Breast augmentation

Do you feel that your breasts are too small in proportion to your body? Have your breasts started to sag after pregnancy or weight loss? Breast augmentation is a safe way to give your breasts a fuller, more natural, and more beautiful shape.

Increasing breast volume
Restoring a natural curve above the nipple
Correcting sagging breasts after childbirth or weight loss
Rejuvenating the body’s shape
Correcting the symmetry of the breasts
Reconstructing breasts after breast surgery or injury

The most suitable candidates are women with realistic expectations: a (significant) improvement is certainly possible, but perfection, however, is not.

Recovery

Treatment

Anaesthesia

Consultation

It all starts with a consultation

No two women’s bodies are the same. The cosmetic needs and expectations of patients are unique. To ensure that you are happy with the result of your treatment, Dr Pirayesh develops a customised surgical plan for each patient. During the consultation, he will take the time to get to know you, discuss your requirements and help you make an informed decision.

He will ask about your general health and medical history and examine your breasts and skin. He will discuss the desired size and position of your breasts and nipples (e.g., with the help of inserts) and explain which types of implants he proposes for you and where the incisions will be made. Furthermore, he will tell you which result you can expect and explain the necessary aftercare.

Dr Pirayesh will also answer any questions, give instructions on preparing for the operation, and inform you about the cost.

Breast augmentation overview and timeline

Duration of surgery: 1 to 2 hours
Anaesthesia: light general anaesthetic administered by a specialised anaesthetist
Length of stay: you can return home four hours after surgery.
Post-operation: slight swelling and tenderness. We will give you a sports bra that you have to wear, painkillers, antibiotics, and instructions on wound care.
Complications, infrequent: fluid retention, infections, raised, livid scars
Recovery time: You may resume your normal activities one week after surgery, but you must refrain from lifting anything heavier than 5 kilos for the first two weeks and no heavier than 10 kilos for the next four weeks.
Results: modern, safe implants will ensure you will enjoy the effects of your breast augmentation for ten years or more. Because your body will continue to age and change, you may, in time, require replacement of the implants or a breast lift surgery.
Scarring: The stitches will be removed within a week, and your scars will fade after a few months. Dr Pirayesh has developed a program, APS Scar Care, including aloe vera-based creams, laser treatments, and (if necessary) injections to ensure that your scars heal in the best possible way.

Breast augmentation surgery in five steps

On the day of your surgery, Dr Pirayesh will mark your breasts while standing so that the current size and position of your breasts and nipples can be determined when you are lying on the surgery table. In addition, photos will be taken for your medical record.

Step 1. Anaesthesia

A specialist anaesthetist will inject a light general anaesthetic into a vein through a cannula (a thin, plastic tube) in your arm or hand. The anaesthetist and his team will monitor you closely throughout the operation, ensuring you are comfortable and safe. The anaesthetist will discuss the anaesthesia before your surgery and answer any questions.

Step 2. Placing the implants

Dr Pirayesh makes incisions that he previously agreed with you and places the implants in your breasts. You will then be placed in an upright position. This ensures that the implants are symmetrical and in the correct position. During the consultation, Dr Pirayesh explained whether your implants would be placed in front, behind, or half behind the pectoral muscle (dual plane technique) for best results. Dr Pirayesh will use multiple inserts to ascertain the optimum implant size, after which the definitive implants will be placed.

Step 3. Suturing and bandaging

When Dr Pirayesh is happy with your new breast contours, he will suture the incisions. The incisions remain hidden in the natural fold under your breasts. They will significantly fade over time. The stitches are made in the deeper layers of breast tissue and support the newly formed breasts. Dr Pirayesh used sutures and/or surgical tape to seal the skin and protect the wounds. A small drain may be inserted under the skin to drain excess blood or fluid. The results of your breast augmentation are immediately visible.

Step 4. Recovery and aftercare

Dr Pirayesh provides specific written instructions about how to take care of your breasts in the weeks after surgery and the medication you should use for optimal healing and minimal risk of infection. When you come to the clinic for follow-up appointments, you will meet with him to discuss any details with him and ask questions. Within a week after the operation, he will check the incisions and remove your sutures. After some time, the swelling will subside, and the scars will fade. If you have questions, you can send Dr Pirayesh a Whatsapp message, and he will happily answer your questions. Avoid the solarium or sauna for ten days before and ten days after surgery, and don’t drink alcohol or take blood thinners like aspirin (paracetamol is allowed).

Step 5. Wound healing and scarring

Dr Pirayesh is very savvy when it comes to promoting rapid healing. He has developed a customised regimen, APS Scar Care, including creams based on aloe vera, laser treatments, and (if necessary) injections to ensure that your scars heal in the best possible way.

This regimen has ensured that many of Dr Pirayesh’s patients have hardly noticeable scars. However, it is impossible to pre-determine if patients will have problems with their scars healing.