Breast augmentation can help patients get the coveted feminine shape of the breasts or to restore the former shape of the breasts, which have been lost after childbirth and breastfeeding, or for any other reason.

Small breasts can, for a woman, be greater social, physical and spiritual problem than what people are able to understand. Breast size depends on innate factors – genetics, the body’s hormonal levels, age, elongation of the skin, subcutaneous fat content in the body. Breast size and shape can be affected by large fluctuations in body weight during a lifetime and breastfeeding of children.

Breasts are augmented with breast prostheses or breast implants. Nowadays are used silicone containing, anatomically modeled rough surface breast implants. No risk factor for a human being has been detected in the case of such breast implants. Breastfeeding is possible after the surgery of placing breast implants. Young women’s breast augmentation is done post-puberty, from the age 18 onwards.

The body grows scar tissue around the breast prosthesis. The resulting scar tissue is typically soft. Due to the patient’s body a tougher scar tissue can also occur, called scar capsule contractures and the prosthesis feels denser. An unpleasant, disturbing scar capsule can be treated only with a new surgery. When using today’s operating methods and modern breast implants, the scar capsule contracture occurs very rarely.

Breast implants are also used in the treatment of congenital breast asymmetry, various developmental disorders and in the treatment following the removal of breasts due to breast cancer.

After breast augmentation surgery, breasts are usually of a normal breast consistency or slightly firmer. For breast augmentation, we use high-quality “Motiva” breast implants or we choose implants according to the patient’s wishes. The surgery is performed under general anesthesia.

Read more about Motiva

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Breast size depends on innate factors – genetics, the body’s hormonal levels, age, elongation of the skin and the subcutaneous fat content in the body. It also depends on any large fluctuations in body weight during one’s lifetime, and childbirth and breastfeeding of children.

Breast reduction means changing of breast size and shape, so that the breasts after surgery, because of their weight and shape, do not interfere with daily life. Breast size and appearance are individual, and it is normal that the breasts are not quite of the same size and the same shape. Overly large breasts are not just the problem of appearance, but they often cause a variety of health problems – neck and shoulder pains, headaches, backaches, and pain may also radiate into the hands of poor and the posture may deteriorate. Large heavy breasts also interfere with sports. Breasts can grow to an enormous size already at the time of puberty. Post-breastfeeding, with increasing age, the breast tissue will change and breasts will hang.

Breast reduction surgeries are performed for women of all ages. During the operation, breast size is reduced and the shape and symmetry are changed. Breast reduction surgeries are also carried out on young women, choosing a surgical technique so that later it is possible to breastfeed. Breast reduction surgeries are often performed due to health problems. The surgery is performed under general anesthesia.

Sagging breasts usually occur after pregnancy and lactation, the breast shape will change and the elasticity will decrease. Sagging breasts often occur with those women who in their youth have had large and luscious breasts.  Sagging breasts may also be an unwelcome adverse effect of fast weight loss. Sagging breasts plastic surgery is sometimes also called breast lifting – it restores a youthful female figure and thus adds a great amount of self-confidence.

During the plastic surgery of sagging breasts,  breasts are lifted and their shape is modeled so that the result would be a firm breast of the desired elasticity. If the patient is satisfied with the size of the breast, no breast implants are used. If the patient wants larger and firmer breasts, breast implants are placed in the breast, if necessary. The breastfeeding function is generally maintained.

During the consultation, it is possible to identify, together with the plastic surgeon, what is the most appropriate method of operation and, if it is desired to use the implants, and then which ones.

The surgery is performed under general anesthesia. After the procedure, the surgeon will provide precise instructions on how to behave after the surgery so that the recovery would be swift and the expectations of the beautiful outcome would be met. Recovery from the surgery is individual. Usually, it takes the time of about 2-4 weeks. The surgery is performed under general anesthesia.

We recommend mammographic studies to all women every two years. If it turns out that in the mammography there is a change in the structure of the tissue, a breast ultrasound scan is done, if necessary, a needle biopsy or a sample tissue is taken, and magnetic study of the breasts will be made.

 If the pathologist response to the biopsy is a benign tumor, it must be decided whether, according to the criteria, there is a need for immediate surgical removal of the change, or will the patient be subject to monitoring. Within 3-6 months or in 1 year, depending on the changes, a new ultrasound examination is made.

For the treatment of malignant tumors is a surgical operation, in addition, radiation therapy, chemotherapy, hormonal therapy, etc. Depending on the case, the breast is removed surgically partially or completely. When it comes to DCIS or the precursor of breast cancer or Stage I cancer, together with the mastectomy can be instantly performed breast reconstruction surgery or restorative breast surgery. The surgery is performed under general anesthesia.

If the pathologist response to the biopsy is a benign tumor, it must be decided whether, according to the criteria, there is a need for immediate surgical removal of the change, or will the patient be subject to monitoring. Within 3-6 months or in 1 year, depending on the changes,  a new ultrasound examination is made. The surgery is performed under general anesthesia.

Breast cancer metastasizes primarily to the lymph nodes under the arm of the same side. If it is known from the pathologist’s response that there are metastases in the lymph nodes in the armpit, the fatty tissue and the lymph node from the armpit must be removed to prevent the spread of cancer. Postoperatively, the oncologist will decide on the additional therapy – radiotherapy, chemotherapy and hormonal therapy. The surgery is performed under general anesthesia.

Treatment of malignant tumors is a surgical operation, in addition, will be performed, if necessary, radiotherapy, chemotherapy, and hormone therapy. Depending on the case, the breast is removed surgically partially or completely. When it comes to DCIS or the precursor of breast cancer or Stage I cancer, together with the mastectomy can be instantly performed breast reconstruction surgery or restorative breast surgery. The surgery is performed under general anesthesia.

Breast reconstruction or construction/making or modeling of a new breast is a surgery, where instead of completely removing a breast will be built a new breast. The surgery is usually performed after breast cancer, and it helps to improve and treat the post-operative condition caused by breast cancer. Every tenth woman in the world with be afflicted with breast cancer. The surgery is performed under general anesthesia.

Breast reconstruction is performed using a prosthesis or breast implants. Breast reconstruction surgeries and related procedures are very individual, depending on the specific nature of the problem. It is a complicated operation in which the price is identified in the course of the medical consultation when the specifics of the operation have become clear. The surgery is performed under general anesthesia.

Breast reconstruction or construction/making or modeling of a new breast is a surgery, where instead of a completely removed breast, will be built a new breast. The surgery is usually performed after breast cancer, and it helps to improve and treat the post-operative condition caused by breast cancer. Every tenth woman in the world with be afflicted with breast cancer.

Breast reconstructions are performed with the help of a muscle flap and/or breast implants. In most cases is used the wide back muscle or the musculus latissimus dorsi (LDflap) if necessary, a breast implant or a long abdomen muscle or musculus rectus abdominis (TRAMflap) is added micro-surgically or pedicularly. If necessary, it is possible to use a variety of techniques and muscles for breast reconstruction.

Breast reconstruction surgeries and related procedures are very individual, depending on the specific nature of the problem. It is a complicated operation in which the price is identified in the course the medical consultation when the specifics of the operation have become clear. The surgery is performed under general anesthesia.

Gynecomastia is a male breast enlargement and/or compaction. Gynecomastia is bilateral or unilateral. Aesthetically, an enlarged breast or asymmetry (different sized mammary glands) can be an impediment to social life, building relationships and so on. An enlarged mammary gland can be surgically removed. In surgery, we use liposuction as an auxiliary method in mammary gland removal. The more detailed operation selection method is performed by a surgeon at the appointment according to the needs of the patient.

Men, the same as in women, have a mammary gland, although it is much smaller and denser. Also, men can develop breast cancer. A man who feels formations or something else in the mammary gland should have himself checked at the family doctor’s office. An ultrasonic check and, if necessary, mammography, magnetic examination, or a needle biopsy/sampling should be performed.

Removal of the mammary glands of transgender males. At the appointment, the surgeon selects the appropriate method for the patient. Usually liposuction is used as an auxiliary method. The surgery is performed under general anesthesia.

Breastlight™

Most of the women check their breasts for changes – both by feeling their breasts for finding nodes as well as by careful observation of the breasts. This is an important part of caring for your body. Indeed, doctors recommend that women learn what their healthy breasts look like and how they feel. This is often called “breast consciousness.”

Most women are aware of the need to look for abnormal papules. But there are other changes in the breast, which also need to be paid attention to. These include:

• Changes in size or form of the breast
• Skin changes – especially the emergence of wrinkles or wells
• Changes in the appearance of the nipple or secretions from the nipple
• Chest pain that does not disappear with time
• Nodules or bumps in the breast tissue

If any changes are observed, ask your doctor for advice as soon as possible. These may be harmless, but it can be confirmed only by a physician.

Most of the new nodes or other breast changes are not serious and can be easily treated, where appropriate. If they prove to be cancerous, however, it will very likely be successfully treated.

The earlier a problem is found, the better the chances. Therefore, it is important to be “breast conscious” and check the breasts for all sorts of changes.

Breastlight is a new health and wellbeing product for women. It helps women notice the changes occurring in their breasts over time.

Breastlight lets you see your breasts in a new light. Breastlight emits strong light through the breast tissue, so to some extent, you can see the inside of your breast. So you can find out how your normal breasts look like, to spot any changes and hopefully feel more confident in the knowledge that you take care of your body as you see fit.

What do you see when observing your breasts?

You can see the veins and other blood vessels in your breast as dark lines. They are totally normal. Around the nipple, you can see a circle of small dots – the dots are part of the mammary glands. They are also perfectly normal.

What to pay attention to?

When observing breasts with Breastlight, you can see some dark patches or shadows. These may be abnormalities in the breast. When you find these, consult a physician.

Here are some pictures of the examples of what you can see.

To be safe, it is important to examine your breasts for all suspicious signs. Whether it is a palpable nodule, an odd change in the nipple area or a dark shadow visible with the Breastlight, in any case, you should contact your doctor. Keep in mind that all abnormalities are not cancer. In fact, nine out of ten cases are not cancer, but small problems that can be easily treated.

It is important to consult a doctor immediately if you notice any changes or abnormalities. An immediate check saves you from unnecessary worry. And if the nodule occurs to be cancerous, you have the best chances for successful treatment. In the treatment of breast cancer have been made great strides and, therefore, the number of patients cured of breast cancer is continually increasing.

Important facts

Although Breastlight is a valuable tool in raising breast awareness, Breastlight is not able to identify any type and any size of breast abnormalities in all locations. It is not intended for use as a diagnostic tool.

PWB Health does not claim that with the use of the Breastlight, one can always succeed in finding breast cancer, breast nodules or other breast diseases. Breastlight can draw attention to potential abnormalities that may later turn out to be normal, or may require minimal medical intervention. For example, blood-filled cysts, and hematomas also appear as dark regions. But we suggest having the doctor examine all the suspicious findings.

Breastlight is not suitable for use during breastfeeding. Breastlight may be used in the presence of implants and after lumpectomy.

If in doubt, ask the opinion of a medical professional.

The upper eyelids need correction when as a result of aging, the person’s eyebrows are sunken and eyelids are sagging. Over the years, a person’s forehead skin stretches and wrinkles develop. Subcutaneous fat is reduced, eyebrows descend and eyelids are loosened.

The eyes of the people of our geographical area are typically in the depths and the crease of the upper eyelids is at the bottom. Often the upper crease is located only 3-5 mm from the line of the eyelashes and the drooping upper eyelid skin sinks onto the lashes and creates a feeling of pressure in the eye, and the so-called heavy eyelids. The field of view declines and a tired look appears.

During the upper lip operation the surgeon removes the excess skin, corrects the muscle and removes part of the fat tissue, as a result of which the skin around the eyes becomes tight. After the correction of the upper lids, the field of view improves, eyelids eyes get tired less and eyes as a whole get a younger and fresher look.

The skin would of the upper eyelid surgery remains hidden in the crease of the upper lid, so scars are minimal. After surgery, you will receive instructions from your doctor on how to care for the wound, and how to proceed so the recovery would be swift and the result of the surgery would be at its maximum. Removal of the stitches takes place 5-7 days after the surgery. The initial healing time is 1-3 weeks.

Take sunglasses with you to the surgery!

The main reason for perched eyelids is sagging skin and muscle. A perched lower eyelid produces a so-called eye bag. Enlarged, sagging fat herniae of the upper and lower eyelid cause puffiness around the eyes.

The  need for the correction of the lower eyelids may also arise with age. The emergence of the ‘bags under the eyes “, as it is called in the vernacular, can also be inherited or dependent on lifestyle and diet.

During the surgery, the surgeon removes the so-called “bags under the eyes,” removes sagging skin. The section of the lower eyelid surgery will remain in the eyelid crease along the lash line of the lower eyelid, so scars are minimal. Removal of the stitches takes place 5-7 days after the surgery. The initial healing time is 1-3 weeks.

Wrinkles around the face and sagging skin on the neck develop over the years. Facial wrinkles often lead to the situation where people look older than they feel. A facelift can help to change a person’s face to look younger by many years.

Surgically it is possible to carry out a full facelift, which includes tightening of the facial skin and muscles and removal of the excess skin both on the face as well as on the neck. A smaller facial surgery, “mini facelift”, focuses on the tightening of the skin and muscles of a specific face or neck area.

The final result of the surgery is natural and continuous but depends largely on the elasticity and quality of the skin. The elasticity of the largest organ of a human being- the skin, is determined by genes and lifestyle: a nutritious diet, a healthy lifestyle, adequate sleep and consumption of alcohol, tobacco, or drugs. 

Facelift

Mini facelift

The methodology of placing mesothreads will help bring youth back to your face.

Mesothreads are a safe and convenient alternative to facial plastic surgery. Tightening of the face with threads is a much more economical procedure, where, with a very fine needle are placed into the skin tissues, soluble and absorbable biocompatible threads that form in the tissues a supportive network and do not allow the face to sag.

Mesothreads are an absorbable material, they are made of polyglycolic-acid-coated synthetic polydioxanone threads, totally biocompatible strong suture material which has been used for over 50 years in cardiac surgery, children’s cardiovascular surgery, microsurgery, and ophtalmosurgery.

The technique of supporting with mesothreads has been used for over twenty years. The materials used have also been platinum and gold threads, insoluble suture materials, hyaluronic acid gel, etc.

The technique of soluble and firming threads was developed in the 1990s. This allows to restore the contours of the face, cheeks, eyebrows and cheekbones. It will also help reduce wrinkles between the nose and the corners of the mouth, and completely get rid of the “crow’s feet” at the eye corners. Firming threads can be used not only for modeling of the face but also the arms, chest, thighs and other areas.

Thanks to biodegradable threads, the facial skin can be tightened so that the result is maintained over a long period. Mesothreads stimulate the production of collagen, improve skin condition and tighten the facial contours.

 The procedure creates a voluminous soft-rigid carcass that integrates with the tissues without causing any discomfort. Around the threads is created a collagen-elastin carcass which performs the role of reinforcement in the dermis, and “holds” the face for about two years. Strong wrinkles decrease and the facial contour tightens.

The installed threads disintegrate in the tissues by bio-hydrolysis into carbon dioxide and water, 60 to 80 days later has remained 50% of their original strength characteristics. In 180-240 days, mesothreads absorb fully.

Immediately after the procedure, the noticeable tension of the skin occurs, wrinkles decrease and gradual rejuvenation takes place – structure of the skin has changed (also couperosa has declined), the lifting effect of the procedure is immediately noticeable.

Mesothreads can be used already when primary signs of aging occur, and it is combined with beauty injections. The result is retained for 2-3 years. Then, the procedure should be repeated. Also can be performed supportive treatments.

Advantages of mesothreads

• Mesothreads are not traumatizing. For sutures, there is no need for incisions, the thickness of the thread is only 0.1 mm.
• Mesothreads are hypoallergenic and 100% biocompatible with tissues.
• The needles are very flexible, do not destroy the tissues, but push them apart. Therefore, there is no hematoma after the surgery. Just tiny puncture marks that disappear quickly.
• Skin bio-reinforcement with mesothreads takes place using only external anesthesia, which is easy to tolerate and which allows not to use injection anesthesia. This, in turn, eliminates puffiness, large hematoma, allergic reactions.
• The post-procedure rehabilitation lasts only a few hours.
• The procedure also provides a reflex  therapeutic acupuncture effect which acts on both the skin, as well as on the muscles.
• Mesotreads can be, and is even advisable, to use together with other rejuvenation techniques.

3D mesothread contraindications

• Different strong infectious diseases (ORVI, flu, etc.)
• Skin inflammations in the thread entrance places
• Oncologic diseases  
• Some blood diseases (for example, blood clots)
• Tumors, the skin prone to the emergence of celluloid scarring
• Pregnancy

Where to use mesothreads

Face

• Creases between the nose and the lip
• Creases and wrinkles between the lip and the chin
• Pronounced furrows beginning from the bridge of the nose
• Network of lip wrinkles (wrinkles around the lips)
• Eye wrinkles
• Creases around the ear
• Gravitative ptosis (skin muscle weakness)
• Forehead wrinkles and sagging
• Drooping and sagging eyebrows (also the area between the eyebrows)
• Uneven skin topography and asymmetry after plastic surgery

Body

• Crevasses and looseness under the chin, neck and chest area
• Sagging abdominal skin, buttocks, skin of arms and legs
• Uneven skin topography after liposuction

Mesothreads can be used in a single procedure in combination with fillers, which can be used to stop the formation of deep and medium wrinkles and the use of fillers correct some imperfections of skin topography. Such interaction of two methods, give a good result.

A more pronounced result can be achieved by linking, the placing of mesothreads with the contour plasticity procedure using fifth generation fillers of Yvoire “Classic”, or “Volume” of Yvoire.

Immediately after the placing of mesothreads, on the same day and (or) after 2-3 weeks, it is desirable to perform radio wave lifting, to ensure constriction of the  tissue around the threads; two weeks later a plasma lifting, skin faction-de-aging of the skin, mesotherapy, chemical peeling or bio-revitalisation may be performed on the face. About a month later – instrumental rejuvenation methodologies – microcurrent, biostimulation, vacuum massage, ultrasonic cavitation, cryo lipolysis, etc.

Definitely doctor-cosmetologist consultations are needed.

Plastic surgery applied to the forehead and eyebrows gives your face a younger and more rested appearance. The procedure reduces wrinkles that give the face an angry or tired appearance. It is often performed with plastic surgery on the face (facelift), or on the eyelids. The options are the performance of either a smaller volume or an extensive surgery. The choice of method depends in particular on the anatomy of the patient and the nature of aging.

If the sagging of the external arch of the eyebrows has been caused by the drooping of the side parts of the forehead, a smaller scale surgery is performed, in the case of substantial drooping of the forehead and eyebrows, however, an extensive plastic surgery of the forehead and eyebrows is indicated.

In the course of a larger-scale operation, one long incision is made in the hairline (from ear to ear). Through this incision, the forehead skin is lifted and the muscles and subcutaneous tissues are removed or the tissues are relocated. It tightens the entire forehead skin.

In the case of smaller-scale plastic surgery for raising the eyebrows, a 4-5 cm incision is made in the temple area, leaving a barely noticeable scar in the hair or on the hairline.

Both operations provide a good result for years.

Depending on the person, just liposuction under the chin area may be sufficient, but mostly plastic surgery is performed together with neck muscle tightening and the removal of excess skin. Incisions are made in the temple area inside the hair and in front and behind the ears.

The surgery restores the youthful and rested appearance of the face. However, it is a relatively larger operation, recovery from which will take time. Although this operation does not stop the aging process, your appearance after the surgery will be fresher for years.

Plastic surgery on thighs is a surgery, during which the thigh is given a new look, and the excess skin is removed. If necessary, fat removal can be performed. Plastic surgery on thighs is suitable for those who have excess skin and fat tissue in the inner and outer sides of the thighs.

Plastic surgery of thighs allows you to change the local fat deposits to be less noticeable and to harmonize the protuberances on the thighs. If necessary, liposuction is used.

For achieving better results, the surgery can be combined with liposuction or plastic surgery on thighs.

Plastic surgery on the upper arm is a surgical procedure that is suitable for those who have hanging skin in the area between the elbow and armpit or at the back of the arm. Depending on the volume of the surgery the incision can be made in the armpit. When tightening of the larger area of the upper arm the incision is made from elbow to the armpit, along the inner side of the upper arm.

Scars that have been caused by traumas and poorly healed post-surgery are a disturbing problem and can make a person insecure.

Ugly scars can be corrected with plastic surgery, which greatly improves your appearance. During the plastic surgery on scars, the surgeon cuts the old scar off the skin and moves and tightens the surrounding skin. The procedure will result in a new scar that is smaller and has a more aesthetic appearance than the previous one.

The fact, whether the scar needs to be operated on, can only be assessed up to a year after a previous surgery. Scar treatment is generally slow. 

Skin tumors and birthmarks are not just a cosmetic problem. Seemingly innocent birthmarks and/or skin tumors if left untreated can develop into malignant tumors and cause serious consequences to the patient.

You should contact a doctor if you notice unnatural changes in the birthmark – change of the size, color, shape of the birthmark. 

• The location of the birthmark can cause microtraumas (for example brushing of clothes against the skin, combing hair)
• The birthmark has changed (itching, change in color or shape, the surrounding area is red)
• The birthmark is in a prominent site and aesthetically disturbing

Before surgery, you will decide together with the doctor what is best the best method of operation, depending on the condition, location and size of the birthmark. The birthmark is operated on in a sustainable manner, the scar will remain visible as little as possible, and aesthetic.