Breast Enlargement in Malaga

Dr. Maribel Ruiz is a specialist in Plastic, Aesthetic and Reconstructive Surgery. She obtained her doctorate (doctoral degree) at the Carlos Haya regional hospital in Malaga and has more than 20 years of experience in this type of plastic surgery.

Breast enlargement surgery is performed in a hospital of the highest standard in Malaga.

Dr. Maribel Ruiz will offer a free consultation to examine the patient’s breasts and will explain the various options that best suit the patient and discuss the necessary surgery, and explain what the final shape and size of the breasts Will look like after the healing process.

After the patient has decided on all aspects, and has booked surgery, Dr. Maribel Ruiz, a specialist in Plastic and Aesthetic Surgery, will perform the breast augmentation under general anesthestic in a clinic or hospital in Malaga. The procedure lasts approximately 2 hours.

Silicone gel implants offer a natural result, especially to the touch and when palpated, because they have a very similar consistency to that of the mammary gland.

The silicone gel can have different densities, such as that of the feel of the breast of a woman around thirty or the new dense gel called «cohesive» with a similar feel to that of the breast of a woman younger than that.

Silicone gel breast implants can be round or anatomical.
Round implants are uniformly convex at the front and contain a soft gel that is designed to slide downward when the woman stands.

Anatomical implants resemble the shape of the breast (with a more projected lower part of the breast) and generally contain a more cohesive gel. These implants are often chosen because they are available in many of the models that the Mentor brand offers.

Round

Round implants contain a silicone gel of moderate density that moves when the woman’s position varies, thus giving a very natural appearance both in movement, and in sight and touch. Being uniformly rounded, they do not present particular positioning problems. They are available in different levels of projection (low, medium and high).

Anatomical

Anatomical (teardrop) implants offer natural results thanks to their shape, which is similar to that of the natural breast (referred to as teardrop-shaped). They have a high-density cohesive gel that remains compact without diffusing into the tissues in the evento of implant rupture. There is a wide availability of models adaptable to almost any individual.

In case of rupture of the anatomical prosthesis, the cohesive gel remains very compact, without any tendency to migrate towards the neighboring tissues. In addition, with the condition known as tubular breasts and those that need a greater filling of the lower part of the breast, anatomical implants offer better chances of success thanks to their shape, with greater volume and projection in the lower part of the breast.

Regarding the balancing of size (volume), it is the difference in the shape of the implants that determines the final appearance of the breasts: implants with a high profile giving a greater projection, anatomical implants make the lower pole more prominent, whilst round implants cause a visual effect of less filling, but of greater extension. These differences are more evident in the implants placed behind the gland, while they are less evident in those placed behind the muscle.

It is important to understand that the larger the implant, the more likely it is for gravity to have a negative effect and see the implant drop over time because heavier breasts have more tendency to drop downwards over time.

Dra. Maribel Ruiz will explain to the patient what can happen if an inappropriate size of implant is chosen. To do this, she will explain how to classify the breasts according to the cup system (AA, A, B, C, D, DD) and will show you real photos of patients. The dimensions of the implants must be chosen according and within the limits of the individual’s size, shape and frame.

Insertion of the implants is performed by making a small incision to the skin of 4-5 cm (depending on the size of the implants) and they can be inserted in the following ways:

Through the inframammary fold: This is the most common way to insert cohesive gel anatomical (teardrop) implants. It allows the implant to be inserted directly from under the breast avoiding damage to the glands, therefore reducing the risk of not being able to breastfeed after surgery. By making the insertion here, it is disguised by the natural fold that is under the breast, the scar looks similar to that fold so is not very noticable. When the patient is standing, it is completely invisible and is only potentially noticeable when she is laying down, when looking from below.

Through the areola: This incision can be done with almost all patients, except for those who have an areola that is too small.

Through the armpit: The incision of the implant through the armpit leaves the scars located outside the breast area.

Inserting the implant behind the gland is the simplest and fastest way to perform breast implant surgery. It gives the least amount of post surgery pain, whilst still allowing good mobility of the breast immediately after surgury. The recovery period is faster and, in addition, the muscular contractions will normally affect the appearance of the breast the least. This is the ideal option for patients who want to go from a medium size (for example from a B cup), to one size larger (for example to a C cup).

Behind the muscle is more suitable to patients with a slimmer build and where the outline of the implant would be more visable under the skin where the subcutaneous tissue is very thin. This type of surgery is used in patients who are less active or who will avoid intense physical activity with the arms and pectoral muscles.

Dr. Maribel Ruiz uses Mentor prosthesis (implants), which is a market leading brand and are trusted for their quality and durability.

The exact lifespan of the implants cannot be determined beforehand. They can last up to 15 years or even longer.

In the event that an implant is found to be deformed or if an implant ruptures, Mentor offer a lifetime guarantee. In these cases, Mentor will provide you with new implants free of charge. If in the future there are complications such as capsular contracture, the brand guarantees to provide new implants up to 10 years after surgery.

Breast augmentation is a safe technique. The implantes are made of materials that are fully compatible with the body and are generally accepted by the body’s tissues. In some patients, for unknown reasons, the implants can move from the correct place and need to be repositioned by the surgeon.

On very rare occasions, capsular contracture occurs. This is when the scar tissue around the implant contracts too much, making the breast feel hard. If this happens, another surgery is necessary.

After breast enlargement surgery in Malaga, the patient will be bandaged to support the breasts and these bandages will be removed a few days later. It is advisable to book at least one week off work and rest at home. It is also advisable not to move your arms too much (do not drive, do not pick up or hold children in your arms and do not lift any weight, etc.). The patient can return to work shortly after surgery (depending on how recovery is going.

After surgery, difficulty with movements of the torso and arms, the initial pain (especially with implants inserted under the muscle), swelling and bruising usually occur. However, these will gradually improve over the following 20 to 30 days.

It is important to continue with routine mamogramms appropriate to your age and let the doctor performing the mammogram know that you have had breast implant surgery. If in the future a
patient wants to breastfeed, breast augmentation will not affect breastfeeding.

After surgery it is advisable to refrain from any sporting activity for at least 2 weeks. Afterwards it will be possible to resume sport gradually. If the implants have been inserted behind the muscle, it is preferable to avoid exercises involving the arms and upper body for three months.

The scars of this procedure are generally very discreet. Scarring varies from patient to patient and some patients heal better than others. However, in practice our patients rarely scar badly. If during the healing process the scar opens or widens a little, a simple re-intervention under local anesthetic can be done to close or tighten the scar.

In order to prevent scarring of an excessively dark color, it is recommended to avoid exposing the scar to ultraviolet rays, for at least until 4-6 months after the surgery.

Assuming the patient is a suitable candidate for breast augmentation surgery, is in good health and the skin has adequate elasticity, there is no age limit for this surgery.

It is preferable that at least 6 or 7 years have passed since the first menstruation and that the breasts have not increased in volume for at least two years.