Supercharged Breast Augmentation
Breast augmentation is the most common aesthetic surgery worldwide. Nowadays a combination of silicone gel implants and fat grafting – supercharged or compound – is seen as the top technology in breast augmentation surgery.
Fat grafting of silicone breast augmentation unites the best of both techniques:
While the modern silicone implant provides good, persistent volume, it stays short of perfection regarding cleavage shaping. Combined subcutaneous volume shaping via fat transfer now offers the possibility of shaping the cleavage and narrowing the breasts. The result is a full, yet natural cleavage and an altogether aesthetically pleasing breast shape.
The silicone implant is normally placed sub-muscularly, under the pectoral muscle with a small scar on the lower side of the areola or in the under-breast fold. The silicone gel implant can be round or anatomical, as patients prefer. The added fat grafting helps to smooth the implant borders, enhance the cleavage area and fill the gap between the breasts.
The fat is harvested from an unwanted donor side (for instance, love-handles, inner thigh or belly) by using water-jet assisted liposuction. Fat graft take is significantly better than would be the case with conventional fat harvesting techniques and not only gentler for the patient, but also less harmful to the cells. Fat cells extracted in this way are in a better state which means that a higher survival rate is achieved once they are transplanted. Furthermore, Dr. Alexander Hamers has specialised in Water-jetstream assisted fat transfer technology since 2012.
B-Lite implants / Lightweight breast implants
B-Lite breast-implants represent the latest development in this kind of surgery. The density and weight of the silicone gel has been much reduced due to microspheres, comparable to air bubbles fixed into the silicone gel. The implants are produced by a German factory with long experience in breast implants. Contributing to the outer shell of the implants, Microspheres have been used in medicine for a long time, for instance in urology, orthopaedics and dentistry. B-Lite breast-implants are approximately 30 % lighter than more traditional types. A standard 300cc implant weighs about 300g, as opposed to the same size B-Lite implant which is only about 220g. They bring huge benefits especially for patients with laxity of the breast, cases of implant exchange or those seeking big volume implants. Apart from the weight and microspheres inside the implants, there is no difference from traditional implants so far as durability or surgery procedures are concerned. B-Lite implants are used for breast augmentation, implant exchange or breast lifts (mastopexy).
Duration of the surgery:
approximately 45-90 minutes
general anaesthetic, inpatient for 1 night
No sports, lifting and heavy workout for 6 weeks, compression bra and garments.
Normally fit for flying after 1 week
Minimally invasive, tiny incisions of about 3-5 millimeters are needed for fat to be washed out of the body. Various techniques exist. The most advantageous and gentle is water-jet assisted liposuction, using just a small cannula with a pulsation water-jet on the tip. The water-jet’s gentle loosening and washing action makes it possible for large amounts of fat to be atraumatically removed. Compared with conventional liposuction, the sculpting of tissue is more precise and there is less trauma, pain and recovery time. Apart from being, gentle and more precise, the quality of the fat cells is superior to that resulting from other techniques, meaning that a higher survival rate of the transplanted fat cells is achieved.
Having a special clinical interest in natural body contouring, Dr. Hamers can reuse the patient’s own extracted fat to shape, fill or augment various parts of the body where it might be needed (for instance face, breast and buttock, but also calves or scars).
Dr. Alexander Hamers has specialised in Water-jetstream assisted fat transfer technology since 2012.
The transplanted fat needs to grow in. That is why it needs to be treated gently. Smoking, nicotine, pressure and cold all harm the freshly transplanted fat and should be avoided in the period immediately after surgery. Once the fat is grown in, it is part of the body and just part of normal aging.
Expansion vibration lipofilling (EVL) is the latest innovation in fat transfer. Using a vibrating cannula, the recipient tissue is gently expanded while grafting the fat. This results in both, a higher graft-able volume and a better take rate of the fat (higher percentage of fat cells growing in and remaining). Thus, if desired, more fat cells can be transferred to the same recipient area compared with conventional techniques. Dr. Hamers is the first surgeon to have established the EVL technique in Europe.