The breast augmentation procedure: explained step by step
Breast augmentation, also known as breast enlargement, is a life-changing procedure that improves the size and shape of the breasts.
Whether for cosmetic reasons or to restore breast volume after pregnancy or weight loss, this surgery has helped many people achieve their ideal appearance.
In this guide, we explain the entire breast augmentation process, step by step. From the initial consultation to long-term aftercare, we will guide you through each stage of the procedure so that you are well informed and well prepared.
At Diamond Aesthetics in Germany, we are committed to providing outstanding care and achieving the best possible results for our patients.
Introduction to breast augmentation: an overview of the process
The breast augmentation aims to improve both the size and shape of the breasts, often using implants or fat transfer techniques.
This procedure is one of the most requested cosmetic surgeries in the world and is aimed at people who want to improve their breast volume, symmetry or overall appearance.
The procedure is performed under general anesthesia, and the choice of implant type, size and placement is customized to the patient's goals.
At Diamond Aesthetics, we work closely with our patients to create a customized treatment plan that meets their aesthetic expectations.
The entire process involves several stages, from the initial consultation to post-operative care, all designed to achieve natural, beautiful and long-lasting results.
Initial consultation - setting realistic expectations
The initial consultation is a good starting point in the breast augmentation process.
During the first session, you will discuss your wishes and any concerns and expectations with your surgeon.
This is an extremely important step in establishing good communication and ensuring that you understand exactly what you want from the breast augmentation hope to achieve.
The surgeon will assess your breast anatomy, explain your options regarding implants (such as saline or silicone) and help you choose the appropriate size and shape.
Realistic expectations are important. Although breast augmentation offers aesthetic improvements, there are always certain limitations.
Your surgeon will talk to you about any risks, the healing process and the results you can expect so that you know exactly what will happen during the process.
The right choice of breast implant for you
One of the most important decisions in the breast augmentation process is choosing the right breast implant. There are basically two types: saline and silicone implants.
- Silicone implants: These are filled with a silicone gel. They offer a more natural look and feel and are often recommended for patients who have thinner skin or less breast tissue as they achieve a smoother and more realistic augmentation result.
- Saline implants: These implants contain a sterile saline solution. They are firmer in consistency than silicone and are often chosen for cost reasons, as they can be filled to the desired volume as required during the operation.
In addition to the material, you have the option of choosing between different shapes (round or teardrop-shaped) and profiles (low, moderate or high). Your surgeon will select the ideal implants based on your breast anatomy, implant choice and aesthetic goals.
Planning the surgical procedure - options for the incision
The next step in the process is to plan the surgical procedure, in particular the choice of incision. The incision is important as it affects scarring and healing time. There are three main types of incisions for breast augmentation:
- Intramammary incision: This is the most common incision, placed under the breast in a natural crease. It is suitable for both silicone and saline implants and enables precise placement.
- Periareolar incision: This incision is made around the edge of the areola (the darker area around the nipple). It is less visible but less suitable for larger implants.
- Transaxillary incision: The incision is made in the armpit, which means that no visible scar remains on the breast. This incision is well suited for saline implants, but is less commonly used for silicone implants.
Based on your breast anatomy, implant choice and preferences, the surgeon will decide which incision will provide the best results with the most discreet scar placement.
The day of the operation - what you can expect during the procedure
On the day of the operation, you will go to the surgical center or hospital. Before the operation, the surgeon will mark the planned incisions on your body to make sure that you agree with the plan and feel comfortable.
The operation time for a breast augmentation is usually between 1 and 2 hours.
The exact duration depends on the complexity of the procedure and the implant used. You will be placed under general anesthesia and will not feel anything during the operation.
Small incisions are made to form a pocket in which the implant is placed either under the muscle (submuscular) or under the glandular tissue (subglandular).
Once the implants have been placed, the incisions are closed with sutures.
At Diamond Aesthetics, we place great emphasis on safety and comfort throughout the surgical process to ensure you are in the best hands.
Anesthesia and sedation - ensuring comfort during the operation
Anesthesia is one of the most important phases of the breast augmentation procedure, as it protects you from pain and discomfort during the procedure.
Most breast augmentations today are performed under general anesthesia, which means that you will be asleep during the entire operation.
In some cases, local anesthesia with sedation can also be used, in which the chest area is anesthetized while you remain awake and relaxed.
However, general anesthesia is most commonly chosen as it allows for complete separation between patient and surgeon, making the procedure easier to perform.
There will be a detailed discussion with the anesthesia team before and after the operation to check your state of health and clarify any concerns or wishes regarding the anesthesia.
Implant placement - How the operation is performed
First, an incision is made in the area of your choice. A pocket is then formed in which the implant is held. The implant can be placed either under the muscle (submuscular) or over the muscle (subglandular). This depends on your body type, the implant chosen and the desired end result.
- Submuscular placement: The implant is placed under the pectoral muscle. This method is recommended for patients who have little natural breast tissue, as the result looks more natural, especially with silicone implants.
- Subglandular placement: The implant is placed above the breast muscle but under the breast tissue. This method is suitable for women with sufficient breast tissue and leads to faster healing.
After the implant has been placed, the incision is sutured and covered with a surgical dressing.
Postoperative recovery - The first days after the operation
After the procedure, the patient is monitored in a recovery room until the effects of the anesthesia wear off. At this point, slight tiredness and the usual post-operative pain may occur.
It is recommended that you have someone to accompany you home as you will be too dazed to drive yourself.
It is important to rest sufficiently in the first few days after the operation and to avoid strenuous exercise.
Swelling and bruising may occur, which will subside after a certain amount of time. You may need to wear a supportive surgical bra to aid the healing process.
It is crucial that you follow your surgeon’s aftercare instructions closely to ensure your recovery goes smoothly and effectively.
Managing pain, swelling and bruising during recovery
Swelling and bruising are the most common side effects of breast augmentation. Fortunately, these can usually be treated well.
Pain can often be well controlled with prescribed painkillers, and swelling and bruising can be reduced with cold compresses.
Be careful not to strain the chest area and always follow the instructions for the correct use of the compression bra or support garment as these will help to reduce swelling and aid the healing process.
Most patients heal slowly in the first few days. The Healing process should not be rushed.
