Why Undergo Breast Augmentation?

A well-contoured and firm breast has long been regarded as a hallmark of feminine attractiveness and is desired by many women. When a woman feels dissatisfied with the appearance of her breasts, this may significantly affect her psychological well-being and, in some cases, negatively impact her overall quality of life. Breast size and shape have therefore always been important subjects – including in medicine, as surgical optimization was already being explored more than 100 years ago. Today, breast augmentation is no longer experimental; the various techniques have been well established for decades and the outcomes are excellent.

Would you like to jump directly to a specific topic?

• Types of Breast Augmentation
• Methods of Implant Placement: Advantages and Disadvantages
• Stages of the Surgical Procedure
• Dr. Spiegl – An Experienced Aesthetic Surgeon in Salzburg
• Costs of Breast Augmentation in Salzburg
• Frequently Asked Questions from My Patients

Types of Breast Augmentation

Breast augmentation (“augmentation mammaplasty”) can be performed using different techniques. Fundamentally, two methods are distinguished: breast augmentation with implants and augmentation using autologous fat (also referred to as “lipofilling”). Each technique has specific advantages and potential disadvantages, and every breast is unique; “one size fits all” is certainly not an appropriate approach in breast augmentation. A personalized consultation with a specialist is therefore essential.

Round Implants

Round and anatomical breast implants (also known as teardrop-shaped or contoured implants) represent two different implant types used in cosmetic breast augmentation surgery. They differ in shape, projection, and intended aesthetic outcome.

Shape

As the name suggests, round breast implants have a symmetrical, circular shape. They are fuller centrally and provide uniform projection in all directions.

Projection

Round implants create increased projection and fullness in the upper pole of the breast, resulting in a “push-up” effect. This can produce a more pronounced cleavage and greater fullness in the upper portion of the breast.

Versatility

Round implants are versatile and can be used in various breast augmentation procedures, with or without a simultaneous breast lift. They are a popular choice for women seeking a noticeable increase in volume and a round, voluminous appearance.

Reduced Concerns

An additional advantage of round implants is their reduced risk of rotation within the breast. Due to their symmetrical design, implant orientation does not affect the final aesthetic outcome.

Anatomical Implants (“Teardrop Shape”)

Shape

Anatomical breast implants have a teardrop contour that mimics the natural shape of the breast. They are fuller in the lower portion and taper toward the top, resembling the natural breast profile.

Projection

These implants exhibit less projection in the upper pole and greater projection in the lower pole, reflecting the natural way breasts hang and project.

Natural Appearance

Anatomical implants are often selected by individuals who seek a particularly natural-looking result or a more subtle enhancement without excessive roundness.

Rotation Considerations

Due to their asymmetrical shape, there is a – very small – risk that anatomical implants may rotate within the breast, potentially affecting the final appearance. To minimize this risk, precise surgical technique and accurate implant placement are crucial. The choice between round and anatomical implants depends on multiple factors, including the patient’s body shape, existing breast tissue, aesthetic goals, and the surgeon’s experience.

Methods of Implant Placement and Their Advantages/Disadvantages

Breast implants may be inserted using different techniques, depending on their position in relation to the breast glandular tissue, the pectoral muscle, and the chest wall. The most common techniques include placement beneath the pectoral muscle, above the muscle (subglandular), or partially beneath the muscle and partially beneath the gland (dual-plane technique).

1. Subglandular Placement (Above the Muscle, Beneath the Glandular Tissue)

Advantages

Generally faster and less painful recovery, as the muscle is not disturbed. Implants placed in this position may exhibit more natural movement. Less distortion of breast shape during contraction of the pectoral muscles.

Disadvantages

Higher likelihood of visible implant rippling, particularly in patients with thin breast tissue. May carry a slightly increased risk of capsular contracture (formation of scar tissue around the implant). Potentially unsuitable for patients with minimal natural breast tissue and limited subcutaneous fat, as implant edges may become visible.

2. Submuscular Placement (Beneath the Muscle)

Advantages

Provides improved implant coverage and reduces the risk of visible rippling, especially in patients with thin tissue. Muscle coverage may create a more natural-looking upper breast contour.

Disadvantages

Longer and potentially more uncomfortable recovery period due to muscle involvement. Contraction of the pectoral muscle may distort breast shape, particularly in bodybuilders or athletes.

3. Dual-Plane Technique

The dual-plane technique is a hybrid approach combining aspects of subglandular and submuscular placement. The implant is positioned partially beneath the muscle in the upper portion and beneath the glandular tissue in the lower portion of the breast.

Advantages

Combines the benefits of both techniques while minimizing their respective disadvantages. Ensures a natural upper breast contour while providing enhanced implant coverage. May reduce the risk of implant visibility and distortion during muscle contraction.

Disadvantages

The surgeon’s expertise is critical for precise pocket creation and implant positioning. Recovery time may be slightly longer compared to purely subglandular placement. Asymmetries between the upper and lower breast segments may require additional surgical adjustments.

Stages of the Cosmetic Procedure

An aesthetic breast procedure involves several steps to achieve the desired appearance and contour. The process generally includes consultation, examination, surgical planning, operation, and follow-up care.

Before Surgery: Consultation and Physical Examination

A comprehensive personal consultation and thorough examination are fundamental to good plastic surgery practice. Dr. Spiegl provides honest and transparent advice and utilizes only proven and safe techniques.

Initial Consultation

During this appointment, your aesthetic goals, medical history, and current health status will be discussed. Dr. Spiegl will assess your breast anatomy, skin quality, and suitability for the procedure.

Preoperative Assessment

Prior to surgery, you will undergo a comprehensive preoperative evaluation, which may include physical examination, measurements, and medical testing.

Surgical Planning

Dr. Spiegl will discuss the surgical plan in detail, including the type of procedure, implant size, incision placement, and potential risks.

High-Quality Materials

For breast augmentation using premium-quality implants, the total cost is approximately €7,500 (all-inclusive, including anesthesia and hospital stay).

Breast Augmentation Surgery in Salzburg or Lower Austria

The procedure is performed at the Hospital of the Barmherzige Brüder in Salzburg.

Hospital Stay

Breast augmentation is typically performed as an outpatient procedure, meaning patients are discharged on the same day. The overall duration usually spans several hours from admission to discharge.

Duration of Surgery

On average, a straightforward breast augmentation procedure takes approximately 1 to 2 hours.

Postoperative Phase

During the first 6 weeks, most swelling will gradually subside. A compression or sports bra must generally be worn during this period. Strenuous upper-body activity should be avoided.

Return to Work and Sports

Office work is usually possible after approximately one week. Light exercise (such as walking) may be resumed after one week, whereas more strenuous activities should be avoided for at least 6 weeks.

When Are Results Visible?

An initial result is visible immediately after surgery. The final outcome becomes apparent over several months (3 to 6 months) once swelling has fully resolved.

Dr. Spiegl – The Experienced Aesthetic Surgeon in Salzburg and Lower Austria

Dr. Matthias Spiegl is a board-certified specialist in Plastic, Reconstructive and Aesthetic Surgery. He holds professional licensure in Austria, Switzerland, and the United Kingdom.

• International Society of Aesthetic Plastic Surgery (ISAPS)
• Austrian Society of Plastic, Aesthetic and Reconstructive Surgery
• Swiss Society of Plastic, Reconstructive and Aesthetic Surgery
• Fellow of the European Board of Plastic, Reconstructive and Aesthetic Surgery (FEBOPRAS)
• General Medical Council (United Kingdom)
• Fellow of the American College of Surgeons (FACS)

Costs of Breast Augmentation in Salzburg and Lower Austria

The price is approximately €7,500, including anesthesia and hospital stay. The fee for the initial consultation (€120) will be credited toward the surgical procedure. Financing options are available via beautykredit.at.

Frequently Asked Questions from My Patients

What is the difference between breast augmentation with autologous fat and breast augmentation with implants?

In breast augmentation using autologous fat, adipose tissue is harvested via liposuction and subsequently injected into the breast. No foreign body is introduced, and the result is typically very natural in appearance. Implants, by contrast, are medical devices inserted surgically and generally allow for a more significant increase in volume.

What are the costs of breast augmentation in Salzburg?

Approximately €7,500 all-inclusive. In the case of an additional breast lift procedure, approximately €8,500.

How exactly is breast augmentation performed?

Implants are surgically inserted either beneath the breast tissue or beneath the pectoral muscle.

What should be considered when undergoing breast enlargement?

Implant size, implant type, incision placement, and the postoperative recovery phase must all be carefully considered.

Are there alternative methods?

Yes, autologous fat transfer (lipofilling).

How much does breast surgery cost in Austria?

Generally between €6,000 and €10,000.