Standard and Laser Breast Augmentation
Laser Breast Augmentation, bloodless, painless and with the maximum shortened recovery time.
See an example
Picture before and after by Dr. Bojan Ćirić
See an example laser and implants breast augmentation, pictures before and after by Dr. Bojan Ciric
Place of setting incision for Breast Augmentation
The incision (cut) can be done, in the submammary fold, around the lower edge of the nipple areola, rarely using axillar aproach.
The skin incision is needed to make the aproach for the place of implants placement into an adequate space for it (pocket).
The incision can be created by a scalpel (classic) or how it is most modern Laser beam. The length of the skin cut ranges from 4-6 cm and depends of the size and type of implants as well as places of implantation.
The implant is placed in the pocket (Implant Pocket) that is preperaed by use of classic instruments or laser technology.
For more than twenty five years, I have successfully working with different types of lasers and I believe that laser operations are not only the future of a long time ago in today’s minimally invasive and bloodless plastic surgery.
Picture: Possible implant positions
The most commonly used locations for placing implants to increase and form the breast
- Just below the glandular breast tissue (so-called subgalandular). It is only recommended for women who have enough glandular tissue. The shortcomings of the subgalandular position are the visibility of implants, possible ugly folding skin, unnatural appearance, greater possibility of hardening and distortion implant advantage is a speedy recovery.
- Partially below the pectoral muscle (partially subspectorative) partially below the gland (partial submuscular – dual plan). Dual Plane Technique means preparation in two levels below the pectoralis and below glandular tissue and offers benefits especially in skinny patients having moderately relaxed breasts. Dual planning technique can be beneficial for patients whose breasts are somewhere in the selection zone between the augmentation (increases) the breast is increased and tightening (Augmentation-Mastopexy). The differences between subspectoral and dual planes of augmentation are subtils.
- Submuscular – Completely below the Pectoral Muscle (Subpectoral) and serratus muscle. Due to the structure and anatomy of the Great Chest (Pectoralis Major) is very rarely that the implant can be placed only under the muscles because in the lower half mainly covered with fascia and binding muscle tissue that does not belongs a group of pectoral muscle. Advantages are a more natural look, much less tangible and visible implant. No wrinkles in the clivlege (decolte`) is reported. The lesser possibility of tissue hardening (capsular contracture) is around the implants. The disadvantage is a slightly more painful and longer recovery as longer time you need to implant after intervention. Extremely rarely in relaxed breasts, a double-bubble phenomena is possible, which is reflected in the fact that breast tissue hangs over the implant that is fed up to the anatomical position.
Anesthesia: Breast augmentation can be performed under general or local anesthesia with accompanying intravenous analgesia. Before that, you will receive preoperative premedication for your better comfort. When the breast surgery is over, you will be transferred from the operating room to a semi-intensive room, where your complete monitoring will be followed. After a few hours you can go home. If your surgeon estimates you can stay in the hospital for one night.
POSTOPERATIVE TREATMENT
Depending on the scope and manner of work as well as the patient himself, recovery can take one to two days. A postoperative bra or elastic bandage supported by a bra is worn all the time. You can take a shower in consultation with your surgeon usually after three days. The whole recovery is completed in about seven days. Wrapping and removing sutures by appointment with a doctor. You can return to normal activities a week after breast surgery, depending on the job you are doing. Sexual activity should be avoided for at least a week after surgery. After that, you must be careful and cautious with your breasts for at least a month after the operation. COMPLICATIONS Breast augmentation surgery has its own risk just like any other surgery. It is best to consult a doctor about the subject of risk and possible complications. Breast augmentation will make your breasts look perfect. Many women who have had breast augmentation look more attractive and have a strong inner self-confidence. The results obtained by augmentation are permanent. However, pregnancy and the natural aging process will eventually change the size and shape of your breasts, which actually occurs in all women and without augmentation. In such cases, it is possible to make additional correction of breast lift.
For more than thirty years I have been working extremely successfully with different types of lasers and I believe that laser surgeries are not only the future but long ago and the present in today’s minimally invasive and bloodless plastic surgery.
We recommend Laser Breast Enlargement and Shaping with the help of implants
Frequently Asked Questions (Q / A)
Art drawing of the cross section of the breast dual plane explains the essence of “dual plane” – double plane Pectoralis major, Pecoralis Fascia
Q: Why should we continue to use common standard techniques?
A: Because there is no perfect technique. Each new technique described is better than the previous one and offers improvements. In particular, this offers a better appearance and less likelihood of capsular contracture.
Q: So what are the advantages of this technique?
There are a lot of them, to mention:
- A smaller number of complications, such as capsule contracture, which occurs in 1-20% of women who have had breast augmentation implants.
- Perfect appearance, especially visible in thin patients with very small breasts who previously had a surgical problem. The upper pole of the implant is covered with muscles and cannot be felt under the skin. The lower sex has a very beautiful, almost natural shape due to a much better soft tissue compliance and, if an adequate high-profile or anatomical implant is used, it is often not noticeable that the breasts are beautified.
- Reduced possibility of lowering the implant through the chest wall over the years, because the muscle and fascia hold the implant in position.
- The appearance of spaced breasts is avoided in girls who exercise regularly, which is regular in the case of submuscular implants.
- There is less chance that the edge of the implant is felt under the fingers (palpation of the edge of the implant)
- There is no formation of wrinkles and bumps above the upper and inner poles of the implant
Q: What are the disadvantages?
A: There is no specific drawback, except for a longer duration of surgery and a more technically complicated procedure that requires more experience.
Q: How long does an operation like this take?
A: The average time to perform the operation is 60 to 90 minutes
Q: Are drains necessary?
A: They are only needed in exceptional cases
Q: How important is the meticulous surgical technique and the use of laser technology.
A: The way you treat and respect tissues is of particular importance. If you move in the anatomical layers during the operation, if you work with a laser without blood and prepare the tissues with laser beam and radiofrequency, instead of fingers, there is a great chance that the patient will recover faster and have minor problems.
Q: How important is the use new Laser technologies and whay is fewer traumas, painlessness and faster healing achieved?
A: Using special instruments, using laser technology and atraumatic technique. Painlessness does not mean the absence of pressure and discomfort during tissue adjustment in the first days after surgery. In rare cases, there may be a feeling similar to muscle inflammation after intense training, which is corrected by oral therapy with Ibuprofen (Brufen, Advil) or Diclofenac (Diclofen).
Q: Do Laser technology and atraumatic technique and dual plane reduce postoperative discomfort
A: yes! Complications and revisions are extremely rare and mild, below 1%. On the other hand, among girls, the degree of satisfaction with the outcome is over 95%, which is essentially our goal.
FAQs Breast Augmentation
Breast augmentation – is an operation to increase the size and the shape of the breast. It involves placing breast implants under the breast tissue or the pectoralis major muscle. Breast augmentation can change the size and shape of your breasts. Surgery can improve your body image and self-esteem.
What does triple plane breast augmentation mean?
Breast augmentation in the triple plane means the use of implants and your own adipose tissue for breast augmentation and breast sculpting. Implants are mostly placed under the muscles; many implants are placed in the subfascial plane. Breast augmentation with simultaneous implants and subcutaneous transfer of one’s own fat gives a more beautiful appearance and gives top results.
What does dual plane breast augmentation mean?
Breast augmentation in the double plane refers to the placement of breast implants in a certain anatomical position – partly behind the pectoral muscle, and partly behind the breast tissue. The layers of the breast, from the outer to the inner, are the skin, the breast tissue, the pectoral muscle and the ribs. Plastic surgeons have debated the best level for implant placement over many decades – some prefer placement between breast and muscle tissue (“subglandular plane”), while others prefer placement between muscle and chest wall (“submuscular plane”). There are advantages and disadvantages to each. The “double plane” was first described by Dr. John Tebbets in 2001 as a way to combine the advantages of both submuscular and sublandular augmentation.
A closer look at the breast augmentation process (Breast augmentation in the double plane Dual-Plane, below the gland -Suglandular And below the muscle – Submascular
Dual-Plane
In the double-plane approach, the lower beginning of the chest muscles separates from the chest wall and separates from the lower part of the breast tissue.
This allows the muscle to slide up slightly. When the implant is placed, the upper part is covered by the muscles, fascia and breast tissue, while the lower part is covered only by the fascia and breast tissue.
Coverage of the upper muscle of the implant reduces the risk of wrinkles and visibility of the implant in the upper part of the breast, capsular contracture and splitting disorders (* simmastia), while improving the accuracy of mammography. At the same time, the lower part of the breast implant, which is covered with breast tissue, uses a softer implant-breast transition, an improved shape and natural look and feel.
Symmastia
Simmastia is when your breasts grow together, with little or no cleavlage (décolleté). Instead, there is skin tissue, fat and tissue over the breast cleavlage area. There are different degrees of this condition. Sometimes the lack of a décolleté is less noticeable.
Symmastia can be congenital or acquired e.g. as a consequence of subglandular (under the gland) implants position that can lead to simastia by dissecting the subcutaneous tissue of the décolleté.
Breast augmentation, shaping and sculpture
I like to sculpt and create beautiful and natural breasts. Some patients would look great with a small teardrop-shaped breast implant; while others may want breasts that are slightly larger and fuller at the top.
Some patients do not want a breast implant and prefer to transfer their own fat. For others, neither the ointment nor the implant will be enough, in which case I use both; the implant provides most of the volume, while the fat conceals and softens and softens the edges of the implant.
I use the Tiple Plain Breast Augmentation technique which I developed and perfected after countless reconstructions and breast augmentations.
While any surgical plan should be customized, there are a few scary tips that should be universally ignored.
The idea with a breast implant “to always be a little bigger than you want just to make sure it looks full” and similar misguided advice, “put a big implant to lift your breasts”. I could not agree more with these statements!
This does not mean that women should not have large implants if they want to. For some, it will look great and fit their goals. However, going routinely for no reason doesn’t make much sense.
I spend a lot of time helping my patients choose the perfect implant size for their goals. I only replaced the implants for my patient once, simply because her breasts were too small to fit the size of the implant she wanted in the initial operation. A few months later, we managed to make the size of a very beautiful, but still modest implant.
On the contrary, I routinely see patients whose initial surgery was performed elsewhere. No one ever came to me from another clinic and asked me to go looking for a bigger implant. Each patient came individually with the request that the implants must be smaller, and most of them also need a breast lift. The idea that implant placement will give the appearance of a breast lift has some importance.
However, let’s look at that idea a little closer. The concept is that the implant will provide breast volume, pushing the nipple forward and upward – in much the same way that the swing is raised more as it swings forward. For patients who only need a little lifting, this can work great. However, when someone really needs a breast lift, the use of a large implant will probably not be helpful, at least not for very long. You will surely look great on the operating room table. Maybe you will look great even a few months. However, a large implant weighs a lot. Over time, the tissue that was initially tightly tucked around the implant will relax. When it happens, there is only one direction in which the implant will move gravitationally downwards!
Many women can say, that’s fine, I’ll come later to do, tightening and lifting the breasts when I need it “. Unfortunately, the same is likely to happen again with a large implant.
In this regard, here is a piece of advice that I routinely offer to my patients: “We use large enough implants to make you happy and stop there.” Don’t listen to other people telling you what to do.
We have several techniques by which we arrive at the perfect breast size and shape. Trust your instincts. Go for a breast implant size that fits you nicely. It will look natural. It will weigh less. It will be more comfortable. Furthermore in the future, you will be less likely to need a breast lift.
If you are someone who really needs to tighten and lift their breasts, lift them.
Don’t rely on an oversized breast implant that will lift your breasts and do a breast lift. It just won’t work in the long run.
You will still need a breast lift, but now you will have much larger implants than you originally wanted and you risk the same thing happening again. I believe that my colleagues think well of you. They want to offer a simpler operation. They may meet you by realizing that you do not want to have scars from tightening and lifting your breasts (Mastopexy – breast lift). Unfortunately, good intentions do not always turn into good results.
Breast Augmentation Price
MENTOR® Breast Implants are available in several sizes, a diversity of profiles (from Moderate Plus to Ultra High), as well as different surfaces (smooth surface or with SILTEX™ Imprinted Texture shell surface) and shapes (round or anatomical) to help you find the optimal implant for breast augmentation.
Breast Augmentation – by Implants – from 3000*
Laser Breast Augmentation by Implants and Single Laser – from 3500 to 4000*
Laser Breast Augmentation by Implants and Double (Combo) Laser – from 4500 to 5000*
Implant Replacement by new Implants and Combo double Laser – from 2000 to 2500* p.s
* Important Notice Prices in the price list are orientation. The final price in agreement with surgeon after examination and selection method. Prices are expressed in EUR, RSD Paying at the Sales Course of Intesa Bank on Payment Day.
