Breat augmentation - enlarging of the female breast

When is breast enlargement a viable option?

Breast enlargement is viable procedure in the following cases:

What happens before, during and after breast enlargement?

Before the procedure, a thorough, detailed and comprehensive consultation takes place, plans are discussed and the patient is supplied with all the information necessary. Next, a careful preoperative examination is performed.

The patient is made perfectly ready and prepared in order to ensure maximal safety for the procedure. (See the information on the consultation form.)

Breast enlargement is performed under so called intubatednarcosis, with the patient protected by antibiotics in every case.

A cavity for the implant is carefully planned before the procedure and formed according to the breast’s anatomical capacity. Implants are usually placed into this cavity through a tiny, hidden incision in the fold of skin under the breast. During a breast enlargement, the implant is placed either under the gland tissue, or partly under the muscle and partly under the gland tissue with the so-called dual-plane method. Sometimes implants can be placed under the fascia. The correct method is chosen after a “pinch test.”

The size of the breast implant is defined by its width and length in profile. The former depends on the chest’s individual anatomy, while the latter can be chosen according to the size of the future cleavage requested by the patient herself.

All up-to-date implants used in the procedure are subjected to continuous professional control and strict safety tests.

Nose, ear and eyelid surgery - Associated With

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EQUAM - The European and International Committee for Quality Assurance, Medical Technologies and Devices in Plastic Surgery

EQUAM is a European and international committee, responsible for the quality control of tools and methods used in plastic surgery, and its main goal is to guarantee their safe use and the safets of patients.

6th Consensus Declaration of EQUAM, 26 June 2004

“The purpose of breast implant surgery is to improve the mental and physical condition of the patient. The breast implants should be chosen on the basis of those best fitting and most suited to the individual patient. 
A. Silicone gel continues to be widely used for implants. No better alternative material has become available.
B. Additional medical studies have not demonstrated any association between silicone-gel filled breast implants and traditional auto-immune or connective tissue diseases, cancer or any other malignant disease.
C. Silicone-gel filled breast implants do not adversely affect pregnancy, fetal development, breast feeding or the health of breast-fed children.
D. No definite period of time has yet been defined for the longevity of breast implants; routine replacement of implants is therefore not mandatory. It is a misconception that one third of implants rupture ten years after the surgery!”

Jan Poell, President of EQUAM 2005 – 04 – 15

Consultation

Goals: SAFETY AND LONG-term SATISFACTION

+Preoperative period:

  1. Plastic surgical consultation, planning, examination (2nd consultation if needed)
  2. Lab tests: CRP, blood count, hemostasis-INR, sedimentation, ions, liver and kidney functions, urine test (only a week before surgery)
  3. Ecg
  4. Breast ultrasound - (valid for a year)
  5. Anestesiological examination and consultation on the day of the surgery

No surgery during period, or in case of any inflammation, skin problem, flu or herpes

No Aspyrin!

Body weight control!

Vitamin C 2x1000mg and Vitamin E 2x100mg daily.

Drink 2-3 liters of liquid/water a day before the operation, and 3-4dl in the morning of the surgery. Coffee, tee or any food is strictly forbidden!

Arrival to the Clinic

/MPSK Magyar Plasztikai Sebészeti Központ, Budapest 2.ker Margit utca 25./ on the discussed appointment.

Preop.shower, preparations like medication, infusion, planning, discussion.

The estimated time of the procedure is 80-90 min.

Postop. period:

Minimal pain, swelling, edema, painkillers, anti-inflammatory medication, muscle relaxant and local cooling with dry ice.

Overnight at the clinic under a supervised controll.

Removal of the drainage after approx. 24 hours.

Special modelling bandage and a bra.

Normal everyday activity, no heavy physical activity for 2 weeks.

Do not drive for 3-5 days!

Drink 2-3 liters of liquid/water a day!

Antibiotics for 5 days. (probiotics are suggested)

Removal of the special modelling bandage and the bra after 6-7 days. Daily shower for 3weeks.

Special bra for 3weeks, then 3-5 weeks sport bra.

Heavy physical activity/sport after 6weeks.

Sauna, heat water, solarium after 6-8 weeks.

Removal of the stitches after 2-3 weeks, anti-scarring gel for 3-6 months.

No UV on the scar for 6months.

Daily massage for 1.5-2 years.

Controll in case of emergency, or regularly after 1/3/6 weeks and 3/6/12 months

No changes in the breast feeding capability, but pregnancy only after 12 months after the procedure!

Risks and complications

  1. bleeding, hematoma
  2. inflammation, seroma, infection
  3. wound healing problems
  4. unhappy scaring -keloid!
  5. change in the sensation of the breast skin
  6. asymmetry
  7. blood cut,thrombosis, emboli
  8. deformity- bottoming out, palpable-, visible implant, wrinkling
  9. hanging breast, ptosis
  10. rupture
  11. capsular contracture

NAGOR IMPLANTS (nagor.com)

POLYTECH IMPLANTS (polytechhungary.com)

life-time warranty for 10. and 11.