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Breast augmentation is a personal decision

As a female plastic surgeon, Dr. Gill understands a woman’s motivation to undergo breast augmentation. There are a variety of reasons that bring women into her office. The most common reasons are:

  • To enhance appearance in or out of clothing
  • Improve body proportions
  • Achieve symmetry
  • Restore breast volume after pregnancy or weight loss

Whatever the reasons, ultimately women choose to undergo breast augmentation to feel better about the way they look and feel. Dr. Gill understands this and designs a customized surgical plan to help achieve her patients’ goals.

Due to her compassion, personalized attention and intrepid skill, Dr. Gill is known both locally and throughout the country for delivering among the best breast augmentation in Naples, FL.

Dr. Gill’s approach

Aesthetics in Plastic Surgery helmed by Kiran Gill, MD provides complimentary breast augmentation consultations. The consultation usually lasts an hour, during which time Dr. Gill gains an understanding of the underlying motivation and goals of her patients.

A typical consult will start by meeting a member of Dr. Gill’s team. A medical history will be taken, followed by photographs and a personal meeting with Dr. Gill.

Dr. Gill will listen to your goals for your Naples, FL breast implants, perform a comprehensive breast evaluation, and then discuss your options for every stage of the procedure. In some circumstances, Dr. Gill may recommend a tandem breast lift, or mastopexy, to achieve the ideal overall aesthetic result.

Dr. Gill’s goal is to customize a treatment specific for you. Based on the consultation, a surgical plan will be created and typically includes:

  • Type of implant (silicone or saline)
  • Size of implant (cc)
  • Placement of implant (submuscular or subglandular)
  • Incision location (inframammary or periareolar)

Type of implant: Saline or silicone?

While both saline and silicone breast implants can improve the appearance of your breasts, there are differences between the two. Although all breast implants are made with a silicone shell, saline implants are filled with saline, whereas silicone implants are filled with silicone.

Saline implants feel firmer and may show rippling under the skin in patients with little breast tissue. Cohesive gel silicone implants feel very natural with less tendency for rippling.

Silicone implants, on the other hand, are filled with a cohesive silicone gel, simulating breast tissue. Silicone implants give a very natural appearing breast shape and feel akin to the breast itself.

Breast Augmentation Naples FL

Both saline and silicone implants have been proven safe through extensive testing and both types are approved for use by the FDA. There is no right choice that will apply to everyone. This is a decision you and Dr. Gill will make together during your consultation.

Dr. Gill uses both Mentor MemoryGel and Allergan (Natrelle Inspira) cohesive gel implants. Usually these are round implants with a smooth surface. Although rupture of the implant is possible, the rupture rate is low and both companies back up their implants with excellent warranty programs.

Implant position

Breast implants may be placed in three different locations:

  • Submuscular (under the pectoralis muscle)
  • Subglandular (on top of the pectoralis muscle)
  • Dual-plane (partial muscle coverage)

There is no perfect choice for everyone; however, Dr. Gill will be able to guide you to the best implant plane for you. In general, in patients with little breast tissue a submuscular placement is preferred.

However, Dr. Gill performs both subglandular breast augmentation and dual plane breast augmentation in her practice in Naples, FL. Dr. Gill will discuss implant positioning with you during your consultation, specifically addressing the pros and cons of each.

Location of incisions

In breast augmentation surgery there are four choices for incision placement:

  • Inframmammary (hidden in the breast fold)
  • Periareolar (camouflaged around the nipple)
  • Transaxillary (hidden in the armpit)
  • Transubmilical (TUBA, through the belly button)

Despite what many surgeons may say, each of these incisions will leave a scar; however, Dr. Gill’s precise surgical technique results in a fine line that is well hidden and often not perceptible to anyone other than your physician. In general, the inframammary and periareolar incisions allow for more precise implant placement.

Breast implants at Aesthetics in Plastic Surgery in Naples, FL

On the day of surgery, you will be greeted by members of Dr. Gill’s surgical team. Dr. Gill and her team will guide you through the surgical day at her fully AAAASF accredited onsite surgical suite in Naples, FL.

A breast augmentation is typically performed under deep sedation or general anesthesia. Dr. Gill uses advanced techniques with intercostal blocks and the use of Exparel to provide adequate pain relief without the use of pain pumps.

In addition, Dr. Gill performs a “no touch” breast augmentation using a Keller Funnel that reduces the risk of infection. Time in surgery takes approximately 1-2 hours, in general. After surgery, Dermabond skin glue will be applied to your incisions and a surgical dressing placed.

Breast Augmentation Naples FL

Recovery and results

After surgery, the surgical staff will care for you in our surgical facility for 1-2 hours after surgery. Thereafter you will be released home with a family member, friend or nurse.

Dr. Gill will see you the day following surgery at which time your surgical dressings will be removed. Most patients experience mild swelling and bruising which subsides within a few weeks.

Although there is some discomfort after surgery, it usually subsides within the first week. Discomfort after surgery is reduced by medications prescribed by Dr. Gill as well as the use of Exparel during the breast augmentation procedure.

Patients can expect their implants will sit higher on the chest for the first few weeks after surgery if placed in the submuscular plane. Within a few weeks the implants will “settle” into the ideal location.

Dr. Gill recommends her patients take a week off from work to recover, but several patients have returned to work sooner. In addition, Dr. Gill recommends 2 weeks rest from physical activity, followed by 2 weeks of light activity. At 6 weeks most patients can resume physical activities including exercise.

Breast Augmentation FAQS


Who is a good candidate for breast augmentation?

Breast augmentation is a personal procedure. It is important that you do the procedure for yourself. You are a good candidate for our Naples, FL breast augmentation if you are physically healthy, have realistic expectations and you are currently dissatisfied with the size of your breasts, shape of your breasts, or your breasts are asymmetrical.

Are silicone implants safe?

In 1994 the FDA placed a moratorium on silicone breast implants to further study the safety of these devices. After several clinical trials, breast implants were deemed safe and reintroduced into the US Market in 2004.

What is rippling?

Rippling is the visualization of the implant device in a very thin patient. All breast implants ripple, however this rippling is not always visible. In thin patients with minimal breast tissue, rippling can be more common.

In these cases is advised that the implant be placed in a submuscular location. In addition, a more cohesive silicone gel implant (gummy bear implant) can be used.

How will I know what size implant to choose?

Dr. Gill will work closely with you to determine the best implant size. The most common complaint from women after surgery is implant size. Therefore, Dr. Gill spends a great amount of time discussing this with her patients prior to surgery.

Implant size will be determined on a number of factors including breast measurements, current breast size, and the desired outcome. You will use external sizers during your consultation as well as review photographs.

What are the risks of breast augmentation?

Breast augmentation is a generally safe surgical procedure with minimal complications. However, as with all types of surgical procedures there are risks. These include but are not limited to the risk of infection, bleeding, problems with wound healing, loss of sensation, and poor scarring.

Risks specific to implants include but are not limited to implant malposition, asymmetry, capsular contracture, and implant rupture. Dr. Gill and her team will discuss these risks with you at the time of consultation and during your preoperative appointment.

What is capsular contracture?

All patients form a capsule after a breast implant is placed. It is the body’s natural response to a foreign object. In most patients this capsule stays soft and pliable. However in certain patients this capsule can become firm. It is more common in patients who smoke and in patients who have undergone subglandular saline breast augmentation.

Capsular contracture has four grades:

  • Grade I: no palpable capsule
  • Grade II: palpable capsule without implant distortion
  • Grade III: palpable firm capsule causing implant malposition/distortion
  • Grade IV: palpable firm capsule causing pain

In order to minimize capsular contracture, Dr. Gill uses a “no touch” technique using a Keller Funnel. In this technique the breast implant is placed directly into the breast using a Keller Funnel. In addition, she prefers an inframammary approach thereby avoiding ducts in the periareolar incision.

Important decisions during the consultation

Planning for a breast augmentation surgery involves a few key decisions such as implant choice, type of surgical technique, and the possibility of a breast lift along with the enlargement procedure. The patient should participate actively in the consultation process regarding these decisions to experience a successful and satisfactory surgery.

Implant choices

The final results of the procedure will be affected by the size and type of breast implants selected for the surgery.

During the pre-op consultation, the cosmetic surgeon will explain the differences between saline, silicone, and ultra-cohesive breast implants as well as discuss the advantages and limitations of each type. The patient and surgeon will have to make choices regarding the implant shape, size, texture, and profile.

Implant placement position

Breast implants can be placed submuscularly (positioned underneath the pectoral muscle). Alternatively, they may be placed subglandularly (inserted in front of the pectoral muscle and right behind the breast tissue).

The level of invasiveness for each of these options is different, and the surgeon will assist the patient in making an appropriate choice regarding implant placement.

Incision locations

The surgeon may perform breast augmentation by placing an incision right below the breast crease at the base of the breast, along the border of the areola’s lower half, or in the armpit. In exceptional cases, the surgeon may place the incision through the navel.

The patient should openly and freely ask the surgeon any questions or express concerns regarding the surgery.

Instructions for preparation and recovery

Our patients will need to stop smoking for several weeks pre and post-surgery, and the surgeon will instruct them regarding this during the consultation process. They may also alter the patient’s schedule for prescription meds, blood-thinning medicines, and herbal supplements in consultation with their physician.

The consultation process will involve various other aspects such as the approximate costs of breast augmentation, financing alternatives, before and after pictures, and patient testimonials.

Successful and board certified plastic surgeon Dr. Kiran Gill receives patients from Naples, Marco Island, South Florida, and other towns and communities across the landscape for breast implants.

Dr. Kiran Gill is a board certified plastic and reconstructive surgeon. To learn more about her cosmetic plastic surgery procedures and treatments call (239) 266-2381. She is currently taking new patients in Naples, Marco Island, South Florida and surrounding areas.

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