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Tuberous Breast Reconstruction


Tuberous breasts are very common. The so-called ‘Snoopy-nose’ form of the breast is characterised by an under developed lower pole and a wide areola. It often comes with a high under-breast fold and a sagging breast. In most cases the distance between the breasts is wide and the areola is often sagging out.

The tuberous breast can be reconstructed in various ways. In most cases a periareolar scar is necessary to reduce the width of the areola. Additionally, the lower pole of the breast is unfolded to reconstruct the missing lower part. In the majority of cases more volume in the lower pole is needed. This can best be restored with fat grafting and/or a silicone gel implant.

The fat is harvested by using a gentle water-jet assisted liposuction, which is not only gentler for patients, but also less harmful to the cells. The fat graft take is significantly better than conventional fat harvest techniques. The extracted fat cells are in a better state so that a higher survival rate of the transplanted fat cells is achieved.

For fat transplantation, Dr. Hamers uses the EVL expansion-vibration-lipofilling technique.

EVL is an innovative way of expanding the recipient tissue with vibration during the fat transfer procedure. It results both in a higher transplant volume and a higher take rate than traditional lipofilling techniques. This enables Dr. Hamers to create a full, yet natural cleavage together with a distinctly female and aesthetically pleasing breast shape. The breasts are also narrowed.

The result is a full, yet natural cleavage with well shaped breasts. In cases where a volume increase is wanted, the surgery is combined with silicone gel implants placed under the pectoral muscle.

Lightweight breast implants / B-Lite

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 2 hours


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.

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