Breast augmentation or enlargement can be only achieved though implants, i.e. a placement of an implant under the breast tissue in order for it to feel as part of the natural tissue and so that it appears natural, balancing out one’s body’s proportions.
Since 1963, silicone implants have been used. After intense discussions about the safety of implants in 1991, new developments and procedures emerged. What is important to know is that according to the latest scientific studies, silicone prothesis or implants pose no increased risks for breast cancer or for development of autoimmune diseases, such as Lupus Erythematosus or Scleroderma or Rheumatism.
Our Institute uses exclusive products from the world’s most prestigious manufacturers, generally using implants with a roughened up or textured surface, in round or teardrop shapes, filled with a cohesive gel (ruling out any risks of leakage). The surface of the implants connects to the body’s tissues so that the risks of Capsular Contracture are minimal. The contracture of the implant is reduced to a minimum amount. All of our implants are highly regulated and registered, complying with the strict regulations by the EU and the USA.
Alternative filling materials, such as dextran, soybean oil, etc. have had a short time lived euphoria, but did not meet the expectations and were quickly withdrawn from the market. The only alternative still available is saline filled implants, but they have a dimensional instability and the grip panels cannot compare to the ones we use. Therefore, we do not use saline filled implants.
During the consultation with us, you will be introduced to the various implant shapes we use, as well as the preliminary discussion regarding the optimal course of action that needs to be taken for your ultimate safety and satisfaction.
First and foremost, during the first consultation, you must be able to explain what you envision and how does it match your lifestyle. Afterwards, the surgeon will clarify what are the realistic goals and how to accomplish them by choosing the best path possible, the optimal implant size, shape and positioning.
When inserting a breast implant, there are four possibilities of accessing the area of implantation (whereas, the last two are barely done in Germany and are only done when removing earlier implants):
- through the armpit (trans axillar)
- through the areola (peri-, infra- or trans areolar)
- through the lower breast fold (inframammary)
- through the navel (an endoscopic procedure)
Each of these approaches have their advantages and disadvantages. When using the areola or lower breast fold procedure, the precise area for the placement of the implant can be done, and a meticulous hemostasis can be performed, with the incision of around 4-5 cm wide. The form of the implant chosen depends on what the patient wants: more cleavage and more round breasts require a round and hemispheric implant.
If one desires a natural, tear-drop shape, a bio-dimensional implant should be selected. Furthermore, it should also be clarified in which layer the implant should be placed: it can be placed in the breast cavity in front of the breast muscle (musculus pectoralis) or behind the breast muscle. This, of course, depends on the amount of breast tissue present in the patient’s chest area.
Breast surgery should be done under general anesthesia, but it can also be performed under sedation with local anesthesia, if requested. Usually, this procedure can be done as an outpatient where the small incision is closed with a special patch and the patient can slowly resume some of the daily activities after two to three days. This, of course all depends on the individual themselves and their lifestyle. A special support bra is given for about two weeks and should be permanently worn. Afterwards, the bra should be worn daily for another two weeks, so that the implant can stabilize and the surrounding tissue can heal. Sport activities should be avoided throughout this time, but normal daily routines can be performed.
If the patient cooperates and follows the after-procedures prudently, the final results will be natural and aesthetically beautiful breasts, rather than dealing with negative consequences, such as “puffed-up“ and artificially looking breasts.
| Duration of surgery: | 1 hour – usually outpatient | |
| Anasthesia: | General (if requested, sedation) | |
| Time needed to return to daily routine: | After 3-4 days | |
| Price: | depending on complexity (depending on the implant) |