Breast Augmentation

Breast implants are made of an inert silicone cover and are filled with a silicone gel or with a physiological solution.

• Cover: the silicone cover is either smooth or rough (textured).
• Shape: the implant has a semicircular shape (spherical) or has the shape of a drop (anatomical implant). Spherical implants are suitable for breasts with a greater content of fatty tissue, anatomical implants have a more natural shape. 
• Insertion: Implants are inserted in different layers: under the skin, under the mammary gland, under the muscle.
• Guarantee: Implants have a lifetime guarantee, but a capsule is formed around the implants - a pocket that can cause contractures (capsular contracture) over time (around 10 years after augmentation) and the breast becomes harder and can be deformed. In this case, it is appropriate to replace the implant.
• Complications: complications with the use of implants include their tearing - rupture. The new generations of implants contain cohesive gel, so there is no risk of the gel getting into the body or bloodstream.
• Polyurethane implants are manufactured in similar shapes and sizes to silicone implants, but are lighter.

The method in which the patient's own fat is harvested and, after subsequent processing, transferred to the desired areas to fill the volume is called lipografting (lipotransfer).

The fat is removed by liposuction, using the thighs (inner thighs) or the abdomen for fat harvesting. The fat is then processed and injected using fine needles.

• The advantage of this method is the use of the body's own fat, which is natural to the body.
• The disadvantage, however, is that only a certain amount of fat can be used, as it has to be healed in the new location. Some of the fat also tends to be absorbed and therefore the operation usually has to be repeated.

The best results are achieved with this operation for correcting sunken (athrophic) scars and for small shape sculpturing of the breasts.