Breast Augmentation

There is always the woman's desire for bigger and fuller breasts. Either they are inherently too small or asymmetrical, and therefore do not meet the personal ideal of beauty.

Frequently, however, loss of shape and form occurs because of pregnancy, after weight loss or change purely due to age.

Many women become discontented with this change and long for their former full, young breasts.

In these cases, a breast implant can help to restore the desired shape, and body awareness is improved significantly.

In this procedure (breast enlargement) a incision is made in the skin either in the inframammary fold down, or in the area of the nipple or in the armpit. About this section, a cavity is created in which the implant is placed. In this case, the implant can be placed under the breast tissue or between the ribs and chest muscle.

All implants used today consist of a double-walled silicone case that offers high protection against injury. The new textured surface of silicone pads significantly reduces the risk of capsular contracture. The implants are filled with salt water, with a cut-resistant silicone hydro gel. Further, there are now various forms of the implant. Which implant (size, shape, filler material), which section and which positioning of the implant is the most appropriate enhancement for you. These details will be discussed in your consultation with Dr. Dirk Kremer and the procedure will be explained to you.

With a breast implant you will receive a full and natural breast shape that feels quite natural. You get a permanent result that can change during the aging process and with the force of gravity over the years.

However, in such a case, a breast lift can again restore a full, youthful breast.

Are you interested in a breast augmentation in plastic surgery, by Dr. Dirk Kremer?
Then please go to our comprehensive further information on breast enlargement, see below:

Refereneces

Capsular contracture is an abnormal response of the immune system to foreign materials. It is most discussed in the context of complications from breast implants and artificial joint prosthetics.

Types of breast implant

There are two main types of breast implants:

Gel-filled breast implants and saline-filled breast implants.

Gel-filled implants are filled with cohesive silicone gel that feels similar to a normal breast feels. The major manufacturers offer implants with three different strengths of cohesion.

Saline-filled breast implants are filled with salt water. They feel less natural. These saline-filled breast implants with removable filler hose, allow your doctor, by additional filling or emptying of saline to adjust size of your implants up to six months after the breast augmentation surgery.

Implant forms:

Depending on the breast shape you want for breast augmentation, you can choose round or contoured implant. Contoured implants have a teardrop shape and give the patient a more natural looking breast.

Implant surface:

Breast implants have either a textured or smooth surface. The structured surface can improve the collagen fibres attach to the uneven, rough surface. The risk of capsular contracture is significantly reduced compared to implants with a smooth surface.

Is silicone for breast enlargement safe?

A number of respected multidisciplinary expert panels evaluated the available data on silicone breast implants for breast augmentation. Below the result of the Institute of Medicine (IOM):
The U. S. Congress mandated by the multidisciplinary expert panel with an independent assessment of past and current research on breast implants made of silicone and other materials performance.

In 1999, the IOM report with the following results:

- Women with breast implants have no higher risk for connective tissue diseases. The risk of cancer, immunological or neurological disease in women with breast implants is not higher than that of the general population.
- Breastfeeding is safe and beneficial to health. - Breastfeeding is safe and beneficial to health.
- Children of women with breast implants, no increased risks.

Cutting and placement options for breast enlargement.

There are three different approaches to insert a breast implant for breast enlargement:

- Periareolar: The advantage of this cut is that it is least visible. - Compared to the other sections it has the highest risk for future problems with breastfeeding.
- Inframammary: This section is very popular because it is hidden in the fold beneath the breast. In this section, there are fewer problems when breastfeeding. - The section gives the best overview of the created cavity implant, which provides optimal positioning of the implant possible.
- Axillary: This incision is less concealed, but is an alternative for women who do not want scars on her breasts. - Axillary:

You can discuss with a physician (eg Dr. Dirk Kremer) any cuts to be made in detail and decide on the most appropriate procedure.

Positioning of the implant

In breast augmentation your implants are either partially under the pectoral muscle (sub muscular) or placed on the muscle and under the breast glands (sub glandular).
The sub muscular placement of implants, the risk that your implants be felt through the skin and emerging at the top of the implant through the skin is reduced. Moreover, the probability of a hardening of the tissue around your implants (capsular contracture) is reduced as well.) Further, a sub muscular placement of your implant facilitated by a mammography can be achieved. Possible drawbacks of this placement may be an extended operation time and a longer recovery period.

When placing sub glandular however, the surgical and recovery time are shortened, and the pain after the operation will be significantly lower. A possible disadvantage might be that the implant under your skin edges is apparent. Also, a mammogram may be more difficult.

Discuss with your doctor (eg. Dr. Dirk Kremer), which positioning most suits your personal needs and physical conditions.

Surgery and anaesthesia

Breast augmentation is performed today with a one-day outpatient or inpatient stay, either in a clinic or a corresponding centre. Normally, the procedure is performed under general anaesthesia, but also can be implemented under local anaesthesia and so-called twilight sleep. Breast enlargement surgery usually takes 1 to 2 hours. Your doctor (eg Dr. Dirk Kremer) will make the cut, for which you have discussed and decided into which the breast implant is inserted. Once the implant is positioned correctly, the incision is sutured.

Postoperative follow-up of a breast augmentation

After breast augmentation surgery, you may feel for a number of days tired and in pain. The first 24 to 72 hours after surgery you will experience the most discomfort. Your breasts will feel swollen and sore. It is possible that you will also feel tight in the chest, and since the muscle (at sub musculrer position) there will be a period of adaptation to your new breast size. Although of course every woman's recovery proceeds differently, you should after about one week be able to engage in light work.

An important aspect of post-operative care for a breast augmentation can possibly be wearing a sports bra, girdle or pressure bandage. These are designed to give you extra support during the healing phase, so that the implant can heal optimally. As recommended by your doctor take a few days to work, and avoid strenuous activities that can lead to acceleration of the pulse and blood pressure increase for a few weeks.

When using smooth-walled implants, your doctor will also recommend a breast massage to prevent subsequent capsular fibrosis. Follow any specific recommendations that your doctor (for example, D. Dirk Kremer). If following your surgery you suffer fever, significant swelling and or redness at the operated location, you should immediately contact your doctor.

Recent testimonials - read more

Dear Dr Kremer Thank you so very much for such a successful surgery! You made me feel at ease about the whole process and the results are great! I would also like to thank your PA Philippa, for running the business side of things smoothly. Once again, thank you very much for a fantastic surgery KSEIA

Dear Dr Kremer, Thank you very much for the amazing work you have done. You’re the best! It is much appreciated Anna Suida XX

My Dear Dirk If I look in the mirror, I see a younger and fresher version of me. It’s like being in my 40’s again. Thank you Jane

Hey Dr. Dirk, Not long time ago I felt lonely, lost…and fat! Today, after an amazing result after you fantastic e-lipo I feel like the hottest girl in town! You can`t imagine how you changed my life! I am full of energy and plans for my future. I will tell everyone how amazing you are, you are a genius, Thanks Elin

To Dr Dirk, I just felt the need to say thank you for taking so much care, patience & determination to make my 'odd' boobs perfect! I have to say they have far exceeded my expectations. I wish I 'd met you ten years ago! Thank you so much vikki

Dear Dr. Kremer, My husband recently gave me the biggest compliment: YOu look like when we fell in love 12 years ago! Thanks for giving me back my youthful look. I feel more confident than ever. Thanks for all your patience- I know I was not an easy patient but I will never forget the support you gave me. You are a very talented surgeon with the biggest heart- I wish you all the success you deserve! Thanks Brit

Dear Dr. Kremer, Just to say thank you for all your help and looking after me. Thank you for giving me my new found confidence and in general for making me feel fantastic. I am so, so happy with the results. You all make a great team and you will be highly recommended. A huge thank you lots of love Samantha D

Dear Dr. Kremer, It`s been 6 weeks since I had my surgery and and I must say: I am your biggest fan! The result is amazing, the shape and the size of my breast are exactly what I expected. In my first consultation with you I had the feeling you understood what I wanted- and yes, the result is overwhelming! Remember when you mentioned the Victoria`s Secret model look- that`s how I feel now ;-)) Thanks, you are a star

Dear Dr. Kremer, When I first met you I knew you are the one who can help me! I was so embarrassed when I first entered your office but you managed to make me forget about my fears. Your advise was just right, you empathy helped me going through the whole process. Today I feel like a different but better person. You are the first one to know that my boyfriend proposed to me - I would like you to be guest of honour on my wedding, thanks for your support, you were amazing, Best regards Katy H

Hi Dr. Dirk, Just wanted to let you know that you did an amazing job! My breasts look like in the ones in your Marie Claire article: perky but natural- I get compliments all the time! You are the best surgeon in London and I will refer all my friends to you, Thank you Sarah L

Hi Dr. Dirk, Words can`t express how fortunate I feel to have met you! You changed my life so much, I feel better than ever! Thanks for staying by my side all through the process of wound healing- I just needed someone to talk to! I couldn`t have found anyone better in London, I will send all my girlfriends to you, promised.