Breast augmentation is one of the most popular plastic surgery procedure performed in the United States, and it is especially popular in beach climates like Naples. Dr. Mark Prysi has been enhancing breasts in Southwest Florida for many years and has a superb reputation within the plastic surgery community. He is particularly adept at endoscopic breast augmentation, in which he utilizes special technology to see the patient’s internal structures through smaller surgical incisions. The endoscopic approach is advantageous to patients who are concerned about incisional scarring on the breasts. Dr. Prysi uses computer imaging which allows you to visualize the possible results of a variety of implant shapes and sizes before surgery. It is Dr Prysi’s artistry that sets him apart. During surgery, he uses implant sizers to ensure your desired size, shape and overall look is attained. Dr. Prysi also reduces the possibility of infection with a “no-touch” technique by inserting all endoscopically placed implants with the Keller Funnel, which also minimizes the necessary incisions. Dr. Prysi is known for his natural-appearing results with minimal, hidden incisions that enhance your results both in and out of clothing. Dr. Prysi is the only Southwest Florida Plastic Surgeon who has completed an additional breast surgery fellowship after his plastic surgery training.
“I'm thrilled with the results. [...] Dr. Prysi said the implant was completely ruptured, "a mass of goo". I had a lump of silicone behind my nipple the size of a quarter. Dr. Prysi's practice provided me with the best possible care, preparation and follow-up of any doctor I have every had a procedure or surgery. I highly recommend Dr. Prysi.”
“Absolutely the best! Everyone is so kind and helpful. All questions and concerns addressed with no pressure to purchase any of their services or products. I can’t say enough good thing about Dr Prysi and his staff.”
“The doctor and staff were wonderful and very thorough. I felt very comfortable and confident in Dr. Prysi. The results were just as I wanted. I would highly recommend him.”
Candidates for Breast Augmentation
You may be a candidate for breast augmentation in Naples if you have small, asymmetrical breasts or breasts that are out of proportion with the rest of your figure. Dr. Prysi will work closely with you to ensure that the procedure is right for you and will meet your needs.
Making Decisions about Breast Augmentation
You will need to make several decisions with Dr. Prysi before your breast augmentation surgery. During the decision-making process and throughout your entire experience, board certified plastic surgeon Dr. Prysi will treat you with respect and compassion while listening carefully to your cosmetic goals and expectations of surgery.
First, you will need to decide which type of breast implants are best suited for your body and your cosmetic goals: saline or silicone implants. Saline implants are composed of a saltwater solution and filled after the shell has been placed, causing them to require a smaller incision. The disadvantages of saline implants are that they can be more palpable and cause rippling especially in a thin person. Silicone implants are filled with “Cohesive” silicone which has the consistency of Jell-O. Silicone implants tend to have a more natural feel. Fifteen years of FDA research studies clearly show no link between smooth walled silicone implants and any type of disease. Round implants are usually preferred because they provide superior breast fullness and do not risk malrotation that occurs with shaped implants. In addition, shaped or anatomical implants have much thicker silicone as well as a textured surface; both of which can give a more firm feel to the breast. They are best reserved for breast reconstruction cases and special situations, such as when a patient desires a conservative augmentation with less upper breast fullness.
There are three types of implant profiles: moderate (low), moderate plus (medium), and high (high). Dr. Prysi chooses the profile depending on the patient’s desired size and chest width. Dr. Prysi typically uses moderate plus because it gives the best combination of projection and width, which gives more defined cleavage. For patients with a very narrow chest or who desire a large cup size, the high profile is usually best. Dr. Prysi uses the low profile in patients, typically models, who desire a small augmentation but require the extra width to avoid cleavage separation.
You will need to decide whether your implants will be placed above or beneath your chest muscle. Implants placed beneath the chest muscle tend to feel more natural, reduce the chance for capsular contracture (breast firmness), cause less rippling and reduce the occurence of post-operative breast sagging.
You and Dr. Prysi will also need to determine where your breast implant incisions will be placed. Implants are placed through incisions either around the areola, beneath the breast crease or through the armpit (endoscopic technique).
The Breast Augmentation Procedure in Naples
Breast augmentation is an outpatient procedure that takes about two hours. Anesthesia is administered so you will not feel any pain during surgery. To begin, Dr. Prysi makes an incision in the pre-determined location. Through the incision, he creates a small pocket for the implants. He positions the implants in their pockets and closes the incisions with sutures. Dr. Prysi may also place a support garment around your breasts to help them heal. Breast augmentation in Naples can be performed on its own, or may be combined with other procedures such as a breast lift or mommy makeover.
Breast augmentation can be done using saline or silicone breast implants. Saline implants are made with a silicone shell filled with a sterile saline solution. Silicone implants are made with a silicone shell filled with a silicone gel. There are also three incision patterns that can be used to perform a breast augmentation. These include:
The Periareolar Incision: Created around the nipple areola.
The Inframammary Incision: Created in the breast crease.
The Transaxillary Incision: Created in the armpit area.
The type of breast implant and incision will depend on your individual aesthetic goals, anatomy, and the surgeon’s recommendation.
Breast Augmentation Recovery
After surgery, it will be very important that you follow the directions Dr. Prysi gives you very closely. By being diligent with your recovery, you can ensure a positive result. Depending on the extent of your surgery your recovery may be more or less extensive. In most cases you will be instructed to wear a compression garment to help with healing and swelling. If your case is more extensive, you may have drains in place to help with the collection of fluid to avoid uncomfortable pressure. Any bandages and drains will be removed for you by Dr. Prysi at a post-operative appointment when you are ready.
Following breast augmentation, you will be wrapped in gauze or a compression bra. This compression bra will need to be worn for the duration of your recovery in order to reduce swelling and support your new breast contour. Any discomfort can be controlled with pain medication. Dr. Prysi will give you specific post-operative instructions to follow so that you recover fully as quickly as possible and can get back to your full life.
To see if breast augmentation is right for you, schedule your consultation with Dr. Prysi today. Learn more about breast implants by contacting award-winning Naples breast augmentation surgeon Mark Prysi, serving all of Southwest Florida.
Frequently Asked Questions
Are breast implants under warranty?
Each implant company has their own warranty policy. The patient coordinator will provide you with a brochure at the time of your consultation.
How painful is breast augmentation recovery?
We encourage patients to allow themselves 3 days of rest after breat augmentation surgery. Most patietns are able to return to work in 3 - 5 days.
Does insurance cover breast implants?
No, insurance does not cover cosmetic breast augmentation surgery.
What is the most common breast implant size?
The resulting cup size does not directly correlate with the implant size as it depends on the size of the breast you begin with. The goal is to make the breasts proportionate to the chest wall diameter, resulting in a natural look. Each breast (and patinet) is unique. Dr. Prysi will discuss your implant options with you at length during your consultation.
Do you have to replace breast implants every 10 years?
Breat implants do not need to be replaced after 10 years or any other specific time period.
What is the difference between a breast augmentation and breast implants?
Breast implants are the medical devices that are inserted into the breast for augmentation. Breast augmentation is the name of the procedure. Also, there are different techniques that can be used for breast augmentation.
Will breast implants lift my breasts?
Breast implants cannot lift or reposition the breast tissue. If you are experiencing sagging of the breasts, implants could accentuate it.
What are the early signs of capsular contracture?
Typically, capsular contracture is asymptomatic (showing no symptoms) until it is in the later stages. When capsular contracture is in the later stages’ patients will experience some pain in the breasts, stiffness, and firming of the breasts.
How is breast augmentation performed?
The breast augmentation procedure is performed either under general anesthesia. This procedure is done by placing the implants either behind the breast tissue or under the chest muscle. This surgery is outpatient.
Can you breast feed after breast augmentation
Women are still able to breastfeed with breast implants. The breast augmentation surgery doesn’t involve the ducts where the milk is produced.
How do I prepare for breast implants?
Dr. Prysi will give you detailed instructions for breast augmentation preparation. It is important to stop smoking at least six weeks prior to your procedure. Also, make sure that you have someone drive you from your procedure and stay with you for the first 24 hours post-op.
How are breast implants placed?
Your surgeon will make an incision either near the armpit or under the breast. Through this incision they will create a pocket to place the implant in. Silicone implants require a larger incision than saline implants since silicone implants come pre-filled.
Will I lose feeling in my nipples after a breast augmentation?
After breast augmentation it is not uncommon to notice some changes in nipple sensation, this typically resolves with time. Very rarely will nipple sensation not return.
Dr. Mark Prysi is a nationally recognized, board-certified Naples Plastic Surgeon. He is an internationally renowned expert in plastic surgery who has been consistently recognized as one of the “Best Plastic Surgeons in Southwest Florida” and one of the “Best Doctors in America.” He is the former Chief of Plastic surgery at Naples Day Surgery and past chairman of the Department of Plastic Surgery at Naples Community Hospital. Dr. Prysi’s innate surgical skills and artistic aesthetic judgment combined with over 25 years of experience makes all the difference.