The aesthetic result of the plastic breast increases depends on many factors.Of great importance is the selection of implant pockets and the way implant installation.On the aesthetics of bust after the mammoplastis, individual initial patient data, including the form of chest and milk glands, skin condition, subcutaneous layer thickness.These and other anatomical characteristics are taken into account when choosing a profile, the width of the base, size and form of endoprosthesis.An important criterion for a successful operation is to achieve a stable result that will delight the woman for many years.
The publication speaks of the main ways of increasing breast - the types of surgical access, the type of anatomical pockets to install implants, advantages and shortcomings of different mammoplastics methods.You will learn about how to recover properly after surgery, what is possible and what cannot be done during the rehabilitation period.
Indications to increase breast with implants
The operation of the breast expansion with implants is performed according to the aesthetic indications.The main indication for strengthening mammoplasty is the patient's desire to improve breast aesthetics by increasing its size and modeling of shapes.During surgery, shortcomings due to the deformation of the nipple complex (stretching of areolas, changes in form) and omitting a gland after feeding baby or due to changes associated with age can be removed.
The reason for the appeal to the plastic surgeon can be the following problems:
- Deterioration of the aesthetics of thoracic glands after pregnancy and breastfeeding.
- Changing the bust form as a result of involucational (aging) processes.
- Congenital hypoplasia of milk glands or amastic.
- Asymmetry, and innate and acquired nature.
- Tubular chest.
- Mastoptosis with signs of the hypotrophy of milk glands.
- Female dissatisfaction with a shape or bust size.
The expansion of breasts with implants is also performed by patients who have passed radical surgery on milk glands as part of the treatment of malignant neoplasms.Reconstructive reinforced mammoplasty allows you to resolve natural and aesthetic attractive breasts without increasing the risk of developing tumor processes.
What individual characteristics were taken into account before surgery?
Tactics of surgical corrections are determined by individual characteristics of the patient.Yes, there is always an opportunity to set up a large size implant, but far from always a step will lead to the desired result - a natural and harmonious change look.
The following factors affect the selection of forms, profiles and endoprosthesis size, as well as the selection of implantation pockets and the implant install method
- The age of a woman.
- The initial form and size of milk glands.
- Height and breast width.
- The severity of subcutaneous fat.
- The elasticity of the integration of milk glands tissue.
- Test interval width.
- The presence of signs of the ptosis (prolapse) bust.
The tactics of magnification of mammoplastics also affects whether the woman plans to give birth in the future to give birth and breastfeeding.When choosing the approach, the need in the plastic of the Aroonolar Complex Bradarina, which may be required to achieve the optimal aesthetic result.
Implant installation methods
Taking into account the upper individual characteristics of the anatomy and other factors, the plastic surgeon dials one of three modes (types of surgical access) Chest increases:
- Areolar (breast enlargement "through the areola").
- Model.
- Axylar.
Below are the characteristics, advantages and disadvantages of each mammoplastia devastation method.
Areolar access
With a spring or periareollar, access, the plastic surgeon sets implants through the cut, which passes along the periphery of the pigmented area of areola.The main advantage of such surgical approach is the invisibility of the scars.The scar is on the border of light and dark skin, so, that's why it's pretty hard to notice.
In periarelar methods of breast increases, there are other benefits, in addition to the minimum seriousness of postoperative scars:
- During the operation, it is possible to perform the plastics of the Bradice-Arelar complex.In some cases, it is difficult to achieve the optimal bust aesthetic without correcting the size and form of the SAK, and this advantage of periarelar access can play a decisive role.
- PeriaReayLar access eliminates the risk of damage to afferent (sensitive) nerve fibers, which pass in a collection in the area of the fold.Because of this advantage, the mammoplasty area allows you to fully maintain the sensitivity of the nipple and areola.
- At the same time, you can correct the bust by correcting the initial phase of mastoptosis.
Despite the advantages of the above access to the periarear, the technique cannot be recommended to all women.In particular, this method of installing implants is not recommended for girls who plan to give birth to children and breastfeed them.This explains the fact that during the operation there is a risk of damage to the dairy channels, which will affect the lactation function.
PeriareyLar access does not allow a complete overview of all implant pockets, which imposes implant size restrictions.This method is well adapted to those patients who want to put a small endoprosthesis and raise a little breast.In a situation where a woman wants to add 2-3 breast sizes, it is more desirable to use a mundane or an axillary approach.
Lubricated access
With access to settlement, the installation of endoprosthes is done through horizontal cutters, which pass under the chest in natural skin.Postoperative scars When using this method of installation implants are significantly expressed, but they are hidden in the skin flap.The scars are visible in the layout position, and in a standing position, the lower chest glands are covered.
The main advantage of submarine access is a very good overview of the operational field.For a plastic surgeon, this is the easiest type of mammoplasty, because there is full access to all implant pockets and easy to achieve absolutely symmetric installation implants.Thanks to this feature, large endoprosthesettes can be installed.
Another advantage of a test methodology for increasing bust is a lack of risk of damage to dairy channels.After surgery, the lactation function is preserved, which allows you to recommend this method for patients who plan for future pregnancy and baby breastfeeding.
The implant implant installation method is not deprived of the shortcomings.For many patients of plastic surgeons, main minus methodology in pronounced and sufficiently extended driving, which passes into a fold below the chest.The disadvantage is the risk of damage to afferent nerves that annoy the SAK.If the nervousness surgery is dissected, the sensitivity of the nipples and areolas will be disturbed.
The use of the access to the subjection does not allow at the same time with increasing the mammoplastics to perform plastic surgery through one cut.In addition, women who have initial signs of bust (mastoptosis) often turn into the help of a plastic surgeon.If your periareyular approach allows you to eliminate manifestations - chest-based manifestations, then when using access submarine, it is impossible to correct the mastoptosis at the same time with an increase in chest.
Axillar access
With an axillary approach, the increase in the breast is done through the cuts, which are in axillary fosses.The key advantage of the methodology is that the scars go beyond the milk glands and do not affect their aesthetic perception.On the other hand, scars are visible, and that can become a problem if a woman wears open clothes.For example, scars can be clearly visible during sports, especially in a body position with raised hands.
However, it is an axillary approach that is considered a "gold standard" in the authentic mammoplasty.The operation is performed under the control of the fiber - repeat equipment (endoscope), which allows the plastic surgeon to access all implant pockets.There is no risk of damage to nerve troops.There is no risk of dissection of dairy channels, which allows us to recommend this method of installing the implant for girls planning pregnancy.There are no endoprosthesis restrictions - an axillary access type allows you to place implants any volume, shapes and profiles.
The shortcomings of the axillary breast increase are that a plastic surgeon has no way to correct the effects of omitting milk glands or to perform the plastic of the animal complex.For this reason, an axillary approach is mainly used to model bust size, when there are no simultaneous aesthetic problems that require surgical correction.
Criteria for selecting a surgical approach
In clinical practice, plastic surgeons use several criteria for selecting a surgical approach to breast increases.One of the main criteria is the age of women and its further plans related to pregnancy.If the patient plans to give birth to children, it is advisable to reject Periarelar access.Preferred is an axillary approach or lubricated approach.
If a woman does not plan to take place, you can use any of the previously considered types of surgical access.In situations where, in order to improve the aesthetics of bust, at the same time with its increment, it is necessary to perform the plastic of the areola, the periareyolar approach is preferred.The same method of installing implants is better adapted to patients with initial mastoptosis signs.
Patients who want to increase busts of several sizes, a plastic surgeon can recommend a lubrication or axillary manner.The optimal choice in this situation is the increase in breasts in the chest through axillary FOS, however, the aesthetic desires of women are taken into account.If it expresses a desire to hide the scarring in the natural flap below the chest, the attachment for the undertaking approach is selected.
Choosing a pocket for implant installation
The following aspect of the magnification of the mammoplastics is associated with the selection of the anatomical region in which implants will be installed.
Implantation shift can be:
- below the milk gland (subputular placement);
- under the pectoral muscle (location submission);
- Partly under the gland, partially under the muscles (combined version).
Subgandular placement.The implant is installed in the anatomical space under the gland.The most unpopular pocket is separated from the surface of the body only with covering tissues and milk glands, and due to this feature is not recommended if you need to increase breasts for several sizes.High endoprotez can be determined visually.In addition, the risk of developing deformation strides - an esthetic complication in which a kind of "step" is formed above the upper edge of the implant.
With Podupul the endoprosthesis placement, the risk of developing other complications of the aesthetic nature, especially the appearance of the deformation of the integration of tissues above the thoracic gland in the form of "waves" or "mountain ashes".Development of capsular contraction, the deterioration of the aesthetics of bust is also more pronounced by surface installation of implants.
Another feature of this type of installation is that endoprostheses and dairy glands only support Cuper Bonds - the structures of the connective tissue, whose elasticity is reduced with age.For this reason, with substructural implant installation, the risk of increasing the development of mastoptosis, especially in women in the initial large chest.
Undercore.Installation of implants under large chest muscles avoids problems characteristic of the subgradular location.Less risk of capsular contraction and appearance of skin deformation above the chest in the form of "Rowan" and "waves".Endoprotez is certainly fixed with muscles and does not increase the likelihood of mastoptosis development.
But the placement implant under the muscle has the opposite side.
First, in girls who are actively involved in sports, the risk of rotating or moving implants increases.If, to increase the chest, the trendy implants used, rotation (turnover) can lead to breast deformation, which can only be corrected during repeated operation.
Second, with a subject placement, the degree of tissue injury during the operation increases.Therefore, healing becomes more slowly and the rehabilitation period is extended - to carry the underwear and follow all the restrictions on for a long time.
Combined placement.The best option is a combined setup, in which the upper endoprosthesis segment is below the muscle, and the lower sex is below the gland.This arrangement is an excluded risk of deformation degrees.Under the risk of turning and moving implants, the development of capsular contraction and other aesthetic complications.Healing is faster, the rehabilitation period is reduced.
Implant types
Breast enlargement is performed by the implants of the world's leading manufacturers.Medical silicone endoprosthys with a high degree of cohesion and different degrees of density were performed.Silicon is covered with an elastomer shell, which eliminates the probability of the diffusion gel.The outer capsule was presented with a porous shell, of which a special texture contributes to the integration of implants in live fabrics and its reliable fixation.Due to the porous membrane, the risk of valuability of the counterpusula was reduced.
The line of each manufacturer represents several hundred types of implants that differ in the following characteristics:
- Form: Implant can be anatomically (out of discharge) or round.
- Basic width: horizontal size of the lower end proof.
- Profile: endoprostheza Height.
- Size: volume.
The choice of implant is determined by desire, as well as the initial data of the patient - the individual characteristics of the structure of chest and milk glands.For example, girls with a precipitative gap are better suitable for low anatomical implants with a wide base.Women who want to switch accents on the décolletes are suitable for round full implants, which visually increase the upper sex glands.
Preparing to increase breasts with implants
Preparation for plastic surgery on expanded breast can be divided into two phases - diagnostic and aesthetic.The purpose of the aesthetic phase of preparation is to choose the perfect implant and decide on the tactics of surgical intervention.Based on the results of computer modeling and analysis of the patient's initial data, the surgeon selects the endoprosthesis installation method and an anatomical pocket for its position.
The purpose of the diagnostic phase is to minimize operational and anesthesiological risk, as well as eliminate contraindications for surgery.Each woman, before increasing milk glands, is subject to a comprehensive diagnosis, including an extended list of instrumental and laboratory methods.Mammography is certainly prescribed with the consultation of gynecologists and mabrotin.
A few weeks before increasing mammoplastics, women should cease to take certain drugs, especially, contraceptive hormonal drugs and anticoagulants.It is necessary to leave anti -infalmatory and analgesic drugs from the NSAID group, because they slow down the coagulation of blood.It is also necessary to stop taking alcohol and leave smoking, because ethanol and nicotine slow down regenerative processes and negatively affect the tempo recovery after mammoplastics.
Rehabilitation after mammoplasty
Early postoperative period is accompanied by typical symptoms for any work - swelling, pain and hematomas in the field of operational wound, fever, general malaates.These symptoms are a normal reaction of the body in response to the violation of the integrity of tissues.Preparations prescribed by a plastic surgeon - anti -infalmatory, anti-exprotional, anti-hospital will help handle the difficulties of this period.For the prevention of infectious complications, the doctor prescribes a short course of antibiotics.
The specifics of the rehabilitation period after mammoplastics is that it is necessary to constantly wear a compression bra.Elastic linens is sewn on an individual order even before surgery.You need to use it continuously, you can only remove it on time of hygienic procedures.As for the body hygiene, in the first 7-10 days after the increase in chest glands should be limited by wet scarves, you cannot shower.
You can sleep after surgery on your back.Out of 10-14 days, it is allowed to sleep on the side, but it is still impossible to involve the stomach.You can't play dancing or sports.Prohibition of physical activity, including the household, is valid for 4 weeks;Power loads and some types of cardio training contraindicated is 3 months (or a special resolution of the plastic surgeon).
Through the renewal period, you cannot sunbathe either in direct sunlight or in a solarium.You can't go to sauna or bathroom, take hot baths at home.Alcohol and smoking are contraindicated.Compression bedding is allowed to remove from the second month, but during the year you need to wear a bra with wide belts and a wide belt that supports breasts well.