From experience, we know that the decision to breast augmentation is usually preceded by a long process of decision-making. With this information, we would like to inform you about the course, possibilities and risks of the operation and to help you to assist you in your decision.
Note: Before deciding on a procedure, another appointment with detailed information is required.
In order to minimize risks for you, it is also necessary to have an operation and anesthesia examination carried out by an internal medicine specialist approx. 3 weeks before each intervention. As a result, any risk factors can be identified in advance and treated if necessary.
- Indications, Operation options and goals
- Used implants, Are there alternatives?, Fundamentals of risks and complications
- General risks in all operations, Intervention-specific risks, success
- What to pay attention to before the operation
- Postoperative phase, What to pay attention to after the operation
The breast is the symbol of femininity. A too small and / or asymmetrical breast can significantly disturb the physical and mental well-being.
Breast Augmentation Operation options and goals
The aim of breast augmentation or breast surgery is to bring the breasts with the help of implants to the desired size and shape and thereby to achieve a natural appearance. Asymmetries of the breast can be compensated for the most part. In addition, if there is a strong relaxation of the breast, a tightening surgery can be performed at the same time. Here, the skin coat is reduced before planting the implant and the nipples are placed at a higher position.
The ability to breastfeed is generally not affected by the operation – but depends on the respective operation access.
Breast augmentation can be performed in-patient or day-clinic. Usually, the operation is in general anesthesia.
The following operative approaches are possible:
Skin cut in the armpit – (transaxillary):
The advantage of this cut is that the breast itself remains scar-free. The scar in the armpit is later not under tension even with the use of larger implants, which usually results in very inconspicuous scars.
Skin incision in the fold of the breast (inframammary):
Any type of implant can be placed above or below the pectoral muscle via this very commonly used incision. The access is characterized by good clarity. When using large implants, the breast fold shifts downward, this should be considered in the planning.
Lower nipple halo (infraareolar):
The cut follows the lower border between the skin and the pigmented areola. As a rule, the remaining scar is concealed by the natural color contrast between the areola and the breast. The possible length of the incision depends on the size of the areola, so access to a very small areola is difficult to perform.
Cut across the areola (transareolar)
Upper nipple halo (cranio-aareol lifting)
Cut around the areola (periareolar)
The choice of access results from the size of the breast, the diameter of the areola, the desired implant volume, the type and filling of the implant and the personal wishes of the patient. If possible, the incision is planned so that the scar is as inconspicuous as possible later.
To make room for the implant, the tissue or muscle is carefully mobilized and the implant placed underneath. The implant can be placed behind the mammary gland or under the pectoral muscle.
In order to derive wound secretion and to significantly reduce the risk of capsular contracture, a wound drain is inserted.
At the end of the chest OP, the surgeon checks the correct fit of the implants. Then the operative access is closed by fine sutures.