Breast augmentation with implants
Breast augmentation with B-Lite implants
Breast augmentation with autologous fat
Hybrid Breast Augmentation
Breast reduction
Breast lift
Breast lift with implants
Implant change
En-bloc capsulectomy in BII and BIA-ALCL
Nipple correction
Breast malformations
BREAST AUGMENTATION
WITH IMPLANTS
Based on the experience that we have been able to gain in large breast surgery centers, we know and are familiar with the various reasons that lead women to decide to have their breasts operated on. These are just as diverse as the women who choose those procedures.
Patients often feel that their natural breasts are too small for their silhouette, or they want an implant after pregnancy or breastfeeding to fill the sagging breasts with volume again.
The most commonly used method worldwide, and one of the most requested surgeries overall, is breast augmentation with silicone implants. Statistics from the International World Association of Plastic Surgeons state that in 2018 more than 1.8 million women worldwide underwent this procedure.
The "ideal" breast is based on the balance of volume, natural shape and symmetry that is individually tailored to the body.
When planning a breast augmentation, the respective anatomical starting position, the width of the chest and the condition of the skin, mammary glands and connective tissue are decisive and are therefore analyzed in detail. The selection, shape and position of the implant are further aspects that must be determined individually and worked out together in order to achieve an optimal result.
Our advice on breast augmentation begins with us using a special simulation set in front of the mirror to show you exactly how the planned change in the breast will affect your own body.
Since breast implant surgery is a complex topic, we would like to answer the common questions about surgical breast augmentation at this point:
Implants
In recent years, there have been tremendous advances in the technological development of breast implants. Today, implants are embedded in a shell of up to ten layers, each with different surfaces. The filling material consists of cohesive silicone gel and, due to strong cross-linking, has a very stable leakage security. Silicone is a synthetic polymer and extremely well tolerated in the human body. In medical applications, access points, catheter systems, cases for pacemakers, artificial heart valves and parts of artificial joints are therefore predominantly made of silicone. Mainly because there are almost no allergies to this group of substances. During the past 45 years, many international studies have classified medical silicone as a very safe material.
The geometric shape of the implants makes the main difference.
An implant either corresponds to a semicircle (round shape) or has a teardrop shape that mimics the natural shape of the breast (anatomical implants). Each implant shape has advantages and disadvantages.
In Europe women tend to prefer anatomical implants, in the USA and South America round shapes are preferred. A round implant emphasizes the décolleté more and creates a full volume. An anatomical implant, on the other hand, more closely mimics the natural shape of the breast. In the case of small breasts in particular, anatomical implants create more natural results and the change may be more discreet. However, possible, albeit very rare, rotations of the implant are disadvantageous. These, in turn, do not pose a problem with the round implants.
Implants
In recent years, there have been tremendous advances in the technological development of breast implants. Today, implants are embedded in a shell of up to ten layers, each with different surfaces. The filling material consists of cohesive silicone gel and, due to strong cross-linking, has a very stable leakage security. Silicone is a synthetic polymer and extremely well tolerated in the human body. In medical applications, access points, catheter systems, cases for pacemakers, artificial heart valves and parts of artificial joints are therefore predominantly made of silicone. Mainly because there are almost no allergies to this group of substances. During the past 45 years, many international studies have classified medical silicone as a very safe material.
The geometric shape of the implants makes the main difference.
An implant either corresponds to a semicircle (round shape) or has a teardrop shape that mimics the natural shape of the breast (anatomical implants). Each implant shape has advantages and disadvantages.
In Europe women tend to prefer anatomical implants, in the USA and South America round shapes are preferred. A round implant emphasizes the décolleté more and creates a full volume. An anatomical implant, on the other hand, more closely mimics the natural shape of the breast. In the case of small breasts in particular, anatomical implants create more natural results and the change may be more discreet. However, possible, albeit very rare, rotations of the implant are disadvantageous. These, in turn, do not pose a problem with the round implants.
Preparation
During our consultation, we take the time to work with you to determine the right implant, the location and the access route for you. In this context, we will also inform you in detail about the after-treatment and possible risks. About a week before your planned surgery date, there will be a detailed and final explanation and any necessary preliminary examinations will take place. On the day of the operation, we draw the relevant operation plan together again while standing. The procedure itself takes place under general anesthesia by our experienced anesthetist, whom you will of course also get to know. He is with you all the time and monitors you throughout the operation. Then he makes sure that you don't feel any pain. The operation itself takes about 60-90 minutes during which you sleep deeply.
We put on a compression bra while we are still in the operating room, so that after a few hours of regeneration in our patient room, you can go home if you are feeling well and fit. Of course, the surgeon will still be available to you by phone at any time. After that, you should rest completely physically for about a week, only then can light office work or similar work be resumed. However, the special compression bra should be worn around the clock for a period of six weeks. You should also refrain from sports for just as long. Showering using a special shower plaster is possible immediately after the operation.
All follow-up examinations are included with JJPS. We'll see you the day after the operation, again about 5 days after the operation, and 14 days after the operation for the removal of the sutures. We recommend arranging a check-up appointment after around six weeks and after around six months for a preliminary or final check of the operation result.
Before the procedure, your gynecologist should perform an ultrasound or a mammography of your breasts (depending on your age and risk profile) to be on the safe side. The pain of a breast augmentation can be moderated well with normal painkillers; However, especially if the implant is under the pectoral muscle, it can feel like severe muscle soreness for a few days.
Technique
As already described in the overview, the implant technology has developed very dynamically and has been significantly refined. We have mastered all relevant techniques and will find the "tailor made" solution for you that suits your wishes and ideas. It often makes sense to use a combination of different techniques to achieve optimal results (hybrid augmentation/augmentation mastopexy/asymmetry correction). We will discuss the details with you during our consultation hours.
Costs & Financing
A breast augmentation starts from 5,000 EUR including the implant costs. Financing is possible on request through one of our financing partners.
External follow-up insurance should be taken out for all aesthetic operations. It protects you in the event of rare complications and the associated follow-up costs.
Risks
In the hands of board-certified specialists in plastic and aesthetic surgery with proven experience in breast surgery, breast augmentation with implants is a low-risk procedure that is performed thousands of times a day in clinics around the world. General risks such as infections, secondary bleeding, bruising, etc. are relatively rare and can usually be easily remedied with surgery.
However, there are some issues that need to be discussed between the doctor and the patient when it comes to implants: The most important eventuality is the issue of capsular fibrosis. The organism recognizes the implant and surrounds it with a fine connective tissue capsule. Sometimes this capsule can be configured thicker and harder, deforming the implant, hardening the breast or even causing pain. This often only happens after many years, but sometimes it can occur months after the operation and may then make it necessary to change the implant. It is important to understand that an implant will not last indefinitely, especially in younger women. Similar to a dental crown, no implant lasts a lifetime. An implant change, about every 10-20 years, must therefore be expected.
Another topic is the so-called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), an extremely rare type of lymphoma. So far, around 900 women worldwide have been registered to be affected. BIA-ALCL is currently being intensively researched. The first case series on this was published by Dr. Julian Kricheldorff from JJPS in the renowned Deutsches Ärzteblatt (main journal of the German Medical Society). He has dealt extensively with BIA-ALCL and also Breast Implant Illess (BII) and can give you - scientifically sound - comprehensive information on breast implants.
Aftercare
You can take off the compression bra six weeks after the surgery and no longer have to worry about the implant slipping. Now you can increase physical activities again, according to your own feelings. If you come to our practice after six weeks for a follow-up examination, we will discuss the long-term follow-up care of implants with you and explain the examination intervals to you. You will receive an implant passport directly after surgery that lists the most important details about your implant (manufacturer, model, batch number). Your normal breast cancer screening at the gynecologist (including mammography) is of course possible. It should definitely be done regularly. Scar care is a topic that we will discuss with you personally.
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Alternatives
Lipofilling, i.e. the transfer of one's own fat for breast augmentation, has been enjoying increasing popularity for some time. With this application, the use of an implant can sometimes be dispensed with.
Often women, for example after pregnancy, also have sufficient breast volume, only the skin coat is overstretched and sags due to pregnancy and breastfeeding. In such a case, the so-called auto-augmentation, i.e. a breast lift, combined with an endogenous flap of subcutaneous fatty tissue, can create a firm and voluminous breast without the use of an implant.
Useful information
In order to achieve an even more natural result, breast augmentation can be combined with a breast lift and/or autologous fat transplantation. Breast optimization can also often be combined with other operations and carried out in a single operation. Feel free to contact us on this topic if you want to learn more about it.
INFORMATION
OVERVIEW
OP-Dauer
Je nach Umfang 60-90 Minuten
Narkose
Örtliche Betäubung (ggf. Dämmerschlaf)
Kosten
je nach Aufwand ab
7.500,- Euro oder 82,- Euro/Monat
Technik
Kleiner Schnitt in der Unterbrustfalte. Die Implantattasche wird mit einem medizinischen Ballon geformt. Das Motiva-Implantat liegt oberhalb des Brustmuskels.
Nachbehandlung
Regelmäßige Nachkontrollen, körperliche Schonung und schrittweiser Wiedereinstieg in Sport und schweres Heben.
Finanzierung
Die Möglichkeit einer Finanzierung besteht auf Wunsch über einen unserer Finanzierungspartner. Für alle ästhetischen Operationen sollte eine externe Folgekostenversicherung abgeschlossen werden. Sie schützt Dich im Fall von selten auftretenden Komplikationen und damit verbundenen Folgekosten.
Schmerzhaftigkeit
Spannungsgefühl und Schmerzen möglich. Schmerzmittel nach ärztlicher Absprache.
Gesellschaftsfähigkeit
Je nach Heilungsverlauf.
Wissenswertes
Das Implantat liegt über dem Brustmuskel (subglandulär)
Klinikaufenthalt
Ob der Eingriff ambulant erfolgen kann, klären wir bei der OP-Planung.
Risiken
U.a. Kapselfibrose, Notwendigkeit von Wechseln, Straffung