Breast malformation in Bern
Dr. med. David Kiermeir
Specialist for plastic, reconstructive and aesthetic surgery (FMH)
more than 15 years of surgical experience
since 12 years exclusively active in the field of plastic and aesthetic surgery
over 6,000 performed surgeries
Facts on breast malformations
|Treatment duration:||approx. 1 - 4 hours|
|Hospital stay:||1 - 2 days|
|Removal of sutures:||after a few weeks|
|Sports:||after a few weeks|
There are various possible causes of breast malformation. These conditions often develop during puberty as a result of illnesses or genetic predisposition. However, pregnancy and the natural ageing process also cause a woman’s breasts to change significantly. For those affected, the psychological burden is often more severe than any physical implications.
Breast correction surgery can remedy an array of malformations in the breasts and nipples. For instance, patients might consider surgery to correct asymmetrical, drooping, oversized or under-developed breasts. Tuberous breasts are common and can also be surgically corrected. Dr Kiermeir would be glad to advise you personally of the treatments open to you in his practice in Bern.
Before the breast correction
Before performing such operations, Dr Kiermeir holds a one-to-one consultation with each patient in his Bern practice. In this meeting, he details the treatment options and explains the benefits and drawbacks of the procedure before determining a specific treatment plan. The precise steps involved depend on the patient’s individual circumstances.
In order to prevent complications, Dr Kiermeir will give you various instructions to prepare for the surgery. For instance, you might need to stop taking anticoagulant medication for several weeks before the procedure. What’s more, Dr Kiermeir will ask about any known allergies or existing conditions that could impact on the surgery and its results.
The breast correction procedure
Breast correction surgery is usually an inpatient procedure performed under general anaesthetic. Depending on the complexity of the operation, it can take between 1 and 4 hours. The procedure itself can vary significantly depending on the patient’s individual situation. Potential steps could include removing excess tissue, relocating or reconstructing the nipple, or inserting breast implants.
If the procedure includes fat transfers to augment the breast, fat will have to be extracted before the correction procedure itself. To do so, Dr Kiermeir removes the requisite fat tissue from other parts of the body, usually drawing on classic ‘problem areas’.
In the case of an asymmetrical bust or breast reconstruction, it may be necessary to combine several techniques. Some patients may even require multiple procedures. After the breast correction surgery, Dr Kiermeir sutures the wounds and applies a supportive bandage, which is then replaced by a special supportive bra a few days later.
After the procedure
Patients usually have to stay in the practice with us for a short time after the procedure. They can shower again after 24 hours. In the weeks following the procedure, patients have to wear a special supportive bra to protect the surgical wounds. They should also avoid sport and exercise at first. Dr Kiermeir will provide you with more detailed aftercare instructions in a one-to-one consultation.
The sutures are removed a few weeks after the breast correction surgery. You should allow about 1 to 2 weeks for the results to become fully socially presentable. During this time, Dr Kiermeir will regularly check the treatment results in order to detect any complications as soon as possible.
Frequently asked questions on breast malformation
There are various ways to treat malformed breasts, such as tautening the skin, removing excess tissue and relocating the nipple. Treatment to insert implants or transfer fat from another part of the body could be used to reshape breasts or correct asymmetries. What’s more, the nipples can be surgically augmented, reduced or completely reshaped. Surgery to correct nipples also uses a range of methods – such as transplanting tissue from other parts of the body or surgically reducing the size of the areola.
Breast correction surgery performed under general anaesthetic entails the same risks as all operations. In rare cases, complications include infections, wound healing deficits or secondary haemorrhages. Breast augmentation using implants involves the risk of capsular contracture which, in some cases, may require the implants’ removal. You may also experience temporary sensory disturbances in the treated area. In some procedures, there is an added risk that the patient’s ability to breastfeed could be temporarily or permanently impaired.
It’s often possible to combine breast correction surgery with procedures to augment, reduce or lift the breasts. In the case of asymmetrical breasts, for example, one option could be to adjust the volume of one breast to match the other.
Generally speaking, breast correction surgery should be performed as soon as the breast is fully formed. Doing so prevents further impact on the patient’s posture and avoids undue psychological damage. In some isolated cases, it can be worth performing such procedures during puberty to ensure the breasts develop as they should.