Small breasts. Mammoplasty for breast augmentation: how it goes, how much does it cost, rehabilitation, indications and contraindications

Mammoplasty is an operation that ranks first in popularity among plastic measures to correct deficiencies. Small breasts are no longer the only possible option given by nature forever.

What is mammoplasty

Mammoplasty is a type of surgical intervention, during which the shape and volume of a small or saggy breast is transformed by installing implants inside. The operation makes it possible to change the breast contour, the shape of the nipples, the volume, as well as the outline of the halo.

Indications for mammoplasty

The operation is performed for aesthetic and medical reasons:

• breast atrophy - may appear after lactation, breastfeeding the baby;
• small size - enlarged with an implant;
• mastoptosis - a condition of breast prolapse, which occurs with age or after lactation;
• need for reconstruction, which allows you to give a more aesthetic appearance of the breast, in case of the presence of unaesthetic scars left after removal of neoplasms;
• large breast sizecausing inconvenience in everyday life.

Contraindications to mammoplasty

Small breasts are easily corrected by mammoplasty, but before the operation it is necessary to clarify all the nuances related to health, since this procedure has a number of contraindications:

• age less than 18 years;
• neoplasms in the chest or inflammation;
• pregnancy;
• feeding period.

It is important to know that breast augmentation at an early age will not prevent the physiological sagging associated with aging and pregnancy.

In addition, after removing the prostheses, depressions and scars will remain on the breast, and additional breast correction surgery may be required.

Types of mammoplasty

There are several options for the location of the implant, as well as the methods of its installation, related to the peculiarities of the access.

There are such methods of implant installation as:

• submammary;
• periareolar;
• installation through axillary access.

Submammary - is used most often and is characterized by fewer possible side effects and contraindications. The incision is made below, under the gland, and is 4 cm.

The location of the incision in the thoracic fold allows for a straight path for the implant, which reduces the time spent on the operation. Among the disadvantages of such an incision, it is necessary to highlight the presence of a visible scar, displacement of the fold after surgery.

With the periareolar insertion method, the incision is made on the halo line, so that the postoperative scar will be barely visible.This operation increases the risk of developing infections, cysts, or microcalcifications. In rare cases, it is possible to damage the nerve that is responsible for the sensitivity of the nipple and areola.

The advantage of an axillary incision is that there are no marks on the chest, but at the same time, difficulties are created in the formation of a cavity for the implant. In addition, there is a risk of nerve damage, as well as difficulties in the symmetrical arrangement of implants.

Mammoplasty methods

There are three methods for installing the implant:

• subglandular (under the mammary gland);
• submuscular (under the pectoral muscle);
• combined (dual plane method).

The most common method is subglandular. EThis is the method of installation under the mammary gland. It is used more often because the location is more natural and the implant does not press on the muscle.

Submuscular method - assumes location under the pectoral muscle... This method is used in cases where the natural breast of the girl is small. With this arrangement, a section of muscle tissue is preserved, thereby ensuring the natural position of the chest.

The latter method is based on the introduction of an implant under the pectoral muscle and mammary gland. The upper part remains under the pectoral muscle, the lower part is located under the gland. This technology minimizes the possibility of displacement of the implant from the installation site.

What implants are there

Small breasts (mammoplasty allows you to correct this deficiency and make breasts the size the woman desires) is radically transformed for the better when using high-quality prostheses. They can be divided into classes by filler, quality, size, elasticity, shape, character.

The filler can be:

• saline;
• silicone;
• filled with biocompatible hydrogel;
• with balls of silica gel;
• complex compound.

Silicone implants are more expensive than saline ones; therefore, saline ones are often used. The disadvantage of saline dentures is that the fluid can make an audible sloshing or gurgling sound.

The hydrogel is based on carboxymethyl cellulose. These implants have good elasticity. Their cost is higher than the cost of silicone implants, but they also have their drawbacks. If the structure is disturbed, the hydrogel may leak out, and such "inserts" gradually decrease in volume due to the fact that the liquid leaves through the shell.

Silicone gel can be:

• cohesive;
• highly cohesive.

Highly cohesive gel does not lose elasticity. The implant is completely similar in its properties to a natural breast. This material is used only for anatomically shaped implants.

Implant shape:

• round;
• anatomical teardrop;
• with a high profile.

Anatomical prostheses have a teardrop appearance. In an implant with a high profile in relation to the usual one, the walls are much thicker.

Implants can have a surface:

• smooth;
• textured;
• spongy.

Texture refers to bumps or lint in the surface. This reduces the likelihood of movement of the prosthesis, improves adhesion to tissues. Spongy ones further reduce the likelihood of displacement or rotation of the prosthesis, since the connective tissue penetrates the surface of the implant and ideally fixes it in the breast.

Implants can be:

• fixed;
• adjustable.

The first, these are valveless, their volume does not change during the operation, the volume of the second is regulated by adding or pumping out saline.

Preparing for surgery

Small breasts (mammoplasty is performed in plastic surgery clinics and you first need to read the reviews not only about the institution, but also about plastic surgeons engaged in mammoplasty) is a direct indication for mammoplasty.

For the operation to pass without complications, you need to adhere to the recommendations. Following all the doctor's advice, you can protect yourself from negative consequences, as well as make the postoperative period easier.

Vitamin intake before surgery

In the preoperative period, absolutely everything is important, so the doctor needs to take into account how the patient eats, what supplements and vitamins he is taking at the moment. There is a possibility that the doctor will cancel certain groups of vitamins for a successful operation. This applies, for example, to vitamin E.

A few weeks before the operation, you must exclude the reception:

• aspirin;
• drugs of a non-steroidal group that affect the circulatory system;
• drugs of the steroid group.

If the refusal to take drugs is not possible, the date of the operation is postponed for an indefinite period, since in such conditions it is risky to carry out the operation.

Contraception

Hormonal contraception or transdermal systems with the same composition have different effects on the course of the operation and the recovery of the body in the future. The doctor decides whether to take contraceptives or not to take them during the preparation for mammoplasty.

If the operation and the postoperative period were successful, then after a month you can start again using the usual methods of protection without restrictions.

Drinking alcohol and smoking cigarettes

The preparation stage requires a complete rejection of alcohol and tobacco smoking. It is best to stop using them a couple of months before the operation.

Shortly before mammoplasty, in no case should you smoke or take alcohol. Alcohol affects the cardiovascular system and also reduces the body's regenerative capacity.

Anesthesia requires a complete absence of alcohol in the blood, since their combination can be fatal.

Nicotine constricts blood vessels, disrupts blood microcirculation and blood transport function. When smoking in the postoperative period, the metabolism slows down.

Additional preparation measures

Since the operating process is a great stress for the body as a whole, in a couple of months, you need to start following simple rules and recommendations:

1. It is necessary to establish a working day, to exclude overwork and overwork.
2. Sleep should be corrected: it is not too late to go to bed in order to get enough sleep. Athletes need to reduce physical activity, exclude high-intensity training.
3. The diet should include foods that stimulate metabolism. And you need to give up salty, spicy, soda, fast food.
4. Loose clothing should be purchased in advance.

Rehabilitation period after mammoplasty

To fully recover, it must take from 6 to 12 months from the date of the operation. By following the rules, you can facilitate the recovery process and speed it up as quickly as possible.

The first days the girl is in the hospital... During this period, it is imperative to wear compression underwear.so that the implants stay in place and do not move to the side.

The first 5 days are not allowed to raise your hands up.

After discharge, you should not give up compression underwear. It is recommended to wear it for a month. During the rehabilitation period, it is required to give up sports and lifting weights so as not to strain the pectoral muscle. The only physical activity that is permitted is moderate walking.

For 14 days after the operation, you need to monitor your posture during sleep. You need to sleep on your back or side, and only after a month you can lie down on your stomach from time to time. For the first two months, it is forbidden to go to the sauna, solarium, sunbathe in direct sunlight.

Don't miss the most popular column article: Breast lift without implants - all methods, methods and procedures. Efficiency, before and after photos.

Complications after mammoplasty

Complications can occur immediately after surgery or after a couple of months.

Swelling of the chest

Small breasts (mammoplasty is accompanied by many side effects, since the intervention is serious) or medium breasts are enlarged, edema appears in absolutely all patients. This is due to tissue trauma during surgery.

Edema lasting up to 2 weeks is considered normal. If after 2 weeks he has not come down, then the reasons for this may be a violation of the doctor's recommendations for the rehabilitation period, namely, taking sun and thermal baths, refusal from special linen, physical activity.

Seroma

Due to the accumulation of intercellular fluid, the breasts increase in size. This is due to trauma during the operation.If seroma develops, then the fluid is pumped out with a syringe.

Bleeding

There are rare cases when, at the end of the operation, the surgeon leaves the vessel unsealed. This leads to a hematoma in the area of ​​the implant. The hematoma changes the shape and symmetry of the mammary glands. The breast, in which there is a hematoma, increases in volume, and under the skin you can see a brown clot in the place of blood accumulation.

Pain may or may not be present, pain is not a significant indicator.

Loss of elasticity and mastoptosis

Mastosis can develop when an implant is placed under the mammary gland. The risk group includes women who had initial signs of sagging before the operation.

If mastoptosis develops, then it is necessary to carry out a lifting operation or replace the prostheses with larger ones.

Implant contouring

In thin girls who do not have subcutaneous fat, the contour of the implant may appear. The problem is solved by the introduction of a filler or breast lipofilling.

Bias

Each prosthesis can change its position in the chest, even if it is tightly fixed. Small changes in position are controlled by compression garments worn during the rehabilitation period.

Scars and scars

The condition of postoperative scars is influenced by the tendency of the body to form hypertrophic scars and care measures for the incision site.

Thin scars will remain anyway, but they will not be very noticeable.

Lack of sensitivity

Loss of sensation can occur due to nerve damage. Often such a complication is observed with incisions near the nipple, less often with surgery in the axillary and breast area.

Mammoplasty results

After the operation, it should take about six months for the body to fully adapt and a full-fledged result is noticeable. If you follow all the recommendations and go for a regular check-up to the doctor, the result will appear earlier than 6 months.

Before re-pregnancy after surgery, at least 12 months should pass. This is the standard time for full breast healing. After pregnancy, the breasts may begin to sag due to the flow of milk or breastfeeding, therefore further surgery will be required to correct or lift.

If, after the operation to implant the implants, the girl will lose weight (but not dramatically), then nothing terrible will happen to the breast, since some amount of subcutaneous fat will remain.

Service cost

If a girl decides on such an operation, then she should count on an amount from 170,000 rubles is the average price.When choosing round prostheses, the operation will cost at least 140,000 rubles, anatomical ones will cost 180,000 rubles.

When can you give birth

After mammoplasty surgery, you can become pregnant and give birth. The only limitation after surgery is to withstand one year before the start of pregnancy.

After such an operation, there is no restriction on breastfeeding, since with or without an implant, milk will be produced in the same way as a woman who has not had the operation.

Sports activities after mammoplasty

You can start playing sports only after 6 months from the date of the operation, since sports activities are prohibited during the rehabilitation period.From physical activity, only walking at a moderate pace is permissible.

With a quick current recovery, after three months, the doctor may approve athletics classes, subject to gentle loads.

The general timing of returning to sport is individual for everyone, so it is important to consult your personal physician about this.

The duration of rehabilitation is influenced by:

• the size of the implant;
• the shape of the implant;
• chest tightness;
• surgeon's technique;
• method of placing the implant.

If the implant is large, then the timing of returning to the sport can be significantly delayed. This is necessary for the full recovery of the body, as well as the healing of tissues in the breast. The method of placing the implant also affects the period of returning to the sport, for example, if it is placed under the muscle, it will be necessary to completely eliminate the load on the shoulder girdle for at least 6 weeks.

When can you start having sex?

You can start having sex with a partner no earlier than two months after the operation. By violating this prohibition, there is a risk of significantly increasing health risks. In case of complications, corrective surgery may be required.

The prohibition is due to the fact that in the process of intimacy, the body experiences great hormonal and physical stress. Accidental activation of the muscles of the shoulder girdle and chest-shaking movements are possible. All this is by no means recommended in the rehabilitation process.

Injection mammoplasty - what is it

There are several ways to enlarge your breasts. Operational - requires surgical intervention, an incision is made through which an implant will be inserted into the girl's chest.

The second method is non-surgical. Some aesthetic clinics offer exactly this, since after it there are no scars or scars. The procedure itself is elementary: different fillers are injected into the breasts.

This method of breast augmentation has gained the greatest popularity in the last ten years. This method of breast augmentation is less expensive, in order to carry out the operation, you do not need to undergo general anesthesia, and rehabilitation will be faster than usual. Ultimately, the girl will receive a more realistic breast, in which the contours of the implants will definitely be absent.

Such an operation has a negative effect, it is only one. When the filler is injected, it is limited by nothing, so it can spread throughout the mammary gland, as well as uncontrollably penetrate into the tissues of the organ and beyond.

There are some side effects:

• deformation;
• the discomfort;
• soreness;
• filler movement;
• difficulty in diagnosing breast diseases.

All these effects can appear immediately or after a while, or they may not appear at all - it all depends on the individual characteristics of the organism.

It is easy to enlarge small breasts with the help of mammoplasty, but before the operation it is worth weighing the pros and cons, taking into account the possibility of complications, contraindications and the need for the operation. It is worth paying attention not only to the condition in the postoperative period, but also before the procedure.

Author: Karpov Nikita

Article design: Vladimir the Great

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