Breast augmentation with implants -
Augmentation mammoplasty

Breasts which by nature are only poorly or else unevenly developed frequently do not correspond to a person's ideal of beauty. A severe loss of weight or pregnancy may also change the shape of a person's breasts detrimentally.

Decisions to undergo a breast implant are almost always triggered by considerable psychological stress. However, physical development should be complete.

The extent of the desired change is simulated using external trial implants, which makes it easier to reach a decision on the choice of implant size.

What results can be achieved?

A breast implant will give you a full and natural breast shape. Where there is pronounced drooping of the breasts (ptosis), tightening of the skin will also be required. This involves raising the nipple, together with the areola, on the chest and removing the excess skin from the central and lower part of the breast.

Forms of anaesthesia and duration of stay in the clinic

The procedure is performed on an outpatient or inpatient basis, usually under general anaesthetic.

What happens during the operation?

A breast implant can be introduced through the fold under the breast (submammary), through an incision in the areola (periareolar or transareolar) or through an incision in the armpit. Each of these access routes has advantages and disadvantages, and the final decision can be reached only within the framework of a detailed examination and consultation.

The implant can be placed under the mammary gland (subglandular) or under the fascia of the large pectoral muscle (subfascial) or under the pectoral muscle (subpectoral).

As for anatomical reasons the pectoral muscle covers only the upper half of an implant, the lower half of an implant will lie behind the mammary gland (dual plane technique). It is also possible to insert the entire implant under the musculature, in which case parts of the oblique and straight abdominal muscles have to be raised.

It is only possible to make a recommendation as to which tissue layer to place the implant in after a detailed examination. The size and shape of the chest, the size of the implant, the skin layer thickness, the muscle mass, occupational and sporting demands, and the wishes of the patient must all be taken into consideration here.

Where there is pronounced breast ptosis (sagging breasts), simultaneous tightening of the skin will be required.


How should I prepare for the operation?

Depending on your age and family history, a breast diagnosis (breast sonography, mammography) will be necessary before the operation.

You should not take any painkillers (such as e.g. aspirin) for a period of 14 days before the operation. We also prefer you not to consume alcohol for approx. 1 week before the operation.

To improve the elasticity of the skin, it is recommended that you apply skin care creams.

What happens after the operation?

Immediately after the operation, you may experience some pain. We will provide you with an adequate supply of analgesics and muscle relaxants. In addition - as with any surgical intervention - varying degrees of swelling and bruising will occur but this will subside within a few days.

What follow-up treatment is required?

The sutures will dissolve of their own accord. Scar care with scar gel has a beneficial effect. Heavy physical work should be avoided for 2-3 weeks. A six-week break from training or competitive sport is recommended. You will be able to engage in lighter activities after 1 week.

What risks do I need to be aware of?

If you suffer from allergies (to drugs or plasters) or other illnesses, it is imperative that you inform us of this in advance.

You should not lose a lot of weight or become pregnant immediately after the procedure. Since human tissue is a biological variable, occasionally changes occur which need to be corrected. As these are minor corrections, they are carried out on an outpatient basis under local anaesthetic. An additional risk which should be mentioned is that of a capsular contracture, which can form on one or both sides. In cases of pronounced capsular contracture, the capsule has to be surgically removed and the implant replaced.

Post-operative bleeding, inflammation in the wound area and slipping of the implant are rare complications, which I am able to treat should the need arise.


Membership of professional associations:

International Society of Aesthetic Plastic Surgery
Deutsche Gesellschaft für Ästhetisch-Plastische Chirurgie
Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen

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