The increase in breast volume can be achieved either by placing implants or by injecting the patient's own fat (lipofilling).
BREAST IMPLANTS
This breast surgery technique involves placing breast implants in custom-made pockets created by the surgeon. The implants are chosen based on the patient's preferences as well as her morphology. Thanks to a computer simulation system (morphing), Dr. Zirak offers you the opportunity to get a fairly precise idea of the result based on your implant choice.
Contrary to popular belief, implants do not need to be replaced every ten years. They are extremely durable and allow for all types of sports activities.
The implants used by Dr. Zirak are lifetime guaranteed; they are from one of the two best manufacturers worldwide.
TECHNIQUE
The breast surgery procedure, performed under assisted local anesthesia or sedation, is done on an outpatient basis (One Day Clinic) and lasts about an hour.
There are three approaches: the "submammary" approach in the submammary fold, the "inferior hemi-periareolar" approach at the areola, and the "axillary" approach in the armpit. These scars, four to five centimeters long, will become almost invisible over time thanks to techniques specific to Aesthetic Surgery.
The implant is placed either in front of or behind the pectoral muscle, but in any case, it is always behind the mammary gland. As a result, this operation does not diminish your ability to become pregnant and/or breastfeed.
POST-OPERATIVE CARE
Pain is moderate when the implants are placed pre-pectorally (in front of the muscle) and lasts two to three days.
It is more significant when the implants are placed retro-pectorally and lasts about a week.
A special bra must be worn day and night for six weeks.
Sutures will be removed after two weeks. Sports activities are allowed after six weeks.
RESULTS
This is a procedure with a satisfaction rate exceeding 95%.
The results are immediate. However, it will take between three and six months to achieve almost natural tissue suppleness.
A "capsule or peri-prosthetic shell" will form around the implants; this is the natural course of such an intervention. It is by no means a complication.
Thanks to a series of measures, Dr. Zirak and his CHU team have achieved one of the world's lowest rates of thickened or retractile capsules. This ensures the most natural possible result over time.
Before/after photos
FAQ
Should prostheses be changed every ten years? No, the prostheses used by Doctor Zirak are guaranteed for life.
How to choose the approach and placement of the prostheses? The approach is chosen based on your preferences, your morphology, and the size of the chosen prostheses. Doctor Zirak will guide you in this choice. The same applies to the choice of placing a prosthesis in front of or behind the pectoral muscle.
What are the advantages and disadvantages of placing prostheses in front of or behind the pectoral muscle? Behind the muscle, it is more painful for a slightly longer period. Additionally, during muscle contraction, there is a risk of slight breast deformation. However, the breast feels more natural to the touch and in its shape. Moreover, the risk of developing a thick or retractile capsule is lower. In front of the muscle, postoperative pain is very mild, and there is no breast deformation during muscle contraction. The upper pole of the breast is rounder, and for very thin individuals, this may not be aesthetic.
What is the lifespan of a prosthesis? It depends on the trauma the prosthesis undergoes. Clearly, repeated shocks prematurely wear out the prostheses.
Do you use anatomical or round prostheses? For aesthetics, I use round prostheses because they are more flexible than anatomical ones, which, to maintain their shape, must have a more cohesive and thus firmer silicone gel. I use anatomical prostheses in the context of breast reconstructive surgery. But this is a personal choice as I believe my patients should benefit from what is most natural.
Does breast augmentation cause breast cancer? Not at all. It also does not prevent its occurrence and does not hinder the monitoring of such cancer.
Can you breastfeed after breast augmentation? Yes; whether the prosthesis is in front of or behind the muscle, it is always placed behind the mammary gland. Therefore, breastfeeding capacity is absolutely not affected.
Can you fly afterwards? Yes, you can fly. You can also go scuba diving.
Can the body reject the implant? No, this does not happen because silicone is a chemically inert substance.
Will I necessarily have a "capsule" or "periprosthetic shell"? Yes, this is the natural evolution of this procedure. The body creates tissue around the prosthesis to isolate it, as it is a foreign body.
What should I do if the shell bothers me? First, the breast becomes firmer, and this can lead to breast deformation. In such cases, the capsule can be opened or removed.
What happens when the prosthesis ruptures? What should be done in this case? The breast simply changes shape. You should consult Doctor Zirak, who will prescribe an MRI. Two scenarios exist: either the prosthesis is ruptured, and the periprosthetic shell is intact, in which case you have months to replace the prosthesis. Or the prosthesis is ruptured, and the shell is torn, in which case, as a precaution, you are advised to replace the prosthesis within the following month. There is no longer an urgency to replace a ruptured prosthesis because the silicone filling the prostheses is no longer liquid but gel; therefore, it does not leak.
