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Breast Augmentation

The decision to undergo breast augmentation is a very personal choice. Extensively experienced board-certified plastic surgeon Jon Paul Trevisani, MD and his friendly, professional staff welcome you and your questions as you journey through this decision-making process. The Aesthetic Surgery Centre, founded by Dr. Jon Paul Trevisani, is a fully-accredited, private, and state-of-the-art facility that specializes in breast augmentation surgery.

What is Breast Augmentation?

Breast augmentation, also known as breast enlargement or breast enhancement, is a procedure that uses breast implants to enhance the size and shape of the breasts. Women choose to have breast augmentation surgery to enhance smaller breasts, lift a sagging bustline, and/or create breasts that are more symmetrical. Breast augmentation can also be performed to correct a reduction in breast volume following pregnancy or for enhancement after breast removal (breast reconstruction).

Great breast augmentation involves artistry in creating the desired aesthetics, symmetry, and balance for natural-looking results. It is the procedure that Dr. Jon Paul Trevisani performs most often, with peers and patients alike considering him an expert in his field. A personal consultation with Dr. Jon Paul Trevisani will allow you to discuss your expectations and desires. Along with the support of our board-certified anesthesiologist and other highly-skilled personnel, you and Dr. Jon Paul Trevisani will work together to determine the augmentation treatment that best suits you and your lifestyle.

What Can Breast Augmentation Achieve?

As one of the most frequently performed cosmetic surgeries, breast augmentation can be an effective and long-lasting procedure to help you attain your ideal breast proportions. Depending on your goals for the outcome, the procedure can:

  • Increase breast volume
  • Enhance the shape and contour of the breasts
  • Add fullness to the upper poles of the breasts
  • Create more symmetry between both breasts
  • Restore volume lost from pregnancy and breastfeeding

Breast implants can also improve your entire silhouette and body contour, as well as make it easier to find form-fitting clothing. Each breast augmentation is personalized according to your needs and desires, giving you the opportunity to choose the best shape, size, and type of implant to achieve your aesthetic desires.

Who is a Candidate for Breast Augmentation?

Good candidates for breast surgery typically have a positive outlook on their procedure and realistic expectations for the final outcome. Being healthy enough to withstand the recovery period is also important, therefore potential patients should not have any uncontrolled medical conditions that may disrupt the healing process. Breast augmentation may be an ideal procedure for you if you:

  • Desire more fullness in the chest or a larger bust size
  • Want to restore lost breast volume as a result of weight loss, pregnancy, or aging
  • Would like to attain a better fit in clothing and swimsuits
  • Want to reconstruct the breasts after cancer removal surgery
  • Are seeking a more feminine silhouette

Dr. Jon Paul Trevisani can confirm whether you’re a good candidate for breast augmentation during your consultation. If improving the appearance of breast sag is your primary concern, you may benefit more from a breast lift or one of the other breast procedures available at our practice. Dr. Jon Paul Trevisani will help you develop the best possible surgical plan to achieve your desired breast contours.

Types of Breast Implants

The different types of breast implants are distinguished by their fill material. Dr. Jon Paul Trevisani offers some of the most popular breast implant options available, including silicone, saline, and IDEAL IMPLANTS®. During a consultation, he can ask you about your concerns to help you determine the best fill material to achieve your unique cosmetic goals.

Silicone Implants

Silicone breast implants are composed of silicone gel housed inside of a silicone shell. These implants are known to offer results very similar to the feel of natural breast tissue, and typically keep their shape in the rare event of implant rupture. Silicone implants are FDA-approved for cosmetic patients who are 22 and older, as well as for individuals of any age undergoing breast reconstruction.

Saline Implants

Saline breast implants are made of saline (saltwater) solution encased in a silicone shell. FDA-approved for patients 18 and older, saline implants can often be filled after insertion into the breast pocket, allowing a relatively smaller incision when compared to other breast augmentation techniques. Depending on your needs, saline implants may be placed via a transaxillary incision along a natural fold of the underarm. In cases of a potential tear or leak, the saline solution can be harmlessly absorbed by the body and offers visible indications of implant rupture.


Also known as “structured saline” implants, IDEAL IMPLANTS® are an advanced breast implant option that can offer the benefits of both saline and silicone prostheses. These implants consist of saline solution inside multiple layers of a silicone shell. Thanks to their multi-layered design, IDEAL IMPLANTS® can provide a natural look and feel while reducing the risk of implant rupture. In the extremely rare chance that a leak or tear occurs, the body can simply absorb the saline solution without compromising patient safety.

What is the Breast Augmentation Procedure Like?

Breast augmentation surgery presents different alternatives to consider, including determining the best size, shape, and type of breast implants. Dr. Jon Jon Paul Trevisani offers both saline and silicone breast implants in an array of sizes and shapes, and will discuss which options are best for your needs and goals. Dr. Jon Paul Trevisani does not utilize textured implants at his Orlando practice, as recent studies have suggested that use of smooth implants can help maximize the health and safety of breast augmentation patients.

Other consultation topics include where the implants will be placed and where the incisions will be made. There are several ways your procedure can be performed. Breast implants can be placed either above or below the chest muscles, and the incisions can be made either around the areola or under the fold of the breast. The breast augmentation method you and Dr. Jon Paul Trevisani choose depends on factors such as breast size and your level of physical activity.

Breast implant surgery generally takes one to two hours to complete and will be performed under general anesthesia. It is a delicate surgery requiring an eye for form and proportion. We encourage you to explore our before-and-after patient gallery to see examples of Dr. Jon’s exceptional work.

Where Will My Incisions From Breast Augmentation Be Located?

There are three breast augmentation techniques that can be utilized to place breast implants and the best incision for you will depend, in part, on the size and type of implants desired. Dr. Jon Paul Trevisani will discuss the various approaches to breast augmentation in person, but possible options for incision placement generally include:

  • Periareolar Incision — Encircles the perimeter of the areola
  • Inframammary — Extends along the natural contour of the breast crease
  • Transaxillary — Runs along a fold of the underarm (armpit)

The inframammary incision is usually the most common approach to breast augmentation, as this location allows Dr. Jon Paul Trevisani to achieve natural-looking results with virtually any size or type of implant. In contrast, the periareolar incision is often best-suited for implants that are relatively smaller, while the transaxillary approach is only appropriate when placing saline implants. Dr. Jon Paul Trevisani will discuss these options with you during your consultation.

Breast Implant Placement Options

The location of the implant pocket is also an important decision during the breast augmentation process. Breast implants can either be placed underneath or over the pectoral (chest) muscles, depending on anatomical factors and the size of your implants.

Under the Muscle (Submuscular)

Placement under the chest muscle has been shown to reduce the risk of implant rippling, which refers to the ability to see or feel an implant through the skin. A submuscular approach is typically the best technique for patients who have thin breast skin, limited coverage for their implant, or a petite body frame.

Over the Muscle (Subglandular)

An over-the-muscle approach can be effective for patients who have adequate breast tissue to provide coverage for their implants. Advantages of the subglandular technique generally include less pain and discomfort during the recovery period; however, this approach may involve a relatively higher risk of implant rippling when compared to submuscular placement.

What is Recovery From Breast Augmentation Like?

After the breast augmentation procedure, patients typically return to work and/or school within 7 to 10 days. Swelling and bruising in the first few days of recovery are to be expected, with any discomfort usually managed well with over-the-counter and prescribed pain medications. Dr. Jon Paul Trevisani will advise you to get plenty of rest, but practice light ambulation (standing, walking around, etc.) as soon as you feel comfortable doing so. The breasts may initially seem swollen and/or higher than their normal positioning; however, this should improve as inflammation naturally resolves and the healing process progresses. Exercise, strenuous work, and aerobic activity should be avoided for at least four weeks, or until Dr. Jon Paul Trevisani instructs otherwise.

How Long Do Breast Implants Last?

Breast implants are not meant to be lifetime devices, but should last for the near and distant future provided there are no complications. Most implants can last 10 to 20 years or longer, and many women do not ever have the need to replace their devices. However, it’s also not uncommon for patients to want a different type, size, or shape of implant over time. Breast augmentation revision is available at our practice to upgrade or remove implants as desired, or to resolve complications like capsular contracture or rippling.

While implant rupture is a rare occurrence, suffering a break or tear after years of implant use is nonetheless possible. Saline implants are usually visibly distorted in cases of rupture, but some silicone implants may keep their shape. For this reason, Dr. Jon Paul Trevisani advises women with silicone implants to undergo an MRI every few years to help ensure their implants are still in good condition. It’s also important for all women with breast implants to remain vigilant to changes in the look or feel of their breasts as they age.

How Much Does Breast Augmentation Cost?

Breast augmentation is priced on an individual basis and your customized treatment plan will ultimately inform the total cost of your procedure. The factors that commonly affect the cost of breast augmentation include:

  • The type of implants placed
  • The surgical technique utilized
  • The complexity of your procedure

Our patient care coordinator would be happy to provide you with a personalized cost estimate after your consultation. For patients who would rather pay for their procedure in a series of installments, Dr. Jon Paul Trevisani accepts financing from CareCredit® for qualified patients. After being approved through the simple application process, CareCredit® allows breast augmentation patients to choose from an array of short- and long-term payment plans while pursuing their procedure right away. Please call our practice at (407) 389-5158 if you’d like to learn more about the cost of breast surgery.

What are the Most Common Breast Implant Complications?

Although significant advances in breast augmentation have extended the longevity and aesthetic appeal of breast implants, these devices were not designed to last forever. Normal wear and tear can affect your implants over the years and it’s important to remain vigilant to changes in the appearance or feel of your breasts. The most common complications associated with breast implants include:

  • Visible implant edges: When an implant is seen or felt through the skin, this phenomenon is typically known as “implant rippling.” Although rippling does not usually present a medical issue, obvious implant contours can compromise the natural-looking aesthetic often desired by breast augmentation patients.
  • Formation of scar tissue: Known as “capsular contracture,” scar tissue that has formed around an implant can create feelings of tightness, hardness, and overall discomfort. Although scar tissue does not necessarily create an automatic case for treatment, patients should consult with their plastic surgeon if their breasts begin to feel hard, tight, or painful.
  • Leaks or tears in an implant: While relatively rare, it’s possible for a breast implant to rupture after so many years. Ruptures are generally readily apparent in cases involving saline implants, but tears in a silicone implant can be harder to detect as it tends to keep its shape.

Treatment options for each of these concerns may require breast revision surgery. Dr. Jon Paul Trevisani will create a treatment plan for your specific needs once he is able to assess the state of your implants.

What is Breast Revision?

Breast revision is a secondary breast augmentation designed to improve upon the results of an initial procedure. It’s frequently performed to correct the complications from breast implants listed in the preceding section, or to address cases in which a patient was dissatisfied with the outcome attained by a previous plastic surgeon. In many cases, women may consider breast revision simply because they prefer a different type, size, or shape of implant after so many years. During breast revision, Dr. Jon Paul Trevisani can often re-use the same type of incision initially made during your first breast augmentation, thereby avoiding additional scarring on the breasts. Some patients may even wish to remove their breast implants altogether, which is a treatment option that can be discussed with Dr. Jon Paul Trevisani if desired.

Do I Need a Breast Lift with My Implants?

Breast implants can improve many aspects of the breasts’ appearance, including their volume, youthfulness, symmetry, and shape. However, placement of implants alone cannot correct breast sag or “ptosis,” which refers to the drooping of breast tissue over time. Breast ptosis is a natural part of aging that affects women of many different ages, and the extent of breast sag experienced may be exacerbated by lost breast volume. For this reason, Dr. Jon Paul Trevisani can create a treatment plan consisting of breast augmentation plus breast lift surgery — commonly known as a “breast lift with implants.” This combined treatment plan can allow you to enhance breast volume while also rejuvenating the appearance of the breasts, fully restoring a more youthful look in the chest. We encourage you to inquire about a breast lift with implants if you believe this dual approach would help you achieve your goals.

Keller Funnel™ Plastic Surgeon

To improve the overall patient experience during breast augmentation surgery, Dr. Jon Paul Trevisani is experienced in performing the Keller Funnel™ technique. This innovative method can help reduce surgery time, minimize scarring, and is believed to help decrease the potential for capsular contracture. Using the Keller Funnel™, Dr. Jon Paul Trevisani is able to place the implant without the prosthesis ever coming into contact with the patient’s skin. This “no-touch” approach prevents any potential contamination from residual bacteria on the patient’s skin, and is designed to help protect the integrity of the implants’ outer shells. Compared to traditional methods of placing silicone breast implants, the Keller Funnel™ requires a much smaller incision, which can minimize scarring for qualified patients as well.

For more information about breast augmentation or our implant options, please contact Dr. Jon Paul Trevisani today to schedule a consultation.