Breast Surgery with Dr. Spiegl
Aesthetic Breast Surgery in Salzburg and the Tullnerfeld
The breast is a central symbol of femininity and bodily harmony – and at the same time a highly sensitive area. Genetic factors, pregnancy and breastfeeding, weight fluctuations and the natural ageing process can permanently alter its shape, size and firmness. Dr. Matthias Spiegl is a board-certified specialist in Plastic, Reconstructive and Aesthetic Surgery and performs exclusively aesthetic breast procedures in his private practice; reconstructive breast surgery following oncological treatment is not carried out in the private setting. Because every breast is anatomically unique, no standardised protocol is applied: for each procedure an individual surgical plan is developed, combining clinical safety, aesthetic outcome and long-term stability. The overview below introduces the available procedures briefly – each detail page covers technique, surgical course, aftercare and costs.
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- Breast Augmentation with Implants
- Breast Lift (Mastopexy)
- Breast Augmentation with Autologous Fat
- Breast Reduction
- Male Breast Correction (Gynecomastia)
Breast Augmentation with Implants
Implant augmentation is one of the most frequently performed aesthetic procedures worldwide. Both round and anatomical implants, also known as teardrop-shaped, are used; the choice depends on chest shape, the glandular tissue present and the desired fullness of the upper breast pole. For implant placement, the subglandular, submuscular and dual-plane techniques are available, differing in soft-tissue coverage, recovery time and the behaviour of the breast shape during contraction of the pectoral muscle. Modern implants offer high shape stability and a very natural feel.
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Breast Lift (Mastopexy)
Mastopexy corrects a deflated or descended breast, for instance following pregnancy and breastfeeding or after significant weight loss. Excess skin is removed, the glandular body is reshaped and the nipple is repositioned higher, in a more youthful position, without a necessary increase in volume. Depending on the degree of ptosis, the periareolar lift, the L-incision or the T-technique, also known as the anchor technique, is used; where there is a marked volume deficit, implants or autologous fat can be combined with the lift. The procedure usually takes one to two hours under general anaesthesia, and the final result becomes apparent after approximately three to six months.
Breast Augmentation with Autologous Fat
In lipofilling, the patient’s own fat tissue – usually taken from the abdomen or thighs – is harvested with a blunt cannula through 3 to 4 mm access points, processed and then injected into the breast in a targeted manner. As a guide, an increase of approximately one cup size per session is realistic; since around 20 per cent of the grafted tissue is resorbed, a slight deliberate overcorrection is performed. For larger volumes, several sessions or preparatory vacuum expansion (BRAVA) may be considered. The prerequisites are a well-shaped breast that is not markedly descended, together with sufficient fat tissue at the donor sites: because the required volume is small, the method is often feasible for slim patients as well.
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Breast Reduction
Reduction mammaplasty decreases the volume and weight of the breast while reshaping it at the same time. It is indicated above all in cases of chronic back, neck and shoulder pain, skin irritation or eczema in the inframammary fold, restricted freedom of movement, and psychological distress caused by breast size. The available options are the T-technique, also known as the anchor technique, which allows very precise reshaping, and scar-sparing procedures that avoid an incision in the inframammary fold. The reduction frequently amounts to between one and three cup sizes; in medically justified cases, an application for reimbursement by the health insurer can be submitted.
Male Breast Correction (Gynecomastia)
Gynecomastia refers to an increase in the volume of the male breast due to glandular or fatty tissue. A distinction is made between true gynecomastia, involving proliferation of the mammary gland tissue and frequently hormonal or medication-related in origin, pseudogynecomastia (lipomastia), characterised by a simple excess of fatty tissue, and the combined form. Through a small access point at the edge of the areola, the glandular tissue is removed, supplemented where necessary by fine liposuction to define the contour. The procedure takes approximately one hour and is usually performed on an outpatient basis; with stable body weight, the result is permanent.
