In order to perform this procedure, you must be close to your ideal weight, that is, you must have a BMI of 30 or less. In addition, to undergo breast surgery you must be healthy both physically and mentally. If you have a heart condition, lung condition, or neurological disorder, you should discuss this with your surgeon as you may not be able to have your augmentation mammoplasty. If you plan to have surgery but in the future you want to get pregnant again, surgeons recommend waiting so that the results obtained are more lasting. In any case, it should be noted that this type of surgery does not put future pregnancies or lactations at risk. Tobacco is not recommended before or after augmentation surgery as nicotine impairs healing and wound healing. Therefore, if you are a smoker, you should quit at least 6 weeks before and after your surgery.

The first appointment with your surgeon is very important since normally, fundamental aspects about the breast you want to have and how the operation will be will be discussed. For this reason, at this visit the surgeon will examine the current size of your breasts as well as the shape they have. Another point that the professional will have to evaluate is the firmness of the skin, which can vary according to the age of the patient and her personal conditions. After this exploration of the breasts, it is likely that the surgeon will request a mammogram to see in more detail the state of the breasts, to see if there is any lump or suspicious mass, since cancer is one of the most frequent and deadly diseases in Mexico. Also, the doctor will do some preoperative studies that will be requested according to the age and physical condition of the patient. In this appointment the surgeon will also detail what techniques exist to perform a breast augmentation so that you have all the possible information about each one. Another important point that you should consider with him is the size and shape of your future breasts. Depending on these and other factors, the specialist will recommend one technique or another. As in any cosmetic operation, it is very important that you talk to your surgeon about your expectations, as they must be realistic. He asks all your questions and asks for photos of his results. For its part, it must warn you of the risks and possible complications of the operation. Some surgeons prefer that patients stay in after surgery. At this appointment take the opportunity to ask if you will have to stay one night at the clinic, what anesthesia will be used and the total price of the surgery. The plastic surgeon will also ask you if you are a smoker or if you are taking any medication, as these may affect the surgery and the postoperative period.

Breast implants can be saline and silicone. In addition, they can have different sizes, shapes and textures. The implants can be placed above, below or in a mid-position of the pectoralis muscle, depending on the area where the incision is made.

• Subglandular: En esta posición la prótesis de mama se coloca debajo de la glándula mamaria con lo que hay contacto directo entre la prótesis y el tejido glandular. Por lo tanto, por debajo de la prótesis queda el músculo pectoral con la membrana que lo recubre (fascia).
• Submuscular: En la posición subpectoral o submuscular el implante queda colocado por debajo del músculo pectoral. Se realiza una desinserción parcial del músculo en la parte inferior para evitar que la contracción muscular desplace el músculo hacia arriba.
• Dual Plane: In the subfascial plane or position, the prosthesis is positioned in a virtual space created between the pectoral muscle and its fascia, which is a kind of thin cover that covers it. In this case, below the implant is the pectoral muscle and above, the muscular fascia and the gland.

In recent years, the subfascial technique has been consolidated since there is less risk of capsular contractures compared to implants located in the subglandular plane. Fat transfer involves harvesting fat cells from one area of the body, commonly the stomach, hips or thighs, and injecting them into another to achieve more volume in the area. The fat is removed from the body by liposuction, processed and purified by a centrifugation process, and injected, for example, into the breasts. With this technique up to 30% of fat can be reabsorbed depending on each patient.

The projection of the implant will determine the sensation of size as well as its naturalness. This will be added to the one you already have before surgery, so the same projections may be different in different women. The degree to which your future chest will protrude from the thorax will be known as projection. The profiles or projections are measured according to their degree and there are normally 3 or 4 types for each prosthesis. Surgeons performing breast augmentation typically use the high or extra high profile. The medium profile is usually used for cases in which the patient requests a very subtle increase, that is, one that barely protrudes from the chest. You should consider that if you choose a higher profile you will have a feeling of a larger chest. This is due to the fact that it is projected more outwards and therefore, it is more attractive. Normally, surgeons recommend high or extra high projections for girls with almost no chest.

If we classify breast implants according to their surface, it can be smooth or textured. When it comes to a smooth implant, its surface is completely smooth. In contrast, in the case of textured implants, the surface is rough.

• Smooth implants: They are the most used in most breast augmentation surgeries. These implants move more since, being smooth, they adhere less to the surrounding tissues. They are usually softer than textured ones, with less risk of rippling and cheaper. It should be noted that these implants have a higher risk of capsular contracture if they are placed above the muscle. Encapsulation occurs when scar tissue around the implant grows and therefore presses on the implant. This makes the chest hard and requires a change of prosthesis.

• Textured implants: Having a rougher surface, they better adhere to the surrounding tissue and there is less risk of capsular contracture, although on the other hand, they may have a higher risk of rippling. These implants are usually more expensive than smooth ones. become hard and a change of prosthesis is needed.

It is important to speak with the surgeon so that he can explain the advantages and disadvantages of each implant and agree on the most appropriate one.

In the hours and days following the intervention, it is normal to notice discomfort in the breasts, that they are swollen and that bruises appear in the treated area. Also, the area may be very sensitive. After 48 hours, body temperature may increase and small bleeding may occur. After approximately 3 days, the bandage will be removed and replaced by a post-surgical bra that must be worn day and night for a month. The first week it is best not to raise your arms and carry them practically close to your body. During the first month the patient should sleep on her back and after that, she can start sleeping on her side. Until after three months it is not advisable to sleep on your stomach. Remember that you must follow all the recommendations that the surgeon indicates for the postoperative period. In order to promote proper healing after the intervention, the following is recommended:

• Take all medications that the plastic surgeon has prescribed
• During the 15 days following the operation do not take anticoagulants
• Do not make physical effort or exercise and try not to move your arms a lot
• Wear the bandages and the post-surgical bra for as long as the surgeon indicates
• Do not smoke or drink alcohol
• Do not touch the bandages or remove them
• Sleep in a position that is on your back
• Take care of scars with products that help heal, such as rosehip oil.

One month after the operation, you can start doing light sports that do not involve using your arms. In addition, special care should be taken with the sun since the breasts should not be exposed to the sun for six weeks after the operation. In about three months the recovery is complete and the patient can now carry out all the activities that she did before the augmentation mammoplasty.