I’m Dr. William Miami, and in this article, I want to share my approach to breast augmentation — the same principles I discussed in a short video on my channel. While many people think breast augmentation in Miami is primarily about size or achieving dramatic cleavage, my philosophy is different: it’s about the overall shape, harmony, and contour of the breast within the context of the whole body.
Why Shape Matters More Than Size
When I plan an augmentation, my primary concern is creating a natural, aesthetically pleasing shape that fits the patient’s frame. Too often patients ask for a specific volume without understanding how that number translates to their chest width, soft tissue envelope, and overall proportions. A 400 cc breast implant can look very different on two patients depending on their anatomy and implant selection (projection, style, and placement).
A Real Case: 385–400 cc Silicone Gel Implants
Recently I completed a breast augmentation using silicone implants — one side was 385 cc and the other 400 cc. We use silicone gel because of its natural feel and reliable long-term performance. In this case, the patient had a naturally round breast shape, and my goal was to enhance that shape while preserving the native arc and contour.
The Importance of Full-Contour Planning
When I evaluate a patient, I don’t think only about increasing volume. I look at:
- Breast footprint and width
- Skin quality and thickness
- Areolar position and breast mound ptosis (sagging)
- Lateral chest wall contour and axillary fullness
- Overall body proportions — shoulder width, torso length, waist
These factors guide implant selection, incision location, and the choice between submuscular or subglandular placement.
Cleavage: A Key Focus, But Not the Only One
Patients often show me photos asking for more cleavage. While cleavage is important, breast aesthetics also include lateral contour and lower pole fullness. Proper silicone breast implant selection ensures balance between cleavage and overall shape.
Incision Options and the “Armpit Arc”
Popular incision choices:
- Inframammary (under the breast fold)
- Periareolar (around the areola)
- Transaxillary (through the armpit)
For many patients, the transaxillary approach provides a scarless look on the breast itself, while inframammary allows more precise pocket control — especially with larger implants.
Complementary Liposuction and Torso Contouring
Often, subtle liposuction of the lateral chest wall or axilla enhances the results of breast augmentation with implants by improving transitions and emphasizing breast curves.
How I Plan Every Breast Augmentation
- Physical exam & breast measurements
- Goal discussion & photo review
- Selection of silicone or saline implants
- Pocket & incision planning
- Preoperative imaging and marking
- Planning for complementary procedures (if needed)
- Detailed recovery guidance
Implant Choices: Size, Shape, and Silicone Gel
Modern silicone implants provide a natural feel and consistent results. For the case I shared, 385–400 cc implants created balance and symmetry while enhancing the patient’s natural contour.
Recovery and What to Expect
Patients usually experience initial soreness, swelling, and tightness, with improvements over several weeks. Final results appear as tissues soften and implants settle.
Key Questions to Ask Your Surgeon
- How do you choose implant size/profile for me?
- What incision option is best for my case?
- Do you recommend silicone breast implants for me?
- How do you ensure natural cleavage and shape?
Final Thoughts
Breast augmentation should be about art and science, not just cup size. Whether using 385 cc or 400 cc silicone gel implants, my goal is to enhance natural beauty while achieving balance, proportion, and confidence.
If you’re considering breast augmentation in Miami, I invite you to schedule a consultation and explore your options. Together, we’ll design a personalized plan that fits your body, your goals, and your lifestyle — helping you feel more confident in your own skin.
