Breast augmentation

Breast augmentation with implants

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About breast augmentation

We would like to give you a good picture of what breast augmentation involves. First of all, the quality of the implants is crucial. The implants we chose at Essential Aesthetics are safe; they do not leak and they last a lifetime. The manufacturer issues a lifetime warranty on the breast implants as they are of such outstanding quality. Many women think that breast implants need to be be replaced after ten years, but the quality has much improved, meaning that this is no longer necessary. You will be looking, together with the doctor, at which implants best fit your needs. There are several types of implants which can shape your breasts in different ways. It is of course also possible to combine breast augmentation with a breast lift or a nipple correction.

What happens during breast augmentation

Breast augmentation occurs under general anesthesia and takes around an hour and a half, depending on the placement method. There are different ways of inserting the implants into the breast:

Through the inframammary fold

When the implants are inserted through the inframammary fold, the incisions are made on the underside of your breasts. The advantage of this method is that the surgeon can place larger implants and has a good view of the chest cavity. The risk of post op bleeding and other complications is relatively small with this procedure. Although the scar is quite large compared to other possibilities, it is well hidden in the inframammary fold and barely visible after a year.

Through the armpit

In this procedure, the incisions are made in the armpit. The great advantage of this method is that there are no scars on or under the breast, but there is a greater chance that the implants shift. The surgeon also has a more limited view of the chest cavity using this procedure.

Through the areola

The incisions in this method, are made at the transition from the areola to the breast. The scar is small and inconspicuous. This technique is particularly suitable for the insertion of smaller implants because only a narrow incision is made. This procedure is often combined with a small breast lift. There is however a risk of sensory disorder in the nipple with this method.

Implants placement

The implants can be placed in front of the muscle, behind the muscle or partially in front and behind the muscle. The surgeon will choose the best method for your breast augmentation depending on your skin condition, the amount of skin tissue in your breast, the type of implant and the result you desire.

Implants are usually placed above the pectoral muscle when:

  • Your breast contains enough tissue of its own to cover the implant.
  • Your pectoral muscles are very strong, strong pectoral muscles can cause displacement of the implants.
  • You wish for a big cup size.

The downside of placing implants above the pectoral muscle is that the breasts can hang sooner than with other methods.

In most cases, the implants are placed partially above and below the pectoral muscle (dual plane). One of the advantages of this placement method is that there is less risk of capsule formation in the breast. The result also often feels and looks more natural. The downside of this method is a longer recovery period and more pain during the first weeks after surgery.

The implants

At Essential Aesthetics we only use implants of the best quality: Mentor, Natrelle and BRST line. the manufacturers of these brands issue a lifetime warranty on the implants. Our clinic works with silicone implants as they deliver the best results. In addition to be able to select different brands and placement methods, you can also choose from different prosthetic shapes: round or tear drop shape. There is also a choice in the consistency or cohesion of the silicone, for example liquid silicone gel implants and solid silicone implants. Each option has its pros and cons, hence it is important to be well informed about the different implants. Our specialists are here to help you with this and you will be able to see and feel all the implants during your consultation. We are are to help you choose the implants that best fit your body and posture.

Implant profile

The surface of an implant can be rough or smooth. Most anatomical implants have a rough surface, round implants have both. There is less chance of capsule formation with a rough profile. The surgeon will tell you which surface is best for you and explain why.

Surface area of the implant

The surface of an implant can be rough or smooth. Most anatomical implants have a rough surface, round implants have both. There is less chance of capsule formation with a rough profile. The surgeon will tell you which surface is best for you and explain why.

GalaFLEX

What is GalaFLEX ®?

GalaFLEX® is a temporary, absorbable scafold used to strengthen, stabilize and support weakened soft tissue. It was designed to provide support immediately after breast surgery, which allows your body to heal and create a healthy new tissue plane of primarily mature collagen.

GalaFLEX® scafolds are made from a biologically derived polymer known as poly-4-hydroxybutyrate (P4HB™), which breaks downover time into CO2 and H2O, a process similar to absorbable stitches. This means that your body knows how to metabolize and completely absorb the scafold safely and naturally.

GalaFLEX® scafolds are offered in a variety of shapes for use in breast surgery procedures. Each GalaFLEX® scafold is selected by your surgeon specific to your body’s shape and needs.

How does GalaFlex work?
During surgery, your surgeon will place the GalaFLEX® scafold internal bra under your tissue.
The unique knit pattern of the scafold encourages rapid cellular infiltration and the formation of new collagen which is a key component of healthy skin tissue. This newly formed tissue is pliable yet provides strength, support and stability to the elevated tissue.
After 18-24 months, the scafold is essentially completely absorbed and eliminated from the body as water and carbon dioxide through natural physiologic pathways. No polymer metabolites remain after the degradation process is complete. The collagen tissue that remains is 3-4 times the original tissue strength.

BE GalaSTRONG
The GalaFLEX® Family of Scafolds are used in patients who need additional support because of weakened or deficient soft tissue, in breast surgery procedures. The GalaFLEX® Family of Scafolds are used in breast procedures such as reduction mammoplasty, augmentation and revision surgeries.
Patients seeking to strengthen and stabilize weakened tissue during breast surgery may be a candidate for GalaFLEX® scafold.

GalaFLEX® Scafold Integration

7 Months – Mature collagen is prevalent and provides reinforcement to the elevated tissue.
1,5-2Years – The scafold absorption process is essentially complete.
1 Month – Healthy cells grow into the scafold.
D.O.P – Date of procedure.
1 Year – A new healthy tissue plane 3-4 times stronger than the original tissue remains as the scafold absorbs.

Actual results may vary

The Issue With Tissue
As we age so does our skin. After the age of 20, our skin loses about 1% of its collagen each year. This gradual loss of collagen is what causes skin to become thinner and less elastic, resulting in natural sagging and wrinkles.

There are many factors that can accelerate this effect, including:

Gravity Smoking
Weight loss Sun & UV exposure
Menopause (Causing an annual decrease of over 1% of skin thickness and 2% of collagen)
Pregnancy
Diet
Previous surgery (Scars only heal to 80% of their initial strength)

In most Breast surgery procedures, compromised and/or weakened soft tissue is tightened. Unfortunately, the tissue itself will not be stronger and gravity may once again cause tissue to droop or sag. This is why many surgeons choose to use a soft tissue support scafold like GalaFLEX®. Not only does it provide internal breast support to newly lifted and tightened tissue immediately after surgery, but it also allows soft tissue to heal stronger.

Why Soft TissueSupport Matters
Clinical studies show that within 10 years following surgery, between 32% – 48% of patients undergo a second surgery to revise their initial surgical results. The most frequent reason for revisionary surgery among aesthetic implant patients was the development of ptosis (42%) or sagging of the tissue.

How Do I Know If GalaFLEX® Is Right For Me?
Patients seeking to strengthen and stabilize weakened tissue during breast surgery may be a candidate for GalaFLEX® scaf¬old. Please consult your surgeon to discuss if GalaFLEX® sca¬fold may be right for you.

Here are some questions you may want to discuss with your surgeon:

  • How would you describe the quality of my breast tissue?
  • Do I have risk factors for weakened breast tissue?
  • Will my tissue alone provide enough strength and support?
  • Does my tissue need additional soft tissue support?
  • Do I need a GalaFLEX® Internal Bra™?

 


GalaFLEX® scafold is designed to lift, reinforce and repair soft tissue where weakness exists in breast surgery. GalaFLEX® scafold internal bra provides soft tissue support for cosmetic breast procedures.

Clinically proven

  • Comprehensive portfolio of biocompatibility testing reviewed by FDA and Notified Body during regulatory approval process for P4HB products.
  • Produced by a safe biological fermentation process, standard in pharmaceutical production. Not of animal origin, Not synthetic.
  • P4HB devices implanted in more than 3 million patients worldwide.
  • P4HB extensively researched with more than 60 clinical and scientific publications.
  • GalaFLEX® does not interfere with diagnostic mammograms or ultrasound techniques.

Intended Use

  • The GalaFLEX® Family of Scafolds is intended for use, as an adjunct to sutures, for the reinforcement and repair of soft tissue where weakness exists and where the addition of a reinforcing material is needed to obtain the desired surgical result in patients undergoing breast surgery.
  • The GalaFLEX® Family of Scafolds is designed to be used in patients undergoing soft tissue repair and reinforcement in medically necessary breast surgery procedures where the existing soft tissue is deficient to support the surgical repair.
    Examples of such breast surgery applications include reduction mammoplasty and breast revision surgery to correct a medical condition.
  • The GalaFLEX® Family of Scafolds may also be used in cosmetic breast procedures.

Breast augmentation results

Breast augmentation is a reliable and safe procedure. The result is immediately visible after the procedure. But keep in mind that your breasts will be wrapped in compressive bandages after the surgery, so you won’t be able to see your new breasts immediately. Your breasts will also be swollen at first. The end result is visible around 6 months later. The scars will have discolored after a year and will barely be noticeable anymore.

Recovery after breast augmentation

Your body needs to recover from the surgery just like after any surgery. Our care team will ensure the healing goes as smoothly as possible. After the breast augmentation, your breasts will be covered by a support bandage. You will wear this bandage for the first 48 hours. Thereafter you will wear a special postoperative bra. This bra looks like a sports bra and gives your breasts the support they need. Your doctor will advise you on how long you need to wear this bra. You may also need to wear a breast strap to lower the implants faster.

Your breasts can feel painful at first Most patients experience a feeling of pressure on the chest. The pain is in most cases not serious and can be well controlled with medication. In a few cases, drains also need to be inserted to drain wound fluid.

We advise you not to lift your arms higher than shoulder level for the first 6 weeks after surgery. It is also wise not to lift or exercise. After 6 weeks, you can start moving normally again. Make sure however that your breasts remain well supported. We also advise you not to wear underwired bras in the first year.

Safety through precautionary measures

Once you have decided to undergo breast augmentation, we will provide you with a patient information document, which, in addition to general advice, will provide you with advice that is specific to you and based on your health and living conditions.

Before the surgery

  • Stop smoking four weeks before surgery and do not start again for at least 2 weeks afterwards. Smoking slows wound healing and increases the risk of infection.
  • Should you be taking Marcoumar, Sintrom/Sintrommitis, Asprocardio or similar medication, discuss with your surgeon whether you can temporarily stop using them. This also applies to Aspirin and painkillers with aspirin such as Advil, Diclofenac, etc. During the period around the surgery, you can use painkillers such as Paracetamol and Panadol.
  • Do not take blood thinning medication before surgery.
  • Do not forget to arrange your transport home. You can not drive yourself after the surgery and it is forbidden.
  • Ensure you are not alone for the first few nights after the surgery and that someone is available to help you in your home for the first few days.
  • Don’t forget to give us your measurements and details for the postoperative bra. We recommend that you buy two bras, this is for your own comfort and hygiene.


The day of the surgery:

  • Remove all jewelry, watches and piercings. The clinic is not liable for loss and / or theft.
  • Do not eat or drink anything for the 8 hours before the surgery.
  • Let your “driver” know at what time you can be picked up. The doctor will give you an estimate. You will remain in general at the hospital for a few hours after the surgery and in some cases it is advisable to stay the night.


After surgery

  • You will be supervised by the nurse, the anesthetist and the plastic surgeon until you leave the clinic or hospital.
  • We give most patients, in consultation with the surgeon, a prescription for medication (pain relief).
  • The breasts will feel somewhat tense and swollen after the surgery. The skin has to adapt to the new breast volume. The tension decreases by itself.
  • Only sleep on your back for the first period. After two weeks you will be able to sleep carefully on your side.
  • Rest well for the days after surgery.
  • Discuss with your doctor, when you can shower again.
  • Don’t lift your arms above your shoulders for the first two weeks. Don’t lift heavy things.
  • Keep in mind that you will not be able to work in the first week after the surgery. If you have physically strenuous work, it may be longer before you can resume work. Always consult your doctor first.
  • Sports however are not recommended for the first 6 weeks after surgery.
  • Swimming or sauna are not recommended for the first 6 weeks.

Risks and complications

Every surgical procedure carries a risk of complications. Here are some of the risks and possible complications of breast augmentation:

  • Unsightly scarring
  • Internal or external haemorrhage (haematoma)
  • Infection
  • Poor wound healing
  • Changes in (the feeling of) the nipple. This can be temporary or permanent.
  • Wrinkling of the skin over the implant
  • Double bubble: this causes the implant to sag under the skin, creating a double breast.
  • Moisture build-up or capsule formation, which makes the breasts feel hard
  • Sore breasts

The personal consultation

The first step towards more beautiful breasts is a consultation with our plastic surgeon. This conversation is of course, entirely non-binding. The surgeon listens to your wishes and expectations and then examines the various possibilities together with you. Each body is different which is why it is important for the surgeon to be able to look at you personally. Take this into account and wear comfortable clothing.

If you have photos or pictures of your dream breasts, please bring them to the conversation and show them to the surgeon, who will be able to give you specific advice and tell you if your expectations are realistic. If you already know what you want, it is easier to choose the right implants. You can choose from different sizes (from small to large), and shapes (round or anatomical). You choose, together with the surgeon the implants that best suit your body and wishes.

The surgeon will also ask you about your health and medical history. Give as accurate information as possible, this is important for your own safety. The surgeon will tell you, in all honesty if he thinks it is wise to perform the desired procedure and will go through it with you. If a breast augmentation with implants is not right for you, he will mention other solutions. Take the opportunity to mention other treatments or wishes you may have. Our surgeons can always provide information on other treatments.

Feel free to do some research of your own, for example on the internet. You can even find online videos of this procedure. Take a look at the reviews from our previous clients.

Once you have decided which treatments you would like to receive, our care team will make a quote. It is usually possible to make an appointment for the surgery immediately after the consultation. If yes, then ask the surgeon to immediately note the details of the implant you have chosen. Once you decide to take the next step on your journey to a more beautiful appearance, you will receive all the important information you need.

Of course you don’t have to decide right away. Take time to think about it calmly and in-depth. You deserve it. When you’re ready, our experts will be happy to help you!

If, after the consultation, you still have questions on breast augmentation, silicone breast implants, a breast lift or other treatments, our care team at Essential Aesthetics will be happy to answer them. Feel free to call, email or app us and we’ll be happy to guide you on your journey to nicer, fuller or rounder breasts.

Rates

  • Breast augmentation with Mentor/Polytech implants from € 3.800
  • Breast augmentation with Special Lift from € 5.500
  • Postoperative scar treatment 125 euro per zone

Use the free (and obligation-free) consultation, to ask any questions you may have. The doctor will examine, together with you, the possibilities that best suit your body. Should you want another appointment after this one or need more information, we would be delighted to oblige. This is your body we are talking about, you deserve the best so make that appointment. Essential Aesthetics is proud to have already helped so many patients on their journey to a more beautiful body and is honored with a satisfaction score of no less than 96%. [Read the reviews here]

Now it is up to you! Book a free personal consultation with one of our care team specialists 070 220 2222. Because you are essential to us.

The second consultation with your chosen surgeon costs € 50 and is then deducted from the cost of the operation(s). Even if you do not go forward and book a treatment with us after the second consultation, you will still have received, for € 50, an extensive and medically sound consultation which will provide you with a lot of information, and a valuable basis for any subsequent steps.

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Why choose Essential Aesthetics

Pleasantly surprised by the care I received at Essential Aesthetics. Top doctors and staff are very kind and caring!  definitely recommend this clinic!

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Essential Aesthetics is a special clinic with ISO 9001 certification, in a beautiful monumental building in The Hague. We are specialised in plastic surgery, injectables, weight loss and anti-aging treatments. From our vision, Essential Aesthetics offers you as much guidance as possible in all disciplines necessary for a healthy lifestyle.
Our clinic was born from the passion of one woman. The passion for beauty and a deep sense of gratitude for all that our body gives us has led to the life work of the owner and founder: a clinic that encourages women to become more self-confident and empowered and to enjoy more of the gift of a beautiful and healthy body. And that’s what Essential Aesthetics does with a passionate team of Dutch, international doctors and experience experts. Essential Aesthetics is a brand made by women, for women. It’s a lot to trust your body to someone else. We understand that and therefore offer you only the best and safety from our ISO 9001 certified clinic.
You can come to our clinic with ISO 9001 certification for fillers, BTX treatments but also for plastic surgery: breast augmentation, buttock augmentation, face lifts, liposuction and more. What makes our clinic unique is that from September 2020 we will also be offering you professional DNA research, nutritional advice, connective tissue massage and sports guidance.

MEET OUR SPECIALISTS

Meet our specialists

Our ISO certified clinic only works with experienced qualified specialists with passion for the profession, who care and have an eye for your needs and wishes as our patient, with respect for your natural beauty. Our business is built around fulfilling your wishes! We bring in the commitment to details, to the highest quality and safety requirements, to ensure the best result. Thanks to our international doctors active in the field and up to date with the latest trends and techniques, we can help you to get the best result possible. Our specialists are looking forward to working with you to see how we can make your dream come true. The Essential Aesthetics care team is there for you before, during and after the journey. From the intake to the aftercare. With us you are in capable, safe hands because you are essential to us.

Dr. Gabriel Jansen
Senior Dutch plastic surgeon

Cosmetic surgery requires a personal,
tailor-made approach, something that
Dr. Gabriel Jansen is always aware of.

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Dr. Aniel Sewnaik
ENT doctor and head and neck surgeon

Dr. Sewnaik is a BIG-registered physician with years of experience in reconstructive surgery to the head and neck.

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Dr. Piombino
Renowned Italian expert in plastic surgery treatments

Dr. Luca Piombino is our subject matter expert in plastic surgical treatments.

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Prof.dr. Levan
Renowned French expert
in plasticsurgery treatments

Dr. Levan is a leading French plastic surgeon with more than 20 years of experience in plastic surgery and is a pioneer in remodelling.

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Whether you want to look more vibrant, turn back the clock a bit or want to invest in your dream figure, the caring team of Essential Aesthetics will be happy to help you on your way. Our team truly listens to your wishes and advises you on the options, with also respect for your natural beauty. Make an appointment for an introduction, we would be delighted to meet you. Would you like to know more? Take a look at the reviews and read about experiences with our clinic. You can also follow us on Instagram, Facebook and Linkedin..

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