Leonard Tachmes MD PA
Leonard Tachmes MD PA
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    • Breasts
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    • Facelift
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  • More
    • Home
    • About
    • Evaluate Me
    • Body
      • Breasts
      • Abdominoplasty
      • Brazilian Butt Lift
      • Liposuction
      • Male Chest
    • Face
      • Facelift
      • Blepharoplasty
      • Forehead Lift
    • Injectables
    • BOOK NOW
  • Home
  • About
  • Evaluate Me
  • Body
  • Face
  • Injectables
  • BOOK NOW

Breast Procedures

Breast Augmentation Miami

Dr. Tachmes Is an Expert in Natural-looking, Aesthetically Pleasing Breast Augmentations.


Dr. Tachmes believes in creating the most natural, aesthetically pleasing breast augmentation results. He takes the time to personally discuss the patient’s specific needs and requests during each consultation.


Dr. Tachmes is a South Florida leader in aesthetic breast surgery procedures. He has performed both saline and silicone breast augmentations and complex revisional procedures for breast implant problems for over 20 years. The practice also assists patients with PIP breast implant-related problems and performs procedures to remove PIP implants in Miami.


Breast enlargement is accomplished by inserting a breast implant either behind the breast tissue or partially or completely under the chest muscles. Incisions are made to keep scars as inconspicuous as possible, usually under the breast or around the lower part of the areola. There are many different options for breast implants. We will allow you to try on different implants with your clothing to find the perfect fit.


To see an animated video presentation on breast augmentation surgery, click here.

Breast Lift

A breast lift from Dr. Tachmes can rejuvenate your figure with a breast profile that is youthful and uplifted. 


A woman’s breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from pregnancy, breastfeeding, weight fluctuations, aging, gravity, and heredity. Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Sometimes the areola becomes enlarged over time, and a breast lift procedure with Nipple/ Areolar reduction will also reduce this. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted.


Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller, you might want to consider a breast augmentation in combination with a breast lift. There are several types of breast lift procedures. Each is useful for a particular type of patient. Board Certified Miami Plastic Surgeon DR. Tachmes will review the specific choices for you during the consultation process.

A Breast Lift Is a Good Option for You if:

  • You are physically healthy and maintain a stable weight
  • You do not smoke
  • You have realistic expectations
  • You are bothered by the feeling that your breasts sag, have lost shape and volume

  • Your breasts have a flatter, elongated shape or are pendulous
  • When unsupported, your nipples fall below the breast crease
  • Your nipples and areolas point downward
  • You have stretched skin and enlarged areolas
  • One breast is lower than the other

To see an animated video presentation on breast lift surgery, click here.

Breast Reduction Miami

Miami Breast Reduction Surgery by Dr. Tachmes


Overly large breasts can cause some women to have both health and emotional problems. In addition to self-image issues, you may also experience physical pain and discomfort. The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as significant an issue to many women as the physical discomfort and pain. Also known as reduction mammaplasty, this procedure removes excess breast fat, glandular tissue, and skin to achieve a breast size proportionate to your body and alleviate the discomfort associated with overly large breasts. Miami Board Certified plastic surgeon Dr. Tachmes is an expert on Breast Reduction Surgery and will review all options during your consultation.

Breast Reduction Is a Good Option for You if:

  • You are physically healthy
  • You have realistic expectations
  • You don’t smoke
  • You are bothered by the feeling that your breasts are too large
  • Your breasts limit your physical activity
  • You experience back, neck, and shoulder pain caused by the weight of your breasts

  • You have regular indentations from bra straps that support heavy, pendulous breasts
  • You have skin irritation beneath the breast crease
  • Your breasts hang low and have stretched skin
  • Your nipples rest below the breast crease when your breasts are unsupported
  • You have enlarged areolas caused by stretched skin

What to Expect During the Recovery Period:

  • Immediately after surgery, there might be swelling, discomfort, bruising, and tenderness. Any pain or discomfort is easily controlled with oral medication
  • Return to light activity within two days post-surgery or as you feel ready
  • Most patients return to work within a week
  • You can resume all of your everyday activities in 4-6 weeks


To see an animated video presentation on breast reduction surgery, click here.

Breast Revision Miami

Miami Breast Revision Surgery by Dr. Tachmes


Dr. Leonard Tachmes is a south Florida expert plastic surgeon on revision breast surgery. His significant years of experience, coupled with his specialized fellowship training in breast reconstruction at Memorial Sloan Kettering Cancer Center in Manhattan, has prepared him to take on and treat these complex cases.


Patients with breast implant-related problems after surgery present with unique challenges that need to be evaluated individually. Dr. Tachmes takes the time to examine each patient in detail, then discusses the breast reconstruction plan with the patient to create realistic goals and objectives from the revisional breast surgery procedure.


Problems That Arise From Breast Implant Procedures Include the Following:


  • Capsular contracture deformities result from excessive scar tissue formation around the implant (the capsule), producing pain, firmness, hardness, and implant malposition.
  • Implant position deformities can result from poor surgical technique, capsular contracture, and breast lift (mastopexy) related issues. These can include “bottoming out” of the implant below the regular inframammary fold, breast shape asymmetries, medial displacement of the implants resulting in synmastia or loss of normal cleavage dimensions with the implants touching each other in the midline, and finally lateral displacement of the implants leaving the implants to far to the lateral sides of the chest.
  • Deflated saline or leaking silicone implants can produce significant breast shape asymmetries, as well as capsular contractures resulting from the silicone leakage.


Determining the proper diagnosis is crucial in producing successful surgical outcomes in all of these problematic cases. Choosing a board-certified senior plastic surgeon with significant experience in treating these complex breast revision problems in Miami is highly recommended. Dr. Tachmes treats patients from around the world who travel to Miami Beach for their procedures.


Patients begin their revision breast surgery process by submitting photos of their breasts in front and side views by clicking on the Evaluate Me link, which sends these images directly to Dr. Tachmes. He will review them and then make arrangements to speak directly on the phone with each patient.

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