Peggy kuhne

THE OPERATION
Augment the breast size and volume with synthetic implants. Breast augmentation can correct a difference in size, or correct a difference in breast volume after pregnancy, or implemented as a reconstructive technique following breast surgery.

COUNTER INDICATIONS
Puberty and development not yet terminated
Short time plans for pregnancy
Anorexia

SURGERY (AS OUT PATIENT POSSIBLE)
Introduction of soft synthetic implants behind the breast glands or the pectoral muscle.

OPERATION TIME: 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, UNDESIRABLE RESULTS
Hematoma
Hypertrophic scarring
Changed sensitivity in the nipple for several weeks
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.

POST OPERATIVE 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. The goal is to give patient smaller breast that are in proportion with the rest of her body.

INDICATION
Voluminous, heavy breasts.

COUNTER INDICATIONS
Short time plans for pregnancy.

SURGERY (RARELY AS OUT-PATIENT)
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 repositioned and the breast cone remodeled. The skin is trimmed to fit the new breast shape.

OPERATION TIME: 2-3 hours.
ANESTHESIA: general anesthesia.
SCARS: around the areola and down to the infra mammary fold.

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hematoma.
Hypertrophic scarring.
Diminished sensitivity in the nipple for several weeks.

POSTOPERATIVE CARE
Drain removal after 24 to 48 hours.
Suture removal after some 2 weeks.
Resume work after 2 - 3 weeks.

THE OPERATION
This procedure raises and reshapes sagging breast by removing excess skin and repositioning the remaining tissues and nipples to improve its appearance. If a patient’s breast are small or have lost volume (after pregnancy), getting breast implants in conjunction with a lift can increase their firmness and size.

INDICATION
Slack,drooping breast

COUNTER INDICATIONS
Short time plans for pregnancy
Anorexia

SURGERY (OUT PATIENT)
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.

OPERATION TIME: 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, UNDESIRABLE RESULTS
Hematoma
Hypertrophic scarring
Diminished sensitivity in the nipple for several weeks
Recurrence if skin quality is bad

POST OPERATIVE CARE
Drain removal after 24-48 hours.
Suture removal after some 2 weeks.
Resume work after 2 weeks.