Breast augmentation surgery is a popular procedure, which has been decided by millions of women around the world. Modern plastic surgery has techniques that allow you to create the most natural, beautiful bust shape and restore the patient's confidence in her own sexual attractiveness.
The essence of breast augmentation surgery
Breast augmentation surgery consists of placing silicone implants (or the patient's own adipose tissue) under the breast muscle or gland in order to increase the natural volume of the breast.
For the operation can be used:
- endoprostheses filled with silicone or saline;
- adipose tissue of the patient, taken from the buttocks, abdomen, thighs;
- hyaluronic acid.
With the help of surgery, it is possible to significantly increase the volume of the mammary gland, correct age-related ptosis, asymmetry caused by hormonal changes. Mammoplasty is also used for breast reconstruction after a mastectomy.
Types of breast augmentation surgery
Breast enlargement is divided into several types, which differ depending on the method of the operation:
- Changing the size of the mammary glands with an endoscope - one of the most popular methods, characterized by low trauma and safety. During this operation, a device is inserted into the chest area, which independently chooses the most successful place for implantation. The prosthesis is placed in an incision in the armpit. All actions are designed using special equipment. This type of operation is used to correct a breast with a natural size 1 or 0. The installed implant helps to enlarge the breast by 1 - 1.5 cm and is invisible on palpation. The incision in the armpit leaves virtually no scars.
- Mastopexy is a breast augmentation and lifting procedure... The implant is inserted into the breast through an incision, the location of which is determined depending on the size and degree of deformation of the bust. In case of severe injury, an anchor dissection is used, carried out vertically from the nipple along the halo to the bottom to the pectoral muscle. On a small mammary gland, the prosthesis is inserted into the pectoralis muscle.
- Lipolifting... Combines liposuction and breast augmentation. It differs from the usual operation in that it is carried out using the patient's own adipose tissue, taken from the buttocks, abdomen, and thighs. The breast is increased by 1-1.5 cm. The use of one's own tissues reduces the likelihood of rejection, and the absence of silicone creates a feeling of naturalness (the breast is soft to the touch).
- Breast augmentation after mastectomy... It is carried out with implants or the patient's own adipose tissue and consists in restoring the original appearance of the amputated breast. The operation can be performed simultaneously with amputation or at any time after rehabilitation.
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Breast augmentation surgery can be performed for medical or aesthetic reasons.
Mammoplasty aimed at correcting congenital or acquired defects is necessary:
- with genetic pathologies, which include hereditary deformation of one or both glands, pronounced asymmetry;
- with a previous mastectomy performed as a result of trauma or oncology;
- with atrophy of the mammary glands caused by hormonal disruption;
- when correcting the consequences of a previous breast surgery;
- to eliminate visible defects caused by trauma.
Aesthetic correction of the bust is carried out at the request of the woman.
Most often, an increase in the shape of the neckline is caused by the desire:
- find sexual attraction to the opposite sex;
- fix small breasts when you have problems choosing clothes;
- increase internal self-esteem;
- restore the lost bust shape after childbirth and subsequent breastfeeding;
- eliminate age-related ptosis.
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An operation to enlarge the mammary glands is carried out after a medical diagnosis, during which the method pi is determined, the method of carrying out the procedure, as well as the size and type of implants. At the initial stage, a consultation with a plastic surgeon is appointed, accompanied by a visual and palpation examination.
During a conversation with a patient, the doctor finds out:
- what breast size a woman wants to have;
- does he plan to give birth to children and lactate in the future;
- whether there was a family history of breast cancer;
- whether the woman has serious health problems;
- whether the patient is taking hormonal drugs, and in what quantity;
- whether there is a congenital predisposition to increased tissue scarring.
In addition to the survey and examination, the fitting of sidewalls (prostheses imitating silicone implants) is carried out. Fitting samples are placed in a woman's underwear or underwear, and allow you to adjust the desired volume and shape of the future bust.
During the fitting, the patient sees:
- how to change her breasts;
- whether she would be comfortable wearing such a bust.
The procedure helps the surgeon to better understand the woman's desire and determine the method of the operation. In addition to fitting, it is possible to use 3D modeling with siders.
The computer program calculates the optimal breast size depending on the woman's weight and height, helps to construct a breast model and understand how the patient will look with the desired breast volumes.
Stage 2 of preparation for the operation - carrying out diagnostic studies, during which it is established whether it is permissible to do plastic surgery.
The preliminary studies consist of:
- consultations with a mammologist, gynecologist, therapist;
- mammography;
- Ultrasound of the mammary glands;
- ECG;
- fluorography;
- blood tests for HIV, syphilis, hepatitis B, Australian antigen.
A doctor's consultation, including fitting sidewalls and computer modeling, costs from 1000 to 1500 rubles. Many clinics carry out this procedure for free. Analyzes and studies are included in the final cost of the operation. The price of mammoplasty in Moscow ranges from 200 to 600 thousand rubles. depending on the qualifications of the chosen surgeon and the method of the operation.
For a woman who decides to have an operation, the doctor strongly recommends to refuse for a month:
- from smoking;
- from drinking alcoholic beverages;
- from fatty, fried foods and a lot of sweets;
- from taking dietary supplements, medicines (especially hormonal drugs).
In the evening before mammoplasty, you need:
- take a shower (lubricate the body with creams, lotions cannot be);
- remove the manicure from the nails (the patient's pressure is determined by the color of the nail plates during the operation);
- refuse dinner.
You need to come to the clinic in the morning hungry, wearing loose clothing with buttons or buttons.
Contraindications for breast augmentation surgery
Contraindications to surgery:
- diabetes;
- renal and hepatic impairment;
- thrombophlebitis;
- cardiovascular pathology;
- hormonal disorders of the thyroid gland;
- endometriosis;
- inoperable oncology;
- mastopathy;
- bronchopulmonary diseases;
- advanced syphilis;
- gonorrhea;
- HIV infection;
- hepatitis A, B, C;
- nervous and psychological disorders;
- blood clotting pathology.
Breast surgery should not be performed:
- During pregnancy and lactation. The operation is allowed one year after the end of breastfeeding.
- During menstruation (the procedure is prescribed 1 week before or after bleeding).
- Girls under 21 years of age (due to the possibility of slow breast growth).
- Women suffering from sexually transmitted infections.
- With exacerbation of chronic diseases, the appearance of fever, runny nose.
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Breast augmentation surgery is an independent decision of a woman. There are no absolute medical indications for the procedure.
Experts advise women to reshape their breasts with implants to restore psychological balance:
- Having congenital asymmetry. The surgery will help correct both breasts.
- Underwent radical mastectomy. Removal of one or both breasts due to the appearance of cancer or trauma is a major concern for women. Mammoplasty with the use of implants will help restore the previous shape of the bust. The surgeon will not only return the breast, but will also tattoo the nipple and areola.
- Faced with tissue ptosis after prolonged breastfeeding and pregnancy. The introduction of implants will lift the breasts and restore the lost elasticity of the breasts.
- Zero neckline. Mammoplasty is able to correct the boy's body type, giving sexuality and female forms. Small bust augmentation is carried out after the girl reaches 21 years of age.
- Those who have lost the external shape of the breast due to severe weight loss, prolonged use of hormonal drugs.
Breast augmentation surgery methods
Preparation for surgery begins with the choice of an implant.
By their appearance, endoprostheses are divided into:
- round - suitable for adjusting the shape and size of the breast;
- anatomical (teardrop) - create the effect of a natural bust.
Depending on the filling, prostheses are produced with:
- Silicone gel... Resilient and well-shaped construction that does not hurt during physical exertion.
- Saline content... Pillows filled with saline solution containing 0.9% salt. They are characterized by low market value and great softness.
- Biogel... By consistency, these are implants that repeat the structure of blood plasma. Such endoprostheses take root well, but they can leak.
A suitable implant is chosen by the doctor depending on:
- proportions of the female body;
- original breast size;
- structural features of the skin;
- girth of the pectoral muscle;
- problems with which the woman went to the doctor.
In addition to endoprostheses, breast augmentation can be performed with adipose tissue extracted from a woman's thighs, abdomen or buttocks. Such a natural filler is not rejected by the body, but does not protect against age-related ptosis.
Depending on the type of intervention, the methods of performing the procedure and performing the incision differ:
1. Installation of the implant in the periosteal zone requires an incision in the pigmentation zone.This method allows you to enlarge the breast, making the scar almost invisible, but it is not used in women planning pregnancy and breastfeeding, as it injures the milk ducts.
The implant can be placed using:
- an anchor incision carried out along the nipple halo vertically down to the base of the chest and then horizontally along the muscle;
- periareolar, in the case when the dissection of the skin passes only along the nipple halo;
- horizontal (crescent incision) tissue excision is carried out strictly under the pectoral muscle.
2. The introduction of endoprostheses under the breast is very convenient for the surgeon, as it provides a large area of manipulation. In this case, the incision is made under the pectoralis muscle. The surgeon controls the process and the operating area.
3. Under the arm - the most progressive method that minimizes the risk of side effects and tissue injury. This technique allows you to preserve breastfeeding, but is not suitable for all women due to the structure of the skin. Excessive sweating can cause long healing and scarring. This operation is not compatible with a breast lift.
Operation process:
- Selection and carrying out of anesthesia.
- Disinfection of the breast and marking the incision sites with a marker.
- Dissection of the skin with cauterization of tissues with hemostatic solutions.
- Forming a pocket for the implantation, disinfection of the area with hemostatic tampons.
- Endoprosthesis insertion, fixation.
- Suturing of internal and surface tissues.
The duration of the procedure is from 1 to 3 hours.
Operation technology using the patient's own adipose tissue:
- Removal of fat cells through an incision in the problem area (liposuction).
- Cleaning tissue from blood in a centrifuge.
- Injection of fat cells into the breast area.
The rehabilitation process for such an operation is 7 days. There are practically no edema and hematomas. Instead of fatty deposits, you can enlarge the breasts with injections of hyaluronic acid, which is similar in composition to the polysaccharides found in the human body.
Postoperative period
The postoperative period is about 1 month.
Rehabilitation
| Duration | Recommendations, rules of conduct |
| First 1-2 days | Strict bed rest is required. The patient is in the clinic under the supervision of the medical staff. A woman may be bothered by:
|
| 2-3 days | The patient leaves the clinic, but must visit the nurse regularly for suture treatment. Compression underwear is mandatory. A woman needs to rest as much as possible and take pain relievers. |
| Up to 5 days | Do not raise your hands up. The minimum number of loads is shown. The seam is fixed with a special plaster. |
| Within 14 days from the date of the operation |
|
| Within 1 month | Pain sensations disappear. Compression garments can be removed at night |
| After breast augmentation surgery, be sure to: |
|
To relieve severe pain, antispasmodics prescribed by a doctor are used. The full course of rehabilitation measures is determined by a specialist.
Possible complications after surgery
Possible complications after surgery include:
- bleeding and suppuration of the seam;
- infection (stopped by antibiotics);
- loss of sensitivity of the halo or nipple (appears when the implant is introduced into the areola zone);
- tissue necrosis (requires removal of the endoprosthesis);
- change in the shape of the mammary gland and its deformation (occurs when the implant is displaced due to violation of the rules of postoperative rehabilitation);
- the appearance of scars and scars;
- bruising (disappears after 2-3 weeks)
The final effect after the operation can be assessed after 2-3 months. Breast augmentation surgery is one of the most popular and profitable areas of plastic surgery. Changing and adjusting the shape and size of the mammary glands helps women eliminate figure flaws and regain confidence in their own sexual attractiveness.
Article design: Anna Vinnitskaya
Video about surgical breast augmentation
All stages of breast augmentation surgery:
Everything is detailed in great detail, if this article had not come across earlier this would not have asked its doctor so many questions. I did breast augmentation with Svetlana Yuryevna Pshonkina, she is a very qualified doctor, I underwent exactly the same examination before the operation, as described above, and I underwent the operation, they installed 360 ml implants, teardrop-shaped, it was she who came up to me, the breast looks gorgeous now, beautiful, and when you stop wearing compression underwear you feel like a queen.
I also turned to Svetlana Yuryevna for breast augmentation, she turned out to be gorgeous, beautiful, the main thing is that everything looks natural and neat. I think who does not know about the fact that I did the increase so immediately and will not say about it.