This is precisely where Dr Wiedner believes the true purpose of modern breast surgery begins:
Not artificial alteration – but the restoration of balance.
A breast lift involves more than just removing skin
In the past, a breast lift often consisted primarily of skin excision and external tightening.
Today, we know that beautiful long-term results depend much more on the internal stabilisation of the tissue.
From Dr Wiedner’s perspective, therefore, it is not just a question of how much a breast is lifted, but how permanently the new shape can be stabilised.
A key component of modern breast lifts is the creation of what is known as an ‘internal bra’.
This involves specifically reshaping and stabilising deeper tissue structures to give the breast greater support, projection and stability in the long term.
It is precisely this approach that often results in:
- a more shapely upper bust
- softer contours
- and achieve more stable forms in the long term. At the same time, this inner stabilisation often helps to,
- further sagging
- Wasserfall-Deformitäten
- oder sogenannte Snoopy-Breasts langfristig zu reduzieren.
This internal stability plays a crucial role, particularly in cases of soft tissue, following pregnancy, or in breasts that have undergone previous surgery.
Breast lift with augmentation – augmentation mastopexy
One particularly challenging area of modern breast surgery is the combination of a breast lift and breast augmentation – known as augmentation mastopexy.
These procedures require a very good understanding of:
- Fabric quality
- Skin tension
- Blood circulation
- long-term stability
- and the balance between streamlining and added weight.
This is because two opposing forces are at work here at the same time.
On the one hand, the breast needs to be lifted and stabilised; on the other hand, the added volume places renewed strain on the skin and tissue.
This is precisely why a personalised approach is crucial.
Modern implants can help with this:
- to restore upper breast fullness
- to improve the projection
- and to compensate for lost volume.
At the same time, Dr Wiedner sees significant advantages in modern autologous fat and hybrid techniques, particularly in this area.
Autologous fat can:
- Make transitions smoother
- Improve fabric quality
- Harmonising implant margins
- and make the bust look more natural.
In their view, hybrid procedures – that is, the combination of implants and autologous fat – often provide particularly elegant and long-lasting, harmonious results.
The implant provides the structural foundation, whilst the autologous fat ensures a natural appearance, smoother transitions and better tissue integration.
The importance of fabric quality
For Dr Wiedner, one of the most important factors in achieving long-lasting, attractive results from breast surgery is the quality of the tissue itself.
Particularly following:
- Pregnancies
- Weight loss
- significant fluctuations in weight
- or previous operations
the skin is often significantly stretched.
A breast lift can reposition the tissue – but it cannot fully restore the tissue’s biological quality.
That is why regenerative techniques are playing an increasingly important role in the treatment approach.
These include, in particular:
- Autologous fat transfer
- regenerative tissue engineering
- and biological support for healing and stability.
This is not about artificial volume, but rather about:
- improved skin quality
- smoother transitions
- improved elasticity
- and long-term tissue stability.
In her view, it is precisely the combination of structural surgery and biological regeneration that plays a key role in ensuring that results remain natural and stable in the long term.
Scars and long-term harmony
Understandably, many female patients are particularly concerned about scarring.
For Dr Wiedner, however, long-term structural stability is more important than minimising scarring at any cost.
Reducing the cutting path too drastically can:
- undermine internal stability
- Increase the tension
- and lead to a renewed loss of tone in the long term.
That is why, in her view, the aim is not to minimise scarring as much as possible, but to achieve anatomically sound stability and long-term harmony.
At the same time, she naturally takes care to:
- as fine a grain as possible
- low voltage
- get well soon
- and natural transitions.
Revisions and pre-treated breasts
Many patients now arrive having already undergone prior treatment or surgery.
These include:
- previous breast lifts
- Implants
- Capsular contractures
- Hybrid operations
- or tissue problems following previous operations.
Surgical procedures in particular require:
- a thorough understanding of anatomy
- Experience in tissue physiology
- and highly personalised planning.
Often, the real challenge is not to perform ‘more’ surgery, but to soothe the tissue, reduce tension and restore natural proportions.
It is precisely in this respect that Dr Wiedner sees a key difference between standardised breast surgery and truly personalised breast surgery.
Naturalness rather than maximisation
Dr Wiedner deliberately adopts a subtle and anatomically oriented approach.
Her aim is not to create an exaggerated or unnatural-looking breast shape.
Rather, she seeks to create a breast that:
- harmonious
- stable
- flexible
- and, of course, it works.
In her view, the most challenging aspect of modern breast surgery is not the most striking change, but a result that suits the patient’s body in the long term.