Asklepion / Anews / 2009 / 12.01. – 01.02.2009 / A plastic surgeon on breast operations
A plastic surgeon on breast operations
How often does MUDr. Ludmila Sulcová carry out plastic surgery on the breasts? How long does she take beforehand to talk to the client and what all decides on the result? We asked her for you!
Are procedures on the breasts (augmentation, shaping, reduction) among those procedures you do the most?
Operations on the breasts are relatively popular. The most common are augmentation procedures or sculpting surgery together with augmentation. As for the age profile of our clients, young clients around 20 years old and post-maternity clients of between 30 and 38 most commonly want enlargement operations. We also quite often carry out combined procedures on ladies of around 45 years old.
Do the clients that come to you already have a definite idea of the result or do you discuss this together?
They mostly have a clear idea and are relatively well informed from the Internet. However, we always decide on the shape together and we have to come to an agreement on the shape and size of the new breasts before the operation.
What is important for size? For example, can you give a tiny woman with a small chest large breasts? In short, what do you consider when deciding on the shape, size and placing of implants with the client?
Size is decided by fashion, but we always have to take the health perspective into account. Under no circumstances can we make very large breasts from very small breasts on a small chest. We do not do that sort of operation. We always have to consider the entirely normal physiological shape and configuration of the chest. Implants are placed either under the gland or under the muscle. We agree on this with the client during consultation. We have a specific set of clients in this regard - transsexuals.
What are the most unusual, most complicated or most demanding procedures that you have carried out on the breasts during your career?
All operations are absolutely unique and each one has to be taken on its own merits. So I can’t really answer that question. One interesting phenomenon is asymmetry of the breasts, which causes clients relatively major mental problems. However, they are very happy after corrective procedure.
As an estimate, what is the ratio of women who want larger breasts to those who want smaller breasts?
One to one. We always want whatever we don’t have. This is something that will possibly be true for all time.
Breasts are usually an intimate part of the body for a woman: do you have be something of a psychologist as well? How long do you talk to the client before you come to a specific conclusion?
That’s also specific. Sometimes forty minutes is enough and we are both clear in our own minds. Sometimes we write to each other for six months and deal with the individual questions and attitudes of the client. If required, the psychologist usually comes before me.
What decides on whether you place the implant under the muscle or under the gland?
That depends on the condition of the chest, the musculature, the type and shape of the gland, space and other medical factors which are considered during initial examinations.
Can you also adjust the appearance of the nipples and areola? How? Does this adjustment of the nipples (if it can be done) affect the ability to breastfeed?
Cosmetic, aesthetic adjustments are done on inverted nipples, for example. We also carry out adjustments to the size of the areola. The adjustment of inverted nipples makes breastfeeding impossible, but changing the size of the areola does not. However, it can affect the sensitivity of the areola.
Breast implants have been used for a long time now. Is there any new development in the way this procedure is carried out or has it all been done before?
Breast implants were developed by Professor Wichterle at the same time as contact lenses were invented. However, these are no longer used, the boom coming in the Sixties. This was followed by implants filled with a physiological solution. Collagen was injected straight into the gland in the Soviet Union, with disastrous consequences. And in recent times we have used silicon implants. Even here there has been development, with the technical improvement of the gel, surface and shape.
Implants currently differ in terms of shape – low, medium or high projection round implants, teardrop implants, again high or low projection, anatomical implants and horizontal and vertical ovals. There are far more companies on the market now, but you have to pay attention to quality, even at a higher price, because the implants are in a very sensitive area and the gland reacts to anything unnatural.
Questions answered by MUDr. Ludmila Sulcová, plastic surgeon
You can arrange a consultation meeting at the Department of Plastic Surgery by calling +420 234 716 300!
Operations on the breasts are relatively popular. The most common are augmentation procedures or sculpting surgery together with augmentation. As for the age profile of our clients, young clients around 20 years old and post-maternity clients of between 30 and 38 most commonly want enlargement operations. We also quite often carry out combined procedures on ladies of around 45 years old.
Do the clients that come to you already have a definite idea of the result or do you discuss this together?
They mostly have a clear idea and are relatively well informed from the Internet. However, we always decide on the shape together and we have to come to an agreement on the shape and size of the new breasts before the operation.
What is important for size? For example, can you give a tiny woman with a small chest large breasts? In short, what do you consider when deciding on the shape, size and placing of implants with the client?
Size is decided by fashion, but we always have to take the health perspective into account. Under no circumstances can we make very large breasts from very small breasts on a small chest. We do not do that sort of operation. We always have to consider the entirely normal physiological shape and configuration of the chest. Implants are placed either under the gland or under the muscle. We agree on this with the client during consultation. We have a specific set of clients in this regard - transsexuals.
What are the most unusual, most complicated or most demanding procedures that you have carried out on the breasts during your career?
All operations are absolutely unique and each one has to be taken on its own merits. So I can’t really answer that question. One interesting phenomenon is asymmetry of the breasts, which causes clients relatively major mental problems. However, they are very happy after corrective procedure.
As an estimate, what is the ratio of women who want larger breasts to those who want smaller breasts?
One to one. We always want whatever we don’t have. This is something that will possibly be true for all time.
Breasts are usually an intimate part of the body for a woman: do you have be something of a psychologist as well? How long do you talk to the client before you come to a specific conclusion?
That’s also specific. Sometimes forty minutes is enough and we are both clear in our own minds. Sometimes we write to each other for six months and deal with the individual questions and attitudes of the client. If required, the psychologist usually comes before me.
What decides on whether you place the implant under the muscle or under the gland?
That depends on the condition of the chest, the musculature, the type and shape of the gland, space and other medical factors which are considered during initial examinations.
Can you also adjust the appearance of the nipples and areola? How? Does this adjustment of the nipples (if it can be done) affect the ability to breastfeed?
Cosmetic, aesthetic adjustments are done on inverted nipples, for example. We also carry out adjustments to the size of the areola. The adjustment of inverted nipples makes breastfeeding impossible, but changing the size of the areola does not. However, it can affect the sensitivity of the areola.
Breast implants have been used for a long time now. Is there any new development in the way this procedure is carried out or has it all been done before?
Breast implants were developed by Professor Wichterle at the same time as contact lenses were invented. However, these are no longer used, the boom coming in the Sixties. This was followed by implants filled with a physiological solution. Collagen was injected straight into the gland in the Soviet Union, with disastrous consequences. And in recent times we have used silicon implants. Even here there has been development, with the technical improvement of the gel, surface and shape.
Implants currently differ in terms of shape – low, medium or high projection round implants, teardrop implants, again high or low projection, anatomical implants and horizontal and vertical ovals. There are far more companies on the market now, but you have to pay attention to quality, even at a higher price, because the implants are in a very sensitive area and the gland reacts to anything unnatural.
Questions answered by MUDr. Ludmila Sulcová, plastic surgeon
You can arrange a consultation meeting at the Department of Plastic Surgery by calling +420 234 716 300!
