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Breast surgery

Plastic surgery can significantly improve the appearance of the breasts after pregnancy, illness, major weight loss, injury, or if someone is unhappy with the size or shape of their breasts for any other reason.

Depending on the desired result, a variety of operations can be performed – breast reduction, breast lift and breast enlargement using fat transfer or breast implants (augmentation). Breast augmentation with implants is the most commonly performed procedure.

Quick information

  • Breast implants have no negative impact on pregnancy or breastfeeding.
  • We use high-quality anatomical and round breast implants.
  • Stitches dissolve on their own and do not have to be removed.
  • Patients should wear a compression bra day and night for the first four weeks after the operation.
  • The operating surgeon recommends the size, shape and implant insertion method best suited to your body and desired results.

Is it possible to influence breast size?

Breast size is dependent on a number of factors, from the size of the mammary glands and amount of fat tissue forming the breasts to life events such as pregnancy, breastfeeding and fluctuations in weight.

Many women with smaller breasts – whether naturally small or due to atrophied mammary glands – ask whether it is possible to change breast size through exercise or other non-surgical means. While it is possible to strengthen the underlying pectoral muscles with appropriate exercise, the size of the breasts themselves does not change. Many people feel uncomfortable with the size of their breasts and use a variety of methods to give their breasts a fuller look. Radical changes, however, can only be achieved through surgical means with implants.

Who can benefit from breast augmentation with silicone implants?

Breast augmentation with implants is a good option for people who are unhappy with the size of their breasts, whether due to insufficient development (small breasts), asymmetry (right and left breast are different sizes) or changes in breast size and shape throughout their lifetime (weight loss, breastfeeding).

Breast augmentation is available for adults of all ages and there is no ideal age to have the procedure. Most importantly candidates should be in good health physically and mentally. Candidates must be at least 18 years old and the mammary glands should be fully developed (not still growing), although at this age augmentation is not performed often, mostly in cases of asymmetry or malformity.

Women considering or planning to become pregnant should consider carefully before undergoing breast augmentation. Pregnancy causes changes in breast volume that can have a negative impact on the results of the surgery, so it is important to decide whether or not to accept this natural risk. However, breast enlargement that does not affect the milk ducts has no impact on your ability to get pregnant and breastfeed or on fetal development. If you are planning to have a breast augmentation after having already had a baby, it is recommended to wait at least six months before having the surgery, even if you did not breastfeed.

Before/after gallery

Before/after breast surgery breast augmentation before/after

Breast implants

Breast implants are special shells made of polymerized silicone rubber and filled with a soft silicone gel that has shape memory and a consistency similar to that of natural breast tissue. Implants are safe, hygienic, firm and flexible. Our clinic uses Natrelle and Mentor implants, which are the only two brands on the Czech market that hold the highest global certification for quality.

Research into the often-discussed potential connection between breast implants and increased cancer risk is ongoing, but so far none has never been scientifically proven. Implants are available in two shapes (round and anatomical – teardrop shaped) and many different sizes, allowing the operator to choose just the right implant to achieve the desired shape. However, some requests are impossible to fulfill, especially when patients request breasts that are out of proportion to their body. That is why you should always consult with a doctor who will recommend an appropriate size for your body.

Lightweight breast implants B-lite

  • B-lite silicone implants weigh 30% less than other available implants. This means they remain gravity-resistant much longer and reduce breast sagging over time.
  • They are filled with microsphere-enhanced silicone gel.
  • The types, sizes and operating method are the same as with other breast implants.

Before the operation

The first step is making a consultation appointment. Our doctors will walk you through the available options, describe the operation and post-operative care, and discuss your questions and desired results. The doctor will assess the initial state of your breasts and recommend an appropriate size and shape for the implants.

Candidates for breast augmentation must be in good health. The procedure is performed under full anesthesia, so you will need to have a medical examination including an EKG and ideally a breast ultrasound or mammogram (depending on your age) to rule out any diseases of the breast. Once you decide to go ahead with the operation at our clinic, our staff will provide you with all the information you need about the procedure and pre-operation recommendations to help the process go smoothly.

Breast augmentation operation

The operation takes place under full anesthesia and lasts about 60 minutes. The implants go either underneath the mammary glands or under the pectoral muscles so that the implant cannot be seen and the breast tissue covers it sufficiently. The specific technique chosen will depend on the doctor’s initial assessment during the consultation or as needed during the operation itself.

Implants are usually inserted with small cuts (3 to 4 cm) in the crease of the breast. Another option involves making the incisions in the armpit or around the areola where the darker and lighter skin tones meet, allowing the scars to blend in more naturally, but these methods are not always suitable due to difficulty ensuring a clear operating field. The procedure ends by putting on a medical compression bra to hold the implants in place.

Most patients stay overnight at the clinic after their operation. If all goes well, you will be released the next day to finish recovering at home. The operating surgeon always does a final check before you go home and removes the drains for residual bleeding (if they were used). You will still need to wear the compression bra home, and make sure to arrange for someone to pick you up at the clinic.

After the breast operation

In the days following the operation you need to rest, avoid physical activity, follow the doctor’s instructions and come to checkups as scheduled. Failing to do so could have a negative impact on the final results of your operation. Before leaving the clinic you will receive instructions on home care, hygiene and cleaning the surgical wounds in the first several days after your breast augmentation.

Some mild discomfort (tension) including bruising and swelling in the operated area is normal at first and will lessen as you recover. You will need to wear the compression bra day and night for four weeks after your operation. You will not need to have your stitches removed at the clinic, because we use special stitches that dissolve on their own.

Why is it important to wear a compression bra after a breast operation?

  • One very important component in your post-operative care, which plays no small role in the success of the operation, is the compression bra.

Recovery from breast augmentation

You should plan on returning to your normal routine about 7-10 days after your breast augmentation. It is recommended to avoid manual labor, heavy lifting, weight training and exercise for the first 1-2 months after the operation. Breast massages are recommended for 18 days following the operation in most cases to improve the condition and appearance of the scars. Three months after the operation the results can be considered final. The final appearance is long-term, but does not last forever, as gravity can still cause breasts to sag over time.

Checkups after breast augmentation

  • Regular checkups and post-operative care with your surgeon have a major impact on the final results of your operation.

Complications after breast augmentation

As with any surgical procedure, complications can arise after a breast augmentation with silicone implants. With all the advancements available in medicine today, however, complications are rare – most involve difficulties in the healing process, infections, bleeding and scarring. All these complications can be resolved. In rare cases, complications arise with the implant or the body’s response to the implant. If that happens we simply remove the implant. Make sure to consult with your surgeon about any complications you may experience.

Timely checkups are essential!

  • If you’ve had a breast augmentation, you should come in for a checkup any time you feel any changes in your breasts (shape, lumps, infection, etc.).
  • You should also have a checkup after a sharp impact or fall on your breasts while playing sports, falling from height or after a car crash.
  • Regular checkups are recommended every year including a mammogram, which our clinic can perform.

Where do we perform breast augmentations?

If you are interest in a breast augmentation, you can make a consultation appointment with us in Prague, Liberec or Brno. Although we only perform the operation itself in Prague, we hope the convenience of having a consultation in other cities will be helpful for people from outside Prague.

M.D. Jiří Paděra on his thoughts about breast augmentation

  • “The main difference in clients who have undergone breast augmentation is higher self-confidence. As breast implants continue to improve, clients enjoy natural-looking breasts and do not experience any objective or subjective difficulties or have to have them replaced. Our clients tell us that the difference their new breasts make in their lives is truly worth it.”

Breast augmentation videos