Reason for consultation: “Small breasts”, “I want to improve my cleavage”, “I don’t want more push-up bras”, “My breasts lost volume and steadiness after breastfeeding”.
The placement of breast implants, also known as augmentation mastoplasty, aims to increase breasts volume, improve their contour and balance the difference in the breasts size (evolutionary or involutive).
The location of the implants is retroglandular (behind the mammary gland), retromuscular (behind the pectoral muscle) or Dual Plane (double plane). Both the placement plane and the volume of the implant are decided under a criterion that considers the quality of tissue, the position of the nipple, skin elasticity, body habit, breast size and the patient’s desire.
It is noteworthy that a mastoplasty does not prevent breastfeeding or the performance of gynecological or radiology tests.
Key points: Scar 4 cm, in areola or inframammary fold. No drains are left (exceptional) Internal sutures (care of your skin and the quality of scars). Surgery time: 90 minutes. Anesthesia: sedation. Hospitalization: 8 -12 hours. Mild pain 3 /10.
Recovery: 72 hours of relative rest (complete recovery at 30 days). High cohesive silicone gel breast implants. Guarantee against rupture and capsular contracture grade III and IV. Outpatient hospitalization in a highly complex clinic. Requires a permanent bra for 3 to 6 months. Implants: MENTOR Johnson & Johnson medical S.A and POLYTECH Health & Aesthetics.

Reason for consultation: “My breasts feel flaccid”, “After breastfeeding my breasts fell down”, “I have no cleavage”. Mastopexy, or breast lift, is a surgical procedure that helps restore sagging (ptotic) breasts to their natural shape. Gravity, pregnancy, lactation, changes in weight and aging can cause ptosis and loss of steadiness.
It is a surgical procedure whose objective is to restore the breast to its plumpness and shape. Through surgery the breast is lifted and fixed, repositioning it to an ideal location in the thorax, with a point of maximum projection where the nipple areola complex is located. It allows you to modify the shape and get an ideal location of the nipple areola complex, reducing its size, if it is indicated – as well as correcting asymmetries (equalizing the breasts) in case they are noticeable.
This surgical procedure can be performed on breasts of any size; however, very large breasts may be better suited for a formal reduction procedure.
Patients with relatively small breasts and minimal ptosis may be candidates for modified procedures that require less extensive incisions or combined with breast implant placement and / or fat transfer. In case the volume is adequate but dropped, there are “auto-prosthesis” techniques to give volume to the breast with the patient’s own tissue.
The consultation allows evaluating the most appropriate technique adapted to each particular case, carrying out a complete and personalized evaluation.
Key points: No drains are used (exceptional) Internal sutures (take care of your skin and the quality of scars). Surgery time: 180 minutes. Anesthesia: general. Hospitalization: 8- 12 hours Recovery: 72 hours relative rest. (It is completed postoperatively at 30 days) Requires a permanent bra for 4 to 8 months. Pain: mild 3 on a scale of 10. Outpatient hospitalization in a highly complex clinic.

For different reasons, some women decide to remove their implants without replacing them. The non-implant breast improves over time and in many occasions, it will require treatment to enhance its natural shape and tension. Very valid options are fat transfer (see*) that will enhance its contour and / or a mastopexy surgery (see*), at the same surgical time that the implant is removed.
The medical consultation allows a complete and personalized evaluation to agree on the most appropriate technique adapted to each particular case.
IMPLANT EXCHANGE
Reason for consultation: “I had surgery a few years ago but my implants contracted”, “My implants are broken”, “I have no symptoms but my mammogram indicates an implant rupture”, “I have implants and my breasts feel hard and painful”.
Current recommendations indicate that breast implants should be checked annually (mammography), without suggesting their removal unless a rupture of the implants is diagnosed. However, there are several causes that motivate the patient to request a replacement, among them: the desire to modify the volume, correct the aesthetic appearance, capsular contracture, or change the anatomical plane in which the prosthesis is located.
This surgery works on the previous capsule by removing it (capsulectomy) or enlarging it (capsulotomy) according to indication, and it can also be combined with fat transfer and / or mastopexy.
BREAST REDUCTION
Reason for consultation: Gigantomastia. “My back hurts due to the weight of my chest”, “I have difficulty finding the right clothes for my size”, “I suffer from hygiene problems in the skin of my breasts”, “I feel limited when running or doing physical activity ”,“ My breasts grew in pregnancy and now they have fallen down and are still large ”.
Heavy, sagging breasts cause neck and back pain, and also coming from the pressure of the bra straps. The breasts themselves can be chronically painful and the skin in the inframammary region is subject to maceration and dermatosis. All these causes excessively large breasts to be a focus of attention and concern for those who suffer from them – a situation that also has a high impact on their lifestyle and relationships.
Reduction mammoplasty represents the clearest example of the interface between reconstructive and aesthetic plastic surgery. Although the stated goals of this procedure are reduction of breast weight and volume, cosmetic enhancement is equally important.
The techniques to be used are varied and depend mainly on the size of the breast. Short scar alternatives will be tried, although in general all of them will require an incision around the areola. With breasts of greater size and weight, excellent results can be obtained, only at the expense of a broader pattern of incisions and postoperative care. Key points: It is important to avoid smoking, to arrive at the surgery with the weight closest to the optimal one. Possible use of drains. Internal and external sutures. Surgery time: 2 up to 3.5 hours (depending on the technique) Anesthesia: general. Hospitalization: 12 to 24 hours Recovery: 96 hours of relative rest. (It is completed postoperatively at 30 days with a permanent bra) Pain: 4 on a scale of 10 the first 3 days, then mild. Hospitalization in highly complex clinics.

Reason for consultation: Gigantomastia. “My back hurts due to the weight of my chest”, “I have difficulty finding the right clothes for my size”, “I suffer from hygiene problems in the skin of my breasts”, “I feel limited when running or doing physical activity ”,“ My breasts grew in pregnancy and now they have fallen down and are still large ”.
Heavy, sagging breasts cause neck and back pain, and also coming from the pressure of the bra straps. The breasts themselves can be chronically painful and the skin in the inframammary region is subject to maceration and dermatosis. All these causes excessively large breasts to be a focus of attention and concern for those who suffer from them – a situation that also has a high impact on their lifestyle and relationships.
Reduction mammoplasty represents the clearest example of the interface between reconstructive and aesthetic plastic surgery. Although the stated goals of this procedure are reduction of breast weight and volume, cosmetic enhancement is equally important.
The techniques to be used are varied and depend mainly on the size of the breast. Short scar alternatives will be tried, although in general all of them will require an incision around the areola. With breasts of greater size and weight, excellent results can be obtained, only at the expense of a broader pattern of incisions and postoperative care. Key points: It is important to avoid smoking, to arrive at the surgery with the weight closest to the optimal one. Possible use of drains. Internal and external sutures. Surgery time: 2 up to 3.5 hours (depending on the technique) Anesthesia: general. Hospitalization: 12 to 24 hours Recovery: 96 hours of relative rest. (It is completed postoperatively at 30 days with a permanent bra) Pain: 4 on a scale of 10 the first 3 days, then mild. Hospitalization in highly complex clinics.

Reason for consultation: “My breasts are very different, I have to wear clothes to hide the discomfort of the difference in the size of my breasts.”
Correcting an asymmetry may require different techniques or combinations so as to achieve the desired results. Fat transfer (see*), Mastopexy (see*) one sided or bilateral, Augmentation mastoplasty (see*) with implants of different volume or Breast reduction surgery (see*) one sided or bilateral.
The medical consultation allows a complete and personalized evaluation to agree on the most appropriate technique adapted to each particular case.

Reason for consultation “The shape of my breasts is very coniform”, “I want round breasts”, “My breasts are all nipple areola”, “I have a very large areola and little breast volume”, “I do not fill the bra”.
Tuberous breasts are underdeveloped breasts that have the peculiarity of being small and narrow, configuring a tubular appearance due to their base ring fibrous and dilated and herniated nipple areola complex.
The consultation allows evaluating the most appropriate technique adapted to each particular case, being the augmentation mastoplasty with implants (see) the most used technique in these cases, combined with the reduction of the nipple areola complex.

Reason for consultation: “I am a man and I have a chest”, “I feel uncomfortable with tight shirts”, “It inhibits me from going to the pool or uncovering my torso”.
Gynecomastia is defined as a benign enlargement of the male breast due to proliferation of the glandular tissue. Pseudo-gynecomastia is an increase in the size of the male breast that develops from fat deposits, without glandular proliferation.
Gynecomastia can affect one breast; however, 75% of the time it is bilateral. It can be primary or secondary to hormonal imbalances, medications, drug use, genetic conditions, and use of exogenous hormones. The diagnosis and its eventual medical treatment is important to rule out an underlying pathology.
Adenectomy (removal of the complete gland through the areola) and / or liposuction of the thorax, are surgical procedures whose objective is to restore a male and flat chest to the man. Key points: Possible use of drains. Internal sutures (care of your skin and the quality of scars). Surgery time: 90 to 120 minutes (without and with liposuction) Anesthesia: sedation or general according to indication. Hospitalization: 8 hours Recovery: 72 hours of relative rest. (It is completed postoperatively at 30 days with a permanent chest girdle) Pain: mild 3 on a scale of 10. Outpatient hospitalization in a highly complex clinic. Postoperative: Permanent girdle care for two months. May require manual lymphatic drainage.

Fat transfer, also called fat grafting, or lipofilling, is a procedure that uses a person’s own fat resources to reposition it in strategic areas, correcting contour irregularities and / or adding volume to the area.
The fat to be relocated is first sucked from a donor area (abdomen, thighs) and then processed and filtered in such a way that it is injected pure into the area to be treated. Between 50% and 70% of fat cells survive the transfer process, which means that the results are permanent.
Due to the low rate of complications, the autologous nature of the donor material and the positive results of this procedure, its indications have expanded at the facial and body level. Being used mainly in breasts (improves volume, shape, projection, touch and softens the contours of the neckline in case of breast implants), and buttocks (provides volume and silhouette).

Even people with a suitable weight and body proportions can develop a protruding or loose and flabby abdomen. The most common causes of this include aging, heredity, posture, pregnancy, previous surgeries, and weight fluctuations.
Procedures used to reshape the anterior abdomen include liposuction (suction-assisted lipectomy), mini-abdominoplasty (infraumbilical excision of skin and elliptical fat), abdominoplasty, and panniculectomy.
Tummy tuck, also known as abdominoplasty, removes excess fat and skin and restores the position of weakened or separated muscles (rectus abdominis plication) thus creating a flat and firm abdominal profile.
Although the results of a tummy tuck are technically permanent, the positive result can be greatly diminished by significant fluctuations in your weight. For this reason, people planning substantial weight loss and women considering future pregnancies would be advised to postpone this type of surgery.
This procedure is enhanced in results combined with liposuction of the flanks and fat transfer to the buttocks. In addition to allowing surgical correction of abdominal and umbilical hernias, previous scars, and eliminating infra-umbilical skin with stretch marks. Key points: Internal and external points Use of drains for 48 hours approx. Surgery time: 120 -180 minutes (without and with liposuction) Anesthesia: general. Hospitalization: 12 to 24 hours. Recovery: 96 hours of relative rest. (Postoperative is completed after 30 days with abdominal girdle permanently for 6 months) Pain: slight 4 on a scale of 10. Only present when making efforts. Hospitalization in a highly complex clinic.

This is a suitable choice when the laxity of the soft tissues of the lower abdomen is not significant enough to allow a complete skin resection of the abdominoplasty. It has the benefit of a shortened scar, a smaller skin excision, and no umbilical transposition. Full abdominal liposuction is usually an important component of this procedure, as well as a muscle plication.

Liposuction is not a treatment for obesity but rather a surgical procedure for the reduction of localized fat that does not respond to diet or exercise. Its main objective is the elimination of mechanically problematic fat deposits in non-obese patients (BMI less than 30). Experience with these patients has shown that additional overall weight loss often occurs after surgery. This appears to be due to psychological changes (increased motivation to exercise and maintain a balanced diet) and / or hormonal changes in metabolism. Plausible areas for liposuction treatment: neck-jowls, arms, abdomen, flanks, trochanter, lateral aspect of the thighs and internal aspect of the knees. Key points: Internal points in incisions smaller than 1 cm. Surgery time: 120 – 180 minutes depending on the number of areas to be treated. Anesthesia: sedation or general according to indication. Hospitalization: 8 to 24 hours Recovery: 72 hours of relative rest. (It is completed postoperatively at 30 days with a permanent girdle in the treated area) Pain: mild 4 on a scale of 10. Hospitalization in highly complex clinics. Postoperative requires compression of the treated area and manual lymphatic drainage.

Scars are visible signs that remain after a disruption of all layers of the skin. They are the inevitable result of injury or surgery and their evolution without follow-up is often unpredictable. Scars may be noticeable due to their size, shape, or location, they can also be elevated or depressed, and can differ in color or texture from the surrounding healthy tissue. Options of treatment can vary depending on the type and degree of scarring and may include: simple topical treatments, minimally invasive procedures, surgical revision with advanced techniques in wound closure. Scar revision surgery attempts to minimize a scar so that it is as less visible as possible and matches the tone and texture of the surrounding skin. Although this procedure can provide a more pleasant cosmetic result or improve a scar that has healed poorly, it cannot be completely erased. CHELOID is a type of abnormal scarring. It is distinguished by its symptoms, being painful or itchy, and can also wrinkle. They extend beyond the edges of an original wound or incision. Keloids can appear anywhere on the body, but they develop most often where there is little underlying fatty tissue and high tissue tension, such as in the ears, chest, or shoulders. Possible treatments for these lesions are evaluated in consultation depending on their time of evolution, size, location and possibility of follow-up.