Breast surgery
Aside the feeding function
the breasts of the female plays an important role in the self-identification
and self-esteem and in this connection a role of social and sexual function
as well.
As the ideals for size and shapes of the breasts vary in different cultures
and with different fashion trends, it is impossible to decide how the breast
should look like regarding size. A pleasing shape without significant sagging
of the breast is mostly regarded as optimal. Nevertheless, the individual
female person sets her own ideals and should also have her own demands for
a corrective procedure.
Biologically the size of the breasts has no importance to breast-feeding,
as the hormonal stimulation during pregnancy alters the gland to the needed
demands. Big breasts consist mostly of fatty tissue, which is not milkproducing
and big breasts does not mean good feeding properties. During pregnancy the
connective tissue of the body weakens due to the hormonal alterations, a phenomenon
also seen during ageing. Normally the stability of the connective tissues
returns to normal after pregnancy, but the elasticity can be decreased. With
age, the hormonal production decreases, making the glands smaller. The combination
of these factors explains the change of size and shape after pregnancy and
with increasing age, namely enlargement of the "skinbag" around the gland
and the "shrinking" of the gland itself. Simultaneously the position of the
nipple changes, indicating the degree of "hanging".
Depending on the different conditions, there are following treatment options:
Big, dense breasts with or without hanging: Breast Reduction
Small breasts, asymmetric
breasts with or without loose skin: Breast Enlargement with or without
stretching of the skin.
Normal sized hanging breasts: Breast Lift
Anaesthetic: Regardless of the type of operation, we usually use local tumescent anaesthetic combined with conscious sedation, which is equal to general anaesthesia. The procedure is totally painless. General anaesthesia is of course available.