Breast Augmentation
PD Dr. Richard Fakin / Gender Reaffirming Surgery (GRS) / Breast Augmentation
Breast reconstruction for trans-women
Madrid | Zurich
Breast augmentation or reconstruction in trans women goes beyond merely changing breast size, as it constitutes a pivotal step in the process of body feminization. With this intervention, not only are extraordinary aesthetic results achieved, but quality of life and the sense of well‐being are also improved
Our expertise, professional commitment and skilful use of cutting-edge technology, successfully merge both aesthetic and reconstructive surgery procedures. Making us proud of contributing to our patients’ live quality.
In the case of trans women, there are anatomical particularities that differ from cis women, such as the distance between the areola and the inframammary fold, a smaller separation between the breasts, or a nipple positioned more centrally. All these aspects can be addressed through careful surgical planning, the appropriate selection of implant type and size, and a deep understanding of each patient’s expectations.
To optimize aesthetic results, complementary procedures such as fat grafting (hybrid augmentation) can often be added. In addition, gender reassignment surgery can be performed at the same time as breast augmentation, thereby reducing the number of anesthesias and hospitalizations required.
Our commitment to applying cutting-edge techniques, supported by extensive specialized knowledge, allows us to affirm that aesthetic and reconstructive surgery are inseparable. We are proud to be part of the transformation in our patients’ lives.
Motiva
JOY™ is an all-in-one program that provides women with a premium breast augmentation experience. It includes the latest Motiva® implant technology through Ergonomix2® a minimal-incision procedure delivered by JOY™ partners, and support for their journey through our interactive digital tools. It’s an honor for Dr.Fakin to be part of this proyect.
What brand of breast implant is the best for each patient?
The decision regarding the brand of breast implant depends on the patient’s personal preferences and anatomical characteristics. All the brands we use meet the highest quality standards, come with a lifetime guarantee, and are designed with state-of-the-art materials. Some of the most notable ones are:
- Motiva: Next-generation implants with a very natural feel and ergonomic shape. They show a very low long-term capsular contracture rate.
- B-Lite: Implants up to 30% lighter than other brands of equivalent volume, ideal for breast reconstruction.
- Polytech: Anatomical or round implants offering an excellent quality-to-price ratio.
- Perle GCA: Lifetime benefit for both the implant and its encapsulation.
To learn more about our breast augmentation Surgery for trans-women, see our Instagram posts
Available implant shapes
- Round: With a spherical configuration, it offers a uniform volume balance between the upper and lower areas of the breast.
- Anatomical: With a natural contour, it provides greater projection in the lower pole and a result very similar to the original breast.
- Ergonomic: It adapts according to the patient’s body position: it behaves like a round implant when lying down and adopts a more anatomical shape when upright, similar to the natural evolution of the mammary gland.
In addition to shape, different degrees of projection are considered to adapt to the silhouette and the existing percentage of breast tissue. Skin elasticity and implant positioning are also evaluated to obtain a natural, attractive result in line with each woman’s desires.
To learn more about our breast augmentation surgery for trans-women, see our Facebook posts.
How and where are implants placed and which are the additional procedures for Breast Augmentation?
There are three main options for implant placement in relation to the pectoralis major muscle:
- Subglandular Plane: The implant is placed over the muscle and under the mammary gland.
- Submuscular Plane: The implant is placed beneath the pectoral muscle.
- Dual Plane: The upper pole is positioned under the muscle while the lower pole is placed above it.
Implant Insertion Approaches
- Inframammary Fold: The incision is made in the lower fold of the breast.
- Periareolar: The approach is made along the border that joins the pigmented areola with the surrounding skin.
- Transaxillary: The incision is made in the armpit area.
The breast augmentation procedure can be combined with other interventions performed simultaneously such as: breast lift and breast fat grafting to extend the implant coverage using the patient’s own tissue.
To learn more about our breast augmentation Surgery for trans-women, see our Instagram posts.
Is it necessary to replace my implants?
If there are no major changes, the patient does not suffer any type of disorder, pain nor discomfort and is pleased with their appearance, there is no need to replace the implants. The old idea that implants needed replacement after ten years is no longer true, since current implants are designed with materials that last for life and significantly reduce the long-term rate of complications (capsular contracture). At our clinics, we use the best brands with the highest quality standards.
To learn more about our breast augmentation surgery for trans-women, see our Facebook posts.
Breast Augmentation: Frequently Asked Questions
How do we choose the size and type of implant in breast augmentation?
At Dr. Fakin’s practice we evaluate chest width, breast base, skin elasticity and your personal preferences. Using sizers or 3D simulation when needed, we define the implant size, shape and projection that best suits your body.
Implant placement: above or below the muscle?
Implants can be placed subglandular, subfascial or submuscular. The decision depends on tissue coverage, physical activity, aesthetic goals and the risk of capsular contracture.
What scars does breast augmentation leave, and where are the incisions placed?
The most common approaches are through the inframammary fold, the areola or, in selected cases, the armpit. We aim for short incisions and meticulous closure to achieve discreet scars.
Can breast augmentation be combined with a breast lift if there is sagging?
Yes. When ptosis is present, we can combine augmentation with mastopexy to reposition the nipple–areola complex and achieve a firmer, well-shaped breast. At our clinic we assess whether this can be safely performed in one stage.
What is recovery like after breast augmentation?
Light daily activity is possible within a few days. Sports can usually be resumed progressively after 4–6 weeks, while intense chest workouts are delayed a little longer. We always recommend a supportive postoperative bra and regular check-ups.