Breast Augmentation

The main indication for surgical augmentation (enlargement) of the female breast is an inadequate breast volume due to a developmental disorder or involution athrophy following pregnancy or weight loss.

The incision may be placed in the inframammary fold is the ideal in the presence of ptotic breast. It provides the best exposure of the breast tissue.

A periareolar incision can minimize the scar formation in patients with large areola. A visible white scar may remain in the patients dark pigmented areola.

This approach avoids scarring in the breast, but it provides limited exposure of the surgical site and hardens the work of the surgeon. In case of bleeding further incisions may be necessary.

Implants can be placed subglandular (in front of the pectoral muscle) or submuscular (in back of the muscle). In the case of a sagging breast a location above the muscle is advisable.

The incisions are not sutured in order to avoid further scarring. A special kind of closure is used.

Final results vary woman to woman and can be long lasting. However. pregnancies and aging can affect longevity. We give a life time guarantee for the material of the implants. This material does not need to be replaced.

Possible Complications of Breast Surgery:
- Capsular contracture (fibrosis): Hardening of the implant due to compression by the surrounding envelope of connective tissue. development of textured implants has drstically reduced the incidence of capsular contracture so that today hardening only occurs in 4-5% of all cases.
- The incidence of bleeding and hematoma is less than 1%. We always use suction tubes to avoid collection of blood in the implant pocket.
- Infections are extremely rare. We always use prophylactic antibiotics
- Pain occurs after the surgery, persisting for 1 or 2 days. The feeling of tension will also diminish after 6 to 7 days.
- The loss of nipple sensitivity is 7-15%. Most patients recover after few months. About 2-3% of the nipple numbness is permanent.
- It is Seldom that a hypertrophic or even keloid scarring can occur in the breast.

Before and afters