Breast augmentation (breast enhancement) is one of the most common plastic-aesthetic operations in women. About 20,000 operations are performed in Germany every year. Many reasons and life situations in various age groups lead to the desire for a fuller breast. Some very common examples for the decision to undergo breast augmentation are the purely aesthetic desire for more volume, the breast that is too small or asymmetric, loose connective tissue in the breast (such as after pregnancy), or the shrunken breast volume after marked weight loss. In many cases, a simultaneous breast lift is necessary to fulfil the patient’s desire (Combined operations).
Your upper body will be carefully measured shortly before the operation. We will mark landmarks directly on the skin; these are anatomic points like suprasternal notch (notch above the breast bone) and the horizontal. We pay attention to the symmetry of the new décolletage when we mark the skin. It is very important to make the markings in the upright position, since asymmetries only become visible in that position if the patient has scoliosis (deformity of the spine) or leg-length discrepancy. We mark the position of the new fold under the breast and the position of the incision. For a pure breast augmentation, the length of the incision depends on the size and texture of the implant and ranges between 4 and 6 cm in most cases.
In the operating room you will be placed on special gel pads and covered with a heating blanket. The anaesthesia doctor will induce anaesthesia. Shortly before the beginning of the operation, you will receive an antibiotic through the vein to prevent infection. The surgical procedure will take 1 to 2 hours and will be performed under general anaesthesia.
We pay special attention to the sterile disinfection and draping. After that, the markings will be measured one more time. A local anaesthetic will be administered in the operative area. This contains an additional medicine that causes constriction of the small blood vessels. This reduces bleeding during the operation. The ‘pocket’, a cavity space for the implant, will be created after the incision. This can be above or under the muscle. After controlling the bleeding, we will use different ‘sizers’. These are test implants with which various sizes can be tested. We will place the patient in upright position with the operating table’s hydraulic mechanism and check to make sure that the position and size of the new breast match the desires of the patient. If the position is under the muscle, we pay special attention to the correct separation of the muscle fibres from the ribs. This leads to a good aspect of the décolletage and prevents unnatural mobility of the implants.
The next steps are flushing the cavity space with disinfectant solution and placing Redon drains to drain out blood and secretions. Then the gloves are changed. The definitive implants are inserted and placed in the right position. The patient is placed in upright position one more time for the ‘final check’ of the final breast shape. Then we close the layers of the incision and finally the skin with resorbable suture material. The edges of the incision are taped with special adhesive plaster. The final dressing consists of gauze compresses, sports bra, and compressive dressing of elastic bandage. The patient is brought into the recovery room where she will probably sleep for another hour.
You will be most likely discharged accompanied by an adult after the rounds the next morning at some time after 9am. Learn more about postoperative care in the menu option Postoperative care.
You can reach us to schedule your consultation for surgical procedures daily at the telephone number and during the business hours given below. We look forward to seeing you Tuesdays and Thursdays during our office hours. Please note that a fee of €100 will be due after the one-hour consultation including a thorough evaluation by the treating doctor.
Schedule a consultation at +49 (0)69 920 200 96 or write us with a photograph and a request for appointment at a time of your convenience at firstname.lastname@example.org. We look forward to speaking with you!