Breast augmentation
Breast augmentation in Geneva – Switzerland.
Dr Tenorio has NEVER USED PIP IMPLANTS, he only use high quality implants
1. The types of augmentations
2. Type of implant
3. Position of the implant
4. Incision (axilar, submamarian, areolar)
5. Contact, make an appointment
6. Price
7. Blog ‘Breast augmentation Geneva’
8. Photos
Types of breast augmentation / enhancement
Looking for a safe and professional breast augmentation in Geneva Switzerland?. This is the site where you will find all the information. Small breasts (breast hypoplasia) might be genetically determined, but may also be caused due to breast-feeding or result from significant weigh lost. The objective of a breast augmentation or breast enhancement procedure is to achieve the desired breast size/volume. This is done by :
- adding silicone implants, using the most appropriated incision.
- by fat graft or fat transplantation harvested from another part of the body
- injecting gels (Macrolane®)
Modern implants are filled with cohesive silicone or saline. Their shape and size can be chosen based on the patient’s necessities.
There is little or no interference with future breast-feeding and mammography controls.
The goal of this document is to bring all the elements necessary and essential to inform you about this surgical procedure.
Definition: Breast augmentation or breast enhancement.
Breast hypoplasia is characterized by breast of insufficient volume compared to the morphology of the patient. This insufficiency can be present from puberty or it can appear secondarily, following an important weigh loss or after nursing. Breast hypoplasia can be isolated or associated with an excess of skin (ptosis).
With exception of certain reconstruction procedures, breast implants are no cover by any health insurance.
Objectives: Breast enhancement
A breast enlargement or breast augmentation consists in correcting the volume considered insufficient by the placement of implants (prostheses) behind the mammary gland.
Principles: Breast augmentation and type of implants
Currently, all the breast implants used today are composed of an envelope, and a product of filling. The envelope always consists of elastic silicone (silicone elastomer). It can be smooth or textured. Implants are filled by a physiological solution (salty water) or silicone. Implants filled with physiologic solution are inflatable and their volume can adapt to the result desired during the surgery. Silicone filled implant have pre-determine volume.
The shape of the implant is very important:
ROUND IMPLANTS: Have been used for a very long time, are very safe in give good results, however in thin patient this implants produce round upper poles which is less natural than a progressive upper pole or “decolté”.
ANATOMICAL IMPLANTS: Where first conceived for breast reconstruction. Anatomical implants already have the shape of a breast. they have a thinner upper pole and they give more projection in the lower pole. These are my favorite implants since I found that the result is far more natural. Since this implants have an stable form, your surgeon must be sure about the right size an position, which demands extra skills than a standard breast augmentation. I have been placing anatomical implants for years now and I believe that generate the best results.
Before the surgery: Breast augmentation
During an appointment with Dr Xavier Tenorio, specialist in plastic & aesthetic surgery based in Geneva Switzerland, a full evaluation and examination will be done. The fees of this first consultation will be completely deducted from the surgical fees. Breast augmentation
The site of the scar, the situation of the prosthesis in relation to the muscle location, and the type and the size of the prosthesis will be decided according to the anatomical context and desires expressed by the patient. Breast augmentation
A usual preoperative assessment is carried out in accordance with the federal regulations. The anaesthetist will make a consultation at the latest 48 hours before the surgery. In addition to the usual preoperative examinations, a mammography can be required in certain cases. Any drug containing Aspirin must not be taken for at least 10 days prior to the surgery.
Type of anaesthesia: Generally this procedure is perform under general anaesthesia, however in some cases it can be avoid by performing a sedation associated with a nerve bloc.
Hospitalisation: A single day of hospitalisation is usually sufficient.
The surgery: breast augmentation
Some points about the technical aspect of the surgery are clarified in the following lines:
Cutaneous incision:
The implant is placed by a short incision that can be located either around the areola (the dark skin around the nipple),the axila area or in the submammarian fold (lower limit of the breast).
I prefer to place the incision in the submammarian fold because it allows to create a perfect pocket, to perfectly control any possible bleeding and to create a new fold. The scar is almost invisible after few months.
Position of the implant: Two positions are possible either behind the mammary gland or either behind gland and the pectoral muscle.
Associated procedures: In the case of breast ptosis (sagging of the breast) an excision of the redundant skin can be performed at the same time. Sometimes, in order to avoid the collection of blood or any liquid, a drain in left in place and removed after 24 hours.
At the end of the surgery, a modelling bandage, with elastic bands is made. Under normal conditions the surgery takes 1 to 2 hours.
Follow-up of a breast augmentation:
Pain may be present immediately after the surgery and generally is well tolerated and treated with painkillers for few days. In some cases patients will fill some tension in the area where the implants have been placed. Oedema (swelling) last only few days.
Dressings: The first dressing is change after 24 to 48 hours and is replaced by a lighter one. Two to three days later the it is replaced again by a sports bra for 4 weeks during nights and day.
Time out of work: It is advisable to consider a convalescence time from 8 to 10 days. Complete physical activities and sports can be resumed after two months.
The results:
Patients are generally very pleased with in immediate result, however the shape improves with time. Beyond the aesthetic improvement, the psychological repercussion is generally beneficial.
Duration of the implant:
A prosthesis, that it is filled of cohesive of silicone or serum solution has lifetime that cannot be estimate precisely. A priori, an implant of quality theoretically does not have a limited lifetime. There is no expiration date after which the change of implant is mandatory. Thus, in the absence of a complication, the implant can be preserved as long as the patient wishes.
Possible complications:
Breast enlargement, although primarily realised for aesthetic motivations, is indeed a true surgical procedure, that implies some risks as any (however tiny) medical act.
It is necessary to distinguish the complications related to the anaesthesia from those related to the surgical act.
Concerning the anaesthesia: The anaesthesiologist will explain the risk and answer the patient’s questions during a pre-op consultation. Today’s technology allows the practice of anaesthesia under the best safety conditions for the patient and the surgical team.
Concerning the surgical act: Choosing a qualified surgeon, trained with this type of surgery, limits at maximum any risk, without however removing them completely.
Rare but possible complications: Infection requiring an antibiotic treatment and sometimes a surgical drainage. Haematoma formation requiring a drainage (evacuation). Decrease of the sensitivity, in particular in the nipple area, however the normal sensitivity generally reappears within 6 to 18 months. Troubles of the wound healing process are seen in heavy smokers and diabetic patients. Hypertrophic scars and even keloids can be found in the scars of patients with unfavourable wound healing process.
Specific Risks of breast implants: They can be classified in three groups according to the nature of the filling product of the implant.
Folds, can be sometimes be seen under the skin and are more associated with saline implants in a retroglandular position. This condition may require a simple surgical correction.
A capsular formation around an implant will appear as a normal reaction of the organisation. It consists of a fibrous membrane that envelops any foreign body. In certain cases, this membrane thickens, retracts and forms a true fibrous capsule around the implant that can deform the breast shape and be painful. The frequency of this complication cannot be generally estimated since it varies with the surgical indication, the type of the prosthesis and the procedure. The treatment consists to release de tension around the implant by incising the capsule. (capsulotomy).It seems to be texture implants and those placed behind the muscle have an overall lower rate of capsule formation.
Rupture and deflation can occur following a deterioration of the envelope of the implant, following a violent traumatism or as a manufacture defect.
Rupture of a cohesive silicone implant may pass unnoticed. The cohesive silicone remains confined to the capsule around the implant and only a slight deformity. However, a disruption of the capsule as a result of a puncture can produce a leakage of silicon with potential formation of granulomas.
The rupture of a saline implant results in a fast deflation. In these cases, replacement of the implant is mandatory.
Important questions
What you must know about breast implants
Is it possible to nurse?
Breast implants placed behind the mammary gland does not seem to have a repercussion on breast feeding.
Does implants increases the chances of breast cancer?
Breast cancer incidence in patients with implants is the same as in the general population. No correlation has been demonstrated.
Is cancer monitoring possible with implants?
The clinical monitoring is simple when prosthesis are placed behind the mammary gland. However, the presence of an implant can modify the capacity of x-rays to detect breast cancer. That is the reason why the patients carrying an implant must specify it to radiologist who will be able to use specific and adapted methods (echography, digitised mammography) of control
To resume, there is no need to overestimate the risks, but it is important to become aware that any surgical operation, even apparently simple, always comprises a small share of risks. Having a qualified surgeon ensures you that these complications can be identified and treated effectively.
I advise keeping this document, to read again it after the consultation. Perhaps this reading will bring out new questions, that our team will be ready to answer.
