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, 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 (large) improvement is certainly possible, but perfection, however, is not.

Read more about a breast augmentation

Breast augmentation — an overview

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: very rare: fluid retention, infections, raised, livid scars

Recovery time: You may resume your normal activities 1 week after surgery, but you must refrain from lifting anything heavier than 5 kilos for the first 2 weeks and no heavier than 10 kilos for the next 4 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 have faded after a few months. Dr. Pirayesh has developed a program, APS Scar Care, including aloe vera based creams, laser treatments and (if necessary) injections, in order to ensure that your scars heal in the best possible way.

Breast augmentation in 5 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 made 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, making sure you are comfortable and safe. The anaesthetist will discuss the anaesthesia with you prior to your surgery and will 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 to you whether your implants will 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 to protect the wounds. A small drain may be inserted under the skin to drain away excess blood or fluid. The results of your breast augmentation is immediately visible.

Step 4. Recovery and aftercare

Dr. Pirayesh provides you with specific written instructions about how to take care of your breasts in the weeks after surgery, and 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 personally, so you can discuss any details with him and ask questions. Within a week after the operation he will check the incisions and remove your sutures. After a period of time the swelling will subside and the scars will fade. If you have questions you can send Dr. Pirayesh through a whatsapp message and he will happily answer your questions. Avoid the solarium or sauna for 10 days prior, and 10 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, in order to ensure that your scars heal in the best possible way. This regimen has ensured that many of Dr. Pirayesh’ patients have hardly noticeable scars. However, it is impossible to pre-determine if patients will have problems with their scars healing.

Click here for the surgical leaflet of the Dutch Society of Plastic Surgery.