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 from cosmetic breast surgery. 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
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.
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.
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.
WHAT CAN BREAST AUGMENTATION CORRECT
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.
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.
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
- Require a smaller incision than saline since they can be filled to their final
Breast augmentation procedure
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.
Incisions
Made and hidden in the lower breast fold.
(Video) "Cup Sizes" in Breast ImplantsIncisions
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.
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 procedure?
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
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
Dr. Rueda specializes on hidden short scar techniques that are seamless wearing a bra or bikini.
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.
Photo Gallery
Patient Number 77
Description:
Case by Dr Steven Rueda MD. Breast Augmentation
Patient Number 71
Description:
Case by Dr Steven Rueda MD. Breast Augmentation
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.
(Video) Q. I'm Downsizing from 425cc breast implants to 300cc what's involved?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.
FAQs
How much does a breast augmentation cost near West Palm Beach FL? ›
The average cost for breast implants in West Palm Beach ranges from $3,000 – $8,000, depending on what is involved with the surgery.
What I wish I knew before getting breast implants? ›- #1: Your Body's Proportions Will Affect Your Implant Size. Just as no two patients are exactly alike, neither are any two breast augmentation procedures. ...
- #2: You May Need a Breast Lift, Too. ...
- #3: Your Lifestyle Will Play a Role in Your Implant Choices.
- Allergan. If you know anything about breast implants, you've probably heard about Allergan. ...
- Mentor. While you may not recognize the name Mentor, you may recognize their parent company, Johnson & Johnson. ...
- Sientra.
Gummy bear implants are a type of silicone implant made from a form-stable, cohesive gel. Their unique filling material and teardrop shape provide the most natural-looking results of all breast implant options.
Do breast implants cost more by size? ›Implant size does not affect the cost of breast augmentation or your recovery: it's a personal decision that should be made based on your body, your lifestyle, and the look you have in mind.
How can I afford breast implants? ›- Your plastic surgeon's payment plan options. ...
- Personal credit cards. ...
- Personal loans from a bank or credit union. ...
- Out of pocket or savings accounts. ...
- Crowdfunding online. ...
- Crowdfunding offline: Friends and family gifts and donations. ...
- Save up.
The support of a bra is essential in this battle. Generally speaking, you shouldn't consider going braless for at least six weeks after breast augmentation. Your breasts need to be thoroughly supported during this time to ensure optimal healing.
At what age should you not get breast implants? ›While there is no legal age requirement for breast augmentation, the vast majority of reputable plastic surgeons adhere to the FDA's guidelines, which approve saline breast implants for women 18 years and older and silicone gel implants for women 22 years and older.
Do breast implants look bigger at first? ›Swelling is normal after breast augmentation, and it can make your breasts look much larger than you expected. It may take several months for swelling to subside completely. At that point, your final results will be visible. It's less common for breasts to look smaller than desired.
What breast implants look most real and soft? ›Silicone Gel Breast Implants
The benefits of silicone-gel breast implants include: Feel soft, like natural breast tissue. Look real.
What is the most requested breast implant size? ›
We find that most patients want a look that is either athletic (small C cup), full (full C cup), or large (D to DD cup). Our most common augmentation size is what we call our “full-C-cup” look.
What is the newest type of breast implants? ›Its implant is a 3D-printed cage made of a degradable biopolymer, in which they encase a small flap from underneath the breast area. This flap then grows to fill the cage with fat tissue, while the cage itself is absorbed by the body, ultimately leaving a regrown breast in its place.
What is better round or teardrop implants? ›Round implants tend to add a more prominent fullness in both the upper and lower breast. Teardrop implants are designed to more closely mimic the natural slope of the breast and are often the choice for women wanting more projection in the lower part of their breast.
How to make fake breasts that look real? ›- Select Size By Volume, Not Cup Size. It's easy to say “I want to be a 34D!”, but that's not actually how breast implant sizing works. ...
- Use the Right Silicone Implant Material. Implants are available in saline and silicone form. ...
- Trust Your Plastic Surgeon.
It's common for patients to be able to feel their implants, especially at the base, especially if the muscle isn't covering them at the bottom. They won't completely blend in with the rest of the tissues. However, when the implants are placed properly, it will be difficult to feel anything.
Are implants worth the money? ›Implants Save You Money Long-Term
Implants may have a higher initial cost than other tooth replacement options, but once they are in place, they can last for decades or even for life. Crowns, bridges, and dentures are also likely to last longer than without implants because they're held firmly in place.
It is true that if implant size is not carefully selected it can make you appear heavier. There is no specific magic size base in height and weight. My suggestion is to consult with an experienced board certified plastic surgeon who will sit down with you and talk to you about sizing.
What size are gummy bear implants? ›Gummy Bear Implants Give Women Many Size and Shape Options
This makes size choice extremely important. The 410 breast implant comes in 12 different shapes, which vary in height, width and projection as well. Women can choose from sizes ranging from 125cc to 670cc.
Loans range from $1,000 and $50,000 with repayment terms of either 36 & 60 months. A minimum credit score of 620 is required to qualify for one of these loans.
How to get breast implants covered by insurance? ›Insurance usually will not cover breast enlargement surgery. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. If you need further surgery later on, your health insurance may not cover that, either. Having breast implants may also affect your insurance rates later on.
How much should I save up for a breast augmentation? ›
As of 2020, the average surgeon's fee for this procedure is $4,866. The total cost for breast augmentation can range from $6,000 to $12,000. This includes fees for the surgeon and the hospital or facility, plus anesthesia, medical tests, and prescription medications.
Is it hard to sleep with breast implants? ›After breast augmentation surgery, it can be difficult to find a good sleeping position. Patients will be concerned with angling themselves for optimal comfort, but they'll also be aware that they need to be careful with their new breasts.
What not to do when you have implants? ›For the first 24 hours after dental implants, be sure to avoid overly hot or cold food and drinks and avoid drinking from a straw. Most importantly, only eat soft foods for the first 24 hours after having the dental implants procedure.
What can you not do with breast implants? ›Not only will you want to abstain from regular physical exercise during your recovery period, but you'll also want to avoid lifting your children or moving any heavy items around the house. Lifting heavy items can cause you pain, as well as potentially compromise your final results. DON'T go for a swim.
Do breast implants get saggy with age? ›How Breast Implants Change Over Time in the Body. As we age, our skin's collagen production slows, making our skin more prone to loosening and sagging. Breasts with implants are more prone to sagging caused by the excess weight in the implant and from the natural effects of aging.
What disqualifies you from getting breast implants? ›Generally speaking, anyone who is in reasonably good mental and physical health can be candidates for breast implants. However, you are likely not a good candidate for this surgery if: You're pregnant or breastfeeding. You have breast cancer or an abnormal mammogram.
How much weight did you gain after breast implants? ›It's common to gain a small amount of weight (up to 5 pounds) immediately after breast augmentation. A small percentage of this is due to the weight of the implants. However, your breast implants rarely weigh more than 1-2 pounds, so the rest of this weight gain is due to other factors associated with your surgery.
How do I keep my implants from dropping? ›- Wear properly fitted bras. Push-up bras can do more harm than good for your breasts. ...
- Watch your posture. ...
- Sleep on your back. ...
- Take good care of your skin. ...
- Maintain a healthy lifestyle.
Breast implant softening, also known as “fluffing,” can take anywhere from eight weeks to six months. If your breasts don't feel soft by the six-month mark, you should make an appointment to see your plastic surgeon at Cosmetic Surgery Associates. After your surgery, it's normal to experience swelling.
What size do breast implants start at? ›The normal range of breast implant sizes can be from 125cc up to 600cc (anything larger than this would require a custom-made implant). The width of the base can vary depending on the shape and size of the implant and the 'profile' or projection can range from 'low' to 'very/ultra high'.
What is the healthiest breast implant? ›
Silicone Implants: The Best Solution for an Active Lifestyle
The FDA has approved silicone implants for patients 22 years old and up. They encourage patients to get an MRI every year to check for “silent ruptures.”
The thick, highly cohesive silicone gel makes Gummy Bear implants feel firm but soft and pliable, more similar to the touch of a natural breast than traditional silicone implants.
Do gummy bear implants feel hard? ›Myth: “Gummy bear implants are way too firm.”
So, what do gummy bear implants feel like? While it is true that highly cohesive silicone gel is stronger and firmer than traditional silicone gel, the implants are pliable, much like their candy namesake.
- Keep your lifestyle in mind. The size of your implants needs to fit your lifestyle. ...
- Consider shape and position along with size. ...
- Bring a friend to your consultation. ...
- Consider the long-term. ...
- Listen to the advice of your board-certified plastic surgeon.
For this reason, we asked them to choose between six common breast shapes: asymmetric, athletic, bell, east-west, relaxed and round. 41% of all participants said that round was their ideal shape, followed by bell which was voted for by 16% of participants, and athletic which was voted for by 15%.
What is the most expensive type of breast implant? ›Silicone implants are more expensive than saline
Breast implant surgery can cost as much as $12,000, and silicone implants are around $1,000 more expensive than saline.
Ideal Implant Incorporated is a privately held company that was founded in 2006 by Robert S. Hamas, MD, the plastic surgeon who invented the IDEAL IMPLANT.
What kind of breast implants look natural? ›As of now, most women opt for either silicone or saline breast implants. Silicone breast implants look the most natural because they have the same weight, bounce, and texture as natural breast tissues.
Can you feel your nipples with implants? ›Changes in nipple sensation are very common after breast augmentation, but the good news is, they typically resolve. Feeling less sensation or more sensation than normal are common. Most women will return to normal nipple sensation within a few months of surgery. Very rarely, nipple sensation will not return.
How should implants look when lying down? ›The implants should stay in the center of the chest and not flop to the side or move up. The breast should retain a lot of its fullness and not flatten too much when lying down.
Will my shirt size change after breast augmentation? ›
Implants not only change the size and profile of the chest but the entire form of the body. Don't be afraid to show that by shopping for more form-fitting t-shirts, shirts, and dresses.
What is the cheapest state to get breast augmentation? ›The cheapest state to get breast augmentation
If you're looking to get a breast augmentation, then states such as South Carolina, Kansas, and Montana are some of the most affordable options. With average costs ranging from $2,500 to $11,000, you can get the breast size you want without breaking the bank.
Silicone implants are more expensive than saline because the silicone product is more costly to manufacture and is considered more durable. Your chosen surgeon may only offer a silicone product, naturally increasing the procedure cost.
What is most common cost for breast implants? ›The American Society of Plastic Surgeons (ASPS) reports the average cost of a breast augmentation surgery as $4,516. However, the costs of breast augmentation can range from $3,600 to $9,000.
Which breast implants are cheaper? ›Saline implants are cheaper than silicone ones because of their fill material. Saline is a sterile mixture of salt and water. Meanwhile, silicone implants are filled with silicone gel. Silicone gel comes in various consistencies and is more expensive to produce than a saltwater solution.
How much should I save for breast implants? ›As of 2020, the average surgeon's fee for this procedure is $4,866. The total cost for breast augmentation can range from $6,000 to $12,000. This includes fees for the surgeon and the hospital or facility, plus anesthesia, medical tests, and prescription medications.
How long do breast implants last? ›On average, today's implants are designed to last more than a decade, with the chance of rupture increasing by one percent each year. So, the older your implants are, the greater your risk of rupture or other complications. In many cases, breast implants can remain in good shape for 20 years or more.
How can I get insurance to cover my breasts? ›In general, you've got to have some proof that you have medical issues from your large breasts. This proof must come from a doctor or medical professional other than your plastic surgeon. In most cases, you must have undergone treatment for anywhere from six to 12 months from providers such as a: Physical therapist.
What is better than breast implants? ›Breast fat grafting avoids the potential for the complications that can accompany breast implants, such as rippling, rupturing or capsular contracture. It also eliminates the possibility of breast implants needing to be removed or replaced at some point in the future.
Do breast implants make you look bigger? ›A study showed that women who had implants had smaller waistlines than those women who did not have breast implants. Implants make your body think it is getting more fat than extra breast tissue. Therefore, your waist is proportionally smaller. However, this does not make your breasts look larger than they are.
What is the disadvantage of breast augmentation? ›
Breast implants aren't guaranteed to last a lifetime.
The average life span of an implant is about 10 years. Implant rupture is a possibility. Also, your breasts will continue to age, and factors such as weight gain or weight loss might change the way your breasts look. These issues will likely lead to more surgery.
While some patients want to create a dramatically larger, perkier bust, others want to create a more modest, natural-looking bust. In our experience, most women tend to request breast implant sizes between 200cc and 500cc, with 400cc breast implants possibly the most popular.
What is the best age to get breast implants? ›Exceptional breast augmentation results are possible to achieve for women of every age, although, the best age for successful breast surgery is typically any age between 18 and 50 years old. Patients between these ages can look to resolve various concerns with breast augmentation.
What type of breast implants are used now? ›The FDA has also approved breast implants to correct or improve the result of a previous surgery. There are two types of FDA-approved breast implants: saline-filled (saltwater solution) and silicone gel-filled.
What are the healthiest breast implants? ›Silicone implants are the best choice for active women who have little natural breast tissue. In general, women who live active lifestyles should choose smaller breast implants.