What is
a Breast Lift?
A breast lift, also known as mastopexy, is a cosmetic surgical procedure designed to raise and reshape sagging breasts. This procedure removes excess skin, tightens the surrounding tissue, and repositions the nipples to a higher, more youthful position. A breast lift Miami can also be combined with breast augmentation or breast reduction to achieve the desired breast size and shape.
At Xiluet Plastic Surgery, our board-certified surgeons specialize in breast lift procedures tailored to each patient’s unique anatomy and goals. The procedure can enhance the breasts’ appearance, making them look firmer, perkier, and more symmetrical, and it can significantly improve a woman’s self-confidence and comfort in her body.
Ideal Candidates BREAST LIFT
Ideal candidates for a breast lift are individuals who experience breast sagging due to aging, gravity, pregnancy, breastfeeding, or weight fluctuations. They may have nipples that point downward or sit below the breast crease. Candidates should be in good overall health, maintain a stable weight, and be non-smokers or willing to quit smoking before and after surgery to promote better healing. Having realistic expectations about the outcomes is crucial, as a breast lift enhances the breasts’ appearance but does not significantly alter breast size. At Xiluet Plastic Surgery, we aim to deliver natural-looking results that restore the breasts’ youthful shape and position, enhancing your natural beauty and boosting your confidence.
Benefits of a Breast Lift
- Restored Breast Shape: By removing excess skin and tightening the breast tissue, a breast lift can restore a more youthful and rounded breast shape, enhancing overall body proportions.
- Elevated Nipple and Areola: The procedure repositions the nipple and areola to a more central, youthful position on the breast mound, improving symmetry and appearance.
- Reduced Sagging: A breast lift effectively reduces sagging, creating a more lifted and perky breast contour. This can lead to a more youthful silhouette and make it easier to find flattering clothing and swimwear.
- Enhanced Firmness: By tightening the underlying breast tissue, a breast lift provides a firmer feel, giving the breasts a more youthful appearance.
- Improved Symmetry: Many women experience asymmetry in their breasts. A breast lift can help improve breast symmetry by reshaping and lifting both breasts to create a more balanced look.
Breast Lift
Causes of Breast Sagging
Breast sagging, medically known as ptosis, is a natural process influenced by several factors that cause the breasts to lose their youthful shape and firmness. Common causes of breast sagging include:
Aging:
As the skin ages, it loses its elasticity, which can cause the breasts to droop. The natural aging process affects collagen and elastin, which are essential for maintaining skin firmness and resilience.
Pregnancy and Breastfeeding:
During pregnancy, the breasts enlarge to prepare for breastfeeding, stretching the skin and ligaments. After breastfeeding, the breasts may decrease in size and fullness, leading to a sagging appearance.
Genetics:
Genetic factors play a role in breast shape, size, and skin quality, which can influence how likely a woman is to experience breast sagging.
Gravity:
Over time, gravity pulls the breasts downward, stretching the ligaments and skin, particularly in women with larger breasts.
Weight Fluctuations:
Significant weight loss or gain can affect the volume and elasticity of the breast tissue and skin, contributing to sagging.
Different Grades of Ptosis (Sagging)
The degree of breast sagging is classified into different grades based on the position of the nipple relative to the breast crease (inframammary fold):
Grade 1 (Mild Ptosis):
The nipple is at the level of the breast crease or slightly above it. The breast tissue may droop slightly, but the overall shape remains relatively youthful.
Grade 2 (Moderate Ptosis):
The nipple is below the breast crease but still above the lower portion of the breast. The breasts have a more noticeable droop, with a less defined shape.
Grade 3 (Severe Ptosis):
The nipple is significantly below the breast crease and points downward. The breast tissue hangs low, and there is a marked loss of upper breast fullness.
TYPES OF BREAST LIFTS
There are several techniques used in breast lift surgery, and the choice of technique depends on factors such as the degree of sagging, the patient’s anatomy, and the desired outcome. Common breast lift techniques include:
VERTICAL / LOLLIPOP BREAST LIFT
The Lollipop Breast Lift Miami is a less invasive procedure than the traditional mastopexy, involving an incision around the areola and down to the breast crease. This method uses an incision around the nipple only, allowing patients to have their Breast Lift surgery in under two hours with minimal bruising and swelling post-surgery.
The Lollipop Breast Lift method has proven successful in correcting sagging breasts and improving their shape and size. Being less invasive than traditional breast lift surgery, it also presents fewer risks.
DONUT BREAST LIFT
The donut breast lift is a procedure gaining popularity in Miami. It serves as an alternative to the traditional breast lift and is suitable for women who have had children or suffer from ptosis, a condition causing sagging breasts.
Originally developed in Colombia, the donut breast lift involves removing excess skin from around the areola and tightening the surrounding tissue to create a youthful shape. Women opting for this procedure avoid having scars on their breasts, making it a preferred choice.
CRESCENT BREAST LIFT
The crescent breast lift Miami is the latest and most popular breast lift technique. Developed by Dr. Robert L. White in the 1970s, it has become the gold standard of breast lifts.
In this method, a vertical incision is made in the lower half of the areola, and then a crescent-shaped flap is removed from underneath it to expose more of the nipple area. The skin on top of this flap is then pulled up and tightened to cover more of the nipple area. For an improved appearance, the nipple itself may be repositioned slightly higher than before.
Breast Lift
Customizing the Procedure to Individual Goals
A breast lift is a highly customizable procedure, and our surgeons work closely with each patient to create a plan that aligns with their specific goals:
Comprehensive Consultation:
During your consultation, our surgeon will conduct a thorough assessment of your breast anatomy, skin quality, and the degree of sagging. This evaluation helps in determining the most suitable technique for achieving your desired outcome.
DISCUSSION OF EXPECTATIONS:
You'll have the opportunity to discuss your goals and expectations in detail. Whether you seek a subtle lift or a more dramatic reshaping, the surgeon will guide you through the options to ensure the chosen procedure meets your aesthetic preferences.
Personalized Surgical Plan:
Based on the assessment and your goals, the surgeon will develop a personalized surgical plan. This plan includes selecting the appropriate incision technique, repositioning the nipple and areola, and addressing any additional concerns such as areola size.
Nipple and Areola Repositioning
A key aspect of the breast lift procedure is repositioning the nipple and areola to a more central, youthful position on the breast mound. During the surgery:
Nipple Repositioning:
The nipple-areola complex is carefully moved to a higher position to match the newly shaped breast. The nipple and areola remain attached to their blood and nerve supply to preserve sensation as much as possible.
Areola Reduction:
If necessary, the size of the areola can be reduced to create a more proportionate appearance, especially if the areola has stretched due to pregnancy, breastfeeding, or aging.
Breast Lift
CONSULTATION WITH THE DOCTOR BEFORE A BREAST LIFT
If you’re considering a breast lift in Miami, it’s important to schedule a free consultation with a certified plastic surgeon. During the consultation, the surgeon will evaluate the current condition of your breasts and discuss your aesthetic goals. They will also provide detailed information about the Breast Lift procedure, potential risks, and complications. You’ll have the opportunity to ask questions about anesthesia, the duration of the Breast Lift surgery, and the recovery time.
Additionally, the surgeon will discuss realistic expectations for the results of the breast lift and how your breasts will look and feel after the surgery. It’s important to discuss your medical history, including any medications you’re taking and any medical conditions you have. The surgeon may also recommend additional treatments, such as breast augmentation or breast reduction, to enhance the overall appearance.
By choosing an experienced and certified plastic surgeon, you can have the confidence that you’ll receive the necessary attention and care to achieve the results you desire with your breast lift in Miami.
Initial Consultation
The first step in preparing for Breast Lift at Xiluet Plastic Surgery is the initial consultation. During this meeting, our experienced surgeons will evaluate your medical history, discuss your aesthetic goals, and determine if you are a suitable candidate for the procedure. This is a crucial step to ensure that Breast Lift is the right option for you and to establish a personalized treatment plan tailored to your needs.
- Medical History Review: The surgeon will review your health history, including any current medications, allergies, and previous surgeries. This helps identify any potential risks or contraindications for the procedure.
- Physical Examination: A thorough physical examination is conducted to assess skin quality, fat distribution, and overall body composition. This examination helps in planning the areas to be treated and selecting the most appropriate Breast Lift technique.
Medical Evaluation
Before undergoing Breast Lift, patients may need to undergo specific medical tests to ensure they are in optimal health for surgery. These evaluations help to minimize risks and ensure a safe procedure.
- Laboratory Tests: Blood tests are typically required to assess overall health, including blood count, kidney function, and clotting ability.
- Cardiovascular Assessment: For patients with a history of heart conditions or those over a certain age, an EKG (electrocardiogram) may be recommended to evaluate heart health.
- Anesthesia Clearance: If general anesthesia is being used, an anesthesiologist will review your medical history and test results to determine the safest anesthesia plan.
Pre-Operative Instructions
Proper preparation is key to a smooth surgical experience and recovery. Our team will provide detailed pre-operative instructions to help you prepare for your Breast Lift procedure.
- Medications and Supplements: Patients should avoid certain medications and supplements that can increase the risk of bleeding, such as aspirin, ibuprofen, vitamin E, and certain herbal supplements. A full list of substances to avoid will be provided.
- Lifestyle Adjustments: Smoking can impair healing and increase the risk of complications. Patients are advised to stop smoking at least four weeks before and after the procedure. Alcohol consumption should also be minimized to reduce the risk of dehydration and bleeding.
- Pre-Surgery Diet: Patients are encouraged to maintain a healthy diet leading up to the surgery. Staying well-hydrated is also important to aid in recovery.
Day of Surgery Preparation
On the day of your breast lift surgery, several steps will be taken to ensure your safety and comfort:
Arrival and Preparation: Arrive at the surgical center on time as instructed. You will be greeted by the surgical team and prepared for surgery, which includes changing into a surgical gown and having your vital signs monitored.
Marking the Surgical Sites: The surgeon will mark the incision sites and areas of the breast to guide the lift and reshaping. This step is crucial for ensuring accuracy and symmetry during the procedure.
Anesthesia: Anesthesia will be administered to ensure your comfort throughout the procedure. The type of anesthesia (general anesthesia or local anesthesia with sedation) will have been discussed during your consultation. An anesthesiologist will monitor you closely during the surgery.
Post-Surgery Transportation: Since a breast lift involves anesthesia, you will need someone to drive you home after the procedure. Arrange for a friend or family member to accompany you and assist with your care during the initial recovery period.
The Importance of a Caregiver
Having a caregiver is crucial for the first night after surgery. This person should be someone you trust and who is comfortable helping with mobility, meal preparation, and other basic needs. They will also help monitor your recovery, ensuring that you are comfortable and that there are no immediate complications.
By following these preparation steps, patients can help ensure a smoother procedure and a more comfortable recovery. Our team at Xiluet Plastic Surgery is here to guide you through each stage, providing support and information to make your experience as stress-free as possible.
Breast Lift Anesthesia Options
Breast lift surgery is performed under anesthesia to ensure patient comfort and safety throughout the procedure. The type of anesthesia used depends on the extent of the surgery and the patient’s preference:
General Anesthesia:
Most breast lift procedures are performed under general anesthesia, where the patient is completely unconscious. This approach is ideal for more extensive procedures and provides the highest level of comfort.
Local Anesthesia with Sedation:
In some cases, local anesthesia with intravenous (IV) sedation may be used. This method numbs the surgical area and keeps the patient in a relaxed, semi-conscious state. It is generally suitable for less extensive lifts or when combining the lift with another procedure such as breast augmentation.
Reshaping the Breast Tissue
The primary goal of a breast lift is to reshape and elevate the breast tissue to create a more youthful and contoured appearance:
Tissue Lifting and Reshaping:
Once the incisions are made, the surgeon lifts and reshapes the underlying breast tissue to improve breast contour and firmness. Excess skin is removed to tighten the remaining skin, supporting the new breast shape.
Creating a Rounded Contour:
The breast tissue is reshaped to create a rounder, more elevated appearance. This step helps restore a youthful silhouette by eliminating sagging and improving the overall projection of the breast.
Nipple and Areola Repositioning
An essential part of the breast lift procedure is repositioning the nipple and areola to achieve a more aesthetically pleasing and natural-looking result:
Nipple Repositioning:
The nipple-areola complex is moved to a higher, more youthful position on the breast mound. The goal is to place the nipple so that it points forward and sits approximately at the center of the breast.
Areola Reduction:
If the areolas have become stretched or enlarged, the surgeon can reduce their size to create a more proportionate appearance. The areola is resized and shaped to match the newly lifted breast.
Removing Excess Skin and Closing Incisions
To achieve the desired lift and contour, the surgeon will remove excess skin and carefully close the incisions:
Excision of Excess Skin
After the breast tissue is lifted and reshaped, any excess skin is removed to tighten the breast envelope. This step is crucial for eliminating sagging and ensuring that the breast maintains its new shape.
Closing the Incisions:
The incisions are then closed with sutures. In some cases, sutures may be placed deep within the breast tissue to support the newly shaped breasts and create long-lasting results. The surgeon will place the sutures in a way that minimizes scarring and promotes optimal healing.
Placement of Surgical Dressings:
After the incisions are closed, surgical dressings or bandages are applied to protect the area. A surgical bra or compression garment may also be placed to provide support during the initial healing phase.
Breast Lift Anesthesia Options
Breast lift surgery is performed under anesthesia to ensure patient comfort and safety throughout the procedure. The type of anesthesia used depends on the extent of the surgery and the patient’s preference:
General Anesthesia:
Most breast lift procedures are performed under general anesthesia, where the patient is completely unconscious. This approach is ideal for more extensive procedures and provides the highest level of comfort.
Local Anesthesia with Sedation:
In some cases, local anesthesia with intravenous (IV) sedation may be used. This method numbs the surgical area and keeps the patient in a relaxed, semi-conscious state. It is generally suitable for less extensive lifts or when combining the lift with another procedure such as breast augmentation.
Breast Lift
Reshaping the Breast Tissue
The primary goal of a breast lift is to reshape and elevate the breast tissue to create a more youthful and contoured appearance:
Tissue Lifting and Reshaping:
Once the incisions are made, the surgeon lifts and reshapes the underlying breast tissue to improve breast contour and firmness. Excess skin is removed to tighten the remaining skin, supporting the new breast shape.
Creating a Rounded Contour:
The breast tissue is reshaped to create a rounder, more elevated appearance. This step helps restore a youthful silhouette by eliminating sagging and improving the overall projection of the breast.
Breast Lift
Nipple and Areola Repositioning
An essential part of the breast lift procedure is repositioning the nipple and areola to achieve a more aesthetically pleasing and natural-looking result:
Nipple Repositioning:
The nipple-areola complex is moved to a higher, more youthful position on the breast mound. The goal is to place the nipple so that it points forward and sits approximately at the center of the breast.
Areola Reduction:
If the areolas have become stretched or enlarged, the surgeon can reduce their size to create a more proportionate appearance. The areola is resized and shaped to match the newly lifted breast.
Breast Lift
Removing Excess Skin and Closing Incisions
To achieve the desired lift and contour, the surgeon will remove excess skin and carefully close the incisions:
Excision of Excess Skin
After the breast tissue is lifted and reshaped, any excess skin is removed to tighten the breast envelope. This step is crucial for eliminating sagging and ensuring that the breast maintains its new shape.
Closing the Incisions:
The incisions are then closed with sutures. In some cases, sutures may be placed deep within the breast tissue to support the newly shaped breasts and create long-lasting results. The surgeon will place the sutures in a way that minimizes scarring and promotes optimal healing.
Placement of Surgical Dressings:
After the incisions are closed, surgical dressings or bandages are applied to protect the area. A surgical bra or compression garment may also be placed to provide support during the initial healing phase.
Breast Lift with implants
Oftentimes, it is very common for women to have a breast lift along with a breast augmentation in order to have more volume and achieve a “perky” look. If your breasts have fallen and sagged enough to the point where you have lost the volume in your chest, then a breast lift in conjunction with a breast augmentation might be right for you. Having both procedures performed at the same time can result in a lifted and fuller looking chest, providing patients with maximum results.
Breast Lift
BREAST LIFT WITHOUT IMPLANTS
There are many reasons why women choose to get breast lifts without implants. Some women want to avoid the cost of getting Breast implants, while others don’t want to take hormones for the rest of their lives. A breast lift Miami without implants offers a natural and beautiful way for women to improve their body image.
Breast Lift
BREAST LIFT RECOVERY
The recovery period following a breast lift is crucial for ensuring optimal healing and achieving the best possible results. Here’s what to expect in the days immediately following your surgery:
Initial Recovery Phase: After the procedure, you will spend some time in a recovery area where your vital signs will be monitored as you wake up from anesthesia. It’s common to experience some discomfort, swelling, and bruising around the breasts. Pain is usually manageable with prescribed medications, and any tightness or pressure you feel is a normal part of the healing process.
Activity Restrictions: For the first few days after surgery, it’s important to rest and avoid any strenuous activities. You may have limited mobility in your arms and should avoid lifting heavy objects, including small children, for at least two to three weeks. Light walking is encouraged to promote circulation and aid in the healing process.
Compression Garment: You will be instructed to wear a surgical bra or compression garment to support the breasts, minimize swelling, and help them settle into their new shape. This garment should be worn as directed by your surgeon, typically for several weeks following the procedure.
Long-Term Recovery and Follow-Up Visits
The full recovery from a breast lift can take several weeks to months, depending on the extent of the surgery and your body’s healing process. Here’s what to expect in the longer term:
Swelling and Healing:
Swelling and bruising will gradually subside over the next few weeks. It may take a few months for the breasts to fully settle into their new position and for the final results to become apparent. As the healing progresses, you will notice an improvement in breast shape, firmness, and nipple position.
RETURNING TO NORMAL ACTIVITIES:
Most patients can return to work and resume light activities within one to two weeks, depending on their job's physical demands. Strenuous exercise and heavy lifting should be avoided for at least four to six weeks. Your surgeon will provide specific guidelines on when it’s safe to resume different types of activities.
Follow-Up Appointments:
Attending follow-up appointments is essential for monitoring your recovery and ensuring proper healing. During these visits, your surgeon will evaluate the incisions, check the progress of the healing process, and address any concerns you may have. Any sutures that need to be removed will be taken out during these appointments.
Managing Scarring and Maintaining Results
Scarring and long-term care are important considerations in the breast lift recovery process:
Scarring:
While incisions are placed in locations that minimize visible scarring, some scarring is inevitable. The appearance of scars will improve over time, becoming flatter and less noticeable. Your surgeon may recommend scar care treatments such as silicone sheets, creams, or massages to help minimize the appearance of scars.
Longevity of Results:
The results of a breast lift are long-lasting, but they are not immune to the effects of aging, gravity, and weight fluctuations. Maintaining a stable weight and wearing supportive bras can help preserve the results. While a breast lift can significantly enhance the appearance of your breasts, it’s important to have realistic expectations and understand that the natural aging process will continue.
Breast Lift
Tips for a Smooth Recovery
To support a smooth recovery and optimize your breast lift results, follow these tips:
Follow Surgeon’s Instructions:
Adhere to all post-operative care instructions provided by your surgeon, including how to care for incisions, when to take medications, and when to attend follow-up appointments.
STAY HYDRATED AND MAINTAIN A HEALTY DIET:
Proper nutrition and hydration can promote faster healing and reduce swelling.
Sleep on Your Back:
For the first few weeks, sleep on your back with your upper body slightly elevated to reduce swelling and pressure on the breasts.
Avoid Smoking and Alcohol:
Refrain from smoking and consuming alcohol, as they can interfere with the healing process and increase the risk of complications.
Breast Lift with Augmentation
For women who wish to not only lift but also enhance the size and volume of their breasts, a breast lift can be combined with breast augmentation. This combination procedure offers several benefits:
Enhanced Volume and Fullness:
Breast implants can be used to add volume and fullness to the breasts, particularly in the upper pole, which is often lacking in women with significant sagging. This combination can create a fuller, more youthful contour.
Improved Shape and Symmetry:
Combining a lift with augmentation allows the surgeon to address both the position and the size of the breasts, providing a more comprehensive enhancement. This approach can improve breast shape and symmetry, creating a more balanced and proportionate appearance.
Customized Results:
The use of implants in conjunction with a lift allows for greater customization in achieving your desired breast size, shape, and projection. During your consultation, your surgeon will help you choose the right implant type, size, and placement to complement the lift.
Breast Reduction with Lift
For women with overly large breasts that cause discomfort, such as back or neck pain, a breast reduction with a lift may be an ideal solution. This procedure not only reduces breast size but also lifts and reshapes the breasts for a more youthful and proportional appearance:
Reduction of Breast Size:
During a breast reduction, excess breast tissue, fat, and skin are removed to achieve a smaller and more manageable breast size. This can alleviate physical discomfort and improve the ability to participate in physical activities.
Lifting and Reshaping:
In addition to reducing size, the procedure includes lifting the breasts to a higher position on the chest and reshaping them to enhance their contour. The nipple and areola are repositioned to match the new breast shape.
Enhanced Comfort and Confidence:
A breast reduction with lift can significantly improve physical comfort and self-confidence, making it easier to find well-fitting clothing and participate in activities without discomfort.
BREAST LIFT SURGERY RISKS
Although breast lifts performed endless amounts of time for many years and have almost been perfected as a procedure, it is important to realize that there are still risks and complications involved as with all plastic surgeries.
Infection:
As with any surgery, there is a risk of infection. Following proper wound care instructions and taking prescribed antibiotics can help minimize this risk.
Changes in Nipple or Breast Sensation:
Temporary or permanent changes in nipple or breast sensation may occur after surgery. Most sensation changes are temporary and improve over time as the nerves heal.
Scarring:
Although every effort is made to minimize scarring, the incisions will leave permanent scars. The appearance of scars will improve with time and proper care.
Asymmetry:
While surgeons strive for symmetry, slight differences in size or shape between the breasts can occur. Additional surgery may be required to correct any significant asymmetry.
Poor Wound Healing:
Some patients may experience delayed wound healing, particularly if they have a history of smoking or certain medical conditions. Your surgeon will monitor your healing progress closely during follow-up visits.
HOW MUCH DOES A BREAST LIFT COST IN MIAMI?
The breast lift Miami cost depends on the type of procedure used. The longer the operation takes, the more expensive the breast lift Miami becomes. Usually, the anchor shaped breast lift has the highest cost. The amount of experience the doctor has also counts into the cost. In the U.S., the breast lift average cost ranges from $5000 to $8000. If you choose to have a breast implant with your breast lift cost range from $5000 to $15000.
Is a breast lift safe?
Yes, when performed by experienced and qualified surgeons, a breast lift is a safe procedure. Our team ensures the highest standards of safety and care.
Will I Have Scars After a Breast Lift?
Yes, some scarring is inevitable with a breast lift since it involves incisions to remove excess skin and lift the breast tissue. The extent and visibility of scars depend on the incision technique used. Our surgeons at Xiluet Aesthetic Surgery place incisions strategically to minimize visible scarring, and most scars will fade and become less noticeable over time. Proper incision care, including using silicone sheets or creams and protecting scars from sun exposure, can help improve their appearance. During your consultation, your surgeon will discuss scar placement and how to care for your incisions to promote optimal healing.
Is a Breast Lift Permanent?
A breast lift offers long-lasting results, but it is not considered a permanent solution. While the procedure significantly elevates and reshapes the breasts, natural factors like aging, gravity, weight fluctuations, and hormonal changes will continue to affect the breasts over time. Maintaining a stable weight, wearing supportive bras, and leading a healthy lifestyle can help prolong the results. It’s important to have realistic expectations and understand that while a breast lift provides a substantial enhancement, it doesn’t stop the natural aging process.
Can I Breastfeed After a Breast Lift?
In many cases, it is possible to breastfeed after a breast lift. The procedure typically preserves the connection between the nipple and the underlying breast tissue, allowing for the possibility of breastfeeding. However, this can vary depending on the extent of the lift and the surgical technique used. If you plan to breastfeed in the future, it’s important to discuss this with your surgeon during the consultation. They will take your desire to breastfeed into consideration when planning the surgery to maximize the chances of preserving breastfeeding ability.
How Long is the Recovery Period for a Breast Lift?
The initial recovery period for a breast lift is usually about one to two weeks, during which time you should avoid strenuous activities and follow your surgeon's post-operative care instructions. Most patients can return to work and light activities within this period. However, full recovery, including the final settling of the breasts and fading of scars, can take several months. Strenuous exercise and heavy lifting should be avoided for at least four to six weeks. Your surgeon will provide specific guidelines on when it is safe to resume various activities.
Schedule Your Consultation
If you are considering Breast Lift and would like to learn more about how Xiluet Plastic Surgery can help you achieve your body contouring goals, we invite you to schedule a consultation with our expert surgeons. During this personalized session, we will discuss your concerns, evaluate your candidacy, and provide you with a tailored treatment plan to help you look and feel your best.
(305) 615-4200
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Miami, FL 33144
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