THE OPERATION
Augmentation of the breast volume with synthetic implants.
INDICATIONS
Small or emptied breasts.
Desire for larger breasts.
COUNTER INDICATION
Puberty and development not yet terminated.
Short time plans for pregnancy.
Anorexia.
SURGERY
Introduction of soft synthetic implants behind the breast glands or the pectoralmuscle.
Duration: 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.
POSSIBLE COMPLICATIONS
- 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.
POSTOPERATIVE CARE
Drain removal after 24 to 48 hours.
Suture removal after some 2 weeks.
Resume work after 2 weeks.
Wear of a special bra.
THE OPERATION
Diminishing of the breast volume, removing glandular and fat tissue as well as the redundant skin.
INDICATIONS
Voluminous, heavy breasts.
COUNTER INDICATION
Puberty and development not yet terminated.
Short time plans for pregnancy.
SURGERY
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.
Duration: 2-3 hours.
Anesthesia: General anesthesia.
Scars: Around the areola and down to the infra mammary fold.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Diminished sensitivity in the nipple for several weeks.
POSTOPERATIVE CARE
Drain removal after 24 to 48 hours.
Suture removal after 2 weeks.
Resume work after 2 - 3 weeks.
THE OPERATION
Repositioning and remodeling of a slack descended breast, occasionally with the addition of a breast implant.
INDICATIONS
Slack, drooping breasts.
COUNTER INDICATION
Short time plans for pregnancy.
Anorexia.
SURGERY
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.
Duration: 2-3 hours.
Anesthesia: General or local anesthesia with twilight premedication
Scars: Around the areola and vertically down to the infra mammary fold.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Diminished sensitivity in the nipple for several weeks.
Recurrence if skin quality is bad.
POSTOPERATIVE CARE
Drain removal after 24 to 48 hours.
Suture removal after 2 weeks.
Resume work after 2 weeks.
THE OPERATION
Removal of redundant, slack and adipose abdominal skin.
INDICATIONS
Abdominal skin redundancy after weight loss or pregnancy.
COUNTER INDICATION
Short time plans for further pregnancy.
Heavy smoking.
SURGERY
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.
Duration: 2-3 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Transverse in the lower abdomen.
MINI-ABDOMINOPLASTY
In the case of moderate excess skin and fat, one can limit oneself to excision of skin above the pubis without moving the navel.
POSSIBLE COMPLICATIONS
- 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.
POSTOPERATIVE CARE
Drain removal after 24 to 48 hours.
Elastic girdle for several weeks.
Suture removal after 2 weeks.
Resume work after 2–3 weeks.
THE OPERATION
Suction assisted removal of undesirable localized fat deposits.
INDICATIONS
Diet resistant, unsightly redundant fat tissue in the average weight patient.
COUNTER INDICATION
Pathologic adiposity, slack skin that would not adapt to a new contour.
SURGERY
With specially designed suction cannulas of various calibers, the redundant subcutaneous fat is vacuumed.
Duration: 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.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hematoma.
Irregular surface.
POSTOPERATIVE CARE
Pressure garment has to be worn during some weeks.
Suture removal after approx. 1 week.
Professional activity resumed after 2–7 days.
THE OPERATION
Removal of the redundant skin with its adjacent soft tissues along the upper arm.
INDICATIONS
Skin slackness in the upper arm region.
COUNTER INDICATION
History of bad scarring.
Lymphoedema.
Pathologic adiposity.
SURGERY
Elimination of the circumferential cutaneous redundancy through a longitudinal, full thickness skin resection between armpit and elbow.
Duration: 1-2 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Longitudinally between armpit and elbow.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hypertrophic scarring.
POSTOPERATIVE CARE
Suture removal after some 2 weeks.
Resume professional activities after 1–2 weeks
THE OPERATION
Removal of the redundant skin with its adjacent soft tissues of the upper medial thigh region. Repositioning and tightening of the remaining tissues.
INDICATIONS
Skin slackness in the thigh region.
COUNTER INDICATION
Vascular problems in the lower extremities.
SURGERY
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.
Duration: 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.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hypertrophic scarring.
Scar migration.
Skin slough. POSTOPERATIVE CARE
Suture removal after 2 weeks.
Resume professional activities after 2–3 weeks.