Breast Augmentation

For many patients dissatisfaction with breast size, shape, and volume is one of the top cosmetic concerns. And when you feel uneasy in your own body, it can make it difficult to feel comfortable wearing certain styles of clothing or baring your body at the beach.

Whether you are trying to battle ageing, the effects of weight fluctuations, pregnancy, or simply genetics, Breast Augmentation may be your solution to a more balanced figure. Also known as augmentation mammoplasty, Breast Augmentation is a surgical procedure that uses breast implants to enlarge bust size, restore volume, or enhance the shape and symmetry of breasts.

Breast Augmentation is a low-risk surgery which usually takes around 60-90 mins in theatre. Surgery is usually carried out under general anaesthesia and almost as day case surgery although an overnight stay in the hospital may be needed.

Incision Options

Inframammary: Inframammary incisions are made in the crease where the lower part of the breast meets the chest. Many patients are drawn to this option since scars are easily hidden. And like periareolar incisions, it also offers precise implant placement.

Periareolar: With periareolar, the incision is made at the outer edge of the areola, usually in the shape of a semi-circle on the lower curve of the areola. The benefit of this type of incision is that scars are usually well camouflaged because it’s an area where the skin naturally changes colour and texture. 

Implant Shape

The shape of the implants you choose for Breast Augmentation will affect the overall look. Dr. med. Strouthou can help you choose the best shape for you, depending on your anatomy and what kind of aesthetic you’d like to achieve.

Round: Round implants have an equal amount of fullness in both the bottom and top part of the implants. Because they have the volume all the way around, they are popular options for patients who’d prefer bold enhancements. However, round implants can still have a very natural look depending on the profile and placement of the implant.

Contoured: Sometimes called “teardrop” implants, contoured implants have more of a subtle, sloping shape that closely matches the natural curve of breasts. In other words, they have less volume at the top with more volume at the bottom, similar to a teardrop shape. 

Ergonomix: The Motiva Ergonomix breast implants are round but with a soft gel which falls into shape to give a natural teardrop appearance. An important advantage the Ergonomix has over standard teardrop implants is that the risk of rotation is reduced because it is a round implant.

Implant Positioning

When it comes to your breast augmentation, there are many options available to truly customise the procedure. Another option is where your breast implants will be located: in front of the pectoral muscle, behind it or subfascial.

Women with very little breast tissue typically benefit from placing the implant under the muscle, so that there is as much tissue as possible over it, creating a natural appearance. When breast implants are placed over the muscle, they will move less with muscle flexion; however, there would be more rippling and a less natural look.

The subfascial technique, which was first presented in 2000 in Brasil, has the following advantages:

  • Minimum or no pain.
  • Much faster recovery.
  • More natural shape of the breast, since the fascia is covering the implant and smooths out the roundness that develops on the upper part of the breast.
  • Minimization of capsular contraction, possibly due to the fact that the implant is not in contact with the breast (the fascia separates the implant from the breast).
  • It may limit the possibility of implant dropping in the future since the implant is well secured.
  • In selected patients, it minimizes the possibility of wrinkle formation mostly on the upper part of the breast.


As in all Breast Augmentation techniques, we simultaneously perform the Non touch – No pain technique.

As with all surgeries, there are risks associated, patients can experience swelling, redness and sometimes a loss of sensation in the nipple area which in most cases returns, although this can take up to several months. The breasts can also look uneven for the first few weeks whilst they are settling, these are all quite common experiences in the initial few weeks following surgery.

There are some more uncommon risks for example hematoma, seroma and infection which on occasion may require further surgical intervention. We monitor the progress of our patients for signs of these complications very carefully post operatively and our patients are given contact information should they need medical assistance once discharged from the hospital.

As with any Breast Implant surgery, there is the risk of Capsular Contracture however using the modern technology of Motiva implants means that the risk of this is at an all-time low

Following the first few days after your Breast Augmentation, you should expect to experience soreness and swelling in your breasts, which can last for several weeks. You should avoid exercise and strenuous activity for about four to six weeks. You will wear a special support bra for a few weeks.

Will I be able to breastfeed after Breast Augmentation?

Placement of breast implants does not affect your ability to breastfeed. The dissection and the implants made and used during the surgery cause no harm to the milk ducts and, therefore, they cause no negative effects on your breastfeeding ability.

Do breast implants cause cancer?

Based on many studies enrolling thousands of patients, the data suggest that Breast Augmentation operations do not cause breast cancer. However, we would like to remind you that early detection of breast cancer is very important. And, even if you do not have a breast implant, we would recommend that you undergo regular screenings.

Will I experience loss of sensation in my nipples?

The types of incisions we use for Breast Augmentation are designed to protect the nerves mediating the sensations. However, there is a small risk of losing sensation in the breast. We have not yet received a loss of sensation complaint from any of our patients. However, a temporary loss of sensation occurred in some of our patients due to the compression caused by the implant and the loss of sensation was resolved within 6 months.