All women want to stay beautiful and in many ways support their attractiveness. Unfortunately, not everyone is naturally endowed with toned breasts of the right volume, but medicine with its modern mammoplasty therapy helps to solve the problem easily and quickly. With the help of augmentation mammoplasty, you can increase the size of the breast, make it more toned and attractive in appearance. This will help many get rid of complexes, accustom themselves to wearing feminine clothes that emphasize the figure, and change the attitude towards oneself. It should be decided where they do augmentation mammoplasty and study its main features.
What is important to know about surgery?
Before deciding to carry out the procedure, it is important to consult a professional doctor. Since the procedure is distinguished by its high level of complexity, it must be carried out by a truly experienced specialist.
The augmentation mammoplasty operation is performed according to the following scheme: an incision is made in the areas marked by the doctor, after which special silicone implants are inserted into it. Many women, not because of their low awareness of this topic, do not risk an operation, as they are afraid of complications and negative consequences. In any case, before the procedure, it is important to consult a doctor and get the full amount of information.
Indications for the procedure
There are indications for augmentation mammoplasty, in which the procedure is not only possible, but even recommended:
- underdevelopment of the mammary glands (in another way, hypoplasia);
- genetically, a woman got a small breast size;
- if the glands fall and bring aesthetic discomfort;
- in certain situations, including partial or complete removal of the mammary glands;
- the presence of severe asymmetry;
- deformation of the breast after breastfeeding.
What contraindications to surgery exist?
There are contraindications for augmentation mammoplasty, in which the operation is completely prohibited or until the negative factor is eliminated:
- girls under the age of 18;
- women with oncology;
- patients with dangerous diseases of the internal organs;
- in the presence of viral infection;
- women who have a baby or nursing breast milk;
- patients who have blood coagulation;
- those who have chronic diabetes.
Many believe that after surgery on the body there are traces in the form of scars and rough scars. However, this remains just a myth. After some time, the incisions lighten, merge with the skin and become completely invisible.
What types of implants exist?
The principle of exposure during the procedure is the same, implants will be selected depending on the existing problem. Which breast implants are better to choose? Endoprostheses for mammary glands differ in their shape, size and effect. It is customary to distinguish between:
- round, which help to enlarge a small breast;
- teardrop-shaped, used to achieve maximum effect (are the most expensive of all presented).
Sometimes the patient's mammary glands differ in their size and shape, in this case two different endoprostheses with different symmetries are used. By type of filling, all implants can be divided into:
- silicone containing a gel filler, which helps to quickly change the shape of the breast, while maintaining its elasticity;
- saline, in which physiological saline is used.
Silicone implants are best compatible with the human body. They do not lead to serious problems, such as cancer, but help to achieve the natural form of the mammary glands. They are much stronger than salt models. Even if the gel accidentally spills out, this will not affect the appearance of the breast. But in this case, you still have to remove the implant.
Salt implants have been actively used in the USA for a long time to create an expressive breast or to increase its size. Endoprostheses of this type are harder when compared with silicone.
But the main advantage of this model of implants is that during the surgical intervention, the surgeon has the opportunity to adjust their shape independently and achieve maximum symmetry. Another plus is the fact that the cut will be made smaller in length than in the case of silicone.
Also, such implants are highly resistant to any physical damage. In case of accidental leakage of saline, the mammary glands immediately change shape. The size of the endoprosthesis can vary greatly and is calculated in milliliters:
- 1st size - 150 ml;
- 2nd size - 300 ml;
- 3rd size - 450 ml.
What cuts can be made?
Auction mammoplasty may differ from the incision site for implant insertion. In total, 6 types of sections are classified, each of which has its own differences:
- The periareolar incision is made along the line of the lower roundness of the areola. This method is carried out breast lift. If the areola is small, then the operation will not work, as the size of the incision will not be enough.
- A transareolar incision is made through the areola, bypassing the nipple from the underside. This type of surgery is considered the most dangerous for the mammary glands. If the areola is small, then the operation will also not work.
- A submammary incision is performed in the chest fold. It is he who is considered the safest and not traumatic. The procedure helps to achieve maximum access when performing an incision, but there is no need to be afraid of any scars and marks on the body.
- An axillary incision is made in the armpit area. It helps prevent scarring in visible areas. But not all types of implants can be introduced into this type of incision. Also, when it is held, there are some limitations in creating an input pocket.
- A transabdominal incision, which is performed in the abdominal wall, is carried out together with abdominoplasty.
- A transumbilical incision is made at the top of the navel. As a rule, problems when using such a technique appear only with the creation of a pocket - not all implants can pass through an incision of this diameter.
After creating an incision, the surgeon neatly exfoliates the skin area, thereby creating a pocket. It is in it that endoprostheses will be placed. After the pocket is completely filled, special drains are introduced under the skin to help drain the fluid. Next comes the final stage of the whole procedure - suturing.
What places does the implant fit in?
The implant with augmentation mammoplasty can be installed in the following areas:
- Directly under the breast (the method is called subglandular).
- Under the muscle fascia (subfascial method).
- Under the pectoralis major muscle (submuscular method).
- The combined method is characterized in that with it one part of the implant is placed under the mammary gland, and the other part under the pectoralis major muscle.
For the quality of augmentation mammoplasty, the surgeon and the patient are responsible. The doctor must give comprehensive information about the methods of the procedure, types of endoprostheses and methods of implantation, and the patient must comply with all the recommendations and instructions of a specialist.
Mastopexy and augmentation mammoplasty
Mastopexy is a type of mammoplasty in which breast glands are lifted using endoprostheses. Unlike mammoplasty, this therapy is considered to be more narrowly targeted and is carried out by displacing the nipple, areola and removing excess skin. Using this technique, the doctor manages to create the correct form of the mammary glands, eliminate ptosis, as well as the extra folds that have formed on the chest.
Before the operation, the specialist is determined with the degree of lowering of the chest:
- The first degree - the nipple is located in the same place as the submarine warehouse.
- The second degree - the nipple falls below the level of the submammary gland, while its level is above the pole of the mammary glands.
- The third degree - the chest falls by 3 centimeters and is significantly below the submammary fold.
The method of breast lift will be selected depending on how strongly the prolapse of the mammary glands has occurred . Preareolar locopexy occurs when the chest is medium or small. After the operation, the scar will hardly be visible, since the section with the incision will be where the skin of the chest is connected to the areola.
Types of mastopexy, depending on the needs of the patient:
- Circomareolar mastopexy is performed when the nipple needs to be raised by two centimeters, while eliminating a large amount of skin. The scar is located near the areola.
- Vertical mastopexy is most effective for breast lift. The incision is made in the direction from the areola down to the inframnar fold. This helps to get rid of ptosis of varying degrees of manifestation.
- A T-shaped breast lift is performed in the presence of severe ptosis. The created seam is like the inverted letter T.
Mastopexy is most often prescribed to those women who suffer from severe prolapse of the mammary glands. To raise the chest to the desired height, you just need to make an incision. In the presence of severe ptosis after implantation, mastopexy may additionally be required, but the final decision will be made by the surgeon.
Reviews about augmentation mammoplasty are mostly positive, many patients are satisfied with the end result and note a relatively short recovery period.
Preparation for surgery
Preparation for the operation of augmentation mammoplasty will include the following steps:
- delivery of a biochemical analysis of urine;
- the passage of fluorography and electrocardiograms;
- checking the blood sugar level of the patient;
- the implementation of mammography.
A few weeks before the scheduled surgery is prohibited:
- consume alcoholic beverages;
- to smoke;
- take medicines that lead to blood thinning.
Operation progress
Augmentation mammoplasty is performed under general anesthesia and is divided into the following stages:
- making an incision on the skin, forming a pocket;
- implant insertion;
- stitching of received wounds.
In general, the procedure lasts from 60 to 90 minutes.
Rehabilitation period
After surgery, the patient's body needs a good rest and rehabilitation after. Sutures are completely removed over the next 14 days after surgery, taking into account how effectively the healing process goes.
In some cases, experts recommend that you wear a special sports bra after surgery and do not remove it even at night. You can stop wearing such a “corset” only after the chest gets used to a new position and begins to look natural. In the first month of recovery, it is forbidden to wear any weight. It is also forbidden to use saunas, solariums, pools and other spa treatments in the first five weeks.
If mammoplasty is performed in a clinic with poor doctors or poor-quality services, there is a risk that the procedure will have to be repeated, and this will lead to additional stress for the body and the cost of large financial resources.
If the implants are installed with high quality, then after a year, the breast will restore its shape and will look as attractive as possible.
What complications can arise?
Sometimes the patient has serious complications after the procedure. These include:
- chest pain after mammoplasty;
- tissue swelling is present at the implant sites;
- hematomas appear;
- capsular contractures form .
If for some reason the implant is deformed, then whole lumps of silicone can form under the skin, which can be easily determined by scanning. Rotation of the endoprosthesis can greatly distort its usual position. This condition occurs when the shell is covered with only one layer of tissue.
Unscheduled mammoplasty
Repeated mammoplasty in the clinic can be performed if the following indications are available:
- An implant placed in one of the mammary glands is too large, which leads to imbalance. A professional doctor will never upset proportionality.
- The chest is not large enough. Often this happens if a woman simply ignores the advice of a specialist. After the first mammoplasty, she may go to another doctor.
- A change in the location of the prosthesis occurs if the surgeon's work was of poor quality or poor material was used. In this case, the implant changes its location, moving under a layer of skin. To change the situation will have to replace exoprostheses.
- Sagging breasts, loss of shape. In this case, mastopexy or correction of the mammary glands with a laser beam can be performed.
- Skin rupture in the area where the implant was inserted. A problem arises when an oversized implant has been inserted into a small mammary gland.
Where can I spend?
There are many clinics in which professional doctors can perform high-quality breast surgery, leaving only a positive impression. Where do augmentation mammoplasty do? You can carry out the procedure in St. Petersburg, Moscow and other cities. Mammoplasty in Moscow can be expensive, but it will be of high quality and professionalism. List of clinics in Moscow:
- "Best Clinics" (at the River Station). The institution has modern equipment for diagnosis and surgery.
- Hospital "RAS" (on Lithuanian Boulevard). It provides free assistance to employees of RAS institutions and other interested persons on a paid basis.
- Medical Center "Peter's Gate" (1st Kolobovsky Lane). The hospital has 38 equipped rooms and the possibility of organizing treatment abroad.
Price per procedure
Mammoplasty in Moscow involves changing the shape and size of the breast. You should not save on the professionalism of doctors, the quality of implants and compression underwear, since the final result will depend on this. The price of breast enlargement starts from 160 thousand rubles.