Breast Augmentation in Madrid, Marbella and Gibraltar — Dr. Marco Vricella, Plastic Surgeon
Dr. Marco Vricella specialises in breast augmentation with silicone implants in Madrid, Marbella and Gibraltar. He works with state-of-the-art cohesive silicone implants, both anatomical and round. Specialist plastic surgeon and SECPRE member with over 20 years of experience in aesthetic and reconstructive breast surgery.
Breast Augmentation
The most sought-after breast surgery in the world. State-of-the-art implants, precise technique and completely natural results in Madrid, Marbella and Gibraltar.
Breast augmentation —also known as augmentation mammaplasty— is the most requested aesthetic plastic surgery procedure both in Spain and worldwide. Its aim is to increase breast volume, improve shape and restore symmetry through the placement of breast implants made from cohesive silicone.
Dr. Marco Vricella has been performing breast augmentation surgery in Madrid, Marbella and Gibraltar for over two decades, accumulating extensive experience that enables him to adapt with precision to each patient’s anatomical and aesthetic needs. The goal is not for the result to be obvious, but to integrate harmoniously with the patient’s overall silhouette.
Every breast augmentation is planned on a personalised basis: body type, breast base, tissue quality, body proportions and the patient’s expectations are all analysed to select the optimal implant —shape, profile, texture and volume— and the most appropriate access route.
There is no universal implant. The choice between anatomical or round, profile, volume and texture is made jointly during your consultation, guided by your anatomy and the result you wish to achieve.
Anatomical Implant
Teardrop shape that replicates the natural breast contour. More pronounced lower projection and a soft upper pole. Ideal for patients with a narrow breast base or those seeking a very natural result without excessive fullness in the upper area.
Natural Profile
Round Implant
Greater central projection and uniform volume throughout the breast, with enhanced upper pole fullness. Versatile and suitable for various anatomies, particularly when greater visible volume is desired or the existing tissue already provides the underlying shape.
Greater Projection
Implant Placement Plane
The position of the implant —subfascial, submuscular or dual plane— is determined by tissue coverage, muscle tone and existing ptosis. The dual plane combines muscular coverage superiorly with greater naturalness in the lower pole.
Tailored to Your Anatomy
Surgical Technique · Incisions
Precision in every incision, discretion in every scar
A fundamental part of planning breast augmentation surgery is selecting the access route. Each incision has its advantages depending on the anatomy, implant volume and patient preferences.
Inframammary — the most common; discreet scar in the crease beneath the breast, with excellent surgical visibility
Periareolar — incision along the lower border of the areola; indicated in selected cases
Axillary — access through the armpit with no scar visible on the breast; requires endoscopy
State-of-the-art cohesive silicone certified CE and FDA
Day-case surgery under general anaesthesia, average duration 60–90 minutes
Recovery following breast augmentation is progressive and, in general, more comfortable than patients expect. Pain is moderate and well managed with oral analgesics. The most common sensation during the first few days is a feeling of pressure or tightness in the chest.
Days 1–2 — Relative rest at home; compression dressing for 48 hours
Days 3–7 — Gradual return to everyday activities; post-surgical support bra
Augmentation mammaplasty is indicated in a wide variety of situations. The best way to find out is through a personalised consultation, where Dr. Vricella will assess your anatomy and your goals.
Ideal candidate profile
Small or underdeveloped breasts (breast hypoplasia)
Volume loss following pregnancy, breastfeeding or significant weight loss
Notable breast asymmetry between both sides
Disproportion between breast volume and overall body shape
Tuberous breasts with associated volume deficit
Patient aged 18 or over with complete physical development
Realistic expectations and personal motivation (not external pressure)
Good general health with no surgical contraindications
Additional considerations
Not recommended if pregnancy is planned in the short term
Active smokers are advised to stop smoking 4 weeks before surgery
A mammogram may be required for patients over 40 years of age
If significant ptosis is present, combining with a breast lift may be considered
Anticoagulants or other medications must be disclosed during consultation
Not indicated in the presence of unresolved breast abnormalities
The Process
From consultation to result
01
Initial Consultation
Complete morphological assessment, proportions analysis, result simulation and selection of the most suitable implant and technique. With no obligation whatsoever.
02
Surgical Planning
Pre-operative studies, precise markings, final implant selection and coordination of the procedure in Madrid, Marbella or Gibraltar according to your preference.
03
Surgery
Day-case surgery under general anaesthesia in an accredited operating theatre. Average duration of 60 to 90 minutes. Discharge on the same day in most cases.
04
Post-operative Follow-up
Scheduled reviews at 48 hours, 1 week, 1 month and 3 months. Dr. Vricella’s team is available for any queries throughout the entire recovery.
Frequently Asked Questions
Breast Augmentation — Your questions answered
The most common questions from patients considering breast augmentation in Madrid with Dr. Marco Vricella.
Dr. Vricella works with state-of-the-art cohesive silicone implants, CE marked and FDA approved. Both anatomical (teardrop) and round implants are available. The choice depends on anatomy, chest morphology, tissue quality and the desired result. A simulation is carried out during the consultation so the patient can visualise the outcome before deciding.
Modern implants do not have a fixed expiry date. Provided there are no complications (rupture, capsular contracture, etc.), they can remain in place indefinitely. An imaging review —typically at 10–12 years— is recommended to confirm the implant’s condition, though this does not necessarily mean replacement is required.
The selection is made by combining the morphometric measurements of the chest and breast with the patient’s aesthetic wishes. Trial sizers and digital simulators are used so the patient can visualise the result before making a decision. Dr. Vricella guides the process to ensure proportionality and a natural result integrated within the overall silhouette.
Recovery is progressive. Most patients resume everyday activities within 5–7 days. Moderate exercise can be restarted after 3–4 weeks and intense exercise (weights, running) after 4–6 weeks. Residual swelling decreases gradually during the first 3 months, when the final result is reached.
Pain is moderate and well managed with oral analgesics. The most common sensation is a feeling of pressure or tightness in the chest during the first few days, especially with submuscular implants. Most patients describe the post-operative period as more manageable than they expected.
In the vast majority of cases, yes. The technique used by Dr. Vricella preserves the milk ducts and nipple innervation. The access route also plays a role: the inframammary incision has the least impact on future breastfeeding. This aspect is discussed individually with each patient during the consultation.
Initial results are visible at 3–4 weeks, once the initial swelling subsides. The final result is reached between 3 and 6 months, when the implant has settled into its final position and the tissues have fully adapted. Shape, projection and symmetry all improve progressively throughout this period.
Incisions are placed in strategic, discreet locations: the inframammary crease, the lower border of the areola or the armpit. Over time and with appropriate care (sun protection, scar creams), scars fade and become virtually imperceptible in the majority of patients.
It is normal to experience temporary changes in sensitivity in the nipple and breast during the first few months. In the vast majority of cases, sensitivity fully recovers. The techniques used by Dr. Vricella minimise the risk of permanent alterations to innervation.
You can book your consultation via the form on this page, by telephone or by email. Dr. Vricella’s team will contact you to arrange your first appointment in Madrid, Marbella or Gibraltar according to your preference and availability. Contact us now →
First Step
Book your Consultation Today
Take the first step towards an informed decision. Dr. Vricella and his team will personally assess your case, answer all your questions and offer the most suitable plan — with no obligation.
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