Breast enlargement or breast augmentation

The breast enlargement is an intervention performed entirely for cosmetic purposes. The objective is to fulfil the patient's desire to have a more harmoniously proportionate body and to be more attractive.

Nowadays, the increase in breast volume is obtained mostly through silicon implants. The implants are inserted in special pockets created by the surgeon above and under the breast muscle. There are three options for the incision: in the underbreast crease, on the lower margin of the breast vestibule or from the underarm. The approx. 5-6 cm long scar is hardly visible. In some cases, a simultaneous breast lift is indicated.

Even today, breast implants do not last forever; they have to be replaced after 10-15 years at the very latest. The preventive breast cancer checkups are not affected by the implants.

The techniques of breast enlargement have gotten much better over time, because they have been performed millions of times. The negative headlines refer mostly to earlier implant types or, especially in Germany, to insufficiently trained "self-appointed cosmetic surgeons". Even after a successful breast enlargement intervention, the patient has to go in for regular checkups to verify the correct position and the impermeability of the breast implants. A new intervention, 10 to 15 years later, to replace the old implants with new ones, is also necessary.

For many women, the main reasons behind this kind of intervention are to adjust two uneven breasts or to reconstruct a breast after cancer surgery. In all cases, the main concerns are the preservation of the breast's function (breastfeeding), the harmonious conformation with the rest of the body shape and not least the tolerance of the materials used.

What implants are available?

At present, there is a great variety of implants in terms of shape - round or drop-shaped, spheroidal or flat. Viscous implants, i.e. implants filled with gel, offer the most natural sensation when touching. The envelope is nowadays no longer even and glossy; it is a little abraded (rough-textured) in order to reduce the risks of tissue hardening (fibrosis) to a minimum. Because the implant is perceived by the body as foreign matter, the breast tissue locks itself like a capsule around it, which is not necessarily a problematic process in itself, but it can lead to a painful hardening of the tissue.

What is the most adequate filling?

80 percent of the implants used today are filled with silicon gel, because it offers the most natural-looking breasts. The serious health problems caused by leaking liquid-silicon implants have led to these being banned in the USA. Present-day implants no longer use liquid silicon, but silicon gel, which cannot leak. No research could prove that there is a risk of cancer associated with the implants. But no research managed to completely disprove it, either.

Number two is the common salt solution, which is harmless to the health but it is of course liquid and therefore not so adequate from an aesthetic point of view.

 

Breast reduction and breast lifting

The breast reduction is an intervention performed predominantly for medical reasons. The reduction of very large breasts helps discharge a lot of weight from the spinal column and makes a better posture possible. The heavy load on the spine often causes the concerned patients to experience constant back pain.

Breast reductions that are subscribed for medical reasons belong to the very few interventions which under certain circumstances are covered by the compulsory insurance funds.

By contrast, a breast lift is considered an entirely cosmetic surgical intervention. The goal of a breast lift is to reshape the breast tissue which more or less sags with age.

In a breast reduction, the volume of the breasts is reduced, on an individual basis, through the removal of the lower parts of the breasts. The nipple and the nipple areola are carefully dissected and brought in the correct position. There remains a circular scar around the areola and a vertical scar from the areola to the underbreast crease. For large breast volumes an additional scar in the underbreast crease cannot be avoided.

The operative technique for the breast lift is very similar. The surgeon will remove the excess skin, and the nipples and areolas will be repositioned.

Pregnancies, weight fluctuations, etc. can lead to a renewed enlargement or sagging of the breasts.

 

Last update breasts abdomen on 01.04.2016 07:55.

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