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Breast Augmentation
in Tijuana.
Breast augmentation is a surgical procedure to enhance the size and shape of a woman’s breasts. If you are considering breast augmentation, this section will give you a basic understanding of the procedure.
If you’re considering breast augmentation (implants) plastic surgery…
Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, surgeons are able to increase a woman’s bustline by one or more bra cup sizes.
If you’re considering breast augmentation, this will give you a basic understanding of the procedure — when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don’t understand about the procedure.
The best candidates for breast augmentation (implants) plastic surgery
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
Meet Dr. Manuel Gutiérrez also known as "Dr. Tijuana"




Meet Dr. Manuel Gutiérrez Romero, one of the only few board certified plastic surgeon in Tijuana, with over 20 years of experience, giving outstanding results in each of his surgeries. Considered one of the best plastic surgeons in Mexico, Dr. Manuel Gutiérrez has won the recognition of many associations of plastic, aesthetic and reconstructive surgery in Mexico.
Overview
Board Certified Plastic Surgeon
Dr. Manuel Gutierrez is a Board Certified Plastic Surgeon with more than 20 years of experience, he has a track record of quality, safeness and excellence!
Offering a wide range of plastic and aesthetic procedures in Tijuana Mexico for men and women, Dr. Manuel Gutierrez keeps enriching his knowledge and education through worldwide congresses and master meetings to offer a prime medical experience and the newest techniques of the plastic and aesthetic field.
Certified by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery
Dr. Gutierrez is certified by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery and he is as well an active member of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery. During his vast experience Dr. Gutierrez has attended dozens of congresses and seminars to keep himself up to date with the latest techniques in plastic and cosmetic surgery.
Specialty in Plastic and Reconstructive Surgery License | 5505326
Asociations:

Endorsed by Dr Miami

Dr Manuel is the only certified plastic surgeon in Mexico endorsed by the world famous Dr Miami. We’re just 2 minutes away from the US Tijuana border, plus we offer free VIP airport pickup.
Reviews
Breast Augmentation gallery.
Before

After

Before

After

Planning your breast augmentation (implants) surgery
In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.
Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant he or she will use — just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs.
Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed..
Your surgeon may prefer to perform the operation in an office facility, a freestanding surgery center, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy, so you’ll be relaxed but awake, and may feel some discomfort.
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor. Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades. Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.
You should be able to return to work within a few days, depending on the level of activity required for your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely. Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier. (see All breast surgery carries some uncertainty and risk.)
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated. Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.
This surgery is a great option for women who have naturally small or asymmetrical breasts, who have lost breast volume after pregnancy or breastfeeding and want to restore a natural shape to the breasts.
See the procedure in action...
FAQ
Most frequent questions and answers
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.
Saline-filled implants continue to be available to breast augmentation patients on an unrestricted basis, pending further FDA review. You should ask your doctor more about the specifics of the FDA decisions.
All breast implant surgery carries some uncertainty and risk,
Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.
The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.
If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate to another area of the body. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur.
A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no clear link between silicone breast implants and the symptoms of what doctors refer to as “connective-tissue disorders,” but the FDA has requested further study.
While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.
While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.
Breast Augmentation In Tijuana
Breast augmentation is a surgical procedure to enhance the size and shape of a woman’s breasts. If you are considering breast augmentation, this section will give you a basic understanding of the procedure.
Make an appointment
Contact Dr. Manuel Gutierrez’s office today for a complimentary consultation. All information submitted is considered strictly confidential.
Make an appointment
Contact Dr. Manuel Gutierrez’s office today for a complimentary consultation. All information submitted is considered strictly confidential.
Why Tijuana?
Breast augmentation surgery in Tijuana, Mexico has been performed for over 25 years on over 2.5 million women. This massive clinical experience attests to the safety of the procedure and its effectiveness in improving self-image and the quality of life for those patients who have had augmentation.
Look for a board certified plastic surgeon
Breast Implants and Augmentation Specialists like Dr. Manuel Gutierrez offer a wide selection of breast augmentations procedures tailored to meet the desires of any individual, while reducing the size and the visibility of scars.
If you’re considering breast augmentation (implants) plastic surgery...
Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:
To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, surgeons are able to increase a woman’s bustline by one or more bra cup sizes.
If you’re considering breast augmentation, this will give you a basic understanding of the procedure — when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don’t understand about the procedure.
See Procedure in Action...
Meet Dr Manuel Gutierrez also known as "Dr. Tijuana"




Meet Dr Manuel Gutierrez, one of the only few board certified plastic surgeon in Tijuana, with over 20 years of experience, giving outstanding results in each of his surgeries. Considered one of the best plastic surgeons in Mexico, Dr Manuel Gutierrez has won the recognition of many associations of plastic, aesthetic and reconstructive surgery in Mexico.
Board Certified Plastic Surgeon
Dr. Gutierrez’s success and recommendations have been attained through more than 20 years of experience and professionalism. He practices the most advanced techniques in Medicine and Cosmetic Surgery. In addition, our team specializes in surgical and non-surgical aesthetic, reconstructive and rejuvenating procedures for men and women.
Our Cosmetic Surgery Center has provided a variety of aesthetic surgeries and procedures in a safe and professional environment. This includes face-lift, breast augmentation, tummy tuck, liposuction, and a wide variety of cosmetic and reconstructive procedures with great results. Our commitment is to provide and cautiously explain all of our treatment possibilities to you and develop a tailored and personal plan for your desired outcome.
Dr. Manuel Gutierrez is certified by the National Association of Plastic Reconstructive and Aesthetic Surgery, Mexico, and is also an active member of the Association of Plastic and Reconstructive Surgery of Baja California. You can trust and be confident that you are in the hands of an experienced and skilled surgeon.
Certified by the Mexican board of plastic, aesthetic and reconstructive surgery
Dr. Gutierrez is certified by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery and he is as well an active member of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery. During his vast experience Dr. Gutierrez has attended dozens of congresses and seminars to keep himself up to date with the latest techniques in plastic and cosmetic surgery.
SPECIALTY IN PLASTIC AND RECONSTRUCTIVE SURGERY LICENSE | 5505326
Publicity Release Key: 153301201A2395
Asociations:
Board Certified Associations AMCPER, ISAPS, Estheticon & CCPERBC
Dr. Manuel Gutierrez with over 19 years of experience, he has helped thousands of patients around the world… Our surgeon Dr. Gutierrez is highly involved with social causes and citizen participation, he’s now part of the project “SMILE PROJECT FOR CHILDREN”.
The Smile Project for Children is focused to treat underprivileged children who have congenital and traumatic childhood deformities, offering treatment and rehabilitation programs designed for them to overcome their disabilities and improve their quality of life. This project takes life with the help and collaboration of other plastic surgeons several times a year in his own facilities.
“Life is abundant and only when you are so full inside you have the desire to share your overflowing internal abundance”.– Dr. Manuel Gutierrez Romero, Plastic and aesthetic surgeon
Graduated from Plastic, Aesthetic and Reconstructive Surgery at the General Hospital of Mexico in February, 1998.
Shortly after obtaining his medical degrees, Dr. Manuel Gutierrez became board certified by the Mexican Board of plastic surgery.
Nowadays Dr. Manuel Gutierrez is a member of the Mexican Association of Plastic, Aesthetic and Reconstructive surgery.
Active member of the College of Plastic Surgeons in Baja California.
Dr. Manuel Gutierrez has continued his medical training and knowledge; attending to courses and conferences, all over the world.
Dr. Manuel Gutierrez has continued his medical training and knowledge; attending to courses and conferences, all over the world.
Endorsed by Dr Miami.
Dr Manuel is the only certified plastic surgeon in Mexico endorsed by the world famous Dr Miami. We’re just 2 minutes away from the US Tijuana border, plus we offer free VIP airport pickup.
Verified Reviews
FAQ
Most frequent questions and answers
The best breast augmentation candidate comes from one of two groups: the first are women whose breasts never developed proportionately, are limited in the clothing they can buy, and who would like more confidence in their appearance. The second group is women who lost breast volume after nursing and want to restore what was lost and fill up what may have become an empty breast. Women who want to be large and disproportionate, the “Baywatch look,” in fact make up a small percentage of women who get breast augmentation. Less commonly, women whose breast are not just small, but are misshapen, get breast augmentation. All women who get this operation should be doing it for themselves, not for a boyfriend or a husband. They must be healthy enough to undergo an elective operation and must be mature enough to weigh the risks and benefits of the surgery.
Like most life decisions, it is weighing the risks v. the benefits. Each woman will perceive the risks and benefits for herself differently. On the positive side, breast augmentation patients studied after surgery report higher self-esteem and confidence, enjoying their appearance more both in and out of clothing. But that must be weighed with the recognition that in all likelihood this is not a “once-in-a-lifetime” procedure – at some point a breast revision may be necessary. Complications such as infection after breast augmentation surgery can occur. Scar tissue can form around breast implants; implants can break; implants can get out of the right position; there are additional costs in the future; there can be changes with mammograms, and much more that each woman considering breast augmentation should consider. Despite all of these tradeoffs, when women come in to have these problems treated, they are usually so happy with their implants they rarely are willing to give them up.
There is an ideal shoe size for your foot. Too small and your foot will be crammed and too large and your foot will not fill the shoe. The same thing is true with breasts: too large and it will look round and fake; too small and it will be loose and empty on the top. If you are reading this, it is probably because you thought the photos of my patients looked beautiful. The common denominator to the most beautiful breasts is that they were sized objectively on the basis of measurements. Dr. Manuel Gutierrez measure five things, and from that he uses a formula to determine the ideal size. This formula has been published and thoroughly vetted by top plastic surgeons. Dr. Manuel Gutierrez even has a patent for an implant-sizing device based upon these principles, so he is thoroughly versed in making this determination.
This remains one of the biggest concerns of every augmentation patient, so it will bears repeating: there is an ideal implant size for you. You can go smaller, but you won’t be filled up. You can go bigger, but you will look round. Think of a soft-sided purse: if you put only a couple of things, it will collapse and lose its shape. If you shove a lot of stuff into your purse, it will always look round. With a breast, the shape changes as the volume changes meaning you cannot have the same shape with any volume. If you want to look relatively natural, there is a limit to how large you can go. If you want to look relatively filled, there is a limit to how small you can go.
Sometimes Dr. Manuel Gutierrez measures a patient and they want to look smaller than what anatomically is the ideal size for their breasts. That is okay, so long as they understand their breasts may not be totally filled up, and that they may be empty on the top.
At other times he measures a patient and they want to be larger than that ideal size. If they do go larger, they face two tradeoffs. The first is that they will look rounder and less natural. The second is that the size and weight of an implant that is too large for their tissues will more rapidly stretch their skin over time and compress their own breast tissue, leading to rippling, an implant that can be felt, and perhaps the need for a lift in the future.
The best incision is under the breast, and I will explain why. I base this suggestion not on unsubstantiated anecdote, but upon objective scientific evidence.
Most patients decide on incision based upon where they want the scar. But each incision sets up an entirely different operation. Risks and complications are different, and those issues are more profound than the scar. The armpit incision tends to be more painful and less accurate than the other approaches. If a revision is necessary, another incision usually must be made.
The nipple incision yields a scar that is barely visible on most but not all Caucasians, but on patients of other races it very frequently gets pigmented and thick. It often results in a reduction of muscle coverage over implants due to technical issues, which means the implant can be more seen and felt. By cutting through the breast tissue, there is more pain, swelling, and changes in nipple sensation. Most important of all, is the fact that this incision requires pushing the implant through the breast. Though we do not really think about it, the ducts within the breast have bacteria within them. When the implant goes through the ducts, those bacteria get on the implant. And it is exactly those bacteria that cause the inflammation that causes capsular contracture. This remains the leading cause of revision surgery after breast augmentation, and it should be a priority to do everything possible to reduce this possibility. Significant experimental data demonstrate this to be true.
The best published results are with the under the breast – the inframammary – incision. The incision is hidden in the crease under the breast; there is less contamination with bacteria in the breast; more nerves are avoided; the breast tissue itself is not cut so there is less pain; the same incision is the ideal incision for any kind of future revision; and the list goes on. Most important of all is that the very best published data is with this incision. Plastic surgeons and plastic surgery patients too often make decisions based upon undocumented personal experience, and this is inaccurate. If we just look at the facts, the results are best with this incision, which is why I encourage all patients to select it.
Whenever the skin is cut there will be a scar. If you cannot tolerate a scar, you should not have the surgery. While some patient like the idea of the armpit incision since there is no scar on the breast, they end up with the only scar that is visible with a sleeveless blouse or dress. Some patients like the idea of a scar around the areola, and unless that heals very well, there is a very conspicuous “smiley face” in the area of the breast that is the focus of the most attention. The underneath scar usually is very faint. But even if it is not it is at least hidden in the crease underneath the breast.
The most critical measurement is the distance from the nipple to the bottom of the breast, and even if the nipples are at unequal height, these distances must be the same. If it is short on one side, that nipple will point down; if it is long on one side the nipple will point up. Once that distance from the nipple to the bottom is determined, Dr. Teitelbaum precisely make a pocket that will fit the implant. This is yet another reason to favor the under the breast incision, as it affords the surgeon the most direct, well-lighted visualization of the operation, so that everything is done on good vision and nothing must be done blindly with a finger through a dark tunnel.
You must accept a risk of some loss of sensation. The most common area to lose sensation is on the skin of the lower outer quarter of the breast. Whether this happens is related to the course of the nerve to this patch of skin. Less common, but more important, is whether sensation is lost in the nipple. The nipple incision is more apt to create this problem, but with all incisions this is a risk because the major nerve to the nipple comes from the very side of the breast, and any dissection puts this nerve at risk. The larger the implant, the wider the pocket has to be, and the greater the chance of this damage. The less accurate the dissection, the greater the risk of this problem. But even when everything is done perfectly, some women can permanently lose sensation and all patients must be able to accept that risk before proceeding.
Yes, but you usually need to get extra views, called displacement views. So you will get a complete set the usual way, and then another set with the breast tissue pulled forward, away from the implants. Sometimes the implants shadow a part of the breast tissue. Depending upon how significant this area is and your risk factors, the radiologist may order you to get an ultrasound or an MRI in addition to the mammogram. While insurance companies pay for a standard mammogram, some do not pay for the extra views or extra studies needed because of the breast implants.
No. The risk of breast cancer does not change if you have an implant. And the cancers are not detected later, larger, or with a worse prognosis. In fact, by having the uniform implant behind the breast tissue rather than the irregular rib cage, it is easier to feel the breast tissue and more breast cancers are picked up by the patient with implants than those without.
They will only look fake if you want them to look fake. If your implants are properly sized for you, then they will not look fake. The only exception to that is patients who are literally skin and bones, upon whom you can see their ribs. The implant goes in front of the ribs, so if you can see the ribs, you will have to see the implant. But even in those cases, the lack of breast tissue is so profound that a small implant will usually look much more attractive.
The thicker the tissue and the smaller the implant, the more natural they will look. The thinner the tissue and the larger the implant, the more fake they will look. So the answer is to have your tissue measured, and to get an implant that fits your body.
How long implants last and how long it will be until you have your next surgery are two different issues that are often confused. A broken implant is not even in the top five reasons for having a revision. The most common reasons patients have another surgery is the build up of scar tissue, drooping, implant getting out of position, wanting a change in size, etc. Implants only break at a rate more or less of 1% per year. Sometimes those breaks can be noticed as a change in the breast. At other times the patient cannot detect a difference and the break can only be detected by an MRI.
We warn all patients that they may lose the ability to breastfeed, but in the scores of patients of my own who have had implants I cannot recall one who was unable to nurse.
Occasionally after nursing the skins stretches and the breast looks empty. Sometimes capsular contracture develops. Sometimes the breasts droop. For these problems, a revision may be necessary. But most of the time augmented breasts still look beautiful after pregnancy and do not require a revision.
You can drive when you are off of all narcotic pain medication and feel totally unrestricted by your discomfort such that you could make any movement you might need to safely drive your car. That is ultimately a decision that I cannot make for you.
When you will feel ready to do your job is highly individualized. So long as your work doesn’t involve straining and heavy lifting, you can expect to be back to work after three or four days. Some people go back even sooner, and many work from home the next day.
Dr. Manuel Gutierrez suggests you wait 3 weeks. He wants to be sure that everything is healed. There is always a chance of causing bleeding if you start much before that time. When you start, listen to your body. You will be a little out of condition and a bit sore. But you will get back to where you were before surgery very quickly.
A small amount of alcohol will not interfere with your recovery.
We would like to say never, since they are bad for you. Smoking does slow down healing, and it would be best to avoid them for three weeks.
You should shower the evening of your surgery. Your incision can get wet, but don’t rub it. Soap your breasts and let warm water hit them.
The best candidates for Breast Augmentation (implants) Plastic Surgery
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
Types of breast implants

A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.
Saline-filled implants continue to be available to breast augmentation patients on an unrestricted basis, pending further FDA review. You should ask your doctor more about the specifics of the FDA decisions.
Breast Implants Gallery
The Process
In your initial consultation, Dr. Manuel Gutierrez will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift. Be sure to discuss your expectations frankly with him. He will be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant he or she will use — just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs. Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
Dr. Manuel Gutierrez will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
Your surgeon may prefer to perform the operation in an office facility, a freestanding surgery center, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy, so you’ll be relaxed but awake, and may feel some discomfort. Most patients decide on incision based upon where they want the scar. But each incision sets up an entirely different operation. Risks and complications are different, and those issues are more profound than the scar. The armpit incision tends to be more painful and less accurate than the other approaches. If a revision is necessary, another incision usually must be made. The nipple incision yields a scar that is barely visible on most but not all Caucasians, but on patients of other races it very frequently gets pigmented and thick. It often results in a reduction of muscle coverage over implants due to technical issues, which means the implant can be more seen and felt. By cutting through the breast tissue, there is more pain, swelling, and changes in nipple sensation. Most important of all, is the fact that this incision requires pushing the implant through the breast. Though we do not really think about it, the ducts within the breast have bacteria within them. When the implant goes through the ducts, those bacteria get on the implant. And it is exactly those bacteria that cause the inflammation that causes capsular contracture. This remains the leading cause of revision surgery after breast augmentation, and it should be a priority to do everything possible to reduce this possibility. Significant experimental data demonstrate this to be true. The best published results are with the under the breast – the inframammary – incision. The incision is hidden in the crease under the breast; there is less contamination with bacteria in the breast; more nerves are avoided; the breast tissue itself is not cut so there is less pain; the same incision is the ideal incision for any kind of future revision; and the list goes on. Most important of all is that the very best published data is with this incision. Plastic surgeons and plastic surgery patients too often make decisions based upon undocumented personal experience, and this is inaccurate. If we just look at the facts, the results are best with this incision, which is why I encourage all patients to select it.
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor. Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades. Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.
You should be able to return to work within a few days, depending on the level of activity required for your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely. Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier. (see All breast surgery carries some uncertainty and risk.)
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated. Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.
The day of the surgery.

Because many of the Breast Implants patients of Dr. Manuel in Tijuana Mexico have never had surgery, it is understandable that they are curious, and sometimes nervous, about what will be the day of their surgery. Do not worry Dr. Manuel wants you to be as confortable as possible!
On the day of surgery, you will arrive at the surgical center after having fasted since midnight the night before, or 12 hours, whichever is longer. Fasting is necessary since you will receive general anesthesia for your surgery, a strong sedative medication, which, if you have food in your stomach, can cause complications.
When you are ready to prepare for surgery, you will be returned to the preoperative room, where a team of nurses and other medical professionals will prepare you for your procedure. This includes taking your vital signs to confirm that you are healthy enough on the day of surgery for the procedure. When the time comes for the big surgery, you will walk back with the team to the operating room.
After a licensed anesthesiologist has given you general anesthesia, you will quickly move quickly to sleep and will not be aware of your procedure. During all the time you are under anesthesia, your vital signs will be monitored to ensure your full health and safety.
Dr. Manuel Gutierrez will begin the Brazilian butt lift procedure by first performing liposuction at the agreed open harvest site, the area of your body where both agree that you have the most unwanted fat deposits. Liposuction is done by making small incisions in the treatment area, then inserting a thin tube called a cannula. The cannula moves back and forth to suck out the fat. The exact amount of fat that Dr. Manuel will eliminate depends on his unique treatment plan and the desired results previously reported.
After the liposuction is performed, the collected fat will be filtered immediately and prepared for injection into the gluteal muscles. If he is not yet positioned face down, the surgical team will reposition him, face down, so that Dr. Manuel can get to work, providing the desired and well-formed back. He will take the collected and filtered fat and inject it into the muscles of the buttocks to give him a more curvaceous butt.
Once your surgery is over, you will be taken to a recovery room and staffed by a recovery team of nurses and medical technicians. It is in this room that you will rise upside down (remember, you can not press your buttocks for 2 weeks after surgery) and you will recover from the effects of plastic surgery. Your vital signs will also be monitored. You may experience some nausea as you leave the effects of general anesthesia, which is a completely normal side effect. For most patients in Tijuana Mexico, a Brazilian butt lift is an outpatient procedure *. Once your recovery team has considered it safe to do so, they will let you go home to rest and relax. However, due to the strong general anesthesia you received for your surgery, you will not be able to drive home. Instead, you will need a family member or friend to do that task for you.