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Nerv nerve Brustwarze nipple Warzenhof mammary areola Brustmuskulatur pectoral is muscles Brustbein sternum Brustkorb thorax Subkutanfaszie subcutaneous fascia Pectoralisfaszie pectoral fascia Lymphknoten lymph node Milchleiste milk line Plazenta placenta Thelarche thelarche Progesteron progesterone Menopause menopause Hormonsubstitutionstherapie hormon replacement therapy Polythelie polythelia Polymastie polymastia Fibroadenom fibroadenoma Amastie amastia Athelie athelia Makromastie macromastia Mikromastie micromastia Anisomastie anisomastia Mastoptose mastoptosis Aplasie [der weiblichen Brust] aplasia [of the breast] Hypoplasie [ female breast] hypoplasia Involution [der weiblichen Brust] [breast] involution Silikon silicone Kapselfibrose capsular fibrosis Rippling rippling Bleeding bleeding CE-Kennzeichnung CE marking Implantatpass implant passport Silikon-Gel silicone gel Vollnarkose general an a esthesia Narbe scar Endoskopie endoscopy Serom seroma Brustverkleinerung breast reduction Bruststraffung mastopexy Embolie embolism Thrombose thrombosis Hyperplasie [der weiblichen Brust] [ female breast] hyperplasia Hypertrophie [der weiblichen Brust] [ female breast] hypertrophy Fettabsaugung liposuction Drainageschlauch drainage tube Fettgewebsnekrose fat ty necrosis Korrektur eingezogener Brustwarzen inverted nipple correction Brustkrebs breast cancer Tumor tumour Metastase metastasis Mammographie mammography Mikrokalk microcalcification Sonographie ultra sonography Kernspintomographie nuclear magnetic resonance tomography Chemotherapie chemotherapy Strahlentherapie [bei Brustkrebs] [breast cancer] radiation therapy Brustkrebstherapie breast cancer treatment Mastektomie mastectomy Rekonstruktive Brustchirurgie reconstructive mammaplasty Implantatrekonstruktion implant reconstruction Expander[prothese] tissue expander Latissimus dorsi-Lappen latissimus dorsi muscle flap Erythrozytenkonzentrat red blood cell concentrate Amastie 3.

Anisomastie 5. Aplasie [der weiblichen Brust] 6. Athelie 9. Bindegewebe Bleeding BRCA-Brustkrebsgene Brustbein Brustkorb Brustkrebs Brustkrebstherapie Bruststraffung Brustverkleinerung Brustwarze CE-Kennzeichnung Chemotherapie Drainageschlauch Embolie Endoskopie Erythrozytenkonzentrat Expander prothese Fettabsaugung Fettgewebsnekrose Fibroadenom Hormonsubstitutionstherapie Hyperplasie [der weiblichen Brust] Hypertrophie [der weiblichen Brust] Hypoplasie Implantatrekonstruktion Involution [der weiblichen Brust] ISO juvenile Gigantomastie Kapselfibrose Kernspintomographie Korrektur eingezogener Brustwarzen Kosmetische Chirurgie Latissimus dorsi-Lappen Mammographie Mastektomie Mastoptose Menopause Metastase Mikrokalk Milchleiste J Narbe Nerv Neugeborenenmilch Plastik Plastische Chirurgie N O P Plazenta Progesteron Brust Rekonstruktion mit Bauchhaut Rekonstruktive Brustchirurgie Rekonstruktive Chirurgie Rippling Serom Silikon-Gel Sonographie Strahlentherapie [bei Brustkrebs] Tanner-Stadien der Brustentwicklung Thelarche Thrombose Tumor V Vollnarkose W Warzenhof Z BRCA breast cancer genes CE marking DIN ISO juvenile gigantomastia Austrian Medical Products Law TRAM flap reconstruction [of the breast] DEF 1a surgery: The branch of medicine that imploys operations in the treatment of disease or injury.

Surgery can involve cutting, abrading, suturing, or otherwise physically changing body tissues and organs. GLOSSAR A general surgery, plastic surgery, orthopedic surgery, obstetrics and gynecology, neurosurgery, thoracic surgery, colon and rectal surgery, otolaryngology, ophthalmology, and urology.

General surgery is the parent specialty and now centres on operations involving the stomach, intestines, breast, blood vessels in the extremities,endocrine glands, tumours of soft tissues, and amputations.

In most other countries, breast care falls under Obstetrics and Gynecology and its sub-specialty of Mastology or Senology.

DEF A rare condition wherein the normal growth of the breast and the nipple does not occur. Unilateral amastia absence of one breast is often associated with absence of the pectoral muscles.

Bilateral amastia absence of both breasts is associated in 40 percent of cases with multiple birth defects involving other parts of the body.

Beide wurden entweder eingenommen oder verbrannt, so dass man den Rauch einatmen konnte. Stickoxidul Lachgas , das der britische Chemiker Sir Humphry Davy um entdeckte, wurde von dem amerikanischen Zahnarzt Horace Wells erstmals zur Narkose eingesetzt.

DEF 1 Absence of physical sensation in part or all of the body. The term more commonly refers to a reversible condition that is induced using anaesthetic drugs.

These drugs may be injected, inhaled, or applied directly to the surface of the body. Induced anaesthesia may be local, involving only part of the body, or general, involving lack of sensation in the entire body as well as a loss of consciousness.

Anaesthesia is distinct from analgesia. An analgesic, or pain-relieving drug such as aspirin, may relieve a headache, but a person who takes an aspirin still feels other physical sensations, such as pressure, heat, cold, and vibration.

In contrast, anesthetic drugs block all physical sensations, though for medical purposes their ability to block pain is among their most important effects.

The process begins when certain nerve cell endings, known as pain receptors or nociceptors, are stimulated.

Pain receptors are located in the skin, joints, muscles, the linings of the body cavities, and elsewhere in the body.

Nerve impulses travel from pain receptors along nerve fibers to the spinal cord and then to the brain. Pain impulses are relayed through a brain structure known as the thalamus and then to the cerebral cortex, the area of the brain that interprets messages and generates the conscious sensation of pain.

At several points along their journey from pain receptor to cerebral cortex, pain impulses can be modified. The various drugs used in anaesthesia work by several different mechanisms to block the transmission or perception of pain and other sensations.

These drugs are taken up by organs, muscles, and brain tissue and interfere with the complex and poorly understood biochemical mechanisms of consciousness.

Anesthetic drugs that are inhaled dissolve in the blood and circulate to the brain. There they interact with brain cells, especially cells in the cerebral cortex that are involved in sensory perceptions.

Drugs used as local anesthetics block pain impulses in a specific part of the body, preventing these nerve impulses from reaching the brain.

These drugs interfere with the chemicals inside nerve fibers that are involved in transmission of nerve impulses. DEF 1b Minor surgery has been performed for thousands of years, often with opium, alcohol, or Cannabis used to stupefy the patient.

However, these drugs were unable to block the pain and shock of surgery to enable lengthy operations or operations involving the interior of the body.

Nitrous oxide was first used as an anesthetic in by the American dentist Horace Wells. In American dentist William Morton used ether to produce general anaesthesia for surgery.

Crawford Long, an American surgeon, had been using ether since , but he did not publish his results until British physician Sir James Simpson first discovered the anesthetic properties of chloroform in Chloroform anaesthesia became more popular after another British physician, John Snow, administered it to Queen Victoria of England for childbirth in Anaesthesiology became an established branch of medicine in the United States during the early 20th century.

The American Society of Anesthesiologists, which sets standards of safety and ethics for anaesthesiologists, was founded in The Board of Anesthesiology, which maintains educational standards, was established in Anaesthetic drugs were also improved throughout the 20th century.

The first intravenous anesthetic, sodium pentothal, was introduced in by American physician John Lundy.

The muscle relaxant curare, originally used in hunting by Native American tribes in South America, was first used in surgery in Better inhalation anesthetics were also developed to replace ether, which is flammable, and chloroform, which is toxic.

Other specialties within medicine are closely affiliated to anaesthetics. These include intensive care medicine and pain medicine.

Specialists in these disciplines have usually done some training in anaesthetics. The role of the anaesthetist is changing.

It is no longer limited to the operation itself. In the U. Anesthesiologist Assistants Aas are another group who administer anesthetics.

In the United Kingdom, personnel known as ODPs operating department practitioner or Anaesthetic nurses provide support to the anesthetist.

Eine solche Asymmetrie ist normal. Wenn sie sehr darunter leiden, kann eine plastische Operation angebracht sein.

DEF 1a A condition in which the female breasts are of unequal size. There are options on how to correct this condition. Breast implants can be used to augment one breast, making it similar to the other one.

Breast reduction can be performed to reduce the larger of the two breasts. This involves removal of excess fat and skin.

Either procedure results in breasts that are more similar in size. Correcting breast asymmetry has not only helped women improve upon their appearance, but it can also provide a boost to their self-esteem and self-confidence.

Linder, M. DEF 1a Surgery performed solely to improve appearance in otherwise healthy persons. Into this classification fall the majority of cases of rhinoplasty, rhytidectomy, breast augmentation, hair transplantation, and other procedures.

As an example, the American Society of Plastic Surgeons reported that in nearly 11 million cosmetic plastic surgeries were performed in the United States alone.

Within the U. These medical tourists get their procedures done for up 50 percent or more cost savings in countries including Cuba, Thailand, Argentina and India.

The risk of complications and the lack of after surgery support are often overlooked by those simply looking for the cheapest option.

TED Athelie N. DEF Nipple absence. Medically called athelia, this is a rare condition but it is common in certain conditions.

Athelia tends to occurs on one side unilaterally in children with the Poland sequence and on both sides bilaterally in certain types of ectodermal dysplasia.

Athelia also occurs in association with the progeria premature aging syndrome and the YunisVaron syndrome a multiple congenital malformation first reported in DEF 1a In physiology, any tissue in the body that maintains the form of the body and its organs and provides cohesion and internal support.

Connective tissues are composed of a variable structure of cells and fibers surrounded by an intercellular matrix that may be a fluid, solid, or gel, depending on the function of the particular connective tissue.

White fibrous connective tissue forms most of the tendons and ligaments. Yellow elastic connective tissue forms such structures as the pads between the vertebrae and the elastic elements of the arterial walls and the trachea.

Among other types of connective tissue, cartilage takes part in the formation of joints and the development of bone, and fat tissue provides a cushion for the support of such vital organs as the kidneys and stores excess food for use when needed.

Lymphatic tissue and blood are clearly related in embryonic development to the connective tissues.

Es war ein langer Weg dorthin. Letztlich gibt es heute keine gute Alternative zu den modernen Silikonimplantaten.

The difference between the two types of breast implants has to do with the material inside this shell. While saline implants are filled with salt water, similar to contacts solution, silicone implants are filled with a semi-solid, gel form of silicone.

They are soft and pliable, but do not leak out when they are cut open. Therein lies an important advantage of cohesive gel implants.

Jean M. Durch sie gelangt das Blut aus dem Herzen in die verschiedenen Gewebe. Weiterhin dienen sie als Blutspeicher.

DEF A vessel in the human or animal body in which blood circulates. The vessels that carry blood away from the heart are called arteries, and their very small branches are arterioles.

Very small branches that collect the blood from the various organs and parts are called venules, and they unite to form veins, which return the blood to the heart.

Capillaries are minute, thinwalled vessels that connect the arterioles and venules; it is through the capillaries that nutrients and wastes are exchanged between the blood and body tissues.

VK 6,19, 25, 70, 71, 73 VI. DEF 1a 1. In reference to a neoplasm, having the property of locally invasive and destructive growth and metastasis.

Cancer is the general term for all malignant tumours. SOU-DEF 1b Encyclopaedia Britannica KON 1 In regard to a tumour, having the properties of a malignancy that can invade and destroy nearby tissue and that may spread metastasize to other parts of the body.

Der verbleibende Anteil wird durch Splice- bzw. Eine der beiden Mutationen del4 wurde in drei miteinander nicht verwandten Familien detektiert.

However, if such a woman develops breast cancer, her chances of dying of breast cancer are not necessarily greater than those of any other woman with breast cancer.

Women likely to have one of these genes are those who have a strong family history of breast cancer.

Usually, several women in each of three generations have had breast cancer. For this reason, routine screening for these genes does not appear necessary, except in women who have such a family history.

The incidence of ovarian cancer is increased in families with both breast cancer genes. The incidence of breast cancer in men is increased in families with the BRCA2 gene.

There is now convincing evidence that every woman with a BRCA mutation is at high risk for breast cancer, irrespective of whether she has a family history of breast cancer or not.

The BRCA mutations appear to cause breast cancer at an earlier age in younger generations. The culprit may be estrogen, which is rising with the epidemic of obesity.

Pregnancy is protective. BRCA mutation carriers who have children develop breast cancer as a rule later in life than those who never had children.

That finding is true for all types of breast cancer, not just cases caused by BRCA mutations.

They may also be advised to take the drug tamoxifen to reduce the breast cancer risk. Some women with BRCA mutations avoid breast cancer by having their breasts preventively removed.

Most BRCA carriers are also advised to have their ovaries removed after childbearing since there is currently no means of early detection for ovarian cancer.

Removing the ovaries also helps to lower the risk of breast cancer. DEF 1 breast: One of a pair of glandular organs in mammals that secrete milk for newborns and infants.

Also known as a mammary gland, particularly in nonhuman mammals, the breast is unique to mammals and is not found in any other type of animal.

The surface of a human breast has a circular, pigmented area in the center called the areola. The nipple, a rounded protruding structure, lies in the center of the areola.

In mature women the breast contains a collection of 10 to 15 tubes, called ducts, that connect to the nipple. These ducts branch out from the nipple into the interior of the breast, ending in clusters of rounded cells, called lobules, that produce the milk.

In addition to the structures directly connected with the production and outflow of milk, the breast is composed of fatty tissue and ligaments that provide support and shape.

Breast development begins in girls about 10 to 12 years old, when the ovaries start to produce the hormone estrogen.

Completion of breast development, which occurs around 16 to 18 years old, requires the interaction of other hormones such as progesterone, prolactin, and corticosteroids.

After breast growth is completed, the breasts typically undergo monthly cyclic changes in response to fluctuating hormone levels in the blood that occur during the menstrual cycle.

Just before the onset of menstruation, the breasts are often swollen and tender because the ductal system VI.

If pregnancy does not occur, the estrogen level falls and the breasts return to normal. During pregnancy there is a remarkable growth of ducts and lobules in the breast along with a thickening of the nipples.

After a baby is born, the hormone prolactin stimulates milk production in the breast. Initially, the breast produces a thick yellow liquid called colostrum, which is particularly rich in the disease-fighting substances called antibodies.

Within three to five days, the breast produces milk as the suckling infant stimulates the release of another hormone called oxytocin.

This hormone causes contractions in the network of cells that surround the ducts and lobules, so that milk readily flows from the breast and into the mouth of the hungry infant see Breast-feeding.

As a woman passes the childbearing age and enters menopause, the ovaries stop producing estrogen. The decreased stimulation from this hormone causes the milk-producing ducts and lobules in the breast to be replaced with extra fatty tissue.

Am kopfnahen kranialen oberen Ende des Manubriums ist eine Einkerbung, die Incisura jugularis von lat. Das Brustbein des Mannes ist schlanker als das der Frau.

DEF 1a The sternum is an elongated, flattened bone, forming the middle portion of the anterior wall of the thorax. It connects to the rib bones via cartilage, forming the rib cage with them, and thus helps to protect the lungs, heart and major blood vessels from physical trauma.

Its upper end supports the clavicles collarbones , and its margins articulate with the cartilages of the first seven pairs of ribs.

Its average length in the adult is about 17 cm, and is rather longer in the male than in the female.

The sternum is composed of highly vascular cancellous tissue, covered by a thin layer of compact bone which is thickest in the manubrium between the articular facets for the clavicles.

These sections of the sternum arise as separate bones, and they may fuse partially or completely with one another. DEF Milk-producing gland characteristic of all female mammals and present in a rudimentary and generally nonfunctional form in males.

Mammary glands are regulated by the endocrine system and become functional in response to the hormonal changes associated with parturition.

The mammary gland of a woman who has not borne children consists of a conical disk of glandular tissue, which is encased in variable quantities of fat that give it its characteristic shape.

The glandular tissue itself is made up VI. Each lobe is drained by a separate excretory duct. These converge beneath the nipple, where they widen into milk reservoirs, before narrowing again to emerge as pinpoint openings at the summit of the nipple.

Circular and radiating muscles in the areola, a circular disk of roughened pigmented skin surrounding the nipple, cause the nipple to become firm and erect upon tactile stimulation; this facilitates suckling.

The areola also contains sebaceous glands to provide lubrication for the nipple during nursing. Mammary glands are derived from a modification of sweat glands.

They first appear in embryonic life as clumps of cells proliferating from a longitudinal ridge of ectoderm the outermost of the three germ layers of the embryo along the so-called milk line, from the buds, or beginnings, of the lowerlimbs to those of the upper limbs.

The number of these clumps that ultimately become breasts, or mammae, varies with each mammalian species according to the size of its litter.

In the human normally only one develops on each side of the chest. A lesser development of one or more breasts polymastia or nipples polythelia may, however, occur anywhere along the milk line.

In monotremes, they resemble sweat glands in structure, leading to speculation that they are sweat or sebaceous glands modified through evolution.

In higher orders, the glands at maturity are developed only in females; in monotremes they evolve equally in both sexes.

The organ in human males occasionally develops functional ability, giving support to the belief that lactation occurred in both sexes in prehistoric mammals.

The development of mammary glands is regulated by hormones secreted by the anterior pituitary and the ovaries; lactation is under the control of the other pituitary hormones.

Below, it is bounded by the diaphragm. The bony framework is encased with muscles, fat, and cutaneous tissues.

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Gesichert wird die Diagnose durch mikroskopische Gewebeuntersuchung. Dies weist auf genetische Faktoren bei der Entstehung hin.

Die Behandlung erfolgt meist operativ. Nach brusterhaltender Operation ist eine Nachbestrahlung erforderlich.

Nach der Operation gibt es u. Behandelt wird die gutartige Erkrankung mit hormonhaltigen Medikamenten. DEF Disease characterized by the growth of malignant cells in the mammary glands.

Breast cancer can strike males and females, although women are about times more likely to develop the disease than men.

Most cancers in female breasts form shortly before, during, or after menopause, with three-quarters of all cases being diagnosed after age Generally, the older a woman is, the greater is her likelihood of developing breast cancer.

Worldwide, breast cancer is the most common cancer among women, and in North America and Western Europe, where life spans are longer, the incidence is highest.

For instance, it is estimated that over 10 percent of all women in the United States will develop the disease at some point in their lives.

The exact causes of breast cancer are largely unknown, but both environmental and genetic factors are involved.

A family history of breast cancer increases risk. Prolonged exposure to the hormone estrogen, as when menstruation starts before age 12 and continues beyond age 50, favours development of cancer, and women who have had certain kinds of benign tumours are also more prone to developing breast cancer.

Other risk factors may include lack of exercise, use of oral contraceptives, alcohol consumption, and previous medical treatments involving chest irradiation.

The most common symptom of breast cancer is an abnormal lump or swelling in the breast, but lumps may also appear beside the breast or under the arm.

Other symptoms may include unexplained breast pain, abnormal nipple discharge, changes in breast texture, or changes in the skin on or around the breast.

Early diagnosis greatly improves the odds of survival. When detected early, breast cancer has a very high five-year survival rate, and patients who reach this stage often go on to live long, healthy lives.

Survival rates are lower for cancers that have spread locally, and they are very low for cancers that have metastasized, or spread, to distant parts of the body.

Breast cancer may be first discovered by the patient as the result of a regular breast self-examination. A breast X ray mammogram is often used for initial diagnosis, but in order to confirm the presence of cancer, a tissue sample biopsy usually must be taken.

If cancer is suspected to have spread to nearby lymph nodes, they must also be sampled. Several imaging methods may be used to determine the degree of metastasis, including X rays, computed tomography CT scans, or magnetic resonance imaging MRI.

The presence of receptors for the hormones estrogen and progesterone is also determined because these receptors play an important role in the VI.

Almost all cases of breast cancer begin in the glandular tissues that either produce milk lobular tissue or provide a passage for milk ductal tissue to the nipple.

Cancers of these tissues are called lobular carcinomas and ductal carcinomas. Because these tissues are glandular, both cancers are called adenocarcinomas.

The most common type of tumour, called infiltrating ductal carcinoma, is a single hard, barely movable lump. This type of tumour accounts for about 70 percent of all cases.

Fewer than 15 percent of all cases are lobular carcinomas. There are several other types and subtypes of tumour classified and named according to several criteria, including their outward appearance, cellular composition, cellular origin, and activity.

Paget disease is an uncommon type of breast cancer that begins at the nipple and initially causes a burning, itching, or tender sensation.

Eventually the lesion becomes enlarged, cracks, oozes, and forms crusts. Inflammatory carcinoma is a rare type of breast cancer that results in swelling and reddening of the affected area.

The area then becomes purplish, and the skin is hot, with the nipple usually becoming crusted and retracted.

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The specialist will also indicate the kind of outcome you can expect and any side effects and risks of the treatment. Two weeks before surgery you must refrain from taking any medication containing aspirin e.

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The Operation On the day of the operation you will arrive at the Pyramid Clinic one and a half to two hours before your scheduled surgery.

The nursing staff and specialists will prepare you for the operation ahead. Your specialist will also go through the details of your operation with you again and the anaesthetist will explain the planned anaesthetic procedure.

The volume of the new breast will depend on the amount of available breast tissue. A classic breast lift involves the breast mound being remodelled internally and the skin lifted over it.

In such cases, the volume of the breast remains the same, but the shape of the breast is improved and lifted. The incision runs around the areola and in a vertical line extending in a downward direction.

In some cases another incision is required along the line of your natural breast crease. The procedure takes about two hours and may be performed under regional or general anaesthetic.

We recommend staying in the clinic for one or two nights after surgery. After Surgery After the operation, your breasts will be bound with a firmly fitting support VI.

The following day the tubes used to drain blood and secretions from the wound will be removed. Then you will be able to leave the clinic.

A week later the support bandage will be removed and replaced by a sports bra. This takes over the role of the support bandage and should be worn day and night for a further three weeks.

After four to six weeks, all signs of the operation should have substantially healed. In every other respect, be sure to follow the exact instructions of your specialist or nurse.

What are the risks posed by breast lift surgery? As a general rule, any operation carries with it certain risks e.

The specialist will discuss any potential risks with you as part of the consultation process and in preparation for surgery.

What does breast lift surgery cost? The cost of any treatment depends on the kind and extent of surgical intervention involved and can only be determined as part of a private consultation session and a medical examination.

If you decide to proceed with surgery, you will receive a detailed quote for all costs. The total amount must be paid no later than one month in advance of treatment, to ensure confirmation of the scheduled operation.

This advance payment, which is standard practice in the private health sector, is required so that the necessary preparations for your surgery can be made.

Are the costs of this surgery covered by health insurance? The costs of breast lift surgery are not covered by health insurance, as it is considered purely cosmetic surgery.

In the case of patients requiring simultaneous breast reduction surgery deemed medically necessary, partial cover or even full cover is possible.

However, any partial or full cover of costs by your health insurance company will depend on provision of a comprehensive medical report.

Will breast lift surgery leave any permanent scarring? Normally breast reduction surgery will leave faint, light scars that are scarcely noticeable.

Due to the removal of tissue and skin from the breasts, the position of the nipples will change. To ensure an aesthetically pleasing result is achieved, the areola will be adjusted to suit the new breast and the nipple lifted into its new position.

This is normally achieved without any loss of sensation as a result. Das Resultat nennt man umgangssprachlich da die meisten Implantate aus Silikon sind auch Silikonbusen.

Das durchschnittliche Alter der Patientinnen sinkt von Jahr zu Jahr kontinuierlich. Dies ist unter anderem dann der Fall, wenn eine entstellende Fehlbildung der weiblichen Brust vorliegt, die eine Erkrankung im Sinne des Sozialgesetzbuches ist.

Die Kassen zahlen auch die Brustrekonstruktion mit Silikonimplantaten nach Brustamputation wegen einer Krebserkrankung. Was kann durch eine Brustaugmentation erreicht werden?

Wir werden mit Ihnen auch besprechen, wie z. Unter gewissen Voraussetzungen, wie z. Was haben Sie nach der Operation zu erwarten, und wie viele Schmerzen werden Sie haben?

Es ist wichtig, dass Sie die Medikamente, die wir Ihnen verschrieben haben, auch einnehmen. Jemand sollte Sie unbedingt abholen und nach Hause fahren.

Wie lange dauert es, bis Sie sich wieder erholt haben? Es ist sehr wichtig, dass Sie den Ablauf nach der Operation genau mit uns besprechen.

Wenn Sie unsere Anweisungen befolgen, sollten Sie sich problemlos und schnell von dem Eingriff erholen.

Nach einigen Tagen wird der Verband abgenommen. Nicht schwanger sind und nicht stillen in gutem allgemeinen Gesundheitszustand sind psychisch stabil sind ihr Aussehen verbessern wollen realistische Erwartungen haben, bisher noch keine Brustoperation gehabt haben.

Bis heute konnte jedoch kein Zusammenhang mit der Entstehung von Brustkrebs oder Rheuma nachgewiesen werden. Infektion, Nachblutungen, Risiken der Narkose oder die Notwendigkeit von weiteren Korrekturoperationen.

Vor allem dann sichtbar, wenn sich das Implantat bewegt. In diesem Fall sollte das Implantat ausgetauscht werden. DEF 1a Plastic surgery to enlarge the breast, often by insertion of an implant.

Many women are not completely happy with VI. The desire for corrective breast surgery may also stem from a congenital malformation.

For many women, the size or shape of their breasts is not only a question of their figure but also an essential part of their self worth.

Their attitude to their own body and ultimately their sexuality may be severely impaired by breasts they consider to be too small. Today women who are unhappy with the size or shape of their breasts have many options for changing them and bringing their personal perception into line with their physical appearance.

Breast augmentation is sought by many women of all different age categories. Most women want naturally augmented breasts that are in harmony with the rest of their figure.

Before surgery You will first discuss your concerns with one of our specialists during a personal consultation session.

The two of you will decide whether breast augmentation is appropriate in your case and what form it might take.

Your new bust size and shape will also be part of an in-depth discussion. We do our utmost to meet your expectations about size and shape in proportion to your existing figure and in the interests of achieving the most harmonious and natural result possible.

For technical, medical and ethical reasons, we advise against any excessive enlargement of the bust. For breast augmentation, we use only the very latest, high quality implants.

These are made from textured silicon and give the breast more volume and firmness. The advantage of using this particular type of implant is that they cannot leak and they also produce very attractive, natural results.

The surgery itself requires an incision, either in the crease below the breast, around the areola or in the armpit.

The implant is then inserted and, depending on the condition of your soft tissue, positioned above or below the breast muscle.

Breast augmentation is normally performed under a general anaesthetic and takes about an hour and a quarter. After Surgery On the day after the operation, the tubes used to drain blood and secretions from the wound will be removed.

You will have to wear a firmly fitting, support bandage around your bust until the fourth day, when this is replaced by a sports bra. You VI.

After six to eight weeks, all signs of the operation should have substantially healed. Initially you will feel a slight pressure sensation.

Implants positioned under the muscle may cause slightly more pain in the first two weeks. For a few weeks or in rare cases a little longer, you may feel as though something is missing or has changed.

This feeling passes in most cases with time. In rare cases, a patient may complain during the first six weeks of a foreign object sensation.

It is important to keep the breast area stable, to allow the implant to settle in and heal as well as possible. Will breast augmentation leave any permanent scarring?

The four and a half to five centimetre long scar will either be under the crease of your breast, around the areola or in the armpit.

After the full healing period has passed it is normally scarcely visible. The pros and cons of each technique will be discussed with you beforehand.

Do the implants have to be replaced after a certain time? As in the case of any procedure involving the introduction of foreign objects or implants, further surgery some years after the original breast augmentation procedure cannot be ruled out.

The reason why a replacement might become necessary has nothing to do with the durability of the implants themselves, but depends on any changes occurring in your own body.

For instance, the likelihood of requiring a replacement increases with age. However, routine replacement every ten years, as is sometimes recommended, is not necessary.

Based on our experience with the latest silicon implants, you can expect them to last a long time. Which implants are the most commonly used?

There is a basic distinction made between implants filled with saline or silicone. Will I be able to notice the implants afterwards?

Very slim patients with little underlying fatty tissue may experience some sensitivity. However, in most cases, the implant is not visible from the outside.

What are the risks posed by breast augmentation? Capsular contracture is one specific risk related to implants. This is a natural reaction to a foreign object, whereby the body forms a sheath of connective tissue around the implant.

As this layer of tissue contracts, the implant becomes tighter and the breast will feel harder. In severe cases, corrective surgery may be required to remove the scar tissue.

This often goes hand in hand with an implant replacement. Is it possible to breastfeed after breast augmentation?

Breast augmentation does not affect your ability to breastfeed, as the implant is positioned behind the milk ducts. Extensive studies show that breast implants pose no increased risk of breast cancer.

Depending on your occupation, you should allow for at least four days off work. What does breast augmentation cost?

Are the costs covered by health insurance? Breast augmentation is not covered by health insurance.

However, if capsular contracture occurs at a later stage, the costs may be partly covered. In , , breast augmentation procedures were performed in the U.

TED Brustverkleinerung N. Die Indikation, d. Eine relative Indikation ist der Wunsch nach einer kosmetischen Verbesserung.

Die Operation erfolgt in Narkose. Es existieren zahlreiche verschiedene Operationstechniken, die Ergebnisse VI. Die Patientinnen sind in der Regel sehr dankbar, da sie eine deutliche Erleichterung ihrer Beschwerden erfahren.

Die Narben sind nach der Operation sichtbar und werden gelegentlich durch den Zug der Brust auch breiter. Leistungspflicht Ihrer Krankenkasse.

Wie kann Ihnen eine Brustverkleinerung helfen? Es kann sein, dass Sie ein Notwendigkeitsschreiben von uns und Ihrem Hausarzt bzw.

Der Brustwarzenhof wird umschnitten und dieser Schnitt wird dann bis in die Unterbrustfalte fortgesetzt. Bei einigen Frauen kann evtl.

Eventuell kann auch eine Fettabsaugung bei der Brustverkleinerung Anwendung finden. Diese Methode hat den Vorteil, dass die Narben kaum sichtbar sind.

Eine Brustreduktionsplastik dauert etwa Stunden. Wie viele Schmerzen werden Sie haben? Nach einigen Tagen wird das jedoch besser.

Der Verband wird nach einigen Tagen entfernt werden. Risiken: Jede Operation beinhaltet gewisse Risiken, so z. Blutungen, Reaktionen auf das Narkosemittel und Infektionen.

DEF 1a Surgical reduction of breast size in order to reduce the weight of the breasts and relieve symptoms from unusually large, pendulous breasts.

The surgical procedure is also known as reduction mammaplasty. The weight of very large breasts can cause back strain and discomfort.

The bra straps can cut into the shoulders, produce permanent grooves and even scar them. The contact of the breasts and the lower chest wall can create a chronic skin irritation called intertriginous dermatitis.

Very large breasts may interfere with the ability to exercise. The breasts are reshaped to form smaller breasts and the nipple and areola are repositioned.

Breast reduction can also be used to even up the size of the breasts where one is much larger than the other, a condition known as unilateral macromastia mammary hyperplasia.

Breast reduction is not recommended for young women whose breasts are not yet fully developed or for women who plan to breast feed since the surgery may impair the ability to breastfeed.

The surgery may also result in decreased feeling in the breasts or nipples. Only the women concerned will fully appreciate the physical, sporting and even sexual restrictions that are associated with this problem.

Heavy, sagging breasts can sometimes be very uncomfortable and cause chronic pain in the back and shoulder area. In the worst cases they can even lead to spinal problems and postural damage.

Over time, for young women in particular, it may develop into an unnecessary psychological burden. However, the important proviso is that the woman has stopped growing and the breasts are fully developed.

The procedure can still be performed on older patients, provided their general state of health is good enough to allow such an operation to proceed.

You will first discuss your concerns with one of our specialists during a personal consultation session.

The two of you will decide whether breast reduction is appropriate in your case and what form it might take.

The Operation On the day of the operation you will arrive at the Pyramid Clinic two hours before your scheduled surgery. Smaller, lighter and firmer breasts can be achieved by removing superfluous skin, fat and glandular tissue in the lower breast area.

A new breast is formed out of the remaining upper sections by internally remodelling the breast mound and lifting the skin over it.

The areola is reduced in size and the nipple raised into its new position. The procedure takes about two and a half hours and is performed under general anaesthetic.

After Surgery On the day after the operation, your breasts will be bound with a firmly fitting support bandage. After surgery, there may be some swelling and loss of sensation in the breasts, which should disappear in most cases after a few weeks.

Postoperative pain is extremely rare. It may take some weeks before normal sensation in the breasts is restored. For some time after the operation it is advisable to wear a comfortable bra that is gentle on the skin.

To ensure optimal healing, we recommend you take it easy for a period of up to six weeks particularly with regard to sport and physical activity.

Will breast reduction leave any permanent scarring? What are the risks posed by breast reduction?

What does breast reduction surgery cost? Are the costs of this procedure covered by health insurance? Because large, heavy breasts may constitute a health problem, e.

DEF The pigmented projection on the surface of the breast. In the mature female, ducts that conduct milk from the mammary glands to the surface of the breast exit through the nipple.

The surrounding flat area of pigmentation is the areola. TEE CE marking n. DEF The CE marking symbolizes the conformity of a product to the Community requirements incumbent on the manufacturer of the product.

It indicates that the product conforms with all the Community provisions providing for its affixing. The marking should be affixed prior to the product being placed on the European market and entering into service.

Scope The Decision lays down rules for affixing the CE conformity marking concerning the design, manufacture, placing on the market and entry into service of a product.

These products may circulate freely on the European market if they are accompanied by, for example, a declaration or certificate of conformity.

Responsibility of manufacturers The CE marking must be affixed by the manufacturer or his agent established within the Community.

The manufacturer bears ultimate responsibility for the conformity of the product. Conformity assessment relates to the design and production phases of the product.

Depending on the conformity assessment procedures applied, a notified body may be involved in these two phases.

If the notified body is involved in the production control phase, its identification number will follow the CE marking.

As the market leader in this area, we offer a range of breast implants. The surgeon will talk through with you the most suitable type for you, depending on your particular body and the results you want.

And we only use breast implants that have been awarded the European CE mark for quality assurance. Diese unspezifische Wirkung ruft bei einigen Formen der Chemotherapie schwere Nebenwirkungen hervor.

Bei einigen Krebserkrankungen im Kindesalter wird eine Heilung angestrebt, bei Erwachsenen gelingt dies jedoch selten. Heutzutage werden viele verschiedene Mittel zur Chemotherapie verwendet, je nach den zu behandelnden Krebserkrankungen.

Nach einer Chemotherapie sind normale Zellen offensichtlich eher in der Lage, sich zu regenerieren nachzuwachsen und das betroffene Gewebe wiederherzustellen.

Ist dies nicht der Fall, ist ein Wiederauftreten des Tumors an derselben Stelle sehr wahrscheinlich. Eine dieser Gruppen bilden die so genannten Alkylanzien.

Eine zweite Gruppe bilden die Antimetaboliten. Gelegentlich eignen sich diese Medikamente auch zur Behandlung von Krebserkrankungen von Kopf und Hals.

Eine dritte Gruppe stellen die Purinantagonisten dar. Mercaptopurin und Tioguanin TG. Die letzte Gruppe bilden die zytotoxischen Antibiotika und pflanzlichen Alkaloide.

Es gibt noch verschiedene andere Chemotherapeutika, z. Hydroxycarbamid, Procarbazin und Asparaginase, die alle das Wachstum der Tumorzellen hemmen.

Interferone, die normalerweise von viral VI. DEF 1a Chemotherapy, in its broadest sense, refers to the treatment of disease with chemicals.

In current usage, however, the term applies primarily to the treatment of infectious diseases and cancer. When used to refer to infectious diseases, the term is antimicrobial chemotherapy.

Antimicrobial chemotherapy can be used either for prophylaxis prevention or treatment cure of disease caused by bacteria, fungi, viruses, protozoa, or helminths.

Cancer chemotherapy uses synthetic chemicals and antibiotics that can differentiate to some degree between normal tissue cells and cancer cells.

Chemotherapy is used in the treatment of cancer; no therapeutic agents are available for the prevention of cancer.

The dramatic progress made in the transplantation oftissue and organs has been due, in part, to the use of chemicals that modify the immune response in recipients of these tissue and organs.

Oncologists use about 50 different chemotherapeutic drugs to combat cancer, generally administering more than one drug at a time because these drugs are more powerful when combined.

In some cases, the drugs cause programmed cell death. Many leukemias and lymphomas and cancer of the testicles are successfully treated with chemotherapy.

Breast, lung, colorectal, and prostate cancer are not currently curable with chemotherapy alone, so chemotherapy is often used in combination with other therapies.

In fact, the most common combination of cancer treatments is surgery or radiation therapy followed by chemotherapy.

Chemotherapy often causes severe side effects, particularly reduced resistance to infection, internal bleeding, diarrhea, nausea, vomiting, hair loss, and insufficient oxygen in the blood, known as anemia.

Some tumors develop resistance to many drugs after exposure to just one drug, a condition called multidrug resistance. When this happens, there may be no drugs that are effective against the tumor.

DEF 1 Ligament: In anatomy, tough band of slightly elastic connective tissue, made of a fibrous protein known as collagen. One type of ligament, such as a collateral ligament of the elbow or knee, holds together bones and cartilage at a joint.

This white, shiny ligament provides flexibility for freedom of movement and, at the same time, prevents the bones from moving too far apart.

Another type of ligament is thickened tissue that surrounds and directly reinforces a joint, such as the shoulder and hip.

Ligaments of yellow elastic tissue connect adjoining vertebrae in the spine. Ligaments also support abdominal organs, such as the liver, kidneys, spleen, bladder, uterus, and diaphragm, and help maintain the shape of the breasts.

These ligaments are extensions of membranes covering the organs, or sheets of fibrous tissue. DEF 1a A neurologic or pharmacologic state in which painful stimuli are moderated such that, although still perceived, they are no longer painful.

An analgesic see DEF 2 , or painrelieving drug such as aspirin, may relieve a headache, but a person who takes an aspirin still feels other physical sensations, such as pressure, heat, cold, and vibration.

Pain is a crucial warning system that tells us when our bodies are in danger, but without anesthesia, pain would make surgery and various other medical procedures much more difficult - or even impossible.

Dieser technisch-wissenschaftliche Verein bildet gemeinsam mit seinen Tochtergesellschaften z. Der DIN e. Im Bereich der Datenverarbeitung gibt es zahlreiche Normen z.

Durch die Entstehungsweise der Normen soll sichergestellt werden, dass die Inhalte und Verfahrenstechniken den allgemein anerkannten Regeln der Technik entsprechen.

However, there are currently around thirty thousand DIN Standards, covering almost all fields of technology.

One of the earliest, and surely the most well-known, is DIN , the standard that introduced the A-series paper sizes in This was later adopted as international standard ISO in DIN is a registered association e.

Its headquarters is in Berlin. Since it has been recognized by the German government as the national standards body and represents German interests at international and European level.

A tube may need to be inserted to help the drainage of fluids. Usually patients are able to return home the day following surgery and able to move around in a day or two when bandages and drainage tubes are removed.

Hormone wie das Insulin direkt ins Blut ab. DEF 1a Cell or tissue that removes specific substances from the blood, alters or concentrates them, and then either releases them for further use or eliminates them.

Typically, a gland consists of either cuboidal or columnar epithelium resting on a basement membrane and is surrounded by a plexus, or meshwork, of blood vessels.

Endocrine, or ductless, glands e. Exocrine glands e. Types of the simple tubular and the simple saccular glands are, respectively, the sweat and the sebaceous glands.

The kidney is a compound tubular gland, and the tear-producing glands are compound saccular. The so-called lymph glands are erroneously named and are in reality nodes.

Bindegewebsanteile machen die Brust elastisch und fest. Each lobe is subdivided into many smaller lobules, separated by broad fibrous suspensory bands, which connect the skin with the sheet of connective tissue that covers the pectoral muscles beneath the breast.

Der Warzenvorhof hat eine zentrale Vertiefung mit einem kleinen Randwall. Bei dem Druck zwischen Daumen und Zeigefinger zieht sich die Brustwarze noch mehr nach innen.

DEF 1a Inverted nipples can cause both cosmetic and functional problems. During breast feeding infants are usually unable to suckle effectively due to lack of nipple projection.

The condition is due to the presence of tight or short ligaments within the nipple, which pull the end of the nipple deep down into the breast tissue.

Inverted nipples look flat, small and sunken without the ability to pop out and stay firm. In mild cases the inverted nipple corrects itself temporarily when it is stimulated by touch or cold.

In severe cases nipple stimulation does not correct the problem. Inverted nipples are usually evident as a slit or hole in the breast at the location of the nipple and may be present on one or both sides.

Inverted nipples are usually a congenital problem but may be related to scarring from breast-feeding or infection in the ducts, or a previous breast surgery.

Nipple inversion can cause functional problems such as irritation, rash and discomfort and may prevent the ability to breast-feed. Abnormal nipple shape is graded from minor depressed profile, to flat profile, onto full inverted nipples where the nipple is essentially positioned below the plane of the breast.

Some women can breastfeed normally, while others will never be able to breastfeed. Nipples are inverted but can become everted manually through stimulation or in response to cold temperature.

They can remain everted for some time. Milk ducts are usually not compromised and breast feeding is possible. Grade 2.

Nipples are inverted and are more difficult to evert. Breast feeding could be possible, but this is not a sure thing. Grade 3.

Nipples are severely inverted and never evert. Milk ducts are often constricted and breast feeding is impossible. Women with Grade 3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene.

While the skin does become more elastic during the third trimester of pregnancy in preparation for nursing, some of the cells in the nipple and areola may stay attached.

Sometimes the stress of vigorous nursing will cause the adhesion to lift up rather than stretching or breaking loose, and this can cause cracks in the nipple tissue and pain for the mother.

Because the breasts function independently of each other, it is not unusual for a mother to have one flat or inverted nipple, or to have one nipple that protrudes more than the other.

For the same reason, it is not unusual for a mother to produce more milk from one breast than the other.

The degree of inversion varies greatly, ranging from the nipple that does not protrude when stimulated, but can be pulled out manually, to the severely inverted nipple that responds to compressions by disappearing completely.

Nipples that are severely flat or inverted will not respond to stimulation or cold by becoming erect. DEF Obstruction of the flow of blood by an embolus, a particle or aggregate of substance that is abnormally present in the bloodstream.

So long as the embolus travels unimpeded through the bloodstream, it is not likely to cause symptoms or damage.

Trouble develops when the substance becomes wedged in a channel, usually an arterial branch, and blocks the flow of blood. Obstruction of a vessel that supplies blood to the brain may cause a stroke, with effects that include a period of unconsciousness, temporary or lasting paralysis of all or part of one side of the body, inability to use words aphasia , impaired memory, and in severe cases, death.

When the blockage causes a section of lung tissue to die this is called a pulmonary infarction , the affected person becomes feverish, and his heart beats rapidly.

The physician attending him notes abnormal chest sounds, an increased number of white cells in the blood, and abnormalities in the chemical composition of the blood a rise in bilirubin and in certain enzymes.

Treatment includes administration of drugs to relieve pain, an anticoagulant to help prevent recurrence due to blood clot formation, and oxygen to aid breathing; fluid intake is reduced, and antibiotics are used to combat or prevent infection.

Embolism in a coronary artery, which supplies blood to the heart muscle, can cause a number of serious effects, including death of a section of the heart muscle myocardial infarction.

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