Breast Augmentation
Breast augmentation is a decision made in millimetres — implant volume, projection, and the plane in which the implant sits. Dr Hoffmann plans each augmentation to suit the patient's frame, tissue quality, and how the result should sit in ten years, not just ten weeks.
◉ Fig.02 · Implant plane cross-section — dual-plane annotated
Who it's for
Women who feel their breasts are smaller than they would like, whose breasts are asymmetrical, or whose shape has changed with weight loss or after pregnancy and feeding. Timing is a personal decision; Dr Hoffmann does not push it.
How Dr Hoffmann approaches it
Consultation begins with measurements and tissue assessment, not implant catalogues. From there the conversation moves to implant plane (subglandular, dual-plane, or submuscular), projection profile, and incision placement. Sizing is decided together, with samples, in front of a mirror. Dr Hoffmann will recommend against augmentation if the tissues suggest a different procedure would serve the patient better.
The procedure itself
The operation typically takes between one and two hours. Incisions are usually placed in the inframammary fold, giving direct access to the pocket and a scar hidden in the natural crease. The pocket is developed in the chosen plane, the implant is placed, and closure is done in layers. Dressings and a soft support garment are applied in theatre.
Anaesthesia
Performed under general anaesthesia in an accredited hospital theatre, with a specialist anaesthetist. Most patients stay one night for observation and pain management.
Recovery timeline
- Day 1–3Chest tightness and muscular ache are expected, particularly with dual-plane or submuscular placement. Prescribed pain relief is used routinely.
- Week 1Return to gentle daily activity. Support garment worn day and night.
- Week 2–3Desk-based work is comfortable. Driving usually resumes in this window once reflexes are unimpeded.
- Week 4–6Gradual return to light cardiovascular exercise. No chest or upper-body training yet.
- Month 3Implants have settled into position. Full return to gym, running, and normal activity.
- Month 6–12Scars mature and fade. Final shape is judged at six to twelve months.
Risks
All surgery carries risk. General considerations include the risks of anaesthesia, bleeding, infection, delayed wound healing, scarring, altered sensation, asymmetry, and — in a small proportion of cases — the need for revision. Dr Hoffmann will discuss the specific risks relevant to your procedure and your health in detail during consultation. Results vary between individuals; no outcome can be guaranteed.
Common questions
Request a consultation with Dr Hoffmann
Every plan begins with an unhurried conversation, an examination, and drawn markings — never a quote over the phone.