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Hospital Clinica Biblica

Dr. Victor Eduardo Alvarez Murillo



Dr. Ronald Alberto Salazar

Dr. Guillermo Cortes

Dr. Marcial Fallas

Dr. Javier Brenes

Dr. Gustavo Chavarría León

Dr. Alberto Jose Arguello Choiseul

Dr. Arnoldo Fournier

Dr. Oscar Oeding

Dr. Marios Saenz

Dr. Jacobo Zafrani

Dr. Roberto Velázquez

Dra. Tamara Velázquez

Dra. Olga Montoya


Breast Augmentation
If you are tired of using wonder bras, and fake breasts to improve your breast size and form temporarily, and wish improve your breasts’ appearance, or enlarge your breasts permanently; you are a perfect candidate for a Breast Implant Surgery. Another common reason to have such surgery is for breast reconstruction after surgical breast cancer removal.

Breast cancer develops in one out of every eight women. Women who have implants are more concerned and aware of their breasts’ contour and form. As a result, they can detect easier any lump or abnormality in this area by a careful personal examination, with their doctor’s help, or with a mammogram. Breast feeding and mammographies can be done normally six to twelve months after the procedure.

There is a wide variety of implants’ shape, size and form. Some have a round shape, tear drop shape, oval shape, or low or high profile. Others are smooth or with texturized surface, and the most expensive have an anatomical and biodimensional silicone texture that will never loose its contour. Others are made of silicone gel, silicones cohesive gel, saline, etc. The saline implants may deflate after one day, one year or after years due to the tiredness of the material or a problem within their valves.


  • Surgery Costa Rica will schedule an appointment with your doctor for you. During this visit you can ask him any questions you might have about the surgery.
  • Have a complete medical check up, an electrocardiogram and laboratory blood and urine tests; including a complete whole blood count, partial tromboplastin time, prothrombin time, platelets, and HIV.
  • Take antibiotics such as Augmentin 500mg, (one capsule three times a day with each meal) Cipro or Ceclor 500mg (one capsule twice a day with a full breakfast and dinner); two days before surgery, the day of the surgery, and seven more days after the surgery.
  • Inform your doctor of your daily vitamin and medication intake.
  • Notify your doctor if you have developed a cold or the flu a week prior your surgery date.
  • Please avoid: aspirin, more than 500mg of Vitamin E, ginkobiloba, ginseng, or any blood thinners two weeks prior your surgery. Also avoid alcohol intake, and passive or active smoking for one month before and one month after the surgery. Remember that nicotine and alcohol delays and might even complicate your healing processes.


  • You may rinse and brush your teeth, but do not eat or drink coffee or tea.
  • Please do not wear make-up, remove your contact lenses or dentures before the surgery. Do not put any moisturizer on your eyes or face.
  • Please remove your nail polish.
  • The evening and the morning prior your surgery, clean the operative area with soap and water.
  • Please do not bring any jewelry or valuables to the Hospital.
  • Please wear a robe, housecoat or warm up suit that buttons or zips in the front and flat shoes after the surgery. No tight-fitting clothes.
  • Someone must drive you home, to your Hotel, or to the Recovery Home you choose to stay at.
  • Postoperative instructions regarding activity, medications and office visits will be given following your surgery.


    The surgery is in done under local anesthesia. The implants are placed in contact with the chest cage, over the ribs, behind and protected by the Pectoralis Major muscles. Therefore, the implants are in contact with the ribs and muscle to avoid contact with the breast tissue. Sub muscular implants are placed under the pectorals muscles allowing the normal texture of the breast tissue to be felt over the implants.

    On the other hand, if the implants are placed above the Pectoralis Major Muscles, 20% of the patients will suffer of a scar or hard tissue which develops around the implants called capsule formation.

    This percentage diminishes to a 5% when the implants are placed under the muscle and over the ribs. The patient should also have in mind that immediately, two weeks after surgery and continuously for six months after surgery, breast exercises and massages are recommended to reduce such risk.


    A well hidden transversal incision scar near the mammary fold will measure around two inches. The stitches will be removed during the first, week after surgery. Furthermore, a hot sensation in the treated areas might last for three weeks after surgery. Soreness and swelling are part of the healing process and might last for a month or two after surgery. Please avoid driving and any efforts with your upper body for the first two or three weeks. Three weeks after surgery, the patient must massage the breasts in a circular motion from the outisde to the inside to soften them out. This will allow the implants to be placed in its natural position. Every patient must refrain from exercising for at least one month, and consult your doctor before you begin working out again. Remember that you have to wait for your muscles and tendons to recover fully.

    During the first 3 to 6 months, the mammary implant is felt mostly in the upper half of the breasts. After time and massages, the pectorals stretches, the swelling is reduced and the implant slowly descends to a more central position, resulting in the desired breast volume, size and form.

    In some cases, when the breasts are very droopy, the areola is repositioned, and another scar will be hidden around part of the areola. This procedure is known as Crescent Mastopexy.

    Any corrections will be made a year after the surgery. This is a prudent period for the human body to heal completely after any surgery, and show its final results.

    Thank you!

    Surgery Costa Rica
    Ave. 2 between Calle 38 and 40
    San Jose, Costa Rica
    E-Mail: Surgery Info
    You can reach our San Jose, Costa Rica office from any of the following phone numbers:
    Toll Free: 1-800-250-5119


    FAX: 011-506-2279-2479 from Costa Rica and all other countries

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