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Breast augmentation

markings before breast augmentation surgery

Beautiful, flexible, toned, attractively shaped breasts - isn't that what every woman dreams of?Plastic breast augmentation is often associated with a huge size and an unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to enlarge the breasts by a few sizes - for example, from 1 to 3.Modern implants and surgical technologies enable the most natural appearance of the breasts, avoid complications and give women confidence.

Breast enlargement (enlargement) surgery is called augmentation mammoplasty.It is performed under general anesthesia with the help of implants of different shapes and sizes.The advantage of breast augmentation in modern plastic surgery is the ability to achieve symmetry and correct all congenital abnormalities.Including improving the appearance of the nipple-areolar complex.

Which implant should you choose?

The shape of the implants is varied: anatomical and round.Thanks to their teardrop shape, the former create a soft and natural breast contour.The mammary glands look very natural.Round implants visually increase the size of the breasts and give them a raised (push-up) appearance.With them, the contour of the upper neckline will be higher.

Breast implant profile types are also varied: from low to extra high.The surface of silicone implants can be smooth or textured.

Your doctor will help you choose the implant.A surgeon with extensive experience in mammoplasty will recommend several manufacturers and also explain which implant shape will look best for you.

During the consultation, you can try on the implant sizing models to imagine what the shape of the future breast will be.

Ways to enlarge the mammary glands

A plastic surgeon performs breast augmentation in different ways.They can be surgical or non-surgical.The first includes:

  • mammoplasty with round or anatomical implants: breast enlargement in several sizes;the result of the operation is saved forever;
  • breast lipofilling: increase by 1-1.5 sizes with injections of purified autologous fat taken from "problematic" areas;The results of lipofilling will last forever if you avoid severe weight loss.

The cosmetic method of breast enlargement is the injection of absorbable gels (fillers).This method is quite expensive: contouring with fillers costs almost the same as mammoplasty, and the effect lasts on average no more than 2 years.

The shape of the stuffing boxes can be corrected with a thread lifter.The procedure does not increase the size of the breast, but gives it a beautiful shape.

Advantages of mammoplasty:

  • Beautiful breast proportions.During the consultation before breast augmentation surgery, the doctor will suggest the most suitable type of implant, the method of its installation (under the mammary gland or under the muscle), as well as the access options (axillary, inframammary, periareolar).Implants are always selected individually - the range of leading manufacturers includes hundreds of models that differ in volume, shape and size.
  • Modeling the outcome.Modeling or trying on size gauges (prosthetic models used to select implants) allows you to assess in advance how well the effect of mammoplasty meets your expectations.
  • Implant warranty.The clinics guarantee the implants placed in the breast. The safety of endoprostheses for breast augmentation has been confirmed by clinical tests: they do not affect the general condition of the body, are not dangerous in case of damage to the membrane (the dense silicone gel does not penetrate the surrounding tissues), do not interfere with the preventive examination of the mammary glands, and do not limit the possibility of breastfeeding in the future.
  • Breast augmentation in several sizes.If breast enlargement using your own fat tissue (lipofilling) allows you to adjust the volume only within relatively small limits (1-1.5 sizes), then with the help of mammoplasty, an impressive effect can be achieved with one operation.Once you get the volume you want, you can be sure it won't change over time.
  • Safety and confidence in the result.The result of breast augmentation (breast augmentation) depends on the expertise of the surgeon, so breast augmentation should be performed in a specialized clinic by highly experienced doctors. 

Methods of performing breast augmentation surgery

The implant can be inserted:

  • under the gland;
  • under the muscle.

Placing the implants under the gland shortens the rehabilitation period.Recovery is less painful.But this method has complications later on.For example, sagging breasts are more noticeable.Constrictive fibrosis, if present, may be more pronounced.For girls who have not yet given birth but are planning to have a child, the implant is placed just under the muscle.

Possible accesses:

  • submmalis (incision under the breast);
  • periareolar (incision around the nipple-areolar complex);
  • armpit (incision on the side in the armpit area).

Submammary access– the most advantageous method in terms of controlled recovery.It is used for breast surgery if the patient plans to give birth and breastfeed afterwards.Even very large implants can be easily inserted through this access.Post-surgery scars are hidden in the folds under the breast.

Periareolar accessit is good if the breast lift and breast augmentation are performed at the same time.This type of access allows changing the shape of the nipple-areolar complex.If the areola is small, a large implant cannot be inserted.Scars with a periareolar approach follow the contour of the areola.Over time, they become almost invisible to the naked eye.This type of access is not recommended for nulliparous girls, as the milk ducts may be damaged during the operation.

Axillary accesssuitable for inserting small implants.But such anatomical implants cannot be inserted, only round ones.In this case, the scars are located in the armpit area.

Before and after breast augmentation with implants photos can be found at the bottom of the page.

Types of breast augmentation implants

For breast augmentation, silicone implants of various volumes (1 size equals 120 ml) and shapes are used: round or teardrop-shaped (anatomical).

  • Mammoplasty surgery performed with the insertion of round implants creates full, lifted, regularly rounded breasts.In nature, this shape of the mammary glands ("apples") is quite rare, so after breast augmentation the breast may look less natural than when an anatomical implant is implanted.But this type of implant is suitable for correcting mild ptosis of the mammary glands without additional lifting.
  • Teardrop-shaped implants reproduce the most common shape of the mammary glands: they look like a cone.With them, the breast gets a fuller lower pole, with a smooth descent, typical of a natural bust.Sometimes only the use of implants of different volumes makes it possible to correct the existing asymmetry.

In various cases, the surgeon may recommend implants with a smooth or textured surface.

  • The smooth round models are suitable for installation with an axillary (transaxillary) approach.
  • Anatomically shaped models with a textured surface are often chosen for breast augmentation through submammary access, which allows you to achieve a beautiful natural result.

Indications for breast augmentation

  • insufficient breast size;
  • breast asymmetry;
  • ptosis due to breastfeeding/sudden weight loss;
  • excess adipose tissue;
  • excess glandular tissue;
  • unsatisfactory nipple shape.

Plastic surgery using implants is indicated for reconstructive breast correction - after removal of tumors or complete mastectomy.Thus, the operation is not only aesthetic.It can also be done for medical reasons.

Contraindications for mammoplasty of the mammary glands

  • early age (up to 18 years);
  • period of pregnancy and breastfeeding;
  • blood clotting problems;
  • liver diseases;
  • cardiovascular and endocrine diseases;
  • diabetes mellitus;
  • oncology;
  • respiratory diseases;
  • infectious and viral diseases;
  • mental disorders.

If the results of the preoperative examinations are unsatisfactory, the operation is postponed or interrupted.

You must stop taking blood thinners and hormonal drugs two weeks before the operation.

How is breast augmentation performed?

  1. The patient talks to the surgeon.Preoperative markings are used.This is followed by a discussion with the anesthesiologist.
  2. The operation itself is performed under general anesthesia and lasts 1.5-3 hours.The doctor makes small incisions under the breast / in the armpit / around the nipple.The implant is placed under the gland or muscle through an incision.The position of the implant will be discussed in advance during the consultation.
  3. Drains are then installed and sutures are applied.
  4. After recovery from anesthesia, the patient remains in the hospital for up to 24 hours after surgery, as patients require round-the-clock monitoring.

What tests must be performed before the test procedure?

If your doctor plans to perform a cosmetic correction under local anesthesia, you must undergo a number of basic examinations before the procedure:

  • General clinical blood test (complete + platelets)
  • Coagulogram (coagulation time, bleeding time, INR, prothrombin index, fibrinogen, APTT)
  • Biochemical blood test: ALT, AST, bilirubin, cholesterol, urea, creatinine
  • Blood sugar (glucose) test
  • Examination of hepatitis B, hepatitis C, HIV, syphilis

Blood group test (with Rh)

  • EKG (electrocardiogram)
  • Fluorography
  • General urinalysis
  • Examination by a mammologist, including breast ultrasound or mammography
  • The therapist's conclusion about the possibility of surgery (for patients over 30 years old)

* Your doctor may order additional tests in order to more accurately predict the result and minimize the risk of complications during breast augmentation.

Rehabilitation period

After the operation, you will remain in the hospital under the supervision of the medical staff until the next morning.Sometimes you have to stay at the clinic for two days.Then go home.In the first days, swelling, pain, a slight increase in body temperature and a feeling of "tension" are the norm.Swelling and pain usually subside within 10-14 days after surgery.After 2 weeks, the surgeon will remove the stitches.Until then, you must take the medicines prescribed by the doctor.In the first days after plastic surgery, you must take antibiotics, which means that alcoholic beverages are prohibited.Painkillers prescribed by the surgeon will reduce pain after surgery.

After plastic surgery, the risk of allergic reactions must be eliminated.Therefore, it is not recommended to eat foods that cause allergies.The doctor will provide a list of these during the consultation.Allergy is dangerous due to increased swelling and, as a result, pain.

What not to do during the recovery period?

  • overexert yourself physically and emotionally;
  • go to the sauna, swimming pool, gym;
  • sun-bathing;
  • sleep on your side;
  • raise your hand;
  • touch and rub the breast.

You will need to wear a compression garment for a month.For the next two months, it is better to wear non-wired sports bras.You can refresh your linen wardrobe 3 months after mammoplasty.

The doctor will prescribe an examination plan for you.It is important to follow to avoid side effects.

Possible complications

If the doctor's recommendations are not followed, the implant may move and inflammatory processes may develop.For a controlled result, we leave the drainage in place.This reduces the risk of postoperative complications.

In a later period, there is a risk of constrictive fibrosis - the formation of a dense capsule around the implant.Implant manufacturers indicate the potential percentage risk of capsular contracture.We work with implants around which there is the smallest risk of connective tissue growth.

Sometimes the mammary glands do not completely cover the outline of the implant due to their small size.In this case, lipofilling can be performed to disguise the implant and give the breast a natural appearance.

The implant may crack as a result of injury.If there is a tear, an operation is performed to remove it and replace it with a new one.

When should you see a surgeon?

  • the breast becomes hard to the touch;
  • the color of the skin in the implant area changes;
  • vascular network appears;
  • the breast is deformed;
  • pain occurs.

After operations performed in other clinics, patients often come to us with complaints of capsular contracture.A repeat mammoplasty is then performed by replacing the implant and removing the fibrous tissue.

Constrictive fibrosis is more common when the implant is placed under the gland.If it is under the muscle, small signs of fibrosis may not be noticeable and harmless.

If you want to find a place that offers cheap breast augmentation, think twice about your health - physical and mental.Take your time and make an informed decision.

Breast augmentation price

The price of breast augmentation varies from clinic to clinic.It is formed by several factors:

  1. surgeon's competence
  2. plastic method
  3. the cost of implants
  4. quantity of consumables
  5. duration of anesthesia
  6. length of hospital stay