VIVE PLASTIC SURGERY
VIVE PLASTIC SURGERY
At Vive Plastic Surgery in Tijuana, many women request augmentation mammoplasty, or breast augmentation surgery, with saline or silicone breast implants to enhance their breast profile. Vive Plastic Surgery Center performs breast augmentation surgery for patients who would like to:
- Increase their breast cup size
- Improve the appearance of sagging breasts that look flattened or deflated (often due to major weight loss or pregnancy/breastfeeding)
- Improve undesirable shape or contour of their breasts
- Improve breast asymmetry
Who is a suitable candidate?
Only board-certified plastic surgeons such as Vive Plastic Surgery are qualified to determine if someone is an appropriate candidate for breast augmentation. Nevertheless, in general, suitable breast augmentation candidates include those who:
- Desire larger or fuller breasts
- Desire a greater degree of cleavage or of outward projection from the chest wall
- Desire breasts that appear higher up on the chest wall
- On the whole, have a positive self-image, but are frustrated with certain aspects of their breasts
- Are in good physical and mental health overall
- Have sensible expectations for the outcome of breast augmentation surgery, and are seeking aesthetic improvement — not necessarily perfection
- Are pursuing breast augmentation of their own volition
- Are not breastfeeding (Women who are currently nursing should wait 12 weeks after they have stopped breastfeeding to undergo breast surgery, so their true breast size can be established.)
Gummy Bear vs Silicone Breast Implants
Within the category of silicone implants, women have the option of choosing “gummy bear” silicone or traditional highly cohesive gel silicone implants. Both types of implants have their advantages. Most women in Tijuana tend to prefer traditional highly cohesive silicone gel implants over gummy bear implants.
GUMMY BEAR BREAST IMPLANTS
Gummy bear breast implants are form stable, meaning that, much like a gummy bear, if they are cut in half, they will keep their shape. Gummy bear implants can be round or shaped like a teardrop. They tend to be firmer and harder than traditional silicone implants.
TRADITIONAL HIGHLY COHESIVE GEL SILICONE IMPLANTS
Highly cohesive gel silicone implants also maintain their shape if cut in half, however, they are softer and more bouncy feeling than gummy bear implants. Women who have traditional silicone implants report that they feel like a soft, natural breast at a higher rate than women who have gummy bear implants.
GUMMY BEAR IMPLANTS VERSUS SILICONE IMPLANTS
Think of a gummy bear implant like a jelly bean and a traditional silicone implant like a cube of Jell-o. Both are soft. Both are form stable. Both will maintain their shape if cut in half. But a gummy bear implant will feel firmer and be less squeezable, while a traditional silicone implant will be softer and more pliant.
Breast implants placement options
With submuscular placement, Implants should be positioned under the pectoral, or chest, muscle. A lower incidence of capsular contracture, the ability to obtain high-quality mammograms and a more natural look are some of the reasons we prefer the submuscular position over the subglandular position.
With subglandular placement, the breast implants are positioned under the glandular, or breast, tissue. However, subglandular placement may not be a suitable option for women with thin skin or little body fat because, in this case, the implant might be visible under the skin.
Breast Implants incision approaches
The inframammary approach – the inframammary incision is made in or near the breast’s natural crease. This incision is easily concealed by the overlying breast and is rarely visible during normal activities. The inframammary approach allows for the precise creation of the implant pocket and the cleanest entry for the implant. It is associated with the lowest incidence of capsular contracture and the lowest incidence of sensory changes of the nipple-areola complex.
The periareolar approach – With this incision option, the breast plastic surgeon creates an incision around the outer perimeter of the areola (the darkly pigmented skin encircling the nipple). The periareolar incision is perhaps the least visible in properly selected patients because it is concealed by the darker skin of the areola. The incision can be reused if the patient requires revision surgery for bleeding or capsular contracture. It is the preferred approach if a mastopexy (breast lift) is needed. It has similar rates of capsular contracture to other incisions and a comparable rate of decreased nipple sensation.
The transaxillary approach – With this approach, the incision required for breast augmentation is positioned in the armpit area. An endoscope, or lighted camera is utilized to help tunnel through the fat that is found under the skin (i.e., subcutaneous fat), creating an implant pocket behind the breast tissue. The incision approach is typically used with our plastic surgeons to insert unfilled saline implants. One of the drawbacks of this is incision is the increased incidence of implant malposition (i.e., lateral displacement of the implant pocket). If breast lift is also required, it cannot be done through an axillary approach.