Breast enlargement | mamma augmentation in Bonn

Aesthetic and professional enlargement of the breast

The desire for a breast enlargement (mamma augmentation) can be varied and have very individual reasons. Health limitations, being out of proportion to the figure or a major change to the breasts owing to pregnancy, breast-feeding or weight loss. The effects can be emotional stress, a feeling of inferiority and problems in your sex life. With a breast enlargement, a natural and aesthetic result can be achieved in which the breast fits to the rest of the figure and a harmonious overall look is created.

Dr. med. Daniel Sattler, the treating physician in the field of mamma augmentation, would be happy to inform you about the treatment possibilities of breast enlargement in Bonn in a personal and comprehensive consultation.

Quick guide:

Anaesthesia Anaesthesia:
Operation exclusively possible under general anaesthetic
treatment Duration of treatment:
At least one hour, depending on complexity and the correction measures
Fit for work Fit for work:
after approx. 2 to 4 days
—–
Fit to socialise:
after approx. 14 days
sport Sport:
after 14 days at the earliest

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Questions

FAQs on the topic of breast enlargement | mamma augmentation

You can find a selection of the most frequently asked questions here:

What you do need to consider when choosing a breast implant?

When choosing an implant, the first factors to consider are shape and size. These are discussed and selected in consultation with the patient. A distinction is also made between anatomic (drop-shaped) and circular implants; textured and smooth implants and the various firmness levels of the gel found in the implant.

Can breast implants still leak these days?

There is no 100% guarantee that an implant will not leak, but the newest generation of silicone implants have a special effect regarding the silicone gel. If the implant is cut open or ripped open, the gel cannot leak because the gel mixture does not have a fluid consistency.

How long do breast implants last on average?

These days the manufacturers of the implants promise a lifetime guarantee. However, there is always the possibility that an implant becomes hard. After 10 years of use, capsular fibrosis develops in approx. 6-8% of wearers. This can lead to increased encapsulation of the implant.

What breast implant position is best?

Positioning the implant under the chest muscle is advantageous because it is then less likely to lead to capsular fibrosis. The implant is also less visible in this position. If the implant is positioned over the chest muscle, the patient needs to have good skin texture.

What are the access routes that allow an implant to be placed in the breast?

There are three different access routes: through the armpit, through the nipple (this is a good idea if the patient would like to reduce the size of the nipple at the same time, or change it) and through the inframammary fold (statistically the safest route).

Is it possible to have cancer check-ups with a breast implant?

Yes. If the implant is placed under the chest muscle, the radiologist has a clear dividing layer and no limitations for an examination.

What are the most frequent complications after a breast enlargement?

Acutely after or during the procedure, secondary bleeding can occur, although this is very rare today. Another complication is the danger of infection, but this is also very rare. The most frequent complication is capsular fibrosis, which occurs in 6-8% of patients.

Consultation

The consultation with Dr med Daniel Sattler for a breast enlargement in Bonn:

In an initial consultation, all relevant questions that can contribute to the decision to have a breast enlargement are clarified. The patient should note down questions in advance, so as not to forget important points during the consultation. A brief examination of the breast follows and the most important measurements are documented. The patient’s current cup size must be clarified as well as the desired cup size in the future.

Test implants are placed in the bra or alternatively, a 3D computer simulation of the breast is made to visualise a possible procedure. This enables the doctor to show what results are expected after a breast enlargement, using before-after pictures. It is also very important to clarify possible health risks to exclude pre-existing conditions that may indicate that a procedure is not advisable.

Preparation

Preparation for a breast enlargement / mamma augmentation:

In the preparation phase for the operation, a breast cancer pre-examination is usually carried out as well as an ultrasound examination, in order to identify any tissue changes. The patient should not take pain-relieving medication for approx. 14 days before the treatment, to ensure that blood coagulation is not delayed. Nicotine, sleeping medication and alcohol should also be avoided as far as possible.

Treatment

What happens during breast enlargement treatment in Bonn?

In a breast augmentation, the volume of the breast is increased with the help of an implant and the shape of the breast may be changed. A breast enlargement operation is normally an inpatient procedure. The patient will be under general anaesthetic for between one and three hours, depending on the operative technique used. In the case of inframammary access, the surgeon makes an incision of between three and six cm in length, depending on the size of the implant, in the fold under the breast. With this method, the surgeon has the best view of the surgical area. The trans-axillary access is the incision in the armpit. The scars are well hidden there; however, the point where the implant is to be placed is difficult to see. The access is referred to as trans-areolar if an incision is made at the edge of the areola.

The tissue of the mammary gland needs to be severed here and the access point is relatively narrow; scars are, however, hardly visible later. The surgeon can create a cavity via the incision, which can be located either under the chest muscle or between the chest muscle and the mammary gland. The implant is placed in this cavity. After the incisions have been stitched up and drainages added, a bandage is placed on the breast to protect the wound and support the breast.

Post-Operative care

Post-operative care after a breast enlargement | mamma augmentation

As the breast enlargement procedure always takes place on an inpatient basis, you should plan to stay for at least one night after the operation. Pain-relieving medication is given as immediate post-operative care following the procedure, to avoid this stress factor. At the time of discharge, the patient is fitted with a compression bra which should be worn for at least six weeks. For the first two weeks after the operation, the patient should avoid strenuous activity. We also recommend sleeping on your back, to avoid putting pressure on the operated breast. Cool packs can help to alleviate swelling and treatment with pain-relieving medication such as Ibuprofen is recommended. After approx. five days, the patient can shower again.

Steristrips should be used to cover the wound. The patient must not do any sporting activities that lead to shaking/displacing of the breast (e.g. jogging) or that include the chest muscles for 4 weeks after the operation. Depending on the occupation of the patient, it may be possible to return to working life and social life after approx. 1-2 weeks. Check-ups take place weekly and after four weeks with a scar care programme.