Breast augmentation

Overview
Duration: about 1 hour
Anesthesia: general anesthesia
Length of stay: inpatient 1 night
Suture removal: after 14 days
Healing time: 2 weeks

Do you feel uncomfortable in your skin, are you plagued by a reduced self-esteem or are you suffering from psychological distress due to the shape or size of your breasts? Feelings of inferiority and psychological stress are not uncommon when it comes to the self-confidence of women and their bodies. You can put an end to this suffering and, together with your trusted doctor, find a suitable way to achieve your desired breast size and shape. In his practice, Dr. Matiasek offers you different types of breast augmentation to give you more self-confidence and a positive attitude towards life.

What are the reasons for breast augmentation?

There are various reasons that speak for breast augmentation. For many patients, aesthetic reasons are in the foreground. If you also want a voluminous breast, because you either naturally have smaller breasts or subjectively consider them small, Dr. Matiasek will help you in his practice. Another common reason for breast augmentation is a change in breast shape after pregnancy or severe weight loss. In addition, due to the natural aging and sagging process of the connective tissue, many patients turn to plastic surgeons to help them with their desire for a firmer breast.

 In addition to aesthetic reasons, there are often medical reasons for breast augmentation. For example, some patients suffer from congenital or acquired malformations that give their breasts an uneven shape, congenital deformations or asymmetries. Dr. Matiasek also supports women who have had to remove their breasts on one or both sides after suffering from cancer. In such cases, breast augmentation can contribute to a more positive attitude towards life and relieve many women of the psychological distress of their past illness.

What do I have to consider before a breast augmentation?

Before breast augmentation, Dr. Matiasek and his patients have a detailed informative discussion. In the course of this, he will explain what you should pay attention to before the procedure. For example, you should discontinue blood-thinning medication for five to seven days prior to surgery; these include aspirin, ASA, Plavix or Marcoumar. Since nicotine and alcohol can have a negative effect on the wound healing process and blood circulation, you should avoid them in the weeks before your operation. On the day of the procedure, you should also not eat anything for six hours before the operation and not drink anything for up to two hours before it.

How does breast augmentation with implants work?

How breast surgery with implants works depends on which implant and which augmentation technique is used. As a rule, you will stay in the clinic for one to three days to ensure correct pre- and post-operative care. The surgical procedure itself takes about 60 to 90 minutes. Depending on the breast and body shape of the patient, there are three methods of inserting the implant:

 

Submuscular

Dr. Matiasek places the implant under your pectoralis major. This method is particularly suitable for patients with little glandular tissue.

 

Subglandular

If the preliminary examination reveals that you already have enough firm glandular tissue, Dr. Matiasek will place the implant under your glandular tissue and over your pectoral muscles.

 

Dual plane or double-layer technology

n addition, the two techniques mentioned above can be combined. Dr. Matiasek places the implants largley under your pectoral muscle. Only the lower third of the implant is covered by the mammary gland and fatty tissue, which gives your breasts a natural look and makes the implant relatively non-slip.

 In addition to various types of implant placement, you can choose from three different cutting techniques:

 

Inframammary access

This technique involves making a three to four centimeter incision in your underbreast crease to insert the implant, leaving a small scar under your breast.

 

Transaxillary access

In this method, Dr. Matiasek creates a second access over your armpit, making the incision directly in the crease of your armpit. A mini camera is inserted into this incision so that the implant can be placed appropriately. With this variant, you only have a scar in your armpit.

 

Periareolar approach

The third access is through the nipple. A crescent-shaped or round incision is made around the areola and the implant is inserted into a prepared pocket. Since the incision is on the edge of the areola, hardly any scars are visible after the operation.

How does breast augmentation work with autologous fat?

In the case of breast augmentation with autologous fat, the patient’s own fat tissue is removed. Depending on the patient’s fat distribution, Dr. Matiasek removes fatty tissue from the abdomen, hips or thighs. Immediately after liposuction, the breast is enlarged by prepping the fat cells and injecting them into the bosom.

 Breast augmentation using autologous fat ensures a very natural result, as the injected fat behaves similarly to water. However, not every breast with autologous fat can be enlarged, as sufficient adipose tissue must be available for this method. Since only about 60 to 80 percent of the injected fat grows in, the breast can be enlarged by half a cup to a full cup size with this method.

What are the risks of breast augmentation?

Breast augmentation is a routine procedure, which is why the risk of complications is very low. However, complications cannot be completely ruled out.

In the case of breast enlargements with autologous fat tissue, the risk of rejection or allergic reactions is very low, as the body’s own material is used for the enlargement. However, every operation can lead to infections, pain or, rarely, postoperative bleeding. Also, small wrinkles may form at the liposuction site, making your skin look uneven. In very rare cases, wound healing disorders or inflammation at the incision sites occur. Bruising and swelling, on the other hand, are nothing to worry about. They are normal side effects after an operation and go away on their own after a few days.

 Various complications can also occur with breast augmentation with implants. On the one hand, the implant can break. Small injuries in the shell can lead to gel bleeding or silicone bleeding. Large implant breaks can even allow the entire capsule to enter. Such complications can occur, for example, after an accident, as a result of which the breast becomes severely deformed. In such cases, the implants should be replaced, otherwise the silicone parts can settle in your lymph nodes.

 On the other hand, so-called capsular contractures can occur. As a result of your body’s immune reaction, a connective tissue-like capsule forms around the silicone implant. This capsule is neither visible nor palpable at the beginning, but it can lead to a displacement of the implant. In the event of severe contracture or fibrosis of the shell, the implant must be surgically removed. Such capsular contractures can, however, be prevented by an exact implant placement as well as by the prophylactic intake of antibiotics and by wearing a support bra.

 The implant could also slide downwards (bottoming out). A double bubble, on the other hand, gives the impression of a wavy chest. In exceptional cases, there are two breasts, a so-called double breast.

 The softer the implant, the more likely it is that wrinkles will form, which can especially be the case with slim women, as their own tissue does not completely cover the implant. Excessive stretching of the areola, increased vein markings and breastfeeding problems, including small inflammations and adhesion of the milk ducts, can also occur as a result of breast enlargement with implants.

 In rare cases, sensory disturbances in the area of the nipples can also occur. In most women, however, this discomfort disappears after a while. Enlarged lymph nodes can also appear near the operated breast. However, this swelling should normally go away on its own.

What do I have to consider after a breast augmentation?

After breast augmentation, as after any surgical procedure, you should take it easy in order to support the healing process as well as possible. To accelerate scar healing and to relieve the breasts after the operation, you will be given a support bra on the day of your discharge, which you should wear for about six weeks. During this time you should not put on an underwire or push-up bra, as this could impair the healing of wounds or scars. You should also refrain from going to the sauna and exercising in the first six weeks after the operation. After about one to two weeks, Dr. Matiasek will remove the remaining sutures. Until then, you should always keep the wounds dry.

When can I see the results of the breast augmentation?

With an enlargement with implants, you can count on the first visible result after three to six weeks. However, until the scars have completely healed and the swelling has completely subsided, you should wait three to six months. The same applies to breast augmentation with autologous fat.

Every woman should feel comfortable in her body. It is very important to Dr. Matiasek to support his patients on the journey to their desired breast size and shape. Together with you, he will find the right path for you to more self-confidence and a positive attitude towards life. Dr. Matiasek and his team are happy to help.

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