Breast augmentation surgery. Photos of girls with big breasts, results, possible complications

Breast augmentation surgery, or augmentation mammoplasty, along with liposuction, is the most popular procedure in plastic surgery... Girls with large breasts after it can lead a full life, play sports, have no contraindications to lactation.

To give more volume, implants are placed in the breast, which can be of various shapes and are most often made of silicone. Photos of implants, methods of surgical access and the results of the operation can be seen in this article. The average price for such a procedure is 150 thousand rubles.

Advantages and disadvantages

Even 10-15 years ago, plastic surgery was available to a few - show business stars and very rich people. If a woman is unhappy with her breast size or shape, then the only effective way to change it is surgery.

The advantages of mammoplasty include:

• rapid enlargement of the mammary gland by almost any size;
• the ability to change its shape at the request of the client, a wide range of implants;
• a relatively small number of contraindications and side effects;
• no need to replace modern implants.

Girls with large breasts, whose photos are shown below, have increased physical attractiveness, which also gives them inner confidence to achieve their goals in life. The main and obvious advantage of such an operation is the ability to feel feminine and sexy.

The disadvantages of breast augmentation surgery are the following:

• risk of complications (listed below);
• the need for a rehabilitation period;
• possible discomfort in the prone position;
• the need to replace the wardrobe;
• increased load on the musculoskeletal system with a significant increase in the bust, which can subsequently cause back pain.

Operation types

The optimal way to enlarge the breast is selected by the doctor depending on the following main factors:

• features of the location of the glands and their shape;
• skin elasticity and condition of glandular tissue;
• the development of the pectoral muscles.

Implants are also selected depending on the individual characteristics of the patient's anatomical constitution.

In surgical practice, the following varieties are used:

1. By type of filler:

• Saline implants that are filled after insertion with a liquid similar in composition to saline. The advantages of these implants are lower cost and a small incision in the skin.
• Silicone implants that feel very similar to natural breasts due to the high viscosity of the filler. They are unregulated, unlike saline ones, and therefore require a larger cut for their installation. When the shell breaks, the gel does not enter the woman's body. Such implants, due to their advantages, have become the most common.

2. By shape and type of surface:

• round;
• anatomical;
• smooth;
• with a textured surface, which are not perceived as a foreign body and reduce the risk of pathological fibrous formations around the implant.

The location of the surgical scar, the extent of the injury and the convenience for the doctor during manipulations depend on the choice of the surgical approach.

Incision and implantation of the implant can be performed in the following ways:

1. Along the crease that is under the breast. The advantages of this option are the best access to the gland and its least trauma, as well as the preservation of nipple sensitivity. However, it is applicable in cases where the skin is still elastic, and the gland has a fairly large volume initially. The disadvantages include the postoperative scar, which becomes invisible only six months or a year after the operation. To eliminate it, you can use the laser resurfacing procedure.
2. Along the edge of the nipple areola... This method is used in cases where the areola is large enough (diameter not less than 5 cm), as well as for patients who have a tendency to form keloid scars. The postoperative scar is practically invisible. However, there is also a serious drawback - during the operation, the ducts of the mammary gland are injured, which can cause complications during breastfeeding.
3. Under the armwhen the implant is placed behind the pectoralis major muscle. The advantage of this method is the location of the suture in the "invisible" zone, the least likelihood of hematomas and fibrosis of the breast tissue, since muscle tissue perceives foreign bodies better. Disadvantages - great trauma, inconvenient access to the chest, severe pain in the patient after surgery, the risk of displacement of the implant in the future, a long recovery period, the impossibility of installing a large implant. Contraindications for this method include prolapse of the gland, a short distance from the areola to the submammary fold, "goat" breast shape. Most often, in this case, round implants are installed, since the anatomical ones are more difficult to orient correctly.
4. Combined methodsfor example, when the upper part of the implant is located under the muscle and the lower part is under the gland itself.

The cost of such an operation consists of several factors (the type and volume of the implant, individual constitutional characteristics, contraindications, the clinic's pricing policy) and is in the range of 40-400 thousand rubles.

Anatomical implants are more expensive, and surgery with a crease under the breast is cheaper. Simultaneously with an increase in the volume of the gland, other manipulations may be required - vertical or perioareal tightening, correction of the areoles, which also leads to an increase in the cost of the procedure.

Indications

Girls with large breasts, whose photos clearly demonstrate the effectiveness of plastic surgery, can do augmentation mammoplasty.

Augmentation mammoplasty is performed in the following cases:

• at the request of the patient for aesthetic reasons;
• to restore the shape of the mammary gland after resection (usually after removal of a malignant tumor);
• to improve the appearance of the breast after pregnancy and breastfeeding;
• with different volumes of the right and left glands;
• with anomalies in the development of the mammary glands;
• for breast recovery after drastic weight loss.

Contraindications

Augmentation mammoplasty should not be performed in the presence of such diseases as:

• severe pathologies of the cardiovascular system;
• diabetes;
• immunodeficiency states;
• acute infectious and inflammatory diseases;
• malignant tumors;
• exacerbation of chronic pathologies;
• poor blood clotting;
• mental disorders.

The operation is also contraindicated in the following cases:

• during pregnancy;
• when breastfeeding and earlier than six months after its termination;
• girls under the age of 18, as their breasts are not yet fully formed.

What examinations need to be done

Since breast augmentation is a major surgical intervention, the patient must undergo a thorough examination before the operation to avoid negative consequences.

The survey includes (the average cost of surveys is indicated in brackets):

1. Laboratory research:

• clinical and biochemical blood test - assessment of glucose, bilirubin, ALT and AST enzymes, coagulation indicators - coagulogram, prothrombin time, index and others (350 and 800 rubles, respectively);
• determination of the Rh factor and blood group (450 rubles);
• general urine analysis (200 rubles)
• analysis of blood serum for infections - hepatitis, HIV, syphilis (2500 rubles).

2. Instrumental types of surveys:

• ECG (550 rubles);
• mammography, or X-ray of the mammary gland (800 rubles);
• fluorography (400 rubles);
• Ultrasound (800 rubles).

It is also necessary to consult a therapist, gynecologist, mammologist and anesthesiologist-resuscitator at the clinic where the operation will be performed (to select the best option for pain relief). In the presence of somatic diseases, the patient may require consultation with other specialized specialists.

Training

Preparation for surgery is as follows:

• in 2 weeks it is necessary to stop taking alcoholic beverages and smoking;
• in a month it is recommended to establish a sleep and rest regimen, drink a course of vitamins, switch to light food (this will allow you to rehabilitate faster);
• in agreement with the attending physician, the following medications are canceled: Aspirin and others that affect blood clotting, hormonal agents;
• the last meal is taken 8 hours before the operation, it is necessary to stop drinking 6 hours.

Procedure step by step

For girls, immediately before surgery, preoperative planning is carried out, which consists in marking the mid and midclavicular line, the position of the new submammary fold, which will already have a large breast, as well as the location of the implants. A photo of an example of markup is presented below.

Further, the operation is performed in the following order:

1. The patient is placed on the operating table. Part of the body below the collarbones is fenced off with a screen.
2. Aseptic processing of the operating field is performed.
3. A soporific drug is injected intravenously, then an endotracheal tube is inserted into the trachea to supply inhalation anesthesia. In most cases, the operation is performed under general anesthesia, but if the woman's condition does not allow this, local or epidural anesthesia is used.
4. The surgeon makes an incision in accordance with the plan of the operation, prepares a "pocket" for inserting the implant.
5. Then the so-called "fitting" is performed - a sizer is installed in the pocket, which exactly copies the size and shape of the implant.
6. After "fitting" the sizer is removed, and the original implant is placed in its place.
7. The edges of the wound are sutured.
8. A puncture is made in the area of ​​the operation and a drainage tube is installed to drain the blood. This prevents the development of complications.
9. A compression garment is put on the operated patient, which allows to accurately fix the breast, then she is taken to the ward.

The total duration of the operation is from 30 minutes to 2 hours. The patient remains in the clinic under constant supervision for at least 1 day.

Recovery after

Discharge from the hospital is made on the second or third day after the operation (in the absence of complications). Immediately after surgery, the patient may feel pain, nausea, and weakness. For a month after mammoplasty, you can only sleep on your back, which can make your muscles feel numb and tired. Therefore, it is also recommended to strengthen the back muscles before the operation.

During the recovery period, the patient is prescribed painkillers and antibiotics, which are used to prevent infectious and inflammatory complications and are used after any major surgical intervention.

The most commonly used antibacterial agents are listed in the table:

You can start work no earlier than after 1 week (according to general well-being). Girls with large breasts, the photos of which before and after are given above, must also adhere to a number of restrictions in the recovery period.

Limitations:

• in the first 5 days it is necessary to try to restrict hand movements;
• during 1 week, do not lift weights (the load should not be heavier than 1 kg);
• within 1-3 months it is imperative to wear a compression bra, and the surgeon may also recommend the use of compression stockings (to reduce the risk of thromboembolytic complications);

• water procedures can be taken no earlier than 3 days later;
• daily activities are allowed after a week, and moderate physical - after a month, however, excessive exercise should be avoided for the next 2 months;
• it is recommended to start driving a car no earlier than after 1-2 months;
• you can sleep on your stomach in six months;
• the pool and sauna are allowed to visit no earlier than 2-3 months;
• it is recommended to avoid wearing embarrassing underwear, trauma to the chest and factors that can lead to infectious diseases, as this contributes to the development of the fibrotic process in the tissues of the gland;
• it is also necessary to monitor the weight - its fluctuations during the recovery period should not exceed 5 kg (both in the direction of decrease and in the direction of increase).

The stitches are removed in 5-7 days, the drainage system in 4-7 days. The final mammoplasty result will be visible only after 3 months. Scars form within 12 months.

As side effects can be:

• increased body temperature;
• swelling;
• hematomas;
• pain;
• temporary violation of the sensitivity of the nipple-areola complex.

For six months, you will also have to wear bras without underwire, and best of all, soft sports tops.

How long will the result last

Modern implants do not require “preventive” replacement. However, reoperation may be required in the following cases:

• if the mammary gland "sags" strongly with age;
• with an unsatisfactory result of the previous plastic surgery (unsuccessful mammoplasty);
• if the shell of a saline or silicone implant is damaged, which is confirmed by X-ray or MRI;
• if the patient wants to change the size of the breast;
• with the appearance of capsular contracture - fibrous compaction around the implant;
• with changes in breast tissue as a result of heavy weight loss or weight gain.

Possible complications

Girls with large breasts, the photo of which is given above, are exposed to the following types of risk of complications during and after surgery:

• the formation of cysts;
• development of inflammation as a result of rupture of small blood vessels and leakage of blood plasma (manifested as a tumor-like formation);
• adverse reactions to anesthesia (headache, hallucinations, blurred vision and hearing, dizziness);
• surgical wound infection;
• extensive hematomas resulting from trauma to blood vessels and requiring surgical removal;
• damage to internal tissues;
• bleeding;
• the formation of a capsular contracture that deforms the chest;
• loss of nipple sensitivity, which is temporary or long-term;
• displacement of the implant and unwanted change in the shape of the gland;
• the formation of keloid scars;
• lymphostasis (violation of the outflow of lymph and its accumulation), lymphorrhea (outflow of lymph into the wound cavity) as a result of injury to the lymphatic vessels.

Most often, these complications arise due to the patient's non-compliance with the rules during the recovery period. or as a result of the wrong actions of the surgeon. The development of complications is also facilitated by individual sensitivity in the form of an overreaction to the material from which the implant is made, which is impossible to predict in advance.

Show business stars with big breasts have become a model for girls who strive to achieve an ideal figure. Modern augmentation mammoplasty is available to many people and is safe if all requirements are met.

Photos of the results before and after in this article clearly show that you can not only significantly increase the size of the mammary glands, but also improve their shape.

However, like any surgical intervention, such an operation has contraindications and possible side effects.

Video on the topic: how is breast augmentation surgery performed

How is the breast augmentation surgery: