Breast enhancement after pregnancy

Video: Brustvergrößerung – Die 3D Simulation – so sieht meine Brust nach der OP aus

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Breast lift

DO YOU WANT BEAUTIFUL, FIRM BREASTS?

With increasing age, after pregnancies or strong weight fluctuations, the female breast loses fullness, shape and elasticity. A breast lift is one way to restore this.

Possibilities of a breast lift:

Breast lift without implants if there is sufficient breast tissue
Breast lift with simultaneous breast augmentation with an implant
Breast lift in the course of breast reduction

WHAT HAPPENS BEFORE THE OPERATION.

Many patients have the desire for firm, toned breasts after pregnancy or heavy weight loss. In a comprehensive initial consultation we clarify whether your wish coincides with the medical and technical possibilities – we must have a common goal. With the help of state-of-the-art 3D simulation, you can see what the breast may look like after the lift. If you have decided on a lift with an implant, you can compare the sizes of the implants and see how your desired breast could look after the operation. You get personal access to your simulations and can even access them from anywhere using your smartphone. This allows you to discuss a possible outcome with your partner or confidant in a very realistic way.

THIS IS WHAT HAPPENS DURING SURGERY.

With the right surgical technique and the right implant, I can achieve a beautiful and natural result. The breast is lifted, sagging glandular tissue is put back in the right place, the excess skin is removed and the nipple is lifted. The result is a fuller and firmer décolleté.

There are two types of application techniques:

  • The first technique is called the “periareolar incision technique”. Here, an incision is made around the areola. In this way, the areola can be reduced in size and proportionally adapted to the breast size. This technique is suitable if there is little excess skin and the breast is only moderately pendulous.
  • Another technique is called “tightening with a T-cut”. Here the incisions run around the areola, straight down into the underbust crease and horizontally in the breast crease. This technique is used for reductions or when there is more sagging skin and breast tissue.

We decide together which technique is right for you individually depending on the extent of the lift. A lift restores shape, but fullness can only be restored through volume.

THE PROCEDURE AND AFTERCARE.

The breast lift procedure takes place in Vienna in a day clinic and under general anaesthesia. My claim: precision and safety during the operation. I have over 13 years of experience in breast surgery and have performed over 1000 operations. The well-rehearsed surgical team is complemented by experienced anaesthetists who will look after you safely during the entire procedure. An overnight stay in the clinic is rarely necessary nowadays for medical reasons. Our patients are happy to stay overnight if the journey is long or if you simply want a night’s rest from everyday life. You will be fit for social life after 1-2 days and for work after 1 to 2 weeks, but you should refrain from sporting activities and rest for the first 6 weeks. For optimal results, a sports bra will be fitted after the operation and should be worn for six weeks. Proper scar care is very important and ensures an improved, beautiful skin appearance.

If you are prone to increased scarring, we can treat this with laser and medical needling (cost € 90,- per session).

My team and I are always available for you should you have any questions. You can always reach me on my mobile number after the operation, even at night. Further check-up appointments in my surgery are important in order to optimally accompany the healing process and will be arranged with you before the operation.

After a successful operation and waiting for the healing process, you will have no pain, can breastfeed and do sports without any problems.

COSTS

3D SIMULATION OF YOUR BREAST ONLINE

From now on, you can easily create the 3D simulation of your breast yourself from home:

Upload 3 photos of your patient (left profile, portrait and right profile)

Tubular breast

DEVELOPMENT OF THE TUBULAR BREAST

The reason for a tubular breast is stuck fascia and hardened connective tissue structures. During puberty, the growing gland is unable to resist this hardening and seeks the path of least resistance – a tubular breast develops instead of a round glandular body. Depending on the number of quadrants affected, as well as the degree of underdevelopment, 4 different degrees of severity of tubular breast are distinguished.

PLANNING THE CORRECTION OF THE TUBULAR BREAST

During a detailed consultation, we plan the procedure together according to your wishes and the anatomical possibilities. With the help of a 3D scan made during the consultation – for those who cannot wait any longer: You can also perform the scan online in advance at home – we will then go through the various technical options for the surgery. Since we have different implants available – depending on the indication – we will also explain the differences and specifications in detail.

OPERATIVE CORRECTION OF THE TUBULAR BREAST

The operation takes place in a day clinic under general anesthesia in the private clinic Währing in the 18th district in Vienna. The latest surgical techniques make it possible to leave the clinic without drains just a few hours after the procedure. The surgery itself takes about 1.5 hours. The correction of the shape of the tubular breast is usually done through an incision around the areola (=periareolar breast lift) – in rare cases an incision in the underbust crease, or a T-cut is also necessary.

THE FOLLOW-UP TO THE TUBULAR BREAST

Directly on the day after the operation, the first check-up takes place in our practice in Vienna’s 19th district. Here we change all the plasters, check whether the support bra fits well, and of course answer any susceptible questions. After 5 days there is another short control – after that showering is allowed again. One week after the surgery the stitches are removed and you may start with the scar care. If you are prone to increased scarring, we can treat it with laser and medical needling (cost € 90,- per treatment).

The support bra should be worn for a total of 6 weeks – sports & heavy lifting should also be avoided for this long.

Our team and we doctors are always available for you, should you have any questions. In case of emergency you can always reach us on our mobile number.

Breast enlargement

Video: 3D breast simulation – this is what your breast could look like

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YOU WANT A BEAUTIFUL, FULLER BREAST?

The ultimate goal of a breast augmentation is: well-shaped breasts that fit proportionally to the respective body and also to the individual body feeling. Whether sporty and firm or feminine and round – the wishes are as individual as every single woman.

Before After with round implant

Breast augmentation for asymmetry
Breast augmentation for asymmetry

Before After with anatomical implant

Breast augmentation with anatomical implants
Breast augmentation with anatomical implants

Before and after with b-lite implant

Enlarge breast with B-Lite
Breast augmentation
THE TREATMENT

The term breast augmentation does not describe all the possibilities for improving a new, female body image. After pregnancies or heavy weight gain and loss, there is often a desire to give the breast more volume again. Patients with tubular breasts, also called tube or trunk breasts, want a rounder shape instead of the pointed shape. There are many different implants and techniques that produce different results. We will discuss which technique and implant is right for you in a joint consultation. The 3D scan can show you exactly the breast you want.

THE IMPLANTS – SAFETY FROM EUROPE.

Most of all women decide to have a breast augmentation with silicone implants. I have had very good and long-standing experience with implants from the German company Polytech, which are very stable, reliable, tried and tested over many years and of high quality.

The advantages of Polytech implants are:

  • Premium implants produced in Europe
  • High lightness and shape stability
  • Good wearing comfort and excellent tolerance
  • No “expiry date” – however, regular control by ultrasound is recommended.

This new generation of silicone implants is lighter, has a better feel, is made of a more dimensionally stable gel and is more robust. They are characterised by a high standard of quality and safety. The latest implants integrate better into the female breast, the silicone gel adapts to the natural movement of the body.

I also use the so-called B-Lite implants.

The advantages of B-Lite implants:

The mixture of microspheres and silicone gel makes the implants not only 30 percent lighter, but also firmer. This prevents an undesirable “rippling” effect. This effect occurs when implants create ripples that can be seen through the surface of the skin.

The firmer material of the B-Lite implants prevents this annoying “rippling” effect. However, the changed structure in the silicone gel also means that the breasts feel firmer and slightly less natural.

There are round and teardrop shapes. The difference lies in the manufacturing process, which is why anatomical implants are usually also firmer and more dimensionally stable than round implants. The disadvantage of the prefabricated shape is a deformation of the breast should the implant rotate. 

Positioning of a breast implant (from left to right: under the gland, double layer/muscle flap technique, under the muscle).

The implant is placed during the operation under a light anaesthetic, directly under the muscle, dualplane (partially under the muscle) or under the gland.

Projection of implants (from left to right: high profile, medium profile, anatomical implants).

With the right choice of implant, method and a lot of experience, the risk of possible dents or bumps can be minimised and prevented.

The anatomical implant (upper picture) has the special feature that 65 percent of the volume is in the lower pole, whereas with the round implant (lower picture) the distribution is 50:50. This means that the upper pole is emphasised more with round implants than with anatomical implants.

WHAT HAPPENS DURING AND AFTER THE OPERATION.

The breast augmentation procedure takes place in Vienna in a day clinic and under general anaesthesia. Depending on the method and technique, the operation takes 1-1.5 hours. Nowadays, an overnight stay in the clinic is no longer necessary for medical reasons. You can usually leave the clinic on the same day. Our patients are very happy to stay overnight if the journey is long or if you simply want a night’s rest from everyday life. When you are discharged, you will be given a support bra to wear for 6 weeks. You can reach my team and me at any time if you have any questions. You can always reach Dr. Rolf Bartsch on his mobile number after the operation, even at night.

Further check-ups in the surgery are important in order to optimally accompany the healing process. After 2-3 days the plaster is changed and after about 2 weeks the sutures are gently removed. Until the stitches are removed, you should avoid sport and do not get the stitches wet.

If you are prone to increased scarring, we can treat this with laser or medical needling (costs € 90,-/session).

After a successful operation and waiting for the healing process, you will have no pain, can breastfeed and do any sport without any problems.

Surgery via underbust fold

Surgery via areola

Implants depending on the type:

3D SIMULATION OF YOUR BREAST ONLINE

From now on, you can easily create the 3D simulation of your breast yourself from home:

Upload 3 photos of your patient (left profile, portrait and right profile)

Liposuction Double Chin

YOU WANT A BEAUTIFUL, CLEAR NECK CONTOUR

The neck area often holds areas of fat that stubbornly persist despite a healthy diet and consistent exercise. Many people also have a genetic predisposition to a double chin. This consists of fat cells that are almost impossible to train away in this area. And more and more people come to us with the desire for a defined and natural neck-chin contour – because this stands for the epitome of youthfulness. A double chin or no more transition between the neck and chin are often the result of the natural ageing process and unloved problem areas.

THE UNLIKED FATAREAL NECK

A natural result can be achieved by means of targeted liposuction, which rejuvenates the overall appearance and brings back a clear, contoured contour.

Strong, intact tissue is required for neck liposuction, otherwise we recommend liposuction in combination with a lift. The procedure is performed on an outpatient basis and is low-risk.

HOW A NECK LIPOSUCTION WORKS

The fat cells are diluted with an anaesthetic solution, then “loosened” with an ultrasound probe and subsequently suctioned out with a vibrating cannula.
Reviews Shortcode

Lower & Upper Eyelid Lift

YOU DON’T WANT SAGGING LIDS ANYMORE – A CLEAR, ALERT LOOK AND AN UNRESTRICTED FIELD OF VISION?

It’s no secret that in the course of the aging process, connective tissue loses volume and tone. The area around the eyes is particularly affected by this. Excess skin causes drooping eyelids, the eyebrows droop and the lower eyelid casts gray shadows. The facial expression appears tired, sad and stressed. A characteristic in which one or the other recognizes him/herself.

Even small surgical interventions allow positive changes, not only for an awake and radiant look, but also in the fight against migraines and facial field restrictions due to drooping eyelids.

WHAT HAPPENS BEFORE THE OPERATION.

The most common procedure in the eye region is the upper eyelid lift with the aim of creating a fresh yet natural expression. In a no-obligation initial consultation, we will explain the technique, show you before/after pictures and explain the possible procedure in detail. Upper eyelid lifts are often combined with a lateral temple lift. In this way, excess skin on the side of the upper eyelid can be perfectly treated. The reason to undergo lower eyelid surgery is swelling with or without significant excess skin. When it comes purely to wrinkling of the lower eyelid, Fraxel laser treatment may be more appropriate than surgery. Tear troughs, which are often responsible for a tired facial expression, can be treated with autologous fat or hyaluronic acid and fillers. We will clarify together what is the most suitable treatment plan for you.

THIS IS WHAT HAPPENS WITH AN UPPER EYELID LIFT.

In an upper eyelid lift, the incision is made directly in the fold of the eyelid so that the scar is hardly visible later. In addition to the removal of excess skin and fatty tissue, an inner brow lift or lifting of the lacrimal gland may be necessary. A lateral lift of the eyebrows can also eliminate the excess at the lateral edge of the eyelid. Here the incision is made in the hairy area of the temple without shaving out any hair. This way, the incision remains almost invisible. With the right technique, this operation can be performed almost scar-free.

Scar 5 days after upper eyelid blepharoplasty

EYELID PTOSIS

The impression of a tired look can also be caused by eyelid ptosis, which is NOT corrected by an upper eyelid lift. Eyelid ptosis is a congenital or acquired weakness of the eyelid lifting muscle. The upper eyelid “hangs” and can only be partially lifted. It covers – depending on the degree – the pupil partially or in rare cases almost completely. A small degree of eyelid ptosis is quite normal.

THE PROCEDURE

In upper eyelid lifting, the skin incision is made directly in the fold of the eyelid so that the scar is hardly visible later. In addition to the removal of excess skin and fatty tissue, an inner brow lift may be necessary as described above. A lateral eyebrow lift can also eliminate the excess at the lateral eyelid margin. Here, the incision is made in the hairy area of the temple without shaving out any hair. Thus, this incision remains almost invisible. With the right technique, this operation can be performed with almost no scarring.

Eyelid lift – Brow lift
Result of the removal of skin fat muscle
THE INTERVENTION AND AFTERCARE

A great advantage of these procedures is that they can be performed on an outpatient basis in our surgery with a local anaesthetic or twilight sleep. Should it be necessary, a general anaesthetic can also be used as an in-patient. It is well known that the best way to recover is at home, so you can go home with an escort just a few hours after the operation. We will give you the appropriate pain medication to counteract any pain. In order to check the healing of the wound and to assist you with any questions, a change of plaster is planned after two days. The stitches are then removed seven days after the operation. Once the stitches have been removed and the crusts loosened, you can start with the scar care LINK. Slight bruising will be visible for about 10-14 days, but you will generally be able to work the next day. You can apply make-up again after about 10 days. Your body needs about 1 week of rest, i.e. physical exertion should be avoided.

My team and I are available for you at any time should you have any questions. You can always reach me on my mobile number after the operation, even at night. Further check-up appointments in my surgery are important in order to optimally accompany the healing process and will be arranged with you before the operation.

After a successful operation and waiting for the healing process, you will have no pain and can resume all activities without any problems.