Augmentation of the breast volume with synthetic implants.
Small or emptied breasts.
Desire for larger breasts.
Puberty and development not yet terminated.
Short time plans for pregnancy.
Anorexia.
Introduction of soft synthetic implants behind the breast glands or the pectoralmuscle.
Operation time: 1-2 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: 3 possibilities: In the arm pit, in the lower breast fold or at the areolar border.
- see also chapter "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Changed sensitivity in the nipple for several weeks.
Rupture de l’implant.
The organism can react to the foreign body (implant) in forming fibrous tissue around it. In extreme cases this will result in a hard, deformed breast.
Drain removal after 24 to 48 hours.
Suture removal after some 2 weeks.
Resume work after 2 weeks.
Wear of a special bra.
Diminishing of the breast volume, removing glandular and fat tissue as well as the redundant skin.
Voluminous, heavy breasts.
Puberty and development not yet terminated.
Short time plans for pregnancy.
Access is gained through a wide key-hole incision in the lower half of the breast and around the nipple. The redundant soft tissue and skin is then resected and the breast cone remodeled. The skin is trimmed to fi t the new breast shape.
Operation time: 2-3 hours.
Anesthesia: General anesthesia.
Scars: Around the areola and down to the infra mammary
fold.
- see also chapter "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Diminished sensitivity in the nipple for several weeks.
Drain removal after 24 to 48 hours.
Suture removal after some 2 weeks.
Resume work after 2 - 3 weeks.
Repositioning and remodeling of a slack descended breast, occasionally with the addition of a breast implant.
Slack, drooping breasts.
Short time plans for pregnancy.
Anorexia.
The slack soft tissues are accessed and remodeled through a key- hole incision around the areola and across the lower pole of the breast. The nipple is raised and the redundant skin is removed and the remaining draped snug around the new breast cone.
Operation time: 2-3 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Around the areola and vertically down to the infra mammary fold.
- see also chapter "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Diminished sensitivity in the nipple for several weeks.
Recurrence if skin quality is bad.
Drain removal after 24 to 48 hours.
Suture removal after some 2 weeks.
Resume work after 2 weeks.
Removal of redundant, slack and adipose abdominal skin.
Abdominal skin redundancy after weight loss or pregnancy.
Short time plans for further pregnancy.
Heavy smoking.
Low transverse incision from one hip bone to the other, along the pubic hair border in a lazy W pattern. Through this approach, the entire abdominal skin including its fat is underminedtowards the thoracic cage and liberated from the navel that remains in place.
All this tissue is then pulled taught and its redundancy resected. Through a buttonhole incision, the navel is brought to the surface and sutured in place. The skin border is sutured in several layers to the skin margins of the transverse incision.
If necessary, the abdominal muscles are tightened and the waist fat is suctioned. In minor skin redundancies, a limited abdominoplasty without navel repositioning can be performed.
Operation time: 2-3 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Transverse in the lower abdomen.
In the case of moderate excess skin and fat, one can limit oneself to excision of skin above the pubis without moving the navel.
- see also chapter "First consultation: general complications"
Hematoma, Skin slough.
Seroma accumulation under the skin that has to be evacuated.
Diminished skin sensitivity for several weeks is normal.
Drain removal after 24 to 48 hours.
Elastic girdle for several weeks.
Suture removal after some 2 weeks.
Resume work after 2–3 weeks.
Suction assisted removal of undesirable localized fat deposits.
Diet resistant, unsightly redundant fat tissue in the average weight patient.
Pathologic adiposity, slack skin that would not adapt to a new contour.
With specially designed suction cannulas of various calibers, the redundant subcutaneous fat is vacuumed.
Operation time: 1-2 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: 4–6 mm long in remote areas close to the region to be
suctioned.
- see also chapter "First consultation: general complications"
Hematoma.
Irregular surface.
Pressure garment has to be worn during some weeks.
Suture removal after approx. 1 week.
Professional activity resumed after 2–7 days.
Removal of the redundant skin with its adjacent soft tissues along the upper arm.
Skin slackness in the upper arm region.
History of bad scarring.
Lymphoedema.
Pathologic adiposity.
Elimination of the circumferential cutaneous redundancy through a longitudinal, full thickness skin resection between armpit and elbow.
Operation time: 1-2 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Longitudinally between armpit and elbow.
- see also chapter "First consultation: general complications"
Hypertrophic scarring.
Suture removal after some 2 weeks.
Resume professional activities after 1–2 weeks
Removal of the redundant skin with its adjacent soft tissues of the upper medial thigh region. Repositioning and tightening of the remaining tissues.
Skin slackness in the thigh region.
Vascular problems in the lower extremities.
The skin and sub cutis is removed with a crescent shaped resection from the inguinal fold to the infragluteal fold.
The remaining skin will be pulled taught and anchored in the inguinal ligaments. If the circumferential skin redundancy is important, an additional vertical resection may be necessary.
Operation time: 2-3 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: From the infragluteal fold to the inguinal fold, sometimes longitudinally at inner thigh.
- see also chapter "First consultation: general complications"
Hypertrophic scarring.
Scar migration.
Skin slough.
Suture removal after some 2 weeks.
Resume professional activities after 2–3 weeks.
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