Transform Magazine . Pierjean Albrecht. Editor
Transform Magazine nº 6  - Pierjean albrecht –   Aesthetic Surgery of the young breast.
Aesthetic Surgery of the young breast. Pierjean (pier) Albrecht. Transform Magazine nº6
Since ancient times the female breast is accepted as a unique sym bol for femininity , seduction and fertility even in very distinct cultures all over the world . Apart of its cultural role the female breast has even gained more importance in our modern society when we have a loo k at fashion , music and media , were the perfect bust nearly sems to be a key element for suces .
>>>Apart from its cultural role, the female breast has gained even greater importance in
our modern society.
Speaking only of the societies based on western ideals of beauty, the image of the “ideal†female breast changed a lot during the last century following the great changes in social life like sexual liberation in the late sixties, upcoming feminism, the new femininity of the eighties and the androgyny of the nineties which substantially influenced the self-confidence of especially the young woman regarding her looks as well as her outer image in society, media and fashion. The new millennium, in spite of its obvious futureorientated acceleration and progression of all aspects of life, actually recreated a female look and style that is reminiscence to the times when a full breast was an important part of any woman’s sensual and seductive femininity.
>>>The breast of the young woman between 18 and 30 years of age has totally different needs from those of a woman of over 30 years who has maybe already had a baby.
This reborn image being transmitted by topmodels at the current fashion shows, by young female stars in the movies and by famous pop stars is reflected in every aspect of fashion and social life and makes more and more younger women to undergo plastic surgery to achieve the bust line that they feel belongs to them but accidentally was not given to them by nature.
From a plastic surgeons view, the female breast is something very delicate to change because in has an evident impact on the patient’s life and contrary to the image created by many so called “Aesthetic surgery businesses†you can not seriously offer a one price-one technique solution to achieve excellent aesthetic results. The very complex composition of the female breast consisting of glandular (milk-producing) tissue, fatty tissue and numerous fibre-like bands which hold the breast in its natural form demands anatomical expertise and individual techniques which take in consideration the age-related changes of the breast tissue. The breast of the young woman between 18 and 30 years of age has totally different needs regarding the type and shape of the implant, the position of the implant and even the position of the scars than a woman over 30 years with children. It is important to know that the tissue composition of the female breast isn’t static, but tends to change regarding the relation between glandular tissue and fatty tissue which subsequently affects firmness, elasticity and shape of the breast.
Therefore, the operating technique must be carefully adapted to the age of the patient taking in consideration the following elements :
Contrary to most women who did give birth, young women with small breasts mostly don’t have any or only minimal sagging of the breast, so the fold under the breast is not very accentuated and may even be absent. This fact diminishes the advantage of placing the implants via an incision in this fold, because the scars are not automatically hidden by the normal form of the breast like in older women. So the alternative access placing the implants via a small incision below the areola can provide excellent results with a scar even less visible and therefore needs to be considered carefully together with the treating surgeon. After a decision for the placement of the future scars has been taken, the position of the implants in the breast needs to be evaluated. Basically, a breast implant can be placed directly underneath the gland overlying the pectoral muscle or it can be placed underneath the muscle. Besides the patient’s expectations regarding the desired shape of the enlarged breast the age and the actual shape of the breasts play a very important role in making that decision. In a young woman presenting no or minimal sagging of the breast, a good elasticity of the skin and a normal breast shape, placing the implant underneath the muscle provides excellent aesthetic outcome, a better protection of the implant through the muscle and more satisfying long term results because the muscle prevents the implant from sagging.
Also if the breast is very small and the desired augmentation is more than one size, the position behind the muscle is advisable, as the glandular tissue would not cover the implant, and the result would not be natural.
>>>Today’s market offers a broad variety of different implant shapes and sizes.
On the other hand, if the patient is older and maybe has already given birth and gone
through a period of breastfeeding, the shape of breast may require the need to put the implant directly underneath the gland to provide enough volume to fill up the skin stretched by sagging.
The last important point to consider together with the treating surgeon is the style or shape of the implant. As in all other areas of life, science and technology provided a steady and remarkable improvement of breast implants during the last 10 years. Modern silicone implants have a highly resistant shell covering a soft, gel-like core, therefore providing a soft, natural feeling never achieved before while offering implant life expectations of 15 years and more. Today’s market offers a broad variety of different implant shapes and sizes which allow for an individual solution for almost every patient. Any responsible plastic surgeon should thoroughly discuss the different types of implants with the patient, and should provide the possibility to touch them, to know how they feel and to try out different shapes and sizes by wearing them inside a bra.
>>>Therefore, the operating technique must be carefully adapted to the age of the patient.
Based on his experience, the surgeon will suggest a certain range of implants that will suit the individual needs of the woman, but in most cases there will be the possibility to choose between a more rounded breast form with a little bit more volume in the upper part or a more natural, tear shaped form; or to decide between different degrees of implantsoftness referring to the patient’s individual taste.
There is no unique breast shape that can be taken to be “the ideal breast†for every woman; the most important thing when it comes to deciding about the size and shape is to give every woman her own very unique shape that suits her body and style. The seduction evoked by a perfect bust line is not only related to volume, but to an individual harmony in the relation between the breast and the chest.
This kind of harmony, that can be achieved at any age, is what we always aim to create in our patients.
Taking care of the individual needs of the woman’s anatomy and taking into consideration the elements mentioned above, the breast augmentation with silicone implants is a safe and reliable procedure with excellent and long lasting aesthetic results, especially when performed on younger women.
The following interview with a 29 year old patient is an example of the results that can be achieved with implants in a patient who has slightly saggy breast but does not want a correction with an additional uplift. The excellent results achieved by breast augmentation in a patient who has small breasts without any sagging are illustrated by photos of another 26 year old patient.
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Curriculum – Pierjean (pier) Albrecht – Marbella
Pierjean (pier) Albrecht, is a Doctor in Surgery  by the Salamanca University, Spain, author of a Clinical Research Thesis, specialised in Plastic and Aesthetic Surgery. Dr. Pierjean (pier) Albrecht is also a titled Expert Witness to the Court .
Dr. Pierjean Albrecht was trained in France in the Medical Schools of the Louis Pasteur University in Strasbourg, Montpellier I, and finished his specialised third cycle within the Department of Surgery of the Salamanca University.
After Pierjean (pier) Albrecht has been awarded a “Specialized Research Studies†title in the training program “Advanced Surgeryâ€, by the Department of Surgery of the Salamanca University, and a “Doctor in Medicine and Surgery†– Summa Cum Laude – title, by the same University, which allows him to teach and to carry out research programs, he published his clinical  research Thesis : “Lasers in Cutaneous Therapy, Dermatology and Plastic Aesthetic Surgeryâ€.
Dr. Pierjean (pier) Albrecht dedicated a special attention to Rhinoplasty (nose surgery) in Guadalajara-Mexico-, with reknowned Professor Armando Romero Gonzalez , and  has been then granted the Invited Profesor title, within the ENT Specialist Academic Training Program,  for the Facial Surgery and with Lasers.
Dr. Pierjean (pier) Albrecht recived the Postgraduate University Title (D.U)  â€Lasers in Dermatology, Phlebology and Plastic Surgeryâ€Â by the Specialties Department of the  Medical School of the RENE DESCARTES  University, Paris V .
Pierjean (Pier) Albrecht has published numerous articles about Plastic Surgery.
Pierjean (pier) Albrecht presented and published his work about the relation between ageing skin and immun system , lasers, and Plastic-Aesthetic Surgery, in french andInternational congresses, as well as in peer review scientific publications :
1.-  “Trans-Inferior Orbital Rim Anchorage and Roll Fascia Multi-Loop Temporal Anchorage in Midface rejuvenationâ€. Aesthetic Surgery Journal, Pierjean (pier)  Albrecht, august 2006 (Journal of the American Society for Plastic-Aesthetic Surgery )
*That new plastic reconstructive an aesthetic surgery technique , developed by Dr. Pierjean Albrecht has also been published by the following data bases:
Trans-inferior orbital rim anchorage and fascia roll multi-loop temporal anchorage in midface rejuvenation.– US National Library of Medicine, National Institutes of Health
2.- “Lasers in Cutaneous Surgery , Dermatology and Plastic-Aesthétic Surgeryâ€, Pierjean Albrecht. Doctorate.Thesis.  Salamanca University. 2000.
              Doctorate Thesis  – Pierjean (pier) Albrecht*
3.- Malar  Implants in  zone 1. The transconjunctival route .2002.  Pierjean (pier) Albrecht.Summary Book,  SOFCPRE Congress 2002 (Société française de chirurgie plastique, réparatrice et esthétique).
4.- Closed Blépharoplasty, the pre-resection “U†suture .  Summary Book, SOFCPRECongress  2002 (Société française de chirurgie plastique, réparatrice et esthétique)
5.-  Gliadin Films. I:Gliadin films. I: Preparation and in vitro evaluation as a carrier for controlled drug release Internationnal Journal of Pharmaceutics. Pierjean (pier)  Albrecht co-auteur. 117 – 121 1995. Elsevier
6.- Higlight of antioxydant properties of a L. M.F. in dermo-cosmetics. Pierjean (pier) Albrecht. Journal de Pharmacie Clinique. 1995
2.-  Alloplastic Malar Implants in M/M.A.U.* - zone 1 – for aesthetic purposes. The transconjonctival route. Pierjean (pier) Albrecht. Anti-Ageing World Conference. Paris 2003
3.- Summary Book of the SOFCPRE National Congress. 2002 (Société Française de Chirurgie Plastique, Réparatrice et Esthétique ): “Closed Blépharoplastie, the pre-resection “U†suture â€Â 2002
4.- Alloplastic Malar implants in M/M.A.U.* - zone 1 – for aesthetic purposes. The Transconjonctival route . Pierjean (pier) Albrecht. Summary Book of the SOFCPRENational Congress. 2002 (Société Française de Chirurgie Plastique, Réparatrice et Esthétique )
5.-  Alloplastic Malar Implants   in M/M.A.U.* - zone 1 – for aesthetic purposes. The Transconjonctival route . Pierjean (pier) Albrecht. IMCAS congress. Paris 2002
6.- Laser and Facial Plastic and et Aesthetic Surgery. Pierjean (pier) Albrecht. Guadalajara Surgery School. Mexico. 2002
7.- Clinical Interest of L.M.F . Salon de Dermatologie Pratique.Paris 1995
8.- Immun-complexes use in ageing skin.Pierjean (pier) Albrecht.  Rio De Janeiro Aesthetic Medicine Society Congress , Brazil 1994.
Teaching:
1.- Dr Pierjean Albrecht has been appointed Invited Professor  for the ENT surgery residents training program, at the Guadalajara Civil Hospital  – Mexico – in 2001.
2.- Dr Pierjean (pier) Albrecht  conducted a facial dissection workshop in the  Birkenwerder Plastic Surgery Symposium (Berlin) 2004
3.- Dr Pierjean (pier) Albrecht participated to the academic training teaching activity of the prestigious  Navarre University Clinic, Spain . 2004
Dr. Pierjean Albrecht is an Expert WItness to the Court
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SALAMANCA UNIVERSITY CERTTIFICATE
Prof. Dr.D.Fransisco Javier Garcia Criado, Professor of Surgery and Secretary, Department of Surgery at the University of Salamanca  STATES:
FIRST: That Mr Pierjean (pier) Albrecht applied , in 1998, for its registration to the University of Salamanca for doctoral studies. That according to his case, considering the academic certificates issued, the medical studies conducted by Mr Pierjean (pier) Albrecht In the French Faculties of Medicine of Strasbourg and Montpellier 1, during the years 1981 to 1988, correspond to the academic level and are equivalent to, the Bachelor of Medicine (as the medical practice title in Spain) of the Faculties of Medicine of the Spanish University , as required, in its  added paragraphs , in the RD (Royal Decree) 778/1998 ..
SECOND: That Mr Albrecht (pier) Pierjean registered in the Ph.D. program, “Advanced Surgeryâ€, developed by the Department of Surgery at the Salamanca University , during the years 1998-2000, the program coordinator being Profesor Francisco Javier Garcia Criado, the tutor being  Prof. Emiliano Galila Hernandez, and the Director of his thesis project being Profesor.Agustin Alvarez del Canizo. Once assessed the Curriculum Vitae of Mr Pierjean (pier) Albrecht , in which are, inter alia, certificates concerning his clinical training in various specialty surgical centers from 1986, his research activity reflected in communications to scientific meetings and publications in major prestige scientific journals  in 1995, and his complementary training by attending specialized courses between 1994 and 1998, we conclude that D. Pierjean (pier) Albrecht   thad reached undoubtedly a very high qualification in the field of Plastic Surgery and of research in his medical specialty.
THIRD: That during the two years indicated,  Mr Albrecht (pier) Pierjean obtained the required 32 credits (320 hours) with 12 “very goodâ€, 4 “good†and 1 “Approvedâ€, showing at each moment a very high level of knowledge in theory and practice as clinical as well as in research.
FOURTH: That dated 1st September 2000, Mr Pierjean (pier) Albrecht, obtains, from the University of Salamanca, the title “Ability for Research†for his specialised training in this area by the Department of Surgery, which qualifies him to submit his doctoral thesis.
FIFTH: That dated 22 June 2001, he appeared before the “Court of Thesis Doctoral†the Thesis entitled. â€The Cutaneous Laser Surgery, in Dermatology and Plastic Surgery-Aesthetic. 244 casesâ€, which was conducted during a period of 3 years between 1998 and 2001, obtaining the highest qualification  “Excellent†and “With Congratulationsâ€
SIXTH: That dated 25 June 2001, D. Pierjean (pier) Albrecht is granted the title of Doctor in Medicine and Surgery at the University of Salamanca.
SEVENTH: That all documentations relating to the facts set are in the files of the Department of Surgery and Section of Graduate and Doctorate from the University of Salamanca.
Made for legal statement, and at the request of the above mentionned, we sign in Salamanca, the ninth day of March 2009
Summary of some Scientific Publications :
- Trans-Inferior Orbital Rim Anchorage and Fascia Roll Multi-LoopTemporal Anchorage in Midface Rejuvenation.Pierjean (pier) Albrecht. Aesthetic Surgery Journal  2006.
- Alloplastic Malar Implants for Aesthtetic Purposes in zone 1. The transconjunctival route.Carnet de resumé. Pierjean (pier) Albrecht. SOFCPRE 2002.
- “Closed Blepharoplasty, the U suture before incisionâ€Â . Pierjean Albrecht. Carnet de resumé. Congress of the SOFCPRE , the French Society for Plastic, Reconstructive and Aesthetic Surgery: . 2002.
- Comparative use of Lasers in Cutaneous Therapy and Plastic-Aesthetic Surgery, .Pierjean (pier) Albrecht .Thesis. Dococtorate.Salamanca University, . 2001.
- Gliadin Films. I : Preparation in vitro evaluation as a carrier for controlled drug release.Pierjean (pier) Albrecht. co.author in Internationnal Journal of Pharmaceutics. 117 – 121 .1995. Elsevier.
- Mise en évidence des propriétés antioxydantes d’un L. M.F. dans des dermocosmétiques . Pierjean (pier) Albrecht. co-author in Journal.de Pharm.Clinique. 1995.
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Dr. Pierjean Albrecht: Â Other publications
Transform Magazine, Pier Albrecht editor
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Editorial: M. Pierjean Albrecht, Dr. Pierre jean Albrecht, Dr. Albrecht Pierjean,
M. Pier Albrecht, Dr. Pierre  Albrecht, Dr. Pierjean Frank Albrecht, Marbella Clinic
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