Clinic for plastic surgery, Belgrade, Serbia

BREAST AUGMENTATION

BREAST IMPLANTS - BREAST ENLARGEMENT

Breast augmentation

Breast augmentation, right after liposuction, is one of the most popular aesthetic surgeries. Mostly young women want this type of surgery while middle-aged women mostly want augmentation and breast lift.


First attempts of breast augmentation were made in 1904. However, surgical installing of implants starts in 1958 by Ivalon. Ivalon installed implants consisting of spongy polyvinyl alcohol whose use was soon stopped.


In the year 1963, Cronin and Gerow used for the first time silicone gel prosthesis. It is still used today, but with extensive adjustments.


Lots of women don’t like their breasts being huge, they prefer when they are so big that they can satisfy their inner feelings of the wanted look. The most common problems are: underdeveloped size or asymmetry of the breasts. With some women (that were satisfied with their breasts in youth) often after birth, weight loss or as a result of ageing, comes to loss of volume and change in breast shape.


Breast augmentation can enhance size and shape of your breasts as well as achieve proportionate shape that will match body configuration and which you most probably always wanted.


CANDIDATES FOR BREAST ENLARGEMENT

Many women are wondering if they are the right candidate for breast augmentation. Following indications can help you to get an answer:


  • you are too concerned about size of your breasts,
  • there is disharmony between girth of your hips and girth of your breasts. So that the clothes that properly fit and match size of your waist are often too small in the area of your breasts,
  • there is asymmetry of size and girth of your breasts,
  • your breasts became small and they lost their form after birth or weight loss,
  • there are certain congenital deformities of the breast.

Before the breast augmentation, you have to know precisely what look you want for your breasts.


PREOPERATIVE PATIENT ASSESSMENT

Prior to surgery you will need to go through some examination. First examination will be performed by Prof. Dr. Milan Jovanovic who will take your data of medical history. Anamnestic data includes information whether you are allergic to some medicines, are you taking any medicine, did you suffer from or are treated from some illness, and information about earlier surgical procedures including possible breast biopsy. You will be asked to tell if any member of your family suffered from breast cancer and what their mammography results were. That is important for gaining the complete information. If you plan to have children after breast augmentation you will tell that to your doctor. Pregnancy can change breast size in an unpredicted way and can affect long-term aesthetic result of your augmented breasts. It is not scientifically proven that the implant will affect your ability to breastfeed or the function of your breasts during pregnancy.


Prof. Dr. Milan Jovanovic will assess your breasts and will take in consideration following factors: shape of your breasts, quality of your skin and position of your nipples and areola. If your breasts are lowered, breast lift can be done in combination with breast augmentation. However, with women predisposed to breast cancer, plastic surgeon may request basic mammography. There is basic mammography before the operation and secondary mammography examination couple of months after the surgery. This will help determine some of the future changes in your breast tissue. After augmentation is complete you still can control your breasts in case of any pathological changes that can happen which are not linked to installed breast implant. Scientifically, risk of cancer after breast augmentation has not been proven. However, breast implant presence has more of a technical significance to the surrounding tissue.


Before the surgery you have to stop using aspirin or any other inflammatory medicine because they can cause increased bleeding. Your surgeon will preoperatively prepare you with additional preoperative requirements. Individual factor and personal wishes are information that will help you and your doctor to determine: the right size, shape and type of the prosthesis as well as the place of the incision and whether the implant will be placed above or below the pectoral muscle. Implant type that will be used will be determined during prior consultation with you. There are many companies that offer breast implants, such as Mentor, Polytec, Motiva etc. Their shape can be round or contour (high or low profile); they vary in volume, diameter and height; their surface can be smooth (rarely used) or textured (most often used, they provide appropriate surface for collagen contact); in their composition they can be filled with slow-discharge gel-silicone elastomers (used more often in Europe) or filled with saline (used more often in USA). Scientific proofs for implant safety and reliability are progressing very fast. New types of materials being used for prostheses are possible in the future.


BREAST AUGMENTATION PROCEDURE

Incision can be made in the inframammary fold, around lower edge of the areola, under armpit or more rarely in bellybutton level.


Implant is located in the pocket that is prepared just behind glandular breast tissue (so called subglandular) or under the pectoral muscle (so called subpectoral-dual plane)


Augmentation can be performed in general or local anesthesia accompanied with intravenous analgosedation. Before that you will receive preoperative medication for your comfort.


When the breast surgery is completed you will be moved from operating room to semi-intensive care room where your full monitoring will be observed. After a few hours you can be discharged from the hospital. Depending on the assessment done buy your surgeon, you can stay in the hospital for a night.


POSTOPERATIVE TREATMENT

Recovery after the surgery should last a day or two. First changing of bandages is done after one or two days. All the time you are wearing special clothing shaped like a bra or elastic bandage that is supported by a bra. You can take a shower usually after three days and after checking with your surgeon. The complete recovery is expected in about seven days. Sutures are removed about 14 days after the surgery.


You can continue with your standard activities a week after breast augmentation surgery, depending on the work you do. Avoid sexual activities at least for a week after the breast surgery. After that you should be careful and considerate with your breasts at least for a month after the surgery.


COMPLICATIONS

Breast augmentation surgery, like any other surgery, has its risks. It is best to discuss with Prof. Dr. Milan Jovanovic about the risk subject and possible complications.


After breast augmentation your breasts will look perfect. Many women who have undergone breast augmentation look more attractive and have inner self-confidence.


Results of breast augmentation are permanent. However, eventually the size and shape of your breast will change because of pregnancy and natural ageing process that actually happens to every woman and without augmentation. When that happens it is possible to do additional correction by breast lift.


After the surgery, doctor will schedule check-ups for you to regularly report to.



BREAST AUGMENTATION COST

Breast augmentation (augmentation mammoplasty) - from 2500€



RESULTS BEFORE AND AFTER AESTHETIC BREAST SURGERY

Some of the patients that were operated on by Dr. Milan Jovanovic personally:

Note: All of the results are genuine, without any processing in Photoshop.



Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before and after breast augmentation
Before breast augmentation | After breast augmentation

Before and after breast augmentation
Before breast augmentation | After breast augmentation

Before and after breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before and after breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation

Before breast augmentation After breast augmentation
Before breast augmentation | After breast augmentation