Breast Augmentation

GENESIS Breast Center

Why should I choose GENESIS Hospital for a Breast Augmentation Surgery?

GENESIS is the largest Obstetrics-Gynecology-Plastic Surgery Hospital in Northern Greece and the only one focused exclusively on Women.
It is located in a beautiful natural environment, only a few kilometers from the Thessaloniki international airport (15’ drive).
It is one of the few Hospitals in Greece that are certified by TEMOS in accordance with the standard "Quality in International Patient Care" for treating foreign patients, while it has also been certified within 2017 a) with the European standard ΕΝ 15224:2012 and b) with the updated ISO 9001:2015.
It houses the only Plastic Surgery Department with its own surgeries and treatment rooms, separate from the other departments of the Hospital, thus providing the necessary privacy and isolation.
With four ultra-modern surgical rooms, a complete Microbiology and Radiology Department and an Intensive Care Unit (ICU), GENESIS provides maximum security to its inpatients.
Two of the best surgeons in Greece are in charge of the Plastic Surgery department: Dr. Triantafyllos Vrizas and Dr. Dimitris Triantafyllou.
Only implants by the two best companies in the world (Mentor and Allergan) are used in the operations, and with all the necessary certifications and guarantees.
The Hospital provides excellent organization for foreign patients! All they have to do is reach the airport of Thessaloniki, and the Hospital takes care of the rest!
Only 1-day of hospitalization is required, in a double room.
The Hospital provides patients with preoperative and postoperative instructions, as well as personalized telemonitoring after they return to their home country.

All the above described services regarding breast augmentation are provided for the total price of € 3,700, which includes hospitalization costs, the surgery, surgeon and anesthesiologist fees and the cost of implants.

Put your trust on the best!

GENESIS Breast Center in Thessaloniki, Greece!

General information on Breast Augmentation

Anesthesia: General or Neuroleptanesthesia (intoxication)
Duration: 1-2 hours
Stay: Usually 1 day
Pain: Moderate pain when the implant is above the muscle, more severe pain when the implant is inserted under the muscle. Painkillers will be required during the first days
Oedema - Swelling: Usually 10 days if the implant is above the muscle, and 20 days if it is below the muscle
Bandages (Gauze): Removed in 1-3 days, Stitches: They are absorbable, no need to remove them
Bruises: They improve by day 10. Some people do not get any bruises
Hypaesthesia: Usually lasts 1-2 months, rarely up to 6 months
Support: A sports bra must be worn for 3-4 weeks
Drainage: Usually 1 day,
Work: Return to work in 3-7 days. If the work requires weight lifting or a lot of movement, 2-4 weeks may be needed,
Exercise: Return to the gym in 3-4 weeks
Driving: As usual
Final result: Usually 1-2 months for implants above the muscle; up to 4 months for implants below the muscle.

During your initial visit, the doctor will ask you to describe in detail what it is you would like to improve. The doctor will examine if there are any asymmetries, if there is ptosis, and together you will discuss the surgical plan.

You will need to discuss:

The shape of the implant
Its surface (textured surface)
The implant volume (in cubic centimeters)
The position where it will be inserted (nipple, inframammary, armpit etc.)
The position of the incision (nipple, inframammary, armpit etc.)

You must state the following in your medical history:

If you have problems with the heart, lungs, liver etc.
If you suffer from hypertension
If you have a family history of thrombophlebitis
If you suffer from diabetes mellitus
If you are smokers
If you take medicine or food supplements (and which ones)

It is recommended that the surgery does not take place during menstruation

Breast Augmentation: The Operation

The surgery usually lasts up to two hours; it takes place in an organized surgical center (Hospital) and it is usually performed with general anaesthesia, although in some cases (this is something that you will discuss with your doctor) it may be performed with local anaesthesia.

The operation will be preceded by laboratory testings (Electrocardiogram, chest X-ray, blood tests)
Breast augmentation aims to increase the size of the breasts. It does not improve asymmetries of the nipples and it does not help sagging breasts (in this case a breast lift will be necessary).

Implant shape:

There are two types of implants: Round Breast Implants and Tear Drop Implants

Recent studies have shown that round implants are superior to tear drop implants because:
- they are not affected by the possible movement of the implant
- they also have the shape of a drop in an upright position
- they appear more natural in a horizontal position
- they have a significantly lower re-operation rate

which is why the majority of plastic surgeons use round breast implants.

Implant Surface

There are Textured Breast Implants and Smooth Breast Implants
In Europe we traditionally use textured implants, as they do not easily move from their initial position and they have better texture (In the U.S.A. they use mainly smooth implants)

Implant Volumes

It is not easy to decide on the volume of the implant
Your doctor's experience and your consultation with them will assist you in your decision
Some sizers could potentially help
For implants larger than 400 ml there is usually higher chance that they might move from their initial position
Do not hesitate to show your doctor pictures of breasts that you might like (you may not achieve the same result, as they are always differences that your doctor will point out to you, for example different anatomy, different breast diameter, sides or sternum going inwards or outwards etc.)

Implant Position

It can be positioned above or below the pectoralis major muscle
When located below the muscle (because it is transected) there is more postoperative pain and swelling
In athletes it is usually positioned above the muscle
In theory, when positioned below the muscle there is a lower rate of capsule formation, but a higher "damage" rate due to friction with the muscle.
Discuss in detail and extensively with your doctor

Incision area: The incisions where the implant may be placed are:
- Periareolar (around the nipple)
- inframammary (inframammary crease)
- axillary

The decision will be made depending on your anatomical data (e.g. large nipple, small ptosis of the breast) and after consultation with your plastic surgeon.

Recovery

on the first day you will experience breast pain, pressure, strain and discomfort in general
the pain will be more severe if the implants are below the muscle (up to two weeks); painkillers will be necessary
possible bruising up to 2 weeks
oedema – swelling up to 3 weeks
antibiotics for a week
special sports bra for 1 month
no sleeping on your stomach for 2 weeks
no exercising, no heavy weight lifting, no sexual intercourse for 3 weeks
swimming in the sea only after 3 weeks
follow-ups are recommended every 6 months in the doctor's office
depending on the age and family history, magnetic resonance imaging (MRI) is recommended every 2 years
massaging is not necessary on textured breast implants (only on smooth breast implants)
the results will be visible after approx. 2 months, when the breasts will be soft without swelling and pains.

Possible Complications

Complications, although rare, must be reported and treated accordingly:
- reaction to anaesthesia
- asymmetry
- hematoma (<1% mainly during the first 24 hours; take care when taking food supplements)
- capsule (2% reaction of the tissue around the breast, which becomes harder. There is a classification according to hardness (Baker) in 4 categories
- hypaesthesia
- inflammation
- implant injury
- symmastia
- visible scar
- rippling
- skin necrosis
- galactorrhea

Extensive consultation with the doctor and understanding of instructions limits the chance of complications

Attention: For women with a family history of breast cancer, breast augmentation may be contraindicated

Attention: The laboratory testing of the breasts (U/S, MRI etc.) must be done on a regular basis

Breast Augmentation - Instructions

A few days before the operation

Supplying of a special sports bra, which will be worn on the day following the operation
Performance of the necessary preoperative check (examinations)
Ensuring that you are not pregnant
Scheduling of the operation so that it does not take place during the days of menstruation (period)

On the day of the operation

Supplying of Arnica cream, antibiotics and painkillers (with prescription).
Do not eat or drink anything if the operation is scheduled before noon, only a little coffee or tea with one rusk at least six hours before the operation if it is scheduled for the evening.
Make sure to bring a nightgown, preferably with buttons, so that it can be easily worn after the surgery
Avoid wearing jewelry
Nails must be clean without polish.

After the operation

During the first 24 hours, the elastic bandage surrounding and pressing the thorax might cause mild discomfort
It might cause light swelling at the height of the clavicle. This will subdue after a few days
Potential pain will be reduced in 2-3 days.
Light diet with yogurt, jelly, soup, rusks etc. is recommended.

From the next day of the operation

Removal of the elastic bandage, which brings instant relief.
The sports bra must be worn for one month; however, it can be removed during showering
During the first 2-3 days, an elastic bandage may be placed above the bra on the upper pole of the breast which is swollen so as to speed up the result
Normal diet without restrictions.

General Instructions - Information

The sports bra must be worn for at least a month.
From day 15, the breasts should be massaged with circular movements using a moisturizing cream, in accordance with the provided instructions.
Avoid lifting weights for 15 days after the operation. Begin exercising gradually after three weeks.
Rare cases of complications (hematoma, inflammation, capsule) will be treated accordingly as discussed preoperatively.
We always request the special guarantee paper of all implants used.
Cases of small breast asymmetry may exist after the operation as well

The operation may be combined with other operations, such as rhinoplasty, cheek augmentation, genital aesthetics, liposuction etc.

Details, Pricing and Frequently Asked Questions:

Online skype consultation	YES
Evaulation of patient photos on-line - before visit	YES
Telephone consultation	YES
Emergency service / contact 24h	YES
Dedicated councelor	YES
Text messages reminder	NO
Distance from the city center	4km
Distance from the nearest airport	15km
Breast augmentation	YES
Breast lift	YES
Breast reduction	YES
Corrective breast surgery	YES
Male breast reduction (Gynecomastia)	YES
Fat transfer - Breast enlargement with liposuction	YES
Fat transfer - Breast enlargement with stem cells and liposuction	YES
Saline Breast Implants	YES
Silicone Breast Implants	YES
Gummy bear breast implants	YES
Round breast implants	YES
Smooth breast implants	YES
Textured breast implants	YES
Price includes:
Pre-operative consultations	YES
Surgeon	YES
Breast implants cost	YES
Anesthesia	YES
Post-operation care	YES
Post-surgical bra	YES
Follow-up visits	YES
Minimum number of visits in Hospital	4
Maximum number of visits in Hospital	5
One stage treatment	YES
Healing time	3 months
Terms of payment?	Credit card / bank deposit / cash
Package name	Breast Augmentation with Implants
Price (inclufing all fees)	3.700 Euros

CV- Dimitris Triantafyllou

Dimitris Triantafyllou graduated from the Experimental School of the University of Thessaloniki, as well as from the Military Medical School (SAAS) with honors.
He was further educated in the United States and more specifically in the Washington University of St. Louis, with which he maintains close relations and which he visits annually. He was director of Healthcare in the Dodecanese, curator in 424 General Military Training Hospital (GSNE).
He held the rank of Chief Medical Officer and the position of Plastic Surgery Director in 424 GSNE; he retired with the rank of General Chief Medical Officer (Colonel). He has presented scientific papers and speeches in many conferences. He is a member of the Plastic Surgery company (www.herpas.gr) and a candidate Member of the American Society of Plastic Surgeons. He has been a Research Fellow and a Keynote speaker for the GENESIS Hospital for 10 years, as well as a Research Fellow of Euromedica in Rhodes.

Other Activities:

YMCA member -Chairman of the committee of exercisers
Curator of the JUDO department of the National G.C.
Founding member of the JUDO department Ari in Thessaloniki
JUDO team leader of the armed forces
Many distinctions and participations with the National Team in the Sport of JUDO for which he has a black belt (3rd DAN)
Gold metal winner in the Olympiad of Doctors in Austria
Licensed Parachutist and Yachtsman (Hellenic Offshore Racing Club)

CV- Triantafyllos Vrizas

He was born in Drama on 1964 and has graduated from High School. He is a graduate of the Medical School of the Aristotle University of Thessaloniki (1982-1988).

He served in the army and the Community Hospital of Vathytopos (Nevrokopi, Prefecture of Drama) (1988-1990).

He completed the prerequisite training in Surgery and Orthopedics in the General Hospital of the Prefecture of Drama, as well as Plastic Surgery training in Great Britain (Whiston Hospital - Liverpool, George Eliot Hospital Birmingham, Devon and Exeter Hospital, Exeter) in a paid trainee position, grade of House Officer, Registrar and Senior Registrar (1992-1997).

He acquired his specialization title in March 1998 and he has been practicing medicine privately since 1998 in Thessaloniki. He is scientific director of the Plastic Surgery department of the GENESIS Hospital and he collaborates with the Hospitals of St. Loukas, Kyanous Stavros, Interbalkan Medical Center and General Hospital of Thessaloniki. He is working on a doctoral dissertation in A.U.TH., while he has been on post-training trips for information on new techniques in the U.S.A., Sweden, Netherlands and Great Britain. He has participated in the writing and presentation of papers in multiple conferences in Greece and abroad; he has been trained in Hands-on seminars abroad, while he participated in the writing of the chapter on "Microsurgery" in the book of Orthopedics of the Medical School of A.U.TH.

Breast Augmentation

DEPARTMENTS & SERVICES