Archive for category Breast Augmentation

Breast Augmentation & Breast Cancer: Your Top Questions Answered

breast cancer support

The doctors of COSMED Plastic Surgery Center are proud supporters of Breast Cancer Awareness Month

Dr. Castañeda, plastic surgeon at COSMED Plastic Surgery Center in Mexico, answers the top 3 questions breast augmentation patients ask us concerning breast implants and cancer risk.  If you don’t see your question answered below, feel free to post it on this blog, and one of our board certified plastic surgeons will provide an answer.

1. Do breast implants increase your risk of getting breast cancer?

No. This has been debated for a long time, but breast implants have been found not to be asociated with breast cancer.

2. Can you still have a mammogram if you have breast implants?

Yes.  Mammograms are recommend for women who are 40 or over, or if you are 35 with a family history of breast cancer in a first degree relative. On younger patients, a yearly Ultrasound is enough.

Saline or silicone Implants

At CosMed Plastic Surgery Center in Mexico, we have always used the highest quality brands of implants. This includes Mentor, McGhan, and Natrelle by Allergan, a little more expensive but well worth it.

3.  Is it a good idea to replace my old breast implants with newer ones? Are breast implants today safer than the ones I got 5 or 10 years ago?

Currently manufactured implants are superior quality than the ones used 10 years ago. Yearly follow up and routine examination is key in detecting cancer early on. PIP implants have been recently on the spotlight because they where found to be manufactured with industrial grade silicone and they should be replaced right away (see blog post about breast implant safety). If you don´t know what brand of implants you have, contact the Doctor who performed the surgery to find out, if you don´t get a straight answer I would recommend to have them exchanged.

Breast implant exchange is a simple procedure, it is less invasive than the initial surgery when they were put in. Recovery is easy and not as painful as the first time around. Also, if you have ever considered “going bigger” it´s the right time to do it.

Looking for more information on breast implants? See “What’s the Difference between Saline & Silicone” also written by Dr. Castañeda.

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Dr. Carlos E. Castañeda M.D.Dr. Carlos E. Castañeda, M.D. is  a Plastic, Aesthetic and Reconstructive Surgeon experienced in cosmetic and reconstructive procedures at COSMED Plastic Surgery Center in Mexico.  Dr. Castañeda graduated at the top of his class from the University of Baja California and is board certified by the Mexican Council of Plastic, Aesthetic and Reconstructive Surgery (CMCPER) and is a member of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery (AMCPER). Learn more about Dr. Castañeda

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Are you ready for Spring? 3 Non-Invasive Procedures to get you Bikini-Ready…Fast!

Macrolane Injections
The newest procedure in breast augmentation!
Macrolane is a non-surgical injectable filler designed specifically for body shaping. Benefits can be seen immediately and can last up to 12 months with a single treatment. The new filler was developed by Q-Med, the same company responsible for the widely popular filler Restylane that is currently used by millions of women throughout the US for facial rejuvenation. Learn more

Thermage Body Treatment,
In the past, surgeries such as face lifts, liposuction, and body contouring were performed to remedy problems like sagging facial skin, loose body skin and stretch marks. For many people, Thermage has been an alternative to surgery with results that have been remarkable. Plus, there’s absolutely no down time or scarring. Learn more

Cosmesothérapie
The newest non-invasive, anti-aging skincare treatment designed to soften, brighten & regenerate your skin. CosMed’s Cosmesothérapie procedures include the Sleep and peel and Meso C. Learn more

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Breast Implant Safety Update

Saline or silicone Implants

At CosMed Plastic Surgery Center in Mexico, we have always used the highest quality brands of implants. This includes Mentor, McGhan, and Natrelle by Allergan, a little more expensive but well worth it.

In light of the recent news about the French breast implant maker and the related health issues concerning the Poly Implant Prothese (PIP) breast implants, we’ve been getting a lot of questions regarding the quality and type of breast implants we use at CosMed Plastic Surgery Center.

At CosMed Plastic Surgery Center in Mexico, we have always used the highest quality brands of implants. This includes Mentor, McGhan, and Natrelle by Allergan, a little more expensive but well worth it.

“I always tell my patients if they are going to have foreign material implanted into their bodies, don’t make the selection based on price but on good quality implants, “ explains Dr. Castañeda, plastic surgeon at CosMed. “When you see an advertisement in a local magazine or online for breast augmentation for less than $3000 (USD), that should always raise a red flag and should make the patient think twice, because the doctor is cutting costs somewhere. My guess would be on implant brand, rather than their surgical fee.”

Dr. Quiroz of CosMed agrees that patients should never consider cost as a primary factor in determining where they will get breast implants or any other type of plastic surgery. “As with any type of medical care, YOUR SAFETY must come first, which means you should always check the credentials and references of the surgeon and plastic surgery center in question,” he advised.

The  American Society of Plastic Surgeons® (ASPS®) in the US  and ISAPS internationally provides a list of recommended, board certified plastic surgeons.

For further background information on CosMed Plastic Surgery Center, a list of the CosMed team’s credentials, as well as real patient testimonials and photos, please visit CosMedClinic.com

Learn more about breast augmentation here.

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Mexico joins Europe in Leading the Way to Offer Patients New Breast Augmentation Solutions

Macrolane is a non-surgical injectable filler designed specifically for body shaping.

Macrolane is a non-surgical injectable filler designed specifically for body shaping.

Macrolane Injections and Fat Transfers are newest techniques in breast augmentation, not yet available in the US.

You’ve probably heard of using injectable fillers to plump up your lips, checks or face to give it a more youthful look, however did you know that an injectable filler is now being used to give your body a fuller look?

Macrolane is a non-surgical injectable filler designed specifically for body shaping. Benefits can be seen immediately and can last up to 12 months with a single treatment. The new filler was developed by Q-Med, the same company responsible for the widely popular filler Restylane that is currently used by millions of women throughout the US for facial rejuvenation.

Macrolane is already being used by doctors throughout Europe to provide more volume to breasts and buttocks. It can also be used for smoothing out defects on the body, such as those that may have arisen from liposuction or injuries.

Although this filler has not yet been approved in the US, patients from Canada and US seeking Macrolane injections can now find a surgeon who will perform the procedure a bit closer to home.

Dr. Alejandro Quiroz of CosMed Clinic will be one of the first plastic and reconstructive surgeons in Mexico to provide the treatment. Just minutes from the San Diego border in Tijuana, Baja California, Mexico, CosMed Clinic provides a more convenient medical tourism destination for patients hoping to increase the size of their buttocks or breasts with Macrolane injections.

“Using the Macrolane injections for breast augmentation provides an alternative way for patients to get fuller breasts,”explained Dr. Quiroz. “Q-Med, the company responsible for Macrolane, works very closely with plastic and reconstructive surgeons through professional training sessions to ensure the safety and quality of the injections for this purpose.”

In addition to the new Macrolane option, patients also now have the option of a fat transfer procedure to increase their breast size. This procedure involves literally removing fat from one area of the patient’s body, and using it to enhance their breasts or buttocks.

Dr. Quiroz is one of only a few truly international plastic and reconstructive surgeons, licensed in both the US and Mexico who can perform these new innovative procedures. With more than 20 years experience performing breast augmentation procedures and keeping up with the latest advances in plastic and reconstructive surgery, he is able to advise patients on the best options for their body type and needs.

Learn more about Dr. Quiroz and CosMed Clinic at http://www.cosmedclinic.com/  

Learn more about Macrolane at http://www.macrolane.co.uk/

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Breast Augmentation Surgery: Saline or Silicone?

Contributing author Dr. Carlos Castañeda, a board certified plastic surgeon at CosMed Clinic in Tijuana, discusses the differences between saline and silicone breast implants and provides an overview of access sites and implant positioning.

Breast augmentationBreast augmentation is the most common plastic surgery procedures performed today. Women choosing to undergo breast enlargement surgery, also known as augmentation mammoplasty, have various reasons for wanting to improve their breast shape and size. Some of these personal reasons center around

  • The perception of underdeveloped breast
  • Loss of breast volume and shape due to pregnancy, nursing or weight loss
  • Restoring balance to asymmetrical breasts or
  • Reconstructive goals following breast surgery procedures.

Whatever your reasons are for considering breast augmentation, finding an experienced surgeon who can guide you in choosing the right implants while making you comfortable and keeping your aesthetic goals in mind is critical in achieving the best and most natural results.

Saline or Silicone  – Which is Better?

Saline or silicone Implants

Choosing between silicone or saline breast implants can be confusing.  Your surgeon will help you decide which is most suitable for you according to your body type and aesthetic goals to achieve the best and most natural look.

People often ask me which type of implant is better – saline or silicone? The truth is, both are considered safe and excellent choices and neither is ”better”.  Each has its advantages and disadvantages and it’s important to understand them while keeping your body type and aesthetic goals in mind.

Here’s an overview of the two types of implants available and their pros and cons.

Saline breast implants are made of silicone rubber shell filled with saline, or 0.9% NaCl, the same type of solution used in IV bags that when attached to your vein, run directly through your blood stream. Saline breast implants have the advantage of smaller incision size and that the implant can be adjusted individually from one side to the other if there is a difference in breast size. The main advantage of saline breast implants is that when they fail, a small risk but definite one, it is easy to tell because the breast deflates. While saline poses no health risk because it gets reabsorbed into the body, replacing the saline implants immediately is recommended and will therefore depend on your and your surgeon’s schedule. If you have a history of autoimmune disease such as rheumatoid arthritis, your surgeon may also recommend saline implants. The main disadvantage of saline, however, is that it can feel “watery” or have a “ripply” effect.

Silicone breast implants are gel-filled silicone capsules. Its biggest advantage is that it feels natural and similar to human tissue when implanted.  Generally, silicone implants have better retention of shape and are less likely to fold or collapse.  And with the availability of a wide variety of silicone implant shapes and sizes there is greater flexibility in achieving an excellent aesthetic outcome. However, the main disadvantage is that it is difficult to tell when the implant integrity has been compromised. Though it is reported to have low incidence rates of rupturing, the only way to detect “leaky” gel implants is currently via MRI.

Where are the implants positioned?

Breast implant placement

The surgeons at CosMed Clinic will help you decide which position and access points are best for you depending on your body type and aesthetic goals.  The three major implant placement are highlighted below.

1. Subglandular — the implant is placed under your natural breast tissue or under the breast gland. If there is little tissue, a rippling effect may be observed.

2. Subfascial — the breast implant is placed under the fascia of the pectoralis muscle providing good implant coverage.  Little or no rippling occurs and the patient experiences less pain during recovery in comparison to the submuscular approach.  It is also associated with less incidence of capsular contracture.

3. Submuscular or Subpectoral — the breast implant is placed under the pectoralis major muscle.  When breast tissue is minimal or not adequate to provide good implant coverage, the submuscular techniques is used.

What are the access points?

1. Periareolar — an incision in the natural skin color change between the breast and areola.  This technique results in unnoticeable scars.   On mild ptotic or sagging breasts this incision, when performed on the upper half of the areola, can be used for a “crescent shape breast lift” gaining up to an inch in lift of the whole nipple-areola complex.

2. Inframammary — an incision is made below the breast in the natural crease.  This allows for easy access and for precise dissection.  The incision results in a slightly more visible surgical scar.

3. Transaxillary — an incision made to the axilla, this requires extensive dissection to create the implant pocket and leaves a showable scars when wearing no sleeves.

4. Transumbilical — an incision is made over the belly button.  A narrow tunnel is dissected under the abdominal skin and then an implant pocket made over the pectoralis muscles.  The implants are then filled with saline.

5. Transabdominal — as in the previous the implants are placed through blunt sidection while the patient undergoes an abdominoplasty or tummy tuck procedure, again, saline filled implants a placed.

To determine which breast implant is best for you, the initial examination involves evaluating your breast shape and size while understanding your aesthetic goals.  Together, we make a decision on the right type of implant, shape, size, and positioning technique to achieve  the most natural results.

If you are considering breast augmentation surgery to enhance your shape and would like to discuss your options, the staff and board certified plastic surgeons at CosMed Clinic can help.  Begin your journey towards a new and transformed you by requesting a free virtual consultation here.

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About the contributing author:

Dr. Carlos E. Castañeda M.D.Dr. Carlos E. Castañeda, M.D. is a Plastic, Aesthetic and Reconstructive Surgeon experienced in cosmetic and reconstructive procedures.  Dr. Castañeda graduated at the top of his class from the University of Baja California and is board certified by the Mexican Council of Plastic, Aesthetic and Reconstructive Surgery (CMCPER) and is a member of the Mexican Association of Plastic, Aesthetic and Reconstructive Surgery (AMCPER).

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After-Care Draws Americans to Cross International Borders to Obtain Health Care

Medical Tourism

It's not only the affordable medical treatment that is causing the increasing trend in medical tourism, but the treatment patients receive after their surgeries.


Medical Tourism on the Rise

As more Americans are losing health insurance, the trend to travel out of the country for affordable medical procedures is increasing. According to the Kaiser Family Foundation, more than 46 million Americans are currently uninsured, making the medical procedures that are performed at a fraction of the cost in other countries more attractive.

“Medical tourism”, better-known as traveling across international borders to obtain health care, offers a variety of procedures, from dental work to cosmetic surgery, at a fraction of the cost that an individual would be charged in the United States. But, it’s not only the cost that is attracting Americans to travel to other countries such as Mexico and India to get these procedures performed; it is the after-care they are receiving.

“Rather than dreading coming to Tijuana for surgery, people are looking forward to a luxurious experience,” said Dr. Alejandro Quiroz, M.D. Chief Surgeon and founder of CosMed Clinic in Mexico. “Patients stay in nice hotels, receive personalized care, are given meals and when they leave they tell us that it feels like they are leaving a spa, rather than a medical clinic.”

Less than 20 minutes from the United States border, facilities like CosMed Clinic, located in Tijuana, Mexico, are becoming more popular and sources are predicting medical tourism to be a $100 billion industry by 2012.  While some are skeptical of traveling to another country to get a medical procedure performed, others are extremely confident in trusting the board certified surgeons to their health.

“After traveling to Tijuana for my reconstructive surgery and experiencing the treatment I received, I won’t get health care in the states again,” said Marika, a CosMed Clinic patient. “My doctor was readily available to me, always answering my questions and I walked away feeling amazing and completely satisfied with my experience.”

For more information about the health procedure aftercare in other countries, visit http://www.cosmedclinic.com/mexico_plastic_surgery_resources.html

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Thanks to Stem Cells, today’s Fat Transfer procedures create Smoother, more Beautiful Curves

New You Magazine Talks Stem Cells and Fat Transfers

Dr. Quiroz is one of only a few truly international plastic and reconstructive surgeons, licensed in both the US and Mexico who can perform these new innovative procedures.

According to New You magazine, “Transferring fat to the breasts, buttocks and face continues to gain momentum as one of the best methods to bring back the volume you want, or have lost. The key to all the excitement: stem cells that make the fat come alive.”

The article also explained that by using stem cells during a fat transfer procedure, skin quality is improved by beautifully enhancing volume and color, with wrinkles and pores decreasing.

“Just to be perfectly clear, these are not embryonic stem cells,” explains Dr. Quiroz, board certified plastic surgeon at CosMed Clinic in Tijuana, Mexico. “The stem cells are taken from adult fat cells.”  Learn more about how stem cells are used in skin rejuvenation procedures here.

Dr. Quiroz is one of only a few truly international plastic and reconstructive surgeons, licensed in both the US and Mexico who can perform these new innovative procedures. With more than 30 years experience performing the highest quality procedures and keeping up with the latest advances in plastic and reconstructive surgery, he is able to advise patients on the best options for their body type and needs.

Contact CosMed Clinic to discover the best procedure for you.  www.CosMedClinic.com

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