Breast augmentation
Natural results with innovative techniques

The goal is usually more than “bigger.” In practice, it often involves a combination of:

• more volume and femininity in clothing and lingerie

• nicer cleavage or a fuller upper pole

• restoration after pregnancy/breastfeeding or weight loss

• improvement of shape and symmetry

A beautiful breast augmentation is about proportions: the right width, projection, implant shape, placement, and skin tension. During the consultation, we map this out together.

In the traditional method, the pocket (the space for the implant) is often created by “sharp” dissection. This works, but it also causes more tissue trauma and can be associated with more postoperative pain and a longer recovery time.

In a Tissue Preservation breast augmentation, we create the pocket differently: we gently and controllably stretch the connective tissue using a balloon (instead of more aggressive dissection). This creates a neatly formed “nest” into which the implant is placed. This nest functions like an internal bra: it supports, stabilises, and helps shape the breast in a natural way.

An important advantage is that in many patients we can place the implant over the pectoral muscle. This often means:

• a more comfortable recovery

• less discomfort when tightening the chest muscle (sports/fitness)

• more natural breast movement

Which placement is best (over the muscle or partially under the muscle) is always tailored and depends on your own tissues, skin thickness, ribcage width, and the result you want.

A breast looks best when the transition from the chest wall to the implant is subtle—especially in the upper and inner areas. That is why, in selected cases, we combine breast augmentation with a small amount of lipofilling (fat transfer) along the edges of the implant. This can help to:

• make the transition look even more natural

• create a slightly nicer cleavage connection

• reduce visibility/palpability of implant edges in slimmer patients

We always discuss this honestly: lipofilling is not necessary for everyone, and it is not beneficial for everyone.

Breast augmentation is usually performed under general anaesthesia. In most cases, you can go home the same day. We do recommend that someone stays with you for the first night.

During the procedure, we work as meticulously as possible: symmetry, pocket control, implant selection, and scar placement together determine the quality of the final result. It is precisely these “small” choices that make the difference between a good breast augmentation and an exceptionally natural breast augmentation.

Recovery differs per person, but on average:

• 1–2 weeks: most patients can return to work (depending on occupation)

• after ±3 weeks: gradually resume gentle exercise (start with lower body)

• 6 weeks: usually back to full movement and training, including upper body (in consultation)

• scars gradually fade over the course of the first year

The procedure is usually not extremely painful, but it can feel tight and bruised during the first few days. You will receive instructions, pain relief, and (if applicable) antibiotics, as well as a supportive postoperative bra.

Possible complications (clear and transparent)

No surgery is without risk, and breast augmentation is no exception. Fortunately, serious complications are rare, but we consider it important that you know what to look out for.

No surgery is without risk, and breast augmentation is no exception. Fortunately, serious complications are rare, but we consider it important that you know what to look out for.

Possible complications include:

• Bleeding/hematoma: usually within the first 24–48 hours; sometimes an additional procedure is needed to remove the blood.

• Infection: rare, but important to recognise quickly; treatment may include antibiotics and, in exceptional cases, temporary removal of the implant.

• Neuropraxia (temporary nerve irritation): this can present as numbness or tingling in the skin/nipple area. It occurs in approximately 1 in 30 patients and usually resolves spontaneously within a few weeks up to about 6 weeks.

• Capsular contracture: the body always forms a capsule around an implant; in some cases this capsule can tighten and cause symptoms.

• Asymmetry, implant displacement, or “bottoming out”: risks we minimise as much as possible through careful analysis, pocket control, and appropriate implant selection.

During the consultation, we discuss your personal risk profile, including factors such as smoking, wound healing, sports strain, and skin quality.

Soon, MIA FemTech™ will also be available at Gooimeer Clinics: an innovative tissue-preservation technique in which a smaller implant can be inserted through the armpit, potentially under local anaesthesia. This is not suitable for everyone, but for some women it can be an interesting alternative. You can find more information on a dedicated page on our website.