Miami Breast Augmentation Surgery
Medical Review by Dr. Keith Berman
Breast augmentation surgery, also known as mammoplasty, is a cosmetic procedure designed to increase breast size, improve shape, and enhance overall symmetry. The procedure involves placing silicone or saline breast implants either beneath the breast tissue or under the chest muscle, depending on your anatomy and desired outcome.
Breast augmentation surgery in Miami at Dolls Plastic Surgery is often chosen by women who feel their breasts are naturally small, uneven, or have lost volume due to pregnancy, breastfeeding, weight loss, or aging. By enhancing breast proportion and contour, many patients experience improved confidence in how their clothes fit and how they feel about their overall appearance.
This procedure may be recommended to:
- Enhance breast volume and silhouette
- Restore fullness lost after pregnancy or breastfeeding
- Correct asymmetry between the breasts
- Reconstruct the breast following surgery or medical conditions
Depending on your goals, breast size can typically be increased by one or more cup sizes through implant placement, while maintaining natural-looking results.
Who Is a Good Candidate for Breast Augmentation?
You may be a good candidate for breast augmentation surgery if you:
- Are unhappy with the size, shape, or symmetry of your breasts
- Have breasts that appear flat, uneven, or lack volume or cleavage
- Are in good overall health with no active infections or serious medical conditions
- Do not smoke, or are willing to stop smoking before and after surgery
- Have realistic expectations and understand implant options and outcomes
During your consultation, your surgeon will discuss implant types, placement options, and sizing to ensure results that complement your body proportions.
Preparing for Breast Augmentation Surgery
Before undergoing breast augmentation surgery in Miami, your surgeon will provide detailed pre-operative instructions to help ensure a safe procedure and smooth recovery. These may include guidance on medications, supplements, smoking, alcohol intake, and dietary restrictions prior to surgery.
Breast augmentation is performed under general anesthesia and does not require a blood transfusion. Preparing your home in advance and arranging time to rest after surgery can significantly improve your recovery experience. Following all pre- and post-operative instructions closely helps support optimal healing and long-term results.

Mastopexy, also known as breast lift surgery, is a surgical procedure to lift and improve the shape of sagging breasts. It can also reduce the size of the areola. However, women with large breasts may…

Breast augmentation surgery, also known as mammoplasty, is a procedure performed to increase the size of the breasts. It involves placing breast implants under the breast tissue or chest muscles…

Mastopexy, also known as breast lift surgery, is a surgical procedure to lift and improve the shape of sagging breasts. Over the years, and after circumstances such as pregnancy, breastfeeding…
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Breast Augmentation FAQ
Although there are three possible planes (retro-pectoral or sub-muscular, retro-facial or sub-facial, and retro-glandular or sub-glandular), and all three are allowed, there is a current consensus demonstrated by studies that the position of the prosthesis behind the pectoral muscle in what is called dual plane and therefore is the one we recommend, since it also minimizes the risk of future complications such as capsular contracture and rippling.
It is currently proven that drains, far from helping, can be responsible for bleeding and infections. Therefore, it is necessary to refine the surgical technique to be as precise as possible by performing complete hemostasis so that there is absolutely nothing to drain. In this way, we avoid drains in almost all of our patients, except in special situations such as some secondary surgeries or coagulation alterations that the patient has.
There is no longer a recommendation to replace the prosthesis periodically every ten years, and it is considered that the prostheses do not have a specific expiration date. But it is impossible to guarantee their unlimited duration, and it is recommended that they are periodically checked by ultrasound, especially after ten years.
Nowadays, severe commercial houses offer a lifetime guarantee against rupture.
There is no contraindication of breast prostheses for breastfeeding, and there is no inconvenience for either the mother or the baby. So, it is a totally personal decision, considering that in operated women, in the same way as in non-operated women, the breast can suffer significant aesthetic changes.
The three options are correct and are currently performed, although the least risky is the submammary route and is already recommended by most surgeons unless the patient has other preferences.
Recovery is usually quite fast if there are no incidences. The usual recovery times in breast surgery are as follows: the first two days are the most uncomfortable, usually in 7 days you can make a quiet office life, in 2 weeks is typically able to make an everyday life without excessive effort, and after a month we can resume a completely everyday life and start practicing sports.
Whenever we perform an intervention, alterations may occur in the sensitivity of the operated area, whether it is cosmetic surgery or any other type of intervention. These alterations usually happen in the first weeks or even months. They can be seen in both directions, both an excess of sensitivity or hypersensitivity and a loss of sensitivity in the area near the scar, the areola, nipple, or other areas.
Usually, these minor alterations recover with the passing of weeks and months, although they may remain permanent. The risk of alterations is greater the more significant the prosthesis to be placed because we need more space, and therefore there is more risk of injuring a nerve ending.
The only limitation is not the age, but that the state of health is good enough to undergo this surgery in complete safety.
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