Breast Augmentation

Breast Augmentation Plastic Surgery in the Philippines

One of the defining characteristics of attractiveness, energy, and sexuality in the human form is the female breast. Many women wish to really have a chest line that is fuller bigger, and shapelier. Augmentation Mammaplasty, or breast Enlargement, demands the placement of an implant supporting the breast or the underlying chest wall muscle, enlarging the appearance of your natural breasts. Breast Augmentation enhances the breast volume and proportions of a woman who wants for personal motives, to attain greater size, better shape, and increased fullness of the breast, or better proportions of the figure.

When You Get Breast Augmentation Plastic Surgery in the Philippines You Can Save 50% to 80%

Save from 50% to 70% of what you would normally pay in the U.S for the same medical procedure. Yes, you read correctly. You’ll be able to save over half and up to 70% or in some instances, perhaps even as much as 80% of what you’ll pay in the U.S., Canada, Europe, Middle East or Australia for the same medical services at Beverly Hills Medical Group.

Breast Augmentation Plastic Surgery At Beverly Hills Medical Group – Asia’s Only U.S. Based Medical Center in the Philippines

For those discerning patients who expect U.S. standard medical care and facilities when they travel abroad, Beverly Hills Medical Group has opened a premier outpatient medical facility in Manila Philippines.  This facility, with its roots clearly imbedded in the U.S., is U.S. managed and operated and is Asia’s only U.S. based Medical Center.  Now with over 3 decades of experience with patients that travel abroad for surgery.  Beverly Hills Medical Group has provided Outpatient Medical Services in Cosmetic, Plastic and Reconstructive Surgery, Cosmetic Laser and Dermatology Procedures, Dental (General & Cosmetic), Gynecology Surgery, Podiatry, Orthopedic, and Urology.

Get Your Breast Augmentation Plastic Surgery Procedures Done In the Philippines with U.S. Trained Cosmetic Surgeons

Sure, you might be skeptical when you are talking about Philippine Doctors who might not be qualified or not have the necessary training.  But at BHMG, the medical staffs are U.S. and internationally trained Surgeons. Additionally, most of these same medical practitioners have graduate medical training in America, Singapore, Japan, Australia, or Europe. The over 100 medical practitioners at BHMG are experienced and board certified within their specialties making them among the most competent doctors on the planet.

Over a Million Very Happy Medical Tour Clients

With its 30 years of legacy clearly imbedded in Beverly Hills California and designed to meet both U.S. Department of Health and JCI requirements, BHMG is the world leader in Medical Tourism.  Find out why over 1,000,000 VERY HAPPY clients from over 102 countries worldwide have chosen us for their medical service requirements.  We look forward to being of service to you

Breast Augmentation Plastic Surgery at Beverly Hills Medical Group

Am I A Candidate?

Only you can decide if Breast Augmentation is a good option for you, and each patient has her own personal preferences and conception of what is “normal” and “beautiful” in a breast. BHMG’s Board Certified Surgeon will discuss your individual wishes regarding the change you seek in the shape and size of your breast, and he will individually design his surgical approach to respect and accommodate your desires. You are a good candidate for cosmetic Breast Enhancement if you have at least one the following conditions or characteristics:

  • You have always considered your breasts to be too small or under-developed
  • You feel that your figure is out of proportion because your small breasts make your hips appear wider
  • You feel that your small breasts limit your choices of flattering clothing or swim wear styles
  • Your breasts have lost volume after pregnancy or weight loss, or with aging
  • The upper part of the breast appears “empty”
  • Your breasts have a different size or shape from one another
  • ou have previously had breast implants, and are experiencing problems with them
  • One or both breasts failed to develop normally, or have an unnatural, elongated shape
  • Breast Augmentation has been performed for over 30 years in over 3 million women, and the surgical techniques and breast implants themselves have been continuously refined throughout this extensive experience, increasing the safety and reliability of the procedure.

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Your Consultation

The primary factors in assuring success of the procedure are thorough attention to detail during the pre-operative planning stage, meticulous attention to technique and implant positioning in surgery, and careful monitoring of the recovery process. Prior to making the decision to perform your breast surgery, BHMG’s Board Certified Surgeon will carefully evaluate your general health status and any pre-existing health conditions or risk factors which could compromise your surgical outcome or jeopardize your health. Detailed measurements of multiple, specific physical parameters of your breasts will be obtained, as well as assessment of the quality and quantity of your existing breast tissue, in order to determine the proper choice of breast implant and technique. In some cases, if there is excessive laxity or drooping of the breast, BHMG’s Board Certified Surgeon may suggest a breast lift or Mastopexy in addition to Breast Enhancement.

Proper correction of this condition (inadequate volume of breast tissue with excessive skin of the breast) requires a tightening of the skin envelope of the breast in addition to placement of an implant to add volume and firmness to the breast, and placement of an implant alone is generally insufficient in these cases. Photographs will be taken before and after surgery. As a baseline precaution, most patients will be required to have had a recent normal mammogram (within 6 months prior to the procedure), or we will arrange for a screening mammogram to be done prior to surgery.

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The Breast Implant

A breast implant is composed of an outer silicone rubber elastomer shell filled either with saline (physiologic salt water) or silicone gel polymer. Since 1992, the FDA has restricted the use of silicone gel implants, which are available only for patients meeting certain limited selection criteria based upon their physical examination, and who agree to participate in approved clinical trials.

The outer surface of the breast implant may be smooth or textured, and both saline and silicone gel implants come in various shapes and sizes to meet the individual woman’s needs and preferences.

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About silicone gel implants

The FDA placed a moratorium on the use of silicone implants in 1992 to further investigate their safety and effectiveness, both for Breast Enhancement, and for breast reconstruction. They have since been replaced by saline (salt water) implants as the primary option for most women desiring Breast Enlargement. There has been much discussion about the possibility of silicone (and in particular silicone gel) being related to autoimmune disease, such as lupus, scleroderma, and other arthritis-like conditions. Symptoms of these diseases may include fever, chronic fatigue, joint pain or swelling, or breast pain.

However, a large study of women with and without breast implants conducted at the Mayo Clinic showed that autoimmune disease occurred with the same frequency in both groups, and therefore does not appear to be caused by silicone gel implants. It is not known what causes these rare autoimmune diseases, seen in some middle-aged women.

If a silicone gel implant should rupture, the gel material is not absorbed by the body. Generally, if only the outer shell of the implant breaks but the tissue capsule surrounding the implant remains intact, there may be no noticeable change in either the shape or firmness of the breast, and no loss of volume. If, on the other hand (rarely), the body’s tissue capsule ruptures in addition to the implant shell rupture, the silicone gel may migrate into the surrounding breast tissue or elsewhere in the immediate vicinity, where a new layer of scar tissue may form around it. There may be a change in the shape of the breast, palpable nodules, pain, tenderness, or firmness of the breast in such cases. The age of the implant is directly related to the risk of rupture, as is direct injury to the breast. Rupture may not be detectable by mammography; other studies, such as MRI examination, may be required.

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Determining Implant Size and Shape

The shape of your augmented breasts depends on three factors:

1) the amount of existing breast tissue;

2) the quality of the skin envelope of your breasts, and;

3) the size and shape of the implant you choose.

Implants may be round or teardrop-shaped (“anatomical”). The choice depends on the look you want to achieve, and not all patients are suitable candidates for certain types of implants. Similarly, a patient should not be expected to believe that only one type of implant, or surgical approach, works in every case, and patients must retain a healthy degree of skepticism if a surgeon offers only one implant or one approach. BHMG’s Board Certified Surgeon will carefully examine your breasts and obtain detailed measurements of your breast and chest wall. Based on these parameters, and his extensive experience with the many available implant options, BHMG’s Board Certified Surgeon will help you to determine the best style and size of implant to achieve the result you desire. Patients must have realistic expectations of what the Breast Augmentation procedure can and cannot accomplish.

There are limitations to the degree to which a breast implant can produce a natural appearance of the breast. Women often think of breast size in terms of bra cup size. In general, the larger an implant required in order to produce the desired final breast volume, the less “realistic” or “natural” (appearing) an outcome to be expected.

Also, a disproportionate enlargement of the breasts with respect to the patients figure will generally result in an outcome that is less “subtle” or “natural”, which may or may not fulfill the patients preferences. If you are currently a size “A” and wish to be a size “C”, there must be adequate existing breast tissue coverage; otherwise you have a greater risk of palpable or visible implant edges. Likewise, if the existing skin envelope of the breast is tight, it may not be possible to place a very large implant in spite of a patients desire to do so, even though significant enlargement can usually be achieved.

On the contrary, if there is too much laxity of the breast skin envelope, a Mastopexy, or Breast Lift may be necessary, along with implants to add volume to the breast. Placement of an implant alone in such circumstances will not improve the appearance of the breast, and in fact may make the breast less attractive, since often a very large implant would need to be placed in order to take up the slack in the skin envelope, producing an excessively heavy, droopier breast. Anatomical implants tend to produce a gentle slope in the upper breast, and a somewhat fuller lower breast area. Round implants may be “moderate profile” or “high profile”, depending upon the ratio of implant volume (cc’s of fill) to diameter (base width) and height (projection). In general, round implants tend to create a fuller, more noticeable curvature, or even a slight “bulging”, in the upper part of the breast, depending upon the size of implant chosen and the existing “tightness” of the breast skin envelope. Both types of implants will increase the cup size (volume) of your breasts.

Another factor to consider prior to surgery is desired breast width, which determines the amount of “cleavage” between your breasts, and the outer curvature of your breasts, which you may want to balance with your hips. The width of the implant chosen will influence the cleavage and outer curvature characteristics of your breast after surgery. It is important to present your preferences and desires regarding your breast shape to BHMG’s Board Certified Surgeon, so that together, we can select the proper size and style of implant for you.

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The Procedure

Breast Augmentation is done on an outpatient basis in an ambulatory surgery center, usually under general anesthesia. There are a number of options as to the location of the incision, from which you and BHMG’s Board Certified Surgeon can choose, depending upon the individual variables of your breast anatomy and the type and size of implant we will use.

Individual patient variables are such that not every option is advisable or available for every patient. Each combination of variables (implant type, pocket placement, and incision approach) involves trade-offs of relative advantages and disadvantages. The incision can be made in the fold under the breast (infra-mammary), around the nipple (peri-areolar), or under the arm (trans-axillary, with endoscopic assist), and is kept as short and as inconspicuous as possible.

BHMG’s Board Certified Surgeon will choose the surgical technique and size and type of implant that will produce the best possible result to meet your individual desires. The implant can be inserted either under the breast tissue (“sub-glandular”), or partially under the pectoral muscle (“sub-pectoral” or “sub-muscular”). When the implant is placed in a sub-muscular position (under the breast tissue and the pectoral muscle), there is a lower chance of capsular contracture (shrinkage of the tissue capsule surrounding the implant, causing the implant and breast to feel unnaturally firm), and mammography may be more reliable.

There is also less risk of visible or palpable implant edges. However, placement of the implant above the muscle (directly under the breast tissue) may be advisable in certain cases, depending upon the thickness and laxity of your breast tissue, and its ability to cover the breast implant adequately. Once the desired pocket has been created, a temporary “sizer” implant is placed, in order to determine the proper shape and volume (size) of the final implant. During this stage, BHMG’s Board Certified Surgeon will evaluate your pre-operative photos and your desired post-operative breast size and shape, based on photographs you may have brought in for comparison, and on your pre-operative discussions with us. Then, the final implant is chosen, inserted, and properly positioned within the pocket, and carefully checked to insure that your breasts have the shape and size you anticipated pre-operatively. However, there can be no guarantee as to the final cup size, which varies depending upon the type of bra you may choose to wear.

Long-acting local anesthetic is used in the space around the implants to insure that you awaken after surgery with minimal pain or discomfort. The incisions are then carefully closed with multiple layers of hidden sutures and surgical tape. Except in the case of revision surgery on the breast for encapsulation or other problems, drains are never placed. You will then be placed in a soft surgical bra with a supportive wrapping around the chest. You will awaken in the recovery room with minimal pain, or mild-to-moderate muscular soreness similar to a strenuous work-out, when the implants have been placed partially behind the muscle.

BHMG’s Board Certified Surgeon will help you to decide which incision, pocket placement, and type of implant will work best for you, based upon your individual physical characteristics, at the time of your office consultation. BHMG’s Board Certified Surgeon will utilize the most advanced techniques in order to minimize your risks, optimize your result, and return you to normal, unrestricted activities as quickly and comfortably as possible.

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Risks

As with any type of surgery, there are potential risks and complications, such as adverse reactions to anesthesia, bleeding, infection, poor healing of the surgical scar, and pain. Post-operative bleeding or formation of a seroma (a collection of the watery portion of the blood around the implant), may require re-operation and drainage, and may be associated with an increased incidence of infection or capsular contracture. Infection of a breast implant is extremely rare, but may require removal of the implant for up to several months until the infection can be completely cleared and the implant can be re-inserted. Postoperative formation of a fibrous tissue capsule around a breast implant is a normal response of the body to placement of a foreign object in soft tissue. Capsular contracture is a process of gradual but aggressive shrinkage of this tissue capsule surrounding the implant, causing the implant and breast to feel unnaturally firm and sometimes painful. Capsular contracture is usually progressive, worsening with time, over the course of several months to years. This may result in asymmetry, making the breasts appear misshapen or out of position.

The occurrence or severity of this condition varies with each individual, although there are no reliable data as to how often it occurs. Asymmetrymay also occur as a result of unexpected problems with early healing, soon after implant placement. Deflation of a saline breast implant may occur when the saline solution leaks either through the valve, or through a puncture or defect of the outer shell of the implant, necessitating surgical replacement. Most implants are covered by a manufacturer’s warranty against deflation. Sensory changes may occur in the nipples or outer breasts, and scars may be unsightly. Patients with a very small volume of breast tissue, or thin skin pre-operatively, may note visible wrinkling or rippling of the implants, especially saline, and more commonly when larger size implants are chosen. Delayed wound healing may occur in persons with diabetes, history of radiation, autoimmune disease, or in smokers. It is important to have a thorough medical evaluation beforehand to address these potential risks.

Breast Augmentation may not be a one-time surgery. It is very likely that additional surgeries and doctor visits will be necessary over the course of your lifetime to maintain the appearance of the breasts after Breast Augmentation, either because of problems related to the implants themselves (deflation, capsular contracture, rupture, etc.), or because of aging changes affecting the appearance of the breasts over time (pregnancies, weight gain, loss of breast tissue as a function of age, etc.). There is no evidence that breast implants affect fertility, pregnancy, or a woman’s future ability to nurse. Not all women may be able to breast feed, even without implants. There may be a somewhat greater risk of scarring within the breast, or alteration in the ability to breast feed, when the peri-areolar (nipple) incision is used, as compared to the axillary (under-arm) or inframammary (breast fold) incisions, but this has not been scientifically proven.

Your health insurance does not cover Breast Augmentation except in rare cases of congenital deformity or certain types of reconstruction, and may not cover re-operation (additional future surgery) or additional doctor visits in the event of complications. Your premiums may increase, coverage may be dropped, or future coverage may be denied.

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A Word About Breast Implants and the Risk of Cancer

There is no evidence that implants either cause or play a role in the development of breast cancer, and there is no statistical difference in the occurrence of breast cancer in women with implants as compared to women without implants. Similarly, if or when cancer is detected, there is no statistical difference in the stage of disease when comparing women with implants to those without implants. Women must be knowledgeable about their risk factors, such as family history of breast cancer.

Women must be diligent about self-examination of the breast, as well as scheduling regular breast examinations by your gynecologist or plastic surgeon. However, regardless of the type of implant or placement above or below the muscle, breast implants may make mammography somewhat more difficult and less reliable, especially in cases where capsular contracture develops. Approximately one in nine women will develop breast cancer, and breast implants may make cancer more difficult to detect by mammography for these women.

Modern mammography centers are equipped with the latest equipment and trained technologists and physicians who are accustomed to imaging the breasts of women with implants. Additional radiographic views, or in some cases, ultrasound or MRI examinations of the breast, may be required in some cases to fully evaluate the breast or any suspicious area of the implant itself. In some cases, mammography may result in rupture or deflation of the implants. Most risks of Breast Augmentation surgery can be lessened and managed by carefully following the recommendations and instructions you will receive during your consultation with BHMG’s Board Certified Surgeon. Any of your personal questions or concerns can be addressed at that time as well.

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Recovery

Patients typically are placed in a soft bra and a light chest wrap for comfort immediately following the surgery. You must have someone drive you home and stay with you for 24 hours after surgery. Since no drains are required except in the case of re-operative breast implant surgery, our patients are allowed to shower the day after surgery, and there should be minimal bruising. You may experience some discomfort or pain the first day or two that is easily controlled with analgesic medications. Some tightness in the breast area is also normal as your body adjusts to the implants.

There is somewhat more discomfort and spasm when the implants are placed below the pectoral muscle. BHMG’s Board Certified Surgeon may prescribe a muscle relaxing medication if you experience muscle spasms. Most patients are able to return to full normal daily activities, such as washing the hair, lifting normal objects, and driving, within two to four days after surgery. You will be asked to wear a bra at all times (except when showering) during the first 2 weeks following surgery. Avoid heavy lifting, tub bathing and Jacuzzi, or swimming for 2-3 weeks. Moderate exercise (minimal increase in blood pressure and heart rate), such as walking or riding a stationary bicycle is allowed after the first week. Vigorous exercise such as jogging or aerobics may be resumed at 3-4 weeks. You will most likely be able to return to work within a day or two, but you will need to avoid any strenuous activity for at least a couple of weeks.

During your initial recovery, your breasts may be somewhat swollen, and it may take some time for you to get used to your new bust line. Within a few weeks, the actual shape and size of your breasts will be evident, and you may begin to wear bras and clothing styles you prefer. BHMG suggests you return to our office for breast examinations every 6-12 months, which we provide at no cost to you. You should continue breast self-examination monthly, and continue to have mammograms as recommended by your gynecologist or personal physician, generally yearly after age 40. We ask that you please forward copies of all mammography results to our office.

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Your New Look

Breast Augmentation produces pleasing and satisfying results for many women. Advances in implant design and surgical technique have improved the results and expanded the options available to women desiring enhancement of the appearance of their breasts. By giving you a more flattering bust line, Breast Augmentation may improve your appearance and boost your self-confidence regarding your figure.

In most cases, patients are able to choose from a greater variety of clothing options, and have a better self-image of their bodies, both in and out of clothing. Patients who have realistic expectations of improvement, but not perfection, in the way they look, benefit the most. A formal consultation with BHMG can help you determine whether Breast Augmentation is right for you.

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Frequently Asked Questions

Q: When will my sutures be removed?

A: Sutures are generally removed after 7-10 days.

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Q: When can I resume exercise?

A: You may walk and resume light lower body cardio fitness (e.g. treadmill, stationary recumbent bicycle within 48 hours. Avoid strenuous upper-body exercise for 2-3 weeks. Generally, you should avoid any activity that causes you discomfort.

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Q: When can I bathe?

A: You may shower after the first dressing change, usually 24 hours after surgery. You should not immerse your breasts under water in a bathtub, hot tub, swimming pool, or ocean until approximately three weeks after surgery.

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Q: How much of a cup-size increase can I expect?

A: The degree of enlargement of your breast depends upon the type and size of implant chosen, and the ability of your breast tissues and chest wall muscles to expand with the implant. Generally, women with relatively large or somewhat lax breasts can go larger than women who have very little breast tissue to start with, and petite women cannot go as large as women with a larger physique. There is no guarantee as to the final cup size.

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Q: Do I need to massage my breasts? For how long?

A: Smooth implants, whether saline or silicone, above or below the muscle, must be massaged immediately after surgery, in order to maintain the softness of the breast. Maintaining a large space around these implants prevents or delays the encapsulation process. Textured implants do not require massage. Our office will give you detailed instructions if massage is required.

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Q: When can I wear bras or clothing styles I prefer?

A: You can expect that most of the post-operative swelling of your breasts will be resolved after two to four weeks. At this point, the breasts are not likely to change much in size, but they may continue to soften and improve in shape. You can shop for bras and begin to wear your preferred clothing styles at this point. You should wear the post-surgical bra supplied by our office for at least the first two weeks.

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Q: How long will my implants last?

A: Breast implants, whether saline or silicone, are mechanical devices which are subject to wear and tear and deterioration due to aging over time. Like a heart valve or artificial joint replacement, they cannot be expected to last forever. Generally, most implants will last 10-15 years. The implants are generally covered by a manufacturers warranty against manufacturing defects, and most companies provide financial assistance for re-operation, as well as implant replacement at no charge, in the event of implant failure. However, you may incur other financial costs which are not covered.

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Q: Are silicone breast implants dangerous?

A: All of the scientific studies done to date indicate that silicone breast implants are safe devices that do not pose any greater risk of causing disease than saline implants, or when compared to the general population of women without breast implants. If there were any shred of credible evidence that silicone breast implants could lead to systemic disease, BHMG would never use them. As it now stands, I would not hesitate to recommend silicone breast implants to a patient or member of my own family, if the circumstances dictate that this would be the best choice of implant.

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Q: Will I need other operations on my breasts in the future?

A: No matter what type of implant is chosen, it is quite likely that you will require future surgeries on the breast in order to maintain the appearance of the breasts after pregnancies or as a result of aging, or because of capsular contracture or problems related to implant deflation or rupture. There will likely be additional costs for these future procedures.

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