Our surgeons take a lot of time to understand your needs and your expectations in detail, whereby the 3D simulation can also be used to help. The most important thing for us is that our patients are very satisfied with the end result. This is also reflected in the ongoing satisfaction survey where 97% of all our patients rate the Breast Atelier, but above all their new breasts, with the top rating of "very satisfied". Discover here before/after pictures from former patients.
The introduction of dimensionally stable silicone gel instead of liquid silicone allows the production and use of natural-looking, teardrop-shaped implants that retain their shape in any position. A beautiful, full and natural-looking breast is easily achievable with anatomical implants. Round implants, on the other hand, which were the only option around 20 years ago, are not suitable for every patient. Due to their round shape, they can produce an unnatural-looking result in certain cases. The shape of the implant also changes depending on whether the implant is placed under the muscle or over the muscle. An individual, specialist consultation is therefore essential to find the right implant.
In a breast augmentation the implant can be placed in different body planes. The aim of optimal implant placement is to place enough of the patient's own tissue over the implant. Only then can a natural and full breast shape be achieved. It also minimizes the risk of feeling the implant or even seeing the edges.
If the patient has enough of her own tissue, the implant can be placed under the mammary gland (subglandular). However, the implant is often also covered with the muscle skin (fascia) in order to achieve a better hold of the implant.
If the patient does not have enough of her own tissue, the implant must be placed in deeper layers in order to create a natural and full breast shape in the long term. In this case, the implant is placed under the muscle (submuscular) or covered by a fat graft (lipotransfer).
A modern method of implant placement is the dual plane method. Here, depending on the anatomical conditions, the implant is placed partly under the muscle and partly under the mammary gland, with which very beautiful results can be achieved.
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A general replacement every ten years, as was previously recommended, is not necessary. As with other procedures involving the use of foreign materials and implants, it cannot be ruled out that breast augmentation will require follow-up treatment over the years.
The reason for an eventual replacement is usually not the durability of the implant, but often changes in the patient's own body and tissue reactions (due to pregnancy, weight gain/loss and/or the ageing process). The likelihood of replacement increases with age.
Capsular fibrosis can also not be completely ruled out. This is an inflammatory foreign body reaction that requires an implant replacement.
The first documented case dates back to 1997. Today, we can say that the risk of this disease is between 1:8000 and 1:24000 implants, which is very low.
Surgical methods with access via the armpits appear to be more critical than via the breast crease. The intraoperative technique and sterility (antibiotic shielding, taping, glove changes, etc.) also have an influence.
In principle, breast implants are not an obstacle to a mammogram. There are examination techniques that take the implant into account. Draw the attention of the x-ray assistant performing the mammography to the implants. If you have documents about the type of implant and its exact location, take these with you. Examination methods such as ultrasound or magnetic resonance imaging (MRI) are also common alternatives to mammography.
Arrange your free consultation directly online now to get all your questions answered and see Breast Atelier for yourself. Our specialist doctors are at your disposal. Benefit from our 3D visualization technology and our detailed medical assessment.
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