Interview with Dr. David Hendrych, Plastic Surgeon
Dr. Hendrych, what led you to become a plastic surgeon, and what drew you to breast reconstruction procedures in addition to aesthetic surgeries?
During my medical studies, I knew I wanted to pursue surgery. Initially, I specialized in general surgery, where I first encountered breast surgery. I found my way to plastic surgery a few years after gaining experience in general surgery. It seemed like a very logical connection between two closely related fields that overlap and complement each other. I later obtained my specialization in plastic surgery. Combining these two fields has been enriching for me, but I particularly see it as a significant benefit for my patients.
Many women experience issues with the size or sagging of their breasts after pregnancy and breastfeeding. When is it appropriate for mothers to undergo breast augmentation?
Any surgical procedure after pregnancy should be done after breastfeeding has ended. Ideally, at least 3 to 6 months after, even if the mother has not breastfed, because during pregnancy, the gland and skin undergo growth. Therefore, it is necessary for the gland and skin to return to their natural state before any modifications can be made.
How important is the choice of implants? When is it time for a replacement or check-up?
When selecting implants, it’s crucial to choose the right shape—whether anatomical (teardrop) or round—and then the appropriate size. Another important consideration is the type, manufacturer, and surface of the implant. Anatomical implants are suitable for clients who have had children, with mild ptosis of the gland and generally smaller glands. Round implants, on the other hand, are ideal for clients with fuller breasts for overall enlargement or emphasizing the cleavage.
Size should be selected in consultation with the patient, with the option to show them the projected size of the breasts using a “sizer” inserted into the bra.
The choice of surface and manufacturer is best decided in consultation with the surgeon based on their experience and the patient’s preferences.
Postoperatively, the patient should visit annually for an ultrasound check of the implants and gland. Clients over 45 years old should also have a mammogram every two years. Implants do not pose a problem during this examination; there is no risk of implant rupture or displacement, as some patients fear.
Why is proper postoperative care and wearing compression garments important?
Postoperatively, wearing compression garments is necessary to ensure the implant heals in place. This helps the implant settle naturally and prevents movement. If the patient does not follow the recommended rest and does not wear the compression garment, the fibrous capsule may form larger than the implant itself. This can result in the implant becoming “loose” and moving on the chest.
What procedures are required before the surgery itself?
Before surgery, like any other procedure, preoperative testing is required, including blood tests, an ECG, and any additional tests recommended if the patient has any chronic conditions. Additionally, an ultrasound examination is recommended, and for women over 45, a mammogram is also advised.
Thank you for the interview.