PRESERVE Breast Augmentation Technique

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 looking for a natural result, it is advisable to opt for an anatomical implant, since the appearance will be more similar to that of a non-operated breast.

Of course, we take into account your personal preferences regarding size (without exceeding the maximum recommended) and a more natural or more pronounced neckline.

“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 broken, 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 anything that has not broken. Remember to have your ultrasound every year and keep in touch with us for your check-up.

In most cases, the approach to inserting breast implants will be through the inframammary fold (below the breast crease), with an incision size of 2,5 to 3 cm. It can also be done through the areola. In either case, we will treat your scar with laser treatment and reduce it by 30% so that no one will notice it.

With a 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.

For the first month, you don't do any exercise, but that doesn't mean being inactive: from day 3 , raise your arms overhead and retract your shoulder blades for 30 seconds once an hour, and walk for 30 minutes a day; from day 7 , resume normal arm movements. After a month, you can resume gentle and progressive cardio—running, swimming, cycling—and isometric exercises that don't involve the pectoral muscles. Heavy isometric pectoral exercises are the only thing that waits six months ; once the implant is in the subfascial plane, you can start them after a month.

Although recovery is the fastest of all those described and patient discomfort can be very controlled or limited, it is advisable to avoid lifting excessive weight in the arms during the first week. This will prevent overloading the pectoral muscles that were affected during the procedure.

Once the first week has passed, we can gradually increase the loads and start lifting weights higher than 1kg , which is the maximum weight that can be lifted during the first week.

We can start considering picking up our children, provided they don't weigh more than 11 kg. To pick them up, we should do so without overusing our pectoral muscles. That is, we should lower our entire body as a unit, bending our knees and hips, pick up the child, and gently lift upwards, bearing the weight with our lower body, or in other words, with our legs, which will extend, instead of using our upper body.

Another option for being able to hug and hold our children after the first week of post-operative care is to sit in an armchair and let the child come to us and climb or crawl . Another person can also help by placing the child on our lap, so we don't have to lift them from the floor or into our arms.