Breast Enlargement

Breast Enlargement with Implants or body’s own fat

One of the most common aesthetic body procedures is the breast augmentation. At first sight it seems to be a pretty simple procedure but the devil lies in the details. Dr. Ghofrani strongly believes that only if you are able to perform all the proven techniques in breast augmentation surgery you can call yourself an expert. Too many doctors consider this surgery as something simple and apply the same technique and the same approach to almost all patients. It is not a surprise that some of those patients are not happy with the result. There are countless of combinations which you can apply if you think of incisions, sub muscular or above the muscle placement, round or teardrop implants, high or low profile, cohesiveness of the gel etc. etc. It is a fact that each patient needs an individualistic approach.

Dr. Ghofrani is able with his decades of experience to explain and demonstrate for each patient what the options are and what should not be done. His artistic eye and his ability to choose from all possible techniques, implants and approaches, enable him to propose the best combination of factors to each individual patient. The patient will have a very good idea of what the breast will look like after the surgery and what not to expect, thus ensuring a satisfied and happy patient.

What kind of implants are the best and safest?

Of highest importance for your maximum safety is a thorough selection of implant types, which should have distinct implant features. Especially to be highlighted are the terms ‘cohesive silicone gel’, ‘medical grade silicone’, ‘FDA-approved’ or ‘CE-marked’. For a safe long-term use, only highest quality implants with cohesive silicone gel from market leaders are used by Dr. Ghofrani. They are either CE-marked (“Conformité Européene”, what means “European Conformity”) or FDA-approved. CE-marking includes the declaration of the manufacturer, “that the product complies with the essential requirements of the protection legislation of European health, safety and environment” (http://www.ce-marking.org/what-is-ce-marking.html). The FDA (U.S. Food and Drug Administration of the U.S. Government Department of Health and Human Services) is the institution, which presets the quality standard for breast implants in the U.S.A. (https://www.fda.gov/). Considering the fact, that the implants of only a few producers are either CE-marked or FDA- approved, the ones offered by Dr. Ghofrani are all among them.

Different implant styles: Why does Dr. Ghofrani provide round and anatomic implant styles?

In order to provide the perfect implant solution for you for a most attractive enhancement of the breast, Dr. Ghofrani offers the entire selection of implant styles, anatomic and round implants. For sure, this is not the only choice – although the most important one – you will have. There is a broad variety of different implant sizes, profiles, surface textures etc. out of a thoroughly picked selection of highest quality implant manufacturers.

Breast augmentation surgery with implants: What is the procedure like?

Routinely the surgery is performed in one of our partner hospitals under general anesthesia. Considering the incision method and the positioning options for the implants, Dr. Ghofrani will assure that the implant will be placed in a proper position, perfecting the embellishment of the breast. A small incision will be done at the edge of the nipple or under the breast, hidden in the lower mammary fold. Forming a pocket, the implant will be placed either above or under the breast muscle, which is depending on your findings and the doctor’s recommendation. The sensitivity of the breast will be preserved and the ability to breast-feeding won’t be restricted. On average breast augmentation surgery takes approximately 1 hour and the hospitalization period lasts one day, including an overnight stay. In case of sagged breasts, a simultaneous breast lifting surgery should be considered to achieve an attractive shaped and positioned breast. Please be aware of the fact, that positioning and shaping cannot be compensated by merely applying larger implants.

Recovery time after a breast augmentation with implants: How long should you rest?

After the procedure, it takes on average 5 to 7 days until you can resume your normal daily activities. You will need to wear a supportive bra for approximately 4 to 6 weeks and you should avoid strenuous activities.

Monitoring: Will the implants need to be replaced?

The provided silicone implants are of highest quality and designed for a long- term use, consequently there is no scheduled replacement of our recommended silicone implants. You just need to follow your regular medical check-up/ preventive examination, advised by your gynecologist and according to your age, including MRI (Magnetic Resonance Imaging) respective mammograms.

Fat transfer: What are the alternatives for a breast augmentation with implants?

If you would prefer the body’s own tissue, a fat transfer with perfect biocompatibility is a further excellent and natural way to enhance the breast.

Breast augmentation by fat transfer: What is the fat transfer procedure like?

Depending on the scope of the surgery, it can be performed either under local anesthesia or under general anesthesia as a day care procedure. From a body part with fat excess such as hips or thighs, fat tissue will be removed by suctioning and transferred to the breast in order to enhance the volume and to shape the breast attractively. A fat transfer procedure lasts 1 to 1 ½ hours.

Recovery time after a fat transfer: How long should you rest?

After the procedure, you should take your time of 3 to 5 days to recover from the surgery, then you can get back to your daily routine. You will need to wear a supportive bra for 4 to 6 weeks and should avoid strenuous activities.

Contraindications: In what cases is a breast augmentation with implants or by fat transfer not advisable?

A breast augmentation is not recommendable for women with a severe disease such as cancer or pre-cancer. The same holds true for pregnant women. Further breast augmentations for nursing women are unadvisable due to the fact that the breast volume can change sizably during periods of breast-feeding. However, if you had already undergone a breast augmentation surgery, breast-feeding is possible.