Breast Augmentation in Tampa

Before and After Photos of Tummy Tuck Patients

How can I find the best breast implant plastic surgeon in Tampa Bay?

breast-augmentation-01
34 y/o Tampa breast augmentation patient with silicone implants

There are many experienced and well-qualified Tampa breast augmentation surgeons who have performed hundreds of breast enlargement procedures. Make certain yours has completed a rigorous and fully accredited plastic surgery training program and has earned the distinction of being a diplomate of the American Board of Plastic Surgery. Does your surgeon have the necessary qualifications to have been approved by a hospital credentials committee to perform breast enhancement surgery? Check out the before-and-after breast augmentation photos and ask if your surgeon is willing to have prior patients describe their results. Experience counts!

How long has Dr. Shienbaum been performing breast augmentation?

Dr. Shienbaum has performed thousands of breast implant surgeries in over 30 years of plastic surgery practice.

breast-augmentation-02
29 year-old Lakeland breast implants patient with silicone implants (330 cc’s)

Evaluating Before and After Breast Implant Photos

Breast implant photo galleries can be a valuable indication of the surgeon’s work and aesthetic perspective. Examine each photo closely. Are the breast implants too large, uneven, widely spaced or riding high with a superior bulge? Are the implants centered under the nipples and positioned for optimum cleavage? The quality of the photos is an important indication of your surgeon’s attention to detail. The breast photos should be uniform with similar backgrounds and lighting. Are they blurry, with dissimilar skin tones and mismatched body positioning? You want your breast implant surgeon to be meticulous and precise throughout surgery, and have an experienced sense of breast proportion and aesthetics.

breast-augmentation-0325 year-old  Brandenton breast enlargement patient with silicone implants (350 cc’s)

Do breast implants come with a warranty?

Most implant manufacturers offer a warranty on their breast implants, although the details differ. Some offer extended warranties. Allergan and Mentor are two major U.S. manufacturers that offer similar warranties covering some of the cost of additional surgery, and lifetime replacement of defective implants. For the exact details, visit the manufacturers’ websites. After your breast augmentation, make certain that you retain your implant manufacturer’s identification card that includes catalogue number and implant size.

breast-augmentation-04
27 year-old St. Petersburg breast augmentation patient with silicone implants (400 cc’s)

What is the best breast implant size and shape for me?

breast-augmentation-0533 year-old Bradenton breast augmentaton patient with teardrop implants

The two most important considerations in selecting breast implants are the width of your breasts and the inherent elasticity of the breast tissues. Ideally, your implants should be of sufficient size to fill the width of the breast without overstretching. Too large of an implant base may force the implant laterally beneath the thin chest skin and cause rippling. The availability of moderate, moderate plus and high profile implants allow Dr. Shienbaum to match breast implant size according to your desires and anatomy.

Should I get teardrop or round implants?

breast-augmentation-0624 year-old Clearwater breast implants patient with silicone implants (375 cc’s)

Implants come in round or teardrop shapes. Anatomical implants are sloped like a teardrop, and designed to mimic the normal breast shape. Since women have naturally different breast shapes, the teardrop implants now come in various height and width ratios. Because teardrop implants have a somewhat triangular form, any movement or rotation during the healing process may lead to visible breast asymmetries.

Round implants can be massaged and manipulated without any such breast distortions. Dr. Shienbaum prefers the appearance of round implants placed behind the muscle, which constantly adjust to your body’s position. The muscle tension usually produces a natural breast shape with a smooth upper pole.

How do I determine my cup size?

breast-augmentation-07
23  year-old Tampa breast enhancement patient with subpectoral implants (350 cc’s)

How many cc’s are needed to change your cup size? Roughly 200 cc is required to increase one cup size in a bra with a 34-inch width. However, this is highly variable because bra engineering and cup designs are not consistent. The “C” cup in a 32C bra is smaller than that of a 38C bra. The larger the chest diameter, the larger the bra size, and the more volume needed to increase cup size.

It is more important to base your implant size on your breast measurements and the quality of your breast tissue. Trying on implant sizers will provide an approximate reflection of your new look. For the most natural look, make sure your implant matches your body dimensions.

Saline vs. Silicone implants: Which Is Better?

breast-augmentation-0824 year-old Lakeland breast augmentation patient with above-the-muscle implants

Saline (saltwater) implants are less expensive and are FDA-approved for women at least 18 years of age. They require a shorter incision and can be adjusted to compensate for small breast asymmetries. They are the choice of women who still fear silicone and accept the risks of deflation and a greater potential for rippling.

Silicone implants provide a more natural, softer feel, due to the consistency of the silicone gel, which is similar to breast fat. For this reason, most women at Dr. Shienbaum’s Tampa, Florida, breast augmentation practice prefer silicone implants – as do the majority of women throughout the country.

Which breast implant position delivers the most natural-looking results?

Submuscular placement helps conceal the medial and superior edges of the implant (cleavage area), causes less interference with mammography, makes breast exams somewhat easier and is associated with less implant rippling. Submuscular placement is especially important with saline implants and patients with tight skin and little native breast tissue.

Subglandular placement is considered with smaller, more conservative implants, women with adequate breast volume and thickness, physically active women who are sensitive to pectoral muscle movement and females with early ptotic (sagging) breasts who do not want the scars associated with mastopexy.

Over time, the subglandular implant edge may become visible at the upper border of the breast, while the submuscular implant breast tissue may descend and hang from the pectoral musculature.

breast-augmentation-09
35 year-old Sarasota breast implants patient with subglandular, siicone implants (385 cc’s)

How much does breast augmentation cost in Tampa, Florida?

While the average price of breast enhancement in the Tampa Bay area appears to be approximately $5,500 dollars, the actual costs vary considerably. Your selection of a surgeon should not be based strictly on price — safety, expertise and experience are always more relevant criteria.

Check to see if your surgeon has the appropriate training, is board certified by the American Board of Plastic Surgery and actively maintains certification. Do the before and after photos resemble your aesthetic sense of breast shape, size and proportion? In addition, does the price quoted include anesthesia and facility fees? Your comfort and confidence with your surgeon’s ability is always more important than the actual cost.

breast-augmentation-10
38 y/o Tampa breast implants patient with subpectoral, saline implants (400 cc’s)

 

Should I choose smooth or textured breast implants?

breast-augmentation-11
25  year-old Plant City breast augmentation patient with saline implants (375 cc’s)

Smooth implants are favored by the majority of American plastic surgeons. Compared to textured implants, round and smooth implants are softer, have fewer wrinkles, last longer and have a more natural feel. The more slippery, pliable and responsive qualities of the smooth implant allow for movement and breast massage, which aids in achieving a more supple and natural looking breast. Massage softening exercises are typically not possible with the firmer textured implants.

Textured implants were initially developed to reduce the likelihood of capsular contracture. It was thought that the roughened surface with a Velcro-like adherence to the surrounding tissue would limit tightening of the implant capsule. These implants have a higher failure rate, feel stiffer, are associated with fluid exudates and produce visible traction rippling and folds. Dr. Shienbaum reserves their use for his breast revision and reconstructive cases. The modest reduction in capsule formation simply does not make up for the other undesirable characteristics.

Can I breastfeed after breast augmentation?

breast-augmentation-13
36 year-old breast enlargement patient with silicone implants (380 cc’s)

Breast implants do not typically disrupt the connections and passage of milk between the gland, ducts and nipples. Placement through the breast fold, underarm or periareolar nipple approaches do not disturb the gland and ducts necessary for breastfeeding. Similarly, implants inserted either above or below the muscle do not alter the duct gland relationship required for breastfeeding. If your breasts are anatomically and hormonally able to breastfeed, breast augmentation should make little difference.

 

What is transaxillary breast augmentation?

breast-augmentation-12
29  year-old Tampa transaxillary breast augmentation patient with silicone implants (380 cc’s)

Breast implants inserted through a small incision placed in the underarm crease have been a popular option for many women in Dr. Shienbaum’s Tampa breast augmentation practice. It is particularly suited for women younger than 22 years old who have tight breasts, small areolas, and/or indistinct breast folds, or who desire conservatively sized implants.

Saline implants, which can be folded, inserted and subsequently filled, are ideally suited for this approach. However, Dr. Shienbaum has performed thousands of both saline and silicone breast augmentations using the transaxillary technique. There has been some recent concern that this approach may interfere with the normal lymphatic flow and any future need for sentinel node biopsy.

Do I need to have my breast implants replaced every 10 years?

breast-augmentation-14
31 year-old Tampa Bay breast augmentation patient with subglandular silicone implants (325 cc’s)

This question stems from the FDA’s statement that it does not consider breast implants lifetime devices. Most breast implants are capable of lasting more than 10 years. If your breasts are soft with no indications of leakage, and free of any pain or discomfort, then simply having implants older than 10 years is not a sufficient reason to have them removed or replaced. Although manufacturers do not market their implants as permanent devices, there is little need to replace them in the absence of any specific breast implant issues.

Breast implants for athletic women and body builders

breast-augmentation-15
29 year-old Tampa breast enlargement patient with saline implants (375 cc’s)

Breast implants placed under strong pectoral muscles will sometimes be visibly distorted by the forces of muscle flexion. This may appear as a flattening of the medial breast and lateral displacement of the implant. Often the tensing of the lower pectoral muscle fibers may result in significant upward displacement of the implant. To avoid this potential for muscular flexion deformity, many athletic women choose to have their breast implants placed above the muscle. This is particularly true for women engaged in bodybuilding competitions where strong muscular posing is required.

Do breast implants change position over time?

breast-augmentation-16
30 year-old Tampa breast augmentation patient with silicone implants (400 cc’s)

Even if properly positioned at the initial surgery, breast implants may migrate through thinning soft tissues, descend due to gravitational pull, lateralize from the force of muscular contraction and undergo displacement from the pull of capsular contracture.

The human body is a dynamic entity subject to the effects of age, childbearing, weight fluctuations, hormones and stress. Your appearance, as well as that of your implants, will inevitably change.

What is breast implant capsular contracture?

breast-augmentation-17
24 year-old Tampa breast augmentation patient

The scar tissue that normally forms around breast implants may contract and squeeze the implant. This tightening is called capsular contracture. The scar tissue may cause changes in breast shape, firmness or discomfort. There are many theories as to why this happens and even more recommendations for its prevention. However, it still remains that every woman with breast implants will develop a surrounding capsule — which is the normal body reaction to virtually all foreign materials.

Why do women have their implants removed?

breast-augmentation-19
33 year-old South Tampa breast augmentation patient with silicone implants (350 cc’s)

The reasons for breast implant removal vary, and may include discomfort, sagging, lifestyle changes, size and implant issues. Once a woman has decided that an augmented bosom is no longer desirable, she must ask herself if she will be happy with less volume and cleavage, and the possibility of sagging, drooping breasts. Over time, you have probably lost breast tissue, and the quality and elasticity of your breast tissue has probably diminished. A breast lift may be needed to elevate the nipple-areola height and restore breast shape while new replacement implants will usually be needed to restore lost volume.

 

What are tubular breasts?

breast-augmentation-18
21 year-old Tampa breast augmentation patient with tubular breasts

Often called tuberous, constricted or snoopy breasts, these breasts are cone-shaped and elongated, stemming from a narrow origin on the chest wall. Despite being somewhat underdeveloped, they are typically fully functional, although the puffy, herniated areola may make breastfeeding difficult.

The unusual shape and appearance of these breasts can lead to a high degree of self-consciousness and embarrassment. Dr. Shienbaum has been highly successful in restoring self-image and esteem to his patients with tubular breast anomalies using varying techniques of tissue expansion, implants and natural fat grafting.

Will I lose sensation after breast augmentation?

There are several nerves entering the breast from beneath the ribs that supply sensation. Insertion of your breast implants will displace and stretch these nerves. The implant pressure against the nerves may restrict blood supply and hinder the ability of the nerves to transmit sensation properly. The larger the implant, the more displacement and pressure, and the more likely sensory changes are.

Often, this implant pressure irritates the nerves causing breast hypersensitivity. This may sometimes feel like a shooting pain, much like tapping your elbow’s “funny bone.” Fortunately, the vast majority of sensory changes after breast augmentation are transitory and resolve spontaneously over time.