Cosmetic surgery is not an easy thing to do nor an easy decision to make and probably more delicate when it comes to travelling to Colombia.
If you want to know more about breast implant surgery, we have put together a lot of information to help you make the best decision for you.
Cosmetic surgery is not an easy thing to do nor an easy decision to make and probably more delicate when it comes to travelling to Colombia.
If you want to know more about breast implant surgery, we’ve put together a lot of information to help you make the best decision for you.
BEFORE BREAST IMPLANT SURGERY
When preparing for breast implant surgery, you may be asked to:
- Take a blood test
- Have a mammogram, MRI or x-ray
- Take certain medications or adjust your current medications
- Stop smoking and not drink alcohol
- Avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding
- Stop taking certain dietary supplements
- Stop taking recreational drugs
- Do not eat or drink at least 8 hours before surgery
Breast implant surgery should be performed at a licensed outpatient surgery center or hospital. It’s for your safety. If the surgeon works in an informal setting or office, he is most likely an uncertified cosmetic surgeon.
Your breast implant surgery in Cartagena is performed in a hospital that has all the resources. If you have not done tests in Canada and send them to us via the Internet, we will do them in Colombia and at very affordable rates.
What are the types of breast implants?
There are three basic types of breast implants:
- The saline implant
- The silicone implant
- The gummy silicone implant
While all three options can produce exceptional results, implants differ slightly in how they make breast shape and volume.
1. The saline breast implant
Saline implants are filled with sterile saline solution. The shape and firmness of saline implants can vary depending on their quantity. In the rare event that the implant shell leaks or ruptures, the saline solution can be safely absorbed by the body and expelled. Saline implants are certified for breast augmentation in women 18 years of age and older.
Doctors say that the advantage of this type of breast implant is that it requires a smaller incision than silicone implants.
2. Silicone breast implant
Silicone implants are pre-filled with silicone by the manufacturer. Many patients find that silicone breast implants look more like natural breasts to the touch. In the event of silicone implants rupturing, the gel may remain in the implant shell, or it may seep into the implant pocket.
Therefore, patients with silicone breast implants should undergo magnetic resonance exams at regular intervals to ensure that the implant shell is in good condition. Currently, silicone implants are certified for breast augmentation in women 22 years of age and older.
3. The silicone gummy breast implant
Gummy implants are a type of silicone breast implant made with a cohesive gel. Certified in 2012, they have become trendy for their impressive look and feel, similar to natural breasts. In addition, they retain their shape even when the shell of the implant is broken.
They are called “gummy bear” implants because of the gummy consistency of the silicone gel. Although these implants can still deform, the cohesive gel is stable and thus better retain their shape. The placement of gummy silicone implants requires a slightly longer incision in the skin.
Discuss all the benefits and risks of your choice of breast implant with the surgeon to understand all the potential risk factors and thus help you make the best decision for you and your health.
What are the forms of breast implants?
The shape of the breast implants you choose for breast augmentation will affect the overall appearance, and our surgeon can advise you to help you choose the best form of the implants for you based on your anatomy and the type of result you want to obtain.
The round shape of implants : Round implants have an equal amount of product on the bottom and top of the implants. Because they have volume all around, these are popular options for women who prefer bold upgrades. Additionally, round implants can still look very natural depending on the profile and location of the implant.
The curved or profiled shape of the implants: Sometimes referred to as ‘teardrop’ shaped implants, contoured implants are more of a subtle body and with a slope that closely matches the natural curve of the breasts. In other words, they have less bulk at the top with more size at the bottom, similar to a teardrop shape. For women looking for natural breast augmentation results, contoured implants are a great option.
What are the textures of breast implants?
If we classify breast implants according to their surface, they can be smooth or textured. In the case of a smooth implant, its surface is completely smooth. In contrast, in the case of textured implants, the surface is rough.
Smooth implants: They are the most used in most breast augmentation surgeries. These implants move more because, being smooth, they adhere less to the tissues around them. They tend to be softer than textured ones, with less chance of ripple, and they cost less. It should be noted that these implants have a higher risk of capsular contracture if placed above the muscle. Encapsulation occurs when the scar tissue around the implant grows and therefore oppresses the implant. This makes the chest hard and an implant change is necessary.
Textured implants: By having a rougher surface, they manage to adhere better to the tissues around them, and there is less risk of capsular contracture, although, on the other hand, they may have a greater chance of rippling. These implants are generally more expensive than smooth implants.
It is essential to talk to the surgeon to explain the pros and cons of each implant and agree on the most suitable texture.
Where are breast implants placed?
When it comes to breast augmentation, there are many options available to personalize the procedure. Another great option is where your breast implants will be located.
In front of the pectoral muscle or behind?
Women with very little breast tissue generally benefit from placing the implant under the muscle so that there is as much tissue as possible on top of it, creating a natural appearance.
When breast implants are placed on the muscle, they move less with muscle flexion. However, there will be more ripples and a less natural look.
Understanding breast surgery incisions
Our surgeon can offer you four incision options regarding breast augmentation surgery and all of them can be used successfully, but the right one for you depends on your anatomy, preferences, type of implant used and ultimate cosmetic goals. .
The periareolar : The incision is made on the outer edge of the areola, usually in the shape of a semicircle on the lower curve of the areola. The advantage of this type of incision is that the scars are generally well camouflaged, as it is an area where the skin naturally changes colour and texture. And because the incision is so close to the implant site, it allows for precise placement.
Inframammary: The incision is made in the fold of the lower part of the breast where it meets the breast. Many women are drawn to this option because the scars are easily hidden. And similar to the periareolar incision, it requires precise placement of the implant.
The transaxillary: The incision is made in the armpit, essentially creating a path to the implant site. This incision option leaves no scars on the breasts. And for women who plan to breastfeed eventually, this incision is also less likely to damage the mammary glands.
The umbilical: There will be a small incision on the navel with umbilical breast augmentation through which an endoscope is placed. Then the saline implants are finally inserted through the incision to the implant site. Like the transaxillary incision, this method leaves the breasts virtually intact, as they have no scarring.
The risks and safety of breast implants
The decision to undergo augmentation mammoplasty is an extremely personal one, and you must weigh the potential benefits of achieving your goals against the possible risks and complications. Only you can make this decision for yourself.
Regardless of the surgeon, you will be asked to sign consent forms to make sure you understand the procedure and all of the risks and potential complications. Breast implant surgery is very safe and less than 1% of patients may have problems with this procedure.
The possible risks of breast augmentation surgery include:
- Changes in the sensation of the nipple or breasts
- The incorrect or defective position of the implant
- Leaking or ruptured implant
- The formation of tight scar tissue around the implant
- Fluid accumulation
- Wrinkles of the skin on the implant
- Persistent pain
- The possibility of surgical revision
These and other risks will be discussed in detail before your consent. It is essential that you ask all your questions directly to the cosmetic surgeon.
Independent groups’ careful scientific studies have found no link between breast implants and autoimmune or other systemic illnesses. It is also necessary to consider that:
Breast implants are not guaranteed to last a lifetime, and future surgery may be required to replace one or both implants.
Pregnancy, weight loss, and menopause can influence the appearance of breasts throughout your life.
Breast augmentation requires regular exams of your breasts and evaluating the condition of your breast implants.
How do you choose the right breast implants for you?
It is essential to discuss your expectations and desired results with our surgeon to help you determine what is best for you. Many surgeons use digital imaging software to see what breasts will look like with different volume levels. Another option for checking the size of implants is to try on a bra to get a rough idea of the volume.
Some specialists recommend that if you like two sizes, choose the larger of the two, as the bust always drops a little.
DURING BREAST IMPLANT SURGERY
Breast augmentation surgery takes about one to two hours and consists of the following steps:
Anesthesia: Medicines are given for your comfort during surgery. Anesthesia choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
The incision: Incisions are made in inconspicuous places to minimize visible scars. You and our surgeon will discuss the incision options that best suit the desired result. The incision options are along the areolar edge (periareolar incision), the crease under the breast (inframammary incision) and in the armpit (transaxillary incision). A navel incision for saline implants is associated with a higher complication rate. The incisions, therefore, vary depending on the type of breast implant, the degree of enlargement desired, your particular anatomy and the preferences of the patient and the surgeon.
Insertion of the breast implant: After the incision, a breast implant is inserted into a pocket under the pectoral muscle or directly behind the breast tissue on the pectoral muscle. The method of inserting and positioning breast implants depends on the type of implant, the degree of enlargement desired, your body type, and our surgeon’s recommendations.
Closing the incisions: The incisions are closed with layered stitches in the breast tissue and with stitches, skin adhesive or surgical tape to close the skin. Over time, the incision lines will fade. The quality of the scar depends on many things, including your genetics, your body’s exposure to nicotine, and infections.
AFTER BREAST IMPLANT SURGERY
Breast augmentation surgery immediately results in larger breasts. However, the final results may take a few weeks as the swelling subsides and the skin stretches.
Some women may need to wear a headband to help shape their breasts, especially with asymmetry or tiny breasts. The incision lines can take several months or even years to fade.
To achieve optimal breast augmentation results, you should follow our surgeon’s post-operative instructions and return for follow-up visits or keep in touch via the internet.
Breast implants are not considered a lifelong solution, and you may need to have them replaced. You can visit our surgeon for an annual exam (in person or via the Internet) to assess the health of your breasts and the integrity of the implants.
Over time, your breasts will change due to ageing, weight fluctuations, hormonal factors, and specific health issues. As the appearance of your breasts changes over time, you may use a breast lift or implant exchange to restore a more youthful outline.
The recovery period from breast augmentation
In the hours and days after surgery, it is customary to notice some discomfort in the breasts, as they are swollen and bruising in the treated area. This region could be sensitive.
After 48 hours, the body temperature may rise, and minor bleeding may occur. After three days, the bandage will be removed and it will be replaced with a post-surgical bra that will need to be worn day and night for a month.
It is best not to raise your arms during the first week and keep them close to the body. During the first month, you should sleep on your back and then start sleeping on your side. For the first three months, it is not recommended to sleep on your stomach.
Remember that you must follow all the surgeon’s recommendations for the postoperative period to promote good healing following your breast augmentation surgery.
A month after the operation, you can start practicing gentle sports that do not involve the use of your arms. In addition, special care should be taken in the sun, as the breasts should not be exposed to the sun for six weeks after the operation.
Recovery is complete after three months, and you can do whatever activities you like.
How long do breast implants last?
Although breast implants do not have an expiration date, they are not guaranteed to last a lifetime.
Saline or silicone implants can last 10 to 20 years.
Up to 15% of women have their implants removed or replaced within 10 to 15 years.
Probably, you may be wondering when to replace your implants?
The answer is simply to regularly examine your implants for signs or symptoms before problems happen.
What are the signs to replace your implants?
The following complications may require the removal of breast implants:
Hardening: Many women develop capsular contracture or scar tissue that hardens around one or both implants. It can cause tightness, pain, tenderness, and abnormal cosmetic changes in the breast. In some cases, hardening may occur more than once on the same breast.
Palpable ripples: A ripple occurs when the implant develops wrinkles or folds. Palpable sensation refers to the ability to feel these ripples when you touch your breast. In some cases, these changes can also be seen through the skin. If you see or feel a kink in your implant, you may consider replacing or removing it.
Change of position: Breast implants do not prevent your breasts from sagging as you age. Gravity will still wreak havoc. Weight gain and loss can also cause breast stretching and sagging. You may also notice that one breast may be lower than the other or that your nipples are pointing in different directions. If you are embarrassed by these changes, you can ask for a breast lift or implant replacement to help bring them back to their previous appearance.
The saline rupture: If a saline breast implant ruptures due to a tear or hole in the implant’s shell, it will start to deflate like a balloon. The saline solution from your implant will leak out and be reabsorbed by your body. This leak can happen quickly, just once or slowly over a few days. Deflation may not become evident until all the saline solution escapes. The affected breast will lose its size and shape and look drastically different from your other breast. Breast implant ruptures are rare in the early years, but the risk increases over time.
Breaking the silicone: Silicone implants can also rupture. Silicone gel is much thicker than physiological saline. When a silicone implant ruptures, the gel often remains inside the implant or surrounding scar tissue. For this reason, ruptured silicone implants often go unnoticed, and silicone ruptures are also referred to as silent ruptures. Most women do not experience any symptoms.
Decrease in breast size: When you notice a decrease in the size of your breasts, certain situations appear like hard knots, uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning sensations, changes in a sense. Although the exact rate of silicone breakage is unknown, it is estimated to be between 2% and 12%, according to reliable sources. Some implants break immediately, some after several years and others after ten years.
Is there a warranty for breast implants?
Our surgeon does not agree to perform operations that may generate a great potential for complications and risks. All information relating to the surgical procedure, the usual risks and complications will be discussed with the surgeon during preoperative consultations.
However, it should be understood that a certain number of unforeseen events exist in cosmetic surgery and, in particular, a great deal of subjectivity. However, it is rare to experience difficulties beyond 30 days after surgery, so we strongly suggest that the patient come to Cartagena for three weeks.
These guarantees are not applicable according to the following indications:
- Misrepresentation of medical history
- Non-compliance with preoperative medical recommendations and indications, in particular smoking, taking prohibited drugs, not taking prescribed drugs
- Non-compliance with the surgeon’s post-operative medical recommendations and indications
- The undesirable and unforeseeable effects of a cosmetic surgery, in particular the shells of breast prostheses
- Subjective patient dissatisfaction
- The cover guarantee is only valid for the stay in a clinic in Cartagena
- Coverage guarantees are only valid for the patient
- The duration of the coverage guarantees is 30 days from the date of the intervention
Guarantees for breast implants
Whichever manufacturer you choose, you will find that there is a broadly similar warranty for everyone.
Some manufacturers might even state “a lifetime warranty against implant rupture,” but that does not mean that the implant will never break! It also doesn’t mean that the manufacturer will pay for your surgery if it breaks!
The warranty should be read carefully, as it is different for each manufacturer. The manufacturer’s warranty for the implant usually means that the manufacturer will provide you with a replacement implant if your implant breaks.
Thus, the cost of purchasing this implant could then be deducted from the cost of the surgery. It’s a small saving.
Some manufacturers reimburse up to US $ 1000 for the cost of the surgery, if the rupture has occurred within the first 10 years.
We offer you insurance in case of complications at the cost of CAD 100 during your stay at our aesthetic clinic in Cartagena and thus be covered if you require additional fees and an extension of the duration of hospitalization. This guarantee of clinical care is complete. As a result, extending your stay in the clinic does not incur additional costs for you in the event of a complication.
In case of complications during the return to your country of residence, you must inform us as soon as possible. For any specific complication, the surgeon will give you the first indications of medical treatment to be undertaken. This coverage does not cover airfare or travel costs from your home to our clinic in Colombia.
Do I have to stay in the hospital overnight after surgery? No, the surgery is easy to do, and if there are any complications and you need to stay overnight in the hospital to monitor your condition. You are covered by our insurance which is included in the price of the surgery.
Will I feel a lot of pain after the surgery? Everyone has a different pain threshold, so it’s not possible to predict precisely how you will feel. Mild or moderate pain, even severe discomfort, is normal. Pain relievers will be prescribed and can be changed if necessary. The pain usually lasts 1 to 2 weeks and should decrease each day.
Should I wait for breast augmentation before having children? Pregnancy and breastfeeding will likely affect your breasts, whether they already have an implant or not, due to hormonal changes, increased size and weight.
What will my scars look like? The aesthetic quality of breast augmentation scars depends on the approach used to implant the breast prosthesis. In any case, over the course of a year, the incisions for breast implantation, with a few exceptions, are hardly noticeable.
How can I minimize scarring? Scars will occur after breast augmentation and will disappear over time. You can use creams, lotions, or vitamin A and E solutions to minimize scarring.
When can I be in the sun? The sun is the natural enemy of recent scars, because it can be the cause of pigmentation and therefore more visible. It is essential to keep the scars from the sun for the first six weeks after the operation and not expose them later without adequate sun protection.
When can I have sex after breast augmentation? After a breast augmentation procedure, it is recommended to wait at least 48 hours before having sex. What is essential is that the breasts are not touched or squeezed so hastily.
What type of bra should I use after the operation? For the most immediate postoperative period, we give you a special bra. This bra is recommended to be worn for 2 to 4 weeks, depending on the normal development of each woman.
Does this make breast exams or finding and treating a tumour more difficult in the future? Breast implants are perfectly safe in all women and do not interfere with the diagnosis or treatment of any breast process.
Is it necessary to use drainage in breast augmentation surgery? Techniques have evolved enough that we can perform virtually any breast surgery without drainage.
Can I breastfeed after breast augmentation surgery? Breastfeeding after breast augmentation is no more complicated than it would be otherwise. There is no danger that breast implant material, saline solution or silicone, will pass into breast milk and not affect your baby in any way.
Do I need to replace implants regularly every ten years? We are often asked this question, and our simple answer is NO! Although the exact lifespan of any implant is unknown, we believe that unless there is a specific problem, implants do not need to be replaced. We see no justification for subjecting every woman with implants to the inconvenience, cost, and risk of repeated surgery every ten years if there is no problem.
How old do you have to be to have breast augmentation? Most women seeking breast augmentation are in the 18 to 50 age range. This is not to say that breast augmentation cannot be performed in women over 50, but the surgeon should carefully check each woman’s condition.
When can I take a regular shower after my surgery? You can take a shower a day or two after your surgery, but you should avoid rubbing your incisions. Use a hair dryer to gently dry them after you shower for the first few weeks. Avoid taking full baths and swimming for at least two weeks.
CONCLUSION ON BREAST IMPLANT SURGERY
Breast augmentation is an advantageous cosmetic surgery.
With significant advances in the manufacture of implants, the quality of implants has improved dramatically, reducing the risk of capsule formation and ruptures.
The periareolar incisions resulted in acceptable scarring, and the submuscular placement of the cohesive gel implants minimized the risk of capsule formation.
Choosing to go to Cartagena, Colombia, for augmentation mammoplasty is an important decision, but the risks are the same as having the surgery in Canada. The savings of 50 to 75% is considerable, even including the cost of airfare and accommodation (about $ 1000 Canadian for two weeks).
In addition, is it not pleasant to leave during the winter and thus enjoy the excellent weather in the tropics by the Caribbean Sea?