BEFORE & AFTERS

What is breast augmentation?

The breasts play an important role when it comes to the appearance of a woman. Women can feel insecure about their breasts. Our experience tells us that a breast lift can have a big, positive effect on a woman’s self-confidence. The specialised doctors* at Praktijk Gabriels will gladly help you.

A breast augmentation is a major operation. Implants are inserted into the breasts to give the breast(s) a better shape and to make them bigger. You must be well-informed about the different possibilities before you make your decision to undergo surgery.

Because everybody is unique, Praktijk Gabriels offers a wide range of prosthetics.

*The doctor will determine if the treatment is necessary for medical reasons. * This treatment falls within the tax-exempt medical care as stated in article. 11-1-g Tax Law, 1968.

How is a breast augmentation done?

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The minimal scar technique

A prosthetic will be inserted into your breast. This will be done via a hole which is made as small as possible. We exclusively use cohesive gel (not fluid gel) and breast prosthetics from Mentor. We use them so that we can guarantee a high level of quality. We also offer a twenty-year factory guarantee.

The prosthetic can be inserted in three ways:

  • Above the muscle

    For this technique, the prosthetic is inserted under the breast tissue and above the large breast muscle. This gives a natural result because the prosthetic can then move with the body. It is important to be aware that the firmness of your breast tissue and the thickness of the skin will decline the older you become. This means that the prosthetics can become more visible as time goes by. This can also happen when you fluctuate in weight.

  • Under the muscle

    For this technique, the prosthetic is covered by an extra layer of muscle. As a result, there is much less of a chance that you will be able to feel the edges of the prosthetic. It is true, however, that the prosthetic will move a lot less with the body. In addition, the breast will feel harder due to the pressure on the muscle.

  • Dual plane

    For this breast augmentation technique, the prosthetic is partially inserted under the muscle. The breast muscle is large, but not wide enough to cover the whole prosthetic. The largest, upper part of the prosthetic will go under the muscle, in this method, and the smaller lower part will be on top the muscle, under the breast tissue. In general, when there is less than 3cm of breast tissue coverage, the Dual Plane technique is used. This gives a natural result where the prosthetic is less visible or even invisible. Added benefit: the risk of capsular contracture is considerably smaller with this technique. Disadvantage: the recovery is longer. The mobility of the breasts isn’t visible until much later than with the ‘above the muscle’ technique and is often considered to be a more painful procedure.

The prosthesis

Quality is paramount – that is why we have put a lot of time and effort into selecting our prostheses. In addition, we offer you as a customer clear information with which we support you in choosing the type of prosthesis that suits your needs. Because every person is unique, Praktijk Gabriels offers a wide range of prostheses. You can choose the prostheses from:
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Insert the implant using the Keller Funnel

Motiva
Mentor

Your natural breast

The natural breast comes in many different shapes and sizes. This influences the shape and type of prosthesis that suits you. Your taste also plays an important role. Do you want to look natural or striking? All this together determines what you choose.

Shape, size and projection

Prostheses come in two types. We have the anatomical/teardrop-shaped and the round version. A round prosthesis often gives a quicker fold formation and a drop shape can rotate. These variants are offered with a low, medium or high profile. The height or low of the profile also determines the amount of projection – the volume that is visible at the top of the chest. A low profile gives a subtle breast enlargement. A high profile ensures a solid full breast. The prostheses also have different diameters (diameters). This has an important influence on the position of the prostheses on the chest. With a low diameter, the breasts are far apart – this often gives an unnatural result. If the diameter is (too) high, the breast will protrude (too) far beyond the chest – this will create the ‘side-boob’ effect. but which also has a width that sufficiently fills the chest.

When am I a suitable candidate for a breast augmentation?

The legal age limit for a breast augmentation is 18. Not only is this the minimum age for cosmetic surgery, but also the breasts aren’t fully developed till then.

Consultation

First, one of our consultants will look to see which breast augmentation best meets your needs. When you come for your consultation, your breasts will be examined, and you can explain your wishes. Our consultant will give you tailored advice.

After your initial consultation, you will be seen by the doctor who will perform the breast augmentation. This doctor will examine your breasts one more time and take your measurements. The diameter of your natural breast, the length of your torso and the thickness of the covering breast tissue are taken into consideration, as well as the condition of your skin and the position of your nipples. The advice given will be based on the results of these measurements, taking your wishes into consideration.

What are the advantages of a breast augmentation?

  • Exclusive use of safe breast implants

  • Breast augmentation that meets your needs

  • Life-long factory guarantee on Mentor breast implants

  • You can have the operation done within two weeks

  • The operation will take about an hour

  • The recovery period is seven to 14 days

  • Invisible scars after the augmentation.

What can I expect after a breast augmentation?

As soon as your levels of consciousness, breathing and blood pressure are stable; you may go home. You must also have had something to eat and drink before you go. In addition, you must be able to sit upright and be able to walk and have urinated. The doctor or anaesthetist will judge whether you may go home or not. Because you have had medical surgery, you should bear in mind that you will feel less focused and fit. We advise you to go home by car or by taxi, and always accompanied by an adult. Using public transport is discouraged.

The day after your operation, you will be contacted by a member of staff from Praktijk Gabriels. We will inquire how you are doing and see if you have any questions. Your first check-up is two weeks after your operation. The suture knots (ends) will be removed during this check-up. Your second (and final) check-up will be six weeks after your operation. Of course, it is always possible to come in for an extra check-up. You may start using the scar crème, after eight weeks. Should any redness or swelling occur, or you develop a fever or the wound opens-up, or there are other concerns, please contact the Diana Gabriels practice, immediately. We will gladly help you.

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Carmen before the breast augmentation

BEFORE AND AFTERS
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Carmen after the breast augmentation

CARMEN’S OPERATION
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The scar after a breast augmentation

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The scar is almost invisible

Advice

  • You may not drive for the first 48 hours after the operation because of the side effects of the general anaesthetic.

  • No driving a car in the 1st week either, gradually build up driving a car in the 2nd week.

  • You may not drink for the first week after the operation because of the side effects of the general anaesthetic.

  • Don’t rush things.

  • You may not raise your arms above your head.

  • Avoid direct sunlight for the first two weeks: protect your scars from the sun, so that the wound will not discolour.

  • Avoid physical, heavy, strenuous activities such as cleaning the house (vacuuming, mopping, cooking or lifting heavy objects).

  • Don’t lift anything heavier than a pack of milk.

  • Don’t do any sports for the first four weeks.

  • You may not go swimming or visit a sauna or use a sunbed for the first six weeks after the operation.

  • Both smoking and alcohol have a negative effect on the healing process and recovery time – try to abstain from both for a while.