Breast augmentation with implant - experience and competence

Breast Augmentation Dr Mathias Tremp

Naturally full breasts for a new self-esteem

There are different ideals for a beautiful breast just as there are different breast shapes and sizes. Many women are dissatisfied with too small breasts for aesthetic reasons. The best result for a shapely female breast is achieved through breast augmentation with implants.

An alternative to breast implants is breast augmentation with the patient's own fat. In this procedure, the fat tissue is taken from another area of the patient's own body and injected into the breast. The fat is injected into the muscle and under the skin, not into the breast tissue. To be on the safe side, we will do an ultrasound examination beforehand.

Depending on the shape, size and texture of the breast, the implant is placed either above or below the pectoral muscle. If there is very excess skin, an additional breast lift is occasionally necessary. Breast augmentation is widely available and is a very safe procedure with an experienced plastic and aesthetic surgeon.

PD Dr med Mathias Tremp Consulting

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During a consultation you will be fully informed by PD. Dr. med. Mathias Tremp will fully inform you about the procedure, possible risks and the feasibility of the desired breast augmentation.

Breast augmentation with 3D simulation

In the consultation for a breast augmentation, the 3D simulation is an optimal tool to test the patient's wishes and ideas. With a detailed medical examination, the appropriate treatment is worked out.

Teardrop or round implant shapes

For an optimal result of breast augmentation, a careful selection of the appropriate implant type must be made.

A distinction is made between round and teardrop-shaped implants. The teardrop-shaped implants are also called anatomical because they are more like the natural shape of the breast. There is no restriction on the size of the breast.

If a very large implant is desired, this can be specially made. For orientation, patients can test the different implants in different sizes in their bra.

Access of the breast implant

To place the implant in the breast, the access route and the position of the implant are determined. The access is either in the skin fold under the breast, around the nipple or in the armpit. The breast and areola as well as the type and size of the chosen implant determine the technique for access.

The choice of access depends on the anatomical conditions and the patient's wishes.

Access via the inframammary fold (underbust)

The approach in the breast fold is considered the standard for breast augmentation today. This approx. 3-4 cm long incision in the underbust crease is chosen most often.

The method allows optimal access. The implant can be inserted more easily. And the breast can be easily shaped with this method. In addition, the ability to breastfeed is preserved with this method.

The length of the incision depends on the size and consistency of the breast implant. With a hybrid method (implant and transplantation of fat into the breast) the incision can be even smaller. With a clean incision and careful suturing technique, an inconspicuous aesthetic scar result is easily achieved.

Access via the axilla (axillary)

This approximately 3 to 4 cm long incision in the armpit is suitable for so-called "scar-free" breast augmentation.

The procedure is performed endoscopically, i.e. with the camera. This technique allows for a very elegant result even with larger breast implants. As a rule, the breast implant is inserted under the muscle with this approach.

The approach via the armpit is a sophisticated method. The approach is suitable for smaller implants without a breast lift. With the axillary incision, the entire breast remains unblemished.

Access via the nipple (periareolar)

The nipple incision is used less frequently. This is very suitable if the areolas are to be adjusted, reduced or repositioned. The scar is less visible due to the darker skin pigmentation. However, the small access via the nipple limits the placement to small implants.

There is a risk of infection due to the nearby mammary gland ducts and the associated possible restriction of the ability to breastfeed.

The incision around the areola is a useful application for tightening and nine positioning of the areola. For larger implants and a safe procedure, the approach via the inframammary fold or axilla is preferred.

Above or below the pectoral muscle

There are two methods for positioning the implant. Depending on the shape, size and condition of the breast, the implant is placed above or below the breast muscle. Implants placed under the muscle reduce the most common complication of capsular fibrosis.

The position under the pectoral muscle also creates a more natural breast shape. This makes the breast augmentation feel a little softer and more natural. The method chosen depends very much on the anatomical composition of the breast.

Between mammary gland and pectoral muscle (subglandular)

If the implant is positioned in this area, there is rapid healing with little pain. The procedure can theoretically also be done in twilight sleep and is often outpatient.

With breast augmentation over the pectoral muscle, larger implants can be inserted. In addition, the implants can be positioned more easily.

Under the pectoral muscle (submuscular)

Here the implant can be attached without slipping, but the healing process takes a little longer. If the muscles are excessively tense, the breasts can become deformed. The pain after the operation is a little more intense than with implants between the mammary gland and the pectoral muscle.

The result is usually more natural and the rate of capsular fibrosis is lower than when the implant is placed over the muscle.


Trend in breast augmentation (B or also C)

Women often have a concrete idea of what they want. Until a few years ago, "B" was the most popular cup size. Today the trend is towards "C". In our practice, the wishes and ideas of the interested women are very different.

Which breast size is suitable for a woman depends on her physical conditions and desires. Some women feel comfortable with the natural-looking size "B" or "C". Other women want significantly more volume.

The size and shape of the new breasts should definitely fit the body. The result should look natural and harmonious.

Own fat: Natural alternative to implants

Lipofilling is suitable as an alternative to breast implants. The method is ideal for balancing asymmetrically shaped breasts or for no corrections to the bust. No incisions are necessary for treatment with autologous fat. Breast augmentation is carried out via small punctures that are no longer visible later.

The filling material is taken from the patient's own fat deposits on the abdomen, hips or thighs. First, the suctioned fat is processed and compacted by extracting fluid. Then the fat is injected via special cannulas into firmly defined, flat areas of the breast. The method is less suitable for the desire for large breast volume.

Surgery, ability to work, risks and aftercare

Breast augmentation can be performed on an outpatient basis or under a light anaesthetic. In most cases, an incision of about four centimetres is made in the crease of the lower breast. A cavity is then formed in the breast into which the implant is inserted and placed.

Once the implants are correctly placed, the incisions are sutured and covered with a sterile plaster. Drainage tubes allow the wound fluid that forms after the operation to drain away more quickly. The drier the wound bed, the lower the risk of complications afterwards. The scar is visible when lying down and fades over time until it is hardly noticeable.

Problems with augmentation or other breast surgery are very rare.

Problems with augmentation or other breast surgery are very rare. In rare cases, infections or bleeding may occur in the first few days after the operation. Occasionally, sensory disturbances or hypersensitivity may occur in the nipple. These symptoms usually disappear on their own.

In the healing phase immediately after breast surgery, the skin incision can be supported by sticking on special suture plasters. This can minimise scar expansion.

The implants are surrounded by a fine tissue capsule in the body after about 6 weeks, which gives the implant the necessary stability. The breasts are supported with a support bra and breast belt for several weeks after the procedure.

This further reduces certain risks of bleeding and unsightly scarring and improves healing. The breast belt prevents the implants from being too high. Both must be worn for 6 to 8 weeks after the operation.

In most cases you can return to work 7 to 14 days after the operation. Sports and strenuous physical activity should be avoided for 4 to 6 weeks after the operation.

Pain after breast augmentation

The sensation of pain after breast augmentation is individual. The degree of swelling, bruising and pain varies greatly. A feeling of tension after breast augmentation is one of the regular side effects.

The pain depends on the choice of surgical technique and the surgical approach. The patient's physical condition is another factor.

In most cases, the pain is perceived as a strong feeling of pressure and tension, comparable to severe muscle soreness. A preventive medication against the pain for a few days after the operation is common.

The first days and weeks after the operation are crucial for the final result. The patient can do a lot to help the new breast take the desired shape.

Costs for a breast enlargement

The costs for breast augmentation with implants are discussed in detail with the patient. The case flat rate is payable in advance. It includes anaesthesia, use of the operating theatre, implants and all other associated costs, excluding overnight accommodation, sports bra and breast belt.

As a rule, health insurance does not cover the costs of breast augmentation, as these are considered cosmetic in nature. Contact us for a non-binding consultation.

Offer and prices

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