Breast enlargement with implants

The aesthetic result of the plastic breast expansion depends on many factors.It is very important to choose implantation pockets and to install the implant.After mammoplasty, the aesthetics of the bust affects the patient's unique initial data, including the shape of the chest and the mammary glands, the skin condition, and the thickness of the subcutaneous fat layer.These and other anatomical properties are taken into account when choosing the shape of a profile, basic width, size and endoprothesis.An important criterion for a successful operation is to achieve a stable result that has been pleased with the woman for years.

The publication deals with the main ways to increase breast - the types of surgical access, the types of anatomical pockets for incorporating implants, the advantages and disadvantages of various methods of mammoplasty.You can find out how to recover properly after surgery, what is possible and what cannot be done during the rehabilitation period.

Signals to the implants with implants

The operation to expand the breast with the implants is performed according to aesthetic indications.The main indication for augmentation mammoplasty is the patient's desire to improve breast aesthetics by increasing its size and modeling the shape.During the operation, deformation of the nipple (stretching of Areola, change in the form) and deficiencies after failure to the glands and age-related changes can also be eliminated.

The appeal to a plastic surgeon may be due to the following problems:

• Deterioration of the aesthetics of chest glands after pregnancy and breastfeeding.
• Changing the shape of the bust as a result of invoice (aging) processes.
• The mammary glands or amastia congenital hypoplasia.
• Asymmetry, both in congenital and acquired nature.
• Tube -shaped breasts.
• Mastoptosis with signs of hypotrophia of mammary glands.
• Woman dissatisfaction with the shape or size of the bust.

Implants are also carried out by patients who have performed radical surgery on the mammary glands as part of the treatment of malignant tumors.Reconstruction Augmentation MOSTYA allows the rebuilding of natural and aesthetically attractive breasts without increasing the risk of developing cancer.

What unique characteristics do they take into account before the operation?

The tactics of surgical correction are determined by the patient's individual characteristics.Yes, there is always a chance to make a large implant, but by far such a step leads to the desired result - a natural and harmonious change in appearance.

The following factors are influenced by the shape, profile and size of endoprothesis, as well as the choice of implantation pockets and the method of installing implant

• The woman's age.
• The initial shape and size of the mammary glands.
• The height and width of the chest.
• Severity of subcutaneous fat.
• Elasticity of the integrational tissues of the mammary glands.
• The width of the interval of the interval.
• The presence of ptosis (prolaps) signs of the bust.

Augmentation mammoplasty tactics also affect that a woman will be born in the future for childbirth and breastfeeding.When choosing access, the need for the plastic of the nipple complex, which may be needed to achieve the optimal aesthetic result, should also be taken into account.

Methods of installing implants

Considering the above individual characteristics of anatomy and other factors, the plastic surgeon chooses three ways of breast enhancement (types of surgical access):

• Areolar (bust "Areola").
• Submammaric.
• Armpit.

Below is the features, advantages and disadvantages of each method of mammoplasty.

Areolar access

With Areolar or Periareolar Access, the plastic surgeon sets the implants through the incision, which passes through the periphery of the Areola pigmented zone.The main advantage of such surgical access is the invisibility of scars.The scar is located on the border of light and dark skin, so it is quite difficult to notice.

There are other benefits to the periaralar method of increasing chest glands, apart from the minimum severity of the postoperative scar:

1. During surgery, it is possible to perform the nipple-alar complex softism.In some cases, it is difficult to achieve the optimum aesthetics of the bust without repairing the size and shape of the sack, and this advantage of periarelar access can play a decisive role.
2. Periareyular access eliminates the risk of damage to afferent (sensitive) nerve fibers, which transfer to the SAK to the loading drive.Thanks to this advantage, the area of mammoplasty allows you to fully maintain the sensitivity of the nipple and Areola.
3. At the same time as the bust increases, you can correct the initial stage of mastoptosis.

Despite the benefits of periarelar access above, technology is not recommended for all women.In particular, this method of installing implants is not recommended for girls who are planning and breastfeeding children.This is explained by the fact that during surgery, there is a risk that the milk ducts are damaged, which affects the lactation function.

Periareyolar access does not allow you to complete the pocket of all implants, which introduces restrictions on the implant size.This method fits well for patients who want to insert a small endoprothesis and slightly increase the chest.In a situation where a woman wants to add 2-3 sizes to the mammary glands, it is better to use subammamal or axillary access.

Submammarous access

With Submammar Access, the installation of endoprotheses is carried out through a horizontal incision, which is placed under the chest gland in the natural skin moon.Postoperative scars are significantly expressed when using the installation of implants, but they are hidden in the skin.The scars are visible in position and are covered by the lower pole of the thoracic gland.

The main advantage of submammarus access is a very good overview of the operating field.This is the simplest mammoplasty for the plastic surgeon, as all implants have full access to the pockets of all implants and it is easy to reach the absolute symmetrical placement of the implants.Thanks to this service, large endoprotheses can be installed.

Another advantage of increasing the bust is the lack of damage to the Submammary methodology.After surgery, the breastfeeding function is preserved, which allows patients who are planned to breastfeed in future pregnancy and infant breastfeeding.

The submamamamant method for installation of implants is not missing from the deficiency.Plastic surgeons for many patients are the main minus of methodology in a pronounced and sufficiently extended scar that passes through the chest.The disadvantage is that the risk of damage to the afferent nerves in the sak.If the nerve is dissected during surgery, the sensitivity of the nipple and the areola will be disturbed.

The use of submamary access does not allow plastic surgery at the same time as complementary mammoplastics through an incision.In addition, women with the initial signs of the bust (mastoptosis) often turn to the help of a plastic surgeon.If periareyular access allows you to eliminate age -related manifestations, it is impossible to repair mastoptosis at the same time when using submammar access.

Axillar access

With axillary access, the breast expansion is carried out through cuts in Axillary Fossa.The most important advantage of the methodology is that the scars disappear from the mammary glands and do not affect their aesthetic perception.On the other hand, the scars are noticeable, and this can be a problem when a woman wears an open dress.For example, scars can be clearly visible during sports, especially in posture with their raised hands.

Nevertheless, axillary is considered to be "gold standard" for augmentation mammoplasty.The operation is carried out under the control of fiber optic equipment (endoscope), which allows the plastic surgeon to access all implant pockets.There is no risk of damage to nerves.There is no risk of autopsy of milk ducts, which allows us to recommend this method to install implants for girls who are planning pregnancy.There is no restriction on endoprothesis - Axillar -type access allows you to bring the implant of any volume, shape and profile.

The disadvantages of the axillar breast expansion method are that the plastic surgeon has no way to correct the consequences of omission of the mammary glands or the consequences of implementing the nipple-animular complex plastic.Therefore, axillary access is primarily used to model the size of the bust when there are no simultaneous aesthetic problems that require surgical correction.

Surgical access selection criteria

In clinical practice, plastic surgeons use several criteria to select surgical access to increase chest glands.One of the main criteria is the woman's age and additional plans for pregnancy.If you are planning to give birth to sick children, it is advisable to refuse periaralar access.Axillary access or submammarous access is beneficial.

If a woman does not plan to give birth, you can use any of the previously thoughtful surgical access.In situations where, at the same time as growth, periareolar access is better to improve the aesthetics of the bust, with growth.The same method of installing implants is better suited to patients with the initial signs of mastoptosis.

Patients who want to increase the bust in multiple sizes can recommend a plastic surgeon for a submammamamor or axillar method.The optimal choice in this situation is the growth of chest glands via Axillary Fossa, but the woman's aesthetic wishes are also taken into account.If you express the desire to hide the scar under the chest in a natural drive, the submammary access is selected.

Pocket Select to install the implant

The next aspect of increasing mammoplasty is related to the choice of the anatomical region in which the implants are installed.

The implantation pocket can be found:

• beneath the mammary gland (subgandellar placement);
• under the pectoral muscle (subcular location);
• Partly under the gland and partly below the muscle (combined version).

Subgandular placement.The implant is installed in the anatomical space under the gland.The top pocket is only separated from the surface of the body with tops and mammary glands, and it is not recommended to use it if the chest is required to increase the chest in multiple sizes.A large endoprothesis can be visually determined.In addition, the deformation of the step - the aesthetic complication - above the top edge of the implant is the risk of developing a kind of "step".

By subgander of endoprothesis, the risk of developing other complications of aesthetic nature, especially the appearance of deformation of integral tissues above the chest gland, is "waves" or "mountain ash".With the formation of capsular contractures, the deterioration of the aesthetics of the bust is also more prominent by the superficial placement of the implant.

Another feature of this type of placement is that endoprostesis and mammary glands are only supported by swelling bonds - the structure of the connective tissue whose elasticity is reduced by age.Therefore, the implantation of the implant increases the risk of developing mastoptosis, especially for women with originally large breasts.

Submuscular placement.Placing the implant under a large chest muscle avoids the problems characteristic of the subgandelic location.Less risk of capsule contractions and skin deformation over the chest in the form of "Rowan" and "waves".Endoprothesis is securely fixed with the muscles and does not increase the likelihood of mastoptosis.

But the implant under the muscle is the opposite side.

First of all, girls who are actively involved in the sport increase the risk of rotation or displacement of the implant.If fashionable implants are used to increase the chest glands, rotation (turning) can lead to breast deformation, which can only be improved in a repeated operation.

Second, with the subscipular placement, the degree of tissue injury increases during surgery.As a result, healing goes slower and the rehabilitation period is extended to the wear of compression lingerie and all restrictions are followed for a longer period of time.

Combined placement.The best solution is the combined placement in which the upper endoprothesis segment is below the muscle and the lower pole is below the gland.This arrangement excludes the risk of deformation of the step.During the risk of reversing and displacement of the implant, the risk of developing the capsule control and other aesthetic complications.Healing is faster, and the rehabilitation period decreases.

Types of implants

The breast is magnified by implants of leading world manufacturers.Medical silicone endoprotheses, which were high in cohesion and variable density.Silicon is covered with elastomeric shell, which eliminates the likelihood of gel diffusion.The external capsule is represented by a porous shell whose special texture contributes to the integration of the implant into live tissues and its reliable fixation.Due to the porous membrane, the risk of the fiber capsule contractions is reduced.

The series of manufacturers show hundreds of types of implants that differ in the following features:

1. Form: The implant can be anatomical (drop -shaped) or round.
2. Basic width: horizontal size of the lower pole of endoprothesis.
3. Profile: height of endoprothesis.
4. Size: volume.

The choice of the implant is determined by the initial data of the patient and the mammary glands.For example, girls with pronounced Inter -thilet gap are better suited to low -based anatomical implants with a wide base.Women who want to move accent to neckline are better suited for round full profile implants that visually increase the upper pole of the mammary gland.

Preparation for Breast Expanding with Implants

Preparation of plastic surgery to the increased breast can be divided into two stages - diagnostic and aesthetic.The aesthetic stage of preparation aims to select the perfect implant and to decide the tactics of surgical intervention.Based on the results of computer modeling and analysis of the patient's initial data, the surgeon selects the method of installing endoprothesis and the anatomical pocket needed for placement.

The purpose of the diagnostic phase is to minimize operational and anesthesiological risks and to eliminate surgery contraindications.Each woman, before increasing the mammary glands, attends a comprehensive diagnosis, including an expanded list of instrumental and laboratory methods.Mammography is definitely prescribed with a consultation of a gynecologist and mammologist.

A few weeks before increasing mammoplasty, a woman should stop taking certain drugs, especially contraceptive hormonal drugs and anticoagulants.Anti -inflammatory and analgesic drugs from the NSAID group should be left out as they slow down blood coagulation.There is also a need to stop taking alcohol and leave smoking because ethanol and nicotine slow down regeneration processes and negatively affect the pace of post -mammoplasty healing.

Rehabilitation after mammoplasty

Early postoperative period is accompanied by typical symptoms for any operation - swelling, pain and hematomas in the area of operating wound, fever, general malaise.These symptoms are a normal reaction of the body by responding to violation of tissue integrity.The plastic surgeon -anti -inflammatory, anti -polycational, painkillers requires to cope during this period.The doctor prescribes short antibiotics to prevent infectious complications.

The rehabilitation period is a feature of mammoplasty that the compression bra should be constantly worn.The elastic canvas is sewn in individual order before surgery.You need to wear continuously, only for a while to remove hygiene procedures.As far as body hygiene is concerned, the first 7-10 days after the growth of the chest glands is limited by wet wipes and cannot shower.

After the operation, you can only sleep on your back.For 10-14 days you are allowed to sleep on your side, but it is still impossible to turn on your stomach.You can't play dance or sport.The prohibition of physical activity, including household, is valid for 4 weeks;Energy load and certain type of cardio workout are contraindicated for 3 months (or until the plastic surgeon is special).

During the recovery period, it cannot be in sunlight or in the solarium in sunlight.You can't go to a sauna or bath, take a hot bath at home.Alcohol and smoking are contraindicated.The compression canvas is allowed to remove it from the second month, but during the year it must wear a bra with a wide strap and a wide belt that supports the chest well.