Anchor breast lift without implants, with implants. Photo, price, how it goes, rehabilitation

The technique used since 1897 has undergone many changes and has become a real salvation for women whose breasts have lost their former elasticity and shape. Anchor lift is the most complex mastopexy technique, in which breasts of all sizes and shapes are corrected.

What is an anchor breast lift for women

This is the restoration or improvement of the shape of the breasts that have undergone sagging (ptosis). The principle of the operation is the displacement of the nipple-areola complex (NAC) to a central position, and the correction of the stretched skin around and downward from the nipple.

Three incisions are made on the breast, resembling an anchor, or an inverted "T":

• around the areola of the nipple;
• vertical - goes from the bottom of the nipple to the place of attachment of the gland to the chest (inframammary fold);
• horizontal - in the area of ​​the inframammary fold, bending around the chest from below.

In cases where breasts are large, the method of reduction plastic is used. The excess tissue is resected. Visually, the breast becomes more voluminous, despite the decrease in the area of ​​the skin. She looks fit and firm. With a significant omission of the glandular tissue, it is fixed in the upper part to the dense tissues of the chest.

With a sufficient volume of the mammary glands, it is possible to be limited to "lifting", without removing the subcutaneous parenchyma. Small breasts can take on a flattened shape as a result of lifting, so the operation is usually completed with augmentation with silicone implants. In case of excessive stretching and sagging of tissues and insufficient volume of the mammary glands, arthroplasty is also recommended.

The price of a brace without implants is from 130 to 200 thousand rubles. The cost of the full package includes accommodation in the ward, medical staff and compression underwear (or purchased separately). As a rule, tests and examination before the operation are additionally paid. The cost of implants is from 40 to 100 thousand per pair.

Who is recommended

This operation belongs to aesthetic surgery aimed at eliminating cosmetic defects that are not associated with pathological processes. It is acceptable for women over 18 years of age with pronounced sagging breasts - mastoptosis. A prerequisite is the absence of contraindications.

The stages of ptosis are determined by the ratio of the nipple to the upper point of the notch under the breast:

1. I - the nipple is displaced below the level of the inframammary fold. The distance does not exceed 1 cm. This is a mild ptosis in which the lower hemisphere of the chest remains raised and is clearly visible from the front.
2. II - the nipple, together with the tissues, is displaced by 1-3 cm. This is an average ptosis.
3. III - the nipple is lowered more than 3 cm in relation to the inframammary fold. The underside of the chest is practically or not visible at all. This is a very pronounced ptosis.
4. IV - the breast tissue is very stretched, the nipple is directed to the floor.

Anchor lift of the mammary glands is indicated for stretching the tissues of the III and IV degrees.Many plastic surgeons consider this method effective even in milder stages, since the risk of re-sagging and stretching of tissues is much lower than with other techniques.

The most frequent patients are women who have learned all the delights of motherhood, including breastfeeding. Increasing almost 3 times during lactation, the glandular tissue stretches the skin. Changes in the breast depend not only on the length of the breastfeeding period, but also on the individual characteristics of the skin.

The operation is indicated for age-related changes in women over 45 years old. Adipose tissue is gradually replaced by fibrous tissue, which leads to natural breast sagging, even in the absence of breastfeeding in the past.

The reason for mastopexy can also be:

1. Asymmetry mammary glands and / or the location of the nipple-areola complex.
2. Pseudoptosis - the upper part of the chest is noticeably flattened, and the soft tissues descend into the lower hemisphere. The nipple is located above, or at the level of the submammary fold.
3. Stretch marks. They arise due to fluctuations in weight and a number of other reasons. For medium to large breasts with a similar problem, the anchor lift is especially effective.

Contraindications for anchor breast lift

A breast lift is not recommended for women who continue to breastfeed or who have stopped breastfeeding less than 1 year before surgery. The mammary glands need time to take their final position, and until then there is a risk of damage by surgery.

The operation is also not allowed for patients suffering from:

• fibrocystic breast formations;
• oncological diseases;
• dysfunction of the blood coagulation system;
• endocrine diseases;
• diabetes mellitus;
• infectious diseases in the acute and chronic stages;
• sexually transmitted diseases;
• heart failure;
• renal failure;
• mental disorders.

In order to exclude a possible contraindication, a comprehensive examination of the body is carried out before the operation.

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Diagnostics before anchor breast lift

The scheme and principle of the upcoming operation is determined during the initial examination by a plastic surgeon. The nature of the skin, the degree of ptosis, and the shape and size of the breast are visually assessed.

The patient's wishes are weighed against the potential of the operation. Many clinics use computer modeling so that a woman can roughly understand what result to expect.

Anchor lift is a complex operation on the mammary glands, therefore, the surgeon prescribes directions for the tests and examination required to approve the upcoming mastopexy:

1. A detailed clinical blood test with a leukocyte formula. Price - 480-680 rubles.
2. Determination of blood group and Rh factor. Analysis cost - 600-700 rubles;
3. Biochemical blood test (up to 350 rubles).
4. A blood test for the presence of sexually transmitted diseases and hepatitis (hospital complex) - from 1,700 to 2,500 rubles.
5. General urine analysis with sediment microscopy (300-400 rubles).
6. Coagulogram - shows the quality of blood clotting. Price - 1000-3000 rubles.
7. ECG with decoding (about 1800 rubles).
8. Ultrasound or X-ray mammography (up to 2000 rubles).
9. Fluorography (free).

The conclusions of other specialists are required:

1. Therapist - measures pressure, heart rate. Based on the history of the medical record and the test results, he decides on the appropriateness of the upcoming operation.
2. Mammologist - examines the condition of the mammary glands by examining the patient and his x-rays.
3. Anesthesiologist - prescribes painkillers referring not to the results of a hardware examination of the cardiovascular system.

Examination by specialists is carried out free of charge in state polyclinics, or paid separately.

Stages of anchor breast lift

The operation includes preparatory stages, actually lifting and rehabilitation:

1. Initial examination and consultation with a plastic surgeon.
2. Delivery of analyzes, hardware examination.
3. The conclusion of the therapist, mammologist.
4. Preparing for surgery. It is carried out on an empty stomach, therefore, 8 hours before the operation, you cannot eat and do not drink for 6 hours. Eliminate the use of hormonal drugs, alcohol and blood thinners. Remove the coating from the nails.
5. Accommodation in the hospital and marking. The doctor marks the lines of future incisions with a marker. A consultation is carried out with an anesthesiologist regarding the choice of anesthesia - intravenous or endotracheal (inhalation). General anesthesia is indicated with an anchor breast lift. The patient washes off makeup, takes off jewelry, takes a shower.
6. Operation. After the anesthesia has worked, the surgeon makes three incisions. Stretched skin and soft tissues are excised. The nipple-areola complex (NAC) is shifted to a new position. The mammary glands are fixed to the muscle fascia. The surrounding skin is tightened in such a way as to keep the SAH in the upper position. If necessary, part of the internal parenchyma is removed. The duration of the operation is on average 2.5 hours.
7. Postoperative period. The patient stays in the hospital for up to 3 days under the supervision of doctors. The length of stay depends on the need to use a drainage system for the outflow of blood and lymph. On day 12-14, the sutures are removed (if a self-absorbable suture was not used).

Rehabilitation methods after anchor breast lift

Anchor breast lift will have a positive effect not only due to the skill of the plastic surgeon, but also due to the patient's compliance with all instructions during the recovery period. With proper care, the result is visible 2-3 months after surgery.

To do this, you need to follow the basic recommendations:

1. Compression underwear. It is purchased separately, or is included in the price of the full package of clinic services. This is an elastic top that will help prevent suture separation and displacement of the breast or implant. Put on the day after surgery. Wear without removing until the stitches are completely healed. Usually this period lasts up to 2-3 months. During the examination, the surgeon will gradually loosen the girth of the straps if the condition of the operated breast allows it.
2. Cancel any physical activity. Ensure complete rest during the first week. It is advisable to take a day off at work for 3-5 days, even if it does not imply power loads. For the first few weeks, it is not recommended to lift a load weighing more than 3 kg.
3. Avoid overheating - do not visit baths, saunas, take a warm shower.
4. Visit the clinic regularly for dressing and disinfection of seams or independently carry out the procedure. Immediately change wet and dirty dressings to clean, dry ones, having previously treated the seams with an antiseptic.
5. Take antibiotics and pain relievers as recommended by your doctor.
6. In the first 3-4 weeks, apply special steri-strip to the seams to reduce stress and better scarring of tissue joints. After 1.5-2 months, the strips are replaced with silicone patches.
7. Using regenerating creams and ointments will make scars less visible and noticeable in less than a year. They can be used 1-2 months after the operation. Recommended drugs:

Following the doctor's recommendations will help reduce the rehabilitation period by 25-30% and see the final result earlier than the natural time.

Many patients are intimidated by the number of upcoming incisions, and they prefer periareolar mastopexy. However, practice has shown that the presence of two additional sutures reduces the tension force of the skin in the operated area and distributes it evenly.

In this case, the vertical seam is often discolored and smoothed out faster than the circular one. After a year, all scars turn pale and flatten, become barely noticeable. The chest takes on a final position in which it will last up to 15 years.

After the surgeon allows you to remove the compression garments, it is better to refuse bras with foam and underwire. Light cotton tops, seamless underwear, sports bodices will do.

Possible complications after anchor breast lift

Anchor breast lift is a major operation with a large wound area. Compared to other lifting methods, the likelihood of complications is slightly higher. They can occur in the early and late postoperative period. It depends not only on the professionalism of the surgeon, but also on the patient's compliance with all recommendations for caring for the operated breast.

Within a short time after surgery can happen:

• bleeding open, hematoma form;
• suppuration of the scar;
• seam divergence;
• gradual tissue necrosis in the seam area.

If complications are detected, an immediate appeal to the surgeon is required.

Re-intervention is possible with subsequent hospitalization.

Due to improper technique, gross scarring of the suture can occur during the operation. This often involves a horizontal incision under the chest crease. Experienced surgeons try to make this incision as short as possible to avoid scar hypertrophy.

In the first months of the postoperative period, many women complain of loss of nipple sensitivity. In 85% of cases, she returns within half a year.

Undesirable effects may also appear in later periods of rehabilitation:

• repeated omission of the gland;
• asymmetry of the SAH and / or glands;
• deformation of the shape of the breast.

Both technical errors during the operation and the behavior of the patient herself can lead to a deterioration in the result:

• sharp fluctuations in weight;
• pregnancy and breastfeeding;
• lifting weights;
• ignoring doctor's orders.

The individual characteristics of tissues can also become a prerequisite for a short-term result: loose, thin skin will not be able to withstand the slightest load and will continue to stretch under the influence of gravity.

When to see a doctor after an anchor breast lift

In the first few months, the surgeon will schedule a routine examination of the patient every 2 weeks. During this period, you need to carefully monitor the hygiene of the breast and promptly report on various changes in the condition.

In case of complications, it is necessary to contact the plastic surgeon who performed the mastopexy operation. In case of doubts about the competence of the surgeon, it is necessary to contact similar specialists in this field.

No later than 12 months from the date of the operation, you should be examined by a mammologist to exclude any neoplasms in the mammary glands.

Being a rather difficult operation on the mammary glands, anchor lift has a wide range of contraindications and a large list of preoperative examinations. Despite this, the work of the leading surgeons in the country and the near abroad is persuading more and more women in favor of cardinal changes in their appearance.

Author: Pavlova Maria

Article design: Mila Friedan

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