Breast lift and Breast Augmentation .
Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breasts. It is the second most popular cosmetic procedure in the United States after liposuction and it is also the second most popular in Colombia after Liposuction.
There are many reasons a woman may pursue breast augmentation:
Breast augmentation is among the plastic surgery procedures with the highest patient satisfaction ratings. Many women that have passed through a Breast augmentation experience, have an immediate improvement in their self-esteem and find greater access to different clothing styles and fashions following breast augmentation.
Dr Pavajeau approach is to individualize treatment to your specific circumstances and goals and to ensure that you have an adequate understanding of the issues involved if you are planning to come to Colombia for Breast augmentation, so that you are able to make a fully informed decision. Dr. Pavajeau invites you to visit his office for a complimentary consultation to discuss the procedure in greater detail. You are also invited to email Dr. Pavajeau with your questions, or we can mail you more detailed information regarding the procedure.
Accurate preoperative sizing, with silicone special sizers gives Dr Pavajeau an emphasis on achieving a natural feel and appearance, and the prevention of complications such as capsular contracture.
One of the most important decisions you will make is choosing your surgeon. Our pledge to you is to provide the latest, state of the art cosmetic plastic surgery in a safe and professional environment. Dr. Pavajeau is a recognized specialist in the field of plastic surgery in Colombia and is board certified by theColombian Board of Plastic Surgery SCCP. He is also an active member of ISAPS International Society of Aesthetic Plastic surgery and has been named among "Colombia Top Plastic Surgeons" .
Our well-trained staff will help you understand your procedure, the scheduling of your surgery, and your post-operative care Dr. Pavajeau is also available 24 hours a day to post-surgical patients; he will give you his cell phone number after surgery so that you will always be able to reach him with any questions or concerns you might have during your recovery. Our goal is to provide you with the ultimate patient experience.
After reviewing your medical history, Dr.Pavajeau will discuss your concerns, priorities and motivations for pursuing plastic surgery, as well as your fears. After examining you, Dr. Pavajeau will be able to offer options to help you achieve the appearance you desire. He will explain the advantages and disadvantages of the different options you have. You will also be shown the different types of breast implants, and you will have the opportunity to try on breast implant sizers with a soft surgical bra during your preoperative appointment. This will enable you to visualize how you will appear following your surgery and will assist you in selecting the proper size implant to meet your expectations.
During your initial consultation, Dr. Pavajeau will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking Breast plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure.
At the completion of your consultation, you will be given a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo surgery is a very important one, and the final decision should be given very careful consideration. Dr. Pavajeau realizes the importance of this decision, and at no time will you be pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation.
Breast implants come in many different types, and they may be placed through different incisions and in different locations. Once you have decided to undergo augmentation, there are three main choices you must make — incision location, implant type and size, and whether or not the implants will be placed above or below the muscle of the chest wall. Dr Pavajeau uses periareolar incision because this incision gives the best scar. And 90 % of the patients , implants will be placed under the muscle.
Silicone Gel vs. Saline Filled Implants Breast Implants
After 15 years of intensive research, the new silicone gel implants were approved by the FDA in November 2006 and continue to be studied. To date, there have been numerous studies involving over one million women with the new silicone gel implants, and these studies clearly show no link between silicone gel implants and any type of disease. Saline implants do not feel the same as silicone. And can deflate with time.
Silicone gel implants have an advantage in some patients because of their softer, more natural feel. In fact, many women who have saline or the older type of silicone implants are now having them replaced with the new silicone gel implants.
Smooth vs. Textured Surface Breast Implants.
Both saline and silicone breast implants may have a smooth surface or may have a rough, textured surface. The textured implants were produced in the hopes that they would decrease the incidence of forming scar tissue around the breast implant, also known as a capsular contracture. This does appear to be effective in reducing the risk of developing a capsular contracture, but only when the implant is placed above the muscle of the chest wall. Textured implants have never been shown to provide any advantage over smooth implants when placed beneath the muscle of the chest wall.
Textured implants also have their own disadvantages. Textured implants are manufactured by taking a smooth implant shell and applying the texturing to the outer surface. This texturing process makes the shell slightly thicker and more stiff, which translates into a breast implant that is more visible through the skin and is more easily felt when the breast is touched (rippling).
Round vs. Anatomically Shaped Breast Implants:
Breast implants are available in a round or anatomical shape. Most breast implants used today are round in shape and are available in three different profiles- moderate, moderate plus, and high profile. There are also implants which are teardrop shaped, called anatomical implants. These were created in an attempt to better simulate the shape of the natural breast. In certain cases these may be recommended, but ALL anatomical implants are textured, with the accompanying disadvantages of textured implants.
The incision for breast augmentation may be placed underneath the breast, around the areola (the pigmented skin surrounding the nipple), in the armpit, or in the belly button. Dr. Pavajeau performs only periareolar incision.
Subglandular vs. Partially Submuscular vs. Totally Submuscular Implant Placement
Breast implants may be placed beneath the tissue of the breast (subglandular), or may be placed even deeper, beneath the muscle of the chest wall (totally submuscular). There is also a partially submuscular placement that some surgeons use, meaning that the implant is placed beneath the pectoralis major muscle only, leaving the outer, lower 1/3 of the implant not covered by muscle tissue. The decision is a very individual one, and it is determined by the natural shape of your breasts and chest wall muscles.
Whenever possible, Dr. Pavajeau prefers to place the implants in a totally submuscular position. Dr. Pavajeau believes that the advantages of placing the implants completely beneath the muscle of the chest wall will give the best the long-term appearance of your breasts following augmentation. Mammography is also easier and the quality is better when the breast implant is separated from the breast tissue by the layer of muscle. In the submuscular position there is a lower incidence of capsular contracture .Capsular contracture occurs when the body produces scar tissue around the implant. This may change the shape of the implant and make the breasts asymmetric. Finally, placing the implants beneath the muscle of the chest wall makes your breasts appear more natural because there is more of your own tissue covering the implant, making it less likely that you will be able to see or feel the implant.
Choosing the Proper Implant Size
This is one of the most important decisions you will make. Because of this, we use several approaches to help you make the best decision based on your anatomy, personal preferences, and the appearance you wish to achieve.
As implant size increases, so does the diameter of the implant. There is an implant that will perfectly match the diameter of your natural breast, and that is a good starting point for discussion. Choosing an implant smaller than your natural breast shape will not provide the proper cleavage and shape following the procedure, and most commonly results in a large gap between the breasts. Similarly, choosing an implant too large for your natural chest shape is more likely to give you an unnatural appearance.
Unfortunately, implants do not come in cup sizes. Rather, they are categorized by the volume of filler (saline or silicone gel) they are designed to hold. There are several reasons for this. First, your final cup size will be partially determined by your preoperative breast size, and everyone is different in this regard. Secondly, a C cup from one bra manufacturer is not necessarily the same as a C cup from another manufacturer. If you are tall or have broad shoulders, you can expect that your implants should be slightly higher. Similarly, if you are shorter or have a more narrow chest, you can expect that the breas implants to be slightly lower.
During your consultation Dr Pavajeau will have you try on various implant sizers in a surgical bra.. We usually perform the trying on of breast implant sizers during the preoperative visit. We also understand that many patients travel a long distance for a consultation with Dr. Pavajeau. With that in mind, we are willing to be as flexible as possible with out of town patients and allow the trying on of implant sizers during the initial consultation.
Using these three approaches, you will be able to accurately select the implant that will give you the appearance you desire. When asked about size post-operatively, over 95% of our patients feel they chose the right size implant to achieve the appearance they envisioned. The remaining few state that they might have gone larger if they were to choose again. We almost never hear that a patient wishes they had chosen a smaller implant. Therefore, if you are debating between two sizes, it is probably a better decision to opt for the larger size.
Hopefully the above information has helped to clarify some of the issues surrounding breast augmentation. Our goal and the measure of our success is your happiness.
Where Your Procedure Will Be Performed
Dr. Pavajeau performs surgery in fully accredited facilities with the proper services and staff. The staff of these facilities are very experienced in the care of plastic surgery patients in general and specifically in the care of Dr. Pavajeau' s patients.