What is a breast augmentation?

Many women believe that their breasts did not develop enough, which can cause them in addition to nonconformity, insecurity. This is why breast augmentation is one of the most common cosmetic surgeries. Dr. Rodolfo Castillo board-certified plastic surgeon uses the best implant brands. 

Breast augmentation, also known as augmentation mammoplasty, is a very popular and common procedure that can increase your breast size by one or more sizes. By surgically inserting breast implants beneath the breast tissue or the chest muscle during breast augmentation, women can achieve larger, shapelier breasts. This type of breast enhancement is sometimes performed in conjunction with a breast lift. For some women, breast augmentation is a way to enhance self-image and self-confidence. For others, breast augmentation is part of breast reconstruction after surgery for breast cancer or other conditions affecting the breast.

After breast augmentation you can enjoy more confidence when dressing and a much more delineate and attractive figure.

What types of breast implants are available?

There are several types of implants available. In the initial consultation, he will explain the options and help you choose the best one for you based on your complexion, skin elasticity and the desired result. Different types of implants include:

Cohesive Silicone Gel Implant (Gummy Bear)

These implants are filled with silicone gel, whose consistency and shape is more similar to breast tissue. It is the type of implants that Dr. Rodolfo Castillo uses in the vast majority of cases.

Implants saline solution

They are implants whose silicone cover is empty and filled with sterile saline solution once placed. These implants are not so popular due to several reasons, among them: the greater weight of water with respect to silicone, the formation of folds in the breast, the gradual emptying that after a few years there may be a need to change them.

Implants polyurethane

These cohesive silicone gel implants are covered with a layer of polyurethane. The main advantage of these implants is that they represent a much lower risk of capsular contracture.

In addition to the material, the implants can be of two different forms: Round and Anatomical, each in a variety of measures. Therefore, choosing a type of implants is a personalized decision, based on the characteristics of each case.

They can also be classified by their surface: Smooth and textured, each with different indications.

Which breast implant incision site option is best for me?

Inframammary Incision: This is the most commonly used incision at the present time and is made below the breast fold. This incision is generally less concealed and may cause fewer breastfeeding difficulties than the periareolar incision option. 

Periareolar Incision: This incision site is typically the most concealed. It is associated with a higher likelihood of breast feeding difficulties than the other incision options because periareolar incision involves cutting through the breast tissue. This may also increase the chance that there will be a change in nipple sensation. 

Transaxillary Incision: This incision is made under the arm. A lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create a pocket behind the breast. The implant is rolled up and pushed through the tunnel into place and filled before the incision is closed. This incision site is used primarily to place unfilled saline breast implants. 

Transumbilical Incision: The transumbilical incision is made in the belly button or umbilical channel. A lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create a pocket behind the breast. The implant is rolled up and pushed through the tunnel into place and filled before the incision is closed. This procedure makes for the greatest room for error when placing the implant due to the distance from the breast.

Which breast implant placement options best for me?

Sub-Muscular Implant Placement: The breast implants are placed partially or wholly under the pectoralis major chest muscle. Sub-muscular implants may result in a longer, more painful recovery than sub-glandular implants. Sub-muscular placement may result in less palpable implants and may reduce the risk of developing capsular contracture , as well as offer easier mammography imaging of the breast. 

Sub-Glandular Implant Placement: The breast implant location is between your chest muscle and your breast tissue (under the glands). This placement may help reduce your surgery and recovery time. It may be less painful than sub-muscular placement and may make your breast implants easier to access if re-operation is necessary. Implants that are sub-glandular may be easier to see and feel through your skin. Each placement type has benefits that may be right for you. During your consultation you will discuss your desired outcome with your surgeon to select the best option for your figure.

Before and During the Procedure

During your breast augmentation consultation with Dr. Rodolfo Castillo, you will learn more about your options for creating your ideal breast appearance, including: 

  • Implant size, style, and shape
  • Implant material (silicone, gel or saline)
  • Implant position (above or below the pectoralis muscle)
  • Implant incision site

The goal is to create a natural and alluring look. Which implant size that will work best for you must be individually determined with your input. The size, shape, style, and type of implant will be decided after a comprehensive examination.

Dr. Rodolfo Castillo will answer all the questions that may be there to ensure that each patient feels confident that they are making the right decision. Blood samples are taken before the surgery to ensure that the patients are in good health.

To place the implant, Dr. Rodolfo Castillo makes a delicate incision that results in a minimal scar. Based on the physical characteristics and volume of the implant, it helps to choose the best approach. The doctor can place the implant either below the pectoral muscle or between the muscle and breast tissue. Finally, closing the incision carefully with absorbable internal sutures and placing surgical adhesive tapes over the wound.

After the Procedure and Recovering

After the procedure you should notice an immediate change. There may be minimal discomfort inflammation that can be controlled with medication. You will need to wear a sports bra or special bandage and Dr. Rodolfo Castillo will make recommendations regarding physical activity and return to work. Between ten and fourteen days after surgery, it is necessary to attend a review appointment to remove the tapes. As recovery progresses, inflammation decreases and breast augmentation results are more noticeable. Remember that it takes a year for the skin to adjust and the inflammation to disappear, so the final result is seen after that time.


Following your Breast Augmentation surgery, Dr. Rodolfo Castillo will recommend you to:

  • Avoid sleeping on the back
  • Do not massage too heavily before the suture removal
  • Must wear a sports bra or support bra after the surgery
  • Do not lift heavy objects
  • Wound should not be in contact with water for 8 days
  • In case of any infection, wash the wound with soap and water. If discomfort persists, contact your patient coordinator