Breast augmentation consistently ranks as one of the most performed cosmetic surgical procedures in the United States—and for good reason. When performed by a highly skilled, board-certified plastic surgeon, it can dramatically enhance a woman's confidence, improve body proportions, and restore a sense of self. For women across South Florida and those traveling from out of state, Celebrity Plastics by Dr. Michael Keyes has built a reputation as one of Miami's most trusted destinations for breast surgery.
This guide covers everything you need to know about breast augmentation—from choosing the right implant to recovering confidently and loving your long-term results.
What Is Breast Augmentation?
Breast augmentation, medically known as augmentation mammoplasty, is a surgical procedure that increases the size, improves the shape, or restores the volume of the breasts. It is typically achieved by placing implants either beneath the breast tissue or under the chest muscle.
- Women choose breast augmentation for a variety of reasons, including:
- Enhancing the size or fullness of naturally smaller breasts
- Restoring breast volume lost after pregnancy, breastfeeding, or significant weight loss
- Improving breast symmetry when one breast is noticeably smaller than the other
- Reconstructing the breast following mastectomy
- Boosting self-confidence and overall body image
Types of Breast Implants: Which Is Right for You?
One of the most important decisions in your augmentation journey is choosing the right type of implant. There are several options, each with its own characteristics, benefits, and considerations.
Saline Implants
Saline implants consist of a silicone shell filled with sterile saltwater. They are inserted empty and filled once in place, which allows for a slightly smaller incision. If a saline implant ruptures, the body safely absorbs the solution. However, they tend to feel slightly less natural than silicone options and may show visible rippling in patients with thin tissue.
Silicone Gel Implants
Silicone implants are pre-filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. They are the most popular choice among patients and surgeons alike because of their natural look and feel. In the event of a rupture, the gel typically stays within the implant shell.
Highly Cohesive ('Gummy Bear') Implants
These form-stable implants use a thicker, highly cohesive silicone gel that holds its shape even if the shell is compromised. They are teardrop-shaped to mimic the natural slope of the breast and are favored by patients seeking the most anatomically natural appearance.
Fat Transfer Breast Augmentation
For patients seeking a modest increase in size without implants, fat transfer uses liposuction to harvest fat from another area of the body (such as the abdomen or thighs) and injects it into the breasts. This option is best for women who want subtle enhancement and also want to slim another area simultaneously.
During your consultation at Celebrity Plastics, Dr. Keyes will guide you through the implant options and help you select the size, shape, and material that best aligns with your anatomy and aesthetic goals.
Implant Placement: Under or Over the Muscle?
Beyond implant type, the placement of the implant is another critical decision that affects both your final look and your recovery experience.
Subglandular (Over the Muscle)
The implant is placed between the breast tissue and the chest muscle. Recovery is typically faster, and patients experience less discomfort. However, this placement can increase the visibility of the implant edge in patients with less natural breast tissue.
Submuscular (Under the Muscle)
The implant is placed partially or fully beneath the pectoral muscle. This provides more tissue coverage, creating a more natural slope, and is associated with a lower risk of capsular contracture. Recovery is slightly longer, but results often look more natural—especially in slender patients.
Dual Plane
This hybrid approach places the upper portion of the implant under the muscle while the lower portion sits behind the breast tissue. It combines the natural look of submuscular placement with the fuller projection of subglandular positioning.
Choosing the Right Size
Implant size is measured in cubic centimeters (cc), not cup sizes—which can vary widely between bra brands. Choosing the right volume requires balancing your desired outcome with your body's proportions.
At Celebrity Plastics, Dr. Keyes uses 3D imaging and sizers during your consultation to help you visualize results before committing. The goal is always proportionality—implants that complement your frame rather than overwhelm it.
Common factors that influence size selection:
- Your current breast tissue and chest width
- Your height, weight, and overall body proportions
- Your lifestyle (active patients may prefer a smaller size for comfort)
- Your personal aesthetic preferences
The Breast Augmentation Procedure: Step by Step
Breast augmentation is performed under general anesthesia and typically takes one to two hours. Here is what happens during the surgery:
- Anesthesia is administered to ensure your comfort throughout the procedure
- Incisions are made in one of three locations: along the lower breast crease (inframammary), around the areola (periareolar), or in the armpit (transaxillary)
- A pocket is created either behind the breast tissue or beneath the pectoral muscle
- The implant is carefully inserted and positioned for optimal symmetry and projection
- Incisions are closed with layered sutures designed to minimize scarring
- A surgical bra or compression bandage is applied to support healing
- Most patients go home the same day and can return to light activities within the first week.
Recovery After Breast Augmentation: What to Expect
Days 1 to 3
Some discomfort, swelling, and tightness in the chest area is normal and expected. Pain medication prescribed by Dr. Keyes will help manage any soreness. Rest is strongly recommended during this period.
Days 4 to 7
Most patients feel significantly better by day four or five. Light walking is encouraged to promote circulation, but heavy lifting and strenuous activities should be avoided.
Weeks 2 to 4
Swelling continues to subside and the implants begin to 'settle' into their final position—a process sometimes called 'dropping and fluffing.' Most patients can return to desk work and light activity within two weeks.
Months 2 to 6
Your final results become more apparent as swelling fully resolves and the implants settle. Exercise, including upper body work, can typically resume after six weeks with your surgeon's approval.
For patients traveling to Miami for their procedure, Celebrity Plastics offers comprehensive support. Visit the out-of-town patients page to learn about travel and accommodation assistance.
How to Prepare for Your Surgery
Proper preparation sets the foundation for a safe procedure and a smooth recovery. Here is a checklist of important pre-operative steps:
- Stop smoking at least four to six weeks before surgery
- Avoid blood-thinning medications and supplements for two weeks prior
- Complete any required lab work or medical evaluations
- Arrange for a responsible adult to drive you home and stay with you for at least 24 hours
- Set up a comfortable recovery space at home with pillows, easy meals, and entertainment
- Purchase a front-opening or surgical bra as directed by your surgeon
Combining Breast Augmentation with Other Procedures
Many patients enhance their results by combining breast augmentation with other procedures for a more comprehensive transformation. Popular combinations include:
Breast Lift (Mastopexy)
For patients with sagging or drooping breasts, a lift repositions the nipple and removes excess skin, while the implant restores volume. This combination is especially popular among women following pregnancy or significant weight loss.
Mommy Makeover
A mommy makeover combines breast augmentation with body contouring procedures such as a tummy tuck and liposuction to address the comprehensive physical changes that come with pregnancy and childbirth.
Liposuction or Body Contouring
Some patients pair their augmentation with liposuction to create a more balanced silhouette overall.
To explore the full range of body procedures available at Celebrity Plastics, visit the body procedures page for a complete overview.
Long-Term Results: How Long Do Implants Last?
Modern breast implants are not considered lifetime devices, but they are designed to be long-lasting. Most patients enjoy their results for ten to twenty years or more before considering revision. Implants do not need to be replaced on a set schedule—they should only be addressed if a problem develops or your aesthetic preferences change.
Routine self-examinations and regular check-ins with your plastic surgeon are the best way to monitor your implants over time.
Risks and How They Are Minimized
Breast augmentation is one of the most thoroughly studied procedures in cosmetic surgery, and serious complications are rare. However, all surgery carries some risk. Potential concerns include:
- Capsular contracture (hardening of scar tissue around the implant)
- Implant rupture or deflation
- Changes in nipple or breast sensation
- Asymmetry
- Scarring
Choosing a board-certified surgeon with extensive experience significantly reduces the likelihood of complications. Dr. Keyes's credentials, rigorous training, and patient-first philosophy mean that safety and quality are never compromised.
You can review real patient outcomes at the Celebrity Plastics before-and-after gallery to see the kind of natural, beautiful results that Dr. Keyes consistently delivers.
Why Choose Celebrity Plastics for Breast Augmentation in Miami?
Miami is home to many plastic surgeons, but Celebrity Plastics stands in a category of its own. Here is what patients say sets the practice apart:
- Dr. Michael Keyes is Board Certified by the American Board of Plastic Surgery
- Each procedure is tailored to your individual anatomy, lifestyle, and goals
- The luxury, concierge-style experience prioritizes comfort and confidence at every stage
- Comprehensive post-operative care and support throughout recovery
- Welcoming, discreet environment where every patient is treated like a VIP
Whether you are a local Miami resident or planning to travel for your procedure, Celebrity Plastics makes the experience as seamless and stress-free as possible.
Final Thoughts
Breast augmentation is a deeply personal decision—and when approached thoughtfully, with the right surgeon and realistic expectations, it can be one of the most rewarding investments in your confidence and quality of life.
The journey begins with a consultation. Contact Celebrity Plastics today to schedule your appointment with Dr. Michael Keyes. Take the first step toward the look you've always wanted—and the confidence that comes with it.
Frequently Asked Questions
Will breast augmentation look natural?
Yes, when the right implant size, shape, and placement are chosen for your body type, results look and feel natural. Dr. Keyes focuses on proportionality and avoids the 'overdone' appearance.
Can I breastfeed after breast augmentation?
In most cases, yes. The choice of incision location and implant placement can affect breastfeeding ability, which is why it's important to discuss your future plans with Dr. Keyes during the consultation.
How much does breast augmentation cost in Miami?
Pricing varies based on implant type, surgical technique, and individual patient needs. Celebrity Plastics offers personalized quotes during consultations. Financing options are typically available.
When can I return to work after breast augmentation?
Most patients with desk jobs return to work within five to seven days. Those with physically demanding jobs may need two to four weeks before returning.
Is there a non-surgical alternative to breast augmentation?
For patients seeking a modest size increase without surgery, fat transfer is an option. Non-surgical fillers used in the breasts are not recommended or FDA-approved for augmentation purposes. A consultation with Dr. Keyes can help clarify which option is best for your goals.