Breast augmentation surgery is a good method to change the volume and shape of a breast that is too small or sagging.
In this procedure, a silicone prosthesis is placed in a cavity under the mammary gland or pectoral muscle. This is done during a one-night hospitalization. The surgery takes place under general anesthesia. You should allow about six weeks for recovery after the procedure.
Rated with a 9.8 out of 10
Rated with a 9.8 out of 10
If the breasts are too small in relation to the rest of the body, breast augmentation may be a solution. This may be the case with underdevelopment of the breasts that has existed since adolescence, possibly combined with asymmetry between the two breasts.
A slight difference in size between the two breasts, by the way, is perfectly normal. Drooping breasts can also occur after pregnancy or weight loss.
By implanting prostheses, the volume as well as the shape of the breast can be changed to a shape and proportion more suited to the body or your personal desires.
Kliniek het Bolwerk works with Mentor implants, a global leader in the production, research and testing of breast implants.
The Mentor product line is leading the world. For more than 30 years, Mentor has maintained the highest safety standards in manufacturing, testing and clinical trials of their saline and silicone-filled breast implants.
Mentor is the only company in the world whose breast implants are manufactured entirely in the United States and in Europe. Mentor products are widely recognized by physicians for their exceptional integrity.
Not only are you choosing the security of breast implants with a history of high quality, but you’re also choosing a company whose goal is to help women make informed decisions about their own breast augmentations.
Mentor offers clear facts, comprehensive information and personal assistance with questions you may want to ask about breast augmentation.
The FDA is the highest body worldwide that controls the quality and safety of medical products. This involves lengthy independent scientific research. Even after approval, companies must still have years of scientific research done on long-term effects.
The so-called cohesive silicone MemoryGel used by Mentor has FDA approval* in addition to CE certification. US FDA approval has been granted to only 3 brands of silicone breast implants.
Because not all breast prostheses used in the Netherlands are FDA approved, it is sometimes incorrectly suggested by other parties that implants, which are FDA approved, are sold primarily in America and that the FDA is therefore a purely American concern for products.
At Kliniek het Bolwerk, your safety comes first. This is why we register all breast prostheses placed or removed at our clinic. This conclusive registration system was developed in cooperation with the Dutch Society for Plastic Surgery (NVPC) and ensures that implants can be detected quickly and easily in the event of any problems.
For years, the NVPC has advocated an internationally comprehensive registration system to ensure the safety of breast prostheses. By participating in the breast prostheses registry, we contribute to a transparent and reliable healthcare system.
Click on one of the tabs below for more information:
The NVPC considers breast augmentation with silicone breast implants to be a responsible and safe medical procedure. Silicone breast implants have been used since the 1960s because of their biocompatibility, which means that the body does not exhibit unwanted reactions. Numerous scientific studies and reviews over the past 30 to 40 years confirm the safety of silicone implants.
At Kliniek het Bolwerk, we work with Mentor brand breast prostheses, which are known for their high quality and reliability. The FDA, the highest global body for the control of medical products, has approved Mentor breast prostheses. This approval is based on:
For more information on breast implant safety and registration, read the NVPC’s Breast Implant Registry (DBIR) Patient Leaflet. This leaflet provides comprehensive details and helps you make an informed decision about breast augmentation.
During the first visit to the plastic surgeon, there will be an orientation discussion about your current complaints and wishes regarding the shape of your breasts after surgery.
You discuss what you don’t like about the shape and size of your breasts and what you expect from the surgery. The plastic surgeon will inform you about the real possibilities, the surgery, the possible scars and the placement of the prosthesis (on or under the pectoral muscle). The pros and cons and complications will also be discussed.
A proposal is made for the shape and volume of the breast prosthesis that is most suitable for you. At Kliniek het Bolwerk, you build a relationship of trust with the plastic surgeon who performs both the surgery and the checkups.
Breast augmentation surgery takes place under general anesthesia. Before admission, you’ll have an appointment with the anesthesiologist to discuss anesthesia and any additional tests such as blood draws, ECG or X-rays.
Pictures of your breasts will be taken and stored in your medical record. On the day of surgery, you will come to the clinic sober. The plastic surgeon will approve the surgery and answer any final questions you may have.
The surgery is performed under general anesthesia by experienced anesthesiologists and anesthesia assistants. The prosthesis is usually inserted through an incision under the breast fold, making a cavity under the mammary gland or pectoral muscle.
The choice of method is made in consultation with the plastic surgeon. After insertion of the prosthesis, a wound drain is left to prevent fluid accumulation and the wound is closed with soluble suture material.
After the procedure, you will go to the recovery room, where you will be monitored until the anesthesia wears off. Here you will be given pain relief and any medication for nausea.
Then you will be taken back to your room, where you will be checked regularly by qualified nurses. At the end of the day, the plastic surgeon will visit you to discuss the procedure. Your scars will be taped with wound strips and you will wear a post-operative bra as soon as possible.
The day after surgery, any wound drains will be removed and you can leave the clinic. You must wear a well-supporting postoperative bra day and night for six weeks, which is available at Clinic the Bolwerk.
Any pain is treated with paracetamol and naproxine; if necessary, the doctor may prescribe another medication.
After surgery, heavy lifting, bending and sports are not recommended for six weeks, as the breast prostheses may otherwise shift. Also, avoid bathing in a tub, pool or sauna until the wounds have healed properly (usually after six weeks).
After six weeks, you may resume all activities. Check-up appointments with the plastic surgeon are scheduled for the first and sixth weeks after discharge.
In case of fever, illness, redness of the wound area, sudden swelling or other problems, contact Kliniek het Bolwerk immediately by mail or phone as indicated in the postoperative instructions.
For a nicer, faster and less painful healing process, wearing the right compression bra for six weeks after breast surgery is essential. Clinic Het Bolwerk recommends the AVA compression bra by Carefix, which is available at the clinic.
David Jairath has 15+ years of experience in aesthetic procedures for breast augmentation.
Each treatment is tailored to your situation and needs through a personal consultation.
We meet the highest standards of sterilization, hygiene and safety.
Our team will carefully guide you through the recovery process and answer all your questions, even after the procedure.
If there is a risk of impaired wound healing, such as with diabetes or medication, or if you are obviously overweight, it may be wise in some cases to forgo surgery. The plastic surgeon will advise you about this.
One reason to forgo breast surgery is if your expectations do not match the plastic surgeon’s options. This is discussed in detail during the exploratory consultation.
Breast augmentation surgery can also have drawbacks. The scar is usually on the underside of the breast and is kept as small as possible. Usually the scar is about 5 cm long. How a scar will develop over time cannot be predicted in advance. It can range from a barely visible line to a red itchy scar.
After the procedure, there may also be decreased sensation in the nipples or sensation in the nipples may disappear completely. In principle, it is possible to breastfeed normally after breast augmentation.
We would also like to point out that there may be a slight left-right difference between the two breasts after surgery. This is usually the case before surgery. A small left/right difference before surgery can give a larger difference after breast augmentation.
We cannot guarantee a particular bra cup size after surgery because it varies quite a bit from one bra manufacturer to another. Cup sizes do not always fall the same between different manufacturers.
Undesirable effects of breast surgery include post-operative bleeding and disruptions in wound healing, which can cause infections. We make every effort to minimize the risk of unwanted effects.
In the longer term, problems can arise from so-called capsular contracture. The formation of a capsule around the prosthesis is a natural process. Unfortunately, in some people this capsule develops into a hard capsule after years, which can cause pain and a change in the shape of the breast. Then a new procedure is needed in which this capsule is loosened and often a new implant is placed.
I am Drs. David Jairath, plastic surgeon. After studying medicine and specializing as a plastic surgeon, I further specialized in the aesthetic-cosmetic field.
During my career, I have worked in both academic and private clinics, with my expertise encompassing both reconstructive and cosmetic procedures. In recent years, I have focused on non-invasive and minimal procedures that contribute to my clients’ body image and well-being.
I now use my broad knowledge and experience at Kliniek het Bolwerk, where, as a plastic surgeon with over 15 years of experience, I carefully perform all procedures. I always take into account the individual situations and wishes of my clients, with the aim of providing optimal results and the best aftercare.
My mission is to support clients in their well-being through my medical expertise. Together with the client, I consider what options best fit their needs and desires. The client is at the center of every procedure.
All reviews are verified on Zorgkaartnederland.nl.
Rated with a 9.8 out of 10
Eyelid surgery
I recently went to Dr. David Jairath for an upper eyelid surgery. After a clear and knowledgeable consultation, I was able to be seen quickly. I found the procedure exciting, but because David tries to distract you while talking during the procedure, it was… Read more
Sept. 7, 2024
Eyelid surgery
Two weeks ago I had a lower eyelid surgery done. David the performing surgeon performed this very competently. I was quite nervous about this … but during the procedure I was put at ease, quiet music on the… Read more
Aug. 22, 2024
General
David gives you honest advice about what is and what is not necessary. Because of his years of experience as a plastic surgeon you can be sure that he knows what he is doing. Even though I only came for a filler, this gave… Read more
Aug. 17, 2024
Nipple correction
David did an excellent job helping me reduce the size of my nipples. For years it has bothered me and finally took the step to do something about it. The clinic is just clean and my treatment was perfectly prepared…. Read more
Aug. 9, 2024
Oneffenheden-
verwijderen
I had been bothered by 2 birthmarks on my face for 20 years, I had them removed. I felt at ease with Dr. Jairath, he was readily available for questions and now 3 weeks after the procedure…. Read more
Aug. 7, 2024
Eyelid surgery
I also had an upper eyelid surgery performed by David several years ago. I was somewhat anxious and tense at the time. At the time, David performed the treatment carefully, respectfully and well. I really felt comfortable at the time. For… Read more
July 8, 2024
General
good communication!
July 8, 2024
Moedervlek-
verwijderen
After shaving off my beard, I noticed that the birthmark that I hadn’t seen for 20 years because of my beard had gotten a little bigger and was annoyingly in the way with shaving. Through googling I came across the site … Read more
July 8, 2024
General
Incredibly friendly and knowledgeable doctor. He takes the time to listen and thinks of solutions. Honest about treatment and puts you at ease. I am very glad I ended up with this doctor! All the… Read more
June 18, 2024
Removal of
skin blemishes
I had an unsightly pigment spot on the right side of my face. David Jairath removed it and two weeks later removed the stitches. Everything healed nicely. I am very satisfied… Read more
June 17, 2024
Injectables
Integrative doctor and in the process friendly and very open. If David Jairath finds something unnecessary, he will not do it. Previously also had upper eyelid correction performed. Excellent result. This time I had deep folds filled with injectables. 100% confidence… Read more
May 21, 2024
Eyelid surgery
During initial consultation on eyelid surgery advice, I was clearly explained the desired procedure. I received honest advice. All this in a quiet environment without time pressure. Plastic surgeon, Dr. David Jairath is a very experienced doctor that I… Read more
May 5, 2024
General
Dr. Jareth is very friendly and takes extensive time to go over the treatment and decide together what is right for me. Very pleasant and very personal advice! I will definitely come back.
May 4, 2024
General
Am very happy with the result of treatment with David Jairath. Good explanation and extremely careful and I felt I was in good hands! The result is according to it!
May 3, 2024
Removal of
skin blemishes
I was able to come by quickly after a phone contact and be helped immediately. After a very friendly preliminary conversation I was able to sit on the treatment chair. After a few shots of anesthesia, the large pigment spot was removed and the area was sewn shut with a lot of… Read more
April 30, 2024
General
Pleasant contact. Calm. Clear explanation and instructions. Quick appointment and also quick treatment. In short: satisfied.
April 21, 2024
General
Very satisfied with clinic the stronghold. Professional, attention to you and your situation and a very competent surgeon.
April 19, 2024
Eyelid surgery
I’m glad I came to David.Super quick turn on good explanation. I am happy that after years I can see better again because of an eyelid correction. It is a bit more expensive than at another but…. Read more
April 11, 2024
Eyelid surgery
Recently underwent upper eyelid surgery with Dr. Jairath. I am very satisfied with the treatment and aftercare. Within 1 week I could go for a consultation and the operation. It was well explained and perfectly performed. Also during the removal of… Read more
April 9, 2024
Eyelid surgery
After a pleasant consultation, with doctor Jairath, where I received a good explanation about the eyelid correction, the operation took place last week. The anesthesia was the most annoying thing because Dr. Jairath performed the surgery skillfully and pleasantly: I… Read more
March 20, 2024
General
Dr. Jairath is a knowledgeable doctor with whom good care is paramount. Dr. Jairath listens carefully to your needs and gives honest advice. During treatment, he puts you very at ease and makes sure you are comfortable…. Read more
March 15, 2024
General
I was in this pleasant and easily accessible clinic with Dr. Jairth, a very professional and friendly doctor. He took the time to explain everything well and put me at ease. The treatment went smoothly and competently.
March 12, 2024
Breast augmentation surgery is currently not reimbursed by Dutch health insurance companies. If there is a disposition disorder or a difference in size, of at least one cup size between the left and right breast, an application for reimbursement can be made by the attending plastic surgeon.
Despite this application, the insurer retains the right to reject reimbursement for this procedure. In all other cases, the procedure is considered cosmetic and you must pay for it yourself.
Only an initial consultation that does not lead to treatment.
This procedure is performed under general anesthesia, after which you will stay in the clinic overnight.
Despite our care, errors may occur in our fee list. Therefore, you cannot derive any rights from this rate list.
We recommend wearing a good supportive post-operative bra after the procedure, without underwire at the bottom. A sports top may also be a good solution. We can help you find a good bra.
The bra is put on as soon as possible after surgery. Sometimes already in the operating room, sometimes in the recovery room. Also read the answer to the first question, “What kind of bra can I wear after surgery?”.
Breast augmentation is a real operation lasting 60 to 90 minutes. For your safety and comfort, the surgery is performed under general anesthesia. Because something unexpected can always happen after the procedure, it is wise to stay in the hospital so that pain relief is well taken care of. Our staff will do their best to make you as comfortable as possible.
Kliniek het Bolwerk wants to work as safely as possible and not risk your health. In addition, the treatment should be as comfortable as possible for you. A modern anesthesia, as performed in cooperation with our anesthesiologists, is many times safer and more comfortable than a procedure under local anesthesia with a sedative. A procedure in which you have to lie still on an operating table for 90 minutes for the best result is hardly tenable.
Is your question not listed? Then ask here your question
You can make an appointment through our online schedule or by calling 023-5837405.
You can make an appointment via Whatsapp at 06-49899167
Contact
Kliniek het Bolwerk