The specialist for breast augmentation, Dr. Scholz, can show impeccable evaluations for this plastic surgery. Excellent knowledge and techniques for modeling a perfect breast combined with the experience acquired in Southern California, USA.
In order to achieve excellent long-term results in breast surgery, it is very important to understand what a well-shaped breast looks like from an aesthetic point of view.
While the surgical techniques of breast augmentation and breast surgery in general can be taught didactically during the training as a plastic surgeon, Dr. Scholz believes that the understanding and feeling for a beautiful and attractive breast cannot be learned.
Please read in 10 Min. more about this Procedure (software supported translation from German).
Breast augmentation does not mean that a surgical incision is made anywhere, a pocket is prepared in which a breast implant is placed and finally everything is sealed. The breast implant is just a tool.
It allows me, as a plastic surgeon, to give volume to the patient's breast. The most important component of breast augmentation is that the soft tissues of the breast and the mammary gland are plastically and three-dimensionally formed around the breast implant.
This highly creative process gives the breast a completely new shape, which has become necessary due to the increased volume. Giving a good-looking natural breast only volume with the help of an implant, without the time-consuming process of individual shaping, will never result in an aesthetically excellent long-term result for the patient.
Apart from the fact that the breast with its new volume has to be completely reshaped creatively around the implant, all individual asymmetries and irregularities have to be addressed.
I will be happy to show you personally possibilities that will not only help you to look fantastic but also to feel so.
According to Dr. Scholz's experience, the contours of an attractive breast are largely the subject of personal and cultural preferences. This means that women basically have quite different thoughts, ideas, desires and expectations regarding the result, how their breast should look like.
It is therefore indispensable for a plastic surgeon to have both a natural talent and a well-trained aesthetic eye in order to recognize the individual differences, asymmetries, contour deviations and functional requirements of a female breast.
These challenges can be found in every woman before an operation. It is therefore of utmost importance that a plastic surgeon understands the wishes of his patients, so that they can work together towards a precisely defined aesthetic goal.
A detailed initial consultation takes place in our private clinic in Munich. Here you will get to know the surgeon, the locations and the entire team that treats and cares for you. In the most modern environment and equipped with unique and newest technical possibilities we explain everything you need to know before a breast enlargement, what you are interested in and what you always wanted to know about this surgical procedure.
As a rule, the operation lasts between one and two hours and is performed under general anesthesia.
Dr. Scholz hasn't used drains on his breast enlargements in over 10 years. Drainages used to be used to trap wound fluid after surgery. Unfortunately, these drains, which are very uncomfortable for the patient, are still a common procedure in many procedures.
The operation begins with small incisions in the natural fold under the breast, in the armpits or on the underside of the nipples. Then a trial implant is inserted through the opening under the breast tissue and pectoral muscle to ensure a natural shape.
Then, as described above, the breast is shaped around the implant and all asymmetries and contour deviations are addressed. Only when the perfectly shaped breast shape has been achieved is the incision (also called surgical access) closed with self-dissolving surgical sutures.
After the operation you will receive individual and very personal care until it is guaranteed that you have withstood the operation well. Not least due to the fact that I do not use drains, it is not necessary to stay overnight in our clinic after the operation.
Where are the incisions?
In the case of breast augmentation, there are basically three options for making the incisions. All approaches are designed in such a way that visible scars are largely avoided.
- Axillary incision: Surgical access is via the armpits.
- Inframammary incision: The most frequently chosen approach is the breast fold.
- Periareolar incision: A well-defined incision around the nipple, at the transition from pigmented to unpigmented skin.
All these three incisions (surgical approaches) are basically reasonable decisions from a plastic-surgical point of view. However, each incision has its own advantages and disadvantages, which are all discussed in detail with you during the planning of the operation.
How are the implants inserted?
The implants are placed either submuscularly under the pectoral muscle, or subglandularly under the breast tissue, but above the pectoral muscle. Submuscular means that the implants are placed under the breast tissue and pectoral muscle, while subglandular means that the implant is placed between the breast tissue and the pectoral muscle.
Submuscular placement is particularly recommended for women with weak subcutaneous connective tissue and breast tissue. Subglandular implants are more visible and easier to palpate and also lead more frequently to capsular fibrosis than submuscular implants.
A high level of aftercare is critical to the success of any surgical procedure. After the operation, you will only have access to qualified nursing staff in the clinic. Before you leave the clinic, you will receive a complete post-operative consultation, as well as a telephone number that you can reach 24 hours a day if you have any questions or concerns.
In the further course of the procedure, follow-up examinations will take place in the private practice of Dr. Thomas Scholz personally. We do everything we can to ensure that you, as a patient, can expect a quick and complete recovery. We are always there for you. This gives you the security and inner peace for an optimal healing process.
Breast augmentation is performed in two methods: the well-known implants and the breast surgery with autologous fat (also called lipo-transfer).
Method with implants
The range of implants includes a large number of different implant types, each of which is available in different shapes and sizes. In our clinic only first-class brand implants are used:
- Polytech (D)
- Allergan Natrelle (USA)
- Mentor (USA)
Round and drop-shaped implants can be selected according to the wishes and goals of the operation.
These have been leading in the manufacture of implants since the 1960s. The implants are filled with silicone gel, although implants filled with saline solution are also available.
It is mainly the body structure and the shape of the woman's breast that determine which implants can deliver the best results in the individual case.
Here it is extremely important that we find the optimal breast implants for you together. This process requires careful clarification and an intensive exchange of ideas between doctor and patient.
Method with autologous fat
Breast augmentation using autologous fat is an alternative to silicone or sodium chloride implants. The advantage of the autologous fat method - also called lipofilling - is that no foreign material such as silicone is implanted into the body and thus rejection reactions or capsular fibrosis are excluded.
The body's own fat is removed from unwanted fat deposits on the abdomen, hips or thighs by cannula (similar to liposuction). An advantage is that own fat also gives a much more natural sense of touch (haptics).
A disadvantage of this method is that only a moderate breast enlargement can be achieved.
In addition to the risk of anaesthesia, which exists with every operation, there are also short-term risks such as postoperative bleeding or infections. The occurrence is extremely rare, but to be on the safe side, regular follow-up checks should be carried out by the plastic surgeon.
The media are overflowing with risk reports and side effects of silicone implants. Scientific studies take these sensational reports as a basis. Implants do not represent a risk of breast cancer, nor could a connection with rheumatism be established. Modern implants are safe in every respect.
One of the most unpleasant side effects is capsular fibrosis. A hardening of the body's own tissue surrounding the implants. As a defensive measure against the foreign body implant, the body produces a hard collagen shell.
Depending on the individual constitution, capsular fibrosis now occurs in only about 1% of all breast augmentations.
Note: software supported translation from German