Silicone breasts

Today, beast augmentation using implants is one of the most common aesthetic procedures among women. The reasons vary, but the most common is that a woman feels her breasts are disproportionate or too small in relation to the rest of her body.

This may be due to the breasts naturally not matching the size and shape the woman desires, that they are different sizes, or that the breasts have become smaller and lost their shape after pregnancy and breastfeeding.

Breast augmentation is also performed as a reconstruction after breast cancer surgery.

Victoriakliniken_brostförstoring

The treatment process for breast augmentation our unique 5 P’s

1. Patient selection

 

As a surgeon, having the courage to say, “I won’t do this,” can be the most important thing. Sometimes the best surgery is the one that is not performed.

Operating on the right patients, for the right indications, is one of the most important factors in achieving a good final result for the patients being operated on. Sometimes, the best surgery is the one that is never performed.

Our motto is Safety First

 

2. Proportionate

 

The right implant for the right person, placed correctly, yields the right result – the golden ratio.

Operating on the right patients, for the right indications, is one of the most important factors in achieving a good final result for the patients being operated on.

Choosing the right technique and implants based on a patient’s measurements and anatomical conditions results in an aesthetic outcome with few complications.

When looking at a face or a nose and deciding which technique to use, it is about finding a balance.

Striving to achieve “the golden ratio” creates harmony. Safety first is always our motto.

 

3. Planing

 

Everything follows a plan. Nothing happens by chance; everything is done for a reason. Both the design and the choice of implants.

The patient is photographed before each surgery, including with a 3D camera. On the day of the surgery, the patient is marked and drawn in detail.

Suitable implants are selected with the patient, based on the patient’s measurements and conditions.

Medication and aftercare are also planned for each patient. Additionally, the operating room is prepared very carefully according to established protocols.

 

4. Performance

 

To achieve an optimal surgical flow where everyone knows their role: before, during, and after the operation.

A skillfully performed surgery is conducted efficiently, with minimal bleeding, and under controlled, sterile conditions for the best long-term results.

 

5. Post-operative

 

Doctors, medical staff, and patients take responsibility after the surgery for the best outcomes through aftercare, follow-ups, and comprehensive guarantees.

Implants

The market offers a variety of breast implants (breast prostheses). Common to them is that they have a shell made of solid silicone plastic. The silicone shell is then filled with either saline solution or liquid or firmer, cohesive silicone gel (commonly known as gummy bear implants). The surface can be smooth or textured. The shape of the implants can be anatomical (also called teardrop-shaped) or round.

Victoriakliniken exclusively uses implants that contain the firmer form of silicone gel, commonly known as gummy bear implants. These are available with both textured and so-called nano-textured surfaces.

Our most common implants today are “Round” or “Ergonomix” implants from the manufacturer Motiva®. These implants have a nano-textured surface that feels almost smooth, especially compared to textured implants from other manufacturers. These implants are highly appreciated by patients, as they feel very natural and are difficult to distinguish from the feel of a natural breast; they feel “real.”

They are also equipped with a chip, which allows the implant to be scanned externally if you need to find out the serial number, among other information.

If a textured, more shape-stable implant is a better fit, we have also been using anatomical implants from Mentor®, another major manufacturer of implants in the world, for many years. These implants are designated under the model name CPG™.

The implants we use all come with a lifetime warranty from the manufacturer, meaning they will be replaced at no cost if they, for example, break.

Before and after pictures

BeforeAfter

19 years old, 179 cm, 58 kg, 360 cc

BeforeAfter

24 years old, 173 cm, 55 kg, 360 cc

BeforeAfter

24 years old, 159 cm, 51 kg, 280 cc

BeforeAfter

25 år, 164 cm, 58 kg, 315 cc

BeforeAfter

37 years old, 168 cm, 61 kg, 340 cc

BeforeAfter

37 years old, 163 cm, 56 kg, 275 cc

BeforeAfter

38 years old, 168 cm, 67 kg, 330 cc

BeforeAfter

43 years old, 162 cm, 60 kg, 380 cc

Technique

Most women considering breast augmentation today desire a result that looks as natural as possible. The breasts should both feel and look natural and be proportionate to the body.

Implants
Implants can be placed above or below the breast muscle. Incisions are most often made in the natural fold under the breast. This approach involves the fewest complications and the least risk for the patient. The placement makes the scars nearly impossible to see.

Hybrid breast augmentation
Hybrid breast augmentation is a type of breast enlargement that uses both implants and the patient’s own fat to achieve the desired size and shape of the breasts. By using fat from the patient, the surgeon can refine the symmetry between the breasts and achieve an even more natural result. Almost all women, for example, have certain differences in size and shape between their two breasts. This method simply gives the plastic surgeon the opportunity to customize the breast augmentation procedure more than has previously been possible.

The choice of method and implants is determined based on each patient’s individual circumstances and preferences.

Operation

The surgery is performed under anesthesia, which means you will be asleep and pain-free throughout the procedure. You will stay at Victoriakliniken for at least one night.

After the surgery, you can expect some swelling and tenderness, which typically peaks on the second or third day and then gradually subsides. You will be given pain relief medications to take home, and usually, after three weeks, you will return to us for a follow-up and assessment.

Complications

Stretch marks

 

Stretch marks can occur when the dermis layer of the skin, which lies beneath the epidermis (the outermost layer of skin), is stretched and torn, something that usually happens during rapid growth or rapid weight change. Considering that breast augmentation, in a sense, entails rapid growth of the breast area, it is not surprising that implants CAN result in skin stretch marks.

The skin on the breast is generally quite elastic and resilient, making it very uncommon for stretch marks to develop as a result of breast augmentation. Stretch marks can form when the tissue cannot expand quickly or sufficiently to accommodate the growth that occurs, and this is almost never the case with women’s breasts.

However, stretch marks can sometimes occur as a complication of breast augmentation, and there are several factors that can increase the risk. One of these factors — implant size — is entirely controllable. The other — genetic predispositions — is not.

At the most basic level, it can be said that the larger the implant, the greater the risk of stretch marks. If your skin is very durable and elastic, you may be able to significantly increase your breast size with little risk of stretch marks. However, if you are prone to stretch marks (for example, if you have thin skin with low elasticity), you might choose a more moderate breast enlargement. If you are unsure whether you are prone to stretch marks, don’t hesitate to ask your plastic surgeon, who can help you determine how it applies to you.

Can breast implants cause stretch marks? Yes, but only very rarely. With the right plastic surgeon, who helps you determine what works with your body, you are unlikely to be at risk of getting them at all.

 

Scar formation

 

After a surgical incision, the body produces collagen to repair the “damage.” Collagen acts like cement, filling the space between two bricks. Always too much collagen is produced, which is why we also produce an enzyme called collagenase that “melts” away the excess collagen. This molding process lasts for months. Collagen is produced, and the surplus is removed to restore the skin’s original shape. If there is an excess of collagen left, a more prominent scar will form.

A perfect balance between collagen and collagenase leaves the least noticeable scars. However, we often heal too well! After the skin has regenerated, we continue to heal, and the scar becomes, so to speak, larger than necessary. If we could force extra collagenase into our cells, we could dissolve this excess scar tissue.

Plastic surgeons and dermatologists have known for decades that there are ways to reduce the size of scars. However, until now, no method has been particularly comfortable. For example, it has been found that pressure bandages help increase the production of collagenase, and this has been used for burn treatment for over a century. Cortisone creams not only soothe irritated skin but also stimulate natural collagenase production. In extreme cases, doctors may use cortisone injections.

For decades, doctors have prescribed silicone sheets. Taping silicone film over a scar will reduce it. This was discovered in the early 1980s when a doctor attempted to apply even pressure to a scar using a silicone sheet. Scars treated with silicone appeared to diminish much more quickly. Vitamin E helps by working on the collagen fibers, making scars softer and more pliable.

Closing the skin after breast augmentation

The first step to achieving the best possible scar is to close the skin without tension. The skin may appear wrinkled initially, but it will smooth out over time.

After the skin is properly closed, what else can be done to minimize scarring?

What we do at Victoriakliniken is tape the breasts with silicone for 6 months after surgery. If you then wish to continue treating the scar on your own, vitamin E or a vitamin E-rich oil massaged into the skin can help. Massaging the oil by “folding macaroni/cheese puffs” along the scar, both upward and downward, often helps soften the scar and make it more flexible (this technique also works well for other scars, such as those from a cesarean section).

 

Breast Implant Associated Anaplastic Large Cell Lymphoma

 

BIA-ALCL is a relatively new and very rare condition, but it is important for all patients with breast implants to be aware of it. It is believed to be caused by the texturing of breast implants, which in some cases creates a chronic inflammatory process inside the breast cavity.

 

Bottoming-out

 

“Bottoming out” typically occurs in slender patients with very little breast tissue and skin coverage, combined with large implants. It is more likely to happen if the implant is placed above the muscle and is less common with implants placed completely under the muscle. The type of implant does not matter in this context; bottoming out can occur with smooth, textured, saline-based, or silicone-based implants. However, there is an increased risk with smooth implants.

 

Capsule contraction

 

Around all foreign materials implanted in the body, such as breast implants, a natural scar tissue forms, known as a connective tissue capsule. In some patients, this connective tissue capsule can become thick, firm, and tighten. This is called capsule contraction and can cause the breasts to feel hard and appear more unnatural.

 

Loss of sensation

 

All breast surgeries can result in the breast and/or nipple becoming either overly sensitive or not sensitive enough. This change can vary in degree and may be temporary or permanent. It can affect sensation during breastfeeding or sexual response.

You may experience numbness or hypersensitivity during the healing process, sometimes both. This usually diminishes over time. It is important to remember that it can take up to a year, and sometimes two, for full sensation to return after breast augmentation.

 

Rippling

 

There are many factors that can affect the risk of “rippling.” The most important are the quality and thickness of the patient’s skin and tissue, the choice of implant type and size, and the technique used by the surgeon. While skin type is not something that can be altered, the risk of rippling can be minimized by choosing “denser” silicone implants (form-stable) that are not wider than the patient’s natural breasts, and by placing the implant under the muscle.

 

Rotation

 

All implants can rotate. This is usually not visible but is more apparent with anatomical (teardrop-shaped) implants, as they are asymmetric. If round implants rotate, the shape of the breast is not affected. When an anatomical implant rotates, the shape of the breast becomes distorted. If it is a simple rotation, the implant can be repositioned during a revision surgery (and, if necessary, the pocket in which the implant rests can be adjusted), or it may be replaced with round implants.

 

Sweden’s most comprehensive safety guarantee

Victoriakliniken is a world-leading authority in breast surgery. Being a global leader in a field means taking full responsibility for one’s surgery and outcomes, not just in the short term but, above all, in the long term.

When you undergo breast surgery with us, it always includes:

  • 10 years of free follow-up of your implants with ultrasound.
  • 5-year warranty against complications at no additional cost.
  • At least one overnight stay
  • Access to emergency services 24/7.
  • Free return visits
  • Medications
  • Ability to contact your surgeon directly after returning home.
  • Compression bra

“Our warranty program means that we always follow up on your treatment and ensure the quality of the results for at least 10 years.”

Dr. Marie Jaeger

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“I have had a breast augmentation, and it went well. I was very nervous at first but was well taken care of. I had many questions both before and after the surgery, but you answered everything. It has been easy to reach you when I had something I was wondering about. All the staff I have met at Victoriakliniken have been very friendly, and I felt calm in their presence. Only positive experiences.”

Price

We have chosen not to have a fixed price list, as each patient is unique with individual circumstances. Moreover, it is often only during the consultation that we can determine together with you which procedure(s) are suitable to achieve a beautiful final result. With us, in addition to the surgery cost, anesthesia, medications, follow-up visits, compression garments, and bras are included, as well as, in most cases, at least one overnight stay after the surgery.

In general, all prices are shown inclusive of VAT, as all procedures and treatments except those performed for medical reasons have been subject to VAT since the beginning of 2014. In cases where the price is shown exclusive of VAT, this is because these procedures are always performed on medical grounds. (Price below includes VAT)

Breast Augmentation
from 85 000 SEK

a slight lift

Breast Augmentation
from 59,000 SEK

including warranty

Breast Augmentation
from 85 000 SEK

+ with your own body fat

Breast Augmentation
from 79 000 SEK

hybrid

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