All women want to stay beautiful and maintain their attractiveness in many ways. Unfortunately, not everyone is naturally endowed with tightened breasts of the required volume, however, medicine with its modern mammoplasty therapy helps to quickly and easily solve the problem. With the help of augmentation mammoplasty, you can increase the size of the breast, make it more toned and attractive in appearance. This will help many people to get rid of complexes, teach them to wear feminine clothes that emphasize their figure, and change their attitude towards themselves. You should decide where augmentation mammoplasty is done and study its main features.
What is important to know about the operation?
Before you decide on the procedure, it is important to consult a professional doctor. Since the procedure is distinguished by its high level of complexity, a truly experienced specialist should conduct it.
The operation of augmentation mammoplasty takes place according to the following scheme: an incision is made in the areas marked by the doctor, after which special silicone implants are inserted into it. Many women, not because of their low awareness of this topic, do not risk having an operation, as they are afraid of complications and negative consequences. In any case, before the procedure, it is important to consult a doctor and get the full amount of information.
Indications for the procedure
There are indications for augmentation mammoplasty, in which the procedure is not only possible, but even recommended:
- underdevelopment of the mammary glands (in other words, hypoplasia);
- genetically a woman got a small breast size;
- if the glands descend and bring aesthetic discomfort;
- in certain situations, including partial or complete removal of the mammary glands;
- expressed asymmetry;
- breast deformity after breastfeeding.
What are the contraindications for surgery?
There are contraindications for augmentation mammoplasty, in which the operation is completely prohibited or until the negative factor is eliminated:
- girls under 18;
- women with cancer;
- patients with dangerous diseases of internal organs;
- if there is a viral infection;
- women carryingbaby or nursing breast milk;
- to patients who have blood incoagulability;
- those who have diabetes in the chronic stage of development.
Many believe that after the operation on the body there are traces in the form of scars and rough scars. However, this remains just a myth. After some time, the incisions lighten, merge with the skin and become completely invisible.
What types of implants are there?
The principle of exposure during the procedure is the same, the implants will be selected depending on the existing problem. Which breast implants are best? Endoprostheses for the mammary glands differ in their shape, size and effect. It is customary to distinguish:
- round to help enlarge small breasts;
- drop-shaped, used for maximum effect (they are the most expensive of all presented).
Sometimes the patient's mammary glands differ in size and shape, in this case two different endoprostheses with different symmetry are used. According to the type of filling, all implants can be divided into:
- silicone containing a gel filler that helps to quickly change the shape of the breast while maintaining its elasticity;
- saline, in which saline is used.
Silicone implants are best compatible with the human body. They do not lead to serious problems like cancer, but help to achieve a natural shape.mammary glands. They are much stronger than s alt models. Even if the gel accidentally leaks out, this will not affect the appearance of the breast. But in this case, the implant will still have to be removed.
Saline implants have been actively used in the USA for a long time to create expressive breasts or increase their size. This type of endoprosthesis is harder than silicone.
But the main advantage of this model of implants is that during surgery, the surgeon has the opportunity to adjust their shape on their own and achieve maximum symmetry. Another plus is that the incision will be made shorter in length than in the case of silicone.
Also, these implants are highly resistant to any physical damage. In the event of an accidental leakage of saline, the mammary glands immediately change shape. The size of endoprostheses can vary greatly and is calculated in milliliters:
- 1st size - 150 ml;
- 2nd size - 300 ml;
- 3rd size - 450 ml.
What cuts can be made?
Aumentation mammoplasty may differ from where the incision is made to insert the implant. In total, 6 types of cuts are classified, each of which has its own differences:
- Periareolar incision is made along the line of the lower roundness of the areola. This method is used for breast lift. If the areola is small, then the operation will not work, since the size of the incision will not be enough.
- The transareolar incision is made through the areola, bypassing the underside of the nipple. This type of surgery is considered the most dangerous for the mammary glands. If the areola is small, then the operation is also not suitable.
- Submammary incision is made in the inframammary fold. It is he who is considered the safest and not traumatic. The procedure helps to achieve maximum access when making an incision, but you do not need to be afraid of any scars and marks on the body.
- Axillary incision is made in the area of the armpit. It helps prevent scarring in the areas being viewed. But not all types of implants can be inserted into this type of incision. Also, when it is carried out, there are some restrictions in creating an input pocket.
- The transabdominal incision, which is made in the abdominal wall, is performed in conjunction with abdominoplasty.
- The transumbilical incision is made at the top of the navel. As a rule, problems when using this technique appear only with the creation of a pocket - not all implants will be able to pass through an incision of this diameter.
After making an incision, the surgeon gently exfoliates the area of skin, thereby creating a pocket. It is in it that the endoprostheses will be placed. After the pocket is completely filled, special drainages are introduced under the skin to help drain the liquid. Next comes the final stage of the entire procedure - suturing.
Where is the implant placed?
Implant for augmentation mammoplastycan be installed in the following areas:
- Directly under the breast (the method is called subglandular).
- Under the muscular fascia (subfascial method).
- Under the pectoralis major muscle (submuscular way).
- The combined method differs in that one part of the implant is placed under the mammary gland, and the other part under the pectoralis major muscle.
The surgeon and the patient are responsible for the quality of augmentation mammoplasty. The doctor must give comprehensive information about the methods of the procedure, types of endoprostheses and methods of their implantation, and the patient must follow all the recommendations and instructions of the specialist.
Mastopexy and augmentation mammoplasty
Mastopexy is one of the types of mammoplasty, in which the breast lift is performed using endoprostheses. Unlike mammoplasty, this therapy is considered more narrowly focused and is carried out by shifting the nipple, areola and removing excess skin. Using this technique, the doctor manages to create the correct shape of the mammary glands, eliminate ptosis, as well as extra folds that have formed on the chest.
Before the operation, the specialist determines the degree of breast prolapse:
- First degree - the nipple is located in the same place as the submammary warehouse.
- Second degree - the nipple falls below the level of the submammary contraction, while its level is above the pole of the mammary glands.
- Third degree - the breast drops by 3 centimeters and is significantly below the submammary fold.
The method of breast lift will be selected depending on how much the prolapse of the mammary glands has occurred. Preareolar mestopexy is performed when the breast is medium or small in size. After the operation, the scar will hardly be visible, as the incision site will be located where the breast skin meets the areola.
Types of mastopexy depending on the needs of the patient:
- Circomareolar mastopexy is performed when the nipple needs to be raised by two centimeters, while eliminating a large amount of skin. The scar is located near the areola.
- Vertical mastopexy is most effective for breast lift. The incision is made in the direction from the areola down to the inframural fold. This helps to get rid of ptosis of varying degrees of manifestation.
- T-shaped breast lift is performed in the presence of severe ptosis. The seam created looks like an inverted T.
Mastopexy is most often prescribed for those women who suffer from severe prolapse of the mammary glands. To raise the chest to the desired height, you just need to make an incision. If there is a severe form of ptosis after implantation, an additional mastopexy may be necessary, but the final decision will be made by the surgeon.
Reviews about augmentation mammoplasty are mostly positive, many patients are satisfied with the end result and note a relatively short recovery period.
Preparing for surgery
Preparation for augmentation mammoplasty will beinclude the following steps:
- taking a biochemical urine test;
- passage of fluorography and electrocardiogram;
- checking the patient's blood sugar level;
- implementation of mammography.
A few weeks before the scheduled surgery is prohibited:
- drink alcoholic beverages;
- smoking;
- take medications that thin the blood.
Progress of operation
Augmentation mammoplasty is performed under general anesthesia and is divided into the following stages:
- making an incision in the skin, forming a pocket;
- implant insertion;
- stitching wounds received.
In general, the procedure lasts from 60 to 90 minutes.
Rehabilitation period
After the surgery, the patient's body needs proper rest and rehabilitation after. The sutures are completely removed over the next 14 days after the operation, taking into account how effectively the wound healing process is going on.
In some cases, experts recommend wearing a special sports bra after surgery and not taking it off even at night. You can stop wearing such a “corset” only after the chest gets used to the new position and begins to look natural. In the first month of recovery, it is forbidden to carry any weights. It is also forbidden in the first five weeks to visit saunas, solariums, swimming pools and other spas.procedures.
If you perform mammoplasty in a clinic with bad doctors or low-quality services, then there is a risk that the procedure will have to be repeated, and this will lead to additional stress for the body and the cost of large financial resources.
If the implants are installed with high quality, then after a year the breast will restore its shape and look as attractive as possible.
What complications can occur?
Sometimes a patient has serious complications after a procedure. These include:
- chest hurts after mammoplasty;
- there is tissue swelling at the sites of implant insertion;
- hematomas appear;
- capsular contractures are formed.
If the implant is deformed for some reason, whole lumps of silicone can form under the skin, which can be easily identified by scanning. Rotation of the endoprosthesis can greatly distort its usual position. This condition occurs when the shell is covered with only one layer of tissue.
Unscheduled Mammoplasty
Repeated mammoplasty in the clinic can be performed if there are the following indications:
- The implant placed in one of the mammary glands is too large, resulting in disproportion. A professional doctor will never violate proportionality.
- Chest not big enough. Often this happens if a woman simply ignores the advice of a specialist. After the first mammoplasty, she cansee another doctor.
- Changing the location of the prosthesis occurs if the surgeon's work was of poor quality or bad material was used. In this case, the implant changes its location, moving under a layer of skin. To change the situation, the exoprostheses will have to be replaced.
- Sagging breasts, loss of shape. In this case, mastopexy or correction of the mammary glands with a laser beam can be performed.
- Rupture of the skin at the site where the implant was inserted. The problem appears when an implant that is too large has been inserted into a small mammary gland.
Where can I spend?
There are many clinics where professional doctors can perform high-quality breast surgery, leaving only positive impressions. Where is augmentation mammoplasty performed? You can carry out the procedure in St. Petersburg, Moscow and other cities. Mammoplasty in Moscow can be expensive, but it will be of high quality and professionalism. List of clinics in Moscow:
- "Best Clinic" (at the River Station). The institution has modern equipment for diagnostics and surgery.
- Hospital "RAN" (on Litovsky Boulevard). Provides free assistance to employees of institutions of the Russian Academy of Sciences and others on a paid basis.
- Medical center "Petrovye Vorota" (1st Kolobovsky lane). The hospital has 38 equipped rooms and the possibility of organizing treatment abroad.
Price per procedure
Mammoplasty in Moscow includes reshaping andbreast size. You should not save on the professionalism of doctors, the quality of implants and compression underwear, since the final result will depend on this. The price of breast augmentation starts from 160 thousand rubles.
