Body surgery · Motiva implants

Breast augmentation in Tijuana

Breast augmentation surgery with Motiva implants, a board-certified plastic surgeon verified in the brand's official surgeon locator, in a hospital setting and with bilingual care.

Dr. Alfredo Chama Naranjo, board-certified plastic surgeon, professional portrait.
  • CMCPER, Board Certification No. 2607
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    Source
    CMCPER Directory (directoriocirugiaplastica.mx)
    Identifier
    CMCPER, Board Certification No. 2607
    Last verified
    Jul 29, 2026
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  • Verified in Motiva's official surgeon locator
  • Hospital setting · Hospital MAC
  • Bilingual care · ES / EN

What it is

An augmentation planned for your anatomy, not a catalog

Breast augmentation is surgery that places breast implants to increase volume, improve the body's proportion, or correct an asymmetry between the breasts. There's no single plan: size, implant profile, placement plane, and incision approach are defined individually, based on your chest anatomy, the amount of your own breast tissue, and your skin's elasticity.

If you're looking for the rest of the procedures the practice offers, you can see them on the home page.

The procedure

Motiva implants: options and placement planes

Dr. Chama works with Motiva implants and is verified in Motiva's official surgeon locator. He offers the Preservé and Motiva MinimalScar lines, with different surface characteristics and insertion techniques; which one fits your case isn't a loose aesthetic preference — it's a clinical decision that considers your anatomy, how much of your own tissue you have, and the result you're looking for.

Profile and size

Depends on your chest anatomy, the amount of your own breast tissue, your skin's elasticity, and your aesthetic goal. It's not chosen from a catalog or a cup-size number: it's decided in your assessment.

Placement plane

Subglandular (over the muscle) or submuscular / dual plane (partially under the muscle). Each has different advantages depending on your anatomy; Dr. Chama explains which applies to your case.

Incision approach

Usually in the inframammary fold or periareolar. The choice considers implant size, how your skin scars, and medical judgment — always explained in consultation, never generic.

None of these three decisions — size, plane, incision approach — is chosen separately or from a catalog: they're reviewed together in your assessment, because each one affects the others. We don't show images of the procedure or implants: the information here is educational.

Dr. Chama's approach

Anatomy first, safety always

Your surgery's plan starts from your anatomy, not from a template. Dr. Chama is a board-certified plastic surgeon who operates in a hospital setting — Hospital MAC, Tijuana — with anesthesia equipment and a postoperative protocol, not in an adapted office. That decision to always operate at a hospital isn't a logistics detail: it's the backup you need if something doesn't go as expected.

What gets checked in your assessment

  • Amount of your own breast tissue and its distribution.
  • Skin elasticity and quality of the supporting tissue.
  • Baseline symmetry between both breasts.
  • Distance between the inframammary fold and the areola-nipple complex.
  • General health and history of prior surgery in the area.

What you'll be asked

  • What you're hoping to achieve with the augmentation — size, shape, proportion.
  • Whether you're planning pregnancy or breastfeeding in the future.
  • Personal or family history of breast cancer.
  • Medications, allergies, and previous surgeries.
  • Whether you're coming from outside Tijuana, to plan travel timing.

From there comes the plan: which implant, which plane, which incision approach, and a personalized quote — never a generic price.

Recovery

Progressive and in stages

Your body doesn't adjust to the implant overnight: there's a staged process before the result feels natural, and it varies from one patient to another:

  • First days. Swelling, sensitivity, and some bruising are normal. A surgical bra and relative rest are indicated; the medical team follows up closely at this stage.
  • First and second week. Swelling notably subsides and arm mobility increases. Dr. Chama assesses, case by case, when to resume daily activities.
  • Following weeks. The result keeps settling progressively; the implant finishes settling into position and the scar continues maturing. Higher-effort exercise resumes gradually under medical guidance, not on a fixed calendar.

In your assessment you receive concrete instructions for your case and postoperative follow-up, in person or remote if you're coming from San Diego or the rest of California.

With honesty

Risks and considerations

The risk that sets breast augmentation apart from other surgeries is that it doesn't end in the operating room: implants aren't a lifetime device, and capsular contracture — your body hardening the tissue around the implant — can appear years later. Among the other considerations explained in your assessment:

  • Swelling, bruising, and temporary sensitivity — duration varies by patient.
  • Risk of infection or bleeding, as with any surgery.
  • Capsular contracture: the body forms scar tissue around the implant, in some cases with hardening that may require revision.
  • Sensation changes in the nipple or breast skin, temporary or, in some cases, permanent.
  • Temporary asymmetry while swelling on each side goes down at its own pace.
  • Implants aren't a lifetime device — over the years, revision or replacement may be needed.
  • The result depends on each patient's anatomy — no two cases are identical.

This information is a starting point, not a diagnosis: the real conversation happens in your assessment with Dr. Chama. If any of the above concerns you, message us and we'll talk before your appointment.

Frequently asked questions

What patients ask us most

How much does breast augmentation cost?

The price is defined in your assessment, based on the implant, the placement plane, and your specific surgical plan. We prefer to give you a personalized quote rather than a generic price. Message us on WhatsApp and we'll guide you.

What is breast augmentation with implants?

It's surgery that places breast implants to increase volume, improve proportion, or correct breast asymmetry. The plan — size, profile, plane, and incision approach — is defined individually in your assessment, never beforehand.

What implants does Dr. Chama use?

Motiva implants. Verified in Motiva's official surgeon locator; offers Preservé and Motiva MinimalScar.

What's the difference between Preservé and MinimalScar?

They're lines from the same Motiva brand with different surface characteristics and insertion techniques. Which one fits your case — and why — is explained in your assessment, based on your anatomy and goal.

How is the implant size and profile chosen?

It's defined based on your chest anatomy, the amount of your own breast tissue, your skin's elasticity, and what you're hoping to achieve. There's no 'standard' size: the goal is proportion with your body, not a cup number promised in advance.

Which placement plane is used, subglandular or submuscular?

Both are real options, and each has different advantages depending on your anatomy, how much of your own tissue you have, and your physical activity. Dr. Chama reviews your case in the assessment and explains which one he recommends, and why.

Where does the scar end up?

It depends on the incision approach — usually in the inframammary fold or around the areola. In trained hands it's usually concealed, but how each person's skin scars varies by patient and can't be promised in advance.

How is the surgery performed?

Generally under general anesthesia, in a hospital setting (Hospital MAC). Procedure details — plane, incision approach, surgical time — are explained in your consultation based on your specific plan.

What is recovery like?

It progresses in stages: swelling and sensitivity the first few days, which notably subsides toward the first and second week; the result keeps settling over the following weeks. Exact timing varies by patient; in your assessment you get concrete instructions.

What are the risks of breast augmentation?

As with any surgery: swelling, bruising, risk of infection or bleeding, capsular contracture, temporary or permanent sensation changes, asymmetry while swelling on each side goes down, and the possibility of needing implant replacement in the future. These are explained in detail, for your case, in your assessment.

Can I combine it with a breast lift?

In some cases yes, when in addition to volume there's excess skin or tissue sagging — it's a mastopexy procedure assessed separately, together with the augmentation, based on your anatomy. Learn more about breast lift. That combination is decided in consultation, never beforehand.

Does it affect future breastfeeding?

It's a topic reviewed honestly in your assessment: it depends on the incision approach and on your own breast tissue. If you're planning pregnancy or breastfeeding, mention it from your first consultation so the plan takes it into account.

How often do implants need to be changed?

Implants aren't a lifetime device: over the years, revision or replacement may be needed, due to normal wear or changes in your body. Dr. Chama explains long-term follow-up in your assessment.

I'm coming from San Diego / California — how does it work?

We offer bilingual virtual consultations for patients from San Diego and the rest of California, and coordinate your visit to Tijuana for surgery. Initial follow-up and, later, periodic implant check-ups can be done remotely when your progress allows it.

Why choose Dr. Chama?

A board-certified plastic surgeon, verified in Motiva's official surgeon locator, who operates in a hospital setting and provides bilingual follow-up.

Schedule your virtual consultation

Your quote is personalized. Message us and we'll guide you, no commitment.

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