We know through experience that the decision to undergo breast augmentation is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the procedure itself and the possibilities and risks involved in this operation. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When is breast augmentation useful?
What is the aim of breast augmentation?
What do I have to consider before breast augmentation (pre-operative phase)?
What must I consider after breast augmentation (post-operative phase)?
When can I resume normal activities?
What are the possible risks with breast augmentation?
Which result can I expect after breast augmentation and what are the chances of success?
The symbol of femininity. A beautiful, well shaped breast is, for many women, a symbol of femininity. Small or asymmetrical breasts can significantly disturb the physical and mental wellbeing.
The aim of breast augmentation is to bring the breasts, with the help of implants, to the desired size and shape, thereby achieving a natural appearance. For the most part, asymmetries of the breasts can be also compensated for and the ability to breastfeed is generally not influenced by this operation.
Procedure. With breast augmentation the incision can be made either in the inframammary fold or in the axilla. Only under specific conditions is access though the edge of the areola necessary. The implant can be placed behind the breast tissue or beneath the chest muscle and in order to create space for the implant, the tissue or muscle is carefully mobilised the implant placed beneath it. In order to drain off any fluid and to significantly reduce the risk of capsular fibrosis a drain is inserted. Afterwards the incision is closed using fine stitches, dressed and then a compression bra is put on.
Additionally, in the case of sagging breasts, a breast uplift operation can be performed at the same time. Hereby, the amount of skin is reduced and the nipples placed in a higher position before the insertion of the implant.
Types of implants: The breast implants used, consist of a cohesive silicone filling that feels like natural breast tissue. The covering of the implant is also made of silicone, which either has a textured (rough) or a smooth surface. Furthermore, the implants differ through their various forms. There are three-dimensional anatomical implants, which have a teardrop shape as well as round implants in a variety of profiles and projections.
Type of anaesthesia. This procedure is usually carried out under general anaesthetic.
On the day of the operation please do not use any oily shower or bathing products but normal soap or shower gel and your skin should not be moisturised. Shaving of the armpit hair is necessary and after surgery, a special compression bra has to be worn, which can, prior to the operation be measured and fitted by us and then ordered for you. Information on general measures and the necessary preliminary examinations will be put together for you personally in a pamphlet which you will receive at your consultation.
For a few days after the procedure a dressing is to be worn, followed by a compression bra. Bruising, swelling or a feeling of tension regularly occurs after surgery but these changes should not worry you and should disappear within a few days. After the surgery the risk of thrombosis is higher and therefore it is necessary to take a thrombosis prophylaxis for the next 5 to 10 days. The drain is usually removed between the 2nd and 7th day after the operation and depending on the technique; the stitches can be removed between 7 and 14 days after surgery. Showering and bathing is only allowed once the stitches have been removed. A loss of sensation of the breasts and the nipples can be present for several weeks and usually returns to normal. A residual swelling can, to a lesser extent be present for several weeks.
Recovery. Exercises which may lead to vibrations in the breasts (e.g. horse riding, running, aerobics etc.) are possible, at the earliest, 6 weeks after surgery with the aid of a compression bra. Sports that involve the chest muscles may be done at the earliest 3 months after surgery. Heat from external sources (such as a sauna) should be avoided for 2 months and sunbathing and the use of tanning beds are only possible after the scars have completely healed and after all bruising has faded away.
No procedure is without risk. The general risks of surgery include the possibility of bleeding, thrombosis and infection. Specific risks associated with breast augmentation include the possible displacement of the implant, the occurrence of capsular fibrosis and a change of sensation in the breast.
Enhancement of femininity. Through breast augmentation it is possible to achieve a natural and well formed breast which corresponds to a personal and distinct aesthetic feel. The final result can be assessed after approximately 2 to 3 months.