“I WOULD RATHER HAVE A SMALLER IMPLANT.”

If you have the feeling after a breast augmentation that the implants are too big and smaller ones would be nicer, this is also possible – however, the following must be taken into account: the skin mantle and the “implant pocket” inside the breast have been overstretched by the implants that are too big. If a smaller implant were to be inserted, it would not be held in place and would not heal well. When changing from “large to small”, the following therefore applies: first the implants are removed in a small operation. After that, it is necessary to wait for about 3-6 months to give the body the opportunity for the breast tissue to contract and heal. Then, in a follow-up procedure, the new, smaller implants can be placed. Depending on age and tissue condition, the new augmentation may be possible with or without breast lift.

Overstretched mammary gland tissue:
If the breast has not receded sufficiently even after removal of the implants,

• either a lift around the areola or
• a lift by means of a T-cut is necessary.

This is the only way to achieve an aesthetically pleasing result. Changing round implants to anatomical implants is not recommended in most cases due to the high risk of rotation.

“MY IMPLANT IS DEFECTIVE.”

You have had an ultrasound or MRI and the result shows a defective implant. Implant rupture is rare, but still possible. Often, patients feel that one breast feels softer than the other. In principle, defective implants should be replaced as soon as possible so that any leaked silicone does not remain in the body for too long. In the course of this operation, the ruptured implant is carefully removed and the implant pocket is completely cleaned. If there is also capsular fibrosis, the defective implant can also be removed “en bloc”.

“MY BREAST FEELS HARD AND FIRM, I HAVE CAPSULAR FIBROSIS.”

Capsular fibrosis is a very rare complication following breast augmentation or breast lift surgery. It occurs in less than 1 percent of all patients during our surgeries and describes the excessive formation of a hard, connective tissue-like capsule around the implant. A distinction is made between grades 1 – 4, with pain only being felt from grade 3. In grade 4, there is also a deformation of the breast. First, an attempt can be made to burst the capsule manually (in twilight sleep) by applying pressure from the outside – if this is unsuccessful, the implant, including the implant, must be removed. capsule can be surgically removed. A new implant can then be inserted.

“I FEEL LIKE THE IMPLANTS ARE MAKING ME SICK – BREAST IMPLANT ILLNESS.”

In some cases, there are patients for whom, instead of an increased body awareness, the complete opposite manifests itself after breast augmentation: they feel chronically tired since the implants, suffer from inexplicable symptoms such as hair loss, headaches, sleep disturbances, muscle pain, etc. – and see the cause of these complaints as their body’s reaction to the implants. This phenomenon has not yet been scientifically proven – however, we take these warning signs very