Breast augmentation (augmentation mammoplasty) is a type of surgery to increase breast size.
It involves placing breast implants under breast tissue or chest muscles and fat-graft mammoplasty techniques.
Depending on the size of the implant and the condition of the breast, the doctor will decide with you on the appropriate incision technique after a complete anamnesis. For the placement of the implant, there are three different options to choose from.
Possible interfaces for breast augmentation:
The insertion of the implant through the inframammary fold is the most commonly used method, since the access is particularly easy and the operation is short. About 4 cm long incision allows the surgeon a good field of vision and accurate positioning of the implant, regardless of its size.
Advantages
• Easy and quick access for the surgeon
• Ideal for submuscular implant placement
• Easy breast shaping for the surgeon
• Maintaining the ability to breastfeed
• Low risk of infection
Disadvantages
• Thin scar visible when raising arms or lying down
The 3 – 5 cm long incision over the armpit is suitable for small implants and requires very good surgical experience from your plastic – aesthetic surgeon. The submuscular placement can also be done via the armpit incision but it is generally not recommended, as it makes it difficult to precisely lift the muscles via the access.
Advantages
• Scar free chest
• Hardly affected breast sensitivity
Disadvantages
• Challenging access for the surgeon
• Risk of positioning the implant too high
• Submuscular placement not recommended
• Implant change takes place via the inframammary fold (new scars)
• Increased risk of infection
Access via the nipple is less common, but is ideal for smaller implant sizes. Generally, this technique is useful when the areolas to be adjusted or repositioned.
Advantages
• Invisible scar due to darker pigmentation of the skin
• Ideal if the diameter of the areola is too large, which can be reduced as part of breast augmentation
• Simple visual and control options for the operator
Disadvantages
• Unsuitable for larger implants
• Increased risk of loss of sensitivity
• Risk of reducing the ability to breastfeed
In addition to the cutting techniques, the position of the implant is also of crucial importance for the end result.
In subglandular placement, the implant is placed between the mammary gland and the pectoral muscle.
Advantages
• Prerequisite: sufficient autologous breast tissue – the implant is covered on all sides
• Is often perceived as very natural
• Fast healing with little pain
• Prerequisite: sufficient autologous breast tissue available
Disadvantages
• Rather unsuitable for very slim women
• Bottoming Out – risk: sinking of the implant
The implant is placed completely under the pectoral muscle.
Advantages
• Is particularly suitable for slim women
• “Slip safe”
• Hardly any risk of edge visibility (ripping)
Disadvantages
• Longer healing process
• Risk of deformation of the implant in case of muscle tension (especially sporty women)
The implant is placed partially under the pectoral muscle. The lower third of the implant remains free.
Advantages
• Non-slip placement
• Greatest possible flexibility for the surgeon
• Largely natural breast shape
Disadvantages
• Risk of palpability of the muscle gap in very slim women
• Longer healing time than subglandular technique
If you don’t like the idea of having breast implants, there is an alternative method. Breast augmentation with fat, which is technically also known as Autologous Fat Method or Autologous Breast Augmentation.
In this procedure, your own fat is used instead of implants. The required fat is liposuctioned from another body area.
Advantages:
Disadvantages:
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