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The reasons for breast augmentation vary and are personal. The patient's feelings and perception are important, as small breasts do not represent a health impairment. Nevertheless, many women can experience emotional stress if they no longer feel comfortable in their own skin. Insecurities can not only affect satisfaction with the body, but also have a negative impact on private and professional life as well as sex life. A small breast can be adapted to the rest of the figure through breast augmentation and the body image can be improved.
The best results are achieved when a natural balance is created with the rest of the body.

Medical reasons often prevent the desire for larger breasts from being fulfilled. A change in breast shape after pregnancy or severe weight loss can be another reason for breast augmentation. Natural ageing processes, pregnancies with breastfeeding periods or severe weight fluctuations can cause the upper breast skin to sag, which is known as involutional atrophy. Most young patients find sagging breasts particularly distressing as they are perceived as disproportionately old and flabby. Breast augmentation can restore fullness here, and if the skin is very stretched, a skin tightening procedure may also be necessary.

There are various reasons for breast augmentation, such as:

The aim is to improve the shape of the breasts, increase self-confidence or compensate for the loss of breast volume that can occur after pregnancy,
weight loss or the natural ageing process.

There are different types of implants that are used for breast augmentation. They usually have a silicone shell into which a cohesive silicone gel is inserted to prevent silicone leakage if the shell ruptures. Implants filled with saline are rarely used for breast augmentation nowadays. Implants come in a wide variety of shapes. It is therefore possible to make a careful selection that takes into account the patient's wishes. In general, there are two types of breast implants: round and teardrop-shaped (“anatomical”) implants, which are used to imitate the natural breast shape. Further differences arise from the surface of the shell, which can be either smooth or “textured”.

The surface structure has an impact on the results and the risk profile of the patient.

Over the years, the elasticity and resilience of the skin decreases. The ageing process is not only visible on the face, but also on the breasts. Particularly after pregnancy, breastfeeding or significant weight loss, sagging breasts can occur. There is no need to worry about physical problems, but for many women, looking in the mirror every day becomes a psychological burden. You might consider a breast lift if you have problems with your sagging breasts and feel inhibited during physical and sexual activities.

In principle, the operation can be performed on all age groups. But it is important that your body growth is complete and your breasts are fully mature. Removing excess skin and moving the nipple upwards results in stronger and firmer breasts. The nipples are usually placed in connection with nerves and blood vessels. This means that the sensitivity of the nipple and the ability to breastfeed are preserved more often than with a free transplant (“free transplant”).

The procedure only aims to make you feel happier afterwards. A breast lift leads to a permanent change in the shape of the breast. Nevertheless, the shape of your breasts will be affected by natural ageing, weight changes and gravity over the years. The procedure also leaves significant scars, which will be more or less visible depending on the incision and the healing process.

After a breast reduction, where skin and tissue are removed from the breast, the breast is reshaped and lifted to achieve a smaller, more proportional bust. Although many women find it difficult to decide to have a breast reduction, they end up thinking it was the best thing they ever did for themselves. Women seek this surgery for different reasons, but all are motivated to improve their overall quality of life:

• More self-confidence and expressiveness: Numerous women report that they feel more comfortable and confident in their bodies after a breast reduction.
  
• Easier shopping: Women often claim that they can store in almost any store and that it becomes much easier to find clothes that fit.
  
• Bras are pain-free: Most women find that their bra-wearing pain decreases significantly when they lose weight in the breasts.
  
• Improved skin sensation: Women with very large breasts often experience skin discomfort under the breasts; this is significantly reduced with a breast reduction.
  

Male breast reduction, also known as gynecomastia surgery, is a surgical procedure used to reduce excess breast tissue in men. Gynecomastia is a benign enlargement of mammary gland tissue in men that can be caused by hormonal imbalances, genetic predisposition, certain medications or weight gain. This enlargement can affect self-confidence and body image.

By removing excess fat and glandular tissue, the breast is tightened and recontoured to create a flatter, more masculine breast profile.

Reasons for a Male breast Reduction

There are various causes of enlarged male breasts (gynecomastia) that can trigger the desire for a breast reduction, including

• Hormonal imbalances: an excess of oestrogen or a lack of testosterone can lead to breast enlargement.
  
• Obesity: Weight gain can lead to fat accumulation in the breast region, which increases the appearance of the breast.
  
• Medication: Some medications, such as anabolic steroids or certain antidepressants, can cause gynecomastia.
• Genetic predisposition: Some men are genetically predisposed to develop more breast tissue.

Men who feel insecure about the appearance of their breasts or have physical complaints often opt for a breast reduction.