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Breast Augmentation – Augmentation Mammoplasty

Breast Augmentation in Medellín

Definition
Benefits
Preoperative Evaluation
Preoperative Preparation
Before & After
FAQs
Risks

Natural and Elegant Results with Breast Implants

If you are looking for breast augmentation in Medellín, augmentation mammoplasty, or breast implants in Colombia, Dr. John Orlas Blair offers a high-level surgical experience focused on safety, harmony, and natural-looking results.

Breast augmentation is one of the most requested plastic surgery procedures to improve breast volume, shape, and symmetry.

This procedure is also known as:

  • Breast Augmentation
  • Breast Implant Surgery
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Benefits of Breast Augmentation

Breast augmentation is a surgical procedure that uses silicone breast implants to:
Enhance breast volume, shape, and symmetry
Correct asymmetries or changes after pregnancy and breastfeeding
Improve overall body proportions and silhouette
Increase self-esteem and personal confidence
Reduce insecurities related to body image
Promote a sense of well-being and satisfaction with one’s appearance
Improve the fit of clothing, swimwear, and lingerie
Increase comfort in social situations

Preoperative Evaluation

The initial consultation is the most important step before breast augmentation surgery in Medellín, as it allows us to create a personalized treatment plan tailored to your goals while ensuring the highest standards of safety.

1

During your consultation, your overall health, medical history, and lifestyle habits will be reviewed to ensure that you are an appropriate candidate for breast augmentation surgery.

2

I will perform a detailed breast assessment, evaluating your chest anatomy, skin quality, and breast tissue characteristics in order to determine the most suitable surgical approach for you.

3

Understanding your goals is equally important. We will discuss the changes you would like to achieve and align your expectations with realistic, natural-looking results. I will also explain the procedure in detail, including how breast augmentation is performed, the type of anesthesia used, recovery timelines, and postoperative care.

4

Your initial consultation is the ideal opportunity to ask questions, address any concerns, and feel fully informed and confident before making a decision.

5

Finally, I will provide any required preoperative tests and explain your medications, postoperative instructions, and recovery guidelines.
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Preoperative Preparation

Typically include:

  • Complete blood count
  • Coagulation tests
  • Pregnancy test


Additional tests may be required depending on age and medical conditions.

You should discontinue the following at least 14 days before surgery (under medical supervision):

  • Aspirin
  • Ibuprofen
  • Naproxen
  • Warfarin
  • Anti-inflammatory medications
  • Omega-3 supplements
  • Ginkgo biloba
  • Green tea
  • Vitamin E
  • Garlic
  • Maintain proper hydration
  • Follow a balanced diet
  • Avoid alcohol for at least 2 weeks
  • Stop smoking at least 4 weeks prior to surgery
  • Fast for at least 8 hours
  • Wear comfortable clothing
  • Attend with a responsible adult companion
  • Bring identification
  • Leave valuables at home
  • Remove nail polish
Learn More About the Procedure

BEFORE & AFTER

Real Patient Results

Frequently Asked Questions

Find answers to all your questions in this section.

Procedure, technique, and what it includes

The procedure is performed in certified operating rooms under strict safety protocols.

Surgical technique:

  • Strategic incision (inframammary or areolar).
  • Creation of implant pocket (subglandular or submuscular).
  • Placement of breast implants.
  • Closure with high-precision aesthetic sutures.


Surgery duration: 1-2 hours.

Anesthesia: General anesthesia is typically used for maximum comfort and safety.

In breast augmentation, advanced surgical techniques are used to improve breast volume, shape, and projection, achieving natural, harmonious, and safe results.

The technique includes the placement of silicone breast implants, selected in a personalized manner according to the patient’s anatomy, skin quality, and desired outcome. There are different types of implants (round or anatomical, with different profiles and sizes), allowing the procedure to be fully tailored to each case.

Implants can be placed in different planes, with the most commonly used being the submuscular plane (under the muscle), subglandular plane (under the breast gland), or dual plane, which combines both techniques. The choice of plane depends on factors such as breast tissue thickness, the patient’s lifestyle, and the expected aesthetic result.

Incisions can be made in different locations, most commonly in the inframammary fold (under the breast), around the areola (periareolar), or in the axilla. These are strategically planned so that scars are as discreet as possible.

In some cases, breast augmentation may be combined with other procedures such as mastopexy (breast lift), especially in patients with sagging, to achieve a more comprehensive result.

The technique used is always individualized, taking into account each patient’s anatomical characteristics and prioritizing safety, natural results, and body proportion.

  • Surgeon’s fees
  • Implants
  • Operating room
  • Anesthesia
  • Medical supplies
  • Postoperative follow-up
There is no universally “better” option. Round implants provide more upper pole fullness, while anatomical implants can offer a more natural contour in selected patients. The choice depends on anatomy and desired results.
Scars are typically located in the lower part of the areola or within the inframammary fold, allowing them to remain discreet and easily concealed.
There is no single “best” incision; the choice depends on each case. The most common options are the inframammary fold, around the areola, or in the axilla. These are strategically planned so that scars are as discreet as possible.

Yes. It is commonly combined with:

  • Liposuction
  • Abdominoplasty
The best implants are those that adapt to each patient’s anatomy and goals. Modern fifth-generation implants offer excellent safety, durability, and a natural look and feel.

It depends on the patient’s anatomy. Implants can be placed in the subglandular plane (above the muscle), submuscular plane (under the muscle), or dual plane. Submuscular placement is commonly preferred.

The ideal size is chosen based on chest width, existing breast tissue, skin quality, and the patient’s expectations. The goal is to achieve a safe, proportional, and natural-looking result.

Candidates, benefits, and results

  • Women with low breast volume
  • Patients with volume loss after pregnancy
  • Women with breast asymmetry
Yes. Proper implant selection and surgical technique can achieve very natural results in both appearance and feel.

Yes, the patient actively participates in choosing implant size. However, professional guidance is always provided to ensure a safe, proportional outcome that fits the patient’s anatomy.

Although the change is visible from the beginning, final results are typically visible after 2-3 months, once swelling has decreased and the tissues have adapted.
Many patients experience improved self-esteem and body confidence. The goal is to help the patient feel comfortable, confident, and satisfied with her image.
Not necessarily. Aging affects all breasts, but implants can help maintain shape and projection. Natural changes may still occur over time.

Safety, pain, and medical aspects

No. Scientific evidence shows that implants do not increase the risk of breast cancer. There is a very rare association with BIA-ALCL, a type of lymphoma. This is explained in detail during consultation.
In most cases, they do not. However, inflammatory response, infections, or later procedures may affect breastfeeding in some patients.
Modern implants contain cohesive silicone gel, which limits dispersion. If rupture occurs, removal and replacement are recommended to maintain safety and aesthetic results.
Pain is usually moderate and well controlled with medication. A pain pump may be used for additional comfort during recovery.

Capsular contracture is a reaction in which scar tissue forms around the implant and hardens. It is uncommon and treatable if it occurs.

Temporary changes in nipple or breast sensitivity may occur. In most cases, sensitivity recovers over time, although in rare cases changes may be permanent.

Recovery, care, and timing

Recovery is usually fast and progressive.

Postoperative recommendations:

  • Wear a surgical bra for 2 months.
  • Avoid lifting heavy objects for 3-4 weeks.
  • Avoid intense exercise for 4 weeks.
  • Sleep on your back during the first weeks.
  • Attend follow-up appointments.


Swelling and results:

  • Initial swelling: 2-4 weeks.
  • More defined result: 6-8 weeks.
  • Final result: approximately 3 months.
  • Office work: 5-7 days.
  • Physically demanding work: 6 weeks.


Each patient receives personalized follow-up to ensure a safe and optimal recovery.

Duration, changes, and experience

Replacement is recommended in cases of rupture, capsular contracture, aesthetic changes, or patient preference. Annual ultrasound monitoring is advised to verify implant condition.
Not always, but it may be necessary due to aging, pregnancy, implant changes, or personal preference.

Over the years, preferences or the body may change. Revision procedures can be performed if needed to adjust implant size, shape, or position.

Travel, logistics, and costs

At least 7 days are recommended for proper follow-up, especially for international patients.
Yes, usually after a few days, as long as recovery is progressing properly and there is medical clearance.
Usually within a few weeks, depending on availability, test results, and the patient’s personal decision.

The cost depends on:

  • Type of implant
  • Clinic
  • Procedure complexity


Schedule a private consultation for a personalized surgical plan.

What are the risks of breast augmentation or breast enlargement?

Breast augmentation is a safe procedure when performed by a board-certified plastic surgeon, in an accredited clinic, and with appropriate protocols. However, like any surgery, there are risks that must be understood by the patient.

These risks can be significantly reduced with proper patient selection, correct surgical technique, and strict postoperative follow-up.

Capsular contracture:
This is one of the most well-known complications. The body forms a capsule around the implant as a natural response. In some cases, this capsule hardens, which can cause pain, deformity, or firmness of the breast. It may require treatment or corrective surgery.
Implant rupture:
Although modern implants are highly resistant, there is a possibility of rupture over time. In the case of silicone implants, rupture is often silent and detected through imaging studies.
Seroma:
This is the accumulation of fluid around the implant. It can occur in the early or late postoperative period. It is generally managed with drainage and medical follow-up.
Hematoma:
This is the accumulation of blood in the surgical area. It can cause swelling, pain, and increased volume. In some cases, it requires intervention for drainage.
Infection:
It may present with pain, redness, fever, or discharge. In mild cases, it is treated with antibiotics, but in severe cases, temporary removal of the implant may be required.
Changes in sensation:
There may be an increase or decrease in sensitivity in the nipple or breast. In most cases, it is temporary, but in rare cases, it may be permanent.
Asymmetry:
Although symmetry is the goal, slight differences in size, shape, or position between both breasts may occur.
Rippling or wrinkling:
Visible irregularities or folds in the skin may occur, especially in patients with little breast tissue.
Interference with breast imaging:
Implants may make it more difficult to interpret certain studies such as mammography, although there are specialized techniques for proper evaluation.
Need for future surgeries:
Implants are not lifetime devices. Replacement or additional surgery may be required in the future.
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL):
This is a rare condition associated mainly with textured implants. Its incidence is very low, but it is important to be aware of it and to maintain appropriate follow-up.
Unsatisfactory results:
In some cases, the patient may not be completely satisfied with the aesthetic result, which may require adjustments or additional procedures.

Why Choose Me as Your Surgeon?

  • Advanced breast augmentation techniques
  • Strong focus on safety and precision
  • Natural and proportional results
  • Personalized surgical planning
  • Specialized care for international patients
  • VIP patient experience
  • Competitive pricing
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