Cosmetic Breast Surgery

Introduction to Breast Augmentation Surgery Breast Enlargement Breast Reduction Breast Reduction with Breast Lift Breast Contouring & Reconstruction Breast Up-Lift Mini Breast Lift Internal Muscle Bra Fixation

Introduction to Breast Augmentation Surgery

There are a number of different types of breast augmentation surgery, enlargement using implants, reduction, lift, reconstruction, restructuring and reshaping, partial surgery where one nipple may be slightly higher than the other for example, and reconstructive surgery following an accident or surgery.

The ideal solution may be a combination of surgeries, for example a breast reduction may need a lift and also benefit from implants. Where possible we incorporate all surgical costs within the prices. For example a breast reduction is charged as one price even though it may also incorporate a lift. However where implants are required and not foreseen they may be an additional charge. The ideal solution may be decided on during consultation where the surgeon can advise on the different possible solutions and outcomes and assist in determining the level of surgery required.

Breast Enlargement

• What type of Implants?

• Anatomical or Teardrop Shaped Implant

• Fixation Over Muscle

• Fixation Under Muscle

• Fixation Between Muscle

• Breast Sizes

Breast Enlargement
An ideal solution for increasing the bust by one or more bra cup sizes.

Our partner clinic will fit only cohesive gel implants; salt-water implants are not sufficiently reliable. The implant is fitted through an opening underneath the breast; any slight scarring will not be noticeable.

What type of Implants?
The cosmetic surgeon can fit either round or anatomical shaped implants depending on the requirement.. Implants come in many sizes and can even be custom made should the client require very large implants.. The latest silicones used in breast implants have high cohesion which means that they are less liquid and therefore will not leak. This greatly increases the durability of the implant even if the implant receives a tear from an enormous impact (such as a car accident). Because the latest silicones are firmer and keep their shape, they are ideal for tear shaped implants often used in reconstructive breast surgery. Implants retain their natural feel in spite of the increased cohesion of the newer silicones. Nearly all implants have a textured surface, allowing the implant to sustain a correct position and not shift and turn, this also minimises sagging over time. Some salt water filled implants specifically designed for placing underneath the breast muscle do not have a surface.

High Cohesive silicone gel implants carry a lifetime warranty.

Anatomical or Teardrop Shaped Implant
Teardrop shape anatomical implants create a natural shape and effect. They are ideal for those with a relatively thin skin layer and little breast tissue, however round or tear shaped implants produce beautiful results for those with thicker skin.

With slightly sagging breast the mass of breast tissue is located at the bottom of the breast.

Under these circumstances a round implant is more suitable as tear shaped implants have most of their mass in the lower part of the implant.

During your consultation, the surgeon will take some pictures and measurements, he will show you a number of pictures and explain carefully what realitic results to expect so you can best choose the look and shape that you desire.

The quality of the finished job is as important to the surgeon as it to you.

Implants can be placed above, beneath or between the breast muscles. Where they are placed depends on a number of factors including age, weight, physical shape, breast shape.

Fixation Over Muscle
The most common and natural way is to insert the implant above the muscle, just under the breast enabling the implant to follow breast movement for natural effect. However patients with thin skin and minimal breast tissue may find that the edges of implants can be felt at the top edge of the breast. With a liquid implants fitted this way small ripples can sometimes be visible at the upper part of the breast. When placed under the muscle, the chances of being able to feel implant edges are greatly reduced.

Fixation Under Muscle
Implants fixed under muscle are more fixed in position and so move less easily and do not follow the natural breast movement as well.

When lying down the breasts tend to be upright. The cleavage between the breasts becomes less apparent because implants cannot be placed too close together.
Smooth, salt water filled implants are used when placing under the muscle to make it feel more natural. When implants are larger than 300cc they are best placed under the muscle to prevent them from drifting out of place and reduce sagging.

Fixation Between Muscle
A recent development is a combination of the two techniques where the muscles are separated and the implant is placed between the muscles so that it becomes partly covered.
The upper part of the implant is covered so that the edges of the implant cannot be felt and the implant is able to follow the breast’s movement.

Breast Sizes
Breast sizes are measured by weight in grams and are not referred to as A, B or C cups. This is because cup sizes as used by bra manufacturers vary. Generally it is agreed that 200gr is one-cup size. Breast enlargements are the ideal solution for increasing a woman's bust line by one or more bra cup sizes such as in women who have smaller breasts.

Here are some of our before and after photos:

Before	After	Before	After

Implants Carry a Lifetime Warranty!

During your initial consultation, the surgeon will discuss with you your expectations as well as the surgical possibilities.

Certification and registration of the implants lifetime warranty is presented to the patient when they are treated.

Recovery is rapid and most daily activities can be resumed after one week with your doctor's permission.

Breast Reduction

This is a safe and permanent solution for those who are experiencing enlarged or sagging breasts. Can leave noticeable, permanent scars. Your bra or bathing suit will cover these. (Poor healing and wider scars are more common in smokers.) Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. Following breast reduction some patients may experience a permanent loss of feeling in their nipples or breasts.

Before   Breast Reduction with Breast Lift Following weight reduction it is common to need a breast reduction and a breast lift. Breasts are particularlyheavy and bearing large breasts for a time will cause them to sag therefore to get a good finished result a lift often accompanies a reduction. Breast reduction is called Reduction Mammaplasty, breast lift is called Mastopexy. The shape of the breast is corrected and the nipple is moved to a more youthful or higher position, excess skin and breast tissue are removed. The surgery takes place under general anaesthesia and requires one night in hospital. It is not a painful procedure and recovery is swift. The candidate can resume normal activities within a week.   After

Before Breast Contouring & Reconstruction Breast contouring is reshaping the breast to reduce sagging and malformed or misshapen nipples. Breast reconstruction is often undertaken following breast removal or trauma associated with accidents or burns. The breast nipple can be repaired replaced or relocated. Breast Up-Lift For sagging breasts and / or nipples that are positioned too low, a breast uplift is sometimes necessary. With this procedure, the nipple height is corrected, which results in a little scaring around the nipple. Excess skin under the nipple is removed. If the nipple position is not too low breast implants may be fitted to solve the problem. The more the breast is sagging, the larger the prosthesis needs to be. With medium sagging an augmentation by 1-2 cups is required to return the breasts to natural firmness. This can be achieved with limited scarring. Feeling in the nipples is still present, so breast-feeding is possible. There are a number of different breast lift possibilities. After

Mini Breast Lift (can lift the nipple by 4cm) If the nipple position is slightly lower than it should be, a mini breast lift could be performed. When measuring from the depression where the collarbones meet, diagonally to the nipples, the measurement should be between 22-25cm. With this procedure only a small amount of scarring around the nipple will be visible. The feeling in the nipples is retained and breast-feeding is possible. By using a new type of stitch thread, the surgeon limits the amount of scarring. The stitching will be placed 1 cm away from the nipple. The mini breast lift can often be combined with a breast implant.

Internal Muscle Bra Fixation (can lift up to 10cm)

This new technique is ideal for large sagging breasts. By tightening a piece of the breast muscle, the breasts are lifted. This technique is extremely successful and results are permanent. Often, breast volume seems bigger after this procedure because the breast glands are both lifted and tightened.

With exceptionally large breast volume, part of the lower breast is removed, and the breast is rebuilt to give it new and younger look.

Small Sagging = 22-25cm* and nipples facing down

Medium Sagging = 20-25 cm*

Large Sagging = 25 - 40 cm*

*Measured in cm from depression between two collarbones to height of nipples

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