There is a beautiful interpretation of the evolution of the human species that seeks to explain why the feminine breast worries women so much. According to that theory, the human species came from a primate group that, at some certain point in time, rose above their fixation on the lower extremities, looking first to the sky and later to each other, to relate in a special & different way: face to face... This attitude would shift the center of attention from the gluteus regions (very showy in the simians) to the thorax, to the chest. 

The feminine breast it is a very important point of identity. There are a number of techniques that attempt to improve its appearance. In fact, all these attempts seek two results: to tighten the skin and to project the gland. It is very difficult, practically impossible, to get the skin to shrink in a harmonic & aesthetic way, either by physical or chemical external means. Cold showers, the use of bras & skin tonic creams attempt to do just that.  

Increasing the contents of the mammary gland can be accomplished in certain cases through the use of hormonal treatments. It is well known that in certain moments of the feminine cycle - during pregnancy, with the anovulatories - the mammary glands volume can increase, but, in fact, for aesthetics treatment, to maintain a hormonal regimen becomes unadvisable.  

There are some products that promote a hyper hydration under the skin. Their effectiveness is relative & fickle. Perhaps physical exercise could be more practical. This really doesn’t cause an increase of the gland, but of the muscle – specifically the pectoral muscle. When growing, it can cause the optical effect that the mamma has increased and even raised slightly. It is something to test, also having their limitations - because when chest is very small, very big, or sagging, none of the previous treatments work. Then it is necessary to think about surgery and about a good plastic surgeon.  

Millions of women have undergone an augmentative mammaplasty lately, now that the polemic on silicone prosthetics is over.  

Talking about increases, the augmentative mammaplasty is the technique to increase the breasts and implants are the best choice to correct the defect.  

Not too long ago, a technique called filling was proclaimed in certain places – based more on fantasy than reality. Filling consisted of injecting the patient’s own fat, extracted from another part of the body, into the breast. The results become very discouraging.  

Today, this surgery is practiced in Ecuador along with two types of prosthetic implants. Both have a silicone cover and their center can also contain physiological serum or silicone gel. The change of texture of their surfaces gives a marked difference. Before, all of them were smooth or flat but it was proven that with certain roughness, their tolerance increased considerably. By tolerance, we mean the slightest capacity to cause the formation of a rigid capsule around the same one, by the patient. This, up to now, although not serious, does represent a dissatisfaction in the aesthetics of mammary augmentation.  

Choosing prosthetics should always be done with the advice of an experienced plastic surgeon. There are arguments both for and against prosthetics both of serum as well as those of gel. The way to insert them can be aerolar, submammary or axilar. The operation is usually carried out under full anesthesia, with continuous monitoring in real time. The implant is placed above or under the muscle and the outcome is spectacular and practically immediate. 

This type of operation doesn’t modify the normality of the mamma. This means that, generally there is no reason to have more or less mammary illnesses as a consequence of the implants. The habitual explorations can be carried out, the patient should just inform the gynecologist that she has an implant, giving the surgeon’s information if some type of consultation were necessary.