With aging, the skin loses elasticity and the glandular tissue of the breast diminishes. This results in a flaccid, empty breast. After pregnancies and significant weight loss this is even more pronounced.
During breast augmentation with breast lifting (augmentation mastopexy) the breasts are enlarged with silicone implants. In addition, the skin is tightened so that the breast will not be pulled down by the weight of the implants.
How do I prepare?
Prior to the operation we will discuss with you your concepts in an extensive counseling interview, and determine the appropriate technique (incision, size and shape of implants). Starting at 14 days prior to the operation, you should refrain from taking any pain medications that affect blood coagulation (e.g. aspirin). We also recommend that you avoid consumption of nicotine two weeks before and after the operation.
How is the operation carried out?
The operation takes place in the context of a 2 to 3-day hospital stay, and is performed under general anesthesia. Prior to the intervention, markings are done on the patient's standing body.
Depending on the patient's wishes, the areola of the breast is reduced and repositioned by removing redundant skin. Then the breast is enlarged with a suitable implant. The incision and thus the scars run around the nipple, and from the nipple vertically down to the inframammary fold. Rarely an added incision along the inframammary fold is also necessary.
What types of implants are used?
Modern breast implants consist of a silicone shell and a cohesive silicone filling, which means that even if the shell is damaged the silicone cannot leak out. Over the past twenty years, various scientific studies have shown that silicone does not cause disease and does not increase breast cancer risk.
Basically, there are two types of implants: round and anatomical (drop-shaped). Each type is available in differential projections and in numerous sizes.
What about follow-up care?
One to two days after the operation, we remove the small drainage tubes for wound secretions and the patient is fitted with a supportive sports brassiere. This should be worn day and night for six weeks. Around the nipple, the skin is sutured with fine surgical threads, which are removed after 10–14 days. The remaining sutures dissolve spontaneously.
Are there complications?
In the course of the natural healing process a thin connective tissue shell (capsule) forms around the implant. At times a scarred thickening of the shell develops, called capsular fibrosis. Rarely transient sensory disturbance of the nipple or limited ability to breastfeed occurs. As with all operations, there is a risk of postoperative hemorrhage, infection, impaired wound healing, or excess scar tissue formation.
Key points at a glance:
- Duration of surgery: one to two hours
- Anesthesia: general
- Hospital stay: two to three days
- Follow-up care:
- Sports brassiere without metallic content for six weeks
- No sports activity for six weeks
- Work disability: approximately one week (depends on physical stress required for work)