Breast augmentation

Breast augmentation, medically known as augmentation mammoplasty, is a surgical procedure that aims to increase or improve the volume and shape of the breasts. This is usually achieved through the insertion of breast implants or, in some cases, fat grafting. The procedure is one of the most common aesthetic surgeries worldwide and is performed for a variety of reasons, including aesthetic desires, restoring breast shape after pregnancy or weight loss, or to correct asymmetrical breasts.

methods of breast augmentation

1. Breast implants

Breast implants are the most commonly used method for breast augmentation. They consist of a silicone shell and are filled with either silicone gel or saline solution. There are different shapes and sizes of implants, which are selected depending on the patient's wishes and anatomical conditions.

silicone implants: Filled with a cohesive silicone gel that provides a natural feel. Silicone implants are available in different profiles and textures.

2. Autologous fat transplantation

An alternative method for breast enlargement is the use of the patient's own fat. Fat tissue is taken from other areas of the body (such as the abdomen, thighs or hips), processed and injected into the breasts. This method is particularly suitable for women who want a moderate enlargement and prefer a more natural alternative to implants.

Benefits of breast augmentation

Improved self-confidence

Many women report increased self-confidence and greater satisfaction with their body image after breast augmentation.

symmetry

Breast augmentation can help balance asymmetrical breasts.

restoration of breast shape

After pregnancy, breastfeeding or significant weight loss, breast augmentation can help restore breast volume and shape.

The treatment

Consulting and Planning

Initial consultation: In a detailed consultation, the surgeon explains to the patient the different methods, the size and shape of the implants, as well as the risks and the healing process. It is also discussed which results are realistic and what individual wishes the patient has.

Selection of implants: The choice of implants depends on the desired breast size, the natural anatomy and the personal preferences of the patient.

The surgical procedure

Anesthesia: Breast augmentation is usually performed under general anesthesia.

Incision: There are different ways to make the incisions through which the implants are inserted:

In the inframammary fold: The incision is made in the natural fold under the breast and is barely visible after healing.

In the armpit (transaxillary): The incision is made in the armpit so that there is no visible scar on the breast.

use of the implant

The implant is placed either under the breast tissue (subglandular) or under the pectoral muscle (submuscular), depending on the desired breast shape and physical conditions.

After the operation

Recovery phase: After the operation, the patient stays in the clinic for a few hours for monitoring and can usually go home the same day.

Pain management: Painkillers are prescribed to relieve postoperative discomfort.

Support bra: A special support bra should be worn around the clock for several weeks to support the implants and promote the healing process.

Results and Long-Term Effects

The results of breast augmentation are usually permanent, although the implants may need to be replaced after about 10 to 15 years. Final results are visible after a few months, when swelling has completely subsided and the tissue around the implants has settled down.

Overall, breast augmentation offers an effective way to change the size and shape of the breasts and increase self-confidence. Choosing the right method and careful planning are crucial for a successful result.

Rules of conduct before breast enlargement

1. preparation

Medication: Avoid taking blood-thinning medications such as aspirin, ibuprofen and certain dietary supplements (eg vitamin E, omega-3 fatty acids, ginkgo) for at least two weeks before surgery, as these can increase the risk of bleeding. Your doctor will give you a detailed list of medications that should be avoided.
Smoking and alcohol: Stop smoking at least two weeks before surgery, as nicotine impairs blood circulation and can slow wound healing. Alcohol consumption should also be reduced.
Nutrition: Make sure you eat a balanced diet and drink plenty of water to optimally prepare your body for the procedure.
Adjusting the contraceptive pill: Discuss with your doctor whether it is necessary to temporarily stop taking the pill to minimize the risk of thrombosis.
Skin care: Avoid using aggressive skin care products in the breast area shortly before surgery.

Rules of conduct AFTER breast augmentation

1. Immediately after the operation

Pain management: Follow your doctor's instructions about taking pain medication to help manage postoperative pain. Pain medications that thin the blood should still be avoided.
wearing a support bra: Wear the support bra prescribed by your doctor 24 hours a day to stabilize your breasts and reduce swelling. This bra should be worn for at least six weeks.
Sleep: Sleep in a slightly elevated position (on your back with pillows) to minimize swelling and promote healing.

2. First days and weeks after the operation

Physical conservation: Avoid physical exertion, heavy lifting, and any activities that put pressure on the chest for at least four to six weeks.
restrict arm movements: Do not raise your arms above shoulder height to avoid strain on the chest muscles.
Wound care: Keep surgical wounds clean and dry. Follow your doctor's instructions for wound care and changing dressings.
Showering and bathing: You can usually shower again 48 hours after the operation. However, avoid baths, saunas and swimming pools until the wounds have completely healed.
have patience: It may take several months for the final results to be visible. Swelling and tightness subside and the breasts take on their final shape.

FAQ

What implant sizes and shapes are available?

There are a variety of implants in different sizes, shapes (round or anatomical) and profiles. The choice depends on your individual wishes and physical conditions.

How long do breast implants last?

Modern implants are durable and can last 15 years or more, but they may need to be replaced over time.

When can I go back to work or exercise?

Light office work can often be resumed after a week. You should wait at least four to six weeks before exercising and then start slowly.

What is capsular fibrosis and how is it treated?

Capsular fibrosis is a hardening of the tissue around the implant, which can lead to pain or deformation. Treatment ranges from medication to surgical removal of the implant.

Do implants affect mammograms or other breast exams?

Implants may affect imaging. Inform your radiologist about the implants so that special techniques can be used.