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Breast augmentation

What is Augmentation Mamoplasty?

Breast augmentation (breast augmentation) can be used to enhance the contour of the body, correct a reduction in breast volume after pregnancy or after significant weight loss, balance a difference between breast size or as a surgeryto reconstructive  after a breast surgery.
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Aumento de Pecho | Dr. Paloma

Am I a good candidate for breast augmentation?

If you think you need a Mamoplasty, we invite you to consult with us. We want to listen to you and tell us what you want to achieve. Dr. Paloma and his team will explain the procedure in detail, we will show before and after the breast augmentation and talk to you about the real results you can expect. 
We have the latest technology in simulators (VECTRA X3, Crisalix) that will help us to understand your desires and reconcile them with the possible results. You can also find out about the price of breast augmentation for your specific case. Below is an introduction to what to expect from a breast augmentation.

Breast augmentation surgery

In breast augmentation, the surgeon makes a small incision under the chest (submamaria), in the armpit, or around the breast areola. An implant is inserted that is placed behind the mammary gland and, depending on each case, the surgeon will decide to place the implant in front of or behind the chest muscle. Breast augmentation is usually done under general anesthesia and lasts about 40 minutes.

“My personal experience has been very satisfying. One hundred percent advisable. To all those who have doubts, to say that in the operation you do not know anything and the postoperative very grateful, I did not know, I was not aware that it was newly operated. The staff were very friendly and helpful. “

Carla Ad.

Before breast augmentation

Once decided and before performing the breast augmentation surgery we will make previous visits where you can clarify the doubts that may arise as well as detail the guidelines to follow both before and after the surgery. We will review the preoperative tests and your medical and surgical history in order to ensure that the intervention is performed as safely as possible. Tobacco is strongly discouraged in any surgery, so it will be recommended to stop smoking some time before surgery. and should follow a series of guidelines that the specialist will detail during pre-intervention visits. There are also some drugs that can interfere in the course of surgery and postoperative, so they must be discontinued.

After breast augmentation

The day after the breast augmentation operation, you’ll be able to go home. For the first three days you will wear a very tight bandage and you will not be able to make any effort and you will have to limit the movements with both arms. The bandage is removed within three days of breast augmentation and replaced with a bra that you’ll have to wear day and night for a month. Approximately four days after the breast augmentation procedure, you will be able to make normal life, as long as it is quiet and sedentary: work, drive, etc. From one month, you can start physical exercise although until three months you won’t be able to practice impact exercises. A review will be carried out 10 days after the operation, at which point the points (two on each breast) will be removed.

The results

You will actually be able to appreciate the results of a breast augmentation after the first month when the breasts will no longer be as sensitive and swollen. The scars will be pink for about six weeks but gradually, with the maturation of the scar, it will become increasingly clear and imperceptible. During the healing process, which depends a lot on the skin type, we will give you scar care guidelines to improve its quality and make it look as little as possible. In our hands, there are not usually many complications related to breast augmentation. There may be bruising, infection or intolerance of sutures that can be treated easily and quickly to minimize any impact on your health or outcome of your chest. Apart from these minor complications, the most common complication is capsular retraction. The body wraps the implant with a layer of connective tissue that is normally broad and thin-walled, but in some cases becomes thick and results in an unnatural feeling of hardness. This happens in about 10 of patients who have undergone breast augmentation and can be corrected by breaking the layer with external maneuvers or, using the same route of the intervention by drying this layer. There is no clear cause in the formation of capsular contracture, the most widespread theory being infection by skin bacteria. To avoid this, in addition to minimizing the manipulation of the implant and extreme infertility measures, we impregnate the implant with an antibiotic solution, thus minimizing the appearance of capsular retraction.

Before and After

Click to see before and after photos

Anatomical prostheses: 220 grs
Submuscular plan
Incision: submammary groove

Round prostheses: 295 grs right and 275 grs left
Subfasial plane
Incision: submammary groove

Anatomical prostheses: 245 grs
Submuscular plan
Incision: submammary groove

Anatomical prostheses: 285 grs
Submuscular plan
Incision: submammary groove

Anatomical prostheses: 195 grs
Submuscular plan
Incision: submammary groove

Anatomical prostheses: 295 grs
Submuscular plan
Incision: submammary groove

Round prostheses: 200 grs
Submuscular plan
Incision: submammary groove

Anatomical prostheses: 220grs
Submuscular plan
Incision: submammary groove

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Frequently asked questions about breast augmentation

What kind of prosthetics are there?

If you look at the shape, the prostheses can be round or anatomical, which simulates the breast profile. As for the material, in our environment silicone gel prostheses are the majority implantation. Physiological serum prostheses are also used in the US.

How do you know which one is best for each body?

In the choice of the ideal breast prosthesis, parameters such as chest contour, height and breast dimensions are essential. However, it is the patient’s wishes along with the plastic surgeon’s criterion that end up determining the final volume.

Which material is best for a breast prosthesis?

Silicone gel breast implants provide greater experience and safety, as well as a texture similar to breast tissue. The silicone gel allows to give it a more anatomical and stable shape, if necessary. The wide variety of shapes allow to choose the model more according to the anatomy of the patient’s chest.

How to choose the right size?

The right size will be one that satisfies the desired volume within the possibilities suggested by the plastic surgeon to achieve a harmonic result. Communication between surgeon and patient, as well as a thorough preoperative study are the pillars to achieve the desired results.

What is the best way to place implants?

There are three common access pathways for breast implant placement. The submammary groove provides a hidden scar in the groove without manipulation of the mammary gland, as does the axillary pathway. Through the areola it is necessary to section the mammary gland for the placement of the breast implant. The choice of the pathway will depend on the indication of the plastic surgeon and the preferences of the patient.

What are the reasons why people usually have surgery?

The reasons that lead a patient to have breast surgery can range from alterations of breast development (breast asymmetry, breast hypoplasia, tuberous breast, Poland syndrome…), breast reconstruction after breast cancer and finally, the desire for greater breast volume and improvement of the personal image.

What is the ideal time of year to have this surgery?

Any time of year is good for breast augmentation, as long as the surgeon’s recommendations are followed. However, in summer high temperatures and increased sun exposure make postoperative exposure more uncomfortable.

After surgery, is it possible to breastfeed?

Breast augmentation does not contraindicate breast-feeding. Although, in the case of prostheses placed by areola, the scar in the mammary gland can make it difficult to breastfeed, and the possible decrease in nipple sensitivity may decrease the stimulus and less milk production. Prostheses placed by the groove or armpit usually do not cause complications during lactation.

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