Breast Augmentation – Miami, FL

Average Cost: $15,000

Introduction to Breast Augmentation

Breast augmentation, otherwise known as augmentation mammoplasty, is a surgical procedure that is used for a variety of different reasons. During the procedure, the volume of the breasts is increased to improve symmetry and shape or restore breast volume after a pregnancy or weight loss. Breast augmentation in Miami may also be the treatment of choice after breast tissue has been removed from a mastectomy or a traumatic injury. This procedure can improve the confidence and self-image of the woman by creating fuller breasts that are symmetrical. There are many different types of breast augmentation procedures and implants that affect the final outcome

Why Breast Augmentation in Miami?

The breasts are an important part of a woman’s self-confidence and the way she feels about her looks, and a well planned breast augmentation can ensure that you get just the look you want. Whether you simply don’t like the way your natural breasts look, you want the shape restored after pregnancy and breast-feeding, or cancer has taken your breast tissue from you, this procedure is often used to restore self-esteem and enhance appearance. Those who have undergone the procedure often report greater self-confidence and an overall improved quality of life.

How Long Do Implants Last?

Once implants are placed, they can have a very long life, although there is no way to specifically determine exactly how long each implant will last. As with any surgery, there are risks and complications like scar tissue or ruptures, which makes it necessary to remove the implant. If an implant is made of saline and a rupture occurs, the body simply absorbs the solution. If an implant is silicone and ruptures, an MRI is required to determine if the condition is in fact a rupture. If the implant has ruptured, it will most likely be removed and replaced with a new one simultaneously.

Who Is An Ideal Breast Augmentation Candidate?

The breasts will change throughout life for many different reasons. Some may sag or become misshaped after pregnancy or a large amount of weight loss, while others just don’t look like you want them to from the beginning. Age is a big factor in the changing of the breasts, and some women simply aren’t comfortable with the shape, size or feel of the breast.

The FDA requires that a woman must be over the age of 18 for saline implants, and over the age of 22 for silicone implants. Here at the Maercks Institute in Miami, FL, we are experts in breast augmentation, and are happy to consult with you to determine if you are a candidate for silicone or saline implants. Visit our office for before and after photos of previous patients to determine if surgery is what you want to improve your life.

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How Does It Work?

During breast augmentation, and implant is placed in the breast in order to increase volume and create a more ideal shape. Implants are placed in one of four places.

  • Between the breast tissue and the pectoral muscles or “subglandular”
  • Between a strong tissue layer called pectoral fascia and the pectoralis muscle called “Subfascial Placement
  • In the sub pectoral plan which means beneath the pectoral muscle or “submuscular”


Although the subpectoral plane is the most commonly selected placement in the United States, it tends to create a widely separated and unnatural appearing “augmented look.” Subpectorally placed implants tend to “bottom out” quickly and patients tend to have multiple revisions over their life. The subglandular plane tends not to have great longevity as well.

At The Maercks Institute, Dr. Maercks developed a new type of breast augmentation procedure to create the most natural appearing results with the best longevity called “Cold-Subfascial Breast Augmentation.”

One of the definitive advantages of the Cold-Subfascial Breast Augmentation include the ability f Dr. Maercks to customize the shape of the breasts. The fascia is a strong tissue that allows exceptional control compared to other techniques.

Learn More About Cold Sub-fascial Breast Augmentation

An incision is made to place the implant, and while Dr. Maercks can give you an in-depth look at the different types of incisions, the final choice is ultimately in the hands of the patient. Dr. Maercks prefers to leave the breasts with a scar-less appearance using a special trans axillary technique through the armpit. Incision sites include:

  • Inframammary Incision – Preferred by most plastic surgeons when placing silicone gel implants, an incision is placed directly below the inframammary fold. This incision spot gives the surgeon easy access to the pectoral muscles however the scar is very obvious when nude and can often be seen riding below some bikini tops.
  • Periareolar Technique – An incision is made around the areola’s border. Patients often choose this option because there is less scarring, and the breasts can be lifted at the same time implants are placed. Dr. Maercks tends to avoid this approach unless a lift is necessary.
  • Transaxillary – An incision is made in the armpits to access the breast, and the implant is then placed in the breast area through the armpit. There is virtually no scarring with this type of incision, although it requires more technical skill from your surgeon. Dr. Maercks generally performs all primary breast augmentations through this approach because it leaves a scarless appearance of the breasts and the axillary scar generally fades to resemble a natural crease.
  • Transumbilical Breast Augmentation – A small incision is made in the belly button and the implant is worked up the navel toward the breast, producing a virtually scarless implant. This option is less safe and very unpredictable. It is not possible to precisely control the plane of the implant and silicone implants cannot be placed in this manner. Dr. Maercks generally advises avoiding this technique.

Breast implants are typically placed during a short surgery, and don’t require any stay at a medical center or hospital. Most patients are placed under general or local anesthesia during surgery. Patients visiting Miami to take advantage of the benefits of the Cold-Subfascial Breast Augmentation© are asked to stay in town for five days however a minimum of three day postoperative day is required. Dr. Maercks’ technique is often used with a new anesthetic called Exparel which helps to make the recovery near painless which has prompted some patients to explain that they rarely take the required pain medicine after the day of the operation.

Which Implant Type Is Right for You?

Patients have several options when it’s time to choose the right type of breast implant, and here at The Maercks Institute, we are proud to offer both saline and silicone gel implants, otherwise known as gummy bear implants. Dr. Maercks preference is to use anatomically shaped “gummy bear” cohesive silicone implants.

More About Gummy Bear Implants in Miami

Research in the cosmetic surgery field has led to implants that are more natural-looking than ever. While breast augmentation has been an option for decades for women that don’t like the way their breasts look, the latest breakthrough in the field is known as gummy bear implants. These implants are made of a silicone gel that is both soft and solid. The nature of the implant allows it to constantly keep its shape, giving your implant a more natural look after surgery. Gummy bear implants offer more customized shapes for the most pretty and naturally appearing breasts after surgery.

Gummy bear implants are made of a cohesive high-strength silicone gel. They are named after the gummy bear candy because of their similar makeup. These implants are thicker than traditional silicone implants, making it less likely that they will rupture or break.

Gummy bear implants stay in an upright position because they are a semi-solid, making it easier for them to keep their shape after placement. While traditional implants are likely to wrinkle or fold, gummy bear implants hold solid. When liquid-filled implants, such as saline, may be hard to the touch when they are overfilled, gummy bear implants are pre-filled and feel more natural and softer under the skin.

The amount of natural breast tissue of each patient may influence the outcome of the surgery, and ultimately how the implants feel and look. Patients with less subcutaneous fat or natural breast tissue are typically great candidates for silicone implants over saline, as saline may produce additional rippling that is obvious under the skin. Gummy bear silicone implants can be shaped anatomically, and come in either a round or teardrop shape. These implants are designed to keep their shape, while traditional silicone implants are easily misshapen and softer.

What Are the Advantages of Gummy Bear Implants?

The main advantage of gummy bear implants is the fact that they will keep their shape as the implants settle over time. After several years, the implants look the same as they did the day they were placed. These implants also have a lower probability of rippling and folding because of the distinct way they are shaped and filled. There is no concern of leaking after surgery, and most patients report less scarring with these types of implants.

Candidates for Gummy Bear Implants

A patient that is a good candidate for any type of breast augmentation is typically a good candidate for gummy bear implants. A preferred candidate is one with a healthy lifestyle, no history of problems with anesthesia, does not smoke and is not prone to infection. Candidates cannot be pregnant or breastfeeding.

While breast augmentation can make a huge difference in the way you look, patients should always come to the table with realistic expectations before committing to surgery. Here at the Maercks Institute, we are proud of our reputation and history of successful cosmetic surgeries, and we are happy to show you before and after photos from previous patients before you make your final choice.

Saline Breast Implants vs. Gummy Bear Implants

Typically, gummy bear implants hold their shape better than traditional silicone or saline. With their distinct shape, these implants cause the breast to form around the implant rather than conforming to it, while saline implants are susceptible to the laws of nature and gravity, and may change shape over time. Gummy bear implants won’t leak or ripple, and are less likely to fold over time. If the implant does rupture, the solid substance does not move through the body. This is a significant safety advantage of gummy bear implants. Saline implants feel and look less natural, and are placed before they are filled, while gummy bear implants are designed to give a more natural look.

The Risks of Breast Augmentation

With any surgery, there are risks and the chances of complications, and these should be thoroughly explored before you make a commitment to undergoing a procedure like a breast implant. Risks of the procedure include:

  • Infection
  • Wrinkling
  • Necrosis
  • Ruptures
  • Capsular contracture
  • Need for additional surgery
  • Changes in bust sensation
  • Results that aren’t wat was expected

While complications are rare, these are best discussed with your doctor before surgery is scheduled.

Cost of Breast Augmentation in Miami

Throughout the country, the cost for breast implants ranges from $3,500-$18,000. At The Maercks Institute the elite Transaxillary Cold-Subfascial Breast Augmentation © with form stable “gummy bear” implants is competitively priced at $15,000 including all fees, anesthesia and operating room. Exparel a pain control drug that can virtually eliminate post operative pain is recommended. If breast implants must be replaced over time, this is considered a second surgery and is not factored into cost of the original implant, however if there is a need for a correction in the first twelve months there is usually no surgeons fee applied only the operating room and anesthesia charge of $2500. Pricing is subject to change.

Insurance will not cover the cost of implants if the surgery is done for purely cosmetic reasons. If the surgery is done as a corrective procedure, your insurance may cover some of the costs. The best way to determine if your insurance will pay for surgery is to contact them beforehand to get a definitive answer.

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Preparing for Surgery


A consultation should be scheduled before surgery with a baseline mammography for patients 35 or above or those with certain risk factors, which will again be performed after the procedure. Don’t take any blood thinners or aspirin before the procedure unless advised by your surgeon.

Patients should stop smoking or tobacco use at least a month before the procedure, as smoking can delay healing by reducing the oxygen levels in the blood. The patient should not drive home after surgery, and may need someone to stay with them for several days after the procedure. While recovery is usually fast, you may need to miss a few days of work after the procedure.

The Day of Surgery

Patients are given a mild sedative before surgery, and general anesthesia is applied after the patient falls asleep. Drainage tubes and bandages are applied after surgery, and are covered by a surgical bra in order to provide additional support to the breasts. The patient is then monitored in recovery and may be able to go home after just a few hours.

Recovering At Home

Patients should not lift heavy objects or lift their hands above their heads for three days after the surgery. Patients may notice fatigue during this time, and will be restricted with movement until healing is completed. If the patient’s employment does not require any type of heavy lifting or bending, work can be resumed after three days. Incisions will return to their natural color after several months, although the breasts may remain swollen for 1-2 months. The recovery time depends much on the patient and the size and type of implant that is placed.

In order to ensure the safety of the patient at home, the following guidelines should be followed:

  • Creams and medicine should be within easy reach
  • Wear loose clothing
  • Eat healthy
  • Wear a support bra after the surgical bra is removed
  • Apply cream over scars daily

Once the patient returns home, it may be necessary to have a friend or family member check on them for several days to ensure that they are safe and recovering.

Contact Us

To learn more about breast augmentation and what it can mean for you, schedule a consultation with the Maercks Institute in Miami,FL today.


Schedule your Consultation with Dr. Maercks today at 305.328.8256.

View Our Breast Augmentation Before and After Gallery

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