Beautiful, elastic, toned and attractively shaped breasts - isn't this what every woman dreams of?Breast augmentation with plastic is often associated with enormous 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 couple of sizes, for example, from 1 to 3. Modern implants and surgical technologies make it possible to achieve the most natural appearance of the breasts, avoid complications and give women confidence.
Breast augmentation (augmentation) 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 ability to achieve symmetry and correct all congenital defects.Including improving the appearance of the nipple-areola complex.
Which implants are better to choose?
Implants vary in shape: anatomical and round.The former, due to their teardrop shape, create a soft and natural breast contour.The mammary glands look very natural.Round implants give the breasts a visually larger size and make them appear raised (push-up).With them, the contour of the upper neckline becomes higher.
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 will also explain which shape of implant will best suit you.
During the consultation, you will be able to try on models of implants - meters, 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 include:
- augmentation mammoplasty with round or anatomical implants: breast augmentation in various sizes;the result of the operation is saved forever;
- breast lipofilling - increase of 1 to 1.5 sizes by injections of purified autologous fat extracted from "problem" areas;The result of lipofilling lasts forever if severe weight loss is avoided.
One cosmetic method to enlarge the breasts is the injection of absorbable 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 bushings can be corrected using a thread lifter.The procedure will not increase the size of the breasts, but will give them a beautiful shape.
Advantages of mammoplasty:
- Beautiful proportions of the breasts.During the consultation prior to breast augmentation surgery, the doctor will recommend the most suitable type of implant, the installation method (under the mammary gland or under the muscle), as well as the 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 the result.Modeling or trying on sizes (prosthetic models used to select implants) allows you to evaluate in advance to what extent the effect of mammoplasty will meet your expectations.
- Implant guarantee.The clinics offer a guarantee on the implants that are installed in the breast. The safety of breast enlargement endoprostheses has been confirmed by clinical studies: they do not affect the general condition of the body, they are not dangerous in case of damage to the membrane (silicone gel with a dense structure does not penetrate the surrounding tissues), they do not interfere with preventive examination of the mammary glands and do not limit the possibility of breastfeeding in the future.
- Breast augmentation in various sizes.If breast augmentation with your own adipose 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 a single operation.Having received the desired volume, you can be sure that it will not change over time.
- Security and confidence in the result.The result of the augmentation (breast augmentation) depends on the professionalism of the surgeon, so breast augmentation must be performed in a specialized clinic, by doctors with extensive experience.
Methods to perform breast augmentation surgery.
The implant can be placed:
- under the gland;
- under the muscle.
Installation of implants under the gland shortens the rehabilitation period.Recovery is less painful.But this method is fraught with later complications.For example, sagging breasts may be more noticeable.Constrictive fibrosis, if present, may be more pronounced.For girls who have not given birth but plan to have children, the implants are placed just under the muscle.
Possible accesses:
- submammary (incision under the breast);
- periareolar (incision around the areola-nipple complex);
- axillary (side incision in the armpit area).
submammary access– the most preferable 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 the baby.Even very large implants can be easily installed through this access.Postoperative scars will be hidden in the folds under the breasts.
Periareolar accessIt is good when breast lift and breast augmentation are performed simultaneously.This type of access allows you to change the shape of the nipple-areola complex.If the areola is small, it will not be possible to install a large implant.The scars with the periareolar approach will follow the contour of the areola.Over time, they will 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 accessGood for installing small implants.But it is impossible to install anatomical implants like this, only round ones.The scars in this case will be located in the armpit area.
Before and after photos of breast augmentation with implants are at the bottom of the page.
Types of implants to enlarge breasts
For breast augmentation, silicone implants of various volumes (1 size is equivalent to 120 ml) and shapes: round or teardrop-shaped (anatomical) are used.
- The mammoplasty operation with the installation of round implants forms voluminous, raised breasts with regular rounded contours.In nature, this shape of the mammary glands (“apple”) is quite rare, so after breast augmentation, the breasts 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.
- Teardrop-shaped implants reproduce the most common shape of mammary glands: in appearance they resemble a cone.With them, the chest acquires a fuller lower pole with a gentle descent to it, characteristic of a natural bust.Sometimes only the use of implants of different volumes allows the existing asymmetry to be corrected.
In several cases, your surgeon may recommend implants with a smooth or textured surface.
- Smooth round models are suitable for installation via the axillary (transaxillary) approach.
- Anatomically shaped models with a textured surface are often chosen for breast augmentation through access under the mammary gland (submammary), which makes it possible to achieve a beautiful natural result.
Indications for breast augmentation
- unsatisfactory breast size;
- breast asymmetry;
- ptosis caused by breastfeeding/sudden weight loss;
- excess adipose tissue;
- excess glandular tissue;
- unsatisfactory nipple shape.
Plastic surgery with implants is indicated for reconstructive breast correction, after tumor removal or a complete mastectomy.Therefore, the operation is not only aesthetic in nature.It can also be done for medical reasons.
Contraindications for mammoplasty of the mammary glands.
- young age (up to 18 years);
- pregnancy and lactation period;
- problems with blood clotting;
- liver diseases;
- cardiovascular and endocrine diseases;
- diabetes mellitus;
- oncology;
- diseases of the respiratory system;
- infectious and viral diseases;
- mental disorders.
If the results of preoperative tests are not satisfactory, the operation is postponed until later or canceled.
Two weeks before surgery, it is necessary to stop taking anticoagulants and hormonal medications.
How is the breast augmentation procedure performed?
- The patient talks to the surgeon.Preoperative markings are applied.This is followed by a conversation with the anesthesiologist.
- The operation itself is performed under general anesthesia and lasts 1.5 to 3 hours.The doctor makes small incisions under the breast/in the armpits/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 installed and sutures are applied.
- After recovering from anesthesia, the patient stays in the hospital for 24 hours after the operation, as patients need 24-hour monitoring.
What examinations should be performed before the testing procedure?
If your doctor plans a cosmetic correction with 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)
- ECG (electrocardiogram)
- Fluorography
- General urine test
- Examination performed by a mammologist, including breast ultrasound or mammography.
- 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 minimize the risk of complications during breast augmentation.
Rehabilitation period
After the operation, you will remain in the hospital under the supervision of medical staff until the next morning.Sometimes it is necessary to stay in the clinic for two days.Then you 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 go away within 10 to 14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until then, you should take the medications 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 relievers recommended by your surgeon will reduce pain after surgery.
After plastic surgery, it is necessary to eliminate the risk of allergic reactions.Therefore, it is not recommended to consume foods that cause allergies.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 you not do during the recovery period?
- pushing yourself too hard physically and emotionally;
- go to the sauna, swimming pool, gym;
- sunbathing;
- sleep on your side;
- raise your hands;
- Touch and rub the bust.
It is necessary to wear compression garments for a month.For the next two months, it is best to wear non-wired sports bras.3 months after mammoplasty, you can update your linen wardrobe.
The doctor will prescribe an examination plan for you.It is important to follow it to avoid side effects.
Possible complications
If the doctor's recommendations are not followed, the implant may shift and inflammatory processes may develop.For a controlled result, we leave the drain in place.This reduces the risks 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 possible percentage risk of capsular contracture.We work with implants with the lowest 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 there is a breakage, an operation is performed to remove it and replace it with a new one.
When should you contact a surgeon?
- the chest becomes hard to the touch;
- the color of the skin in the implant area changes;
- a vascular network appears;
- the chest is deformed;
- pain occurs.
Patients often come to us after operations in other clinics with complaints of capsular contracture.Then a repeat mammoplasty is performed with replacement of the implant and removal of fibrous tissue.
Constrictive fibrosis occurs most commonly when the implant is placed under the gland.If it is under the muscle, small signs of fibrosis may not be noticeable and may be harmless.
If you want to find a place that performs breast augmentation at a low cost, think twice before we are talking about your health, physical and mental.Take your time and make an informed decision.
breast augmentation price
The price of breast augmentation varies from one clinic to another.It is made up of a series of factors:
- surgeon's competence
- plastic method
- cost of implants
- consumables volume
- duration of anesthesia
- length of hospital stay