Breast Augmentation Colombia Surgery Bogota Cali Medellin





Definition of augmentation mammoplasty.

Augmentation mammoplasty is a surgery to increase the size of the breast, also called breast surgery or breast augmentation surgery.

Why perform a breast augmentation surgery?

  •     To have more attractive breasts.
  •     Increase the volume of your breasts.
  •     Reduce the volume of the breasts after a pregnancy.
  •     Symmetrize breasts that have different shape and size.
  •     Reconstruction of the breast for congenital diseases such as the Poland syndrome and after oncological resections of mammary tumors.

The augmentation mammoplasty can be done in 3 ways:

1). Placing a silicone prosthesis behind the muscle or behind the mammary gland. It allows to control the shape of the breast.

2). Lipotrasnference fat in the breast. You can not control the shape of the breast.

3). Applying the BRAVA system, which generates negative pressure in the breasts, increases the size of the breasts. It is long and expensive.

How is the prosthesis used in breast augmentation surgery?

It is a device that contains several layers of silicone or a layer of silicone with saline inside.

Is the mammoplasty ambulatory?

Yes, the mammoplasty is ambulatory. In case it is combined with another surgery such as liposuction or tummy tuck requires hospitalization for at least 1 day.

What type of anesthesia is used in breast surgery?

General anesthesia.

What are the access routes for breast augmentation surgery?

Periareolar approach, a cut is made under the areola, dissected by planes. The prosthesis can be placed behind the gland (retroglandular), the plane in front of the muscle (subfascial) or the plane behind the muscle (retromuscular). Then silicone prosthesis or saline is inserted. This scar is usually not very noticeable. This technique can cause loss of sensation in the nipple. Does not alter breastfeeding.

Approach by the inframammary groove: below the breast, the incision is marked. The breast is dissected until the plane is found to introduce the prosthesis. Its benefits are that it does not alter sensitivity or breastfeeding.

Axillary approach: through the axillary is dissected with an endoscope, used to position the saline implant behind the muscle (retro muscle).


Techniques for breast augmentation surgery.

1). The retroglandular technique, the prosthesis is placed behind the gland. It gives a more natural appearance. Generates breasts fall faster over the years.

2). The subfascial technique consists of positioning the implant behind the fascia that covers the pectoral muscle. This technique generally provides greater support to the implant than the retroglandular technique. The prostheses look very natural and the breasts generally fall less quickly than the retroglandular technique due to fascia support. This technique generates little pain.

3). The retromuscular technique places the prosthesis behind the pectoral muscle. It gives a very artificial appearance of the breasts, very full on top of the nipple. Requires postoperative massage.

What type of implants or prosthesis are used in breast augmentation surgery?

  • There are different types of implants depending on their structure, such as silicone implants with a smooth or textured surface, a polyurethane-coated prosthesis.
  • The silicone implants are the most used. Smooth silicone prostheses can produce greater contracture than rough ones.
  • But, implants coated with polyurethane has lower contracture rates.
  • In addition, the implants have a round or anatomical shape (in the form of a tear). The ones that are most implanted are the round shape.
  • According to its profile, that is, the projection of the prosthesis with respect to its base; the prosthesis can come in extra high profile, high, medium, low.

How is the size of the implant in the augmentation mammoplasty calculated?

To calculate the size of the silicone implant, the wishes of the patient are taken into account. There are limits regarding the height of the patient, the width of her chest and the base of the breast.

What are the risks of mammoplasty?

Risks can range from hemorrhage, infection, dehiscence, collections, breast irregularities, rupture of the prosthesis, silicone migration, large bruises, loss of nipple sensitivity, chronic pain, asymmetry of the breast, impaired healing in the wound, loss of breastfeeding, irregularities in the skin, breast capsule,

Breasts should always look like, but they will never be the same. Being an even organ, always open differences in both. As with other parts of the body that are different such as eyes, ears, eyebrows, feet, hands, etc.


Before the augmentation mammoplasty.

  • You must attend the office of plastic surgeon Cesar Fernández to make a clinical history. The reasons for the surgery, their pathological, allergic, pathological, pharmacological, surgical background and some other important antecedents will be investigated.
  • Requires a negative pregnancy test.
  • The plastic surgeon will warn you about all medications you take, supplements, vitamins, herbs that could alter your clotting or scarring.

What kind of laboratories are performed in breast augmentation?

A mammary ultrasound, blood picture, uroanalysis, TP, TPT. It may require if your plastic surgeon requires a chest X-ray, EKG and creatinine.


What is the price of an augmentation mammoplasty?

In his first consultation the plastic and aesthetic surgeon César Fernández will tell you the total price of the surgery.

What should I do on the day of the breast augmentation surgery?

  • Fasting 8 hours before surgery.
  • The previous day you should bathe with iodopovidone for 5 minutes and then rinse with water.
  • Bring fresh clothes, which are easy to remove.
  • Must be accompanied by a guardian or witness. This will wait for you before the surgery until after the surgery.
  • You can not drive a car until 7 days after surgery.
  • Do not bring money or valuables.
  • You can not bring rings, bracelets, piercing or earrings.
  • You must bring the nails clean, without enamel.
  • If you suffer from any illness that requires continuing with a medication, the plastic surgeon will refer you to an internist and the anesthesiologist.

What are the care after breast augmentation surgery?

  • It will come out with a breast bra.
  • Postoperative care will be maintained for 8 hours postoperatively.
  • In the postoperative period, you should eat, walk, and feel light pain.
  • You should always leave the clinic accompanied by a family member or companion.
  • The plastic and aesthetic surgeon César Fernández never leaves drains in breast surgery.
  • It is recommended to perform the first postoperative control 3 to 5 days after surgery. After the fifth day, chest massages should be performed.
  • In patients with retromuscular implants, massage will help reduce the hardening of the capsule surrounding the implant and decrease the increase in muscle tension.

When are the changes of the breasts?

  • This is seen immediately after the surgery.
  • You may have pain in your breast, which improves between the 5th and 7th day of the mammoplasty. Some people may have pain up to 21 days after the mammoplasty, especially in those patients who require retromuscular prostheses.
  • It is possible that the edema increases until the 7th postoperative day and later this begins to diminish with the course of the weeks.

Expectations (prognosis)

The use of a postoperative bra is recommended until at least 2 months after surgery.

Does breast augmentation surgery increase scars?

If you always leave a scar that can be located under the nipple or on the fold in the groove of the breast.

Alternative names
Augmentation mammoplasty; Breast implants; Breast prostheses; Mammoplasty; Bust surgery; Breast surgery; Breast augmentation; Breast augmentation with prosthesis.



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