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Breast augmentation in naples fl

Breast augmentation in naples fl

Breast Augmentation & Breast Implants in Naples, FL

Many women struggle with breasts that are out of proportion with the rest of their bodies, causing them trouble finding clothing and often leading to feelings of self-consciousness about their appearance. Many of these women consider breast implants as a solution. Breast Augmentation with Naples Plastic Surgery has helped countless women to:

  • Enhance breast size and shape for greater self-confidence
  • Restore breast shape after prenancy, breast feeding or weight loss
  • Achieve symmetry in breasts that are out of balance with one another
  • Restore breasts after a mastectomy, lumpectomy, or other breast-related surgery

Dr. Paul Gardner, Dr. Leo Baccaro, and Dr. Mark Walsh lend their surgical skills and sense of artistry to help women achieve the bodies they desire for breast augmentation in Naples. Our surgeons’ commitment to patient satisfaction, along with his outstanding training and combined cosmetic surgery experience, has attracted patients throughout Florida to seek their services.

Breast Augmentation in Naples, FL

Our surgeons meet with their patients personally before every procedure to better understand their concerns and to create a personalized breast augmentation treatment plan that will assist them in achieving their aesthetic goals. With experience in using both saline and silicone breast implants, Dr. Gardner, Dr. Baccaro, or Dr. Walsh will assist patients in determining what kind of implant is right for their specific needs. In addition, they can performs several advanced breast augmentation techniques, such as the dual plane technique, to meet patients’ aesthetic goals.Naples Plastic Surgery offers two variations of breast augmentation according to where the implant is placed: under or over the muscle. Depending on the patient’s request, your surgeon will create incisions under the breast (in the inframammary fold) or around the nipple.After creating the incision, your surgeon dissects a pocket in front of or behind the pectoral muscle, depending on the amount of existing breast tissue and where the nipple is. He will then gently insert the implant and artfully contours the breast to help you achieve beautiful, natural-looking results.

In addition to breast augmentation, Naples Plastic Surgery’s surgeons may suggest that patients combine their surgery with other breast enhancement procedures in order to yield ideal results. Many mothers and others who are unhappy with the changes in their breasts combine breast augmentation with a breast lift to obtain fuller, more youthful-looking breasts.

Recovering from Breast Augmentation Surgery

Dr. Paul M. Gardner, Dr. Leo M. Baccaro, and Dr. Mark Walsh perform all of their breast enhancement procedures – including breast implants – at Naples Plastic Surgery, a fully accredited outpatient surgical facility. Our surgeons and surgical team work diligently to offer patients a pleasant plastic surgery experience that yields minimal complications and desirable results. Breast augmentation is an outpatient procedure, which gives patients the convenience of recovering within the comfort of their own homes. Patients typically need one to two weeks of rest following the procedure before they are able to return to their usual activities. In some instances, our surgeons may suggest that patients wear a supportive garment to assist in the healing process.

Woman representing breast implants in naples fl

Your Breast Augmentation Procedure

Health is the highest priority to Dr. Paul Gardner, Dr. Leo Baccaro, and Dr. Mark Walsh, so they work with great care when performing breast augmentation surgery to improve the aesthetics and functionality of the breasts. They take pride in helping patients begin their journey toward their aesthetic goals and strive to help patients obtain the beautiful results they desire.

Additional Plastic Surgery Procedures
with Dr. Gardner, Dr. Baccaro, and Dr. Walsh

The surgical team at Naples Plastic Surgery has a long-standing, stellar reputation for outstanding levels of skill, talent, and beautiful results. Dr. Paul M. Gardner, Dr. Leopoldo M. Baccaro, and Dr. Mark Walsh are all highly trained, experienced, and respected in the Naples community.At their state-of-the-art surgical suite in Naples, our plastic surgeons use their many talents, and personalized compassionate approach, to help patients achieve their aesthetic goals.


 Plastic Surgery / Breast Surgery – Breast Augmentation

Breast Augmentation, also known as Breast Implant Surgery or augmentation mammoplasty, is an outpatient plastic surgery procedure in which breast implants are inserted to change the appearance of the breasts by increasing volume and enhancing shape. Breast augmentation can correct asymmetry for breasts that are different sizes, restore a youthful look, and create a more feminine silhouette. For women who are unhappy with the size or shape of their breasts, breast augmentation can do more than just fill out their figure – it can improve self-esteem, self-confidence, and allow them to feel confident in their bodies. Dr. Roudner strives to fulfill each patient’s aesthetic goals while maintaining a natural appearance with minimal visible scarring.


Choosing an experienced plastic surgeon to perform your surgical procedure is extremely important to ensure that you get the results you want while minimizing any chance of complications. Tal T. Roudner, M.D., F.A.C.S., a board-certified plastic surgeon in Miami, Florida, is a highly skilled specialist in the fields of breast augmentation and reconstruction. In addition to Dr. Tal Roudner’s expertise, he is also known for his caring treatment and approachable personality. He will ensure that all your questions and concerns are answered as he works with you to develop a personalized treatment plan to meet your needs and exceed your expectations.



  • Experience – Dr. Tal Roudner has been performing breast augmentation surgery since 2005, as well as a range of other cosmetic and reconstructive procedures
  • Knowledge – Dr. Tal Roudner has performed research at world-renowned. institutions and has co-authored textbooks on cosmetic surgery.
  • Skill – Dr. Tal Roudner is certified by the American Board of Plastic Surgery and has won numerous awards.
  • Character – Dr. Tal Roudner is compassionate and prides himself on being available and accessible to his patients.
  • Convenience – Our state-of-the-art facility in Coral Gables includes an on-site operating room and is easily accessible to the greater Miami area.
  • Results – Dr. Tal Roudner takes great care to provide natural-looking results and he has many positive reviews and testimonials from happy patients.


Breast augmentation is a personal choice and one that many women make for a variety of reasons. The most important concern is that a patient makes an informed decision that feels empowering for them. Some common reasons that women choose breast augmentation:

  • Restore loss of breast volume after breastfeeding or weight loss
  • Create symmetry for breasts that are different sizes from each other
  • Balance a pear-shaped body with a larger lower half
  • Correct congenital defects, such as tubular or hypoplastic breasts
  • Breast Reconstruction after breast cancer
  • Resolve feelings of self-consciousness or lack of femininity


According to the American Society of Plastic Surgeons, breast augmentation was the #1 cosmetic surgery procedure in 2018, with 313,735 patients opting for breast implants – a 4% increase from the year before. There is no one type of person who gets breast implants. Breast Augmentation patients defy stereotypes — our patients span a diverse range of ages, backgrounds, careers, and personalities.


Breast Augmentation presents the common risks of any surgery. Breast implants were FDA-approved in 2006 and breast augmentation surgery carries a low risk of complications. Many clinical studies have been administered to evaluate the safety of breast augmentation, including an extensive study of breast implants conducted by the federal Department of Health and Human Services, focusing on potential causes of disease, cancer detection, effects on pregnancy and children, and much more. Results are conclusive that there is no link between implants and any systemic diseases or autoimmune disorders.1

Although some women who have implants may develop diseases throughout their lives, the studies imply that the primary cause would be a pre-existing condition rather than a result of breast implants. Recent reports from the FDA do report the possibility of a link between breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and certain types of textured breast implants. BIA-ALCL has been associated almost exclusively with one particular type of breast implant that has a textured outer shell and has was recalled in July of 2018.2 Dr. Tal Roudner takes safety information into account, along with your individual goals and medical history, when determining which types of breast implants to recommend.

Dr. Tal Roudner’s clinic is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Dr. Tal Roudner is highly experienced and he and his specially trained staff prioritize patient safety and only use FDA-approved breast implants and state-of-the-art equipment. When you visit our office for your initial consultation, we will determine whether implants are suitable for you based on your individual health and medical history.


As part of Dr. Tal Roudner’s commitment to safety, only patients who are good candidates for a safe breast augmentation procedure will be scheduled for surgery. Dr. Tal Roudner will take time during your initial consultation to discuss your goals for breast augmentation and perform a comprehensive analysis of your health. In general, good candidates for breast augmentation are:

  • Over 18 years old
  • In general good health
  • Non-smoking and free of alcohol or drug abuse
  • Not currently pregnant or breastfeeding


The consultation is the first step in the breast augmentation process. Breast augmentation is not a one-size-fits-all procedure. Dr. Tal Roudner works with each patient to understand your goals, get a full medical history, and develop a personalized surgical plan. If you are over the age of 35, a mammogram and an ultrasound may be necessary before you are approved for augmentation surgery. During your consultation, Dr. Tal Roudner will ask questions about your current health and your health history, and it’s important that these questions are answered completely and honestly. Current and past medications will be discussed, as will your plans for the future, including goals for weight changes, pregnancy, and breastfeeding. Dr. Tal Roudner will also explain what is and isn’t possible with breast augmentation to ensure that each patient has realistic expectations for the process and outcome of breast implant surgery.


Once you have had your initial consultation with Dr. Tal Roudner and you have scheduled your surgery you will receive specific pre-surgery instructions. It is critically important that you follow all instructions and contact us immediately if you have any questions. You will have an appointment for any necessary pre-surgical tests and paperwork scheduled for two weeks before surgery. You will be given complete instructions, but some general guidelines include:

  • Avoid strenuous activity the day before surgery
  • Do not eat or drink anything, including water, after midnight before surgery
  • Shower the evening before surgery and abstain from any lotions, fragrances or deodorant the day of surgery
  • Have a plan in place for a friend or family member to transport you to and from surgery and stay with you during the first 24 hours of recovery


Before your breast augmentation surgery, Dr. Tal Roudner will discuss all of your options with you to determine your surgical plan. It is important that you communicate your breast enhancement goals, so that he understands the breast volume and shape you’re seeking and can help you achieve your goals. The goal of every breast augmentation procedure is to create natural-looking breasts with good shape and symmetry. Dr. Tal Roudner will work with you to choose a size that suits your natural frame and meets your goals.


Should You Choose Saline or Silicone Breast Implants?

Saline Breast Implants
Saline is sterile salt water and saline breast implants are contained within a silicone shell. Saline implant shells are inserted empty and then filled by the surgeon once in place.

Silicone Breast Implants
Silicone is a synthetic material that is hypoallergenic, and to date has not been known to cause any negative reactions in the human body. Silicone is thicker than saline and more closely mimics the natural look of breast tissue. The FDA regulates that women must be 22 years of age or older to receive silicone implants.

Gummy Bear Cohesive Gel Breast Implants
The key difference between gummy bear implants and traditional implants is that gummy bear implants are filled with a highly cohesive silicone gel that is form stable, allowing the implant to maintain a natural breast shape at all times. This creates a natural breast appearance and feel. Gummy bear implants also may be less likely to rupture in the case of injury due to the stronger nature of the shell of the implant and the cohesivity of the silicone gel filling.


Breast Implants Surgery Placement

Subglandular Implant Placement
With this technique, the breast implant is placed between the pectoralis muscle and the glandular and soft breast tissue. This placement may reduce surgery and recovery time and may be less painful. It may improve the appearance of sagging breasts (ptotic breasts) in the short term, but also has a higher rate of capsular contracture and may lead to sagging breasts in the long term.

Partial Submuscular (Dual Plane) Breast Implant Placement
This is the preferred implant placement option. In this method, the implant is placed below the chest muscle (pectoralis major muscle) or partially under the muscle in its superior portion and under the breast tissue in its inferior pole (also known as a “dual plane” method).

This placement offers better coverage of the implants, reduces the palpability and visibility of the implants, and reduces the risk of developing capsular contracture. Another benefit of this approach is the increased amount of breast tissue that is visible on mammographic imaging of the breast. This placement can cause animation of the breast implants with muscle contracture and has a downward and outward movement of the implants over time.


Periareolar Incision
This incision is made at the border of the areola and the lighter breast skin. It is typically the most concealed option out of the four incision types and offers a good amount of control when it comes to creating the pocket and positioning the implant.

Inframammary Incision
This commonly used incision is made at the breast fold. It may be slightly less concealed than the periareolar incision but gives a faster approach for creating the breast pocket for the implant. Some recent studies have shown a lower capsular contracture (hardening of the breast) rate with the inframammary approach. Since this incision does not affect the breast ducts it reduces the possibilities of inability, or reduced ability to breastfeed.

Transaxillary Incision
An incision is made in the axilla (underarm). An endoscope (lighted camera) is used to assist in creating the breast pocket for the implant. The incision is less concealed than the periareolar approach as if someone raises their arms while wearing a bathing suit the scars may be visible. In addition when a second procedure is needed in the future, scar tissue in the region may make this approach less attractive. This option also has a tendency to result in higher-riding implants and capsular contracture.

Transumbilical Incision
During this method, an incision is made in the belly button and a tunnel created to the breast. This approach is only applicable for saline implants. It carries a higher risk of chest trauma, since it is a blind approach. This incision site is typically not recommended.


Depending on your goals, Dr. Tal. Roudner may be able to combine additional procedures with your breast augmentation. For mothers who have concerns about other parts of their bodies, and are finished with childbirth, a mommy makeover procedure can be customized to address multiple areas of the body. Some patients may also require a breast lift in order to achieve a more youthful look. Dr. Tal Roudner is experienced in a full range of cosmetic procedures for breast, face, and body and will work with you to meet your goals.


Your procedure will most likely be performed in the surgical suite at our Miami office. In some cases, we may feel that it is necessary to move your procedure to one of Miami’s excellent local hospitals. If so, we will discuss this prior to scheduling your breast augmentation surgery. Once you arrive at our Miami office, our surgical team will confirm your details and prep you for surgery.


Breast Augmentation surgery may be performed under twilight sedation (the patient is sedated but not unconscious) with local anesthesia or it may be performed under general anesthesia. These options help to avoid any pain during the procedure by either numbing the region (local anesthesia) or placing them in a temporary unconscious state for the duration of the augmentation surgery (general anesthesia).


Procedure time will vary, generally between 40 to 90 minutes, depending on the complexity of technique required and any additional procedures.


The location and size of your breast implant incisions will depend on your current breast size, the planned increase to your breast size, and which type of implant you will be receiving. Dr. Roudner typically places the incisions for implant insertion at the inframammary fold or as a periareolar incision (semi-circular incision in the lower portion of the areola). Because the goal of breast augmentation is to create more aesthetically pleasing breasts, Dr. Roudner will be careful to place your incisions in such a way that they will blend in with your own natural contours, so any post-surgical marks will be very minimal.


Once the incisions are carefully placed, Dr. Tal Roudner will create pockets to hold your implants in place. Once the pockets are created, your implants will be placed. When the implants are properly secured, your incisions will be closed, and you will be moved to the recovery area at our Miami office.


Dr. Tal Roudner uses the Keller Funnel for both breast augmentation and reconstruction surgeries. Using the Keller Funnel can provide patients with the following benefits:

  • Shorter incision lengths
  • More choices for incision placement
  • Reduced force on the implant and incision
  • No-touch technique, which reduces the chance of capsular contracture (hardening of the breast)
  • Reduced force on the implant and incision, decreasing trauma to the tissues and implants

Click to read more about the Keller Funnel and its benefits.


You will be given complete post-operative instructions. Please follow all instructions carefully, as they are designed to help you have the best possible results from your surgery and minimize the risks of infection and scarring. If you have any questions regarding your post-op instructions, please don’t hesitate to call our office. You will experience some discomfort and pain for a few days after surgery, which you will be prescribed pain medication to help alleviate. You can expect some swelling after your surgery, and initially it may obscure your true results, although the increase in breast size will be immediately evident. It is not uncommon for one breast to swell more than the other. For most patients, significant reduction of swelling begins by about the sixth week and continues to subside over a period of six months to a year.

Keeping in mind that it is very important to follow all specific post-operative instructions, here are a few general guidelines:

  • Plan for a minimum of 5 days rest, with complete bed rest the day of surgery
  • Light activity may be approved the third week after surgery, with return to normal activities at approximately six weeks after surgery.
  • Keep all scheduled post-operative appointments, starting with one to be scheduled 3 days after surgery
  • Wear a bra only if instructed to do so
  • Avoid sun exposure for a minimum of six weeks and ideally for a six-month period

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