for 2 weeks.

Most patients generally return to work in 1-2 weeks. Exercise is not allowed until 4 weeks after the surgery.

The cost of a breast augmentation varies from patient to patient depending on the type of technique needed, anesthesia time, and surgical time. At Precision, we make sure we provide you with an accurate personalized price that will cover all costs needed for you to obtain a fantastic result.

GUMMY BEAR IMPLANTS

The term “gummy bear implant” refers to silicone implants that are shaped instead of round and have textured surfaces. Like traditional implants, they consist of an outer silicone shell and are filled with silicone. However, it has a “high cohesive” silicone filling that causes it to be firmer and allows it to get its shape. Dr. Rueda uses gummy bear implants in very specific cases; with a frequency of about 8% of patients. These characteristics allow it to have certain pluses and minuses now found in traditional implants as shown below:

  • Its textured surface reduces the likelihood of developing capsular contracture
  • Its textured surface allows the implant to maintain its position and decreased the likelihood of shifting or moving
  • The implant’s shape resembles a breast’s normal anatomic contour, and is ideal for woman who want a more natural look

  • The silicone filling, which is stronger than that of traditional implants, may leads to a firmer breast
  • If the implant were to shift or move, the shape may cause a less ideal breast contour compared to fully round implants

CAPSULAR CONTRACTURE

After they are placed inside the body, the implant is walled off by a soft tissue layer called the capsule. Capsular contracture, popularly known as “breast contracture” or “breast stiffness”, describes hardening and stiffening of the capsule. Although the reason is unknown, this can lead the breast to appear high, round, flat, hard, or tender to the touch. Fortunately its occurrence is rare and there are steps that can be taken to help prevent it.

The two main principles used are: prevention of implant contamination and bleeding control. Dr. Rueda uses a special device called a Keller Funnel to insert the implant and adds a special antibiotic solution. This way, the implant is not handled or touched during the procedure minimizing the chance of any bacterial contamination with the outside world. The antibiotic solution helps eliminate any bacteria that may be inside the breast from the inside of the gland. Dr. Rueda also spends extensive time stopping any small bleeding or oozing during the operation, as this has also been shown to decrease the likelihood of its development. 

Why choose precision plastic surgery for your breast augmentation

Dr. Rueda, a Cleveland Clinic trained surgeon who has 7 years and 2,000 procedures of experience in Plastic Surgery will be your safe and best choice for breast augmentation surgery. Successful results in this procedure require a surgeon that is experienced, artistic, and detailed oriented. Dr. Rueda has published articles on cosmetic surgery in expert peer reviewed journals, and his work has been presented in several national plastic surgery conferences. Dr. Rueda’s passion for patient education and custom centered approach will guarantee you feel comfortable every step of the way. Dr. Rueda also believes in treating his patients as if he was treating his own family; you can trust you will enter a trusting long-term relationship and have the best breast augmentation Palm Beach can offer. If you are located in West Palm Beach, Jupiter, Wellington, Palm Springs, Lake Worth or any other surrounding cities, contact us today to learn more.

Reduce your Pain

Reduce your Pain

Dr. Rueda uses a special technique of injectable long acting medication that reduces the postoperative discomfort patients may feel after surgery. In some patients Dr. Rueda has noticed up to 40% reduced discomfort after surgery.

Minimize your Incisions

Minimize your Incisions

Dr. Rueda specializes on hidden short scar techniques that are seamless wearing a bra or bikini.

Durable Results

Durable Results

Although breast augmentation relies on the implant to achieve the contour and size changes, it is important to choose the implant wisely to optimize the results and reduce future needs of breast revision surgery. Dr. Rueda has mastered techniques that allow results of breast augmentation to last.

FREQUENTLY ASKED QUESTIONS (FAQ)

Implant augmentation may take 1-1.5 hour per breast depending on the degree of complexity.

Breast augmentation surgery is typically performed with general anesthesia for patient’s comfort. This requires that the patient has a friend or family member that can drive them to and from the procedure.

Your breast augmentation surgery will be performed in our certified office operating room in Palm Beach, or in an ambulatory surgery center if needed.  

Yes! Most patients who undergo breast augmentation also choose to have liposuction, tummy tuck, or other cosmetic procedures.