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Breast lift with implants

Bruststraffung mit Implantaten

The simultaneous lifting and augmentation of a breast is probably the most complicated operation on the female breast. On the one hand, the aim is to achieve a firmer shape and a better position of the nipple; on the other hand, the sagging tissue is to be removed and replaced with an implant. Masterclass in aesthetic surgery.

Breast lift with implants

Duration OP
2 – 4 hours
Aftercare
Inpatient surgery, rest for 14 days, stitches removed after 12-14 days
Sociability
(e.g. invitation to dinner): approx. 10 days
Sport
Leg training after 14 days, chest training after 6 weeks
Pain
medium

If a woman wishes to have firmer AND larger breasts, a mastopexy, or breast lift, can restore the lost firmness and beauty of the breasts. The sagging breast tissue is lifted by reshaping the glandular body and the skin mantle is tightened by removing excess skin. Nipples that are relatively too low can be moved to a higher position and reduced in size if necessary. Asymmetries between the left and right breast can be equalised.

However, the size of the breast can also be changed at the same time as the lift if desired. The breast is reduced in size by removing parts of the glandular body, and breast augmentation is achieved by inserting autologous fat and/or a breast implant. The tightening of the breast by inserting autologous fat and implants is called multi-sculpturing of the breast.

This operation is rarely offered by inexperienced specialists, as both the planning and the execution are very complex. During planning, it must be taken into account that the aim of the operation is to completely change the shape and rejuvenate the breast while simultaneously increasing and losing volume.

That sounds confusing at first. To clarify: the sagging tissue consists mainly of mammary gland tissue. This is removed and the nipple is moved upwards. At the same time, however, the breast should not become too small and an implant (usually under the muscle) is inserted. This can maintain or even increase the volume and change the shape of the breast to a firmer form.

 

For further information, please see the bottom of the page. This is where the advantages and disadvantages of the procedures are presented and the risks and side effects are explained. However, this cannot replace a personal consultation (also via video), in which these aspects are explained and adapted individually. We therefore look forward to a personal consultation with you!

Who is it for?

A breast lift with implants is suitable for women who have severely sagging breasts with little volume. This can be the case after breastfeeding or weight loss, for example. In these cases, the nipple has usually sagged and the mammary gland tissue is attached to the body. If such a breast is only tightened, there is usually no volume left. It is therefore advisable to combine this with an implant or an autologous fat transplant to give the breast a beautiful shape again.

Details

Planning such an operation requires good communication between the specialist and the patient. We need to find out what shape and, above all, what size the breast should be after the operation. This requires a good explanation and a few discussions to harmonise expectations. At the Klinik am Rosengarten practice, several potentially suitable implants are usually ordered so that we have a choice in the operating theatre and can adapt them to the circumstances. The breast is then opened in a standing position and the sagging part of the mammary gland is removed, the nipple is moved upwards and an implant is placed under the muscle. With the new volume in depth, the skin envelope around the volume is tightened and the position of the mammary gland is adjusted upwards. The operation takes 3-4 hours and involves an overnight stay in the clinic.

Nach der Behandlung

On the morning after the operation, the drains are removed and the bandage is replaced with a supportive bra. The morning after the operation, you can be collected by a family member or your partner, as you should not yet drive yourself. This is followed by a two-week recovery period at home until you can resume your normal everyday activities. Overall, the pain is relatively minor and the restrictions in everyday life are bearable. Nevertheless, it makes sense to get support if, for example, you have small children to look after or physical activities are necessary.

Results & Risks

The results of a breast lift with implants are predictably good with good planning. Of course, the scar may be a little tighter and heal a little wider than with a pure reduction. Scar corrections after six months are therefore common. It may also not be possible to achieve absolute, 100 per cent symmetry of the breasts if the conditions do not allow it. As a rule, however, the differences between the two breasts are small. Smaller corrective operations can then usually be carried out under local anaesthetic.

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