Welcome to Cosmetic Surgery by Dr. JFEE. We hope you will find all the information you are looking for in our website. If you are planning to have cosmetic surgery, or non surgical rejuvenation procedures, you have found the right website. We made an effort to have the most complete and relevant information on the various cosmetic surgical procedures we perform, Breast and/or Butt Augmentation with implants or Fat Grafting (using your own fat from other parts of your body), Breast Reduction and Lift, Tummy Tuck, Liposuction, Neck Lift, Brow Lift, Nose Surgery, Eyelid Surgery and Ear Surgery (otoplasty). We also have our own patented non-surgical facial rejuvenation technologies. We perform various rejuvenation therapies, like oxygen therapy, parenteral nutrition and detoxifying therapies that will reflect at least 10 years off your appearance. We also have our own medical grade microdemabrasion technique that will rejuvinate your face with incredible results. We are located in Tijuana Mexico, just a couple of minutes from across the international U.S. Mexico Border.
You can save up to 60% if you have your plastic surgery procedures done with us. Our facilities are state of the art and second to none. We provide you with the best caretakers so you will feel comfortable and enjoy your recuperation. Your safety is above everything, so we are very careful in following the strictest of international guidelines for all the procedures and therapies we perform as well as your safe passage and in and out of Mexico. We have a dedicated staff that will cater to your every need and be with you to assist at your request. If you need transportation arrangements, there are staff members who are specialists at providing logistics for your travel. Our team of medical professionals are here to answer all your questions and we hope everything will be to your absolute satisfaction. We are just a call or email away, as well as our live assistance instant message during regular business hours.
WHAT THE DOCTOR LOOKS FOR AND ASSURES NOT TO HAPPEN DURING SURGERY:
scars
Hypertrophic Scars: Thin red scars that become raised and firm. These usually fade, but sometimes become permanent.
Keloid Scars: A scar that becomes enlarged, does not fade with time and may have to be removed surgically.
Capsular Contraction
This occurs when scar tissue forms around the implant and tightens. This causes the implant to change from a teardrop to a spherical shape. Further surgery is required to correct it by 'scoring' the scar tissue; this is usually successful although implant removal is sometimes necessary. It is difficult to predict which patients might suffer from this problem although it is more common with subglandular insertion. Incidence is usually quoted at 9% over 3 years depending on implant type and procedure.
Infection
Infection can occur at the incision site, around the implant or, very rarely, inside the implant. If infection occurs it is sometimes necessary to remove the implant until the infection has been clear for several months, and then a new implant is inserted. Risk is between 2% and less than 1% over 3 years.
Change in Nipple Sensation
This is generally caused by stretching of the skin by the implant, and not the incision site. Temporary changes are fairly common and usually resolve after six months. 70% experience no change. Sometimes it is permanent, with 20% experiencing diminished sensitivity/numbness, and 10% found sensation was enhanced. This may affect breast feeding or sexual arousal.
Implant Deflation, Leakage or Rupture
Occasionally the implant leaks via the valve or a rupture in the silicon elastomer. Saline is absorbed by the body and excreted via urination. Figures vary around 5% over ten years.
Tissue Necrosis
Tissue around the implant can die; this may cause infection and will delay healing. There might be a need to remove the tissue, or even the implant. This is more likely in smokers and patients taking steroids. Tissue necrosis is very rare.
Implant Extrusion
The device can break through if the skin covering the implant is very thin. Surgery will be required to remove the implant and repair the area. This can result in tissue loss and scarring.
Skin Wrinkling and Rippling
Sometimes the implant pulls on overlying tissues causing wrinkling or rippling. Occasionally the natural folds of the implant can be seen through the skin. The incidence of this happening is 11% to 21%.
Removal/Revision
Breast implants, like any other implant such as a hip replacement, are not permanent and will need replacing or complete removal at some stage. This will incur further surgical costs. Between 20% and 30% of breast augmentations will require re-operation within five years.
Calcification
Calcium deposits may form in the scar tissue, causing pain and hardness. These deposits sometimes interfere with mammography and need to be investigated. Investigation may damage the implant. Incidence of calcification is 1% over 3 years.
Chest Wall Deformity
This has been reported rarely following removal of implants or use of tissue expanders. It is of unknown significance.
Malposition
The implants can be misaligned, rotate, or slide. This can cause distortion, asymmetry, and/or discomfort and may require additional surgery to correct. The occurrence of asymmetry is between 7% and 10%.
Ptosis
Ptosis or 'drooping' occurs when the natural breast tissue begins to sag whereas the implant does not. This happens over time and causes a double bulge similar in appearance to the effect of wearing a bra that is too small. Sometimes known as a 'snoopy' breast because of the shape in profile. Further surgery will be required to correct this. Incidence of ptosis is around 2% over 3 years.
Connective Tissue and Autoimmune Disorders
There are anecdotal reports of silicone implants causing complaints such as arthritis and Lupus. At the time of writing there is no clinical evidence supporting this.
Breast Cancer Diagnosis
Mammography and lump detection can prove more difficult to perform on patients with breast implants than those without. No evidence has been found for implants causing cancer.
Seroma and Hematoma
Serum or blood can collect aroud the implant and potentially cause capsular contracture, infection or other problems. Seratoma can occur following surgery, after vigorous exercise or trauma. One or both breasts will appear to increase in size. It this happens it should be investigated and may result in further surgery. The cost of this corrective surgery may be more than that for the original augmentation. Hematoma occurs in about 2% of cases over 3 years.
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