A&E Med Spa and Plastic Surgery - Miami

2700 SW 137 Ave., Miami, Florida
Medical Director: Kene Okeke, MD

A&E Med Spa and Plastic Surgery - Miami

2700 SW 137 Ave., Miami, Florida
Medical Director: Kene Okeke, MD

About


mon8:00am - 8:00pm
tue8:00am - 8:00pm
wed8:00am - 8:00pm
thu8:00am - 8:00pm
fri8:00am - 8:00pm
sat8:00am - 4:00pm

Doctors

Richard Nadal, MD, FACS
Board Certified Plastic Surgeon

Dr. Richard Nadal is a plastic surgeon in Miami, Florida with over three decades of experience. The newest member of the team at 4Beauty Aesthetic Institute for Plastic Surgery, he specializes in breast augmentation, breast lift, breast reduction, tummy tucks, Brazilian butt lifts, and mommy makeovers Dr. Nadal received his medical degree from the University of Puerto Rico School of Medicine in San Juan before completing a robust postgraduate education, including residencies in Plastic Surgery at Indiana University Hospital in Indianapolis and in Head and Neck Surgery at the Anderson Cancer Center in Houston, Texas. Dr. Nadal later perfected his craft during an Aesthetic Plastic Surgery fellowship at the renowned Manhattan Eye, Ear, and Throat Hospital in New York. Board-certified by the American Board of Plastic Surgery, Dr. Nadal is an active member of the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons, and a fellow of the American College of Surgeons.

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1 A&E Med Spa and Plastic Surgery - Miami Reviews

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5 Before & After Photos


280 Q&A

Q: What are the complications of explanting 500cc sub glandular implants with capsular contracture and a lift on a thin 58 year old
Answered by Dr. NadalOctober 18, 2019

A: Hi and welcome to our forum!

I expect some collapse of the breast following explantation. The presence of an implant effaces or stretches out the overlying breast tissue, soft tissue and skin. Following removal, the empty space will collapse upon itself. However, over time, at least partial correction is achieved naturally as the skin and soft tissues readjust over 3 months or so. If residual deformity persists, a secondary breast lift can be performed at that time.

Implant removal and capsulectomy does not require microsurgery. The procedure is safe and if you are healthy, the complication rate is very low (as with any surgery, there are small risks of bleeding, infection, scarring, and anesthesia).

The need for secondary lift following explantation relates to the size of the implant, its duration of implantation, and overlying skin quality.

Best wishes...

Q: Will my breasts be ruined if I take my implants out or will they just go back to how there where before? (photos)
Answered by Dr. NadalOctober 18, 2019

A: Hi and welcome to our forum!

I expect some collapse of the breast following explantation. The presence of an implant effaces or stretches out the overlying breast tissue, soft tissue and skin. Following removal, the empty space will collapse upon itself. However, over time, at least partial correction is achieved naturally as the skin and soft tissues readjust over 3 months or so. If the shape remains unfavorable, a secondary lift can be performed 3 months later. As you plan on expanding your family, it may be wise to delay the lift until the family is complete.

The need for secondary lift following explantation relates to the size of the implant, its duration of implantation, and overlying skin quality.

Best wishes...

Q: I have never received a medical device card for my breast implants even after contacting my surgeon. What should I do now?
Answered by Dr. NadalOctober 18, 2019

A: Hi and welcome to our forum!

I am sorry to hear of your illness. The medical device card is usually given to the patient on the day of surgery. If it was omitted, the information can usually be retrieved from your operating surgeon or can be found directly from the operative report, which can be made available to you at your request from your surgeon or from the facility where the procedure was performed.

Best wishes...

Q: Implant removal, 10 years old implant, 375cc/ml. How will the results be after removing the implants? (Photo)
Answered by Dr. NadalOctober 18, 2019

A: Hi and welcome to our forum!

I expect some collapse of the breast following explantation. The presence of an implant effaces or stretches out the overlying breast tissue, soft tissue and skin. Following removal, the empty space will collapse upon itself. However, over time, at least partial correction is achieved naturally as the skin and soft tissues readjust over 3 months or so. If the shape proves unfavorable, a secondary lift can be performed 3 months later. 

It is not possible to predict post-explantation shape and size with any degree of accuracy.

The need for secondary lift following explantation relates to the size of the implant, its duration of implantation, and overlying skin quality.

Visit a board certified plastic surgeon for evaluation and discussion.

Best wishes...

Q: Should I wait after explant to get a lift and areola reduction, or in the same procedure? Should I get the lift? (photos)
Answered by Dr. NadalOctober 18, 2019

A: Hi and welcome to our forum!

I expect some collapse of the breast following explantation. The presence of an implant effaces or stretches out the overlying breast tissue, soft tissue and skin. Following removal, the empty space will collapse upon itself. However, over time, at least partial correction is achieved naturally as the skin and soft tissues readjust over 3 months or so. As shape is important to you, you should consider a secondary breast lift as well if the shape proves unsatisfactory. We separate the procedures by at least 3 months.  

The need for secondary lift following explantation relates to the size of the implant, its duration of implantation, and overlying skin quality.

Visit a board certified plastic surgeon for in-person evaluation and discussion.

Best wishes...