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The misshapen tubular gland requires any of the existing techniques for its shape shifting, like Rees and Aston's, Ribeiro's, Puckett's, Palacín's, Mandrekas' and Nogueira's; they all entails certain plasties, cuts, decompressions and redistributions on the breast tissue.

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Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 1
#1Maximum grade complete tuberous or tubular breast deformity, including a double constriction ring encircling the whole breast perimeter and another one next to the areola, enlarged and herniated areolas, severe conicity, very high inframammary ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 2
#2Left: the double constriction ring led to a funnel shape breast with two different breast diameters or calibers, conical and narrow at the mammary mound base and cylindrical and narrower next to and underneath the areola. Right: Not following ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 3
#3Left: the double constriction ring led to a funnel shape breast with two different breast diameters or calibers, conical and narrow at the mammary mound base and cylindrical and narrower next to and underneath the areola. Right: Not following ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 4
#4Start of the larger right breast surgery. The first stage is the deepithelialization of the areolar excess; note the severe areolar herniation.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 5
#5The lines show the two constriction rings which delimit two different glandular compartments.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 6
#6After the deepithelialization of the areolar excess the areolar herniation is outstanding.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 7
#7A lower hemiperiareolar approach is practiced to carry out the procedure; note the severe areolar herniation and the two caliber conicity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 8
#8Close up detail of the lower hemiperiareolar approach practiced to carry out the procedure.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 9
#9The glandular plasty begins with the horizontal division of the entire breast mound, here at 9 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 10
#10The glandular plasty progresses deepening the horizontal division at 9 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 11
#11The glandular plasty begins with the horizontal division of the entire breast mound, here at 3 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 12
#12The glandular plasty progresses deepening the horizontal division at 3 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 13
#13The horizontal division of the entire breast mound has been accomplished
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 14
#14Deepening the horizontal division of the breast mound in order to obtain full decompression of the tuberosity and reach the pectoralis muscle.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 15
#15Deepening the horizontal division of the breast mound in order to obtain full decompression of the tuberosity and reach the pectoralis muscle.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 16
#16Full decompression has been achieved in the horizontal axis and the pectoralis muscle reached; note how the breast tissue pops out spontaneously through the areola allowing a very clear vision of the concentric structure of the mammary gland, ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 17
#17The lines show the contour of the concentric structure of the mammary gland, a very typical feature of tuberous or tubular breasts.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 18
#18Breast tissue fully extracted through the areola after finishing the release of its undersurface off from the pectoralis muscle.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 19
#19The lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 20
#20This is the tunnel of access to the prosthetic pocket; complete horizontal splitting of the breast.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 21
#21Breast tissue fully extracted through the areola after finishing the release of its undersurface off from the pectoralis muscle.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 22
#22The lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 23
#23Note how the breast tissue pops out spontaneously through the areola allowing a very clear vision of the concentric structure of the mammary gland, a very typical feature of tuberous or tubular breasts.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 24
#24The lines show the contour of the concentric structure of the mammary gland, a very typical feature of tuberous or tubular breasts
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 25
#25The lower half of the mammary mound after its horizontal division from 9 to 3 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 26
#26The lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 27
#27The forceps is grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 28
#28The lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 29
#29The fingers are inserted underneath the main constriction ring allowing a very clear vision of the concentric structure of the mammary gland, a very typical feature of tuberous or tubular breasts.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 30
#30 The thick lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the thin lines show the contour of the concentric structure of the mammary gland, a very typical ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 31
#31The forceps is grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 32
#32The arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular breast deformity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 33
#33The clamp and the forceps are grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 34
#34The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 35
#35The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 36
#36The electrocautery is splitting vertically the lower half of the breast so that the two lower flaps are tailored.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 37
#37The electrocautery is splitting vertically the lower half of the breast so that the two lower flaps are tailored.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 38
#38After finishing the splitting of larger and deeper conical compartment of tuberous or tubular gland the division transection reaches the superficial and narrower tubular compartment already near the areola.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 39
#39After finishing the splitting of the larger and deeper conical compartment of tuberous or tubular gland the division transection reaches the superficial and narrower tubular compartment already near the areola.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 40
#40Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 41
#41Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 42
#42Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 43
#43Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 44
#44These lines show the prismatic three dimensional design of the lower flaps of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 45
#45Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 46
#46These lines show the prismatic three dimensional design of the lower flaps of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 47
#47Lower flaps pulled up parallel and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 48
#48These lines show the prismatic three dimensional design of the lower flaps of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 49
#49Lower flaps pulled up together and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 50
#50These lines show the prismatic three dimensional design of the lower flaps of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 51
#51The forceps are grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 52
#52The thick lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the thin lines show the contour of the concentric structure of the mammary gland, a very typical ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 53
#53The forceps are grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 54
#54The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 55
#55The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 56
#56The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 57
#57The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 58
#58The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 59
#59After finishing the splitting of larger and deeper conical compartment of tuberous or tubular gland the division transection reaches the superficial and narrower tubular compartment already near the areola.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 60
#60After finishing the tailoring the upper two flaps it can be clearly noted how the breast tissue is not tuberous or tubular anymore and is ready to embrace the implant.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 61
#61Pinching and pulling forward together the upper two flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 62
#62These lines contour the edges of the upper flaps after the glandular cuts have been made; the angle of the cuts is a mere distortion created by the flat position of the patient and the assistant's traction trying to facilitate the image capture.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 63
#63Detail showing the depth of the upper division of the flaps.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 64
#64By symmetrically pulling tightly from the tips of the pyramid shaped flaps we obtain the best representation possible of Dr. Alejandro Nogueira's 4 flaps technique; although this is an eversion maneuver which exposes the undersurface of the ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 65
#65These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 66
#66All four flaps divergently pulled forward and extracted outside the breast; this image allows a good visual understanding of the four flaps and their excellent pliability allowing them to adapt like a glove to the implant once inserted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 67
#67These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 68
#68Pulling forward together all four flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 69
#69Pulling forward together all four flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 70
#70Pulling together all four flaps and flattening them allows the structural collapse of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 71
#71Pulling together all four flaps and flattening them allows the structural collapse of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 72
#72Pulling together all four flaps and flattening them allows the structural collapse of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 73
#73All four flaps divergently pulled forward and extracted outside the breast; this image allows a good visual understanding of the four flaps and their excellent pliability allowing them to adapt like a glove to the implant once inserted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 74
#74All four flaps divergently pulled forward and extracted outside the breast; this image allows a good visual understanding of the four flaps and their excellent pliability allowing them to adapt like a glove to the implant once inserted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 75
#75These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 76
#76By symmetrically pulling tightly from the tips of the pyramid shaped flaps we obtain the best representation possible of Dr. Alejandro Nogueira's 4 flaps technique; although this is an eversion maneuver which exposes the undersurface of the ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 77
#77These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 78
#78Pulling vertical from the flap's tips and joining them in the midline plane exposes the surgical work performed at 9 and 3 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 79
#79These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 80
#80Pulling horizontal from the flap's tips and joining them in the midline plane exposes the surgical work performed at 12 and 6 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 81
#81These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping an accurate and ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 82
#82Pulling horizontal from the flap's tips and joining them in the midline plane exposes the surgical work performed at 12 and 6 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 83
#83Pulling horizontal from the flap's tips and joining them in the midline plane exposes the surgical work performed at 12 and 6 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 84
#84Total demolition of the tuberous or tubular mammary mound, no need for skin closure or implant insertion to get rid of the conicity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 85
#85Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 86
#86Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 87
#87Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 88
#88Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 89
#89Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 90
#90Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 91
#91Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 92
#92Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 93
#93Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 94
#94Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 95
#95After breast implant insertion the lower pole of breast has been reconstructed, the mammary area expanded and the four flaps have adapted around the prosthesis.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 96
#96Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 97
#97Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 98
#98Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 99
#99Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 100
#100Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 101
#101Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 102
#102Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 103
#103Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 104
#104Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 105
#105Upper flaps manipulation with educational purposes to show their shape, vascularity and their adaptation to the prosthetic mound.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 106
#106Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant already inserted showing how the breast tissue is expanded thanks to Dr. Alejandro Nogueira's 4 flaps technique; the four flaps do perfectly adapt to the ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 107
#107These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique around a polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant. The rotation arrows show the roll in behavior ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 108
#108Close up detail of the four flaps rolling in.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 109
#109Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 110
#110The rotation arrows show the roll in behavior of the four flaps and the excellent breast tissue redistribution.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 111
#111Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 112
#112The rotation arrows show the roll in behavior of the four flaps and the excellent breast tissue redistribution.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 113
#113Start of the smaller left breast surgery. The first stage is the deepithelialization of the areolar excess; note the severe areolar herniation.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 114
#114The lines show the two constriction rings which delimit two different glandular compartments.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 115
#115A lower hemiperiareolar approach is practiced to carry out the procedure.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 116
#116A lower hemiperiareolar approach is practiced to carry out the procedure.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 117
#117Close up detail of the lower hemiperiareolar approach practiced to carry out the procedure.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 118
#118Close up detail of the lower hemiperiareolar approach practiced to carry out the procedure.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 119
#119The fingers are inserted underneath the main constriction ring allowing a very clear vision of the concentric structure of the mammary gland, a very typical feature of tuberous or tubular breasts.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 120
#120The thick line shows the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the thin lines show the contour of the concentric structure of the mammary gland, a very typical ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 121
#121The forceps is grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 122
#122The arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular breast deformity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 123
#123The forceps are grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 124
#124The arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular breast deformity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 125
#125The forceps is grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 126
#126The lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 127
#127The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 128
#128The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 129
#129The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 130
#130The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 131
#131The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 132
#132The electrocautery is splitting horizontally and in depth the lower half of the undersurface of the breast so that the two lower flaps are tailored; the transection runs from the areolar edge to 6 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 133
#133Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 134
#134Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 135
#135Pulling forward together the lower two flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 136
#136Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 137
#137These lines show the prismatic three dimensional design of the lower flaps of Dr. Alejandro Nogueira's 4 flaps technique; essentially is transforming a flower's cocoon into a blossoming flower with four petals; note how important it is keeping ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 138
#138Inner lower flap divergently pulled forward and extracted outside the breast whilst the outer lower flap is left to its spontaneous collapse, showing the excellent demolition of the tuberosity; the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 139
#139Lower flaps are left to their spontaneous collapse, showing the excellent demolition of the tuberosity; the upper flaps are retracted.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 140
#140The forceps are grasping the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 141
#141The arrows show the main and outer constriction ring, located at the undersurface of the breast and firmly attached to the pectoralis muscle fascia and the ribs; this pseudotendinous element is the main cause of the tuberous or tubular breast deformity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 142
#142The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 143
#143The thick lines show the limits of the two compartments of breast tissue structured in rings and constrained by two distinct constriction rings; the thin lines show the contour of the concentric structure of the mammary gland, a very typical ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 144
#144The electrocautery is splitting horizontally and in depth the upper half of the undersurface of the breast so that the two upper flaps are tailored; the transection runs from the areolar edge to 12 clock position.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 145
#145Pulling vertical from the flap's tips and joining them in the midline plane exposes the surgical work performed at 9 and 3 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 146
#146Pulling horizontal from the flap's tips and joining them in the midline plane exposes the surgical work performed at 12 and 6 clock positions.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 147
#147Pulling forward together all four flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 148
#148Pulling forward together all four flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 149
#149Pulling forward together all four flaps allows the structural reconstruction of the conicity, with educational purposes only.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 150
#150Total demolition of the tuberous or tubular mammary mound, no need for skin closure or implant insertion to get rid of the conicity.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 151
#151Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 152
#152Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 153
#153Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, ready for insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 154
#154These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique around a polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant. The arrows show the roll in behavior of ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 155
#155These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique around a polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant. The arrows show the breast tissue expansion ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 156
#156These lines show the prismatic three dimensional design of Dr. Alejandro Nogueira's 4 flaps technique around a polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant. The line sets the frontier between the ...Read more
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 157
#157Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 158
#158Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 159
#159Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 160
#160Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 161
#161Polyurethane coated, cohesive gel filled and anatomical or teardrop shaped breast implant, process of insertion.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 162
#162Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 163
#163Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 164
#164Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 165
#165Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 166
#166Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 167
#167Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 168
#168Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 169
#169Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 170
#170Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 171
#171Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.
Asymmetric breasts,Empty breasts,Large areolas,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Subfascial pocket plane,Tuberous mammoplasty,Circumareolar incision,Lower hemi periareolar incision - photo 172
#172Smooth and seamless transition between the tuberous or tubular breast and the expanded territory; no trace of tuberosity persists.

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  TECHNICALITIES

  • AREAS

  • TREATMENTS

    Breast Implants
    Tuberous Breast Correction
  • DIAGNOSES APPLICABLE

    Asymmetric breasts
    Empty breasts
    Large areolas
    Small breasts
    Too far apart wide cleavage breasts
    Tuberous breasts
  • TECHNIQUES EMPLOYED

    Anatomical shape
    Areola reduction
    Subfascial pocket plane
    Tuberous mammoplasty
    Circumareolar incision
    Lower hemi periareolar incision

  DR. ALEJANDRO NOGUEIRA'S SIMILAR CASES PHOTO GALLERY *

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  DISCLAIMER

  • 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 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 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. External Link 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 marbellia'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 marbellia's General Combo Special all the treatments affected by treatment-specific Combo Specials are considered a single treatment.
  • 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.
  • To apply for a face-to-face medical meeting use the In Person Consultation form.
  • If you wish to apply for treatment dates use the Surgery Day Booking form.