Breast Augmentation with Silicone Implants

Many women of all ages wish to have larger breasts. Some, due to their predisposition, have had since puberty rather small breasts. Others have developed "empty" breasts after pregnancy or nursing. This can also appear after weight loss, or simply due to aging.

In mammary augmentation, the breast is enlarged with a silicone implant, with various shapes available in numerous sizes to meet women's differential concepts. We strive, fundamentally, to achieve a well-contoured and natural looking breast.

How should I prepare?

Prior to the operation, we will discuss your ideas in an extensive counseling interview and determine the appropriate technique (incision, implant positioning, size, and contour). In the two weeks prior to surgery you should avoid analgesics that affect blood coagulation (such as aspirin). Also, we recommend that you avoid using nicotine during the two weeks before and after the operation. 

How is the operation performed?

Surgery takes place in the context of a 1 to 2-day hospitalization, under general anesthesia. By means of a small incision in the inframammary fold, at the margin of the areola, or in the axillary region, we create room for the implant. This can be introduced either above or below the pectoral muscle. The choice of implant positioning depends on various factors and on your wishes. After introduction of the implants, the skin is closed with absorbable suture material. A supportive bandage is applied in the operating room. 

Which implants are used?

Modern breast implants consist of a silicone shell and cohesive silicone filling, which means that even in the case of injury to the shell, the silicone does not leak. Over the last 20 years various studies have shown that silicone does not cause disease and does not increase breast cancer risk.

Basically one distinguishes between round and anatomic (guttate or drop-shaped) implants. These are generally available with variable projection and in many sizes.

What about follow-up care?

The day after surgery the supportive dressing and the tubes to drain wound secretions are removed. Thereafter the patient is fitted with a sports brassiere, which should be worn day and night for a full six weeks. We also recommend wearing a chest strap during the first two weeks. 

Are there complications?

In the course of the natural healing process a fine connective tissue shell (capsule) forms around the implant. Sometimes this shell develops scarred thickening called capsular fibrosis. Very rarely there is transient sensory deficit of the nipple or limited ability to breastfeed. As with all operations, there is the risk of postoperative hemorrhage, infection, impaired wound healing, or excess scar tissue formation.

What are the alternatives to implants?

If you do not wish any foreign material implants, we also offer breast augmentation with autologous fat.

Key points at a glance:

  • Duration of surgery: 60–90 minutes