Breast Implants in Mexico and Breast Lift Procedures
Breast implants and Breast Lifts are two of the most predominant plastic surgery operations performed in Mexico and Dr. Alejandro Guerrero is one of Mexico’s leading certified plastic surgeons performing these surgeries here in Puerto Vallarta Mexico.
Augmentation mammoplasty is a plastic surgery term for the breast-implant and the fat-graft mammoplasty approaches used to increase the size, change the shape, and alter the texture of the breasts of a woman. As an elective, cosmetic surgery, primary augmentation changes the aesthetics — size, shape, and texture — of healthy breasts.
Mastopexy (Breast Lift) is the plastic surgery mammoplasty procedure for raising sagging breasts upon the chest of the woman; by correcting and modifying the size, contour, and elevation of the breasts.
TYPES OF PROCEDURES
We feature the Silicone-gel breast implants.
A Breast Augmentation has three therapeutic purposes:
1) Primary Reconstruction: to replace breast tissues damaged by trauma (blunt, penetrating, blast), disease (breast cancer), and failed anatomic development (tuberous breast deformity).
2) Revision and Reconstruction: to revise (correct) the outcome of a previous breast reconstruction surgery.
3) Primary Augmentation: to aesthetically augment the size, form, and feel of the breasts.
The operating room time of post–mastectomy breast reconstruction, and of breast augmentation surgery is determined by the emplacement procedure employed, the type of incisional technique, the breast implant (type and materials), and the pectoral locale of the implant pocket
Breast implant surgery is performed using five types of surgical incisions:
1) Inframammary: an incision made below the breast, in the infra-mammary fold (IMF), which affords maximal access for precise dissection and emplacement of the breast implant devices. It is the preferred surgical technique for emplacing silicone-gel implants, because of the longer incisions required; yet, IMF implantation can produce thicker, slightly more visible surgical scars.
2) Periareolar: an incision made along the areolar periphery (border), which provides an optimal approach when adjustments to the IMF position are required, or when a mastopexy (breast lift) is included to the primary mammoplasty procedure. In the periareolar emplacement method, the incision is around the medial-half (inferior half) of the areola’s circumference. Silicone-gel implants can be difficult to emplace with this incision, because of the short, five-centimetre length (~ 5.0 cm.) of the required access-incision. Aesthetically, because the scars are at the areola’s border, they usually are less visible than the IMF-incision scars of women with light-pigment areolae. Furthermore, periareolar implantation produces a greater incidence of capsular contracture, severs the milk ducts and the nerves to the nipple, thus causes the most postoperative functional problems, e.g. impeded breast feeding.
3) Transaxillary: an incision made to the axilla (armpit), from which the dissection tunnels medially, thus allows emplacing the implants without producing visible scars upon the breast proper; yet is likelier to produce inferior asymmetry of the implant-device position. Therefore, surgical revision of trans-axillary emplaced breast implants usually requires either an IMF incision or a periareolar incision. Transaxillary emplacement can be performed bluntly or with an endoscope (illuminated video micro camera).
4) Transumbilical: a trans-umbilical breast augmentation (TUBA) is a less common implant-device insertion technique wherein the incision is at the navel, and the dissection tunnels superiorly. This surgical approach enables emplacing the breast implants without producing visible scars upon the breast, but it makes appropriate dissection and device-emplacement more technically difficult. A TUBA procedure is performed bluntly—without the endoscope’s visual assistance—and is not appropriate for emplacing (pre-filled) silicone-gel implants, because of the great potential for damaging the elastomer silicone shell of the breast-implant device during its manual insertion through the short—two-centimetre (~2.0 cm.)—incision at the navel, and because pre-filled silicone-gel implants are incompressible, and cannot be inserted through so small an incision.
5) Transabdominal—as in the TUBA procedure, in the trans abdominoplasty breast augmentation (TABA), the breast implants are tunneled superiorly from the abdominal incision into bluntly dissected implant pockets, whilst the patient simultaneously undergoes an abdominoplasty.
The breast-lift correction of a sagging bust is a surgical operation that cuts and removes excess tissues (glandular, adipose, skin), overstretched suspensory ligaments, excess skin from the skin-envelope, and transposes the nipple-areola complex higher upon the breast hemisphere. In surgical practice, mastopexy can be performed as a discrete breast-lift procedure, and as a subordinate surgery within a combined mastopexy–breast augmentation procedure.
Moreover, mastopexy surgery techniques also are applied to reduction mammoplasty, which is the correction of oversized breasts. Psychologically, a mastopexy procedure to correct breast ptosis is not indicated by medical cause or physical reason, but by the self-image of the woman; that is, the combination of her physical, aesthetic, and mental health requirements.
WHO IS AN IDEAL PATIENT FOR A BREAST LIFT?
The usual breast lift patient is the woman who desires the restoration of her bust (elevation, size, and contour), because of the post-partum volume losses of fat and milk-gland tissues, and the occurrence of breast ptosis. The clinical indications presented by the woman — the degrees of the laxness of the suspensory Cooper’s ligaments; and of the breast skin-envelope (mild, moderate, severe, and pseudo ptosis) — determine the applicable restorative surgical approach for lifting the breasts. Grade I (mild) breast ptosis can be corrected solely with breast augmentation, surgical and non-surgical. Severe breast ptosis can be corrected with breast-lift techniques, such as the Anchor pattern, the Inverted-T incision, and the Lollipop pattern, which are performed with circumvertical and horizontal surgical incisions; which produce a periareolar scar, at the periphery (edge) of the nipple-areola complex (NAC), and a vertical scar, descending from the lower margin of the NAC to the horizontal scar in the infra-mammary fold (IMF), where the breast meets the chest; such surgical scars are the aesthetic disadvantages of mastopexy.
NOTE: Most times a Breast Augmentation requires a Breast Lift unless the cup size of the patient is very small.
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