Perez-Gurri, Jose
Miami, Florida (FL) Breast Augmentation with breast implants by
Jose Perez-Gurri, M.D., F.A.C.S.
Dr. Jose Perez-Gurri Board Certified Plastic Surgeon
If you're looking for a plastic surgeon who performs Breast Implants and Breast Augmentation in the Miami, FL area, please select the following link:
Jose Perez-Gurri, M.D., F.A.C.S. Plastic Surgeon in Miami, Florida
Surgeons have performed breast augmentations through the use of breast implants since the late 1960's. Since the initial concept and first prototype of implants, much has changed. Breast implants have been made from different materials but since the mid to late 1970's manufacturers have concentrated on Saline and Silicone Gel. Other substances and fillers have been proposed and attempted for breast augmentation surgery but at the present time these two filler materials are the mainstay of breast augmentation. In 1992 there was a great deal of controversy regarding the use of silicone gel implants. Questions were raised regarding their safety and the government placed a moratorium on these types of implants. The government then required the manufacturers to provide safety data. Many scientific papers have been written since 1992 and most have failed to place a direct causal relationship between the concerns raised at the time and actual disease processes. At the present time, silicone gel implants may be used in certain breast augmentation situations with participation by the patient in an adjunct study. The cosmetic surgeon must be approved for the use of silicone gel implants.
Breast size and shape seem to be directly associated with our society's perception of feminine beauty. There appears to be a predominance of breast augmentations in the Western World in contrast to the Middle and Far East regions of the world. Most women seeking breast enlargement have suffered with small breasts for a number of years prior to seeking out a solution through surgical breast augmentation. Many have been affected by pregnancy and breast-feeding.
A breast implant is comprised of an outer shell or envelope of solid silicone that is then filled with saline (or salt water) or silicone gel. The silicone gel implants are pre-filled from the manufacturers and the saline implants require filling at the time of surgery. Implants are measured in cubic centimeters or cc. You will frequently hear reference to a 330cc implant or other sizes. The size of the implant does not always correlate to brassiere cup size.
Breast implants are inserted through the inframammary fold (underneath the breast fold), through the areola or the axilla. They are then placed in front or behind the pectoral muscle. The breast augmentation recommendations will vary from patient to patient. All patients are unique and have different requirements in order to achieve the optimal aesthetic result. What is recommended for you may be totally different than what is recommended for your girlfriend. Remember all women were not created equal.
Breast augmentations can be performed under local anesthesia with intravenous sedation or general anesthesia. We have found that our patients are most comfortable under general anesthesia. The breast augmentation procedure is performed as an outpatient, allowing you to go home afterwards. Depending on your exact procedure, incisions will vary. At this point dissection is undertaken with creation of a space or "pocket that will accommodate the implant. This pocket is created either underneath the glandular tissue (sub-glandular or in front of the muscle) or underneath the pectoral muscle (sub-pectoral). Having established this pocket, the implant is then introduced. If the implant is silicone gel, it will already be filled upon insertion. Saline implants are inserted deflated and subsequently filled through a sterile closed system with saline. The incisions are closed, a surgical bra is placed and you are taken to the recovery room. After allowing time for recuperation, you will be discharged to go home.