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Augmentation Mammoplasty | Boob Job | Breast Augmentation | Breast Enhancement | Breast Enlargement | Breast Prostheses | Enhancement Mammoplasty | Enlargement Mammoplasty | Mammary Augmentation | Mammary Enhancement | Mammary Enlargement | Mammary Implants | Mammary Prostheses
Augmentation mammoplasty enlargement of the small breasts
The modern breast implants augmentation mammoplasty or boob job reshaping of the hypoplastic breast allows the increase of the underdeveloped or small breasts due to genetic congenital factors, pregnancy and breastfeeding, in the mommy makeover or after weight loss in body contouring, which can be filled, enhanced, enlarged and rejuvenated by means of a complete portfolio of the most modern, safest and well tested mammary prosthesis models in the market of round or spherical profile and anatomical or teardrop profile shape, filled with cohesive or 4th generation and highly cohesive or 5th generation silicone gel, covered with textured and polyurethane coated surface, featured with low bleed shell and aiming to provide either fake round or natural cleavage looks, anti-encapsulation or anti-capsular contracture properties, prevent leakage of silicone, reduce the unsightly rippling, provide ultra adherent bio-velcro properties, with natural touch feeling, long lifetime expectancy, absolute trustworthiness and others, fully approved by health administration regulatory authorities and medical governing bodies, industry quality controlled and incorporating manufacturer's warranty, inserted with minimal scarring in well hidden areas at the areola, underneath the breast and others, using the modern, low aggressiveness and high safety record subfascial plane to place the implants with minimal tissue damage, no muscle rip off, no blood spill losses, preservation of natural anatomy, no drain tubes, scarce pain, low rate of complications, early and quick recovery, long term stability, no interference with imaging diagnosis of the breast and achieving awesome aesthetic results, providing also an indirect rejuvenation and breast lift effect by stretching the overlying mammary gland, fat and skin soft tissues thanks to the structure expansion achieved with the augmentation mammoplasty.
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Unlike other simpler but objectionable shape and size limited, anatomically restricted in their effects, short lasting, unpredictable and unreliable augmentation mammoplasty methods featured by high rates of complications, instability, deformities, asymmetries, fake looks and mid or long term revision procedures like breast lipofilling, fat transfer to the breast, supercharged composite breast augmentation, hyaluronic acid injections, water injections, BRAVA, hormonal pills and others, the safe breast implants augmentation mammoplasty technique allows a reliable, stable and long lasting worries-free breast size enhancement with minimal risk of issues and a natural look.
The subfascial augmentation mammoplasty is not at all an aggressive submuscular or an also aggressive dual plane surgery of the breast modifying the patient's natural anatomy, damaging the muscles, leading to muscular dynamism or double-bubble deformity risk, animation deformity or flex deformity or elevator breast deformity risk, with slow and extremely painful postoperative recovery, long functional limitation for daily activities and sports, usage of drain tubes for days, with long surgical time and postoperative hospital stay, lots of bruising, painful postoperative and slow recovery; to the contrary the subfascial augmentation mammoplasty is a minimally aggressive and anatomically respectful technique preserving patient's natural anatomy and muscles, yet providing and improving the rates of postoperative complications and the pace and quality of the recovery if compared with other techniques and equal or superior long term stability, safety, ease of breast imaging diagnosis and aesthetic results; actually the patients are allowed to leave the hospital the same day of surgery as day case management protocol and they are able to walk out the hospital by their own means shortly after surgery, with minimal, if any, pain and bruising, enjoying the benefits of early hospital discharge and prompt surgical and aesthetic recovery; needless to say the subfascial augmentation mammoplasty is way more affordable than submuscular and dual plane techniques and considering its duration, results and safety is relatively way cheaper than breast fillers of any kind.
The subfascial breast augmentation versatility is unparalleled by other major or minor alternatives in terms of simplicity, safety and costs, and in many cases enlarging the breast is simply unfeasible unless breast implants are applied; the subfascial breast augmentation may be performed as standalone procedure or, should it be deemed indicated, in association with a Breast Lift, a Breast Reduction, a Tuberous Breast Correction, a Breast Revision and a Breast Reconstruction, leading to huge number of versatile combinations to fit every particular breast case anatomy and patient's wishes.
There is no injection of any fillers or gels and no foreign bodies inserted within the breast tissue to achieve the desired breast size and shape, all the increase effect is made with highly biocompatible prosthesis breast tissue expansion, producing no distortion of the natural breast and ribcage muscular anatomy and functionality; therefore no migration, dislocation, droopiness or grotesquely artificial results are expected in this modality of mammoplasty, as occurs with other much objectionable methods of injected fillers.
Main disadvantages of submuscular and dual plane breast augmentation, a traditional technique developed in the late 1980s and consolidated in the 1990s thus widespread among the surgical community, are the distortion of the muscular anatomy, the risk of muscular dynamism or double-bubble deformity, animation deformity or flex deformity or elevator breast deformity, the long, slow, extremely painful postoperative including drain tubes, the high rate of major postoperative complications like bleeding and infection and the late return to normal of patient's daily activities and sports; its repair is complex and requires technique conversion to subfascial plane, eventually with some modality of breast revision mammoplasty.
Main disadvantages of 1st, 2nd and 3rd generation breast implants for augmentation mammoplasty, traditional models developed in the 1980s and consolidated in the 1990s thus widespread among the surgical community, are the their likeliness make patients dissatisfied with shape and size or to a series of well known complications and issues like encapsulation or capsular contracture, seroma, poor adhesion fixation to ribcage tissues, bottoming out, dislocation, excessive mobility, if silicone was the filler there was silicone leakage, bleed or sweating of the silicone filler, early rupture and short lifetime, extracapsular rupture and breast tissue invasion by silicone, massive rippling deformity and others, if the filler was saline then produced extreme rippling, bubbling feel and noise, coldness sensation within breasts and cold touch feeling, artificial water balloon touch feeling, very early rupture and extremely short lifetime and others; such complications and undesired effects are due to flaws in their design like the lack of gel cohesiveness and the alternative use of saline as filler, smooth surface, lack of low bleed barriers, limited availability of sizes and shapes in catalogue, and others; its repair is complex and requires implants renewal to 4th or 5th generation models, eventually with some modality of breast revision mammoplasty.
Main disadvantages of non surgical breast augmentation procedures like breast lipofilling, fat transfer to the breast, supercharged composite breast augmentation, hyaluronic acid injections, water injections, BRAVA, hormonal pills and others, a group of techniques of low or very low difficulty thus very or extremely tempting and frequently practiced among the surgical community and massively practiced by non-surgical practitioners, are their short lifetime, most of them have effects lasting between 6 up to a maximum duration of 12 months, patient's dissatisfaction regarding the poor shape and insufficient size achieved, the inability to shape a nicely contoured breasts, insufficient projection or augmentation effect, very limited dimensionally allowing only slight amounts of increase up to a certainly restricted point with a weird shape unable to really fill up a breast cleavage, random effects, they do easily get infected prompting extraction and scarring, are prone to cause chronic pain, reason to remove them, migration, granulomas, inflammatory reactions, infections, irregularities, pain, eventually local tissues damage and unpredictable mid and long term behaviour, associated with null rejuvenation and breast lift effect by stretching the overlying mammary gland, fat and skin soft tissues; should the fillers be temporary patients await its resorption then seek the suitable modality of augmentation mammoplasty; in long term or permanent fillers the situation is difficult to manage, since they are sometimes difficult or impossible to extract; most carriers of non surgical breast augmentation do sooner or later seek their explantation and immediate, if feasible, replacement by the suitable modality of breast implants augmentation mammoplasty.
Opposed to the former the subfascial 4th and 5th generation breast implants augmentation mammoplasty, a technique developed in the 2000s and consolidated in the 2010s, gathers all the technical, safety and aesthetic advantages for the patients, however it is a technique of modern development highly demanding in surgeon's skills training update with the subfascial plane and the modern models of breast implants thus very or extremely discouraging or even frightening to a large number of surgeons, being few those professionals who master and regularly perform subfascial 4th and 5th generation breast implants augmentation mammoplasty, and if anyone performs them it is occasionally, seldom or even rarely and with round profile implants of fake look and limited size increase.
Advantages of subfascial 4th and 5th generation breast implants augmentation mammoplasty are its long lasting lifetime and eventually can be repeated to be re-graduated, re-designed or reversed, it does not often experience issues, modifications or complications in the mid and long term, it is virtually unlimited in size and shape allowing any deemed suitable association with breast elevation, reduction, tuberous correction, revision or reconstruction, it is associated with indirect rejuvenation and breast lift effect, it is not linked to the undesired effects, issues, complications and design flaws of the submuscular and dual plane, 1st, 2nd and 3rd generation breast implants models and the non surgical breast augmentations, the complications rate is very low and the look of the breasts is natural with results which are simply awesome; however, subfascial 4th and 5th generation breast implants augmentation mammoplasty does indeed require a very well trained surgeon with excellent aesthetic judgment, a fully equipped safe hospital environment, have longer inflammation period and their price is higher yet within affordable margins.
Dr. Alejandro Nogueira is an outstanding specialist in all the modalities of simple to top difficulty subfascial 4th and 5th generation breast implants augmentation mammoplasty, gathering vast experience and highly developed skills in such procedures otherwise rarely practiced by any other surgeons.
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BREAST IMPLANTS MODELS FEATURES & PERFORMANCE
BREAST IMPLANTS ROUND 4G
4.392 €
Round breast shape
Cohesive gel
Textured surface
Low bleed shell
FAKE LOOKS
4TH GENERATION
BREAST IMPLANTS ROUND 5G
4.521 €
Round breast shape
Highly cohesive gel
Textured surface
Low bleed shell
FAKE LOOKS
LOW RIPPLING
5TH GENERATION
BREAST IMPLANTS ANATOMICAL 4G
5.300 €
Anatomical breast shape
Cohesive gel
Textured surface
Low bleed shell
NATURAL LOOKS
4TH GENERATION
BREAST IMPLANTS ANTOMICAL 5G
5.491 €
Anatomical breast shape
Highly cohesive gel
Textured surface
Low bleed shell
NATURAL LOOKS
LOW RIPPLING
5TH GENERATION
BREAST IMPLANTS ROUND POLYURETHANE
6.955 €
Round breast shape
Cohesive gel
Polyurethane coated surface bio-velcro
Low bleed shell
FAKE LOOKS
ULTRA ADHERENT
TECHNICAL GENERATION
BREAST IMPLANTS ANATOMICAL POLYURETHANE
7.366 €
Anatomical breast shape
Cohesive gel
Polyurethane coated surface bio-velcro
Low bleed shell
NATURAL LOOKS
ULTRA ADHERENT
TECHNICAL GENERATION
BREAST IMPLANTS CUSTOM XL
12.594 €
Round or anatomical breast shape
Cohesive gel
Textured surface
Low bleed shell
Limitless sizes, volumes and dimensions
FAKE LOOKS
NATURAL LOOKS
DR. ALEJANDRO NOGUEIRA'S DESIGN
Custom-made breast implants are not available in stock; they must be designed by Dr. Alejandro Nogueira, approved by the engineers and ordered to factory 2-3 months in advance of your surgery day, in order to allow time for the complete manufacturing process; full upfront payment of your treatment is required for ordering this kind of implants.
DR. ALEJANDRO NOGUEIRA'S DIAGNOSES & TECHNIQUES FOR BREAST IMPLANTS
You have chosen treatment and now you can get it covered by a Cosmetic Plastic Surgery revision protection in case you need a finishing touch or a full reintervention within the Surgery Shield conditions; not taking any cover makes you bound to fully pay any reoperation. READ MORE ABOUT SURGERY SHIELD
Due to the competitiveness scenario of the markets most plastic surgery clinics and plastic surgeons feel forced to invest large sums of money into advertising and marketing campaigns; this non medical additional cost is always and necessarily charged on top of the final price paid by patients, leading thus to an overprice of surgeries and treatments. No one patient wishes to bear that financial burden embedded in the surgical costs, furthermore neither surgeons nor clinics are happy to increase their retail prices and penalize their customers with costs not bringing any kind of special medical benefit, safety enhancements or results improvement; the promotion budget aims only to disseminate the public knowledge of a services provider and raise the awareness about its presence to potential customers, but not to make the service or the product a better one.
Seems like this model is a no-way-out labyrinth from which no one can be freed, furthermore it is such a tempting, easy and hassle-free way that actually most patients and plastic surgery providers are locked into it, happily or with resignation, paying a high price due to being non collaborative; however there is an ideal alternative, based on keeping up a good hard work based on a strive for providing quality service and achieving patients' satisfaction, which necessarily requires the decided support of the clients and somehow their involvement in such virtuous business model grounded on top-notch results
READ ABOUT BENEFITS OF THE COLLABORATIVE MODEL
When plastic surgery providers and patients do actively engage into a collaborative economy scenario a win-win basis is set for their relationship, since the clinics and surgeons obtain the best promotion ever possible with no budget for marketing investment and the patients get in return rid of any additional and unnecessary costs; such a price reduction does not represent any loss in the quality of the treatment they are receiving, furthermore this saving achieved will actually reward customers with a reinforced confidence and guarantee the service providers will strive to perform the best job possible and obtain results second to none.
It is not a paradox or contradiction; under a collaborative economy umbrella plastic surgery patients enjoy a greater plus of confidence that clinics and surgeons will do their very best and beyond to satisfy their customers, in spite the price is lower than in marketing-based non collaborative models; plastic surgery providers who found their business sustainability on the pillars of exclusively or mainly incremental budget investment in ongoing promotion campaigns do have little incentive in achieving first-class results and the best patient experiences, since their business model is not based on returning patients after word-of-mouth dissemination of their reputation but on the attraction of cold clients with sophisticated advertising methods of higher or lesser moral acceptability, attracting customers as parachutists randomly landing on unknown land, which is a perverse business model frequently leading to an unavoidable degradation of safety and results quality besides an uncontrollable increase in costs and prices; this marketing-based model creates no incentives to keep up the good work and pushes the prices higher on and on due to require increasing promotional investments.
On the other side, which is definitely our side, clinics and surgeons who rely solely or mostly their existence and survival in the competitive plastic surgery market enjoying the widespread of their excellence extended by their own patients results and satisfaction, like a mill driven by the winds of prestige, have the strongest ever incentive to be the best service providers around, sourced from the support of happy clients and their operated cases as proof of their excellent jobs; needless to say such supporters, the patients, have to enjoy a share of this benefit so that the incentive is reciprocal; under this scenario clinics and surgeons strive to provide the best service and accordingly patients release and transfer in a fair exchange the materials and tools required to build a marketing-budget-free and virtuous business model which creates the perfect incentives to build the best sponsorship-free reputation, based on the grounds of medical quality thus allowing prices control within affordability thanks to the minimal cost of its maintenance.
This is the deal; patients give in our favor the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of their cases for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, and they receive in exchange a compensating remuneration of a -20% discount from the standard price list for our treatments, as it is publicly visible by default in all the prices and quotations on our website.
As can be observed our visible prices are highly competitive if compared with other plastic surgery providers, actually the difference is approximately a -20% from the average price of each particular treatment in other clinics and surgeons from similar economical areas and countries of comparable development; this is not due to any quality or safety downgrading but to our collaborative business model; in other words, the budget which theoretically should be invested in marketing and promotion campaigns is discounted from the retail prices and, unlike other plastic surgery providers, is not wasted into pointless advertising to patients which entails no kind of added value for them; such campaigns are replaced with our superb results publicized thanks our patients support by letting us use their cases' Before & After and Intraoperative & Technical images and medical details; this explains that price gap between us and other clinics and surgeons.
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MODEL KEYNOTES
Patients gain a highly affordable pricing model with yet world-class standards of medical practice, safety and results, and we gain competitiveness within the industry by means of saving the budget theoretically bound to be wasted in marketing.
Patients contribute with their images and medical details and we compensate them with a -20% discount from the expectable average price quoted by comparable clinics and surgeons.
We receive a boost of unbeatable promotion and market penetration by using our awesome operated cases and the patients enjoy a plus of guarantee that we will strive to conduct ourselves to the highest level of excellence and obtain results better than one can imagine.
We help you access the best plastic surgery results and you help us win the race of the market.
Should you feel not interested in collaborating with our business model and still wish to be our patient? No worries, this perfectly possible under the same philosophy of professionalism, devotion and quality, you have to simply express your opposition at surgery day booking by opting for the standard prices and thus give up the -20% discount of the collaborative model, budget which will be used to promote our business in sponsorships, campaigns or one-time actions aiming to attract new customers who, without your help to take the right decision for their surgery, may need sponsored channels to know about us.
Keep in mind that taking part in our collaborative business model is also an altruist way to help other prospective patients to find the medically right and commercially suitable plastic surgery provider, besides collaborating in the medical education of other surgeons and medical professionals.
We offer a flexible consumer-to-business relationship by letting our patients choose between a release & transfer quotation model in which the standard price list receives a -20% discount becoming thus the reduced price list, and a no disclosure quotation in which the standard price list applies and the patient misses such compensating remuneration.
Two models under the same quality involving different prices and marketing-building strategies; you receive always one guarantee: our commitment we will give you our best.
You choose, you rule.
BREAST IMPLANTS COMBO SPECIALS PRICE DISCOUNTS
LOWCOSTMETIC'S GENERAL COMBO
By choosing and getting in the same surgical procedure more than only one any treatment (except Breast Implants Custom XL and Breast reconstruction autologous) you'll be granted a progressive per every additional treatment awesome 5% (2 treatments), 10% (3 treatments), 15% (4 treatments) and up to 20% (5 or more treatments) discount off the total quotation for such combo.
BREAST IMPLANTS COMBO
By choosing any Breast implants treatment (except Custom XL and Breast reconstruction autologous) and getting in the same surgical procedure any single treatment out of Breast lift, Breast reduction, Tuberous breast correction, Breast Revision or Breast reconstruction you'll be granted an awesome 20% discount off the total quotation for such combo.
MOMMY MAKEOVER COMBO
By choosing any single treatment out of Breast implants (except Custom XL), Breast lift or Breast Reduction and getting in the same surgical procedure a Tummy tuck treatment you'll be granted an awesome 15% discount off the total quotation for such combo.
DR. ALEJANDRO NOGUEIRA'S BREAST IMPLANTS TOP RATED CASES
Concealed at the areolar edge, areolar perimeter, within the areola, submammary crease fold and other custom approaches.
Complete preoperative check which may include blood tests (count, chemistry, coagulation, etc.), heart check, electrocardiogram, lungs check, spirometry, X-ray, airway examination, referral to suitable consultant specialists, etc.; the battery of tests is customized to every patient's medical background and treatment scheduled, following international standards in anesthesia safety
Thorough preanesthesia assessment including in person consultation with the anesthetist, physical examination, advice, preparation, pre and postoperative instructions, etc.
General anesthesia for an average surgical of approximately 1 to 2 hours; although this treatment is theoretically feasible, however unrealizable in practical terms, under local anesthesia with sedation or twilight anesthesia, the latter pose an unacceptable health and life threatening risk, favours surgical errors or complications and downgrades the outcome of the procedure limiting the best possible results of the treatment, not to mention the painful and distressing experience for the patient; general anesthesia in any kind of procedures, especially in major ones, offers the highest grade of safety, absolute comfort, technical control, surgical feasibility and allows full development of surgeon's creativity aiming to achieve the best aesthetic results; under certain technical requirements regarding patient's peculiarities and the technique planned for the procedure it might be deemed indicated by the Medical Team either the use of local anesthesia plus mild sedation or twilight anesthesia for this treatment.
High safety immediate post-surgical aftercare staying 1 to 2 hours in the post-anesthesia care and recovery unit, where intensive surveillance and, should it be necessary, critical medical assistance is provided by intensive care specialist doctor on duty devoted only to post-operated patients and specialized nurses in a one-to-few staff/patients ratio, following the highest international standards of surgical and anesthetic management.
Day case management, patients leave the hospital the same day of surgery in the afternoon, evening or night according to medical, organizational and logistic factors, in good condition after a brief lapse of hours resting in their individual ward room; if you wished so you may purchase extended hospital stay as additional successive nights by enquiring availability and pricing to the Sales Team via the Customer Support form.
TIMETABLE WARNING: The scheduled time for the treatment, the duration of the surgery itself, the time spent in the recovery unit, the length of ward room stay and the exact moment of hospital discharge allowance are unpredictable, variable and dependent on multiple medical, organizational and logistic factors; we beg you patience and thank you for understanding how challenging is the surgical profession, the unexpected difficulties the physicians may encounter during their actions, the unpredictability of every treatment duration and patient performance and, ultimately, the absolute priority doctors take on providing the most optimal care to the case they are actually handling at every moment, being other duties and formality of a second order of relevance; yourself as patient would really wish and actually require the Medical Team have all their distraction exempt attention on you and only for you during the critical execution moments of the anesthesia, surgery and recovery stages of your own treatment, therefore and on behalf of other patients undergoing surgeries with our Medical Team on the same day than yours we are grateful for your comprehensive sympathy approach to any eventual delays to your treatment timetable expectations.
Attendance in the hospital is required at least the day before surgery as minimum show up to meet the Medical Team, carry out the preoperative formalities and prepare the procedure; further anticipation is always recommended and welcome, furthermore a well in advance in person preliminary visit to the hospital performing on premise consultation with the Medical Team is always the best choice before moving forward with surgery booking.
Patients travelling to our facilities in order to receive treatment by any transport mean on a trip taking less than 4 hours long are required to fulfill a postoperative stay in a suitable accommodation not further than 1 hour distance from the hospital as minimum as the night prior to surgery plus the night of hospital discharge and another 2 additional nights, needless to say the nearest to the hospital the better; more distant travellers must double such additional minima of stay near our facilities during the postoperative period; see our recommended nearby accommodation places here; longer than minima proximity stay near us may be always a wise option to consider.
In spite of the safety and controlled invasiveness of this treatment, it is of paramount importance, not absolutely essential though, travelling in company of an espouse, partner, relative or friend as supportive companion; should you be planning undergoing your procedure alone without companion we'd have you know this is not the wisest option and we would strongly suggest you reconsider bringing some adult escort you can trust for your safety and, in any case, require your stay in the very nearest accommodation available or alternatively you purchase extended hospital stay as additional successive nights by enquiring availability and pricing to the Sales Team via the Customer Support form.
The patient must keep a minimum safe accommodation protection, home seclusion and strict absolute immobility period of 4 weeks, during which it will refrain from staying or walking outdoors, driving, carrying out physical activities, lifting weights, sports, intercourse, household chores or any non intellectual activity other than those feasible with hands and forearms in a sitting position avoiding lifting the shoulders and never separating the arms and elbows from the chest or spinning the trunk; during this period the patient will be able to eat by own means any kind of food without restrictions; the patient should not remove the support garment applied after surgery or manipulate plasters unless is instructed so by the Medical Team; bed stay should be limited to sleeping hours and always raising the header to lift the head and trunk higher than the rest of the body; daytime is best spent in the living room on an armchair or couch conveniently entertained to keep the mind busy; during the early postoperative stage someone's support will be essential to walk in and out of bed, toilet, kitchen, etc.; physiological needs and personal hygiene may require assistance; not acting so will doubtlessly pose a real risk affecting your safety, the treatment outcome, your health or eventually your life.
You'll need an absolutely essential for this treatment sick leave from your job, do plan this issue in advance; minimum time off work for this treatment is 4 weeks for office works, 5 weeks in case of active works and 6 weeks for physical works; professions requiring a neat physical look over the operated area may need longer sick leave time; it is of paramount importance respecting the recovery frames and the Medical Team's indications, since the outcome of your surgery and even your health do depend on that.
Social stigmata of the treatment may be impossible to hide an average of 2 weeks, barely concealed with underwear and clothing another 2 weeks or longer and be considered between somehow evident to discreet or subtle an undetermined period of months up to one year or beyond; this includes massive swelling deforming the breast itself and the surrounding chest and abdominal structures, remarkably the cleavage, extensive bruising pigmenting the chest and armpits around the breasts, temporary reduction of mobility or palsy of the affected arms, neck and back muscles, reduction, loss or increase sensation disorders and pain on the breast and nipples, contour irregularities, changes in skin coloration, unsightly scars and others; breast patients will have to wear a visually explicit supportive brassiere garment on their breasts for 1 month to provide relief, protect their shape, immobilize the prostheses and promote healing; we strongly recommend patients to plan their social and private life based on realistic scenarios of recovery.
Sport is normally allowed in moderate grade after 6 weeks heavy workout may be commenced 8 weeks after surgery.
Average postsurgical pain is rated of 7 out of a 10 scale and is expected to last for approximately about 7 days, sourced mainly in the form of muscular needles, sore breasts, sensitive nipples and tensional neck and back ache a strong cocktail of painkillers will be prescribed for its relief.
Antibiotics will be prescribed to prevent any infection; a stomach protector will be associated too.
All the cutaneous stitches are dissolvable, they do self-drop off and no removal is required.
Postoperative wound care can be carried out at patient's home by means of daily showers and meticulous hygiene; uneventful cases need no plaster or office-based nursing.
Postoperative control and checkups are carried out by our Medical Team following long tested and successful protocols, either on premise or online, based on their expertise, know-how and every patient's individual evolution.
Do bear in mind the unlikely eventuality in which patients might be prompted or even urged to show up at our hospital to be examined in person or receive on premise physical attention from our Medical Team; do research about the available surgical travellers' insurances should you wish to be covered in such a case.
Cosmetic and Aesthetic Plastic Surgery patients suffer a high grade of mental distress and psychological suffering due to the long lasting, visible and exposed stigmata arising from the intervention on such delicate tissues as those manipulated in this treatment; we strongly recommend a thorough self-preparation to go through this procedure in the smoothest manner possible, minimizing avoidable and unnecessary emotional disorders or anxiety; do always seek the help of our Medical Team's advice and support, you'll be given realistic prognosis and the best postoperative assistance.
Worrying concerns may also arise from the long period necessary for your treatment results stabilization, which may be disappointingly uncertain during the first months, intermittently progressing back and forth quite a few months and incomplete up to one year or beyond; this might be a source of frustration or even a reason for regretting; do prepare yourself psychologically for the procedure, this is Cosmetic and Aesthetic Plastic Surgery and your sensitive tissues are affected by the procedure carried out, even minimally invasive or superficial ones; we beg you patience and understanding, sticking all time to our Medical Team's instructions in order to achieve the best of the outcomes.
A late surgical touch up or even a revision procedure is a very uncommon scenario but can never be totally ruled out due to the sometimes unpredictable behaviour of tissue healing; the costs of such remedial surgery would be fully charged to patient unless the procedure is covered by the Surgery Shield protection; do read about the available the Surgery Shield here should you wish to be covered in such a case.
This information is indicative only and does not represent an obligation with patients or a prediction of forthcoming events, since is based on statistical means for large groups of patients, with the variability that implies, and the biased experience of medical professionals.
Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
One surgical process can't be fully predictable or be rigidly scheduled on a previous protocol, so the management plan may be modified at any time based on the requirements that could be considered as necessary or most suitable.
Healing is an imprecise and always unpredictable process due to the uniqueness nature of each patient; even with your physician prioritising post-op patient care excellence and scar minimisation techniques and treatments your evolution and results may be likely different to the information contained on this website, therefore your physician cannot guarantee any specific scenario and outcome commitment regarding your procedures.
Remember that all surgery is likely to produce lasting swelling and a lifetime permanent scar, which is likely to partially evolve over approximately 12 to 18 months or longer because this is an issue of unpredictable kind; some patients may be prone to permanent swelling and bad scarring.
Information on our website is not a substitute for a personalised, individual consultation that includes a physical examination, history taking, a discussion of the potential risks including potential common complications, pros and cons of various procedural options, and the likely outcome expectations of your surgical procedure. Only an in-person consultation and examination can help your physician to provide you with information about what you, personally, as a unique individual, can expect.
Dr. Alejandro Nogueira's opinions, indications, procedures, techniques and methods of diagnosis, treatment and management change frequently as new information is available due to scientific knowledge and state-of-the-art medical practice progress; we aim to keep information updated, but it is possible that some information may have been superseded and is in process of being added to our website, therefore it may not represent Dr. Alejandro Nogueira's most current methods or protocols.
All the prices and quotations visible on our website belong to or are calculated out of the reduced price list and do already enjoy by default a -20% discount from the standard price list for our treatments as compensating remuneration for the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of our patients for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, unless they express the opposite at their surgery day booking by opting for the standard prices.
READ MORE ABOUT BENEFITS OF THE COLLABORATIVE MODEL
Our prices are quotations valid for the majority of cases operated on; notwithstanding a few cases are non standard, atypical, requiring exceptional resources and, therefore, needing customized quote calculation; do seek the advice of our Medical and Sales Teams to find out whether your case lies within the standard protocol of management, which actually is the most likely scenario.
Standard quotations do cover the planned protocol of management, including preoperative consultation with the surgeon, preanesthesia examination, basic preoperative tests, surgeon, anesthetist and assistant fees, planned operating room, rental time, regular intraoperative surgical supplies (materials, drugs, etc.), agreed implants (breast, etc.), one recommended postoperative garment (brassiere, corset, etc.), 1 hour recovery unit stay, individual ward room, regular hospital supplies (materials, drugs, etc.) and postoperative office-based care.
Not included in standard quotations are, among others, non basic preoperative tests, pre and postoperative consultant referrals for assessment, additional garments, non hospital supplies (materials, drugs, etc.), postoperative tests and any kind of postoperative re-interventions, postoperative medical or surgical emergencies and costs exceeding the planned protocol of management like unplanned, unforeseeable and unavoidable extended surgical time rental of the operating room, extended hospital stay in standard ward or Intensive Care Unit (ICU) room and all the associated costs with any hospital-based assistance of complications, medicalized repatriation, hostelry accommodation, maintenance and travel costs; we do not take account of any costs not within the scheduled treatment pre and postoperative planned and agreed management.
We do not offer trip packages; the patient is bound to organize and pay for any trip, accommodation, food, transport, etc.
Prices do include the V.A.T.
Prices do not include any kind of travel or revision insurance; do read about the Surgery Shield for revision surgery here should you wish to be covered in such a case.
Treatments are payable in Euros only; we do not accept other currencies as payment of the treatments.
Any currency conversion is non accurate and has indicative purposes only.
Combo Specials discounts are percentages of reduction applied on the retail price of the standard quotations for the treatments of the price list; these discounts are not applicable on non standard cases, customized quotations and charges not included in the standard quotations.
The treatments Breast implants custom XL or Breast reconstruction autologous and the Surgery Shield for any body area treament is expressly excluded from any price reduction, discount and promotion, among them the Combo Specials.
Combo Specials are applied and calculated for each purchase of treatments to be performed simultaneously; Combo Specials are not allowed on treatments to be performed in different anesthetic procedures or different surgical episodes; any given purchase of treatments to be performed simultaneously may include more than one Combo Special.
One given treatment cannot be affected by more than one discount, be it Combo Specials or other discounts; in the event of a conflict due to the coincidence of more than one Combo Specials discount affecting a given treatment, the discount that produces the greatest gross discount in favor of the patient calculated at the given treatment in conflict level will be applied.
The lowcostmetic's General Combo Special only applies to treatments other than those affected by treatment-specific Combo Specials at any given purchase of treatments to be performed simultaneously; for the calculation of the lowcostmetic's General Combo Special all the treatments affected by treatment-specific Combo Specials are considered a single treatment.
All images are genuine, trustworthy and real standard views of the "before" situation and the long term settled "after" actual results of Dr. Alejandro Nogueira’s work, as well as true intraoperative surgical views and authentic technical or clinical scenarios depicting real practice hands-on cases belonging to Dr. Alejandro Nogueira's skills and expertise.
No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
No images were staged, digitally edited or modified in any way, except for cropping, adjusting and resizing to fit gallery format, removing identifiable elements and blanking with anonymity purposes.
The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
The images may display content that is graphic in nature showing explicit surgery, clinical events and that may depict partial or total nudity; if you find such material offensive or you are sensitive to it you should not use this feature and should exercise caution before accessing other explicit features of the website.
The images are appropriate for a mature-only audience; if you are under the age of 18 you should not view the content of this website.
All the reviews, ratings and opinions have been freely and voluntarily written and sent by real people with the intention to issue their feedback about their own first account experience regarding the services of Dr. Alejandro Nogueira, the Medical Team and the facilities where the treatments were performed or the assistance provided.
Despite exhaustive verification measures, it is impossible to guarantee the authenticity of the reviews, ratings and opinions received; moreover, it cannot be confirmed that these are patients really attended by Dr. Alejandro Nogueira or that the review corresponds to the reality of the assistance received, much less that the rating and opinion are a fair criticism close to an adequate one value judgment, either for its favourable spirit as well as unfavourable to the reputation of the parties involved.
It is up to the reader’s criterion to give more or less credibility to the reviews, ratings and opinions published at its own account and risk, once it is informed that their level of trustworthiness cannot be guaranteed, that all criticism is subjective or cognitively biased and that, although realistic and weightedly fair, a review cannot be extrapolated beyond the individual experience of a patient with a given treatment, a particular medical problem and with a unique and individualized technical application to their case, so it will be something that it will never be repeated in other patients, neither with regard to their technical planning nor regarding their evolution, much less in their results.
All reviews, ratings and opinions go through a moderation and editing process prior to publication, in order to guarantee, as far as possible, their quality, the philosophy of user’s help and guidance, their compliance with editorial policies, proofreading correction, their anonymization, third parties protection and their translation; there is the possibility that the published reviews differ substantially from the original version submitted or that it is decided not to publish those that are considered low quality ones, and therefore of no help to users, or for breaching the principles of proportionality, failure to pose a reasonable criticism and lack of adherence to the limits of freedom of expression, being fully and discretionarily reserved the right of admission, moderation, editing and publication of the submitted reviews.
Previous satisfied patients of a physician do not guarantee future successful patients' experiences or happiness about the treatments and their overall management.
Reviews, ratings and opinions are mere guidance background aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular grade of satisfaction nor a commitment for the achievement of any specific success, therefore you should not base your subjective expectations on them.
Every patient's individual satisfaction is somehow unpredictable, since this will depend on multiple particular, frequently unpredictable and sometimes uncontrollable expectation factors of a very much subjective, cultural, psychological and intellectual kind.
Even when you feel very similar to another patient in their experience, your grade of satisfaction will likely vary significantly, because you are a unique person and every individual has not only a completely unique psyche, but also uniquely individualistic assessment capacities, expectation tendencies and acceptance processes, some of which are unpredictable even in very well mentally balanced patients who reflect adequately and do all the other right and recommended assessments before and after their procedure.
Any urgent matter of medical or commercial kind must be addressed through our Telephone Assistance which is operative 24/7/365 to contact with the Medical Team or through our Telephone Support which is available in office hours to contact with the Sales Team.
Priority but non urgent medical or commercial assistance is available by selecting priority option in the corresponding Online Consultation or Customer Support form.
Non urgent and non priority medical consultations may be carried out using the regular Online Consultation or Customer Support form without priority selection.
Due to the competitiveness scenario of the markets most plastic surgery clinics and plastic surgeons feel forced to invest large sums of money into advertising and marketing campaigns; this non medical additional cost is always and necessarily charged on top of the final price paid by patients, leading thus to an overprice of surgeries and treatments. No one patient wishes to bear that financial burden embedded in the surgical costs, furthermore neither surgeons nor clinics are happy to increase their retail prices and penalize their customers with costs not bringing any kind of special medical benefit, safety enhancements or results improvement; the promotion budget aims only to disseminate the public knowledge of a services provider and raise the awareness about its presence to potential customers, but not to make the service or the product a better one.
Seems like this model is a no-way-out labyrinth from which no one can be freed, furthermore it is such a tempting, easy and hassle-free way that actually most patients and plastic surgery providers are locked into it, happily or with resignation, paying a high price due to being non collaborative; however there is an ideal alternative, based on keeping up a good hard work based on a strive for providing quality service and achieving patients' satisfaction, which necessarily requires the decided support of the clients and somehow their involvement in such virtuous business model grounded on top-notch results
READ ABOUT BENEFITS OF THE COLLABORATIVE MODEL
When plastic surgery providers and patients do actively engage into a collaborative economy scenario a win-win basis is set for their relationship, since the clinics and surgeons obtain the best promotion ever possible with no budget for marketing investment and the patients get in return rid of any additional and unnecessary costs; such a price reduction does not represent any loss in the quality of the treatment they are receiving, furthermore this saving achieved will actually reward customers with a reinforced confidence and guarantee the service providers will strive to perform the best job possible and obtain results second to none.
It is not a paradox or contradiction; under a collaborative economy umbrella plastic surgery patients enjoy a greater plus of confidence that clinics and surgeons will do their very best and beyond to satisfy their customers, in spite the price is lower than in marketing-based non collaborative models; plastic surgery providers who found their business sustainability on the pillars of exclusively or mainly incremental budget investment in ongoing promotion campaigns do have little incentive in achieving first-class results and the best patient experiences, since their business model is not based on returning patients after word-of-mouth dissemination of their reputation but on the attraction of cold clients with sophisticated advertising methods of higher or lesser moral acceptability, attracting customers as parachutists randomly landing on unknown land, which is a perverse business model frequently leading to an unavoidable degradation of safety and results quality besides an uncontrollable increase in costs and prices; this marketing-based model creates no incentives to keep up the good work and pushes the prices higher on and on due to require increasing promotional investments.
On the other side, which is definitely our side, clinics and surgeons who rely solely or mostly their existence and survival in the competitive plastic surgery market enjoying the widespread of their excellence extended by their own patients results and satisfaction, like a mill driven by the winds of prestige, have the strongest ever incentive to be the best service providers around, sourced from the support of happy clients and their operated cases as proof of their excellent jobs; needless to say such supporters, the patients, have to enjoy a share of this benefit so that the incentive is reciprocal; under this scenario clinics and surgeons strive to provide the best service and accordingly patients release and transfer in a fair exchange the materials and tools required to build a marketing-budget-free and virtuous business model which creates the perfect incentives to build the best sponsorship-free reputation, based on the grounds of medical quality thus allowing prices control within affordability thanks to the minimal cost of its maintenance.
This is the deal; patients give in our favor the release and transfer of the intellectual property, the rights of image, the medical records and the personal data of their cases for scientific dissemination, medical teaching, public communication, commercial promotion, advertising marketing, commercial exploitation and disclosure in general, and they receive in exchange a compensating remuneration of a -20% discount from the standard price list for our treatments, as it is publicly visible by default in all the prices and quotations on our website.
As can be observed our visible prices are highly competitive if compared with other plastic surgery providers, actually the difference is approximately a -20% from the average price of each particular treatment in other clinics and surgeons from similar economical areas and countries of comparable development; this is not due to any quality or safety downgrading but to our collaborative business model; in other words, the budget which theoretically should be invested in marketing and promotion campaigns is discounted from the retail prices and, unlike other plastic surgery providers, is not wasted into pointless advertising to patients which entails no kind of added value for them; such campaigns are replaced with our superb results publicized thanks our patients support by letting us use their cases' Before & After and Intraoperative & Technical images and medical details; this explains that price gap between us and other clinics and surgeons.
READ LESS ABOUT BENEFITS OF THE COLLABORATIVE MODEL
MODEL KEYNOTES
Patients gain a highly affordable pricing model with yet world-class standards of medical practice, safety and results, and we gain competitiveness within the industry by means of saving the budget theoretically bound to be wasted in marketing.
Patients contribute with their images and medical details and we compensate them with a -20% discount from the expectable average price quoted by comparable clinics and surgeons.
We receive a boost of unbeatable promotion and market penetration by using our awesome operated cases and the patients enjoy a plus of guarantee that we will strive to conduct ourselves to the highest level of excellence and obtain results better than one can imagine.
We help you access the best plastic surgery results and you help us win the race of the market.
Should you feel not interested in collaborating with our business model and still wish to be our patient? No worries, this perfectly possible under the same philosophy of professionalism, devotion and quality, you have to simply express your opposition at surgery day booking by opting for the standard prices and thus give up the -20% discount of the collaborative model, budget which will be used to promote our business in sponsorships, campaigns or one-time actions aiming to attract new customers who, without your help to take the right decision for their surgery, may need sponsored channels to know about us.
Keep in mind that taking part in our collaborative business model is also an altruist way to help other prospective patients to find the medically right and commercially suitable plastic surgery provider, besides collaborating in the medical education of other surgeons and medical professionals.
We offer a flexible consumer-to-business relationship by letting our patients choose between a release & transfer quotation model in which the standard price list receives a -20% discount becoming thus the reduced price list, and a no disclosure quotation in which the standard price list applies and the patient misses such compensating remuneration.
Two models under the same quality involving different prices and marketing-building strategies; you receive always one guarantee: our commitment we will give you our best.
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DR. ALEJANDRO NOGUEIRA'S DESIGN
READ MORE ABOUT SURGERY SHIELD
+34-900-838448
+44-0-800-0488400
+1-844-4000840
