Look like a dream come true…you
augmentation is amongst the plastic surgery procedures
with the highest patient satisfaction ratings.
Breast augmentation is a procedure that is often assumed to be
simple in nature and execution but is actually quite complex.
Proper surgical technique and attention to detail are essential
to good results.
What are the benefits of breast augmentation with implants?
This operation is performed to enhance or restore the size and
shape of a woman's breasts. Breasts may be small because of lack
of development or changes following pregnancy, weight loss or
congenital abnormalities. Sometimes a woman's breasts are very
asymmetric (uneven). This operation can improve a woman's self
esteem and quality of life.
Clinical parameters and key considerations
There are six main clinical parameters for breast implants on
1. Patient's body build and height
2. Natural breast size, shape and symmetry
3. Nipple position in relation to the breast
4. The quality of breast skin
5. Chest wall shape and dimension
6. Patient's desire for new cup size and shape
The first consultation
In Sensual Body Dream during the first consultation the surgeon
analyzes the conditions of the patient which is the best way to
correct the defect.
The surgeon will recommend the best solution with respect to the
intervention to be made and the best form to perform it. He will
also answer all the questions that you have and tell the
reasonable expectations that you can have regarding the final
The method of inserting and positioning your implant will depend
on your anatomy and your surgeon's recommendation.
Working through the incision, the surgeon will lift your breast
tissue and skin to create a pocket, either directly behind the
breast tissue (submammary or subglandular placement) or may be
placed beneath the pectoral muscle and on top of the chest wall
(submuscular placement). Once the implant is positioned within
this pocket, the incisions are closed with sutures, skin
adhesive and/or surgical tape. A gauze bandage may be applied
over your breasts to help with healing.
There are three choices about where to make the skin incisions
for breast enlargement. They can be in the breast fold (inframammary),
around the nipple (periareolar) or underneath the armpit (transaxillary).
These incisions can all produce scarring ranging from excellent
to poor. Although patients may voice some initial concerns about
the location of their scars, they are ultimately far more
concerned with the final shape and size of their breasts.
Our Medical Team finds the periareolar
incision particularly useful in some Asian and African patients
with higher risk of keloid scarring but the nipple-areola must
be at least 4.0 cm in diameter. Furthermore, the periareolar
incision also allows one to perform the full Benelli breast lift
or nipple lift where this may be indicated in mildly droopy
Transaxillary (armpit) incision carries high risk of cleavage
problems (too much gap) and is reserved for a few select
patients with small chest wall.
The transumbilical (belly button) incision popularized by the
Fox reality show Dr 90210, is ONLY reserved for the use of
saline implants. As we are not huge fans of saline implants due
to extremely high risk of problematic "rippling" we do not favor
the "belly button" incision.
Breast Implant Shape
The choice of implant varies from round to teardrop shapes. The
round implant comes in both low and high-profile varieties. The
shape variation is in the width and projection of the implant
for any given size.
are the differences between various breast implants in
There are a number of questions you need to ask your surgeon in
regards to the breast implants that you will have.
The spectrum of breast implants available to the surgeon can
therefore provide great versatility in achieving a more natural
The majority of patients in our experience elect to have
Since our surgeon prefer placing the implant in a submuscular
pocket in most patients, implant edge visibility in the upper
pole of the breast can be avoided. The round implant tends to be
ideal for those patients with well-shaped natural breasts who
desire a straightforward enlargement.
Use of the teardrop (anatomical) shape depends on the patient's
desire, as well as her breast shape.
In general, there are two groups of women who benefit from
teardrop-shaped breast implants. It can be the good choice for
women who have droopy or tuberous breasts. Mild elevation of the
nipple in relation to the breast mound can be achieved without
the need for extra scars on the actual breast (unlike breast
lift scars). In these cases, the implants will be inserted in a
subglandular or subfascial pocket (under the breast tissue). In
moderate to severe cases of droopiness, breast lift MUST be
performed in order to restore aesthetic shape at the same time
as breast augmentation.
Secondly, some patients specifically want less fullness in the
upper quadrant. Teardrop breast implants certainly offer less
fullness in these particular situations. It should be noted,
however, that this request tends to be very personal, as most
women are seeking breast augmentations in order to obtain upper
pole fullness. It should be noted that teardrop or anatomical
implants do have tendency, estimated at about 10 percent, to
rotate. Unfortunately, this problem can only be corrected by
secondary surgery. With a
round-shaped implants you will avoid this problem.
Breast implant size is one of the most important decisions in a
breast augmentation procedure. Because of this, a good surgeon
will take several approaches to help the patient make the best
decision based on their anatomy, personal preferences and the
appearance they wish to achieve. In general, attractive breast
augmentation should be in proportion or slightly out of
proportion to the woman's overall body shape.
In a recent survey, over 80 percent
of patients undergoing breast augmentation stated an average to
full C-cup was their desired postoperative goal. D-cup was the
second most popular request. Small C-cup is the third commonest
followed by full-D and Double D cups.
Final breast implant size is a complex function of the
elasticity of patient's skin
envelope., chest wall diameter and implant dimensions but most
importantly preexisting breast volume.
Unfortunately, breast implants do not come in cup sizes. Rather,
they are categorized by the volume of gel that they are designed
to hold. There are several reasons for this. First, the
final cup size will be partially determined
by the preoperative breast size, and every patient is different
in this regard. Second, a C-cup from one bra manufacturer is not
necessarily the same as a C-cup from another manufacturer.
Although every woman is built
differently and bras are not manufactured to a set standard, it
can be expected that a B-cup implant size is approximately 250g
(cc) or C-cup is 330cc in a woman of average height and average
build. That number will ordinarily be higher if the woman is
tall or has broad shoulders. Similarly, if the patient is
shorter than average or has a narrower chest, that number can be
expected to be slightly lower. Although a desire for a certain
cup size is helpful in guiding the patient in the selection of
the proper breast implants, the surgeons find it is more helpful
to focus on the desired shape and appearance that patient wishes
The next consideration is where to place the breast implant - on
top of or behind the muscle. In general, our surgeons prefer to
place breast implants
behind the muscle so they are partially covered. They find the
pectorals muscle allows a smooth
takeoff from the chest wall. If put directly on top of the
muscle the breasts can look like rounded balls on the chest,
which is another definite giveaway. It is also their opinion
that placing the implant under the
muscle will, in the long run will have impact on breast
droopiness. Also for older women that need breast screening, it
seems behind muscle placement is superior from a mammogram and
ultrasound imaging point of view.
with mild droopy (ptotic) breasts, our surgeons use the
dual-pocket technique of dissecting both on top of and
underneath the pectoral muscle, but inserting the breast implant
behind the muscle.
In rare cases of moderate droopy breasts where the patient does
not wish to undergo a breast lift
procedure for fear of scaring, our surgeons will consider full
placement of implant on top of the muscle. This pocket is
referred to in the plastic surgery literature as ‘Subglandular”
or “subfacial”. Generally speaking is a relativity painless
pocket with excellent short term benefits but in their opinion
far less long-term advantages compared to the “Submuscular” or
“Subpectoral” pocket placement.
Our surgeons use very commonly the cohesive silicone-gel
and rarely the saline-filled breast implants. The new generation
silicone-gel breast implant is very safe and generally feels and
looks more like a natural breast.
The gel usually comes in low and high cohesiveness (soft touch
or firm touch), and you should ask your plastic surgeon for
different samples at the time of the consultation so that you can
make the most informed choice possible.
Currently there are five main Implant manufacturers in the
• Allergan-McGhan (USA)
• Mentor (USA)
• ISD (USA)
• Eurosilicone (France)
• Silimed (Brazil)
All the implants we use are approved by the U.S. Food and
Drug Administration (FDA).
Duration of the operation
The Procedure usually takes one to two hours to complete.
Local anaesthesia and complementary sedation, or general
You're likely to feel tired and sore for a few days following
your procedure, but you'll be up and around in 24 to 48 hours.
Most of your discomfort can be controlled by medication
prescribed by your doctor.
Within several days, the gauze dressings, if you have them, will
be removed, and you may be given a surgical bra. You should wear
it as directed by your surgeon. You may also experience a
burning sensation in your nipples for about two weeks, but this
will subside as bruising fades.
Your stitches will come out in a week to 10 days, but the
swelling in your breasts may take three to five weeks to
Post Op Follow up
In Sensual Body Dream the strictest norms of quality are
followed, that go beyond the intervention. For that reason
detailed postoperative controls are made, so the patient feels
safe and accompanied. During your stay you will have several
consultations, to check that the process follows the natural
course and to ensure you that can leave Bolivia without any
problem once in your country.
Note: The information offered in this Web site is directed to
support and not to replace the relation between you and your
3400 $US / 2765 €
Included in the price:
- The Surgical
- Stay in Clinic
nights in a
- Complete Haematology Tests before
- Pre and Post-operative
- Clinical Professional Insurance
- Professional insurance of surgeon
- Transportation (Individual
Airport + Transportation to and from all
- Bilingual Assistant
- A Free Consultation at Dental