Who wins the arm wrestle? Paloma Parra and Dr. Elvira go ALL IN in the operating room.

Paloma Parra, elite athlete and a leading figure in female bodybuilding in Spain, visited Dr. Santiago Elvira for a breast implant replacement. She had been carrying old implants for several years and felt that her body needed an update both for aesthetic reasons and for her safety.

During the medical evaluation, Dr. Elvira determined that, in addition to the replacement, it would be advisable to perform a mastopexy (breast lift) to achieve a more natural, proportionate, and firm result. Paloma explained that she wasn’t looking for exaggerated volume, but rather a subtle aesthetic improvement that matched her fitness lifestyle and muscular physique. The medical team chose Motiva implants, known for their quality, durability, and natural appearance. In addition, Dr. Elvira suggested a minimally invasive lip enhancement procedure, known as Lip Up, which provides a gentle facial rejuvenation without exaggeration.

In the video, you can see Paloma’s positive and down-to-earth attitude even playfully challenging the doctor to an arm wrestle before heading into the operating room. It adds a human and lighthearted touch to a process that many people find intimidating. The surgery was a success. In the final surgical report, Dr. Elvira explains step by step how the procedure was carried out and the reasoning behind each medical decision, always using clear and accessible language for those considering a similar operation.

This real-life case is a great example of how cosmetic surgery can be tailored to each person’s unique needs and desires—always prioritizing safety, emotional well-being, and harmonious results. Paloma underwent a breast implant replacement. When she came in for her consultation, she had a clear vision: an aesthetic update aligned with her athletic body, as well as her values of health and safety. As an elite athlete and leading figure in female bodybuilding in Spain, her case required both technical and aesthetic precision.