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Bruststraffung: Entscheiden Sie über Ihren Körper

Schwangerschaft und Stillperioden, Gewichtsschwankungen und die Gewebsveränderung nach den Wechseljahren gelten als die hauptsächlichen Ursachen für eine Erschlaffung der Brust. Viele Frauen empfinden eine Hängebrust als unästhetisch und belastend und nutzen spezielle Stütz-BHs oder einen Sport-BH, was jedoch nur begrenzt Abhilfe schafft. Fühlen Sie sich auch unwohl mit Ihrer Brust? Vermeiden Sie den Blick in den Spiegel? Wünschen Sie sich wieder ein Dekolleté, mit dem sich sich wohlfühlen?

Wohlfühlen und das immer und überall:

  • Ob in der Sauna oder mit dem Partner; Verspüren sie kein Unwohlsein mehr
  • Durch die richtigen Proportionen den Körper ins Gleichgewicht bringen
  • Attraktivität durch Brustvergrößerung erhöhen
  • Auf lästige Push-up BH’s verzichten können

Referenzen

CenterPlast ist Ihr Spezialist für eine Bruststraffung. Vereinbaren Sie gerne einen Beratungstermin für Ihre Brust-Op.

 

What is a breast lift?

Lifting surgery, whether on the chest or abdomen, removes sagging, overstretched skin and fulfills the desire to restore a youthful and attractive appearance to the body. Techniques have continued to evolve over many decades to achieve a natural and youthful breast shape while leaving nearly invisible scars. For an optimal final result, many characteristics of the breast must be taken into account:

  • The breast fullness and size should harmonize with the body silhouette.
  • The breast silhouette should form a gentle, inward curve in the upper part and a harmonious curve in the lower part.
  • The nipple should be at about the highest point of the breast. This point is ideally located at the level of the middle of the upper arm.
  • The distance of the nipple to the inner boundary of the breast in relation to the outer boundary is ideally 60 to 40 percent [1].
  • A volume ratio of the upper and lower half of the breast of 45 to 55 percent is considered most harmonious [2].

 

1. O-Technik der Bruststraffung 2. I-Technik der Bruststraffung 3. T-Technik der Bruststraffung

 

Die Auswahl der richtigen Technik richtet sich nach dem Ausmaß überschüssiger Haut. Bei geringfügig hängender Brust kann eine Straffung über die sogenannte O-Technik erzielt werden. Bei merklich hängender Brust ist eine Straffung durch eine I-Technik oder eine T-Technik zu erreichen.

1 Vergrößerte Brustwarze
2 Zu entfernende Haut
3 Hautnaht
4 Vergrößerter Warzenvorhof
5 Überschüssige Haut des Warzenvorhofs
6 Naht mit nichtauflösbaren Fäden
7 Raffungsnaht

O-Technik der Bruststraffung

 

1. Leicht erschlaffte Brust. 2. Markierung der überschüssigen Haut. 3. Gestraffte Brust mit unscheinbarer Narbe um den Warzenhof.

Reasons for breast lift

In addition to aesthetic reasons, there is evidence that sagging breasts promote back pain [3]. First and foremost, sufferers want more beautiful, firmer breasts, but tightening to beautify the breasts can also promote an increase in physical performance, improved self-esteem, and a higher quality of life [4]. Over 90 percent of patients are very satisfied with the results of a breast lift.

For further information on the aesthetic surgical treatment of a so-called trunk breast, please visit the page tubular breasts in the category breast malformations.

Breast lift facts

OP duration 1,5h till 4h
AnaesthesiaGeneral anaesthesia / Twilight sleep / Fast recovery surgery
Hospital stay Outpatient
Costs to the price calculator
Aftercare 6 weeks
Thread traction Self dissolving threads
Socially acceptableafter 5 days
Supplements or alternatives Hybrid breast augmentation / breast augmentation with implants

How is a breast lift performed? We will gladly explain to you

Step 1: Preparing for your breast lift

Comprehensive information and the best possible preparation will help you to overcome your nervousness in the run-up to cosmetic surgery. The individual steps will be discussed again with your aesthetic plastic surgeon. The surgical plan is then drawn on the skin of your breasts with a special pen. Shortly afterwards, the anaesthetist will greet you.

Attentiveness and personal care ensure a pleasant atmosphere. As a preventive measure, you will be given an antibiotic before you are received in the operating room. Before the start of each operation, the surgical team routinely discusses all important points again. Only when everything has been checked will the anaesthetist give you a painkiller so that you do not even feel the anaesthetic injections. Usually, the patients are already in a light sleep while the entire surgical team is concentrating on the procedure.

Step 2: OP procedure

The surgical duration of a breast lift is 1.5 hours for smaller breasts and up to 4 hours for very voluminous breasts. This generally depends on the extent of the intervention.

A tightening of the female breast can be carried out gently and with particularly little pain in so-called twilight sleep. Fast Recovery Anesthesia has been used in the CenterPlast practice for years with good success. Your safety and comfort are paramount with this method. Due to the targeted long-acting anaesthesia of the nerves of the chest wall, only little anaesthetic is necessary. This form of anaesthesia is considered to be less risky than general anaesthesia. In addition, our patients recover very quickly after surgery and require less medication for pain even hours after surgery.

Step 3: After the procedure – the healing after the breast lift

After completion of the plastic-aesthetic procedure, a bandage will be applied. The surgical team will help you put on the special compression bra. This special bra (also called a support bra) must be worn for the first few weeks after the surgery. If you wish, the attending physician will contact a relative immediately after the operation. You will be able to drink or eat something shortly after the operation. Before you are collected, your surgeon will discuss with you once again what needs to be taken into account. You will receive a letter in which all recommendations, follow-up appointments and the personal telephone number of your surgeon are listed.

Why a breast lift at CenterPlast ?

CenterPlast stands for competence – safety and comfort. You can get advice from a surgeon as well as a female surgeon. In any case, the highly trained and experienced doctors will take care of your personal concerns. Since the quality of our treatment is our guiding principle, we provide more detailed information about quality in plastic surgery under “What is quality?”. There you will learn in more detail about the specific competencies that distinguish our experienced specialists.

Dr. Santos Stahl learned breast cosmetic surgery in Brazil and successfully passed the Brazilian, German and European examinations to become a specialist in plastic and aesthetic surgery. Plastic surgeons from all over the world travel to Brazil to learn the modern techniques and dexterity of Brazilian surgeons in the field of aesthetic surgery of the breast. In order to expand her knowledge, Dr. Santos Stahl has also worked with renowned surgeons in Germany and the USA. Internationally recognized Brazilian surgeons include:

Ribeiro L. (A new technique for reduction mammaplasty. Plast Reconstr Surg. 1975 Mar;55(3):330-4).

Goes JCS. (Periareolar mammaplasty: Double skin technique. Rev Soc Bras Cir Plast 4:55-63, 1989).

PD Dr. Stahl has acquired his expertise in the field of breast surgery in Germany and the USA. Due to his surgical training, he is not only extremely attentive to detail but also very sensitive. As a scientist, he knows that progress requires critical questioning. PD Dr. Stahl maintains a constant exchange with international scientists and experts in the field of plastic surgery in order to provide you with an edge through knowledge at all times.

What methods or types of breast lift are there?

Each treatment or surgical method has specific advantages and disadvantages. The key to a perfect result is to choose the treatment option that best suits the individual shape and size of your breasts. The recommendation of a particular technique is primarily based on the conditions of the breasts, mammary gland tissue and skin. Your goals, health status, previous treatments and current scientific findings will also be taken into consideration in order to select the most appropriate breast lift method with you. The different methods of skin tightening on the breast are schematically divided according to the course of your scars:

  1. O Technique:
    Surgical methods that leave a scar around the areola are commonly referred to as O technique. These methods can remove a slight excess of skin, no more than two centimeters in diameter. The technique was already described in 1932 [5]. Plastic surgeon Louis Benelli added a special suturing technique around the nipple to the method to avoid enlargement or deformation of the areola [6]. This technique is therefore often sought under the name Benelli method. However, this technique is not suitable for breast reduction.

  2. I Technique:
    The term I technique is used to describe various methods that leave a circular scar around the nipple and a vertical scar between the nipple and the inframammary fold. Due to the shape of the scar, which extends mainly over the lower chest area, it is also called the lollipop technique. The “I” technique offers the advantage that the scar is smaller than with the T technique. It is therefore also referred to as the short-scar technique. The I-cut technique of breast reduction with a vertical “I” shaped scar was described as early as 1923 [7]. The French plastic surgeon Claude Lassus further developed the surgical technique in the seventies. In the technique, the nipple remains in union with an upper tissue bridge [8]. For this reason it is also known as the Lejour method. Hall Findlay has described a slight variation of the Lejour technique, using a pivoting motion to offset the nipple for the new position [9]. The disadvantage of this technique is that the breast takes on a funnel shape after the operation. It can take up to six months for the breast to take on a natural drop shape after surgery. In the case of a breast reduction of more than 500g, there is also the risk that the vertical scar below the underbust fold will become visible and that excess skin will remain as a skin peak.

  3. J or L technique:
    In the J-method or L-method, excess skin is removed from the lateral chest in addition to the I-technique. The remaining J-shaped or L-shaped scar therefore looks like the letter J on the right breast, or like the letter L on the left breast due to the L-cut.

  4. T Engineering:
    In contrast to the I technique, the T method also involves a horizontal tightening of the skin. The tightening in vertical and horizontal alignment allows a precise shaping of the breast. The technique leaves a T-shaped scar, similar to the I technique, with the shortest possible scar hidden in the underbust crease. The scar in the T incision has the shape of an anchor or an inverted T. The upper part of the “T” forms the lower part of the scar due to the horizontal cut. The technique was already described by Erich Lexer in 1912 [10]. In the USA the technique is called “Wise pattern” [11]. This method is especially appropriate for large breasts and inelastic skin.

 

What is the technique of the inner bra?

During a breast lift, the nipple is returned to its original position and excess skin is removed. In order to give the breast tissue more support and the breast more fullness, various techniques have been described in which deeper skin layers and fatty tissue of the breast are moved. Since the first description of the internal bra technique in 1978, many variations have been added [12]. Research suggests that the inner bra technique helps the lower half of the breast to be more supported [13].

1 Lower fabric handle
2 Tightened breast according to the T-technique with fine inconspicuous intracutaneous sutures
3 Lower tissue stem, so-called inner bra

Schematic diagram of the inner bra technique. This technique can be performed for a breast lift with an upper mid-tissue bridge. In the Ribeiro inner bra technique, the tissue between the underbust crease and the nipple is used to shape the breast, as in the lower tissue bridge. The patient’s own breast tissue helps the breast to take on a better shape and tends to give a fuller décolleté.

What is the T-cut technique for breast lift or breast reduction?

1 Nourishing arterial branches of the nipple (branches of the lateral thoracic artery)
2 Nourishing arterial branches of the nipple (branches of the internal mammary artery, also called internal thoracic artery)
3 Upper tissue bridge of the nipple
4 Fifth rib
5 Tightened breast after the T-technique with fine inconspicuous intracutaneous sutures
6 Lower nipple tissue bridge

Schematic representation of the T incision technique for breast lift or breast reduction. The choice of the best surgical technique depends on the severity of a sagging breast. A slight tightening can be achieved with the so-called O-technique. A maximum of two centimeters of excess skin around the nipple can be removed. With the I-technique, the lower half of the breast (breast pole) is additionally narrowed.

The greatest possible removal of excess skin and mammary gland tissue is achieved with the T-technique. With the T-cut technique, the nipple is moved as far as necessary. The nipple remains connected to the breast via a tissue bridge. This ensures that the nipple remains connected to the vascular system and is supplied with cutaneous nerves.

Essentially, a distinction is made between the technique of the lower and the technique of the upper central tissue bridge. For optimal blood supply, the tissue bridge should be as short as possible. In the case of severely sagging or very large breasts, the blood supply is best ensured through the lower tissue bridge. The Inner Bra technique uses the tissue between the underbust crease and the nipple, like the lower tissue bridge, to shape the breast.

Behavioural recommendations before and after a breast lift

What should be considered before and after a breast lift? External pressure on the tissue impairs wound healing. Therefore, sleep on your back or side for the first six weeks after a breast lift. A special support bra promotes the healing process by removing tension from the wound. Please note the general recommendations for behaviour after breast surgery on the Breast Surgery FAQ page. There you will find out how to prepare for breast surgery and what other aftercare measures should be taken into account. Among other things, it also discusses when sports and a return to work are allowed and how to take optimal care so that visible scars are reduced.

Our before and after pictures of a breast lift at CenterPlast

Before-and-after photos may not be published on the Internet according to Section 1 (1) No. 2 of the Therapeutic Products Advertising Act. However, within the framework of a breast lift consultation, it is possible to explain the desired result in the first consultation and, if there is serious interest, to view selected photos for which patients have given their consent in advance. This is done in compliance with data protection. The photographs allow you to get an idea of your “new breast”. This will allow you to realistically assess the possibilities and limitations of cosmetic surgery. For more information, please visit our before and after pictures page in the “About Us” menu category in the “Quality” section.

Our testimonials of a breast lift at CenterPlast

Visit our testimonials page in the “About Us” menu category to read patient testimonials. There they report, among other things, on their satisfaction with the surgical result, the way they were treated by the team and whether they would recommend the practice to others.

We generally encourage our patients to rate us on Jameda and Google so that other patients can get an idea of what to expect during a consultation and procedure at CenterPlast. In fact, many patients are willing to share their “breast lift experiences” with other sufferers to help you make the right decision. During the individual consultation, we can also put you in touch with patients who agree to a personal report and answer your questions.

Frequently asked questions

At what age breast lift?

On average, patients who undergo breast lift surgery are 45 years old [14]). However, as described above, the natural aging process is not the only cause of sagging breasts. There are also many younger patients who desire a better body image after severe weight loss and thus consider surgical intervention.

If the breasts are sagging a lot after pregnancy and weaning, we recommend waiting not just a few weeks, but 6 months. Take advantage of a no-obligation online video consultation or, best of all, make an appointment for an on-site examination so that your individual wishes can be analyzed in consideration of your physical conditions.

You can find more information about breast surgery after childbirth in advance on our Breast Surgery FAQ page under the heading “When can breast surgery be performed after pregnancy?” There you will also find the answer to many other frequently asked questions.

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The author

Unsere Fachärzte für Plastische Chirurgie Saarbrücken
Dr. med. Stéphane Stahl

“We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.

References[+]

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