There are many reasons why an individual may choose to have breast augmentation, these range from mainly cosmetic reasons to medical and psychological reasons as well. With various methods available, one can choose between using prosthesis to alter the size and shape of their breasts, known by the term breast mammoplasty, augmentation mammoplasty, or the commonly used slang term “boob job”. There is also fat grafting, although an option, it is not frequently used to enhance the breasts due to the large amounts of fat that have to be moved in order to fill certain areas and there is typically not sufficient fat available in the body fat stores.

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There are two types of breast implants available in todays modern day plastic surgeries, the saline-filled and the silicone-gel filled implants, also commonly known as “gummy bear” implants. Silicone gel implants “feel” more natural, and are also shaped more naturally, there are “teardrop” shaped silicone gel implants that resemble a more natural shape. The implant itself has a very different surface that adheres better to the muscle walls inside the body. Depending on the candidate, Dr. Manuel N.V. explains in his no obligation consultation what type of implant is better and the type of pocket placement required. Not all human beings are alike, so no surgery is the same, and thus, each individual has a unique approach, there could be various types of incisions and placement of the implants, from the sub-muscular or sub-pectoral to the sub-fascial or sub-glandular. Dr. Manuel N.V. will evaluate your case and will recommend which type of implant and incision is better for your desired look and feel as well as your safety.

Breast lift cosmetic surgery (mastopexy) is a common, but more complex breast surgery enhancement procedure that raises and reshapes sagging breasts. It involves repositioning the nipple areolar complex to a location higher on the chest wall. The incisions are located around the nipple areolar complexes. The breast lift can be performed with or without the insertion of breast implants, although having a breast implant inserted when doing a mastopexy greatly enhances the whole procedure because it adds more fullness to the breast and that gives it a more youthful appearance, it will depend upon the anatomical factors and needs of the patient.

Dr. Manuel N.V. will take measurements of your breasts while you are upright (seated or standing) and then he will explain the different options available for the procedure.
Ptotic, or droopy breasts are a real concern for many women. Weight loss, a severe diet program, pregnancy, and breast-feeding can all contribute to the development of droopy breasts. Women with pendulous or droopy breasts of satisfactory, comfortable size are good candidates for a breast lift. The problem may be that the breasts lack substance or firmness, nipple areolae point downward, and nipple position is below the breast crease. The “pencil test” is a good way to determine eligibility—if a woman places a pen or pencil underneath her breast and the item stays in place without assistance, she would benefit from a breast lift.
The most common patient is one who has had two children and has breast-fed them. After pregnancy and breast-feeding, the top half, or superior aspect, of the breast loses some of its fullness due to involution of breast tissue. Some patients are luckier than others and actually develop fuller breasts after pregnancy, but this is rare. Breast-feeding is extremely important for the baby, and no woman should avoid this important part of the nurturing process just because it might affect the appearance of her breasts.

Breast reduction removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.
Overly large breasts can cause some women to have both health and emotional problems. In addition to self image issues, you may also experience physical pain and discomfort, both in your chest and your back.
The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as important an issue to many women as the physical discomfort and pain.

Also known as reduction mammaplasty, this procedure removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.
Depending on the needs of the patient, there are various techniques to achieve this, like the vertical keyhole incision, the inverted-T incision or the circular parareolar incision, Dr. Manuel N.V. will discuss all the options available to you during your FREE no obligation consultation. One very important issue is scarring after the procedure. Reduction Mammaplasty as well as Mastopexy can leave visible scarring on your breasts, and depending on your type of skin and the ability of your body to heal. Dr. Manuel N.V. utilizes special techniques to suture the incisions and performs after surgery follow ups and scar treatment to reduce the visibility and in most cases, after a 6 month post-op treatment, scars are almost invisible.