Breast Enlargement

Mammoplasty

It is a procedure aimed to increase the breasts size in women that for some genetic reason, nursing, asymmetry, present a deficit of the mammary volume.

This surgery will allow the patient to increase from one to two cups in brassiere size and in occasions will be able to increase a size of the brassiere.

For 99% of my patients I recommend the use of silicone prosthetics, for quality, dependability and advantages that this product has over other prosthetics offered in the market. Serious studies have demonstrated that the appearance of breast cancer and colagen illneses don't have direct relationship with the use of these prosthetics. Apparently the early detection of masses is easier with implanted patients, since the prosthetics allow a more precise auto-exam by the patient and these patients. The precocious detection of suspicious masses through radiological exams and the training of specialists that carry out them, has contributed vastly to the security of these implants.The patients with implants don't have any nursing alteration neither have any limitation to carry out their normal activities, their routine exercises and any other activity type like flying in airplane, to dive, etc.

Other implants I offer are Saline Solution implants broadly used in countries like United States, the inconvenience is that these they can end up losing their volume with time and to present a decrease of the initially placed volume due to leakge through the valve, or lose its whole volume in a sudden manner, making necessary a surgical intervention.

It is important to mention that the silicone is a heavier element than water and to more placed volume, more uncomfortable the patient can feel.

Pre-surgical Evaluation

The initial exam will show to the Doctor and patient the characteristics of the breasts, the patient's alterations on their thorax, the placement of the nipple, the size of the areola, the height of the mammary pleat, which will allow to define the place for the one implants, its volume and place where it will be placed.

It is important to inform their general state of health, illnesses suffered, medication that has been taken, mainly those that present some alteration in clotting properties like corticoides, aspirin, antiinflamatorios.

Discuss the type of anesthesia used, the necessity for laboratory exams and the appointment for a pre-anesthetic evaluation.

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Infra-muscular and over-muscular implant.

Surgical Procedure

It is a surgery that can be carried out with local anesthesia plus sedation, epidural and general anesthesia, the placement methods that I recommend are the areolar method and the inframamary, both have good esthetic result, however the areola method is prefered for the little definitive scar produced. The prosthetics can be placed below the gland or below the muscle and it depends on the tissues that are found in the initial exam. The procedure lasts approximately 1 to 1 ½ hours, and it is carried out in ambulatory form.

Post-Surgical

The patient goes out of surgery room with a special surgical brassiere that has been requested previously on the part of the Surgeon. This will be dressed by the patient in permanent form during the first month day and night and I recommend to continue using it in permanent form to sleep. I consider that it leaves of success of the surgery it relapses in the judicious use on the part of the patient of this garment to avoid the descent of the breasts taken place by the weight of the prosthetics, mainly when they are placed below the gland. The pain is controlled with the analgesic ones and antiinflamatorios formulated by its Surgeon, also that the use of local cold in form of ice or compresses will help to the control of the pain, avoiding to burn the skin with its contact. They are more painful the prosthetics placed below the muscle and it is not strange to find some nuisances almost during the first month, mainly in hours of the night during the rest.

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Zone manipulated by the augmentation mammaplasty and its scars.

The stitches are retired after 15 days, but the patient will be able to renew their daily activities starting from the third day, avoiding strong exercises until the first month.

A transitory decrease of the sensibility of the nipple can be presented, other times hypersensibility is presented, this will be normalized after the second week.

Possible Complications

They are uncommon the hematoma and bleeding after surgery, infection, hardening of the breast (capsule), this is presented in 2% of the prosthetics placed below the gland and in 0.2% of those under the muscle.

It is recommended to take ultrasound and massages from qualified personnel on the 7, 15 and 21 days after the surgery.

Time needed to remain in Cali.

7 days.

Contact Dr. Bernardo Camacho right now to get more information!

Before-and-after breast enlargement pictures

Contact Dr. Bernardo Camacho for more information!