PURE METHODS | BREAST

Pure Plastic Surgery uses the latest equipment and techniques to get you the best results for your breast surgery. There are quite a few different types of surgeries, so we have provided you a list below of the types of procedures we offer.

breast augmentation

This very common surgery is used to enhance breast shape and volume, improve body image, symmetry and balance. Some may want a fuller or larger appearance while others may want to improve the shape or balance of their breasts. Mothers that have breastfed may want to restore the size and shape of their breasts after having children.

The Procedure

Every one of our procedures starts with a full consultation to clearly explain the benefits, risks, and recommended alternatives based on your desires and the techniques available. The surgery is carried out under general anesthesia in our private office and patients go home the same day.

Below is a list of common questions we receive when going through our analysis of the surgery and what you should expect:

What size and projection should be achieved?

Measurements are taken to help you best decide on the size and projection (how far the implant stands out from the chest).

Where should the incision be made?

Typically, incisions are placed in the inframammary fold (beneath the breast) and around the areola (the pigmented portion around the nipple). Based on your needs and body style, we can give you the best recommendation of approach.

Where should the implant be placed?

The implant can be placed either above (subglandular) or below (submuscular) the pectoralis major muscle. A majority of the implants are placed beneath the muscle leaving the implant less visible and to decrease any imperfections. The risk of capsular contracture (a complication where internal scar tissue forms and contracts the implant) is another reason to choose a submuscular implant. For breast implants that are placed above the muscle (subglandular) the patient will need a significant amount of breast tissue to ensure a positive result.

What type of implant should be used?

Silicone implants or highly cohesive gel implants have a more natural shape, look and feel when compared with saline implants. Saline implants are filled with salt water to your target size in the operating room. We suggest a consultation in order to decide on the best implant for you.

Any other concerns?

It’s important not to smoke at least one month prior and after surgery. Smoking can cause postoperative complications such as infection and delayed healing. Any medications or supplements that can cause bleeding should be stopped a minimum of two weeks prior to the operation.

Breast implant Post-Operative Care: Medicines will be prescribed to you such as narcotic pain medications, a muscle relaxant, and antibiotics. Patients are seen the following day for their initial post-operative evaluation. You will be able to resume showering 24 hours after surgery. You will be able to return to work after a week of recovery. You should not lift any weight over five pounds for 6 weeks. Walking is encouraged immediately after surgery. You can return to full activity without restrictions in 8 weeks.

At first, your breasts will seem to be positioned high, but over time will move and settle to the proper location. It generally takes close to six months to see the final result of your surgery. Your surgical bra should be worn at all times except for showering to help decrease swelling for 8 weeks. Please do not use a bra with underwire for 8 weeks.

Potential complications after breast surgery.

Your safety is our number one concern at Pure. We will make every effort to minimize any of the risks associated with your surgery. However, complications with breast augmentation surgery are possible, including postoperative bleeding, infection, capsular contracture and changes in nipple sensation.

To better understand all aspects of your surgery,
call or email Pure for a free consultation

breast lift

Mastopexy also known as breast lift, is the procedure used to lift breasts that have lost their tightness and firmness. Breast lift has been a top cosmetic surgery procedure for many years. A breast lift may also be completed in conjunction with breast implant surgery.

Reasons why you may want a Breast Lift:

You deserve to feel good in your body and many women see a huge increase in self-esteem after having a breast lift procedure. You may want a mastopexy if you fulfill any of the following criteria:

Gravity and time: It is inevitable. Over time, the effects of gravity will turn perky breasts into droopy breasts, especially if your breasts are full. A breast lift can restore your original shape.

Post-pregnancy: Breasts can change in shape or stretch during and after pregnancy and/or breast-feeding. A breast lift can restore your breasts to their previous position and appearance.

Weight fluctuation: If you lost a lot of weight, congratulations! But if you lost weight in your breasts, too, they may now droop or sag in a way they didn’t before.

Heredity: Some breasts are just naturally more droopy than others. If you have always wanted to change the way that your breasts sit on your body, a breast lift can change that.

How Is the Breast Lift Procedure Performed?

Your breast lift surgery is an outpatient procedure, but that doesn’t mean that it is minor surgery, or that it will be brief. After your consultation and examination at our office in Miami, you will be given an estimate for the length of time that you can expect your procedure to take. Our doctors will want to talk to you and review your case thoroughly to make sure that your results are balanced and beautiful.

Breast lift procedures are customized specifically for the patient based on their desired result. In general, the surgery takes an average of three hours to complete.

Typically, extra skin is removed from the breasts during the procedure, lifting and reshaping them, while at the same time moving the areolae to a higher position. The size of the areolae can also be altered in order to better fit the new proportions of the breasts.

You and your doctor will select the technique that is best for you

After general anesthesia is administered, the surgeon creates an incision. The type and location of the incision for your procedure will be discussed during your pre-operative consultation. It will primarily depend on the amount of tissue that needs to be relocated or lifted.

Donut Lift: Also known as a Circumareolar Lift, this technique is best used for slight nipple asymmetry or a mild lift. First, your doctor makes a doughnut-shaped incision around the areola to remove tissue. Then he cinches the breast skin to tighten up the breasts for a more youthful appearance.

Lollipop lift: This is also called the Vertical Mastopexy. In this lift, a lollipop-shaped incision is made from the crease of the breast vertically up to and surrounding the nipple. This is a very effective lift for many women with low hanging breasts.

Anchor lift: The incision in this lift is shaped like an anchor. This is also known as a Wise pattern. It is similar to the lollipop, but also travels along the breast crease (inframammary fold). This is a very effective procedure, that provides a durable result. It is especially useful for women with larger breasts with a long nipple to inframammary fold distance (distance from breast crease to nipple).

What you can expect after surgery:

Same day. You will be closely monitored and cared for in our surgery center until you are ready to go home. You’ll need someone to drive you home and help you for the first 24 hours after your surgery. When you arrive home, it’s important to lie down and rest with pillows to support your back and arms. Make sure that your medications are within easy reach, so you don’t have to stretch too far.

First week. You should expect about 1-3 days of discomfort. Some bruising and swelling is normal and expected. Your breasts will continue to heal over the course of six months. Most patients return to work within 7-10 days. For two months after your surgery you will wear a surgical bra in order to take pressure off of your breast incisions.

Six weeks. You will need to avoid strenuous exercise while you are healing. Your doctor will want to see you again to check on your progress.

1 year. You’ll look and feel great. Any swelling and bruising should be gone, and your scars will not be very noticeable.

Come in For a Consultation

The doctors have two main objectives when it comes to consultations: to be thorough and honest. Effective communication is key to achieving the best possible results, which is why the doctors give thorough initial consultations that can answer any and all questions. Call our office today to book a consultation.

Breast Reduction

Breast reduction surgery is also known as “reduction mammaplasty.” By removing excess breast fat, tissue and skin, the surgeon will reduce the size of your breasts to achieve a more comfortable and balanced size in proportion to your body.

Why you may want a breast reduction surgery

Feeling good in your skin. Breasts are considered an attractive part of the body, but if they are too large it may trigger insecurities or unwanted attention, causing body insecurities. You deserve to feel at home and safe in your body.

Physical pain and discomfort. Even with extra support, large, pendulous breasts can cause physical pain on your back and shoulders.

Active lifestyle needs. With smaller breasts, you can be more active and comfortable. Large breasts can make exercise and physical activity much more difficult.

Fitting better in clothing. It can be difficult to find clothes that fit properly when your breasts are overly large in proportion to the rest of your body.

To have breasts that are the right size for your body. You’d like to have breasts that are in proportion with the rest of your body, and fit comfortably in clothing you want to wear.

To have breasts that you love. After your procedure, they will still be round and full and beautiful. Just a more proportionate and manageable size.

What can I expect during the breast reduction procedure?

Breast reduction, like any surgical procedure, is a highly individual process, because it depends on each client’s desired results and what is best for her body. Your surgeon will help guide you on the size that’s most proportionate for your unique frame.

Under general anesthesia, an incision is created. It can be made in two concentric circles around a patient’s areola for a smaller amount of breast reduction. Another option is a lollipop shape extending down to the breast crease, which provides a moderate amount of reduction. It can also be made as an anchor-shaped incision for a larger amount of reduction.

The next step is removal of excess tissue. Skin, glandular, and fatty tissue can all be removed. This reduces the volume and the breast is reshaped. The nipple can also be repositioned and resized to fit the new proportions of the smaller breast.

Finally, incisions are closed using medical sutures. Any post-surgical scars are well camouflaged and can fade with proper care. They are also well hidden in undergarments.

Breast Reduction Post-Surgical Care

Recovery involved with this procedure is oftentimes directly proportional to the amount of tissue removed. Temporary bruising is normal, and a post-surgical support bra will aid in the reduction of swelling.

Most patients are ready to go back to work within ten to fourteen days. You should be able to return to strenuous activity and exercise in about six weeks. Once your recovery is complete, your breasts will feel lighter, and more of a natural extension of your body.

To find out more about what breast reduction surgery can do for you, contact us.

male gynecomastia

Gynecomastia is a term used to describe the abnormal enlargement of the male breast. This can be due to excess fat and breast tissue.

Gynecomastia can cause emotional discomfort and impair self-confidence. It may limit some men from specific physical activities or intimacy to hide their condition.

It is commonly treated with a reduction procedure. Gynecomastia surgery, which is referred to as male reduction mammaplasty, reduces breast size in men, flattening and enhancing the chest contours.

Here at Pure, our goal is to create a natural aesthetic male breast / chest appearance while minimizing visible scars.

revision breast surgery

The majority of women who undergo breast surgery are satisfied with the results and enjoy the benefits of the surgery for many years. However, there are instances where women who have had a breast augmentation have issues that require revisional breast surgery. This procedure is intended to correct a problem that has usually arisen from a previous breast surgery.

Is revision breast surgery right for me?

If your surgery did not achieve your desired result, it’s possible you feel even less satisfied about your breast appearance than you did before surgery. A breast revision is designed to treat a variety of breast augmentation complications to achieve your desired appearance, including the following:

Hardened scar tissue. Also called capsular contracture,where internal scar tissue causes your breasts to harden and distort post surgery.

Nipple or implant asymmetry. After you have healed, you notice that your breasts or nipples are significantly uneven, in placement or size.

Implant malposition. Not all breasts are the same, and in some cases the implant could migrate too low, too high or too close together.

Deflated implants. If your implants leak or burst, the result can be deflated implants or flat breasts.

Wrong size implants. If the implants you have now are smaller than the ones you wanted or if they are just too large to be comfortable. Size can be corrected during a revision surgery.

What can I expect post surgery?

The healing process post revision surgery can be very similar to a breast augmentation. You will be supported with a surgical bra for the first few days and the healing process for your final result can take 3-6 months.

Breast Lift with Implants

Breast augmentation, also known as augmentation mammaplasty, is a surgical enhancement procedure to accentuate the size and shape of a woman’s breasts. Breast augmentation with lift is an excellent way for patients to get fuller breasts that are natural and more youthful in appearance.

Combining both procedures together reduces the time required, since there is only one surgery needed instead of two. This makes it so there is also only a single recovery period needed. Finally, getting a combination breast augmentation with mastopexy can reduce the costs significantly.

Am I a candidate for breast augmentation with lift?

You will find the clarity you are looking for after your initial consultation. However, factors that may make you a candidate for this procedure are:

  • Loss of volume
  • Nipples that point down or are below the crease of the breasts
  • Lack of confidence wearing certain clothing
  • Top of breast is hollow or appears flat
  • Uneven breasts – one appears larger or out of place
  • Large areolas
  • Sagging breasts

What to expect in your initial consultation

You will be given the opportunity to thoroughly examine photographs of previous patients, so that you can see what to expect if you choose breast augmentation with lift. You will talk in depth about the appearance of the breast implants that you desire, and how your frame, height and other factors affect your choices. You will find clarity on the results that you can expect with breast augmentation and lift. This is an important conversation between you and your doctor. This conversation will enhance your confidence in the procedure. Your doctor will also help you in the decision making process of which specific procedure is best suited for you.

Recovery Process

The healing process is similar to the separate breast augmentation and lift procedures. The doctors will ensure that you have the best experience possible during the procedure to allow for the healing process to be safe and smooth.

I usually don't do reviews but If you are looking for a surgeon that's going to provide you with the best possible outcome for your needs, you found him! I'm the most pickiest person on this earth and I'm very content with my results so far. Dr. Z is very humble, very honest & funny. I'm a happy client, will be going back for future surgeries :)

Breast Augmentation

“I had an amazing experience with Dr. Earle, he is very professional, he answered all my questions and he helped me to choose the best size, shape and implant for my age and my body. I’m happy with the results even though I had my surgery just a week ago. If you are looking for a surgeon I highly recommended him!”

Breast Augmentation