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1250 Pine Ridge Road, Suite 101C,
Naples, Florida 34108

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BREAST AUGMENTATION

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BREAST AUGMENTATION

Breast Augmentation & Breast Implants

Call 239-566-2611 for a Consultation

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. Breast Augmentation 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
View Video Transcript – Breast Augmentation: 3 Questions to Ask Your Surgeon

You’ve decided you want to do a breast augmentation. You’re going to see a doctor for a consultation. You want to ask him or her three important questions.

The first question you want to ask is, “Are you going to put the implant over or under the muscle?” That’s an important one. Most doctors put the implant under the muscle. By putting the implant under the pectoralis major muscle, you’re able to camouflage a bit of the implant so it doesn’t look as round or as unnatural. It also has a protective effect to prevent scarring over the implant which is an important consideration later on.

The second question you want to ask your doctor is “What kind of incision are you going to use?” Generally, there are three widely used incisions. One goes under the arm, that’s called a trans axillary approach and the benefits of that are that it’s not on the breast, so you don’t have a scar on the breast. However, if you’re going out to the beach a lot and playing volleyball or doing something like that where you raise your arm up, you might see the scar. The second place the scar can be placed is around the nipple areolar complex which is just on the bottom edge of the pigmented part of the nipple that really heals very nicely. Most times you can’t even see a scar, but every once in a while, that scar will be like a line that’s visible so that’s something to consider. The other thing is when you’re going through the nipple portion of the ducts that go to the nipple which might affect breastfeeding later on. The third approach is under the breasts itself. It’s called an infra memory fold incision. It’s kind of in that fold area so the only way you could really see it as if you kind of look up from underneath. That generally heals real well. The advantage of using that incision is it’s hidden, number one, second, it allows the surgeon to really shape the pocket for the breast implant in the best way possible to give the best results possible.

The third question you want to ask you surgeon, and it’s something you’ve already probably don some research on, is “What kind of implant are you going to use?

There are basically two types of implants. There’s saline and silicone. What we’re referring to specifically is what makes up the implant and what’s on the inside of the shell. Saline is saltwater. It’s a very safe natural material, if it leaks, it gets absorbed by the body so a lot of people like that as part of the safety factor of having an augmentation. With saline implants, it doesn’t quite feel as natural as silicone implants do because it is saltwater which has a different texture of density compared to breast tissue, but it is a very popular implant.

Silicone implants have silicone gel. Silicone gel has a much more natural feel to it. It feels like breast tissue so when the implant is inside and you feel the breast, it actually feels real. It’s hard to tell that the implants are even in there. This is really good for patients that don’t have a lot of breast tissue covering the implant. If they just have a little bit of skin, just a little bit of breast tissue, silicones definitely are the preferred implants because it feels more natural.

Dr. Paul Gardner and Dr. Leo Baccaro lend their surgical skills and sense of artistry to help women achieve the bodies they desire. 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 or Dr. Baccaro 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.
Gardner 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, Dr. Gardner or Dr. Baccaro 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 and Dr. Leo M. Baccaro perform all of their breast enhancement procedures at Gardner 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.

Breast Augmentation and Breast Implants FAQ

Who are good candidates for breast augmentation?

According to the American Society of Plastic Surgeons, more than 300,000 North American women seek out breast augmentation and related cosmetic procedures every year. The best candidates for breast augmentation in Naples, FL tend to be women who maintain a healthy lifestyle and are within close range of their ideal weights.

Candidates need to maintain their good health both before and after implant procedures, and need to closely follow the pre- and post-operative guidance provided by Dr. Gardner or Dr. Baccaro. Maintaining one’s weight is a key component of this guidance, as changes in weight can affect the size, shape, and proportion of the breasts. Smoking is also strongly discouraged, and those who smoke will be urged to quit.

How do I determine whether I need implants, a breast lift, or both?

Saline and silicone breast implants can reduce the appearance of minor sagging of the breasts, but those experiencing significant sagging often require mastopexy, which is more commonly called a breast lift. During your initial consultation, Dr. Gardner or Dr. Baccaro will evaluate your breasts to determine which procedure(s) will most likely provide you with the aesthetic results sought. In many cases, your surgeon may recommend that breast lift surgery be performed in conjunction with breast augmentation, as the best means for enhancing the size, position, and proportions of the breasts.

Do implants “drop” into place over time? How long does this take?

Silicone- and saline-filled implants can often appear to be too highly positioned on the chest for a time after surgery. This apparent high positioning is typically caused by breast tissue swelling and skin tightening due to the breasts’ increased volume. This should not be cause for alarm, though, as many women’s implants begin to “drop,” or settle into lower, more natural-looking positions after about 3 weeks. Note, though, that the settling process can take as long as six months.

Breast massage may work to a degree in speeding the settling process, but massage is not recommended for those who have opted for textured implants. Dr. Gardner or Dr. Baccaro will provide a full preoperative briefing on potential postoperative issues and concerns such as breast dropping.

Can you provide a preview of how my breasts will look after surgery?

Gardner Plastic Surgery utilizes a Vectra 3D breast augmentation simulator to demonstrate the potential outcomes of breast augmentation and breast implants. Vectra 3D images allow the patient to visualize from all angles how the breasts might look depending upon the procedure(s), and assists the surgeon and patient in fine tuning the desired aesthetic outcome.

What types of implants does Gardner Plastic Surgery recommend?

Many women considering breast implants in Naples, FL struggle with deciding what type of implant is right for them. The choice between silicone implants, saline implants, or structured implants is not easy, and ultimately the woman seeking augmentation needs to make the choice. Saline implants are perceived as having the best safety profile, while silicone implants are popular due to their natural feel that closely approximates breast tissue. Structured implants, which use internal structuring with saline to approximate the look and feel of breast tissue serve as a recent compromise between the other two.

Along with saline and silicone implants, Gardner Plastic Surgery offers the Ideal Implant® as its structured option. No matter which breast implant type chosen, Dr. Gardner and Dr. Baccaro have the requisite training, experience, skill, and cosmetic surgical artistry needed to provide you with the fuller, more youthful-looking breasts.

Are breast augmentation scars noticeable?

Breast augmentation scars are typically short in length and usually well-disguised within the creases beneath the breasts and can be further hidden by a bra or bathing suit top. Longer incisions going up to the nipple may be apparent in those who opt for a combination of breast enhancement procedures, such as a breast lift with implants.

How does one pick between round or teardrop-shaped breast implants?

Implants come in round or teardrop shapes, with the teardrop-shaped implants designed to display a more natural appearance. Round implants placed in the submuscular position can provide a similar natural-looking shape as well. The optimal implant shape varies on a person-to-person basis, so Dr. Gardner or Dr. Baccaro will thoroughly review breast implant shape options with you to determine which style will help you best achieve your aesthetic goals.

Is breastfeeding allowed after breast augmentation surgery?

In most cases, breast augmentation does not impact the ability to breastfeed and there is no danger that breast implant materials, such as saline or silicone, will be passed onto the baby in the breast milk.

How soon can I return to normal activities after breast implant surgery?

Typically, most patients are mobile within a day or two after surgery, and any resultant discomfort is kept under control with prescription pain medicine. You will be able to shower and tend to other personal hygiene regimens almost immediately and will return to our office for follow up examination and stitch removal (unless dissolvable suture was used) within a week. Sexual relations can be resumed as soon as the desire strikes, though the breasts need to be treated gently during recovery.

Patients are usually able to return to work within a week; however, any work activities requiring lifting, pushing or stretching of the arms should be conducted with care and modified or avoided to limit pain and discomfort. Submuscular positioned implants (which comprise the majority) generally take longer recovery times before becoming pain free. A return to exercise routines should also be done with care and attention to any discomfort. After two weeks of recovery only a few exercises are likely to impact the incision or breast implant placement, but strenuous exercises focused on the pectoralis muscles—such as bench presses or push-ups—should be avoided. Most patients can resume their full, vigorous workout routines after a month or so of recovery.

What kinds of dressings or bra will I have to wear after breast augmentation surgery and when can I resume wearing an underwire?

Following surgery, steri-strips are typically applied over small incisions and a surgical-recovery bra with minimal dressings is worn. This surgical bra will usually be used for a week or more. Depending upon your implants and surgery, your surgical bra may put pressure on the upper edge of the breast or implant to hold it in a lower position to account for implants that initially tend to sit high on the chest. This high position (see question regarding “implant drop”) is caused by the need for the fold under the breast to stretch into a new relaxed shape to account for the larger implant.

Once the breast implants have dropped into the desired position, you can opt for the bra of your choice. Those who have undergone a large breast augmentation should always wear a bra during exercise and even normal daily activities. Underwire bras can also be worn after the implants have settled into their desired positions. Dr. Gardner or Dr. Baccaro will provide you with further details regarding implant dropping and appropriate bra usage.

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Your Breast Augmentation Procedure


Health is the highest priority to Dr. Paul Gardner and Dr. Leo Baccaro, 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 and Dr. Baccaro


The surgical team at Gardner Plastic Surgery has a long-standing, stellar reputation for outstanding levels of skill, talent, and beautiful results. Dr. Paul M. Gardner and Dr. Leopoldo M. Baccaro are both 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.

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At Naples Plastic Surgery, our cosmetic services are designed to contour and enhance your body to help you achieve the body image that you desire. Known for offering among the best facial plastic surgery in Naples, our board-certified surgeons are known as much for their artistry as they are for their surgical skills. We understand that your image is the key to feeling great, so we will provide you with the most reliable advice and services to help make you look and feel your best.

The surgical team at Naples Plastic Surgery has the training and experience necessary to help you pursue your own individual cosmetic goals down to the very last detail, all in a warm, comfortable, and private environment.

Dr. Paul Gardner, MD, FACS is a board-certified plastic surgeon serving Southwest Florida. As one of the leading plastic surgeons in Naples, FL, Dr. Gardner has more than 25 years of experience performing facial procedures including composite facelift, mini facelift, rhinoplasty, brow lift and skin cancer removal procedures. He also possesses expertise in breast augmentations, breast lifts, tummy tucks, liposuctions, and labiaplasty.
Dr. Leopoldo M. Baccaro, MD received extensive training at the prestigious Houston Methodist Hospital in the Texas Medical Center, where he worked with some of the most well-renowned practitioners in the art of cosmetic surgery. With honors and awards throughout medical school and his residency, Dr. Baccaro earned a stellar reputation for high quality surgical care with both cosmetic and reconstructive surgery procedures.

The plastic surgery process at Naples Plastic Surgery begins with a one-on-one, confidential consultation in which your surgeon conducts an examination to determine which procedures are likely to produce the most robust aesthetic improvements. This includes a comprehensive discussion with you to identify the benefits, risks and costs associated with each procedure. It may be possible to combine a number of surgical procedures into a single surgery if you desire and if your medical condition permits it.

As with any medical procedure, there is no guarantee that a desired outcome will be achieved. There are a number of health risks associated with even minor medical procedures. If you have any health issues or concerns, please feel free to discuss them any time with your surgeon at our Naples’ plastic surgery center.
Gardner Plastic Surgery

Naples Plastic Surgery- Copyright © 2013 - 2020

Plastic Surgeons | Paul M. Gardner, MD, FACS | Leopoldo M. Baccaro, MD
1250 Pine Ridge Road, Suite 101C, Naples, Florida 34108
(239) 566-2611 fax: (239) 431-8069
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