In the article, we will consider the reviews after the operation of mammoplasty. This is a surgical manipulation in which an effect is made on the female mammary glands. For women, beautiful breasts are a matter of pride. This part of the body attracts the attention of the opposite sex, gives confidence. The most popular today is augmenting mammoplasty, which allows you to change the shape and volume of the breast. There is also reduction. This is a breast lift and its reduction.
Duration
The duration of this operation is approximately 2 hours, it is performed under general anesthesia.
The services of plastic surgeons are used by women whose breasts after birth and lactation have changed their shape. The operation helps to solve all the aesthetic problems that are associated with the mammary glands.
Cost
The price of mammoplasty in Moscow varies in a rather wide range - from 50 to 150 thousand rubles. It depends on the nature of the intervention, the area of impact and the scope of work of the surgeon.
Reviews after mammoplasty surgery are presented at the end of the article.
Rehabilitation period
The rehabilitation period is a period of time after surgery during which a woman must follow certain medical recommendations in order to recover and not spoil the result. Full recovery after breast reconstruction takes about two months. If all the recommendations are carried out efficiently, the result will be as positive as possible. Postoperative wounds heal within a few days, but the process of implant healing and the formation of the mammary gland takes much longer, usually 6-8 weeks. With increasing mammoplasty, the rehabilitation period usually takes about 8 weeks. This time is needed for the most durable fixation of the implant in the tissues of the gland.
Many people wonder how much to wear compression underwear after mammoplasty.
Main stages
The recovery period can be divided into two main stages:
- First. This is an important period, usually lasting three weeks, when it is necessary to completely eliminate physical activity. It is necessary to eliminate the load on the muscles of the shoulder region, so it is recommended to wear compression underwear constantly. The first week after mammoplasty is the most difficult. At this time, the sutures heal, which can be very itchy and sore. In this case, a woman is strictly forbidden to exert any influence on the breast, since combing will contribute to the violation of the integrity of postoperative sutures and the penetration of infection into the tissues. If the wound is infected, an active inflammatory process will begin, and this is already fraught with serious complications. In addition, during the first week, the implant is initially fixed, so any external mechanical effect on the breast is undesirable. Implant displacement may occur, which will entail a new operation. Severe edema after mammoplasty is also observed.
- The second postoperative stage. The next three weeks are a less stringent period because a slight increase in physical activity is allowed. Sports such as running, swimming are welcome. After six weeks, experts allow the woman to remove compression underwear.
Scarring. What are they?
Scars after mammoplasty are a normal occurrence after any surgical treatment. They can be large, but only if very large implants have been used. Scars are usually medium or small in size.
The process of epithelialization begins from the moment of damage to the skin and lasts up to 10 days. On the first day, pronounced edema forms - a fluid containing macrophages and lymphocytes accumulates in the soft tissues, and the capillaries are closed with blood clots to stop blood loss. From the second day, fibroblasts begin to be produced - cells that can produce elastin and collagen, which are the basis of the connective tissue from which the scar will form. At the same time, the growth of capillaries begins to restore blood circulation. How long this stage will last and how smooth the seam will turn out depends on the work of the plastic surgeon. During the application of the laser scalpel, the incision is perfectly even, and the edges of the wound fit tightly and are disinfected. Healing in this case proceeds very quickly.
The maturation of the scar takes about three months. At this stage, it takes on its final form. The synthesis of fibroblasts slows down, collagen fibers are located in the direction of tension of the seam. The scar decreases and becomes thinner. The main mistake of most women is that as soon as they feel normal, they begin to return to their usual lifestyle and sports. However, to form a scar, you need at least three months, and at this time you should be as careful as possible.
Women who underwent mammoplasty in their reviews note that the seams after the operation can be very scratched and cause inconvenience when wearing underwear.
"Skin ripples" after mammoplasty
Rippling is one of the most common complications after breast correction. It is also called the “washboard effect” or “skin ripple”.
It appears in several forms:
- constant waves throughout the gland;
- ripples in certain areas, for example, in the lower zone;
- folds during slopes or movements;
- a change in the shape of the breast to rectangular, with the presence of wrinkles in certain areas.
In some cases, only a surgeon can identify “skin ripples” after mammoplasty when examining and probing the breast.
There are several reasons for the development of such folds:
- Anatomical features of the patient’s mammary gland, which are expressed in the lack of skin and soft tissues with a strong increase in breast volume.
- Incorrectly selected implant shape.
- Errors made by the surgeon during surgery, for example, choosing the wrong site for the installation of the implant or a violation of the implantation technique.
In the reviews of patients, it is indicated that most often “skin ripples” appear in thin girls, since it is with this type of figure that there is a lack of skin. In addition, such patients have an initially small size of the mammary glands, and if they want to greatly increase the volume without listening to the opinion of the doctors, this leads to the development of such complications.
The choice of an experienced specialist, a plastic mammoplasty surgeon who will not only perform the operation correctly, but will also advise the optimal implant size, helps to avoid most of the side effects, including ripping.
Without repeated surgery, it is impossible to eliminate ripping. Today, plastic surgery offers you several methods to get rid of such folds on the chest:
- replacing too large an implant with a smaller one;
- moving the implant under the pectoral muscle;
- its complete removal from the mammary gland;
- lipofilling;
- dermal matrix (special collagen composition).
Contracture after mammoplasty
This phenomenon after breast plastic surgery is another type of complication, and even experienced surgeons do not always guarantee that such a formation does not occur in a woman. This problem is observed in 10% of women after mammoplasty.
Contracture is the formation of dense fibrous tissue in the form of a capsule around the implant, which further deforms and compresses it. Capsule formation is a normal body reaction to the presence of a foreign body. However, over time, this formation may thicken and begins to strongly compress the implant, which often contributes to its rupture and poses a threat to the life and health of the patient.
The reasons for the formation of contracture are due to:
- The operation itself - the formation of hematomas, the rough use of equipment, infection of the wound, improper formation of incisions, untimely installation of drains, etc.
- Endoprostheses (implants) - the mismatch of their size with the size of the pockets in the chest formed for them, inappropriate material from which the prosthesis or its filler is made.
- The individual characteristics of the body and its response to the prosthesis.
- External causes are the influence of bad habits, the frequent use of certain medications, and chest injuries that contribute to the formation of hematomas around the implant.
The main factors in the appearance of contracture after breast plastic surgery and capsule formation near the implant are:
- the formation of hematomas after breast reconstruction;
- serous fluid, which accumulates around the implant and forms when large layers of subcutaneous tissue are detached;
- the large size of the prosthesis that does not correspond to the formation of the bed for him;
- poor-quality work of a plastic surgeon;
- non-compliance with recommendations during the rehabilitation period;
- inflammatory process in the postoperative time;
- implant rupture.
Another factor that affects the formation of fibrous deposits is the fibroblastic theory, in which myofibroblasts contract and structured fibers appear. In accordance with this theory, it is recommended to use endoprostheses with textured surfaces. The prosthesis may begin to deform after a few years, however, this mainly occurs at 6 months after breast mammography. The chest thus becomes very dense, its shape changes. From triangular, it passes into an egg-shaped, and then takes the form of a ball. Often there is soreness and discomfort.
Nipple problems
As many patients indicate in the reviews, there may be some problems with the nipples after mammoplasty. The most common is soreness, which usually passes within a few weeks after surgery. In addition, there may be discharge from the nipples, which is caused by the removal of excess fluid from the mammary gland that accumulates in it.
Often women complain that after such an operation, the nipples are located at different levels. This is a problem in which the plastic surgeon is mainly to blame. Apparently, he violated the intervention techniques and made some mistakes.
After surgery, the sensitivity of the nipples may increase or decrease - in this case, it is very individual. In some cases, this phenomenon may be accompanied by severe soreness that occurs when touching the nipples. In the postoperative period, this is considered the norm. After 2-3 weeks, sensitivity is usually restored, but sometimes it takes much longer.
How to choose a bra?
Plastic surgeons do not recommend wearing a normal bra after mammoplasty for the first three months, that is, until implants take root. During this period, you need to wear compression underwear. Its use reduces swelling, promotes the withdrawal of fluids and the restoration of blood circulation. Such underwear prevents possible prolapse of the implants, due to which the area of the mammary gland below the nipple becomes larger than the upper part.
In addition, compression underwear minimizes breast movement, thereby reducing postoperative pain and discomfort. It also prevents a feeling of heaviness in the shoulders and back. It is recommended that you return to normal linen no earlier than three months after surgery.
Before the end of rehabilitation, one should carefully consider the choice of ordinary underwear, because its main purpose is not aesthetic pleasure when wearing, but the preservation of the shape of the chest.
The cup of the bra should not be very small, so that when bending, the chest does not accidentally fall out of it. A cup too large will also not work, since the iron will not receive the necessary support. The friction of tissues on the nipples will greatly irritate the skin. The calyx should not crash into the breast tissue.
The elasticity of the shoulder straps allows you to maintain the weight of the mammary glands. It is important that the straps do not crash, do not leave marks on the shoulders. If a woman has large implants, then the straps should be quite wide. It is also important to monitor the cleanliness of the laundry.
The base of the bra should evenly grasp the body so that its back to the neck does not rise. Women who have been given intramammary implants are not recommended to wear underwired bras.
Consider the reviews after mammoplasty surgery. What do women say?
Reviews
Most women who underwent breast plastic surgery left positive reviews about this operation. They note that the rehabilitation period was easy, there were no side effects, the sutures healed quickly. Patients believe that if you adhere to the doctor’s recommendations for breast care, you can avoid many unpleasant consequences.
It is better to familiarize yourself with reviews about mammoplasty after surgery in advance.
In extremely rare cases, inflammation of the gland tissue developed, most often unilateral, as well as some aesthetic defects, such as “skin ripples”. Women did not experience severe pain. They noted only slight discomfort in the chest area.
Many women who underwent surgery in Moscow consider the price of mammoplasty acceptable.