Prosthesis change: the operation

Rae had her breast implants removed and had her breasts augmented using lipofilling. She chose Esthetisch Centrum Jan van Goyen, where the surgery was performed by Gijs van Selms. Rae is happy with the result and still stands by her decision. Today, she shares her experience with this procedure, the doctor, and our clinic. How long had you had breast implants? “After years of being dissatisfied with my AA breasts, I had my breasts enlarged in 2015. I was young, insecure, and wanted to look more feminine. After the surgery, I felt fantastic, and it was also 'necessary' because I had to find a way to work on my self-confidence.‘ Why did you decide to have your implants removed? ’After walking around with prostheses for six years, I eventually considered having them removed. In my eyes, the implants never became supple and looked unnatural. Moreover, I ultimately found them too impractical for my lifestyle. I was further along in my life and ready to embrace my natural body.” How did you end up with plastic surgeon Gijs van Selms? “I thought my breasts were too big, but I noticed that I found it very daunting to go back to being completely flat. In 2020, I looked into the option of having my implants removed and filling my breasts with lipofilling. I went back to the clinic where my implants had been placed, but they found it strange that I wanted to have them removed. After a few years of quiet reflection, saving up, and doing some research, I read about Gijs van Selms via Google. I read that he is one of the experts in the field of explantation and breast corrections.” What did you think of the first consultation? “Very pleasant! I felt welcome, heard, and appreciated. Lipofilling was possible, but I had to promise Van Selms that I would gain weight. This was no punishment for me and was also achievable. It didn't take long before I signed the quote and the surgery was scheduled.” Come by for a consultation too. You are very welcome for a no-obligation consultation with one of our plastic surgeons. A consultation provides you with the insights you need to make an informed decision. Every day, our doctors see women considering having their implants removed. So, with us, you are in good, safe hands. Book a no-obligation consultation. How did the surgery go? “The surgery went very smoothly and quickly. Everyone was friendly, and even though it went quite fast, I feel like everyone took the time for me. The room was clean and cool, but the atmosphere was pleasant!” Can you tell us something about your recovery? “I recovered exceptionally quickly. Everything hurt and felt bruised, but within three days I no longer needed painkillers. On the second day after the surgery, I could shower by myself and resume light activities without too much difficulty or pain. After six weeks, I could do everything again.” What do you think of the result? “Aesthetically speaking, I think it looks better, but I also notice that I can move more easily. It also feels much lighter when I breathe, and I can sleep comfortably on my stomach again!” What would you like to say to others considering having their implants removed? “Above all, do what feels right. Take your time to explore the options and visit multiple clinics.” What have you learned from your experiences over the past few years? “I have learned that my ideal body is one I feel comfortable in. With the experience I have gained, I hope to increase my self-acceptance. In any case, I try to be kind to my own body and I won't be so quick to compare it to other people's anymore!” Rae had her breast implants removed and her breasts filled with her own body fat using lipofilling by plastic surgeon Dr. Gijs van Selms. Are you also considering having your breast implants removed? You are not alone! Every day, our plastic surgeons see women having their breast implants removed. At Esthetisch Centrum Jan van Goyen, this is a common procedure, and our doctors are happy to advise you on it. Are you considering this procedure? Then book a no-obligation consultation or view more before and after photos here first. Read more about this procedure. Book an appointment online here now for a no-obligation consultation with one of our specialists. Prefer to make an appointment by phone? Then call us at 020 – 3055 847. We are happy to assist you. At Esthetisch Centrum Jan van Goyen, you are in good hands. Short waiting times. No-obligation consultation with comprehensive advice. Personalized treatment plan based on your wishes. Clients rate us an average of 9.0 on Kliniekervaringen.nl. Our plastic surgeons are affiliated with NVPC and NVEPC. Both male and female BIG-registered plastic surgeons.

Cheyen is the wife of Yes-R, a mother, and an entrepreneur. She is often on the go, meets many inspiring people, and knows what she wants in life. One of the things high on her wish list was an implant exchange. After pregnancy, her breasts were no longer what she was used to. The shape, the volume… suddenly everything is different. That is why she decided to make an appointment with Dr. Gijs van Selms. Were you insecure about your breasts? “Yes and no. I wasn't hugely insecure about my breasts, because in a bra and shirt my cleavage looked fine. But without a bra, my breasts sagged, which is logical because your body changes during pregnancy. Because I wasn't happy with my breasts, I decided to look into an implant exchange.” Is an implant exchange just as nerve-wracking as the first breast augmentation? “Absolutely! I found it very nerve-wracking! My previous surgery was already 8 years ago, so I had forgotten what it was like. The only thing I could still remember was that I was in a lot of pain, so I was really dreading that.” How did you end up at Esthetisch Centrum Jan van Goyen? “I have been operated on by plastic surgeon Gijs van Selms before. That is why I wanted to be treated by him again, because he knows exactly what he did last time. Many people in my circle of friends have also been treated at Esthetisch Centrum Jan van Goyen and were all incredibly satisfied.” Are there other things you look for during the first consultation? “I mainly look at how a clinic looks. I find the appearance important because then you can see at a glance what a clinic is like. Esthetisch Centrum Jan van Goyen has a chic appearance, is located in a beautiful location, and experienced plastic surgeons work there, including Dr. Gijs van Selms. I know many people who have also been treated at Esthetisch Centrum Jan van Goyen, and that inspires confidence! Just like the fact that they have been around for thirty years. And of course, what I ask is: is it going to hurt that much again?” How did you find the surgery? “The surgery went really well. Before the operation, the nurses are there for you, guiding you well and providing explanations. I felt completely at ease and just took things as they came. And when I woke up, I immediately went to feel and look at the result!” You have two children; how did this go after the surgery? “After the first surgery, I was in a lot of pain because the breast implants were placed behind the pectoral muscle. This was necessary because I have thin skin and still wanted a natural result. But man! It hurt so much during the first few weeks after the surgery! Now that I am older, I have more tissue of my own, providing sufficient coverage for the implants. That is why we chose to place the implants in front of the pectoral muscle this time, and suddenly it wasn't nearly as bad! You can move around again quite quickly and only have a tight, bruised feeling. That's it. A real difference from the first time. Of course, I was still careful with lifting and strenuous exercise, but otherwise, things went very well with the children.” Naturally, the most important question: how do you like the result? “I am incredibly happy; my breasts are slightly fuller but still natural. They don't sag anymore! I am also very happy with my choice of Motiva implants; they are very safe and new on the market. I chose Ergonomix. You have a low, medium, and high profile, and I chose medium. Plastic surgeon Gijs van Selms used the same scar, so I didn't get an extra scar. The previous incision was very small and beautifully done; you could hardly see the scar, and that is the case again now.” Do you have any tips for women considering an implant exchange? “Yes, it is important that you go to a good doctor and clinic. Choose someone who has a lot of experience. Sometimes I see breasts passing by on Social Media and I think, OMG, so ugly, way too high or a very large scar, very fake. I don't like that myself; I like natural. I advise you to have an implant exchange if you no longer wish to have children, as the result will remain more beautiful. It is also important to know which implants you choose, as that determines the shape of your new breasts. The plastic surgeon also advises you to replace the implants after 20 years; don't walk around with them for too long. Take good care of your body. And do thorough research into the clinic and doctor, and of course, the brand of the implants. And don't look at what is cheap, because cheap is usually expensive in the long run, and you should want the best for your body.”

Ellen Tiben is a Hormone & Lifestyle Coach and an expert by experience in the field of Hashimoto's. She is also an advisor on nutrition and stress reduction. At Jan van Goyen, we are always curious about our clients, and when Ellen came for a consultation with plastic surgeon Gijs van Selms, we were impressed by how honestly she spoke about her implant exchange. What does beauty mean to you? “If you feel good in your own skin, you radiate beauty! As far as I am concerned, beauty comes from within, and if you are happy when you look in the mirror, you radiate this outwards.” What do you not find beautiful? “Too much. You can cross boundaries with makeup or plastic surgery. It looks unnatural and it is a shame. In my opinion, everyone starts to look a bit alike. Of course, you should do what makes you feel good. I also try things out sometimes, and I am simply open about it. For example, I use fillers to plump up my face a bit, but I do choose natural products.“ When did you undergo a breast augmentation for the first time? Was this already a conscious choice back then? “Eight years ago. I found it nerve-wracking and I didn't dare tell my parents. At that time, I was already an adult and still very insecure about my breasts. Jokes were also made about it. That does have an impact, even if it's meant to be funny. Eventually, I talked about it with friends and made the decision. I just didn't feel feminine, and that caused stress. Fortunately, my parents immediately supported my decision. I was very happy!“ How did you do your research? “I looked into everything in detail and was fully aware of all the risks associated with surgery. But what compares to the amount of stress you experience as a woman when you don't feel feminine? I was so insecure and haven't regretted the breast augmentation for a single day. I do think that less was known back then than today; so many developments are taking place, of course! Safety comes first, and fortunately, that went well for me.” Yet, after eight years, was it time for a prosthesis exchange? “Because my breasts felt painful, I started investigating. If there is nothing wrong, you don't need to be operated on again. In my case, however, a prosthesis exchange was necessary. It is always good to have implants checked every ten years.” How did you end up with plastic surgeon Gijs van Selms? “I was already familiar with Motiva implants, so that choice had already been made. Naturally, I only wanted to be operated on by the best plastic surgeon, and through Motiva, I ended up with plastic surgeon Gijs van Selms at Esthetisch Centrum Jan van Goyen. The consultation felt good, and the result is there.” Why did you choose Motiva Implants? “Motiva is of high quality and feels trustworthy. An important reason, in addition to the SmoothSilk surface, is the BluSeal® indicator. This ensures the presence of the barrier layer that holds the silicone in place. How did you prepare yourself? “With proper nutrition, extra vitamins and minerals to support recovery, and rest. I cleared my schedule in the weeks following the implant exchange, and I even stopped exercising for two months, even though I am normally a die-hard fanatic! Officially, you are allowed to start again after six weeks, though!” How did the implant exchange at Esthetisch Centrum Jan van Goyen go? “Very well! My breasts look better than before, and everything went so smoothly. Even the anesthesia, which I was dreading.” What makes Esthetisch Centrum Jan van Goyen so special? “The location in Amsterdam, the information provided before the procedure, the time taken for you, and the personal approach. Everyone is nice, and the aftercare is good. Simply top-notch!” What should women look out for when undergoing breast augmentation surgery? “Do your research! Have informative conversations with people you trust and with professionals. Carefully consider whether it is necessary and why you are doing it. Good preparation is half the battle. Don't focus solely on the benefits, but also look critically at the disadvantages.”

In the spring of 2023, Leonie visited Dr. Gijs van Selms for a consultation. Years ago, she had had breast implants placed to gain more self-confidence. After embarking on a path of self-development and coaching training, they were no longer needed. The entrepreneur and widow with three children wanted to have them removed and asked Dr. van Selms for advice. The first consultation Leonie was able to get an appointment for a no-obligation consultation quite quickly: 'When I walked in for the first time, it immediately felt relaxed and good; everyone was so friendly. Dr. van Selms investigated how the removal of the implants was possible with the most beautiful end result possible. For instance, he told me about the option of filling my breasts in a more natural way using the body's own material: lipofilling. This really appealed to me, and that is what I ultimately chose.' Beautiful result 'The consultation was in May, and I was able to have the surgery as early as July. I wasn't nervous beforehand; I trusted Dr. van Selms completely. He had said: it will be beautiful no matter what!' This turned out to be absolutely true: when I looked at the result after the surgery, I was so happy! Taking a rest 'After the surgery, I took a period of rest; after all, it was a serious procedure. Fortunately, apart from the pain, I had no complaints; everything went well. I still find the result beautiful and I am happy with the choice I made.' Explantation & Lipofilling: Leonie's experience https://www.youtube.com/watch?v=VO5iZDTGsV4&t=1s Are you also considering having your breast implants removed? You are not alone. Every day, our plastic surgeons see women who are considering having their breast implants removed. Whether this is from a medical or cosmetic point of view, one thing is certain: our doctors are happy to give you honest advice. Book a consultation Would you like to make an appointment by phone? That is of course also possible. You can reach us at 020 – 3055 847. Would you prefer more information first? Then we would be happy to refer you to this page. Curious about the results of patients who came before you? You can find them here. Why choose Esthetisch Centrum Jan van Goyen? At Esthetisch Centrum Jan van Goyen, you are in good hands. Short waiting times. No-obligation consultation with comprehensive advice. We are a 100% subsidiary of OLVG. Personalized treatment plan based on your wishes. Clients rate us an average of 9.0 on Kliniekervaringen.nl. Our plastic surgeons are affiliated with NVPC and NVEPC.

After 16 years, Marga (51) decided to have her breast implants removed. Although she had been satisfied with her choice for years, she noticed that the implants no longer fit the phase of life she is currently in. She wanted a more natural look and read about lipofilling. At Esthetisch Centrum Jan van Goyen, she found the care and expertise she was looking for. New phase Marga received breast implants 16 years ago, a choice she was very satisfied with at the time. “I was 35 and wanted a bit more volume and symmetry in my breasts. The implants gave me that, and for years I was happy with the result,” she says. Over time, Marga began to notice that her body was changing, and with those changes, her breast implants felt less and less suitable. “After all those years, I felt that my breasts were no longer in line with my body. They no longer felt natural and no longer gave me the self-confidence I used to feel. I started thinking about another option. I didn't want to choose a procedure with implants again, but I was looking for a solution that suited me better: a natural look, with something closer to myself. Lipofilling seemed suitable for that, because it allows me to retain the volume in a natural way.” A connection When Marga had decided to have her prostheses removed and her breasts filled with her own fat tissue, she started looking for a clinic and a surgeon who suited her. She visited several clinics, but only really felt a connection with plastic surgeon Dr. Moerman at Esthetisch Centrum Jan van Goyen. “The first consultation with Dr. Moerman was so pleasant. She took ample time to listen to me, answer my questions, and give me an honest picture of what I could expect. Nothing was forced upon me, and that gave me a lot of confidence.” Dr. Moerman confirmed that lipofilling was possible after the removal of the implants. This technique uses fat from the patient's own body to restore volume to the breasts. “The idea that I would use my own fat really appealed to me. In my case, this fat came mainly from my thighs and hips. It felt much more natural than having new implants placed. And I also liked the fact that I wouldn't be burdening my body any further with artificial materials.” The surgery and recovery The surgery could be scheduled quite quickly and consisted of three parts: the removal of the implants, liposuction to obtain fatty tissue, and the injection of this fatty tissue into the breasts. Marga was certain that this was the right choice for her, but she was still a bit nervous. “Every surgery is nerve-wracking, of course. But it felt good that I had discussed exactly what I wanted and what to expect with Dr. Moerman. She explained it really well. Moreover, the nurses and assistants were all very sweet and caring. This made me feel a bit more relaxed.” The surgery went without complications. Marga had some swelling and bruising, but that was normal. “The first few days weren't great, of course. I had some pain and discomfort, but it was all worth it. It was manageable and the recovery went smoothly. I soon noticed that my breasts felt soft. It was such a relief to be rid of that hard feeling from the implants. Moreover, the whole thing looked more natural.” Subtle change after lipofilling After a few weeks, Marga began to see the result. “The change in my breasts is very subtle and natural. They have also hardly changed in size, which is so nice! My breasts feel like my own again and no longer 'strange,' as if they don't belong to my body. They fit my stage of life better. My 'new breasts' also look better in T-shirts. When I still had the implants, they were a bit far apart. I don't know how Dr. Moerman managed this, but now they are neatly side by side.‘ Artist Marga especially appreciates that Dr. Moerman not only used her technique and experience, but also treated her as an individual. ’Dr. Moerman truly has an eye for detail. She doesn't just look at the technical aspect of the surgery, but also has an eye for the aesthetic result. She is an artist in her field. She knows exactly how to balance everything and removes fat wherever possible, so that it not only feels good, but also looks beautiful.‘ Happy Now, a few months later, Marga is still incredibly happy with her decision. ’Previously, I was always conscious of my implants, but now that is no longer the case. My breasts feel good and comfortable now. I am glad that I ended up at Esthetisch Centrum Jan van Goyen. It is not just any clinic; it is a place where you feel heard and where you really get the time to make the right choice for yourself. Their slogan is 'The best personal care' for a reason. I fully support this!” Are you considering lipofilling? At Esthetisch Centrum Jan van Goyen, lipofilling is a common procedure, and our plastic surgeons can provide you with sound advice. By discussing your wishes and concerns with the doctor, a personalized treatment plan can be created for you. You are most welcome to attend a no-obligation consultation for this! Read more about this procedure. Book an appointment online here now for a no-obligation consultation with one of our plastic surgeons. Prefer to make an appointment by phone? Then call us at 020 – 3055 847. We are happy to assist you. Why Esthetisch Centrum Jan van Goyen? Short waiting times No-obligation consultation with comprehensive advice Personalized treatment plan based on your wishes Clients rate us an average of 9.0 on Kliniekervaringen.nl Our plastic surgeons are affiliated with NVPC and NVEPC Both male and female BIG-registered plastic surgeons