Beautiful, elastic, toned breasts with an attractive shape - isn't that what every woman dreams of?Plastic breast augmentation is often associated with a large size and an unnatural appearance.In practice, very few patients seek such radical changes.The most common desire is to increase the breast by several sizes - for example, from 1 to 3. Modern implants and surgical technologies make it possible to achieve the most natural appearance of the breast, avoid complications and give women self-confidence.
Breast enlargement surgery is called augmentation mammoplasty.It is performed under general anesthesia using implants of different shapes and sizes.The advantage of breast augmentation in modern plastic surgery is the possibility of achieving symmetry and correcting all congenital defects.Including improving the appearance of the nipple-areolar complex.
Which implants are the best to choose?
Implants differ in shape: anatomical and round.The first, due to its teardrop shape, creates soft and natural breast contours.The mammary glands look very natural.Round implants give the breasts a visually larger size and make them appear lifted (push-ups).With them, the contour of the upper neckline becomes larger.
The types of breast implant profiles also vary: from low to extra high.The surface of silicone implants can be smooth or textured.
Your doctor will help you choose implants.Having extensive experience in mammoplasty, the surgeon will recommend several manufacturers and explain which form of implant will look best in your case.
During the consultation, you will be able to try on implant models - sizers, in order to imagine what the shape of the future breast shape will be.
Ways to increase mammary glands
A plastic surgeon enlarges breasts in different ways.They can be surgical or non-surgical.The first include:
- augmentation mammoplasty with round or anatomical implants: breast enlargement by several sizes;the result of the operation is stored forever;
- breast lipofilling: increase by 1-1.5 sizes using injections of purified autologous fat taken from "problem" areas;The result of lipofilling lasts forever if you avoid serious weight loss.
A cosmetic method for breast enlargement is the injection of absorbent gels (fillers).This method is quite expensive: contour plastic surgery with fillers costs almost the same as mammoplasty, and the effect lasts on average up to 2 years.
The shape of the gland can be corrected using threads.The procedure will not increase the size of the breast, but it will give it a nice shape.
Advantages of mammoplasty:
- Beautiful chest proportions.During the consultation before the breast augmentation surgery, the doctor will recommend the most suitable type of implant, the method of its installation (under the mammary gland or under the muscle), as well as access options (axillary, submammary, periareolar).Implants are always selected individually - the lines of leading manufacturers include hundreds of models that differ in volume, shape and size.
- Modeling results.Modeling or trying on a sizer (models of prostheses used to select implants) allow you to assess in advance how much the effect of mammoplasty will meet your expectations.
- Implant warranty.Clinics provide a guarantee for breast implants. The safety of endoprostheses for breast enlargement has been confirmed by clinical studies: they do not affect the general condition of the body, they are not dangerous in case of membrane damage (silicone gel of a dense structure does not penetrate the surrounding tissues), they do not interfere with the preventive examination of the mammary glands and they do not limit the possibility of future breastfeeding.
- Breast enlargement by several sizes.If breast augmentation with 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 you can achieve an impressive effect in one operation.Once you've got the desired volume, you can be sure that it won't change over time.
- Security and confidence in the result.The result of augmentation (breast enlargement) depends on the professionalism of the surgeon, so breast augmentation should be performed in a specialized clinic, by a doctor with great experience.
Methods of performing breast augmentation surgery
The implant can be placed:
- under the gland;
- under the muscles.
Installing the implant under the gland shortens the rehabilitation period.Recovery is less painful.But this method is later fraught with complications.For example, sagging breasts may be more noticeable.Constrictive fibrosis, if present, may be more pronounced.For girls who have not given birth and are planning to have children, implants are placed only under the muscles.
Possible approaches:
- submammary (incision under the breast);
- periareolar (incision around the nipple-areolar complex);
- axillary (cut from the side in the armpit area).
Submammary approach- the most desirable method from the point of view of controlled recovery.It is used for breast surgery if the patient subsequently plans to give birth and breastfeed.Even very large implants can be easily installed through this approach.Post-operative scars will be hidden in folds under the breasts.
Periareolar approachgood when lifting and breast augmentation are done at the same time.This type of approach allows you to change the shape of the nipple-areolar complex.If the areola is small, it will not be possible to install a large implant.Scars with a periareolar approach will follow the contour of the areola.Over time, they will become almost invisible to the naked eye.This approach is not recommended for nulliparous girls, because the milk ducts can be damaged during the operation.
Axillary approachgood for fitting small implants.But it is impossible to install such anatomical implants, only round ones.The scars in this case will be located in the armpit area.
Photos before and after breast augmentation with implants are at the bottom of the page.
Types of breast augmentation implants
Silicone implants of different volumes (1 size is equal to 120 ml) and shapes: round or teardrop (anatomical) are used for breast augmentation.
- Mammoplasty surgery with the installation of round implants creates voluminous, lifted breasts with regular, rounded contours.In nature, this shape of the mammary glands ("apples") is quite rare, so after breast augmentation the breast may look less natural than with the installation of anatomical implants.But this type of implant is suitable for correcting mild ptosis of the mammary glands without additional lifting.
- Tear-shaped implants reproduce the most common shape of the mammary glands: they look like a cone.With them, the chest gets a fuller lower column with a smooth descent to it, characteristic of a natural bust.Sometimes, only the use of implants of different volume allows correcting the existing asymmetry.
In different cases, your surgeon may recommend implants with a smooth or textured surface.
- Smooth round models are suitable for installation through an axillary (transaxillary) approach.
- Anatomically shaped models with a textured surface are often chosen for breast augmentation through a submammary approach, which allows you to achieve a beautiful natural result.
Indications for breast augmentation
- unsatisfactory breast size;
- breast asymmetry;
- ptosis caused by breastfeeding/sudden weight loss;
- excess fat tissue;
- excess glandular tissue;
- unsatisfactory nipple shape.
Plastic surgery with implants is indicated for reconstructive breast correction - after tumor removal or complete mastectomy.Therefore, the operation is not only of an aesthetic nature.It can also be performed 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;
- diseases of the respiratory system;
- infectious and viral diseases;
- mental disorders.
If the results of the preoperative tests are unsatisfactory, the operation is postponed until later or canceled.
Two weeks before the operation, you must stop taking blood thinners and hormonal drugs.
How is the breast augmentation procedure performed?
- The patient is talking to the surgeon.Preoperative markings are applied.This is followed by a conversation with the anesthesiologist.
- The operation itself takes place under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions under the breast / in the armpit / in the area around the nipple.Through an incision, the implant is placed under the gland or muscle.The position of the implant is discussed in advance during the consultation.
- Drains are then placed and sutures placed.
- After recovery from anesthesia, the patient remains in the hospital for 24 hours after surgery, as patients require 24-hour monitoring.
What examinations should be performed before the testing procedure?
If your doctor is planning a cosmetic correction under local anesthesia, you will need to undergo several basic tests before the procedure:
- General clinical blood test (complete + platelets)
- Coagulogram (blood clotting time, bleeding time, INR, prothrombin index, fibrinogen, APTT)
- Biochemical blood test: ALT, AST, bilirubin, cholesterol, urea, creatinine
- Blood sugar (glucose) test
- Tests for hepatitis B, hepatitis C, HIV, syphilis
Blood group test (with Rh)
- EKG (electrocardiogram)
- Fluorography
- General urine test
- Examination by a mammologist, including breast ultrasound or mammography
- The therapist's conclusion on the possibility of surgery (for patients over 30 years old)
*Your doctor may order additional tests to more accurately predict the outcome and reduce the risk of complications during breast augmentation.
Rehabilitation period
After the operation, you stay 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 removes the stitches.Until then, you must take the medicine prescribed by your doctor.In the first days after plastic surgery, it is necessary to take antibiotics, which means that alcoholic beverages are prohibited.Pain medication recommended by your surgeon will reduce pain after surgery.
After plastic surgery, it is necessary to eliminate the risk of allergic reactions.Therefore, the consumption of foods that cause allergies is not recommended.The doctor will provide a list of them during the consultation.Allergies are dangerous due to increased swelling and, as a result, pain.
What should not be done during the recovery period?
- overexert yourself physically and emotionally;
- go to the sauna, swimming pool, gym;
- sunbathing;
- sleep on your side;
- raise your hands up;
- touch and rub the bust.
You must wear the compression garment for one month.For the next two months, it is better to wear sports bras without wires.3 months after mammoplasty, you can update your linen wardrobe.
The doctor will prescribe an examination plan.It is important to stick to it 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 the later period, there is a risk of constrictive fibrosis - the formation of a thick capsule around the implant.Implant manufacturers state the possible percentage risk of capsular contracture.We work with implants with the least risk of connective tissue growth around them.
Sometimes the mammary glands do not completely cover the contours of the implant due to their small size.In this case, lipofilling can be performed to conceal the implant and give the breast a natural appearance.
Due to injury, the implant may rupture.If a rupture occurs, an operation to remove and replace it with a new one is performed.
When should a surgeon be contacted?
- the breast becomes hard to the touch;
- the color of the skin in the implant area changes;
- a vascular network appears;
- the breast is deformed;
- pain occurs.
Often, patients come to us after operations in other clinics with complaints of capsular contracture.Then a repeated mammoplasty is performed with replacement of implants and removal of fibrous tissue.
Constrictive fibrosis occurs more often 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 does cheap breast augmentation, think twice about talking about your health - physical and mental.Take your time and make an informed decision.
Price of breast augmentation
The cost of breast augmentation varies from clinic to clinic.It is formed from several factors:
- competence of the surgeon
- plastic method
- the price of the implant
- volume of consumables
- duration of anesthesia
- length of hospital stay