Reconstructive surgery
BREAST AUGMENTATION – PERFECTION THROUGH INDIVIDUAL PLANNING
Breast augmentation is one of the most common cosmetic operations performed on women worldwide. There are many reasons why women want to have their breasts enlarged. For some women, their breasts may appear too small or too flat. Whatever your motivation, it is important that you turn to licensed specialists in plastic and aesthetic surgery who have many years of experience in breast augmentation.
At the ETHIANUM Clinic Heidelberg, our experts Prof Dr Reichenberger, Prof Dr Engel and Prof Dr Germann are at your side for breast augmentation. This expertise is based on many years of experience with several thousand operations. We also run the only study centre for B-Lite implants in Germany and organise numerous surgical courses every year to teach our own ETHIANUM technique. As experienced breast augmentation surgeons, we are also sought-after lecturers worldwide. Our breast experts will advise and examine you in confidence during an initial consultation. There are many questions to clarify, especially when it comes to breast augmentation.
Our breast surgeons will therefore take you by the hand and guide you through this complex decision-making process. During your appointment at the ETHIANUM Clinic, you will be thoroughly examined. This is important in order to be able to rule out or plan for possible allergies, existing illnesses or other restrictions during breast augmentation. In addition, our breast experts also want to determine which operation is suitable for you and what your expectations of breast augmentation are. Of course, we will also inform you about possible complications and the entire surgical procedure.
Reconstructive surgery
SURGICAL METHODS OF BREAST AUGMENTATION WITH AUTOLOGOUS TISSUE
Breast augmentation with autologous fat has the great advantage that the body does not show any allergic reactions, there is no capsular fibrosis and the breast feels completely natural after the operation. However, whether this method is considered also depends on the client’s wishes. Breast augmentation with autologous fat can result in a half to full cup size increase. With this method, it is often the case that 30 – 40 % of the injected autologous fat is broken down by the body within the first twelve months. For this reason, it is usually necessary to repeat the procedure.
Procedure for breast augmentation surgery with autologous tissue
- Liposuction / liposuction
For breast augmentation with autologous fat, fatty tissue must first be harvested. Liposuction is usually performed on the abdomen, thighs and buttocks, and increasingly also on the knees – ideally where so-called “problem areas” are located. - Preparation of the autologous fat
Immediately after liposuction, the suctioned fat is cleaned and filtered several times until the purest body fat remains. - Injection of the autologous fat into the breast
To inject the autologous fat, an incision of just a few millimetres is made on the outside and inside of the breast. The autologous fat is then injected and the breast is subsequently modelled so that the fat is optimally distributed. As a rule, hardly any visible scars will remain. - The result
After the operation, you can immediately assess your new appearance.
In the first few days and weeks after the procedure, the breasts will feel tight as the skin and tissue first have to adapt to the new volume. The areas affected by liposuction may be painful and restrict your mobility in the first few days after the operation. You will wear supportive underwear (compression bra etc.) for four to six weeks to ensure the healing process and the aesthetic result of your liposuction.
Reconstructive surgery
SURGICAL METHODS OF BREAST AUGMENTATION WITH IMPLANTS
Breast augmentation with implants is always an option when the breasts are fully developed and in good physical condition. Breast augmentation with implants is often the right choice, especially for breasts that have lost shape and volume due to pregnancy, weight loss or age, or for unevenly sized breasts. Breast augmentation with implants is permanent. However, the breasts may change over time. In this case, a breast lift or replacement of the implants can improve the appearance of your breasts again.
Procedure for breast augmentation surgery with implants
- Incision
The skin incisions are made in inconspicuous areas so that scars remain as invisible as possible. Which incision is chosen depends on the implant, the desired augmentation and your individual physique. - Insertion and placement of the implant
After the skin incision, the so-called implant site is created. The implant can either be placed under the pectoral muscle (submuscular implantation) or directly behind the breast tissue above the pectoral muscle (submammary/subglandular implantation). Modern procedures combine both placement options (‘dual plane technique’). - Closure of the incisions
The skin incisions are closed by fine sutures in several layers. Removal of the suture material is usually no longer necessary. The skin sutures are additionally secured with skin adhesive or skin adhesive strips. - The result
After the operation, plasters or the so-called Stuttgart belt, which are used to stabilize the position of the silicone implants, can restrict the view of the new breasts. In the first few days and weeks after breast augmentation, the breasts may be tight, painful and restrict the mobility of the upper body. In consultation with your doctor, you can resume your normal everyday life after a few days of rest. Driving, lifting heavy objects and raising your arms above your head will be possible again after a few days. After some time, the post-operative swelling will slowly subside and the stitches will fade.
Reconstructive surgery
OTHER SURGICAL METHODS AFTER BREAST AUGMENTATION
There is often a great desire for a natural, symmetrical appearance after breast augmentation. Here you can find out which surgical methods are available to achieve this goal.
- Reconstruction of the nipple or replication of the nipple and areola with permanent make-up
- Adjustment of the second breast after approx. six to 12 months after the operation
- Adjustment of the buttocks or thighs depending on where the autologous tissue was removed
By the way: Both breast reconstruction after breast cancer and breast augmentation are usually covered by health insurance. Ask your insurance provider about this option.
Lightweight implants – advantages of the latest B-Lite implants
The ETHIANUM was the first of two clinics in Germany to use lightweight implants, so-called B-Lite implants. We are also the only study centre for B-Lite implants with the longest experience. The implants can be used in both aesthetic and reconstructive surgery. The implants are CE-certified and are produced in Germany. The biggest advantage offered by these lightweight implants is already in the name. With the B-Lite implants, the silicone implant is up to 30 % lighter in weight. This weight reduction of the implant ensures less strain on the skin and connective tissue after surgery. The implants used in reconstructive surgery are particularly heavy, as they have to replace the entire breast tissue after removal due to a tumour. Practical experience shows that patients find the lighter implants more comfortable and feel them less than conventional implants.
B-Lite implants – new innovation for significantly less risk
The B-Lite lightweight implants consist of the proven implant shell, but contain a filling enriched with hollow microspheres. While the shell corresponds exactly to the outer skin of proven brand implants, a physical combination of silicone and borosilicate was developed for the filling. This offers the same volume, but reduces the weight of the implant. The most commonly used implants at the ETHIANUM are so-called “dimensionally stable implants” of the latest generation.
The implants with this so-called coherent gel filling remain dimensionally stable and the filling cannot leak out. The lower weight of the implants reduces the strain on the breast tissue and skin. Active women in particular appreciate this fact. As a result, the breasts remain firm and beautiful for longer.
The B-Lite implants are placed either under the skin (subcutaneous) or behind the pectoral muscle (submuscular). The roughened surfaces of the implants help to significantly reduce the risk of capsule formation or slippage of the implant. Preventive examinations such as ultrasound or MRI can also be carried out without restriction when the implants are in place.
The advantages of B-Lite lightweight implants at a glance
- Consisting of a gel filling with hollow microspheres
- Weight saving of up to 30
- Less stress on the tissue
- The sagging of the tissue is reduced
Reconstructive surgery
WOMEN WANTED – MEDICAL WORKSHOPS FOR BREAST AUGMENTATION
The ETHIANUM is one of the few European teaching centres for the use of silicone implants in reconstructive and aesthetic surgery. As part of this teaching centre, we offer academic workshops for plastic surgery. Plastic surgeons from all over Europe come together to learn about the current status and latest procedures for breast augmentation during live operations. The focus here is on the fast recovery method, a particularly gentle, safe and pain-reduced technique that was developed at the ETHIANUM and has been practised for years.
We at the ETHIANUM offer the operation in workshops at significantly reduced costs and are always looking for interested women who would like to have such an operation. It goes without saying that you will be in the very best medical hands and will be operated on by one of our breast experts. Please contact us by direct form or by telephone if you would like to receive further information.
ALL ABOUT THE BREAST – AESTHETIC SURGERY OFFERS AND PROFESSIONAL SECOND OPINION
Of course, we also offer aesthetic breast surgery at the ETHIANUM. If you are looking for experts in breast augmentation or breast lifts or medical advice on male mammoplasty, our aesthetic surgery page is the right place for you.
Our experts are also available to advise you on a second opinion. Find out whether breast implants can lead to health problems and how you can contact our doctors for a second opinion.
YOUTUBE
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3D simulation of breast augmentation
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More InformationWhat are the advantages of breast augmentation using the hybrid technique?
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