Breast augmentation gives you the opportunity to improve your body contours.

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Since we women talk so much about our breasts, it is no surprise that Breast augmentation (breast surgery) for a small breast has become the most common plastic surgery performed in the world. Nowadays it is easy and almost commonplace to deal with the idea of aesthetic breast surgery and to have your breasts enlarged. We are often led to believe that this is a “to go” operation or an operation at a flat rate, but we must not forget that Breast augmentation (breast surgery) is still a serious, major operation and should not be performed lightly. You should also take the time to make your decision carefully.

The best Breast augmentation (breast surgery) is the one that looks completely natural and does not raise eyebrows. Whatever the reason why you want to enlarge your breasts and want or need an augmentation for a small breast, the following questions are decisive for you and me: Where will the implant be inserted, where will the incision and scar take place, what type of implant will be selected and how large should it be? In an intensive conversation with my patients, I will be happy to give you answers to all your questions.

Where can the breast implant be placed?

Breast implants can be placed above or below the chest muscle (pectoralis). There are reasons for both options. The implant is often placed over the muscle and under the mammary gland when the breast is hanging. Since the pectoralis muscle does not need to be stretched, it is a less painful option. But if you don’t have a significant amount of natural breast tissue, you may feel the outline of the implant and the transition from your breast to your upper body may look less natural.

Submuscular access has the advantage of a lower rate of capsule contracture. This means that if your body naturally forms a capsule around the implant, it is less likely to harden, become painful or deform the shape of your breast. It also leads to a more natural transition from the breast to the upper body and it is less likely that the implant will become “wavy” or deform. However, you have the disadvantage if you have a sagging breast and if your breast is not raised surgically at the same time that you see a “double bladder”. This means that the implant and the natural breast form two separate hills. Placing implants under the muscles is more painful and takes more time to recover.

My favorite technique is using the “dual-plane” technique. In this technique, the top aspect of the implant is underneath the pectoralis muscle and the bottom is under the gland, so over the muscle. This allows me to take advantage of both techniques leaving the implant less palpable, giving the patient a more natural breast shape, and reducing capsular contracture rates.

Brustvergrösserung bei Dr. Kelly Vasileiadou Ästhetische Medizinerin und plastische Chirurgin in Cham und Zug.

A: Breastaugmentation: Chest implant above the chest muscle (before/after)
B: Breastaugmentation: Chest implant below the chest muscle (before/after)

"As a woman, I develop a bond with you and your desires because I can understand what makes you want Breast augmentation."

What options are there for the incision and where does the scar run?

The incision for Breast augmentation (breast surgery) for a small breast is strategically placed to hide any signs of surgery. There are three ways to make the incision: under the breast (inframammar), a semicircle at the bottom of the areola (periareolar) or through the armpit (transaxillar).

An incision under the breast is used in 90% of cases because it heals well, is well concealed and provides an excellent view of the tissue and position of the implant during surgery. Although periareolar incisions (an incision at the base of the areola) are also very popular, studies have shown that they can lead to higher rates of capsule contracture and desensitization of the nipple. Transaxillary access is the third most popular choice. I do not recommend this cut as a scar is visible when you wear a sleeveless top.

What kind of implant should I choose? Silicone or salt?

The silicone implants have less visual irregularities than salt implants, such as crimping or wrinkling, and a lower rate of deflation over time. The latest silicone implants have a thicker shell and a more cohesive and viscous gel, so they tear or leak much less than silicone implants used five years ago.

Saline implants also have their advantages. The size of the implant is “adjustable” down to one cm³ – that is about one fifth of a teaspoon. While silicone implants are available in standard sizes, the amount of saline solution injected into a saline implant can be adjusted in the operating room to fine-tune asymmetries. Since a saline implant is empty when inserted into your breast, the incision may be smaller than that required for a silicone implant. However, one disadvantage is that more visual irregularities can occur in a thin woman with little breast tissue, for example. In the event of a crack in the saline implant, the saline water is absorbed by the body and your breast becomes flat.

The preference of implant material has changed dramatically over the years. If the implant is placed under the pectoralis muscle, it does not matter which implant you choose because it is deep inside your body. A few years ago, most patients opted for salt implants, but today I have mainly switched to silicone. It just gives nicer results.

In general I prefer breast surgery for Breast augmentation a small incision in the breast fold from where I place the round or pear-shaped silicone implant for a small breast with a finely textured surface under the chest muscle. This creates harmonious transitions without visible implant edges.

How big should the implant be?

The decision how big your breast implant should be for a small breast is very important and requires careful planning and consideration, and can put a lot of stress on my patients. I take a lot of time with you for the final decision. In my practice you can try on the “Implant Sizer” to get the best idea of what the extra volume will look like when you wear clothes. Much of the decision is based on the width of your chest. Smaller, petite patients need a smaller breast implant because larger implants would appear under their arms. Apart from taking into account your own ideals or visions, you must also take into account the goals you want to achieve with Breast augmentation (breast surgery) to increase breast size, your lifestyle and your age.

How soon will I recover from the surgery?

I remove the drains 1-2 days after breast surgery and then fit a support sports bra that you should wear for 6 weeks. 

You may perform light activities on the first day and work again after one week. You can start light everyday activities on the first day, but you should not exert yourself too much as this leads to increased swelling. You can resume strenuous activities and sports after six weeks.

Should I have the implant replaced after a while?

The latest generation of breast implants, the fifth generation, has no date after they need to be replaced. If you’re comfortable, there’s no need to replace her. 

It is very important that the breast implant I use for breast surgery comes with a lifetime warranty. 

A picture says more than a million words

In order to protect the privacy of my patients, I deliberately refrain from showing before and after pictures on my website. However, several patients have agreed that their photos can be viewed by potential patients in the practice. During your consultation you will have the opportunity to view images of real patients and the results of my procedures. Some patients have also agreed to talk to potential patients if you want to learn more about the procedure from a patient’s perspective.

Procedure:
Outpatient with inpatient monitoring in the recovery room after the operation.
Duration of the procedure:
approx. 1.5 - 2 hours
Required downtime:
5 – 7 days
Anesthesia:
as a rule general anesthesia
Additional treatments:
Breast lift, Breast reduction
Costs:
from 8,600 CHF (including operation fee and aftercare, anesthesia fee, technical service operating theater, medications and scar ointment, possible diagnostics (laboratory, EKG, etc.), support breast bra