Learn about breast enlargement in Prague, breast augmentation abroad and various types of silicone breast implants. Breast enlargement or breast implants are an ideal solution for many women with small breasts.
Breast augmentation abroad, also known as breast enlargement, involves the surgical placement of an implant behind each breast to increase its volume and enhance the breast’s shape. Breast augmentation is requested by women who perceive their breasts to be too small or sagging.
Basic types of breast implants by shape:
Basic types of breast implants by filler:
Nowadays novelties in the implant fillings field occur regularly. Various substances are being tried and used as fillings, including soya-gel and hydrogel. These new types of implants aren’t in regular use yet.
Basic types of breast implants by surface:
Basic types by profile:
The size of the breast implants is indicated in mililitres. The choice doesn’t depend on size but on dimension. The selection depends on many factors, such as the woman’s figure, height, width of her chest, figure proportion, size of pelvis, size of mammary gland and of course, the patient’s wishes. The most popular sizes in the Czech Republic are 200 – 300ml. (Implants from about 100ml to 1000ml are available.)
To see what size might be right for you, use a plastic bag that can be filled with liquid or boiled rice. Put it into your bra to help you choose the correct implant size.
Most commonly used brands of silicon breast implants are:
McGhan/Inamed
All implants have their own passport – a document that states the number and size of the implant. This passport is given to every patient after the surgery.
The implant is formed with an outer pocket made from polymerized silicone gum, which is very firm and elastic. The pocket contains one more inner layer, which guarantees a higher resistance to rupture and the minimum permeability of particles. The surface can be smooth, although at present implants with textured surface are preferred. They have pores of a certain size and depth and now also have a smaller risk of capsular contracture creation. A titanium film may be on the surface of the implant (which lends itself to good tolerance with the body) or polyurethane. Inside the pocket there is soft cohesive silicone gel, saline, combination of both or even one of the other substances mentioned above. The cohesiveness of silicone gel particles enables the implant to keep its shape, lowers the risk of permeability of silicone micro-particles through the pocket and avoids the possible leakage of silicone in the event the cover ruptures. The silicone gel filled implant is used most often because of the reduced harmfulness risk on the body from silicone.
The price of breast implants ranges from about 18,000 to 50,000 CZK depending on the type of implant and the producer. For round shapes, the price ranges from 18,000 to 28,000 CZK and from 40,000 to 50,000 CZK for anatomic shapes. Prices are independent of size.
When choosing a surgical procedure consider the following options.
The choice depends on the desire and preference of the patient and on the usual practice of the clinic.
Both methods (under the muscle and under the mammary gland) have their advantages and disadvantages. The choice depends on the quality and size of the gland, the quality of the skin and the subcutis, as well as the strength and quality of the muscle. The implant coverage has to be sufficient. If it is not sufficient, the implant can be visible and won’t look aesthetically pleasing. The pre-surgery consultation is intended to harmonize the patient’s ideas with real possibilities in regards to their body proportion, and with the advice of the surgeon.
For more information about breast enlargement abroad or breast augmentation in Prague please take a look at the linked pages.
In most cases, breast augmentation will be performed under general anesthesia. The surgery usually takes one to two hours and one to two days stay in hospital may be needed.
The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation.
The three-four cm long incision can be made either in the crease where the breast meets the chest, through the dark skin surrounding the nipple or in the armpit. Every incision is made carefully so resulting scars will be as inconspicuous as possible.
A pocket in which the implant is inserted is created through blunt tissue preparation.
Some of the clinics abroad even use endoscopic technique by augmentation. The access for this technique is through an incision in the armpit or in the navel area.
The pocket will be filled with the implant either directly behind the breast tissue or underneath the chest wall muscle.
The size of implants must be carefully chosen in order to be fully covered by the breast tissue. Otherwise the edges of the implants can be easily seen and makes for a very unnatural look.
The cessation of bleeding is very important to avoid further complications – an undesirable capsule, a scar or poor coverage of the implant.
Drainage tubes may be used for several days following the surgery; it depends on the practice of the clinic and on the surgeon.
To close the wound, different sutures are used (mostly intradermal, eventually separate;) they are removed seven to 10 days after the surgery.
How the wound is covered is also up to the practice of the clinic. After the surgery, the breasts are fixed day and night with a special bra. It is recommended to wear this bra four to eight weeks after the surgery. For one month after the surgery, sleeping on your back and limiting sport activities is also recommended.
Breast enlargement by means of implants is a very effective procedure. It is suitable for women with insufficiently developed breasts or when the mammary gland system is shrinking, as may be the case following breast feeding or a significant weight loss.
The optimal age limit for surgery varies. It is generally done after the development of the mammary glands is complete, which is usually after the age of 16.
It is certainly better to insert the implants into breasts that won’t change by potential breast feeding. Although it doesn’t eliminate the possibility to undergo breast augmentation before pregnancy; you have to take into account that lactation and pregnancy will change the size and quality of the mammary gland and therefore the surgery will probably need to be redone. It is better to undergo breast augmentation at least one year after the delivery and breast feeding.
Breast implants have no influence on the fetus and they do not expose it to any danger. The presence of implants does not hinder the ability to breast-feed. Studies done worldwide have not found an increased content of silicone in breast milk.
Some women request the implants to be placed as close to each other as possible to create a sexy line between the breasts. Unfortunately this effect is caused by the body’s constitutionand by the distance between the mammary glands therefore it is not possible to create it on demand.
During your initial consultation, your surgeon will explain the surgery in detail. He will explain which surgical technique is most appropriate for you based on the condition of your breasts and skin tension. He/she will also show you before and after pictures and different types of implants.
If your breasts are sagging, the surgeon may also additionally recommend a breast lift. The surgeon will also inform you which implants he or she will use and which size is appropriate for you to achieve the best result.
Because it is a surgery performed under general anesthesia a pre-surgical examination including a laboratory examination and EKG by a general doctor or internal specialist is necessary. The exam should also include a detailed health history i.e. family diseases, diseases that you have had, allergies etc. At some clinics it is possible to have these examinations done in the morning the same day of the surgery.
Before the surgery it is also necessary to eliminate the possibility of breast illness by ultrasound (sonogram) or mammogram examination depending on the patient’s age. They are performed by special oncological and gynecological clinics. This is mostly done if you are a high risk patient due to a family history of breast cancer.
Your surgeon will give you instructions to prepare for surgery. You should avoid drinking and eating 6 hours before the planned surgery. Any medication containing acetylsalicylic acid (such as Aspirin, Acylpyrin, Alnagon, Mironal etc.) can increase bleeding during and after surgery They therefore shouldn’t be taken for about a week before the planned surgery. It is not good to undergo the surgery during menstruation, although it is not a reason to postpone the surgery. It is appropriate to consult your gynecologist concerning quitting birth control. Today’s opinion is to keep taking birth control pills and preventively taking medication against blood coagulation – low molecular heparin (e.g. Fraxiparin, Clexan, Fragmin.)
It is assumed that no acute illness (viral illness, cold, etc.) will have occurred in the period at least three weeks before the planned operation. Report any illness to your doctor.
If you smoke, plan to quit at least one or two weeks before your surgery and do not resume for at least two weeks after your surgery.
The day of the surgery you should come with your armpits shaved, if the surgical method has been agreed upon. Bring any medication that you take with you for 2-3 days, hygienic items, shoes, pyjamas, ID papers, and an elastic bra without wire support that’s the same size as the chosen implants. Some clinics have them for sale. Clothes that need to be put on over the head are not suitable for the hospital stay. Putting on such clothes after the procedure might be very painful.
While making preparations, be sure to arrange for someone to drive you home after the surgery and to help you out for a day or two if needed.
The costs of the surgery are usually paid for on the day of arrival, before the procedure. An advance deposit is paid at the booking date. Everything depends on the rules of each particular clinic. Since it is an elective surgery, it’s not covered by insurance companies. It is also necessary to take some days off of work because it is not possible to receive a sickness leave.
You are likely to feel pain for a few days following your surgery. The pain is more intense when the implant is placed under the muscle. You will take painkillers for two to five days following the surgery; the pain will slowly recede.
You will probably be released from the clinic after one or two days. Before you leave, the bandages may be changed and the drains removed. That will depend on the clinic and your surgeon. The sutures are usually removed during the check-up in seven to ten days.
It is recommended to wear an elastic bra. You will usually get it at the clinic where the procedure is performed. The length of time to wear it is decided by the surgeon. It is usually 4-8 weeks after the surgery and following that, during sport activities. The surgeon may sometimes recommend a medical belt. It is usually used if the implant was inserted through the armpit, and so it squeezes the formed canal. It can also be used if placement of the implant was under the muscle, so that it pushes it downwards, and generally in other situations when the bra is insufficient. The need and length of time to wear it is again set by the surgeon.
The recommendations of breast massages after the surgery vary, depending on the clinic and the type of implant. Some surgeons don’t recommend them at all. On the contrary long lasting pressure massages of the scars are recommended. It is recommended to wash the breasts only after the wound is healed.
Stay relaxed and quiet during the first week following surgery. Have someone help you with the house and kids for the first few days.
You can resume routine activities and lighter house work in 10-14 days. It also depends on the feeling of pain. Avoid lifting your arms over a horizontal line for 6 weeks.
Heavier work, lifting heavy loads, exercising, weightlifting and other sport activities are recommended gradually after two months following the surgery and while wearing the elastic bra. Intimate intercourse should be done very carefully within the first month after the surgery.
It is possible to visit a solarium or sun tan 14 days after the surgery, it is better though not to rush these activities too much. The scars must be covered with plaster or treated with a high SPF sunscreen for a minimum half a year following the procedure.
You should be able to return to work within 10-14 days, depending on the level of activity required for your job.
The result of the augmentation is considered permanent after three months.
If the breast skin is dry after the surgery, you can apply hydrating creme several times a day. Be careful not to tighten the skin while doing any specific movements and avoid contact with the stitched area.
You should see your surgeon immediately if your breast shape changes, the consistency changes (your breast becomes hard) or any inflammation appears. A visit to your surgeon is also recommended after any severe trauma to your breasts (car accident, fall etc.) Regular check-ups are done after one month, after three months and after one year. A check-up after 10 years also includes an ultrasound examination. The check-up system depends on each clinic. Some clinics have no check-ups at all.
Always be sure to follow your doctor´s instructions.
The implant covers approximately 20% of the mammary gland tissue during a mammogram. That’s why it is a good idea to consider another examination technique such as a sonogram (ultrasound) or magnetic resonance.
Patients that have undergone breast augmentation with implant placement must not undergo diathermy (medical organ heating through high frequency electric current.) The implant could become extremely hot and could cause inner burns and eventually the rupture of the implant.
Each surgical procedure has its possible complications and we have to consider them, although they appear in a low percentage of cases. General anesthesia has certain risks, which will be explained to you by your anesthesiologist before the planned procedure.
There are complications concerning the healing and possible infection of the wound around the area of the implant. There have been documented cases when the implant had to be removed because of infection.
Another surgical complication might be bleeding. That’s why a laboratory examination of blood clotting before the surgery is essential. Also staying in a calm environment after the procedure is important. Another problem can be scar healing.
A serious complication that can occur in any surgery in which the patient is under general anesthesia is a so-called pulmonary embolism – blocking of the pulmonary artery with a blood clot. For prevention, doctors use elastic bandages on the legs and movement soon after the surgery, the best is the first day. Hormonal birth control raises the risk of thrombosis, so it is possible to stop it or take medication against blood coagulation – low molecular heparin (e.g.Fraxiparin, Clexan, Fragmin.)
Some patients are more likely to receive so-called keloid or hypertrophic scars. Sometimes a correction may be necessary, which is relatively difficult in these types of scars.
Breast augmentation is performed with the arms stretched. Patients can sometimes feel pain shooting into the forearm and hands after the surgery. It is caused by the tension of nerves running from the armpit to the arms. These problems are temporary and fade away after few days or weeks.
Capsular contracture
It is the most often described and feared complication of breast augmentation. A fibrous cover – capsule is always formed around the implant. The tissue reacts naturally to the foreign element of the body. The capsules form in all patients and they can be thin or thick. Its creation is individual. In 5% of cases the capsule can start to shrink – this is capsular contracture around the implant. It is accompanied by pain and a firmness to hardening of the breast. This phenomenon can occur in one breast or both breasts. There are ways to avoid the forming of a capsule or at least minimize its creation. It is for example important to ensure a sufficient size of the cavity for implant placement. Also implants with a textured surface reduce the risk of capsular contracture. The shrinking capsule often has to be treated surgically. There have been documented repeated cases of capsular contractures around the implants and sometimes the rigidness can repeat so that the only possibility is the removal of the implant .
Prolapse (expulsion) of the implant
The skin is in permanent tension in the area of the wound. The size of the implant can also cause a progressive thinning to breakage of the skin and therefore the prolapse of the implant. This complication is more common in patients whose skin has been damaged in any way or scarred for example by irradiation from tumor disease.
Serom
This is the creation of liquid around the implant immediately after the surgery or later. It is manifested by pain and breast enlargement. The reason is most often physical strain after the surgical procedure, excessive sport activity or injury.
Blood coagulation around the implant – hematoma
A collection of blood around the implant is mainly caused by disobeying the relazation orders after the surgery or defective blood coagulation.
Burst and penetration of the implant
The approximate durability of an implant set by the producer is around 10-15 years. The implant slowly wears out and its surface thins, which can cause it to burst. The breast can change its shape and will hurt. In such case a change of the implant is necessary. A breast rupture can also be caused by injury, accident or extreme sport activity. Microscopic particles of silicone can penetrate through the gel filled implant’s external cover. These particles have been found around the implant and even in other parts of body. No harmfulness has been proved.
Shrinkage of the implant
The shrinkage of the implant cover is manifested by small folds that can be touched under the skin. It can be painful and big folds can irritate the surrounding tissue. It is a problem for skinny patients with a thin skin layer, very small mammary gland and in cases of implant placement under the gland.
Sensitiveness of nipples
The change of sensitiveness of nipples, either increased or decreased is often described by women after the surgery. In most cases it gets back to normal in several months to one year. The change can be sometimes permanent.
Breasts asymmetry
Even breasts enlarged with an implant can droop or sag after some time. Also asymmetries may occur, when one side droops more than the other. It can be caused by disobeying instructions after the surgery but also for other reasons. The implant can change its position through the movement of breast muscle right after the surgery. A higher risk of such a shift is threatened by teardrop implants.
Calcification
Small particles of calcium may appear around the implant. They can be confused with a beginning stage of breast cancer.
Tiny thrombotic vessels
Tiny vessels in the armpits or under the abdominal wall blocked by thrombus may appear after the surgery. They disappear naturally within several months.
Can silicone implants be harmful for body?
There have been made many studies concerning the harmfulness of breasts implants. All the substances that form the implant have been gradually studied and examined. This includes silicone, polyurethane, which is part of the cover of some implants, and platinum, which is used by polymerization of silicone gel. None of these substances showed explicit carcinogenic effect, i.e. ithey don’t cause tumor malignancy. Further studies have been done for any relation between implants and rheumatic and autoimmune diseases, again none have been proved. Elementary silicone occurs normally in parts of the blood, breast milk, connective tissue and most organs. Its content in the body depends on a person’s diet, geographic conditions, quality of drinking water or beer consumption. Also mothers that breast feed with silicone implants do not present any risk to their babies. Silicon is part of nursing bottles, dummies, spoons and other medical products.
The final breast augmentation is permanent, if there is no change in weight and proportion of breasts (see the above mentioned pregnancy.) Regarding the change of quality of the implant after 10 to 15 yearsor the increased possibility of an implant rupture (burst), it is necessary to consider the possibility of implant replacement. Breast augmentation is a personal, serious decision, and a permanent one. If you have planned carefully, worked with your doctor and followed his instructions, then your surgery should be a successful one!
At Illinois University in Chicago stem cells isolated from bone marrow were stimulated to grow along the supportive skeleton, which is made out of biologically tolerant material. Due to this form the cells have reproduced into previously selected shapes. Such cultivated forms from fat tissue has already been tested on mice. It is assumed that these implants grown from stem cells will be a safe alternative to silicone implants.
Breast enlargement by filling it wiht a person’s own fat or by transplantation of their own muscle has already been performed at some clinics worldwide. There haven’t so far been any experiences with such a technique in the Czech Republic.
Injectable fillers are substances own or foreign to the body that are applied under the skin with the aim to smooth and lift aging skin. There are used own fat, collagen, hyaluronic acid, hydroxylapatite, acrylates and others. Anesthesia is local only in form of anesthesia cream. The duration of the treatment depends on the type of filler and size of treated area. Return to normal activities is possible right after the treatment.
Soft-tissue fillers such as injectable collagen or fat, can help fill in facial lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. Injectable fillers can also add fullness to the lips and cheeks. They may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a face-lift.
Injected collagen and fat are primarily used to improve the appearance of the skin’s texture. They can help fill out deep facial wrinkles, creases and furrows, “sunken” cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips.
Injectables are usually not helpful for severe surface wrinkles on the face, such as multiple vertical “lipstick lines” that sometimes form around the mouth. Instead, your plastic surgeon may suggest a resurfacing technique, such as a chemical peel, dermabrasion or laser treatments. Rather than filling in facial lines, resurfacing methods strip away the outer layers of the skin to produce a smoother appearance.
Deep folds in the face or brow caused by overactive muscles or by loose skin may be more effectively treated with cosmetic surgery, such as a face-lift or brow-lift. Injectable fillers are sometimes used in conjunction with facial surgery procedures; however, injectables alone cannot change your facial contour the way surgery can.
Prague has many attractive features for those considering injectable filllers abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and injectable filler surgeons ensure you’ll receive the best possible care. Injectable fillers Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Collagen is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.
Collagen is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in 1981. It is produced in various thicknesses to meet individual patient needs.
In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient’s abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in “sunken” cheeks or laugh lines between the nose and mouth; to correct skin depressions or indentations; to minimize forehead wrinkles and to enhance the lips.
Because the anesthetic agent lidocaine is mixed in with collagen, additional anesthetic is usually not used when receiving injectable fillers. However, if you are especially sensitive to pain, your doctor may use a topical cream anesthetic or a freon spray to numb the injected area.
You may also choose to have an injected local anesthetic or sedative drugs.
Both the donor and recipient fat areas are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment.
The injectable filling procedure takes from 15 minutes to one hour.
Collagen
Injectable filler treatment with collagen can begin after a skin test determines that you’re not allergic to the substance. The collagen is injected using a fine needle inserted at several points along the edge of the treatment site. If a local anesthesia has not been used, you may feel some minor stinging or burning as the injections are administered.
Since part of the substance is salt water that will be absorbed by the body within a few days, your doctor will slightly overfill the area.
You may be asked to hold a hand mirror during the procedure to help your doctor decide when you’ve had enough.
Fat
After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site.
As with collagen, “overfilling” is necessary to allow for fat absorption in the weeks following treatment. When fat is used to fill sunken cheeks or to correct areas on the face other than lines, this overcorrection of newly injected fat may temporarily make the face appear abnormally puffy or swollen.
An Injectable fillers procedure can enhance your appearance and your self-confidence, however it will not change your looks. Before you decide to have this procedure, keep in mind that the results are not long-lasting. The best candidates for injectable fillers are men and women who are physically healthy, psychologically stable, and realistic in their expectations as to how injectable fillers can enhance their appearance. to see the effect of other people’s injectable fillers surgery, click here for injectable fillers before and after photos.
In your initial consultation, your plastic surgeon will evaluate your face – the skin, the muscles and the underlying bone – and discuss your wishes for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.
Your surgeon will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from old injuries. Collagen injections are generally off limits for pregnant women, individuals who are allergic to beef or bovine products, patients who suffer from autoimmune diseases, and those who are allergic to lidocaine (the anesthetic agent contained in the syringe with the collagen material.)
Collagen
Immediately following the injectable filler treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours.
However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.
No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly after the injectable filler surgery.
There may be some temporary swelling and redness in the treated area which should disappear within a few days. If these symptoms persist, contact your surgeon.
Fat
If a larger area was treated, you may be advised to curtail your activity for a brief time. However, many patients are able to resume normal activity immediately.
You can expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. You should stay out of the sun until the redness and bruising subsides – usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition.
The swelling and puffiness in the recipient site may last several weeks, especially if a large area was filled.
Results from collagen injections varies. The injected material is eventually metabolized by the body. You should not expect the same long-lasting results that may be gained from cosmetic surgery.
In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material’s “staying power.” However, the precise reason for the variation of results among patients has yet to be identified.
If you’ve had short-lived results from fat injections, you shouldn’t necessarily assume that collagen injections will work better for you. And, conversely, if you’ve had disappointing results from collagen, don’t assume that injected fat is the answer.
Although it’s true that some individuals’ bodies are more receptive to one substance than the other, others may find that neither substance produces long-lasting results. Sometimes one substance may work better than the other for a specific problem.
The duration of fat injections varies significantly from patient to patient. Though some patients have reported results lasting a year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.
Skin rejuvenation that is drooping and aging. This revolutionary method uses plasma flow of ionized nitrogen that regenerates skin from depth but does not damage it. It can remove scars after acne, bags around eyes and other problems. You do not even have to restrict your activities even immediately after the procedure.
Plasma is a fourth state of matter (beside liquid, solid and gas) which is formed by free electrons of atom that form inert gas. Nitrogen is used as a source of gas thanks to its ability to oust oxygen from the surface of he skin. This way we can avoid heating of the skin, burns and creation of scars. Nitrogen is not inflammable, therefore there is no risk of sparkle or explosion.
Plasma causes controlled thermal damage of the upper layer of old skin and stimulates creation of collagen fibers and therefore creation of new skin. There is no direct contact with the skin, however the thermal energy is transported right into the tissues.
Plasma skin regeneration – PRS uses portrait device.
The Portrait device is formed by radiofrequency generator that makes inert nitrogen gas, which is then placed into the adapter with a jet at the end in form of millisecond stream right on the skin. Immediately after the contact with the skin the energy changes into heat that won’t damage the epidermis. Plasma appears as a characteristic heat/flame, which changes in yellow light. The distance between the jet and the skin should be approximately 5 mm, in case of high energy the distance should be 1 cm to prevent creation of border lines. The pulse should flow in one direction not from left to right. The area and depth of the thermal effect depends on the selected energy and the size of adapter. The energy can be selected between 1 – 4 J per pulse. This technology can be used for different selected energies, that is associated with the depth of the treatment.
Peel of the epidermis to heating into depth is possible.
The resurfacing of the skin with the usage of plasma has 4 recommended schemas of treatment:
It is mainly used for facial skin rejuvenation: wrinkle removal and general skin lift, removal of odds and unwanted pigmentation. Also for rejuvenation of skin on the neck, chest and back side of hands. The portrait device can treat also areas around mouth and eyes.
Local anesthesia was used with the combination of anesthetic cream, which was applied on the treated area. At present usage of the cream is sufficient, although its application must have the right timing, i.e. it must be applied only on small areas and stepwise on the others according to already finished treatment.
Care after the procedure of skin regenaration with plasma is minimal in case of usage of low energy. In high energies it is relatively simple. You should avoid sun exposure and apply sensitive cream on the treated spots frequently after the procedure during the healing process of the skin.
In case of usage of low energy the redness of the skin stays 2 – 3 hours. When using high energy redness and rough skin appearance is visible. The healing process takes 5 – 10 days, during this period the old epidermis peels away. It is important for the patient not to peel the skin by her/himself and wait until it separates. Not to intervene in the process of healing.
Redness and itching several days after the procedure is common. Itching can be avoided by application of ice on the treated spots. Creation of scabs can appear in case of usage of high energy. A sensitive lotion is good then. Dark spots on the skin might appear caused by low or high energy, they usually absorb within several weeks or months.
The price ranges from 5000 – 35000,- CZK depending on the size of treated area and the intensity of the procedure.
SmartLipo or laser lipolysis is a method used in removal of undesirable fat deposits. It shapes your body. The laser beam promotes the breaking up of the fat cells that are eliminated in a natural manner from the body. Without large bleeding, without pain and incapacity for work.
A very small cannula (tube) approximately 1.0 mm to 2.0 mm in diameter containing a laser fiber is inserted into the skin. The cannula is moved back and forth delivering the laser’s energy directly to the subcutaneous fat cells, causing them to rupture and easily drain away. The laser energy also interacts with the dermis, resulting in collagen shrinkage.
Liquid fat tissue is left usually without suction in case of very tiny parts. It is gradually absorbed due to natural metabolism. In case of larger treated areas it is necessary to gently suck the fat tissue dissolved through laser. Most of the modern clinics world-wide use technique of vibration liposuction.
Due to the cannula’s small size, Smartlipo is a minimally invasive procedure and can be performed under local anesthesia. The laser causes small blood vessels to coagulate immediately on contact, resulting in less bleeding, swelling and bruising – and a quicker recovery time than conventional liposuction.
Worries about the safety of the laser should be quelled – the laser can easily differentiate between fat cells and other tissues including nerves, blood vessels, and connective tissues. The places of laser beam insertion into the subcutis are not sewn, they are only treated with plaster. They almost disappear step by step.
If you have areas of fat that will not respond to diet and exercise, then you’re a candidate for Laserlipolysis. Ideal candidates are in good health, of normal body weight and have realistic expectations for the results.
SmartLipo is ideal for treating following areas : tummy, chin, arms, male breasts, inner and outer thights, buttocks, decolletage, knees, hips, ankles and areas of loose and flabby skin. The procedure may improve the body’s shape and may improve cellulite to a certain degrese.
For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated.
After the treatment you will need to wear a compression garment for several days to several weeks, depending on the body area being treated.In small treatments such as double chin it is possible to leave the treated areas without compression underwear. Rest is recommended after the procedure and activity may be resumed gradually. Refrain from hot tubs or strenuous exercise for 2 weeks. Most people go back to work after two days.
Yes, adults do not create new fat cells. When a person gains weight, the fat cells expand. The Smartlipo procedure permanently removes the fat cells. Should you gain weight, most fat will be deposited in areas where the procedure was not performed.
Results can be seen as soon as a week with continued improvement over several months.
Interview with a top plastic surgeon MUDr. Tomáš Doležal about women, ideal of woman´s beauty and its changes during the time…
During the first consultation, which lasts approximately half or one hour, I learn about the wishes of my client. Then we look for a suitable solution which is technically performable and aesthetically suitable. If it is necessary, I correct my patient´s early concept concerning the results of operation, they have to be realistic. It is important to agree on all details. Both sides should be satisfied. I get acquainted with the reasons which led this woman to such an important decision as undergoing an operation. I explain the procedure of operation and present pictures taken before and after surgery. In this phase, I am more a psychologist, I try to learn why the client came to my surgery. These women do not suffer from a visible illness, but are innerly unhappy, they are troubled by their looks and their dissatisfaction includes other problems with imbalance and general dissatisfaction with their lives. After the treatment, these women are more self-conscious and they generally get on much better.
Have you ever refused an operation?
The patient´s wish to change her look should be her own firm decision, she must go for it. Sometimes I learn during the discussion that the woman decided under the pressure of someone else. In these cases, I refuse to do the surgery. I will give you an example form my experience: a woman may come to my surgery with the wish to undergo breast augmentation. I am told that she had been satisfied with her breast size until she met her boyfriend. He likes women with larger breasts and he requires his partner to have them. She submits and visits plastic surgeon. Nobody can be sure that the partnership will last. After one year, this woman may come again and ask the implants to be removed. Among the prospective clients are also women with mental problems. The feel refused by people around them, do not have many friends and other people avoid to communicate with them. These women look for the reason of unconcern of others and assume that changing it can solve their problem. That´s why they find a visible anomaly or discrepancy on their body or face and classify it as the reason of all problems. These patients are more satisfied with their looks after the surgery, but their problems persist. People around them continue to refuse them and so they either decide to have another plastic surgery or accuse the surgeon to do his or her work carelessly or wrong. I do not operate such prospective clients and try to disclose their intentions during the first consultation in my surgery.
Do you feel to be more an artist, doctor or psychologist?
All in one. First of all, I am of course a surgeon. There would be no craft of plastic surgery without medicine. It is necessary to have adequate qualification and attestation. The career of plastic surgeon is a long one, a doctor may become plastic surgeon approximately ten years after graduation. He or she should have artistic and creative talent as well. Important are imagination, aesthetic feeling and knowledge of not only human anatomy but also aesthetic anatomy of artists. I have already mentioned the role of psychologist. It is essential to find the right way for the surgeon and patient as well. We have to realize that although it is a routine branch, as all other branches, you can not to do everything just routinely. It is necessary to have empathy with the needs of your client and find out if the surgery can fulfill her wishes.
What is your most common social group of your patients? What are their most common jobs?
I can not answer your question precisely, because I do not ask about the jobs of my clients. But generally, it is the middle class who is mostly interested in breast surgeries. The women are troubled by the loss of breast shape after breastfeeding and suffer mentally. In case of breast augmentation, it is the same group of clients as in case of mammaplasty. Women wish to have recompensed the loss of breast tissue after pregnancy or sometimes there are clients who earn their living by their looks, ex. stripteasers, dancers etc. Young women who are troubled by their too small breasts come to my surgery as well.
What is in your opinion the best time to do the surgery?
It is best to be done in colder months. Hot summer is not suitable because the scars should be not exposed to sun rays for about two or three months and it is not good to sweat under the bandages during recovery. But you should not forget that there are countries with temperatures higher than 20°C all year long and plastic surgery is done there as well.
Can it happen that the body of patient rejects the implants or the scars intergrow in a wrong way and the patients are discontented? Are there complaint departments in clinics of plastic surgery?
No plastic surgeon can guarantee the operation to be 100% successful. The risks in case of breast augmentation are well known. Among the most common complications belong so called capsules. Capsule is a hard area of breast tissue caused by development of uletic tissue around whole surface of the implant. However, this problem can be solved in most cases surgically. Capsules appear at approximately 3% of patients.
What is the first reaction of a patient after the surgery when her bandages have been removed?
During the first consultation before her surgery, the patient learns about the procedure through pictures and is prepared for postoperative situation.
Do you sometimes argue the patients out of their visionary surgery for any reasons, even against their will?
I have already mentioned two examples. But generally, I refuse all operations which lie on the edge of capacities, aesthetic and technical possibilities. When I plan a surgery, the figure of the patient must be a concern and the way the surgery is going to influence her general look. It is different to do breast augmentation when the girl is tall or when she is small etc.
How many operations do you usually perform in one month?
I perform about ten or twelve operations in a week, hereof about one hundred augmentations in a year.
Finally, how would you define an ideal figure and beautiful woman?
Unfortunately, it is hardly possible. There are of course objective ideal proportions, but they are influenced by the epoch, society and limited by the place and culture. There is a different ideal in Brazil and in the Czech Republic. There was a different ideal in the twenties and there is a different ideal today. It is important to realize that ideal beauty of a woman does not exist only now but has always existed. However a different one.
Find out the most important facts about Czech cosmetic and plastic surgery. Certification, prices, how to choose a plastic surgeon. Read the recommendations of Asc. Prof. Marketa Duskova M.D. Ph.D., the president of Czech Society of Aesthetic Plastic Surgery.
Extremelly high standards (see below) of Czech plastic surgery combined with low prices and location in central Europe central place The Czech Republic among favorite cosmetic and plastic surgery destinations.
The Czech Republic is in fact home of a modern plastic surgery. Czech plastic surgeons are highly qualified, skilled, trained and educated. Clinics are located in Prague, Brno and other smaller cities. Both Prague and Brno have international airports where you may arrive. Czech Republic is a fairly small country. Even if you choose a clinic outside of Prague you will not travel there from an airport more than about 2 hours.
Czech plastic surgeons have to work in the field of cosmetic plastic surgery for 4 years under supervision before obtaining the certification.
The above are legal obligations to become a plastic surgeon in the Czech Republic. All Czech plastic surgeons are qualified plastic surgeons.
The best plastic surgeons have usually schedule full for 6 moths ahead. Very rarely you might get a consultation or an operation within a month from now or less.
Asc. Prof. Marketa Duskova, M.D., Ph.D., President of Czech Society of Aesthetic Plastic Surgery, recommends:
Why to choose the Czech Plastic Surgery ?
The plastic surgery has had a long tradition here. In European continent the foundation of this medical branch is connected with the name of the great Czech, Academician Frantisek Burian. The treatment is on the high level and the prices are available for majority of interested persons. Among main advantages of Czech plastic surgery belongs the educational system that assures the quality of medical care.
What are the main features of Czech educational system?
In the Czech Republic there are 4 steps of training:
The training lasts at least 5 years and must be provided at accredited sites, where the trainee is going through all parts of plastic surgery. To become a fully board certified plastic surgeon, one must pass the qualifying examination, which is oral and practical. To application form for the examination the candidate must attach references of main tutors and a list of performed surgeries. There are types and number of compulsory operations.
If we compare the situation in other countries, such tutoring and conditions for obtaining of full qualification may be less detailed or even sometimes missed.
You may want to arrange the cosmetic surgery trip to Czech on your own. It is simple. You can simply purchase an airplane ticket, accommodation and airport pick up on the internet within 30 minutes. Before that you should get a date for consultation or possible operation from a chosen plastic surgery specialist. Some time a clinic where you wish to undergo the treatment may recommend an accomodation or apartment near the facility as well as an airport pick up.
You might decide, you don’t want to travel alone. Well, bring a husband and send him play golf. There are more then 70 golf courses in Czech. Bring a friend and send her shopping, siteseeing, you name it…
Czech is far from a third world country. You don’t have to be afraid to get a taxi from the airport. Also, you may contact us if you wish to recommend an appartment of accommodation. The bottom line is:find a surgeon and give him a call or write an email and go from that.
Purchasing an all inclusive cosmetic surgery package through a middleman may be more expensive but you will be taken care of from your home airport on. You may have someone to chat with on the way. Some of the providers have undergone a treatment them selves. You may feel better not going alone. Agents usually know their way around the Prague and Czech. On the other hand, they do what they do for profit. Also, agents will probably recommend you only a clinic or plastic surgeon they deal with. The bottom line is: decide if you are willing to pay more for everything being taken care of for you.
We do not list the agencies here at this time. However you will find them on major search engines if you look for plastic surgery in Prague.
The foundations of plastic surgery were laid by Czech professor Frantisek Burian in 1912. Three years later he launched the first plastic surgery ambulance in the world. Burian developed many operation procedures and techniques that are the basis of many modern plastic surgeries over the world.
Before you decide to travel for cosmetic surgery treatment abroad think twice. Short summary of what things to take into consideration. Use a service of an agent or contact a clinic directly?
The decision to travel for a cosmetic surgery treatment to an exotic destination is not to be taken lightly. Many agencies offer holiday packages including plastic or cosmetic surgery in attractive places abroad.
You can choose from variety of places around the world. Popular destinations for plastic and cosmetic surgery are Argentina, Brazil, Costa Rica, Dominican Republic, Malaysia, Mexico, Philippines, South Africa and Thailand. In Europe Poland, Hungary, Slovakia and of course – the Czech Republic!
But don’t forget…
Going on a vacation and going to have a cosmetic surgery done is not the same.
We plan to add information covering this question within a week. We will also add a list of agencies that sell czech plastic surgery packages (treatment+airplane ticket+accommodation+airport pickup+taxi to clinic+etc.)
Each skin injury heals with a scar. Its appearance depends not only on the type and extent of the wound but also on the individual disposition to form scars. Scars are removed not only from cosmetic reasons but also due to the discomfort caused by the placing of the scar.
Various types of laser are used to remove or modify scars.
The computer-operated laser beam is aimed at the scar and small vessels perfusing the scar are closed. Laser is a patient friendly procedure since it does not cause any extensive open wounds, the healing process is fast and no other treatment or check-up is necessary. Physical properties of a laser beam enable its intensive action in the targeted area.
Hypertrophic scars are treated with laser. After a short application a small plague appears, which later peels off.
Hypertrophic and keloidal scars may be removed by sclerolaser that may be combined with an injectable Diprophos. Moreover, the sclerolaser effectively works upon red scars that we want to turn pale.
Before the procedure, depressed scars may be treated with hylauronic solution that elevates them to the level of the adjacent surface.
The general rule is that the younger (more reddish) the scar is the more satisfactory is the final result. Therefore, if you want to have your scar removed, don’t wait.
Make sure that your expectations are realistic. You cannot expect that old scars will disappear without a trace; however, they will always turn substantially flatter, paler and softer.
Untanned skin is another factor that significantly determines the final effect.
During the first consultation your surgeon checks the state of your scar and states whether it is suitable for laser treatment. If you have larger scars to be removed you have to take into consideration that the procedure will have to be repeated several times.
Desensitisation is not essential for minor scars treatment. You will probably feel slight burning only. In case of larger procedures, desensitisation of the to-be-treated area may be convenient. Notify your surgeon of any allergies to drugs you suffer from, especially if you have ever happened to experience allergy to Mezocaine, Lidocaine, etc.
Desensitising ointment may be used for desensitisation. If you are more sensitive to pain, you can ask for this kind of anaesthesia.
Immediately after the laser treatment, a small, attrition-like lesion appears in the treated area which is soon covered with a small plaque. The treated area is sometimes protected with an adhesive plaster that may be removed in two or three days. It does not have to be necessarily used in case of small procedures.
The treated area may be slightly reddish, however, turns pale quite quickly.
It is vital to protect the treated area from sun exposure for a minimum period of one month. We recommend using sun-block creams. It is also advisable to grease the scar with a healing ointment recommended by the surgeon.
No other precautions are necessary.
In case of any undesirable symptoms, such as inflammation or pain, contact your surgeonimmediately.
The treatment effect is progressive and becomes visible within a few month’s time as the scar turns paler and flatter and progressively adapts to the colour of your skin. If you were realistic in your expectations you will probably be satisfied with the result.
If you suffer from any skin growths, warts, xynthelasma (fat deposits near eyelids), fibrous capsules or birthmarks, you can have them removed by high-performance laser. Very tender hard “evaporating” laser is used for this purpose.
Hard “evaporating” laser used for this purpose is very tender and can be therefore used at any part of a human body, including the face.
The computer-operated laser beam is targeted at the to-be-treated area and evaporates the undesirable tissue in very thin layers. The biggest advantage of the hard laser is its tenderness since it does not cause large open wounds, the healing process is fast and no other treatments or check-ups are necessary.
Physical properties of a laser beam enable its intensive action in the target area. Hard laser may also be used for smoothing of wrinkles and rejuvenation of the entire face.
During the first consultation your surgeon will check the state of your skin and the extent of the necessary procedure. If you want to have your birthmark removed, don’t forget that this procedure is not suitable for all birthmarks.
If you have larger growths for removal you have to take into account that the procedure may have to be repeated several times.
Desensitisation is not essential for minor symptoms treatments. You will probably feel slight burning only.
In case of larger procedures, desensitisation of the to-be-treated area may be convenient.
Notify your surgeon of any allergies to drugs you suffer from, especially if you have ever happened to experience allergy to Mezocaine, Lidocaine, etc.
Desensitising ointment may be used for desensitisation. If you are more sensitive to pain, you can ask for this kind of anaesthesia.
Immediately after the laser treatment, a small, attrition-like lesion appears in the treated area which is soon covered with a small plaque. The treated area is sometimes protected with an adhesive plaster that may be removed in two or three days. It does not have to be necessarily used in case of small procedures.
It is vital to protect the treated area from sun exposure for a minimum period of one month. We recommend using sun-block creams. It is also advisable to grease the scar with a healing ointment recommended by the surgeon.
No other precautions are necessary.
In case of any undesirable symptoms, such as inflammation or pain, contact your surgeon immediately.
The treatment effect may be assessed in 3 to 4 weeks after the procedure. The time of the lesion to disappear depends on the extent of the treatment and on the state of your skin. If the result is not satisfactory, the procedure will have to be repeated several times.
If you want to look good but also natural, if you don’t have enough time or you are bothered by makeup, you can solve it with permanent makeup. Permanent makeup is a method by which natural colours are inserted to the upper layer of the epidermis which causes desired accentuation or even reshaping of given facial part. With permanent makeup it is possible to shape for example size of eyebrows, to accentuate the eyeliners or lips and also to balance their asymmetry.
Permanent makeup is a surface skin micro pigmentation which effects are limited for the period of time of 1 to 3 years. The effect doesn’t last for the whole life, like e.g. tattoos. It can thus flexibly react to changes in face and trends in makeup so that you could be sure that you look best in any situation.
Permanent makeup is divided in
The application of permanent makeup is double-phase process. It is possible to distinguish the shade and intensity of colour after at least three weeks after the first part of the procedure. 3 to 5 weeks is followed by another visit, so called complement, when tiny errors are fixed.
Ideal age for micro pigmentation / permanent makeup is 17 – 90 years old. Permanent makeup is suitable for anybody who wants to underline her everyday makeup. As a basis for makeup, not a replacement of day or night makeup, it will not limit you to use your favourite makeup (e.g. you can still use your favourite lipstick when contouring and colouring lips), while by sport or other activities you will be sure that your lips look fresh and neat.
Permanent makeup is not suitable for example for person who takes medicine for reducing of bleeding (Heparin, Varfarin), tranquillizers, antibiotics or person with strong diabetes.
The lasting is individual, according to the amount of fat and thickness of the skin, exposure to the sun, hormone level, in average 1 to 3 years (although there are even clients that come for reconstruction after 5 to 6 years).