breast

The Breast

“…I feel my breasts are hanging…”,
“…I feel my clivage has disappeared…”,
“…After I gave birth my breasts are empty…”

These are typical comments of ladies needing a mastopexy. We believe that the hanging breasts are caused by a lack of strentgh and laxity of the Cooper´s ligament system that naturally holds the breast tissue in a younger position.

Due to stretching of these ligaments caused by pregnancy, increasing of the weight or simply aging, the breasts begin to hang.


BREAST UPLIFTING/MASTOPEXY (B.A.G.S System)

The B.A.G.S system (Breast Ancoring Glandular Suspenssion) recreates the natural ligament suspensory system of the breasts (Cooper’s Ligaments) and is designed to keep the breast in a younger higher position.

BAGS Mastopexy consists of a breast uplift whereby an internal suspensory system produces a “bra like” effect with the addition of breast volume behind the Pectoralis Major muscle.

The system allows a more predictable, safer and simpler way of performing a breast uplift as well as permits to augment the volume of the breast as much as desired without the risk on the scars that the old traditional methods have.

This new technique arises as a consequence of the difficulty that involves the breast uplift surgery when combined with augmentation. The low predictability of results, complications such as the widening of the scars, vascularisation (blood supply) problems of the areola and the double bubble effect amongst others, are common causes that may lead to poor results with the traditional techniques.

Described by Dr Garcia Ceballos since 2008, it has undergone several improvements and now avoids the classic incisions around the areola, vertical and inverted T.

To assess whether you are a candidate for this technique should perform a simple test: raise your arms in front of a mirror and see if you can see the crease
under your breasts. If the answer is yes then it is quite possible to apply this technique to avoid visible scars around the areola, vertical in the breast or inverted T.

 

The BAGS Mastopexy means:

  • A simplification of the operating technique establishing a systematic approach and reproducible process by the surgeon.
  • This leads to a more precise prediction of the final result,
  • a very remarkable shortening of the surgical time (1h 40min),
  • improvement of the synchrony of the breast dynamics with respect to implants that it is placed behind the Pectoralis Major muscle and
  • it improves the scarring process in two ways:
    1. the quality of the scars, probably due to the lack of tension during the first two months after the intervention and to the use of suture material without knots,
    2. and the thinning of the scars probably due to that lack of tension during the first weeks of the healing process.


BREAST ENLARGEMENT

(from 3.995€ all in)

The female breast is considered a sign of femininity. We understand the augmentation of the breast volume as a way of improving your femininity. Our desire is to facilitate you the way to obtain a perfectly integrated proportioned breast in to your body.

We are willing to listen to your wishes and try to advice you accordinly to make your dream come true. Dr García Ceballos has developed the GABMA METHOD wherby 735 options shapes and volumes are available in order to obtain the desired result. The GABMA METHOD improves the outcome of the breast surgery enhancement up to 98%.

We use a variety of top quality implants, including low index rate capsular formation polyurethane implants, to obtain the best possible results. The placement of the implants could be placed under the Pectoralis Major muscle or above it depending on various factors. We also perform the subfascial breast augmentation. This is a plane between the gland and de muscle with less injury to your breast tissue. You´ll be able to choose the scar position together with your surgeon.



BREAST REDUCTION

This surgery may be considered by women with very large, pendulous breasts that may experience a variety of medical problems caused by the excessive weight -back and neck pain-, skin irritation and breathing problems. Bra straps may leave indentations in their shoulders. Excessively large breasts can make a woman-or a teenage girl-feel extremely self-conscious.

Breast reduction, technically known as reduction mammoplasty, is designed for such women. This procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The outcome is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. Each case is treated individually.

Breast reduction is usually performed not only for cosmetic improvement but also rather for physical relief. Most women, who have the surgery, are troubled by very large sagging breasts that restrict their activities and cause them physical discomfort.

  • In most cases, breast reduction isn’t performed until a woman’s breasts are fully developed; however, it can be done earlier if large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results.
  • There are few techniques to shape your breast to your body type. The type of reduction will depend on factors like your skin quality, degree of ptosis (breast drop) age, and your general health condition. 90% of the breast reductions done by the mallorca medical group surgeons are performed following the vertical scar and round the areola (lolly pop scar). You are advised to have a reported mammography/Ultrasound of your breasts prior to your intervention and if there is history in your family of breast or ovarian cancer you are advised to have a genetic testing.

MALE BREAST REDUCTION (GYNECOMASTIA)

It’s actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases.

The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he can choose a surgical approach to best suit your needs.

Before you decide to have surgery, think carefully about your expectations and discuss them frankly with your plastic surgeon.


BREAST RECONSTRUCTION

We believe that breast reconstruction begins before the cancer is even diagnosed. You need to know that the majority of the breast cancer develops in patients without family history of this disease. It is only 5-10% of the breast cancer patients who are due to a genetic mutation.

Perhaps you have heard of BRCA1 & BRCA2 genes.
In 1990, DNA linkage studies on large families with the above characteristics identified the first gene associated with breast cancer. Scientists named this gene “breast cancer 1” or BRCA1 (pronounced brak-uh). BRCA1 is located on chromosome 17. Mutations in the gene are transmitted in an autosomal dominant pattern in a family.

Since it was clear that not all breast cancer families were linked to BRCA1, studies continued and in 1994, scientists discovered another gene (similar to BRCA1) and named it BRCA2. BRCA2 is located on chromosome 13. Mutations in this gene are also transmitted in an autosomal dominant pattern in a family.

When a person has one altered or mutated copy of either the BRCA1 or BRCA2 gene, their risk for various types of cancer increases:

BRCA1 Mutation

  • 50 percent to 85 percent lifetime risk for breast cancer
  • 40 percent to 60 percent lifetime risk for second breast cancer (not reappearance of first tumour)
  • 20 percent to 60 percent lifetime risk for ovarian cancer
  • increased risk for other cancer types, such as prostate cancer

BRCA2 Mutation

  • 59 percent to 82 percent lifetime risk for breast cancer (in females)
  • 6 percent lifetime risk for breast cancer (in males)
  • up to 27 percent lifetime risk for ovarian cancer
  • increased risk for other cancer types, such as pancreatic, prostate, laryngeal, stomach cancer, and melanoma

These genes can be detected in a simple blood test and it take about 4 to 6 weeks.

  • If you are younger than 50 y/o , you have family history of both breast and ovarian cancer, prostate cancer, male breast cancer or Ashkenazi Jewish ancestry you may be interested in having your genes tested for BRCA1 or BRCA2.
  • From the moment your blood is taken it takes about a month to know the results.
  • If you don´t have BRCA1 or 2 your risk of having breast cancer still exists as the rest of the normal population.

As a patient who has had a mastectomy done, we will consider your case 4 months after your chemotherapy is finished and 6 months after your radiotherapy is finished. This will allow your tissues and general health to be fit for a reconstructive procedure.

We will require a document form your oncologist that states that you are tumor free before we consider you for reconstruction.

There is a variation of methods that can be used for this procerure and this will depend on your general health, skin condition, body constitution and your wishes of course. Generally there are two types of breast reconstruction, those performed with autologous tissue(tissue from your own), those performed with anatomical breast prosthesis and those that use the two former techniques.

There are advantages and disadvantages for each of the procedures and as a general rule, the procedures using breast prosthesis are simpler, quicker and easier to recuperate and the ones done with your own tissues are more complex and of longer recovery. The surgical options will have to be discussed between you and your surgeon in detail.