Local anesthesia and sedation, or general anesthesia.
According to the complexity of each case, it may last between 30 and 120 minutes.
Among the possible places and kinds of incisions, two are the most frequent. They are both about 1.5 inches (4 cm.) long:
a) Periareolar: a semicircular incision that follows the lower outline of the areola (dark area around the nipples).
b) Submammary: on the lower fold of the breasts, where they join the chest.
According to the characteristics of your own body and to the kind of implant chosen, the surgeon determines which of the three incisions is the most adequate for you. Using special instruments, he works through the incisions to make a pocket inside each breast where the implants will be placed. Then he places the implants inside each pocket, using the nipples as reference to place them correctly. He places the drainage tubes and closes the incisions with stitches.
It is important to highlight that the implants will ALWAYS BE PLACED BEHIND the mammary gland, but there are two possible locations:
a) Behind the pectoral muscle: this procedure is more complicated and the recovery period is a bit more painful, but it has the advantage that the muscles prevent the implant’s outline to be noticed through the skin, giving the breasts a more natural look. Placed behind the muscles, the implants interfere less in mammograms.
b) Over the pectoral muscle: this is the most advisable location for women who do intense physical exercise using their arms
When the surgery is done with local anesthesia, no hospitalization is needed. When general anesthesia is used, you will have to stay hospitalized half a day.
To heal properly, you will have to wear a compression bandage on the treated area for about 24 hours. It is a bit uncomfortable but, unfortunately, it is necessary. A couple of flexible and thin drainage tubes will be placed that will drain off excess fluids from the wounds to an airtight plastic bottle. These drainage tubes will help reduce the incidence of bruises and are removed together with the bandages. During the following week, you will have to wear a sports bra day and night and, for another month, you will have to wear it only during the night.
Implants placed over the pectoral muscle: mild to moderate.
Implants placed behind the pectoral muscle: moderate to intense.
In both cases, you will be greatly relieved if you take analgesics every 6 or 8 hours.
No matter the kind or location of the implants, one breast may heal faster than the other and you may notice a temporary asymmetry. The inflammation is at its worst during the first three days, then it lessens progressively during the next three or four weeks. It tends to be greater and to last longer when the implants are placed behind the muscle.
According to the procedure, there could be two different kinds of scars, both of 1.5 inches (4 cm.) long.
a) Periareolar: a curved line following the lower outline of the areola. This scar heals very well. It remains concealed by the outline of the areola and, as time goes by, it becomes very difficult to notice.
b) Submammary: right on the lower fold of the breasts, where they join the chest.
You will have to rest at the hotel for 48 hours. You may probably feel a burning sensation during the first days and discomfort when raising your arms, just as if you had done a lot of push-ups in the gym. From the fourth day onwards, you may go back to your job and to your social life, but be careful not to lift heavy weights. Your surgeon will tell you what kind of bra you may use. You will be able to do physical exercise 30 days after the surgery.
During the recovery period, some people may feel quite depressed. It is quite normal to feel this way after any kind of surgery, no matter how simple it may be. You may even come to think that you made a big mistake. But do not worry. Most of the people who are happy today and who are satisfied with the results obtained, have also felt somewhat depressed.
The results of this procedure are permanent. Your new breasts will remain with you for many years without losing their attractive shape and firmness. You will quickly learn to choose new styles of clothing that will allow you to dress them the way you like best.
Even though it is the procedure with the highest satisfaction rate of all plastic surgery procedures, it is good to know that it can be reversible. If you do not get the results you expected, the implants can be removed or replaced by others of a different size.
See our results. This page gathers before and after photo examples of our facial surgeries.