"Her bosom was as a bird's, soft and slight, slight and soft as the breast of some dark-plumaged dove."
A Portrait of the Artist as a Young Man
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There are various methods of breast enhancement. Transaxilliary augmentation is an excellent method for primary augmentation and is my preferred technique. It does not leave a visible scar as the only short cut is placed and hidden behind the axillary fold. It is a perfect, quick procedure – especially if the skin is very thin or the breasts are underdeveloped with an absent inframammary fold. This technique constitutes over 90% of the primary breast augmentations that I perform. It is also perfect for individuals undergoing gender reassignment due to its regard for anatomy. Most of my patients love the natural shape, relatively low levels of pain and completely inconspicuous scaring. Since anatomy is mostly respected with a transaxillary approach, even temporary loss of sensitivity in the nipples is much rarer than after other methods.
Your choice of implant is crucial for the optimum effect and I guide you with my expertise, ensuring that you choose the implant most suitable device for you.
Every implant has three dimensions: width, height, and projection and it is necessary to precisely match these dimensions to your body phenotype. Therefore, it is a mistake to solely think about volume here, as all three of the dimensions as well as the type of the implant and its fill are what create volume. A good support of undamaged tissues in the transaxillary breast augmentations allows for using almost every type of surface of the breast implants, including smooth ones.
Implant positioning is significant. Subglandular positioning is possible, but rarely applied through the axilla. The subfascial position is limited to smaller implants, however, it provides good support. The submuscular position is the most common for transaxillary access. In the latter method the implant is anatomically more cohesive by being secured behind the muscle and is less palpable.
As the patient’s health is of utmost importance, an immediate post op is crucial after breast augmentation. After the surgery an 8-week period of compression with a sport’s bra and a Stuttgarter’s belt is required. It may take up to 7-8 months for breasts to heal and obtain their final shape and position.
I am looking forward to seeing you in my office to answer your questions and provide even more details about the procedure. With precise measurements and productive collaboration we will choose the right implant for you.
The most common method of breast augmentation, around the world, consists of inserting the implants through the inframammary fold incision. There is a lot of data on this procedure. It only leaves a 3-6 cm, a slight lateral scar in the IMF which can sometimes be relocated up to a centimetre upwards, causing no problems whatsoever. This type of breast augmentation allows for the placement of any type of device including highly cohesive, anatomically shaped implants. It is also the first choice for revision surgeries or secondary augmentations. I use this method, in more challenging breast augmentations; If you have a very wide chest or you are very tall and thin, we may obtain better results with anatomical implants, as they can be tall, short, wide or narrow. The key is the appropriate choice of base for you – wide and short or, narrow and tall. The variety of shapes will provide us with good tools to obtain natural results and breasts that match your phenotype. A highly textured or polyurethane coated surface ensures that the anatomical device won’t dislocate or rotate once in the pocket. The polyurethane coated implant also has the best grip – making it almost immobile; in simple words it gets glued in with your tissues and therefore does not drop. This feature is desirable while using an inframammary approach, because the tissues in the lower pole of the breasts get weakened by this incision. Using these devices we virtually eliminate the risk of wound dehiscence and implant exposure. Furthermore, polyurethane implants can also be safely fitted under the gland, if indicated.
It requires 6 weeks of compression and 2 weeks of the belt. Then you can enjoy your new reshaped beautiful youthful breasts.
A choice of the right breast implant fill is one of the crucial factors in obtaining a good result. Saline solution is rarely recommended, whereas, a variety of silicone gels, ranging from soft to firm, highly cohesive gels, or double gel are utilized. The B-Lite gel with compressed air bubbles is 25% -30% lighter than standard implants. It is a technology developed by the Israeli Defence Forces and used successfully in space missions by NASA. The implants are excellent for very thin patients and subcutaneous placements, but are slightly harder than regular devices. Lighter implant means less load to your tissues in the lower breast pole, therefore the implant has virtually no tendency to drop. Nowadays, the standard for breast augmentation is the dual plane position. Muscle fibers are dissected in the lower part without causing any discomfort or problems. The implant is covered by the muscle in its upper and central part and then the gland, only by skin, in the lower region. Lighter implant means less load to your tissues in the lower breast pole, therefore the implant has virtually no tendency to drop there. This produces a very natural look. If your breasts are already slightly dropping maybe a „multi-plane breast augmentation” is a good choice for you and the advantages of the light weighted implant will be emphasized. Less weight means also less load to your spine, therefore you can choose even a larger implant without compromising your back. The right postoperative follow up requires 6 weeks of compression and 2 weeks of the Stuttgarter’s belt. Then you can enjoy your new reshaped beautiful youthful breasts.