Breast Implants and Size: Making the Right Choice by Dr. Wigoda

The reason why a vast majority of women (and men) have breast augmentation is SIZE, says Fort Lauderdale plastic surgeon Dr. Paul Wigoda.

We want to increase our size and/or have our breasts more proportionate to the rest of our bodies. Some women worry about going too big, while others worry about not going big enough. Having realistic expectations regarding size is imperative. Here are some ways you can figure out what size is right for you.

A Picture’s Worth 1,000 Words

When consulting with a plastic surgeon, it helps to bring pictures depicting how you want to look after surgery. Also, bring photos of what you consider too small or too large as this will help your surgeon immensely. Celebrity magazines are a great resource for photos of women with various size breasts. Keep in mind that everyone’s anatomy is different, so you will not look exactly like the photos you show your surgeon; however, these photos will give the surgeon a very good idea of the SIZE you want to be. You may have a good idea of what cup size you would like but photos can further inform your surgeon of your desired results.

Dr. Wigoda Talks About The Rice Test

Surgeons generally do not talk in “cup” sizes they talk in cc’s. So “trying on for size” in cc’s prior to your plastic surgery consultation is a very good idea. And, it’s fun! If you’re very flat-chested, almost anything may seem big but you’ll be amazed at how quickly you adjust to your new, larger size. The Rice Test will give you an idea of what you’ll like to look like after your surgery, as well as a rough idea of how many cc’s it may take get that result. It’s not 100% accurate, but it’s pretty close.

How to Perform the Rice Test

Use knee-high hose or cut-off pantyhose, and, using rice (or oatmeal or grits), fill them with the desired amount of cc’s. Once you have them filled, try them on under a sports bra.  Here are some conversions below:

  • 1 cup = 236cc
  • 3/4 cup = 177cc
  • 2/3 cup = 156cc
  • 1/2 cup = 118cc
  • 1/3 cup = 78cc
  • 1/4 cup = 59cc
  • 1/8 cup = 30cc

Some guidelines: An average of 189 cc is needed to go up one bra cup size. Increasing an A cup to a C cup generally requires a total of 391 cc, or 196 cc per cup. Moving from a B cup to a D cup generally requires a total of 448 cc, or 224 cc per cup. The largest change, an A cup increasing to a D cup, generally requires 437cc, or 145 cc per cup.

The amounts above can be used in different combinations to achieve the cc amount you desire. It’s important to remember that you should not solely rely on cc amounts of friends whose size you like. 400cc can look completely different on different women. This is due to several things, including, but not limited to: amount of breast tissue, shape of the chest wall, deformities of the chest wall (such as pectus excavatum and pectus carinatum), and weight, just to name a few. Basically, your existing breast tissue, and anatomy dictate how many cc’s you will need. Therefore, you should do the rice test to give you an idea of how many cc’s you may need to get the size you want. Keep in mind the “rice test” is just an estimate, it is not an exact science!

Now that you have a good idea of what size implants you think you want and some photos to share you are better prepared for a consultation with Dr. Wigoda. Dr. Wigoda offers free consultations at his  Fort Lauderdale-based plastic surgery center. Call us at 954.463.7088 to schedule your visit!

See our next blog post in this series: What’s Your Breast Implant Profile: Low, Moderate or High?

Silicone or Saline? Making the Right Breast Augmentation Choices – Decisions, Decisions! Part 1

Dr. Paul Wigoda Plastic Surgery Saline or Silicone Implants

Dr. Paul Wigoda Plastic Surgery Decisions, Decisions: Saline or Silicone Implants?

Each year, hundreds of women undergo breast implant surgery with Dr. Paul Wigoda. Most women undergo the procedure to enlarge breasts that are naturally small or to correct disproportionate breasts. Some combine breast augmentation and breast lift to add volume as well as create a more youthful bust line. And some, receive implants during breast reconstruction following a mastectomy.  No matter your reason for considering implants there are a number of decisions you will need to make with your doctor prior to your surgery. Here are some of them:

– Breast implant type – Saline or silicone gel?

– Breast implant volume – How big?

– Breast implant dimensions – How wide and how projecting?

– Breast implant shape – Round or teardrop?

– Breast implant surface – Smooth or textured shell surface?

– Breast implant insertion site – Axillary, breast fold, or periareolar?

– Breast implant position – Above or under the pectoralis major muscle?

Over the next few weeks we will examine pro’s and con’s of the various alternatives.

Today we look at Saline vs. Silicone.

Saline vs. Silicone Gel

Advantages of silicone gel breast implants:

  1. Softer to touch, feel more like breast tissue. Silicone gel is an oil, similar to the fatty tissues of the breasts. Saline is simply saltwater
  2. Reduced rippling relative to saline implants. All implant edges ripple. Try putting water in a Glad bag and look at the edges of the bag. You will definitely see less rippling with oil in a bag than water in the same bag

Advantages of saline implants:

  1. Smaller incisions. The average incision for saline is 3 cm (just over an inch). Since silicone gel implants are pre-filled by the manufacturer, they require a 4 to 5 cm incision
  2. Lower cost
  3. If the implant does rupture, it becomes obvious after a few days or weeks whereas silicone implants do not shrink when they rupture

So which one should you choose?

Silicone gel breast implants are probably better from a purely cosmetic standpoint: they feel very similar to breast tissue.  Saline breast implants are probably better from a purely safety standpoint: it’s hard to argue with the safety of a bag of saltwater. In general, if you have a reasonable amount of breast tissue, subcutaneous fat, and breast tone, saline implants will be reasonably well-camouflaged and may be a good choice. On the other hand, if your breasts are very small (A minus), you are extremely thin, and/or have poor breast tone (i.e. you don’t have much tissue to cover your implants), you may want to consider silicone gel.

At the end of the day, only you and your doctor can choose the right type of implants for you. Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers both silicone and saline implants and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 to schedule your visit!

See the our next blog post on this series: Breast Implants and Size: Making the Right Choice by Dr. Wigoda

[Study] Breast Augmentation Enhances Women’s Sexuality and Self-Esteem

Dr. Wigoda Answers the Question: How will breast implants change your life?

By her 18th birthday, Laura Kearney realized “the girls” weren’t growing — but she pushed aside thoughts of breast implants. For eight years, she resisted the pressures of society and the focus on female anatomy. “It’s everywhere in your face,” says Kearney, now 26, in a recent article entitled How Will Breast Implants Change Your Life? on WebMD by Jeanie Lerche Davis. “I felt like less of a woman.” In the end, Kearney finally did it. She tossed the padded bras, opted for silicone breast implants. “It may seem petty to some people, but felt I needed to do something about it. I didn’t get a drastic implant, just one that suited me.”

The results? “I can’t believe how real, how natural they look. I can’t even describe how happy I am.” In fact, Kearny explained that the preparation for breast implant surgery caused her to pursue a healthier lifestyle. “I got into the vitamin regimen, quit smoking. It was a big opportunity for me to be a healthier person. It felt like everything was going in the right direction. It was so exciting.”  This story is not uncommon, the anecdotal evidence is extensive.

“I have seen countless women who start off a bit reserved when I first meet them, come back with big smiles. more confidence, and more outgoing personalities, just a few weeks after their breast implant surgery,” say Dr. Paul Wigoda. “Most patients, and for the most part, the general public, only think about the physical enhancement that implants provide. The fact is, there is a tremendous psychological boost for most patients that is very gratifying to see.”

And now, a study published in Plastic Surgical Nursing by Cynthia Figueroa-Haas, PhD, clinical assistant professor at the University of Florida College of Nursing confirms improvements in the women’s self-esteem and sexual satisfaction can be directly correlated with breast augmentation surgery. Figueroa-Haas used two widely accepted scientific scales to measure self-esteem and sexuality, the Rosenberg Self-Esteem Scale and the Female Sexual Function Index, which assesses domains of sexual function, such as sexual arousal, satisfaction, experience and attitudes.

Figueroa-Haas studied 84 women who were 21 to 57 years old, assessing their perceptions of self-esteem and sexuality before and after cosmetic breast augmentation. Here are the results:

– The participants’ average self-esteem score increased from 20.7 to 24.9 on the

30-point Rosenberg scale

– Their average female sexual function score increased from 27.2 to 31.4 on the

36-point index

– Participants reported an average 78.6% increase in sexual desire, an 81% increase in arousal and a 57% increase in sexual satisfaction.

The participants studied did not have particularly low self-esteem or particularly poor sexual function prior to surgery but both aspects of their lives significantly improved after they got breast implants. “They were already OK with self-esteem and sexuality — they just wanted larger breasts,” Figueroa-Haas told WebMD. “They got increased levels of self-esteem and sexuality.”

Figueroa-Haas warned that “women should not view plastic surgery as a cure-all for their self-esteem and sexuality woes but ethical plastic surgeons screen for this type of behavior and rule out potential patients who may have more serious psychological issues.”

If you think your self esteem could use a boost, Dr. Wigoda’s Fort Lauderdale-based plastic surgery center offers both breast augmentation and non-surgical services such as Botox and fillers that could help you to enhance your image and feel younger and rejuvenated.Dr. Wigoda is the Chief of Plastic Surgery of Broward General Medical Center, the primary trauma center for Fort Lauderdale and Broward County. For more information, visit

Dr. Wigoda Turns Plastic Surgery Nightmare into New Beginning

When deciding to have plastic or cosmetic surgery, choosing your physician is the most important decision you will make whether it is a lunchtime injectable like Botox or a breast surgery requiring anesthesia.  Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda tells patients to do their research.  Here are some tips to help you find the best possible physician for you.Painless Breast Implants by Dr. Paul Wigoda

How to Choose the Right Doctor for You
Do your homework. Check up on your doctor!  Ask friends and family for recommendations. But also go online, search for prospective physicians and see what others are saying.  Get virtual “word of mouth” referrals from former patients.  Also, check their training, area of expertise, experience and performance reviews.
Make a Visit.   Most doctors are happy to meet prospective patients and offer free consultations.  Make appointments with the top few doctors you researched and use this opportunity to “interview” them.  Ask questions.  Make sure he/she is someone you can openly speak to regarding your procedure, recovery and expected results.
Trust Your Gut.  That little voice inside of you knows what it’s talking about!  When you visit a plastic surgery center, listen to your instincts and let it help you rate the office, the staff, and the facility.  If everything gets high marks you’re on the right path; if anything makes you feel uncomfortable, it’s time to move on.

Behind the Scenes of Plastic Surgery: Truth or Consequences
In this video Nikki, explains her unfortunate plastic surgery story.  Nikki based her choice of physician on a referral from a previous doctor and did not take the above steps to ensure her choice was sound.  She saw many red flags along the way but decided to not trust her gut.  After reparative surgery by Dr. Paul Wigoda, the story has a happy ending.
Breasts Beyond Repair?
Nikki’s nightmare could have been avoided had she taken the above steps.  Because she was in a rush, she did not take time to research possible physicians.  Instead Nikki relied solely on previous doctor’s referral.  There’s a wealth of information available online and through your network of friends and family, tap it!

Nikki did not take time to interview several doctors and therefore didn’t get any other opinions.  As a result, Nikki ended up with an inappropriate procedure that she felt was her only option. To avoid this, interview your prospective doctors and chose the one who seems to offer the best advice for you.

Nikki remembers a gut feeling that her previous physician’s office and procedure room seemed chaotic and disorganized.  Nevertheless, intimidated by the situation, Nikki went along with the surgery that resulted in major complications.  Had Nikki trusted her gut she may have avoided the botched surgery altogether and found a competent physician.

Thankfully, Nikki’s story does have a happy ending because, after doing her homework the second time around, she discovered Dr. Wigoda.  Dr. Wigoda made the appropriate revisions to Nikki’s breast augmentation with careful precision, personal care, and a touch of kindness.  Thrilled with her results, Nikki advises anyone seeking cosmetic surgery to follow the above steps to ensure what happened to her doesn’t happen to them.

Dr. Wigoda’s Fort Lauderdale-based plastic surgery center offers both cosmetic surgery and non-surgical services such as Botox and fillers. Dr. Wigoda is the Chief of Plastic Surgery of Broward General Medical Center, the primary trauma center for Fort Lauderdale and Broward County. Find out the various ways to enhance your image and feel younger and rejuvenated. For more information, visit

Breast Implants Improve Sex Life Says Real Self Survey

New Stat: 70% of women are having better sex and more orgasims after having breast implants! Dr. Paul Wigoda asks: Can having breast augmentation surgery improve your sex life? According to a survey conducted by Real Self, a large online community for those who have had or are interested in cosmetic surgery, revealed a surprising connection between breast enlargement surgery and more action in the bedroom.

The poll was conducted in January 2012 and tells an interesting tale. About 61% of participating women who spent the dough to get better looking breasts reported having more sex post-surgery. At least a quarter of responding women rated their sexual satisfaction as being four or more points higher after surgery than before.

The results of the poll are not all that surprising considering one of the key factors in having a great time in the bedroom is self-confidence. Breast augmentation typically improves a woman’s self-esteem, which many Fort Lauderdale plastic surgeons like Dr. Wigoda say becomes immediately apparent when they see their patients at follow up appointments. The women dress differently and carry themselves more confidently that they did before their surgeries.

Even Bethenny Frankel, former Real Housewife of New York City, admitted on her daytime show Bethenny that her breast implants made her feel “like I was a little hotter, you know a little perkier.” [source] Frankel got implants to combat sagginess that developed after she lost 30 pounds post-high school.

Breast augmentation is one of the most popular cosmetic surgeries performed. Between 2009 and 2012, over one million women got breast implants. It can cost anywhere from $6,000 to $10,000 depending on the type of implants and the surgical procedure used. However, 7.5 out of every 10 women that responded to the Real Self survey said that it was completely worth the time and expense involved.

Looking for more information on breast augmentation from a board certified plastic surgeon? Ask Dr. Paul Wigoda.

Breast Decisions: Saline or Silicone Breast Implants- Dr. Paul Wigoda Interview

Though breast implants have been around since the 1960s, there are only two types of liquid implants: silicone  breast implants and saline breast implants. If you are considering breast augmentation, you will need to make a decision about which one to use. To help you with your decision, South Florida plastic surgeon Dr. Paul Wigoda provides a comparison between the two.

Saline is simply salt water while silicone is a type of gel. From a safety standpoint, there is no difference between these two types of implants. There was a scare in the 1990s about silicone implants that caused a number of lawsuits, but studies have consistently shown that silicone implants don’t cause illness.
What are breast implants made of?
The shell of the implants is made from the same material and there is only a one percent chance per year that the implant will break. Most manufacturers warranty their implants for a lifetime. If the implant breaks, they will provide you with a new pair. If it breaks within 10 years, they will chip in some money towards the surgery needed to replace the broken implant.
What if a breast implant breaks?
An implant that breaks generally doesn’t cause any medical problems. If a saline implant tears, the water will simply leak out. Your body will absorb the water and you’ll likely notice a reduction in breast volume after a few days or weeks. If a silicone implant tears, however, the gel usually remains inside. You probably won’t know that the implant has broken unless you have an MRI. The FDA currently recommends an MRI after 3 years and then every 2 years. However, these recommendations may soon be changing. Most plastic surgeons think MRIs can be performed less often.
Silicone  breast implants versus Saline breast implants
There are some differences between the  breast implants, though. Silicone implants tend to feel more natural while saline breast implants can sometimes feel hard once they have been inserted. Saline breast implants also have more of a problem with rippling than silicone breast. This is when the shell of the implant wrinkles and this wrinkling can sometimes be seen if there isn’t a lot of fat and skin covering the implant.
However, the scar may be slightly smaller with saline implants because they come empty and are filled when they are inserted into the breast. This also provides the doctor with more flexibility during surgery. For example, if the surgeon notices the breasts are uneven, he or she can make adjustments to the implants to even things out. Lastly, silicone implants average about $1,000 more per pair than saline implants.
It is important to discuss all of these issues with your plastic surgeon during your breast augmentation consultation so you have all of the information you need to make the best choice for you. Dr. Paul Wigoda is available for plastic surgery consultations to help you make the best choice.

Silicone Breast Implants Turn 50! Dr. Paul Wigoda Celebrates

Dr. Paul Wigoda’s History Lesson on Breast Augmentation
This year marks the 50th anniversary of silicone breast implants. But breast augmentation began long before the spring of 1962.

It started innocuously enough. Women would pad their tops to give their breasts the appearance of extra fullness. Later, corsets were created to trim the waist and push the bosom to the fore.
As medical technology advanced, permanent breast enhancement became possible. A variety of materials were used to increase breast size including sponges and glass balls. Unfortunately, the materials used produced less than desirable results. Then Dr. Frank Gerow had a moment of inspiration while handling a plastic transfusion bag and, partnering with Dr. Thomas Cronin, created the first silicone implant with the assistance of the Dow Corning Corporation.
Today silicone breast implants are the most popular type of material used in breast augmentations, but the implant had to travel a pretty rocky road to get there. Here are a few notable events in the history of breast implants:
1962: Timmie Jean Lindsey is the first woman to get silicone breast implants.
1976: The Medical Devices Amendment is added to the Federal Food, Drug, and Cosmetic Act allowing the Food and Drug Administration (FDA) to evaluate and approve the safety and effectiveness of new medical devices. Since silicone implants have been around for awhile, they were grandfathered in.
1977: The silicone implants were known to rupture, a problem researchers were working hard to fix. However, a Cleveland woman was the first woman to receive a settlement because of a ruptured implant. Dow Corning was ordered to pay her $170,000.
1982: The FDA wants to put silicone implants into a Class III category which would require manufacturers to prove they were safe to use. They were finally able to do this in 1988.
1984: Several years of litigation involving breast implants kicks off. People were saying the implants caused everything from autoimmune disorders to cancer.
1992: A voluntary moratorium is called for by David Kessler, the FDA’s commissioner at the time. He wanted time to consider new research on the safety of silicone implants. The moratorium is lifted several months later, but only women getting breast reconstruction were allowed to get implants.
1994-1995: The Mayo Clinic and the American College of Rheumatology finds that silicone breast implants did not increase the risk for connective-tissue diseases or other systemic diseases. The Harvard Nurses Epidemiologic Study published in the New England Journal of Medicine comes to the same conclusion. Over the next several years, a variety of research bodies will attest to the safety of silicone implants.
2002: Although celebrity women have been getting implants for years, it was always a public secret until Dolly Parton outed herself this year. This started an avalanche of public self-outings by celebrities such as Pamela Anderson, Jenny McCarthy, Victoria Beckham, Denis Richards, Sharon Osbourne and many others. The stigma of breast augmentation quickly fades.
2011: The FDA approves a new type of silicone breast implant manufactured by Sientra, making them the third U.S. manufacturer to produce them.
What once began as a naughty little secret between a woman and her doctor has become a commonplace and socially acceptable cosmetic procedure that can improve a woman’s appearance and boost her self-esteem. If you are ready to explore your options with breast augmentation,  check out the painless breast implant surgery offered by South Florida plastic surgeon Dr. Paul  Wigoda.

Smoking Makes Nipples Fall Off? Dr. Paul Wigoda Says Yes!

Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda confirms that smoking can make your nipples fall off after certain surgeries.

“I encourage all my patients to quit smoking before surgery,” said Dr. Wigoda who pioneered the technique painless breast implants.

For decades the Surgeon General has warned that smoking can cause health complications. Yet the Center for Disease Control reports that 19% of Americans over the age of 18 smoke. Not only is smoking unhealthy in general and can lead to diseases like lung cancer, it can cause serious complications during and after plastic surgery.

First, smokers have a higher risk of developing respiratory complications, like pneumonia, with any surgery that requires general anesthesia. Second, there are many cosmetic procedures – such as facelifts, breast reductions or lifts, and tummy tucks – where large areas of skin and fat are undermined (separated from the tissue below) to tighten the skin. Blood flow to the skin decreases during these procedures. If the skin does not receive the minimum amount of blood flow needed to be healthy and survive the surgery, the skin dies and the person ends up with an unsightly wound.

In people with healthy blood circulation, this isn’t a problem. However, smoking inhibits the circulation of blood because nicotine is a vasoconstrictor. It causes blood vessels to constrict (close). This constriction further reduces blood to flow to the areas that are trying to heal. As a result, the skin or other tissue – including fat, nipples, and areolas – can die.

Dr. Wigoda specializes in breast implant surgery and breast reconstruction surgery and says, “In my practice, I ask all patients who smoke to quit at least one month prior to their surgery if they are having a procedure that involves undermining skin. Although there is less risk with breast augmentation or liposuction procedures, I still encourage all of my patients to quit smoking because of the damage it does to the body.”

Patients who smoke age quicker, their skin is less healthy, and they lose elasticity faster – all of which makes them look older than they are. Most Americans only think lung cancer or emphysema is the primary risks of smoking. The reality is that smoking affects the entire body, including all organs, because it affects all the blood vessels. This is why smokers are more likely to have heart attacks and strokes.

To look your best, feel your best, and increase your chances of having a great outcome from cosmetic surgery, give up the unhealthy habit of smoking.


Painless Breast Implants by Dr. Wigoda in Florida

As demand for breast implants rises in Florida and beyond (a whopping 296,203 breast augmentations were performed on American women in 2010), Dr. Wigoda’s signature painless breast implant procedure has similarly risen in popularity among Florida women.

Thanks to Fort Lauderdale plastic surgeon Dr. Wigoda, getting a breast implant has now become virtually painless. On his Painless Breast Implants website Dr. Wigoda has gathered testimonials of many women who took the plunge and couldn’t be happier with their results. Last summer, one patient even blogged about the experience from start to finish.

Most Florida women can resume normal activities within a day or two after surgery and feel virtually no pain. Dr. Wigoda’s technique is very atraumatic with a quick recovery and almost no pain. Over the years, Dr. Wigoda has perfected his technique using ten-plus years of South Florida plastic surgery experience to match the correct incision and implant to each patient. Each year over 350,000 women have breast augmentation surgery in the U.S. and Dr. Wigoda offers potential patiends behind-the-scenes access via his Facebook Page, YouTube Channel and Twitter feed.

Dr. Wigoda Plastic Surgery Financing $99/Month

Smart plastic surgery decisions can be priceless, but not without a price tag. When the plastic surgery investment does not always fit the cash flow, Dr. Paul Wigoda offers several different plastic surgery financing options to help assure the decisons are based on quality versus best price.

Often procedures such as breast augmentations or tummy tucks can be financed for little or no interest, or with a convenient payment plan. Many patients are able to pay as little as $99 per month via Care Credit, MedChoice Financial, Capital One, or Chase.

Despite the cost of plastic surgery, Dr. Wigoda urges potential patients to shop for quality over price and to use our plastic surgery checklist to assist in asking the right questions. Don’t fall for the ‘too good to be true’ South Florida advertisements that promise inexpensive procedures that may be risky. For more information on these centers click here.

At Dr. Wigoda’s office we will never cut corners.  Patient safety is always a priority and our aim is always to maximize the cosmetic result and the patient’s experience including using revolutionary techniques to minimize pain and discomfort.

Dr. Wigoda promises the best possible result, in a safe and caring environment, and at a price that is very competitive. A strong believer in treating his patients in the fashion that he would like to be treated, Dr. Wigoda likes to take the time to get to know each patient as well as possible. He believes developing rapport with a patient based on mutual respect, communication, and honesty is crucial.

As a special welcome to new patients, Dr. Wigoda is offering a coupon for $1000 off his signature painless breast implant procedure!

For more information on what Dr. Wigoda is doing to help patients finance their plastic surgery, visit