Breast Augmentation with Implants | Ocean Clinic
Breast Augmentation Implants

Breast Augmentation with Implants

A breast augmentation with silicon implants is effective and safe. For over 50 years, it has been one of the most common procedures in our field. We use a selection of brands (Motiva, B-lite, Nagor), each with their specific characteristics and advantages. The choice of brand, just as the size and the shape of the implants, is tailored to your preferences and your anatomy.

Pre-operative considerations include the positioning of the implants and, if suitable, possible complementary measures such as a breast lift and /or a fat transfer. Our advice regarding the technique and the nature of implants, a 3D simulation of results and your thoroughly informed consent and enthusiasm are paramount in obtaining the breast you desire. Most important, though, is a thoughtful exchange, so that we truly understand what your wish entails.

  • Technical term
    Augmentation Mammoplasty
  • Duration of surgery
    60 – 90 minutes
  • Anaesthesia
  • Discharge from clinic
    Same day
  • Fit for society
    3 days
  • Back to work
    4-6 days
  • Aftercare and recovery
    Special bra for 4-6 weeks

What to know before Breast Augmentation

What to Know Before Breast Augmentation with Implants. Ocean Clinic

Your preferences and anatomic proportions are key in finding the implant brand best suited to you. All the brands we use are of highest quality, certified, approved and in their latest generation. They all provide you with a life-long guarantee for the implant and, in some cases, even a reimbursement for re-operation in case of late-onset complications. In our opinion, the chief advantages of each brand are:

  • Motiva: Novel, possibility of an ergonomic form, extremely low risk of capsular fibrosis in 6 years of survey, natural and pleasant touch. ➯ Motiva Novel
  • B-lite: Offering you a desired size and shape with approx. 30% less weight to carry, thus decelerating the sagging and ageing process, aiding the fight against gravity. ➯ B-lite Lightweight Breast Implants
  • Nagor: Very good value for money, highest possible projection (i.e. breast forward distance from the chest wall) amongst all anatomic shape implants. ➯ Nagor

All our implants are made of silicon. We do not use anything else. The silicon molecules are three-dimensionally linked, which guarantees that the silicon cohesive gel cannot exit the silicon shell – and this even in the extremely unlikely case of an implant rupture. The silicon shell ranges from no texture (smooth) to various amounts of texture (feels like very fine sandpaper), depending upon brand and model. In case of B-lite implants, the standard silicon gel features additional microsphere enhancement, resulting in its lightness.

  • Round: Form of a compressed sphere, offering some more fullness to the upper part of the breast (upper pole).
  • Anatomic: Form of a teardrop, which does not change if you hold it upside down.
  • Ergonomic: Round when you are lying down and anatomic when you are standing up, just like a natural breast.
  • For every shape, there are four degrees of projection (breast forward distance from the chest wall) available – from low to extra high. Please do not be misguided by the misbelief that anatomic implants produce natural results whereas round implants should create a prominent décolleté. The ultimate shape of your augmented breast results not only from the shape and the positioning of the implant, but also from the shape, position and amount of your natural breast tissue, your skin laxity and your pectoral muscle thickness. Therefore, natural and less natural looks can be achieved by both anatomic and round implants. In order to obtain your desired final appearance, a competent examination and a surgeon’s advice is essential.

Depending on model and size of the implant, incisions are 3 to 4.5cm long and their placement varies according to your preference.

  • Inframammary fold: In the breast’s fold itself, only slightly visible scars.
  • Periareolar: Placed within the pigmented areola, barely visible.
  • Trans-axillary: Performed in the armpit, no bothersome scars, visible only if lying with elevated arms behind you head (e.g. whilst sunbathing).

The Ocean Clinic’s preference is access via the inframammary fold, unless the breast enhancement is combined with a simultaneous breast lift. Access via the inframammary fold shows the lowest incidence of capsular fibrosis over the course of time.

  • Subglandular: Above the big pectoral muscle, underneath the breast tissue (glandula).
  • Submuscular: Underneath the big pectoral muscle and its connective tissue.
  • Dual plane: The upper pole of the implant is covered by the major pectoral muscle, whereas the lower pole lies predominantly subglandular.The muscle is divided along its anatomical direction of fibres, avoiding any functional deficits.

The most important criterion in deciding the position of the implant is the thickness of the skin covering the upper pole and the amount of underlying fat tissue. The assessment is called the pinch test and is always carried out by our surgeon.

Patient testimony

My breasts are perfect now, exactly how I wanted them. Thank you so much for a great job and all the care.

M.T. (32, China)

The Ocean Clinic is dedicated to avoiding any unnecessary pain. We routinely perform a temporary local anaesthesia of relevant sensory nerves, thus considerably lowering the pain in the early post-operative period. With an additional combination of one or two painkillers, you should be free of pain. At worst, you may feel a strain reminiscent of excessive gym training. Our suturing is resorbable; there is no need to remove stitches. We will provide you with a special bra to be worn for about 4 to 6 weeks. Do not lift any objects beyond 5kg and avoid sports involving weights during this period.

Capsule is a natural sequel to any implanted foreign body (breast implant, pace maker, port etc). It is the formation of a surrounding connective tissue envelope, protecting the body from foreign objects. In about 10% of cases, this capsule might begin to contract, eventually becoming smaller than the breast implant itself, resulting in a change of form and/or size of the breast and provoking pressure and pain. If this is the case, it occurs on average 10 to 12 years after the augmentation mammoplasty. The therapy is exchange or removal of the implant. There is no connection between breast implants and breast cancer. Breast implants further have no impact on the detection or the timely diagnosis of breast cancer. Extremely rare cases of anaplastic large cell lymphoma (ALCL) associated with breast implants have been described throughout the literature. The therapy is removal of the implant including its surrounding capsule. Overall, augmentation mammoplasty is the third most common procedure in the field of plastic surgery. In experienced hands, it is a safe and straightforward operation with highly rewarding results.

If you do not have any problems and are still satisfied with the appearance, there is no reason why you should change your implants. The belief that there is a standardised necessary implants exchange every 10 years grew from a much higher incidence rate of capsular fibrosis in the past. With the latest-generation implants we use, these numbers diminish to very low levels. All our implants have a life-long guarantee. In case you have any symptoms or uncertainties, come and see us.

Fat grafting is a recommended alternative technique in case you have enough fat reserves. Multiple sessions are often necessary, as the body absorbs a certain amount of transplanted fat. It is above all a good option if you wish to enhance your breasts by one or two cup sizes or as a complementing procedure. Autologous breast lifting is possible if you have sagging breasts with a prominent lower pole. Notice that your breasts will not become bigger, but implant effect can be created as your breast tissue is repositioned in order to tighten and lift the breast. The method requires the patient to accept more scars.

In more than 10 years, we have performed over 1000 breast augmentations. We are the authors of multiple scientific peer-reviewed publications concerning breast surgery and particularly breast enhancement. We continuously give related lectures at international scientific conferences and symposiums. We were and are among the first to use novel implants of the highest quality available on the market. We are proud of our satisfied patients due to meticulous planning and implant selection. We accept zero compromise on our patients’ safety.

The next step

Breast Augmentation with Implants after surgery and beyond. Ocean Clinic