Poland

Dr. Adam Kalecinski is able to do breast enlargement, breast reduction and breast uplift. He was born in Wroclaw in 1968. He graduated from university in 1993. He has worked as a key member of the cosmetic surgery team at the Queen Elizabeth Hospital in London for 2 years. He has specialised in cosmetic surgery for 14 years and is trained to the same level as a UK consultant. He can speak fluent English. The clinic is  very clean and modern and excellent for aftercare. Brand new you magazine has recommended this surgeon due to the high standard of surgery and aftercare at the clinic.

High quality implants are used. Both tear drop and round implants are available for £ 2190. Different people suit different shapes to produce a more natural look. Advice will be given during the consultation.

Breast Enlargement

WHAT IS BREAST ENLARGEMENT ?

Breast enlargement, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons:

• To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small
• To restore breast volume lost due to weight loss or following pregnancy
• To achieve better symmetry when breasts are moderately disproportionate in size and shape
• To improve the shape of breasts that are sagging or have lost firmness, often used with a breast lift procedure
• To provide the foundation of a breast contour when a breast has been removed or disfigured by surgery to treat breast cancer
• To improve breast appearance or create the appearance of a breast that is missing or disfigured due to trauma, heredity, or congenital abnormalities

Woman breasts have always been a sign of beauty and womanliness. By inserting an implant behind each breast, surgeons are able to increase a woman's bustline by one or more bra cup sizes.

This type of surgery consists in inserting a prothesis filled with silicone gel or saline under the mammary gland or breast muscle. Incisions through which protheses are inserted can be made in the infra-mammary fold, around the nipple-aureola complex or within the arm pit. The surgery takes 1 - 2 hours.

Both tear drop and round implants are available different people suit different shapes to produce a more natural look. Advice will be given during the consultation.

WHAT ABOUT RECOVERY ?

Patient stays in hospital for 1-2 days after the surgery.

WHAT ABOUT CONVALESCENCE ?

The stitches are ultimately taken out 5 days after the surgery. Patients must wear special bras for 1 month after the operation.Three days in Poland is recommended.

Breast Reduction

WHAT IS BREAST REDUCTION ?

Some women develop large breasts during puberty, whereas others develop them as a results of weight gain, the menopause or hormone replacement therapy. The majority of women who opt for breast reduction surgery do so because their breasts are so large they cause physical pain, discomfort or bad posture.

There are many methods of removing excess material from the breast. The safety limit for breasts reduction is around 40-50%. Breast reduction and breast lifting procedures aimed at achieving the desired size and shape of breast are performed under general anesthesia. During the operation excess skin, subcutaneous tissue and mammary gland are cut out and  the breasts are given a new shape by suitable suturing of the remaining tissues. After remodeling, excess skin is removed and the nipple-aureola complex (reduced in size) is repositioned. Before suturing, drains are inserted to prevent the occurrence of haematomae. The skin margins are then joined together with delicate stitches.

What happens during breast reduction surgery?

Breast reduction is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

Step 1 - Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 - The incision

Incision options include:

• A circular pattern around the areola

• A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease

• An inverted T or anchor-shaped incision pattern

Step 3 - Removing tissue and repositioning

After the incision is made, the nipple-which remains tethered to its original blood and nerve supply-is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary.

Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Step 4 - Closing the incisions

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Step 5 - See the results

The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

WHAT ABOUT RECOVERY ?

The patient stays in hospital for 1 day after the surgery. Finally the stitches are taken out a few days after the procedure.

WHAT ABOUT CONVALESCENCE ?

Convalescence can take a few weeks. Special elastic garments and massages are recommended during the convalescence period. Resuming work is possible about 10-14 days after the surgery. Excessive physical effort such as sports activities should be avoided for some time. 4 days in Poland is recommended.