Breast augmentation

Breast augmentation is one of the most popular plastic surgeries for mammoplasty. Augmentation mammoplasty is a complete surgical procedure. Breast augmentation surgery is performed under general anesthesia and requires careful preparation of the patient as well as a stay in the clinic (duration varies depending on the complexity of the surgery and the patient’s condition). Currently, various methods of breast augmentation with different implants have been developed and are being practiced successfully. Indications for surgery: primary aplasia (lack of mammary glands), primary hypoplasia (immaturity of the mammary glands), involution of the mammary glands, mastectomy (surgical removal of the glands, both partial and partial).

From the history of growing mammoplasty

The need for breast augmentation surgeries was dictated by diseases that required excision of breast tissue or led to deformity and asymmetry of the mammary glands in women. The first breast augmentation experiment took place in 1889. Liquid paraffin was used as a filler (implant), which was injected into the mammary gland. In 1895, the first augmentation surgery was performed using the patient’s own tissues (in this case, a lipoma that had been removed from the patient’s thigh). The unsatisfactory results of the operations performed led to the search for additional alternative materials. So throughout history, doctors have used glass balls, foam, sponges, polyurethane, ivory, and many other materials. The introduction of such substances has led to the development of inflammatory processes in mammary gland tissues, infections, tissue necrosis, and rejection of implanted materials.

It was not until the 1960s that silicone implants, the prototypes of breast implants used in modern plastic surgery, were first used in the medical practice of breast augmentation. The shells of the first implants allowed the passage of filler molecules, which led to the development of aseptic inflammation in patients, and the smooth surface of the implant led to the formation of capsule contracture.

In the 1980s, scientists hypothesized that the silicone breast implants used would provoke the development of breast cancer. The Food and Drug Administration (FDA) conducted a number of studies without confirming or refuting this hypothesis. Modern breast implants are completely safe for patients ’health, and innovative technologies allow for the re-creation of natural relief, shape and tactile sensations when you touch an enlarged breast.

Breast augmentation methods. Non-surgical techniques. Implants

There are two main methods of breast augmentation: surgical and non-surgical exercises.

Surgical methods for breast augmentation differ from the type of breast access:

• Separation of folds(on the natural bending line), which is most convenient for the surgeon, provides greater access to tissues, and is more beneficial to patients because the scar is hidden in the fold;
• Dissection of the tissues around the tissue.It is assumed that the scar is less visible in the areola area, however, this technique carries the risk of damage to the ducts and scarring, which interferes with natural breastfeeding during breastfeeding;
• Anchillary approach- dissection of tissue in the patient's armpit is the most dangerous method of breast augmentation. The main advantage of the technique is that scars are completely absent from the mammary glands.

Depending on how the implants are placed, a distinction should be made between placing the implants directly below the breast and below the pectoralis muscle. Recently, plastic surgeons have been talking about another method of placing a breast implant under the fascia of the pectoralis muscle, which is actually placement under the breast.

Non-surgical breast augmentation techniques involve complexes of exercise, dietary supplements, and hormonal medications (some side effects of some side effects include mild breast augmentation). It should be noted that physical exercise is not effective as it applies to the pectoral muscles. The mammary gland itself does not contain muscle tissue. Dietary supplements and hormonal medications only temporarily provide mild breast augmentation.

Modern implants can be distinguished by their shape (round, drop-shaped), surface texture (smooth and ribbed texture), and filling (saline, gel, hydrogel). The shape and size of the implants are selected individually based on the natural relief of the patient's breast.

Rehabilitation period after breast augmentation

The rehabilitation period after breast augmentation surgery is characterized by swelling, painful feeling, bruising. In the first 14 days after surgery, patients show complete rest. During the first month, a specially selected compression garment should be worn. In the first three months after breast augmentation, patients should avoid exercise and visit the pool and sauna. After breast augmentation surgery, the final result can only be evaluated after 9 to 12 months.

Breast augmentation: feedback on surgery

Before deciding on breast augmentation, the review of which is highly controversial, the patient should understand that mammoplasty is a full-fledged surgery, not a cosmetic procedure that carries certain health risks. To avoid the negative consequences of surgery, patients are strongly advised to study the existing methods of breast augmentation surgery, the type of implants available, and to visit the consultations of several plastic surgeons. Breast augmentation, an overview of which is available on the global network, requires significant experience from the plastic surgeon in this direction. The surgeon's mistake can have undesirable consequences in the form of asymmetry, different sizes, visible scars, as well as capsule contraction, inflammation, implant rejection, and damage during surgery.

Breast Augmentation

before and after

Many plastic surgeons recommend that patients look for a portfolio that includes their work on breast surgery before and after the surgeon. Such a visual presentation of the results allows patients to assess the true potential of the surgery. The portfolio shows photographs of patients and breast augmentation results from different angles before and after. Computer modeling allows the desired proportions to be applied to the real physical image of the patient.