Mammaplasty

What is Mammaplasty?

Mammaplasty is a surgical procedure designed to enhance, reduce, or lift the breasts, improving their shape and proportion. Tailored to each patient's needs, this surgery enhances natural beauty and aesthetic balance of the body.

Dr. Segovia employs advanced techniques to personalize each procedure, respecting the unique anatomy of each patient and achieving results that feel natural and harmonious with the rest of the body.

Types of Mammaplasty

There are different techniques depending on the goals and needs of each patient:

Augmentation Mammaplasty

Designed to increase the size and improve the shape of the breasts through the use of implants or autologous fat. This technique is ideal for:

• Increasing natural breast volume
• Restoring volume lost after pregnancy or weight loss
• Correcting congenital breast asymmetries
• Reconstructing the breast after a mastectomy
• Improving overall body proportion

Reduction Mammaplasty

Focused on reducing the size of large breasts that can cause physical and emotional problems. Benefits patients who experience:

• Back, neck, and shoulder pain
• Deep grooves in the shoulders from bra straps
• Skin irritation under the breast folds
• Limitations in physical activities
• Insecurity or discomfort due to breast size

Mastopexy (Breast Lift)

Procedure to lift and reshape sagging breasts, repositioning breast tissue and removing excess skin. Indicated for:

• Counteracting the effects of gravity and aging
• Correcting breast sagging after pregnancy or breastfeeding
• Lifting breasts that have lost firmness after significant weight loss
• Repositioning nipples and areola to a more youthful height

Combined Procedures

In many cases, techniques can be combined to achieve optimal results:

• Augmentation with lift (to add volume and correct sagging)
• Reduction with lift (common in most reductions)
• Mammaplasty as part of a "Mommy Makeover" (combined with tummy tuck and liposculpture)

Breast Implant Options

For augmentation mammaplasty, there are various implant options:

According to material:

• Silicone gel implants (offer a more natural feel)
• Saline implants (filled with sterile saline solution)
• Cohesive gel or "gummy bear" implants (maintain their shape even if ruptured)

According to shape:

• Round (ideal for greater projection in the upper part of the breast)
• Anatomical or teardrop-shaped (mimic the natural slope of the breast)

According to texture:

• Smooth (uniform surface, move naturally with breast tissue)
• Textured (designed to reduce the risk of capsular contracture)

The Mammaplasty Process

Initial Consultation

The journey to renewed breasts begins with a personalized evaluation:

• Detailed analysis of breast and chest anatomy
• Discussion about expectations and aesthetic goals
• Review of medical history and family background
• Explanation of available surgical options
• Taking measurements and photographs for surgical planning
• Implant sizing and result simulation (in augmentation cases)

Preparation for Surgery

To optimize results and minimize risks:

• Complete preoperative exams including mammogram if applicable
• Stop smoking at least one month before
• Avoid blood-thinning medications and specific supplements
• Arrange support for the immediate postoperative period
• Prepare comfortable clothing and special bras for postoperative care

During the Procedure

Mammaplasty typically:

• Is performed under general anesthesia
• Takes between 1-4 hours depending on complexity
• Involves carefully planned incisions to minimize visible scarring
• May require temporary drains in some cases
• Ends with meticulous closure of incisions and placement of bandages

Incision Locations

Depending on the type of mammaplasty, incisions may be located:

• In the inframammary fold (under the breast)
• Around the areola (periareolar)
• Vertical from the areola to the inframammary fold
• "Anchor" pattern (common in large reductions)
• In the armpit (for some augmentation cases)

Recovery

After the procedure:

• You'll experience greater discomfort and swelling during the first 48 hours
• You'll wear a surgical bra or compression bandages for several weeks
• You can resume light activities in 7-10 days
• You'll avoid lifting heavy objects for 4-6 weeks
• You'll gradually return to full physical activity as medically directed
• You'll have regular check-ups to monitor healing

Results and Expectations

The results of mammaplasty:

• Are visible immediately, although with initial swelling
• Improve as inflammation decreases during the first 3 months
• Include scars that gradually fade over time
• Are long-lasting, but can be affected by future pregnancies, weight changes, or natural aging
• Usually significantly improve quality of life and confidence

Important Considerations

Mammaplasty and sensitivity

It's common to experience temporary changes in sensitivity:

• There may be numbness or hypersensitivity in the nipples
• Sensation usually gradually returns in 3-6 months
• In some cases, especially in large reductions, there may be permanent changes

Breastfeeding after mammaplasty

An important topic for women of reproductive age:

• Most modern techniques preserve milk ducts
• Many women can breastfeed after breast augmentation
• Breast reduction may reduce breastfeeding ability, depending on the technique
• It's essential to discuss future pregnancy plans with Dr. Segovia

Implant longevity

For patients with implants:

• Modern implants do not have a predetermined expiration date
• Periodic evaluation via ultrasound or MRI is recommended
• Some patients choose to replace them after 10-15 years for aesthetic reasons
• It's important to know the signs of possible complications

Safety and Possible Complications

Like any surgery, there are potential risks that Dr. Segovia will discuss in detail:

• Infection or hematoma (blood accumulation)
• Changes in nipple sensitivity
• Asymmetry or unsatisfactory aesthetic results
• Capsular contracture (in implant cases)
• Abnormal scarring

Dr. Segovia implements rigorous protocols to minimize these risks and ensure the best possible experience and results.

Why Choose Dr. Segovia for Your Mammaplasty?

Dr. Segovia's approach to mammaplasty is characterized by:

• Personalized evaluation that considers your unique anatomy
• Meticulous planning for natural and harmonious results
• Use of advanced techniques to minimize scarring
• Comprehensive care throughout the pre and postoperative process
• Combination of surgical precision with refined aesthetic vision

Who is a Good Candidate?

Mammaplasty is ideal for women who:

• Are in good general health
• Don't smoke or are willing to quit smoking before and after surgery
• Have realistic expectations about results
• Are not pregnant or breastfeeding
• Experience dissatisfaction with the size or shape of their breasts
• Have physical problems due to breast size (in case of reduction)

Conclusion

Mammaplasty is much more than an aesthetic procedure; for many women, it represents a transformation that positively impacts their quality of life, self-esteem, and physical well-being. Whether increasing, reducing, or lifting the breasts, this surgery can help restore body harmony and self-confidence.

With Dr. Segovia, each mammaplasty is performed with a personalized approach that prioritizes natural, safe, and lasting results. The combination of surgical expertise, aesthetic vision, and attention to detail allows for breasts that not only look beautiful but feel in perfect harmony with the rest of the body.

If you're considering mammaplasty, we invite you to schedule a consultation to evaluate your goals and design a personalized plan that responds to your specific needs.