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Frequently Asked Questions


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Inaccuracies and falsehoods in Cosmetic Surgery

We are aware of the enormous discrepancies of criteria that abound between different specialists, centres or companies, when concentrating on Cosmetic Surgery and each one of its treatments. As a medical activity in the Private Health Sector, the conflict of interests between the commercial world and the ethical problem does not always lie on the side of safety, professionalism or in the interests of the patient. This situation creates an enormous lack of confidence in the patient wishing to have Cosmetic Surgery treatment. Our philosophy is very clear. The patients are always first, their interests and their needs, in conjunction with the efficiency and safety of our treatments. To this end the medical facet of our activity is supreme. However, in contrast to our practice, many other centres or professionals offer information that is inexact, slanted, market oriented or even completely false and self interested, practising dangerous procedures that are ineffective or obsolete. To prevent unscrupulous actions we list a series of statements that, in our opinion, are inadequate, deceptive, or mere lies, that are frequently used at other centres to manipulate the wishes of the patient to a commercial and unethical end. Some of these are even popular among the very clients of these centres of Cosmetic Surgery, and become the regular thoughts and petitions of these same clients. Naturally, we completely rejects all the statements that can be read under the title of Inaccuracies and Falsehoods for every group of our treatments.

Is my case customary in secondary surgery?

Although the possibilities are numerous, it is true that certain situations are repeated more frequently among those cases received by our Specialists requiring repair. Among the problems resolved with us are the following:

-Encapsulated breast implants: cases of breast augmentation considered lost or irreparable, because they have been operated on once or more occasions in the past and appear hardened, deformed or painful.
-Submuscular implants: cases of breast implants inserted under the muscle that because of its poor characteristic result or a complication, need repairing.
-"Upward and downward movement implants": Cases of breast enlargement in which the technique has not been correctly executed and the implants move up and down with the arm movement or the contraction of the pectoral muscle, named as elevator breasts.
-Dislocated or malpositioned implants: Which are eccentric from the theoretical ideal center of the breast mound landmarked by the nipple, leading to grotesque look of the breasts.
-Misjudgement in implant selection: The width of the implants do not match the theroretical ideal size of the breasts base therefore produce lateral prominence or alternatively cleavage shortage of the implants.
-Renewal of implants: Because they are aged, broken, deficient from the beginning or because the volume is inadequate.
-Mastopexy: Insufficient, poor cosmetic result, or have suffered a complication.
-Sagging breasts: Cases of sagging breasts for which the treatment has only been a breast enlargement, inadequately performed and without having received specific treatment for the sagging.
-Breast reduction: Poor quality cosmetic result, insufficient elevation, slight volume or having suffered complications.
-Neck Lifting: Patients having received obsolete rejuvenation treatments, such as simply stretching the skin. Facial rejuvenation would have to be redone and also the neck would have to be treated which, in many cases does not receive the necessary dedication.
-Eyelids: Cases in which bags have not been completely removed or a cosmetic or even functional distortion has appeared.
-Rhinoplasty: Inadequate nasal corrections that are not very natural or are insufficient, causing breathing problems, sometimes due to poor cosmetic judgement, reconstructions in multioperated noses.
-Otoplasty: Shortage of approximation to the head, deformities, cartilage injuries, skin shortage.
-Liposuction: Poor performances that require removal of skin, technically deficient performances with under or over correction.
-Abdominoplasty: Spare skin, skin necrosis, insufficient muscular work.

Do breast implants correct sagging or empty breast?

Many patients benefit from breast implants in order to improve the shape of their breasts, especially if they are lacking content or pendulous. If the sagging is light, breast enlargement can effectively correct the problem.

What volume remains following the elevation or reduction of the breasts?

The size of the breasts is in total harmony in all cases operated on with us. Our Specialists will always look for a result that is in proportion to your ribcage, avoiding unnecessary overload, with a suitable volume and shape. Breast elevation may, on occasion require an associated implant to make the result fully satisfactory.

What type of anesthetic is most suitable in breast elevation or reduction?

Without hesitation we would have to recommend and practise the safe techniques of a general or total anesthetic. For breast uplift and reduction, greater safety, absence of pain and the best results are achieved administering a general anesthetic in an authorised hospital. Although still being practised in other centres, breast uplift or reduction treatments performed under a supposed local anesthetic are high-risk procedures in the opinion of all our team of specialist surgeons and anesthetists. There are several reasons for rejecting a local anesthetic. Firstly, because the dose of anesthetic to be introduced into the breasts is so high it could become toxic, possible causing serious complications. Also because the application of the local anesthetic is by deep injection into the breasts that are tremendously painful; in these circumstances the anesthetist is often obliged to improvise administering an uncontrolled and very dangerous general anesthetic. Finally, we reject these practices under a false local anesthetic because it only allows for insufficient and obsolete techniques to be performed, which nowadays is no longer adequate nor correct in modern science. For your safety and in order to achieve the best results, our Specialists recommend a general anesthetic for breast elevation and reduction surgeries, with at least a day case stay in the clinic.

Will any scar be visible on the skin following breast elevation or reduction?

Breast elevation and reduction techniques require lower glandular work that holds the breast in its new position in conjunction with the removal of the excess skin and gland that regularly exists in these cases. To achieve this incisions are made around the areola and to the lower part of the breast, that generally produce very high quality cosmetic scars. Incisions made to the lower furrow of the breast remain hidden by the fold created by the natural shape of the breast. Different techniques exist that our Specialists work with regularly to achieve the best results. They will give you precise information about your own individual case.

Inaccuracies and falsehoods about Breast Elevation and Reduction

A breast can be elevated without scars - FALSE
A breast augmentation inserting large implants raises the breast - FALSE
A mastopexy is performed making an incision only around the areola - FALSE
The breast will never sag following a mastopexy - FALSE
Following a breast reduction the breast is always left empty - FALSE
Breast reduction always leaves the nipple without sensitivity - FALSE
A breast reduction with only a vertical scar is better - FALSE

Can other procedures also be performed in the same breast elevation or reduction?

This is quite normal and much requested by our patients. There is no reason not to perform an abdomen treatment or liposuction together with a breast reduction, to give an example.

Do breast implants avoid the need for breast elevation?

Many patients benefit from breast implants to improve the shape of their breasts, especially if they lack content or sag. If sagging is only slight, a breast enlargement can effectively correct the problem. However, if breast are too low, only use of breast implants leads to awful results. In those cases it is mandatory the use of breast elevation or mastopexy, with or without implants.

Can a mammogram be taken after having breast elevation or reduction?

When it is necessary to have a mammogram and other imaging studies you only have to advise your doctor and the technician carrying out the procedure of your breast elevation or reduction operation. The reliability of the test is the same for women who have been operated on. Mammograms are not necessary as a regular control of the breast elevation or reduction.

What are tubular or tuberous breasts and how do they influence breast elevation?

This term is applied to an anomaly present in certain patients whose breasts are not only small but also have a special structure. It refers to breasts constrained by a fibrous covering, giving the breast a conical shape, with excessive elevation of the lower furrow, a large areola and with a ruptured aspect, having insufficient skin in the medial area of the breast. In the majority of cases it is possible to obtain excellent results using breast implants and other surgical applications on the gland, as breast elevation if they are low. Our Specialists have wide experience in the correction of breast anomalies, and thus they know these cases have a higher risk of capsular contracture or hardening and displacement of breast implants, as well as requiring a new surgical procedure after some months to improve the result.

Technical datasheet for breast elevation

-Anesthetic: total
-Surgical time: 1 hour
-Hospital stay: day case
-Proximity stay: 2 days
-Postoperative pain: 2 (scale from 1 to 5)
-Postoperative bandages: 2 weeks, then elastic brassiere for 3 weeks
-Sick leave: 2 weeks
-Complementary treatments: not required
-Cosmetic recovery: 1 month 60%, 3 months 80%, 6 months 90%, 12 months 100%
-Scars: around the areola, lower breast, occasionally the submamary fold; visible

This information is indicative only and does not represent an obligation with customers. This technical datasheet is based in statistical means for large groups of patients, with the variability that implies. Medicine and Surgery are not exact Sciences so it is not possible to stablish the most suitable management for each individual case until the moment the Specialist can evaluate the patient. One medical and/or surgical process can't be predictable 100%, so our Medical Team could modify the management plan at any time, based on the requirements that could be considered as necessary.

Can hypertrophy of the breasts be reproduced after breast reduction or elevation?

This is somewhat exceptional and does not normally occur. Only in a case of developing severe obesity or perhaps a hormonal imbalance could it cause the breasts to redevelop.

Can a breast enlargement be performed at the same time as a breast elevation or reduction?

Of course, it is one of the most common operations. The problem presented by sagging, empty breasts following one or more pregnancies is very common, so our Specialists are accustomed to dealing with these cases. A breast elevation procedure is performed whilst at the same time breast implants are inserted to support the necessary volume. Similarly a large breast can be pendulous and have empty upper pole, not wishing the patient to stay with a postoperative lack of mammary volume, therefore asking for breast implant in combination with breast reduction to fill the superior breast more than really enlarging it.

What bra is most suitable after breast elevation or reduction?

The first few weeks following the operation it is recommended that a cupped, support bra made of elastic or cotton that feels comfortable be used. Once fully recuperated the patient can use any bra she feels to be comfortable providing no marks are left on the skin.

What happens with the passing of the years after breast elevation or reduction?

Aging of the breasts is inevitable with the passing of the years and is manifested in the sagging of the breasts. This process affects the original tissue most of all, and the implants scarcely at all. The sagging of the breasts can be considered minimal for many years.

What size will I have after breast elevation or reduction?

Bra size is neither a valid nor reliable measurement. Bra sizes are denoted using a number for the lower outline of the breast, followed by a letter (A, B, C&) indicating the cup. The size of the lower outline of the breast should not be substantially modified following the operation but there will be a change in cup size. In any case a woman can use 2 different sized bras and both can be comfortable, so that this instrument as a measurement is not going to help us evaluate the determined volume in the final result.

What is the ideal size of my breasts in elevation and reduction operations?

The choice of size and shape of breasts that our Specialists attempt to achieve with their treatments is based on the personal preference of each patient, their anatomical characteristics and the technical aspects of the operation. The most important thing is that the patient is able to transmit to the doctor her ideal size, and for the Specialist to be able to obtain those results for the patient using the best technique. On this issue you can count on the assessment of all our team, who together offer a wide range of experience.

Technical datasheet for breast reduction

-Anesthetic: total
-Surgical time: 2 hours
-Hospital stay: day case
-Proximity stay: 2 days
-Postoperative pain: 2 (scale from 1 to 5)
-Postoperative bandages: 2 weeks, then elastic brassiere for 3 weeks
-Sick leave: 2 weeks
-Complementary treatments: not required
-Cosmetic recovery: 1 month 80%, 3 months 90%, 6 months 95%, 12 months 100%
-Scars: around the areola, lower breast, submamary fold; visible

This information is indicative only and does not represent an obligation with customers. This technical datasheet is based in statistical means for large groups of patients, with the variability that implies. Medicine and Surgery are not exact Sciences so it is not possible to stablish the most suitable management for each individual case until the moment the Specialist can evaluate the patient. One medical and/or surgical process can't be predictable 100%, so our Medical Team could modify the management plan at any time, based on the requirements that could be considered as necessary.

Will sensitivity be retained at the areola after breast elevation or reduction?

With the majority of techniques it is possible to retain excellent sensitivity of the areola and nipple. Temporarily, an excess or less frequently, a slight reduction of sensitivity is to be found in that area, but this returns to normal over time. The best information concerning the particularities of each treatment can be offered to you by our Medical Team.

Will I obtain relief to back and neck pains with breast reduction?

This is one of the prime objectives in a breast reduction operation. Not only to achieve a cosmetic improvement, we seek to offer our patients a physical and health benefit. Some of the problems that are resolved with this treatment include certain hygienic symptoms, particularly in summer, chronic rubbing of skin, back and neck pain and headaches, all caused by large breasts.

Why are breast elevation and breast reduction such related techniques?

Any breast with excess volume suffers sagging due to the gravity effect, producing a vertical stretch on the skin and a pendulous content. It is also frequent for sagging breasts to be due to excessive weight or a weakness in the skin, problems that can be recent or earlier. Therefore, large breasts can require a reduction associated with elevation. Sagging breasts need elevation and optionally the use of breast implants or perhaps a variable degree of reduction. Techniques designed to reduce and elevate breasts look to remove excess tissue, raise the breasts and remodel their shape.

Will differences between each breast be corrected with elevation or reduction?

A more or less remarkable difference in breasts is normal in almost all women and, not only does not need correcting but is unfeasible, to address the problem usually leads to inadequate results. If the difference is considerable the Specialists can improve the breasts by insertion of breast implants with either a different shape, size or volume, and with other glandular treatment techniques. If the assimetry is a complex one, some differences will always persist.

What happens in pregnancy or breast-feeding after breast elevation or reduction?

Pregnancies in women who have had this operation are no different due to this factor. Many women who have had a breast reduction or elevation operations go on to have pregnancies and children without any further incident. Breast-feeding may be limited or thwarted depending on the technique used, although in many cases it is not affected at all.

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