Beautiful, supple, toned breasts - isn't that what every woman dreams of?Plastic breast augmentation is often associated with an oversized and unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to enlarge the breasts by several sizes - for example, from 1 to 3.Modern implants and surgical technologies make it possible to achieve the most natural appearance of breasts, prevent complications and give a woman self-confidence.
Breast enlargement (enlargement) surgery is called augmentation mammoplasty.It is performed under general anesthesia using implants of various shapes and sizes.The advantage of breast enlargement in modern plastic surgery is the ability to achieve symmetry and correct all congenital defects.Including improving the appearance of the nipple-areolar complex.
Which implants are the best to choose?
Implants vary in shape: anatomical and round.Create soft and natural breast contours while giving a pasty, teardrop shape.Floor cloths look very natural.Round implants visually give the breasts a larger size and make them lifted (push-up).With them, the contour of the upper neckline becomes higher.
Breast implant profile types also vary: from low to high.The surface of silicone implants can be smooth or textured.
Your doctor will help you choose implants.A surgeon with extensive experience in mammoplasty will recommend several manufacturers and explain which implant shape will look best in your case.
During the consultation, you will be able to try on models of implants - works to imagine what the shape of the future breast shape will be.
Ways to enlarge mammary glands
A plastic surgeon performs breast enlargement in different ways.They can be surgical or surgical.The first includes:
- Expansion mammoplasty with round or anatomical implants: breast enlargement in several sizes;The result of the operation is stored forever;
- Breast lipofilling: 1-1.5 size increase using purified autologous fat injection from "problem" areas;If you avoid severe weight loss, the result of lipofilling lasts forever.
A cosmetic method for breast augmentation is the injection of absorbent gels (fillers).This method is quite expensive: compared to fillers, plastic surgery is almost the same as mammoplasty surgery, and the effect lasts up to 2 years on average.
The shape of the cloth can be adjusted using a thread lifter.The procedure will not increase the size of the breast, but it will give a beautiful shape.
Advantages of mammoplasty:
- Nice breast proportions.During the consultation before breast augmentation surgery, the doctor will recommend the most suitable type of implant, the method of installation (under the nipple or under the muscle), as well as access options (axillary, subcifhagary, periareolar).Implants are always selected individually - the lines of leading manufacturers include hundreds of models, different in volume, shape and size.
- Modeling the result.Working on modeling or wizards (prosthetic models used to select implants) allows you to estimate in advance how good the results of Mammoplasty will be.
- Implant warranty.Clinics provide a guarantee on breast implants. The safety of endoprostheses for breast augmentation has been confirmed by clinical studies: it does not affect the general condition of the body, is not dangerous in damaging the membrane (silicone gel with a dense structure), does not interfere with the preventive examination of the mammary glands and does not limit the possibility of breastfeeding in the future.
- Breast augmentation in several sizes.Breast augmentation (lipofilling) using own transitional tissues allows you to adjust the volume only within relatively small limits (1-1.5 sizes), then with the help of mammoplasty, you can have an impressive effect in one operation.Once you get the volume you want, you can be sure it won't change over time.
- The result is security and confidence.The result of enlargement (breast augmentation) depends on the professionalism of the surgeon, therefore breast augmentation should be performed in a special clinic by doctors with extensive experience.
Methods of performing breast enlargement surgery
The implant can be placed:
- under the diaper;
- under the muscle.
Installation of implants under the gland shortens the rehabilitation period.Recovery is less painful.However, this method is fraught with complications later on.For example, sagging breasts may become more noticeable.Constructionist fibrosis, if present, may be more pronounced.For girls who have not given birth, but are planning to have children, implants are placed only under the muscle.
Possible entries:
- submammoma (incision under the nipple);
- periareolar (incision around the nipple-areolar complex);
- axillary (an incision on the side in the armpit).
Submissiveness- The most preferred method from the point of view of controlled recovery.It is used for breast surgery if the patient plans to have a baby later and breastfeed.Even very large implants can easily be placed through this access.Post-operative scars will be hidden in the folds under the breasts.
Periareolar accessBreast lift and enlargement are best done at the same time.This type of access allows changing the shape of the nipple-areolar complex.If the areola is small, it will not be possible to install a large implant.With the periareolar approach, the scars will follow the contour of the areola.Over time, they will become almost invisible to the naked eye.This type of access is not recommended for nulliparous girls, as the milk ducts may be damaged during the operation.
Achillage entranceGood for installing small implants.But it is impossible to install such anatomical implants, only round ones.In this case, the scars will be located in the armpit area.
Before and after images of breast augmentation with implants are at the bottom of the page.
Types of breast augmentation implants
For breast augmentation, silicone implants of different volumes (1 size is equal to 120 ml) and shapes are used: round or teardrop-shaped (anatomical).
- Mammoplasty surgery with the installation of round implants creates voluminous, lifted breasts with regular round contours.In nature, this shape of the nipples ("Apple") is quite rare, so after breast augmentation, the breast may look less natural than with the installation of anatomical implants.However, this type of implant is suitable for correcting mild ptosis of the mammary glands without additional lifting.
- Teardrop-shaped implants reproduce the most common shape of the mammary glands: They look like a cone.With them, the nipple gets a lower pole with a smooth descent, which is characteristic of a natural bust.Sometimes only the use of implants of different volumes allows to correct the existing asymmetry.
In various cases, your surgeon may recommend implants on a smooth or textured surface.
- Smooth round models are suitable for installation through an axillary (transaxillary) approach.
- Anatomically shaped models with a textured surface are often chosen for breast augmentation under the nipples (submammals), which allows for a beautiful natural result.
Tips for breast enlargement
- unsatisfactory breast size;
- breast asymmetry;
- ptosis caused by breastfeeding / sudden weight loss;
- excessive fatty tissue;
- excessive glandular tissue;
- unsatisfactory breast shape.
Plastic surgery using implants is indicated for reconstructive breast correction - after tumors or a complete mastectomy.Thus, the operation is not only aesthetic in nature.It can also be done for medical reasons.
Contraindications for mammoplasty of mammary glands
- early age (up to 18);
- pregnancy and lactation period;
- problems with blood clotting;
- liver diseases;
- cardiovascular and endocrine diseases;
- diabetes mellitus;
- Oncology;
- respiratory system diseases;
- infectious and viral diseases;
- mental disorders.
If the results of the pre-operative tests are unsatisfactory, the operation is postponed or cancelled.
Two weeks before the operation, you should stop taking blood thinners and hormonal drugs.
How is the breast augmentation procedure performed?
- The patient talks to the surgeon.Signs are applied before the operation.This is followed by a conversation with the anesthesiologist.
- The operation itself takes place under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions in the nipple and the area around the nipple.Through an incision, the implant is placed under the gland or muscles.The position of the implant is discussed in advance during the consultation.
- Then drains are installed and sutures are applied.
- After recovery from anesthesia, the patient remains in the hospital for 24 hours after surgery, as patients must be monitored for hours at a time.
What exams need to be completed before the test procedure?
If your doctor plans a cosmetic correction under local anesthesia, you should pass several basic tests before the procedure:
- Complete Clinical Blood Test (Whole + Platelets)
- Coagulogram (blood clotting time, bleeding time, inr, prothrombin index, fibrinogen, aptt)
- Biochemical blood test: alt, ast, bilirubin, cholesterol, urea, creatinine
- Blood sugar (glucose) test
- Tests for hepatitis b, hepatitis C, HIV, syphilis
Blood Group Test (with RH)
- EKG (electrocardiogram)
- Fluorography
- General urine test
- Examination by a mammologist, including breast ultrasound or mammography
- The therapist's conclusion about the possibility of surgery (for patients over 30 years old)
* Your doctor may order additional tests to more accurately predict the outcome and minimize the risk of breast augmentation complications.
Rehabilitation period
After the operation, you stay in the hospital under the supervision of medical staff until the next morning.Sometimes you need to stay in the clinic for two days.Then you go home.In the first days, swelling, pain, a slight increase in body temperature and a feeling of "tension" are the norm.Swelling and pain usually go away within 10-14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until this time, you should take the medicines prescribed by your doctor.In the first days after plastic surgery, you need to take antibiotics, that is, alcohol is prohibited.Pain medication recommended by your surgeon will reduce pain after surgery.
It is necessary to eliminate the risk of allergic reactions after plastic surgery.Therefore, it is not recommended to consume foods that cause allergies.He will present their list to the doctor during the consultation.Allergy is dangerous due to increased swelling and pain as a result.
What didn't you do during recovery?
- overextending yourself physically and emotionally;
- Go to the sauna, swimming pool, gym;
- sunbathing;
- lie on your side;
- Raise your hands;
- Bust and rub.
You should wear compression garments for a month.For the next two months, it is best to wear non-wired sports bras.3 months after mammoplasty, you can update your linen wardrobe.
The doctor will prescribe an examination plan for you.It is important to follow it to avoid side effects.
Possible complications
If the doctor's recommendations are not followed, the implant may change and inflammatory processes may develop.We leave the drain in place for a controlled result.This reduces the risk of postoperative complications.
In the subsequent period, there is a risk of the formation of narrowed fibrosis - the formation of a dense capsule around the implant.Implant manufacturers indicate the possible interest risk of the capsule contract.We work with implants that have a risk of connective tissue growth around them.
Sometimes the mammary glands do not completely cover the contours of the implant due to their small size.In this case, lipofilling can be done to mask the implant and give the breast a natural look.
The implant may rupture due to injury.If there is a rupture, an operation is performed to remove it and replace it with a new one.
When should you see a surgeon?
- The breast is hard to the touch;
- The color of the skin in the implant area changes;
- The vascular network is visible;
- The breast is deformed;
- pain occurs.
Patients often come to us after operations in other clinics with complaints of capsular contracture.Then a repeat mammoplasty is performed with implant replacement and fibrous tissue removal.
Constrictor fibrosis is more common when the implant is placed under the gland.If it is under the muscle, small signs of fibrosis may not be noticeable and harmless.
If you want to find a place in breast enlargement, think twice about your health - physical and mental.Take your time and make an informed decision.
Breast augmentation price
The cost of breast augmentation varies from clinic to clinic.It is caused by a number of factors:
- surgeon's powers
- plastic method
- Cost of implants
- volume of consumables
- Duration of anesthesia
- Hospital stay