Second breast operation

It is a surgery performed when a patient has already undergone previous breast augmentation, reduction or lift surgery and wishes to correct, improve or adjust some aspect of the previous result, whether aesthetic, functional or both.

The most common reasons are:

• Changes over time (pregnancy, breastfeeding, weight variations)

• Implant displacement

• capsular contracture

• Desire to change the size or shape of the breasts

• Asymmetries or results that no longer match the patient

Each case is different and always requires a personalized assessment.

Yes. In a breast augmentation or implant replacement, our goal is to improve the size and shape of the breast, which is why it is essential to seek proportion with the rest of your physiognomy. For this reason, we carry out a prior study and three-dimensional simulation, testing different types of prostheses until we find the one that best fits your anatomy.

Yes. With the “24h Laser Recovery” technique, you will leave the operating room directly with a bra, without the need for drains or bandages, and you will be able to return to your basic daily activities within 24 hours. Although you will feel fine and lead a normal life, we recommend taking 4-7 days off work to ensure recovery and not subject the body to unnecessary stress.

Yes. We use “TIVA” (Total Intravenous Anesthesia), a new technique that does not use anesthetic gases and will not cause headaches, vomiting or nausea. It is the safest anesthetic technique at present, with which you will be fully monitored and controlled. In addition, we have had our own anesthesiologist on our team for more than 10 years.

Yes. Prostheses can be round or anatomical. Depending on your preferences and your physiognomy, we will use one or the other.

Yes. We do this for greater safety because this way we can monitor you in the hours after the procedure and administer intravenous antibiotics (more effective). The next morning Dr. Sordo will visit you to check on your progress and, if everything is okay, he will discharge you from the hospital.

Yes. Breast augmentation surgery does not affect breastfeeding, the quality or quantity of milk produced by the breast. The breast prosthesis is placed behind the pectoral muscle and does not come into contact with the mammary gland, so it will not affect breastfeeding.

Yes. It is important that you inform the radiologist that you have breast implants, so that the appropriate procedures can be performed.

These are the factors we consider when choosing one implant or another:

• If the patient is not thin and has a significant amount of skin and fat in the upper part of the breast, there will be no difference between the two prostheses. It will make no difference whether a round implant or an anatomical one, since they will look the same from the side.
• If the patient is thin, it will be noticeable from the side which type of implant she has chosen, since the round prosthesis will give a more marked transition at the beginning of the prosthesis, at the top.
• If the patient has an underlying abnormality in the shape of her breast (tuberous breasts, for example), it is recommended that she select an anatomical implant, with the aim of normalizing the shape of her breast as much as possible and giving it a more natural appearance.
• If the patient is not thin and has a significant amount of skin and fat in the upper part of the breast, there will be no difference between the two prostheses. It will make no difference whether a round implant or an anatomical one, since they will look the same from the side.

“TIVA” (Total Intravenous Anesthesia) is a high-quality anesthesia. Its innovative technique avoids the use of anesthetic gases and the well-known headache, vomiting, nausea and discomfort that anesthetic gases can cause.

This is a type of anesthesia that requires more dedication from the professional than common anesthesia with gases, but it greatly increases the well-being and safety of the patient. In our clinic we have our own anesthesiologist and we take the utmost care of these types of details.

The patient is monitored throughout the intervention with the so-called BIS (Bi Spectral Index) that measures sleep constantly.

Even when it comes to general anesthesia, our patients' experience with TIVA anesthesia has been excellent thanks to Dr. Bourgeois, a highly experienced professional who has mastered the technique perfectly.

No, no implant needs to be replaced unless it is ruptured, which can easily be checked with an annual ultrasound.

The average lifespan of the highest-end implants (the ones we use) is around 20 years.

There is no need to replace what is not broken. Remember to have your ultrasound every year and stay in touch with us for your check-ups.

In most cases, the approach to introduce breast prostheses will be via the submammary groove (under the breast groove), with the incision size being approximately 4 cm.

It can also be done on the areola. In any case, we will treat your scar with laser and reduce it by 30% so that no one will notice it.

At Dr. Sordo's clinic we treat scars so that they are minimal, regardless of the approach point.

Once the breast augmentation surgery is over and you are still under general anesthesia, we will apply our scar laser. This is an operating room laser that reduces the scar by up to 30% by activating the healing process at that very moment.

With few exceptions, the implant will be placed under the pectoral muscle.

This is the safest and most comfortable option for the implant and the patient.

You will be able to do light exercise four weeks after the operation as long as you do exercises that do not involve pectoral activity and do not produce vibrations in them.

Three months after breast augmentation, you can introduce more exercises into your routine, such as running, swimming or cycling.