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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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Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 1
#1Dr. Alejandro Nogueira's 4 flaps technique has already been executed tailoring the tuberous breast gland of this mammary mound. The areola has already been reduced by a circumareolar perimeter deepithelialization; note how the outer circle of ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 2
#2These lines show the glandular cuts made at clock positions 12, 3, 6 and 9 and extending horizontally to the very last limit of the conical breast mound and as deep as the fascia of the pectoralis muscle, but leaving a significant pedicle of ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 3
#3The surgical clamps pull from the tips of the four flaps lifting them off the pectoralis muscle, given the prosthetic pocket has already been undermined at this stage of the procedure; the clamps are meeting in the geometrical center of the ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 4
#4These lines contour the edges of the four 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 5
#5Pulling from the tips of the four pyramid shaped flaps allows understanding the conicity that has to be demolished by means of glandular weakening, otherwise the gland fails to adapt to the prosthesis; among the flaps can be seen the cavity ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 6
#6These lines contour the four flaps and the cut lines in the depth of breast.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 7
#7By 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 8
#8These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 9
#9The arrows point the direction of the cuts which delimit the four flaps; note the pull from the flaps' tips allows visualization of the pectoralis muscle fascia (F) which is distinct from the breast gland (G).
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 10
#10Pulling vertical from the flap's tips and joining them in the midline plane exposes the surgical work performed at 9 and 3 clock positions.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 11
#11The circles spot the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; the lines contour the vertical cuts; the arrow points to the pectoralis muscle fascia.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 12
#12Upper flaps divergently pulled up and lower ones pulled down together; 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 13
#13These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 14
#14Lower flaps divergently pulled down and upper ones pulled up together; 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 15
#15These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 16
#16Pulling horizontally from the flap's tips and joining them in the midline plane exposes the surgical work performed at 12 and 6 clock positions.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 17
#17The circles spot the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; beneath the nipple areola complex a slightly larger thickness is required to guarantee uninterrupted ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 18
#18Outer flaps divergently pulled lateral and inner ones pulled medially together; 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 19
#19These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 20
#20Inner flaps divergently pulled medial and outer ones pulled laterally together; 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 21
#21These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 22
#22All four flaps divergently pulled down and extracted outside the breast, the upper ones by direct traction and the lower ones by eversion; this image allows a good visual understanding of the four flaps and their excellent pliability allowing ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 23
#23These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 24
#24All 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 25
#25These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 26
#26All 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.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 27
#27These 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
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 28
#28Upper flaps pulled up together and lower ones left loose at both sides of the retractor; this image allows a good visual understanding of glandular cut at the undersurface of the breast from the nipple up to 12 clock position.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 29
#29The circles spot the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; the lines contour the upper cut under the breast and the lower flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 30
#30Upper flaps divergently pulled up and lower ones left loose at both sides of the retractor; this image allows a good visual understanding of the depth of the glandular cut at the undersurface of the breast from the nipple up to 12 clock position.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 31
#31The line contours vertical cut between the upper flaps and the upper cut under the breast; the arrow points to the loose lower inner flap.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 32
#32Close up view of the upper flaps divergently pulled up and lower ones left loose; this image allows a good visual understanding of the depth of glandular cut at the undersurface of the breast from the nipple up to 12 clock position.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 33
#33Close up view of the excellent vascularization of the lower flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 34
#34Close up view of the excellent vascularization of the upper flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 35
#35Upper flaps pulled down together whilst the lower flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 36
#36The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; beneath the nipple areola complex a slightly larger thickness is required to guarantee uninterrupted ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 37
#37Upper flaps divergently pulled down whilst the lower flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 38
#38The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; beneath the nipple areola complex a slightly larger thickness is required to guarantee uninterrupted ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 39
#39Upper flaps divergently pulled down whilst the lower flaps are retracted; note the excellent vascularization of the nipple areola complex.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 40
#40The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; beneath the nipple areola complex a slightly larger thickness is required to guarantee uninterrupted ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 41
#41Upper flaps pulled down together whilst the lower flaps are retracted; note the excellent vascularization of the nipple areola complex.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 42
#42The lines contour the cuts delimiting the upper flaps; the arrows indicate the direction of the excellent blood flow supply to the nipple areola complex and to the flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 43
#43Upper flaps divergently pulled down whilst the lower flaps are retracted; note the excellent vascularization of the nipple areola complex.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 44
#44The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; beneath the nipple areola complex a slightly larger thickness is required to guarantee uninterrupted ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 45
#45Lower flaps pulled up together whilst the upper flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 46
#46The lines contour the cuts delimiting the lower flaps; the arrows indicate the direction of the excellent blood flow supply to the flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 47
#47Lower flaps divergently pulled up whilst the upper flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 48
#48The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts; the arrows point to the vertical glandular cuts of the breast from the disc of glandular pedicle towards ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 49
#49Lower flaps divergently pulled forward and extracted outside the breast whilst the upper flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 50
#50The lines show the thickness recommended for a vascularly safe retrograde flow pedicle between the skin and the depth of the glandular cuts, thus creating a disc shaped pedicle; the arrows point to the vertical glandular cuts of the breast from ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 51
#51Lower flaps divergently pulled forward, everted downwards and extracted outside the breast whilst the upper flaps are retracted.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 52
#52The arrows point to the vertical glandular cuts of the breast from the disc of glandular pedicle towards 12, 9, 6 and 3 clock positions.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 53
#53The breast implant has already been inserted in the subfascial plane and flaps show an excellent adaptation to the prosthetic dome; note how in spite of the traction from them the flaps show the convex shape of the implant.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 54
#54The lines contour the cuts delimiting the lower flaps and the upper edge of the breast implant.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 55
#55The breast implant has already been inserted in the subfascial plane and flaps show an excellent adaptation to the prosthetic dome; note how the tuberous conicity has been demolished and collapses by the effect of the expanding force of the implant.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 56
#56The lines contour the cuts delimiting the upper and lower flaps.
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 57
#57The breast implant has already been inserted in the subfascial plane and flaps show an excellent adaptation to the prosthetic dome; note how the tuberous firmness has been eradicated and the flaps roll in a centrifugal direction by the effect ...Read more
Empty breasts,Large areolas,Lateral breasts,Small breasts,Too far apart wide cleavage breasts,Tuberous breasts,Anatomical shape,Areola reduction,Circumareolar incision,Subfascial pocket plane,Tuberous mammoplasty - photo 58
#58The arrows show the flaps rolling in a centrifugal direction by the effect of the expanding force of the implant.

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  TECHNICALITIES

  • AREAS

  • TREATMENTS

    Breast Implants
    Tuberous Breast Correction
  • DIAGNOSES APPLICABLE

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

    Anatomical shape
    Areola reduction
    Circumareolar incision
    Subfascial pocket plane
    Tuberous mammoplasty

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  • 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.
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  • 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.
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  • 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.
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  • 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.