It is a demonstrated fact that a woman’s breasts are one of her most important weapons of seduction. They are undoubtedly one of the most basic elements of femininity.

An attractive bustline does not remain perfect indefinitely, only for around ten years in most cases, then after the first pregnancy it usually gives the impression of being empty and drooping. In cases where the breasts are small and underdeveloped, the need to feel completely feminine, confident and seductive begins to arise towards the end of the teens. The pressure created by advertising that bombards young girls daily with images of supermodels only goes to strengthen the belief that there is a real need to resort to surgery to correct the physical injustice of Mother Nature. With maturity the body goes through the unpleasant changes brought about by the passing of time, a woman’s breasts become her greatest concern when trying to delay the effects of ageing.

DIFFERENT OPTIONS FOR HAVING AN ATTRACTIVE BUSTLINE Breast augmentation is a surgical operation that increases volume by inserting breast implants, thus obtaining beautiful and natural-looking breasts in accordance with the characteristics and the expectations of each patient.

As in any kind of aesthetic operation involving surgery, the first consultation with the plastic surgeon is an essential stage, as at this point a relationship of mutual confidence is formed, in which the patient is provided with complete information and all the details and steps of the operation are explained, along with those for the choice of prosthesis. It is also a stage in which we check that the implants will be tolerated and whether the patient’s health and medical history are suitable for this type of operation.

Once these points have been checked then the choice can be made as to which kind of implant is to be used as there are several types, for example, liquid silicone with a smooth or textured surface, of hydrogel, or anatomical implants of cohesive or semicohesive gel. For inserting these implants, there are several techniques by which to gain access: from the armpit, from under the areola, under the breast and the umbilicus, amongst others, which leaves scars that are practically invisible.

The kind of implant chosen will determine the final result. Anatomical implants are less likely to lose their shape, although they leave a larger scar. It is possible to make use of the edges of the areolas if they are large enough to insert small anatomical implants, and also the fold under the breast to insert larger anatomical implants.

Nowadays the most reliable prostheses are made of silicone soft cohesive gel with a textured surface because they offer the greatest consistency and give a more natural result as regards shape and feel. Within this category there are several different types, which in specific circumstances “reconstruct” the breast, giving it the desired shape. I do not recommend those made of saline solution as they can deflate and do not provide natural shape for the breast. Investigations have proved that women with breast implants do not suffer from cancer or immunological diseases any more than women who do not have them, they can get pregnant and breastfeed their baby in the natural way. It has not been proved that silicone passes to the milk. One problem that can arise is the so-called “capsular contracture”; although fortunately, during the course of my experience, I can say that this only occurs on very rare occasions. Some factors that give rise to a tendency for this hard scarring around the prosthesis: bruising, bacterial contamination, etc, that are treated with oral antibiotic prophylaxis.

At present there are many high-precision techniques to determine the shape and the dimensions of the anatomical implants. In our Clinic our preference is to use local anaesthetic with sedation, although it is possible to use other methods. The operating time varies between one and half and two hours. The operation can take place as outpatient surgery meaning that the patient can leave the clinic on the same day, with a compression bandage, which will be removed the next day. The post-operative followup is carefully monitored in our Clinic.

The results are immediate, during the first 3 or 4 days it is advised to rest; after this period the patient can usually drive a car and return to work. But she must avoid excessive force or lifting heavy weight for the next 15 days. It is evident that this is one of the operations that most contributes to restoring a woman’s self-esteem, helping her to feel more feminine and confident in herself.

In the majority of cases, surgery and breast implants provide a new commodity for women, increasing their confidence in themselves and in their power of seduction.

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Editorial: Dr. Pier Albrecht, Dr. Pierre Albrecht, Dr. Pierjean Albrecht,

Dr. Pier Jean Albrecht, Dr. Pierre F. Albrecht, Dr. Pierre Frank Albrecht,

Dr. P. Frank Albrecht, Dr. Pierjean Frank Albrecht, Marbella Clinic

Dr. Pier (pierjean) Albrecht , French, born in 1962 is a  Surgeon, specialising in Plastic, Reconstructive and Aesthetic Surgery, registered at the General Medical Council of Malaga (Ilustre Colegio Oficial de medicos de Malaga) under number 29/07945. He also is an Expert Witness to the Court. He arrived after 16 years training, during which he has been studying medicine and surgery, and working in Europe in the fields of Plastic-Aesthetic Surgery, Laser and Anti-Aging Pharmaceutical Research.

Dr. Pier (pierjean) Albrecht was trained in France in the Medical Schools of the Louis Pasteur University in Strasbourg, Montpellier, Paris V and VI, and in Spain in the Department of Surgery in the School of Medicine of Salamanca University.

Dr. Pier (pierjean) Albrecht has been an Adviser at The Laser Clinic , Harley Street – London, and other places in Europe, dedicating special attention to Rhinoplasty (nose surgery) in Guadalajara-Mexico with Professor Armando Gonzalez

Dr. Pier (pierjean) Albrecht obtained the Superior Medical Degree for “Lasers and Plastic Surgery” from the Specialties Department of the School of Medicine RENE DESCARTES, of the Paris V University.

After Dr. Pier (pierjean) Albrecht has been awarded a specialized studies title in “Advanced Surgery” by the “Department of Surgery” of the University of Salamanca, he published his six years research about “The Use of Lasers in Cutaneous Therapy and Plastic Aesthetic Surgery”.

Dr. Pier (pierjean) Albrecht has been awarded the Ph.D. degree “Doctor in Medicine and Surgery” – Cum Laude – by the same University, that allowes him to teach and to carry out research programs.

Publications :

Dr. Pier (pierjean) Albrecht has published articles about Plastic Surgery and about the relationship between anti-aging, antioxidants and the immune system, in French and international publications.Communications: Comparative use of Lasers in Cutaneous Therapy and Plastic-Aesthetic Surgery, These. Doc. Univ., Salamanca. 2001.· Alloplastic Malar Implants for Aesthtetic Purposes in zone 1. The transconjunctival route. (in press)span> Gliadin Films. I : Preparation in vitro evaluation as a carrier for controlled drug release. Internationnal Journal of Pharmaceutics. 117 – 121 .1995. Elsevier Mise en évidence des propriétés antioxydantes d’un L. M.F. dans des dermocosmétiques . Journ.de Pharm.Clinique. 1995· “Aesthetic and Reconstructive Surgery of the eyes and of the look” Plastic Surgery Symposium. Birkenwerder- Berlin. 2004· COngress of the French Society for Plastic, Reconstructive and Aesthetic Surgery: Closed Blepharoplasty, the U suture before incision. 2002· Chirurgie Plastique-Esthétique Faciale et Laser. Ecole de Chirugie de Guadalajara. 2001 · Alloplastic Malar Implants for Aesthtetic purposes in zone 1. The transconjunctival route. IMCAS. Paris 2002· Congress of the Rio de Janeiro Society for Aesthetic Medicine, and in more than 200 workshops, conferences and congresses about health, anti-aging, Lasers and Plastic-Aesthetic Surgery in Europe, USA, Canada and the Middle East:

Utilisation des immuncomplexes dans le vieillissement de la peau. Congrès de la Société de Chirurgie Esthétique de Rio De Janeiro, Brésil 1994

·Intérêt du L.M.F en clinique. Salon de Dermatologie Pratique.Paris 1995

Teaching:

.He was an Invited. Profesor for the E.N.T. Specialists Academic Program in the Civil Hospital of Guadalajara in Mexico.

Scientific Societies:

He is an active member of the following Scientific Societies:

Former member of French Society for Aesthetic Plastic Surgery (SOFCEP)

(AREDEP)Association for the Research in Aesthetic Dermatology and Plastic Surgery

(ESLAS). European SOciety for Laser Aesthetic Surgery.

(SEMAL). Spanish SOciety For Anti-ageing Medicine and Longevity.

(NYAS)New York Academy of Sciences

 For other scientific publication of Pierjean (Pier) Albrecht, see also :

Pierjean (pier) Albrecht: congress in Rio de Janeiro

Pierjean (pier) Albrecht en bigsight.org:

Pierjean (pier) Albrecht, co.autor in Journal de Pharmacie Clinic

Pierjean (pier) Albrecht: co – autor en el International Journal of Pharmaceutics

Pierjean (pier) Albrecht, Doctorate – Plastic Aesthetic Surgery Thesis 

Pierjean (pier)  Albrecht, Patent Lactoserum multifermented

Pierjean (pier) Albrecht: National Congress  of the SOFCPRE (Société Française de Chirurgie Plastique Réparatrice et Ésthétique

Pierjean (pier) Albrecht publication in Aesthetic Surgery Journal

Publication 

Transform Magazine, Pierjean Albrecht editor

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Editorial: Dr. Pier Albrecht, Dr. Pierre Albrecht, Dr. Pierjean Albrecht,

Dr. Pier Jean Albrecht, Dr. Pierre F. Albrecht, Dr. Pierre Frank Albrecht,

Dr. P. Frank Albrecht, Dr. Pierjean Frank Albrecht, Marbella Clinic

Once more Marbella Clinic has been granted the “Essential Marbella Awards”. Marbella Clinic was chosen among 4 other clinics specialized in beauty and aesthetics by thousands of votes as the centre of excellence. This award confirms us 12 years of hard work and satisfied patients, offering the best techniques and treatments, with the famous artistic touch combined with passion for Plastic-Aesthetic surgery.

Dr. Pier Albrecht and his world-class staff will welcome you to the Marbella Clinic and make your time here educational and comfortable. Whatever your interest is, we will thoroughly detail the procedure, recovery time, risks and options to be sure that your expectations are realistic and desired results can be achieved. Thank you for all the votes

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Editorial: Dr. Pier Albrecht, Dr. Pierre Albrecht, Dr. Pierjean Albrecht,

Dr. Pier Jean Albrecht, Dr. Pierre F. Albrecht, Dr. Pierre Frank Albrecht,

Dr. P. Frank Albrecht, Dr. Pierjean Frank Albrecht, Marbella Clinic

Having been since ancient times an outstanding symbol for femininity and fertility the female breast has always been a central part of the visual image of any woman, and despite the many historical changes that image underwent during the last centuries, there was at any given cultural period a quite well defined image of the ideal breast which inspired artists, fashion and society.When we take in consideration western society’s actual idea of an ideal breast, we experience the recreation of a more female look and style. A full breast is considered as sensual and beautiful and fashion and media are competing to visualize this image day by day.

Therefore, breast augmentation is more and more sought after, especially by young women, to approach their individual image of the perfect breast. But something which is not covered in most features covering aesthetic surgery of the breast is the fact that there are even more women suffering from very big or very saggy breasts who are searching for the possibility to get a smaller and beautiful shaped breast.

This misinformation about the possibilities of modern plastic surgery combined sometimes with the perception of the unfavourable results of some ancient techniques still keeps many women suffering their whole life from their big breasts; with this article we want to provide this missing information by explaining modern techniques of breast lifting and breast reduction and to offer you solutions to this common problem.

From a plastic surgeons view, there are distinctive measurements which define a perfect breast, but aside from those more academic definitions a woman’s feeling regarding her breast size and shape should always be our individual guideline. A breast which may be perfect for a woman looking for a more female and seductive appearance can be much too large for a small-framed woman who loves to do sports and has a more girl-like image of herself.

So the surgeon will consider your personal feeling regarding the size and the form before talking with you about any reduction or lift. After this has been thoroughly discussed the surgeon can evaluate if the adequate technique is a lift which removes only excess skin to achieve a firm and uplifted breast or if a removal of glandular tissue is necessary to meet the patient’s expectations.

A breast lift, sometimes also called a mastopexy, is a procedure which consists of removing excess skin without any removal of glandular tissue to lift up a sagged breast while keeping its original volume. If the sagging and the loose skin are less important the so called Benelli Lifting Technique can be performed removing skin only around the areola. In this case the resulting scar will be only around the areola and is barely perceptible after one year because it is placed exactly on the border of the pigmented areola. If the sagging and consequently the excess of skin are more important, a skin resection of the lower breast pole combined with a resection around the areola is necessary to achieve the desired lift. The result is the circular scar described above and a vertical scar descending to the fold under the breast.

If a patient is suffering not only from an excess of skin but from an excess of glandular breast tissue (Macromastia) the patient’s expectations can mostly only be met by a so called breast reduction procedure. There are multiple factors which can be responsible for Macromastia, in most cases it is a combination of a genetic predisposition together with hormonal changes which can be induced by onset of puberty, pregnancy or menopause. Even without considering the aesthetical aspect, very large breasts are often the origin of serious functional problems like chronic back and neck pain, arthritis of the neck, chronic eczema of the breast fold and others.

Therefore already 2 centuries ago very large breasts represented a serious problem for many women, so the plastic surgeon’s quest for aesthetically and functionally satisfying procedures started in 1882, with the first described breast reduction by the English surgeon Thomas. In the attempt to develop techniques which provide minimal scarring combined with a safe surgical procedure at least 15 different procedures where described during the last century.

Some of those ancient techniques are still frequently used and widely accepted, others have been replaced by more modern procedures, but the basic principle of all breast reduction techniques still remains the same: a circular incision around the areola which allows for skin removal and uplifting of the nipple-areola-complex combined with a vertical incision descending toward the lower breast fold which allows for breast tissue removal in the lower quadrants of the breast. This vertical incision is necessary because any removal of glandular tissue requires a reduction of the skin envelope as well, so by tugging the remaining skin into this vertical oriented scar for suturing the surgeon can rearrange the remaining breast tissue to recreate the natural round breast mound.

Depending on the technique used the scar descending from the areola can have the form of an L, of an inverted T or just be a vertical line. The L or the inverted T shaped vertical scar techniques are the more ancient procedures, but they still have their justification in very large reductions where the single vertical scar technique can not cope with the associated excess of skin.

The more recent technique based on a single vertical scar in combination with the circular scar around the areola was described 1998 by the Belgian surgeon Madeleine Lejour. This surgical approach is based on the ability of the skin to shrink once it has been freed from the glandular breast tissue, so that large amounts of excess skin which would normally need an L or inverted T shaped skin excision can be rearranged in just one vertical scar by using a special purstring suture technique.

Offering the big advantage of minimal scarring, this technique can be used in almost all reductions except for breasts which are extremely big and sagged. Because of the reduced incisions, healing is fast and most patients can get back to normal life activities after 2 weeks. Due to the fact that this technique is based on the postoperative shrinking of the skin, the reduced breasts require 3-6 months after the operation to achieve their final position and the desired aesthetic result; during this early stage the lower half of the breasts will show some small skin folds which will smooth out gradually.

By using all the techniques available after more than hundred years of modern plastic surgery research, the modern breast lift and breast reduction procedures provide excellent aesthetic results combined with an invaluable effect on the functional problems mentioned above resulting in an important improvement of life quality.

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Editorial: Dr. Pier Albrecht, Dr. Pierre Albrecht, Dr. Pierjean Albrecht,

Dr. Pier Jean Albrecht, Dr. Pierre F. Albrecht, Dr. Pierre Frank Albrecht,

Dr. P. Frank Albrecht, Dr. Pierjean Frank Albrecht, Marbella Clinic