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Breast Augmentation

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Breast Augmentation

Breast enlargement, known as augmentation mammoplasty, can enhance the body contour of a woman who is unhappy with her breast size. This procedure may also be used to improve the loss of breast volume following pregnancy and nursing. Additionally, the operation may help balance breast asymmetries. Silicone gel implants may be surgically implanted by three standard routes with placement either above or below the chest muscle. The standard routes are periareolar (around the areola), inframammary (lower breast folds), and transaxillary (arm pits). 

The implant is composed of an outer flexible, silicone shell, and filled with either silicone gel. The outer surface may be smooth or textured. Implants also have various sizes, profiles and shapes to meet the individual needs of each woman.

While breast augmentation will enlarge the breasts, the surgery will not alter underlying basic defects in breast shape and form. Major asymmetries may be improved but will not be completely corrected with breast enlargement alone. A noticeable difference in the size, shape, or orientation of the two breasts is considered normal and is actually the rule. If breast size and/or nipple position asymmetries are severe, additional procedures to further improve symmetry may be necessary.

Long term experience with breast enhancement surgery has demonstrated that this operation has a high patient satisfaction rate.

 

Breast augmentation can be done with just fat too, after a body lipo, we can usa that fat to transfer to the breast.
 

Who is a Candidate for Breast Augmentation?

  • Women who want larger breasts

  • Women who want to enlarge their breast volume

  • Healthy women without connective tissue diseases

  • Healthy women without breast malignancy
     

Intended Results of Breast Augmentation

  • Larger and fuller breasts

  • Less asymmetry and size difference

Procedure Description for Breast Augmentation

  • Breast Augmentation is usually performed in an accredited outpatient surgical facility under general anesthesia or conscious sedation with local anesthesia.

  • Surgical scar(s) are hidden in the infra-mammary folds, peri-areolar border (the border between the areola and normal breast skin), arm pits or the belly button.

  • Saline or silicone implants may be placed either above or below the chest muscle.

 

Recuperation and Healing for Breast Augmentation

  • Discomfort is controlled with oral medications and long-acting local anesthesia.

  • A soft bra or compression garment is usually worn for several days postoperatively.

  • Patients are usually discharged to the care of a responsible adult and recover at home.  

  • All sutures are internal and do not need to be removed.

  • Light activity may be resumed in 7 days. Sports activities may be resumed in 2-4 weeks (depending on your surgeon).

Implants
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A breast implant is a prosthesis used to change the size, shape, and contour of a person's breast.

In reconstructive plastic surgery, breast implants can be placed to restore a natural looking breast following a mastectomy, to correct congenital defects and deformities of the chest wall or, cosmetically, to enlarge the appearance of the breast through breast augmentation surgery.

Implants Material
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Saline and Silicone Breast Implants

There are two basic types of breast implants:

saline and silicone gel.

Saline-filled implants are silicone shells filled with sterile salt water (saline). Some are pre-filled and others are filled during the implant operation. 

Silicone gel-filled implants are silicone shells filled with a plastic gel (silicone). Although many women say that silicone gel implants feel more like real breasts than saline, they pose more of a risk if they leak. 

Each has its own pros and cons, so it is a matter of preference. 

Implants Texture
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Smooth to Highly Textured

Implants can also come in a variety of different textures from smooth to highly textured.

Smooth surface implants have a softer feel and are generally easier to place in the breast pocket.

 

The much less popular, textured implants, however, reduce the risk of implant movement and allow the breast tissue to better adhere to the implant surface, but lately have been related to some form of cancer called BIA-ALCL.

The risk of developing BIA-ALCL increases with greater texturing of the implant. Implants which have a smooth surfaced have not been associated with BIA-ALCL. In 95% of cases, breast implant-associated cancer happens between three and 14 years after the implant is inserted.

Implants Placement
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A. Submuscular (Implant Placement)

  • Submuscular implant placement involves positioning the breast implant beneath the pectoral muscle.

  • Placing the implant behind the muscle allows the surrounding soft tissue to cover and camouflage the implant, resulting in a more natural appearance.

  • Although the recovery in the initial days may be slightly more uncomfortable when the implant is positioned behind the muscle, the long-term results typically yield a more natural-looking outcome.

  • This can vary from patient to patient, however, and may depend on what you’re starting with.

B. Subglandular (Implant Placement in FRONT of the muscle)

  • If there is already an acceptable volume of breast tissue present (as determined by pinching up a fold of breast tissue) to hide the defined implant edges, your surgeon may recommend placing the implant in front of the pectoral muscle.

  • This technique typically offers a more comfortable recovery period and shorter procedure time since the muscles are not disturbed during surgery.

C. Dual-Plane Breast Augmentation placement options

  • In a dual-plane breast augmentation, the implant is placed partially behind the muscle and partially behind the breast tissue.

  • This technique offers a balance between the advantages of both submuscular and subglandular placement.

  • The dual-plane approach can result in a more comfortable recovery period and shorter procedure time compared to a complete submuscular placement.

  • By partially covering the implant with muscle, the risk of visible implant edges is reduced, providing a more natural-looking outcome.

  • The specific placement of the implant will depend on individual factors such as existing breast tissue and desired results.

  • It is the less recommendable placement.

Timing and Requeriments

🗣 Treatment: BREAST AUGMENTATION
🎯 Goal: Increase the volume of the breasts.

🦠 COVID-19 Test: Required.

💉 COVID-19 Vaccine: Highly recommended, not mandatory

🩸  Blood Test: Yes.
📈 Presurgical Evaluation & EKG: Yes

🏥 Hospitalization: Outpatient surgery or 1 night.

😴 Anesthesia: Subarachnoid Block + IV Sedation, Or if you prefer General Anesthesia + $300.00 USD
⏱ Time it takes: 1 to 3 hrs Aprox.
📅 Recovery: 1-2 weeks.

⏳  Lasts: Requires to mantain a healthy life style for the results to last.

😱 Pain Level : During the procedure none, after can be mild to none.
💵 Average Cost $2800.00 to $4800.00 USD

💳 Initial Consultation: $50.00 USD Credited towards the cost of treatment.
🎟 Book your date with  $500.00 USD and you have 6 months to do the surgery.

📝 Note: Personal results may vary. The procedure has to be full paid to perform it.

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A fat transfer augmentation is a cosmetic procedure to enlarge your breasts. I use liposuction to harvest fat cells from your stomach, hips, thighs, back or arms. Afterward, these areas look slimmer. Then I inject the fat cells into your breasts, where they remain for life. A fat transfer procedure carries fewer risks than breast implants. However, it only slightly enlarges the breasts and doesn’t firm them up. For those effects, you need a breast lift or breast implants.

Implants Shape
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Implants come in a few different shapes

 

 Currently, these are round and teardrop/anatomical.

The choice of shape depends on what you require to get the results you need.

 

Round implants can move in the breast pocket, generally without affecting the shape of the breast.

 

Anatomical implants, while giving you a more natural shape, can look deformed if they move/flip within the pocket.

Implants Projection
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Implant Projection

An implant’s projection is also called its profile, as the projection determines how your breasts look from a side view or “in profile.”

 

Patients who choose a high-profile breast implant will have more projection, creating a rounder, pointier chest profile that is fuller at the bottom of the breast.

 

Lower profile breasts often result in a softer, flatter look.

 

average-sized patients benefit from a moderate projection in their implants, which provides a more natural appearance. However, since bodies come in all shapes and sizes, determining the best projection for your figure can be challenging.

Implants Access
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A. Periareolar Incision (around the nipple).

  • Less commonly used due to higher risks associated with breast function.

  • It involves making an incision around the areola to minimize scar visibility between the dark area of the areola and the surrounding skin.

  • This incision has a higher risk of complications such as lost nipple sensation or difficulty breastfeeding compared to other incision methods.

B. Inframammary Incision – in the breast crease under the breast (inframammary fold or IMF)

  • The most common incision site location for breast augmentation, the incision is made in the crease beneath the breast (inframammary).

  • This approach provides direct access to the implant pocket site and offers a reliable method for achieving a symmetrical result.

  • The scar from this incision is usually short, ranging from approximately 2.5-3.5 cm to 4 cm or more in length.

  • Motiva and Mentor brand implants may impact the potential length of your scar, as will existing tissues, prior surgery and insertion preferences/implant sizes.

C. Transaxillary Incision – Armpit Incision to reduce Keloid Scarring.

  • This incision is made in the armpit fold and creates a channel from the armpit to the breast, allowing the implant to be placed behind the nipple.

  • This incision offers the benefit of a virtually invisible scar as it rests within the natural skin folds in the armpit area.

  • It is suitable for patients with darker skin prone to keloid scarring or those who plan to breastfeed after breast augmentation.

  • This incision can only be used once for primary surgery and may have added risks that should be discussed.

  •  Only can be used in implants below the muscle.

  • Secondary Breast Augmentation or size changes will require an inframammary fold incision.

What is included in Price?

🛌  Ambulatory Room or 1 night in the clinic

🏥  Hospital Basic Expenses

😴  Anesthesiologist
👩‍⚕   Surgery Team

👀  Gummy Bear Implants

🔮   2 Hiperbaric Oxygen Chamber Sessions

Extra Expenses

🗣 You can do or buy this here in the clinic, or do or buy them in your home town pharmacy or with your PCP.
 

🩸  Blood tests. ($150.00 USD) Click Here to see which do you need
📈 Presurgical Evaluation & EKG. ($150.00 USD)

💊 Post Surgery Medication Bag. ($150.00 USD)

🧍‍♀   Breast Faja  ($90.00 USD)

📄  Breast Sonogram ($200.00 USD) (If you have a mammogram less than 1 year old, it is valid, you can bring it)

Presurgical Care
Postsurgical Care
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Find here all you need for your post surgical care

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