The history of mammoplasty dates back to the 19th century. As soon as women started removing corsets, there were attempts to somehow influence the shape and size of the breasts.
First, liquid paraffin was injected into the tissues, and then they tried to enlarge the breast with the most incredible materials: glass balls, ivory, cartilage, wool. The results of such experiments had nothing to do with health and beauty. It should be noted that the closest to solving the problem came the surgeon who was trying to enlarge the breast with the help of the patient’s own fat. This idea will be developed later. But then the result was not observed because the adipose tissue is absorbed quite quickly.
The invention of silicone in the second half of the twentieth century gave a new impetus to plastic surgery. Liquid silicone gel was inserted directly into the breast area. Complications of such operations were not delayed: inflammation, granulation, neoplasms. Often women had to consent to complete breast removal to save their lives.
In 1961-1964, the precursors of modern implants were created, which were silicone sacs filled with a specific gel or saline solution. Began to place it under the gland or under the muscle. However, reports that their use could lead to cancer have temporarily delayed their triumphant march. In 2006, the implants were rehabilitated.
Stars and plastics
It is no longer accepted to hide the fact that women turn to the services of plastic surgeons and improve their appearance. Some stars are not even interested in creating an additional news channel to remind themselves. Among those who decided to have a breast augmentation with implants and did not regret it are Kate Hudson, Jennifer Lopez, Christina Aguilera.
Should you be afraid?
Of course, any surgical intervention avoids us. Those who are afraid of surgery, but want to enlarge the breast, offer all kinds of miracle creams, ointments containing phytoestrogens, hormone therapy, special physical exercises and injectable preparations (fillers). We must understand that such procedures will not give you the desired result. In short, creams and ointments simply do not reach the biological barriers and the concentration of active substances in them is small; Exercise can increase chest muscle but not gland size, while hyaluronic acid-based fillers act only on the skin and subcutaneous layers, and then only at a young age.
If you have really decided that breast augmentation can help you not only look better but also feel better, just find a clinic and plastic surgeon you trust. Trust me, a specialist will not assure you of surgery unless there is a special need for it. They will listen to you, examine you, select the optimal breast shape and size, and use computer modeling to show you what your figure will look like after mammoplasty. In addition, they will warn you of the consequences, contraindications and possible complications so that you can consciously make the final decision.
When breast augmentation is guaranteed
The main reasons for breast augmentation are:
- The inconsistency of the shape and size of the breast with the female figure and constitution (too small or flat).
- Crush and lose shape after eating.
- Noticeable asymmetry.
However, often the indication for mammoplasty is one thing - a woman's desire to increase the size and improve the shape of the breast.
A specialist may refuse surgery if:
- Less than 1 year has passed since the end of lactation.
- Changes occur in the gland in the form of mastopathy or a tumor is found.
- There are severe chronic diseases, including blood clotting disorders or pathology of the endocrine system.
- Inflammatory and infectious processes are active in the body.
Implantation and surgical options
In order for the enlarged breasts to look as natural as possible and for patients not to worry if the plastic is noticeable, different versions of silicone implants and methods of their installation have been developed.
The requirements for modern implants (endoprostheses) are quite strict. They should be highly durable, if possible, have an anatomical shape and not cause severe complications (capsule formation, rejection, movement).
Depending on the characteristics of the figure, skin condition, individual preferences, the doctor may offer a choice of silicone implants that vary:
- Shape: Round or teardrop shaped.
- Dimensions: 150 to 850 ml.
- Filling: special gel or physiological (physiological) solution.
- Surface type: smooth or textured (less prone to movement).
Variability of endoprosthesis location is also possible:
- Under the mammary gland (subcutaneous) - in the presence of the gland's own sufficiently voluminous tissue and maintained skin elasticity, otherwise it will be strongly noticeable.
- Under the fascia (subfascial) - from the muscle membrane to the pocket consisting of connective tissue.
- Under the chest muscle (subcutaneous) - more traumatic, since the muscle must be partially torn from the ribs.
- Combined location - partly under the gland and under the muscle, the most reliable fixation and the least noticeable.
In addition to the installation method, the type of access is chosen, ie the place where the surgical wound will be:
- Wrinkles under the gland are the most anatomical and faster to heal, but not always possible;
- Used around the areola (breast) by women who have already breastfed and need correction of the areola-breast complex;
- Under the arm is not the most comfortable option and is quite traumatic.
How breast augmentation surgery is performed with implants (augmentation mammoplasty)
Prior to surgery, the patient should undergo an examination that includes blood and urine tests, clinical and biochemical tests, coagulation tests, HIV and syphilis, ECG, fluorography, and mammography. Only then is surgery planned. Blood thinners are discontinued two weeks before surgery, smoking and alcohol are prohibited as they have a bad effect on wound healing. Prior to the intervention, regardless of the type of anesthesia, the patient does not eat or drink for 8 hours.
The operation is performed under general or local anesthesia. First made e. წ. Implant pocket, fitting is done and then final installation. If the contents are saline, first a silicone membrane is placed and then the implant is filled with fluid.
Drainages are then inserted to remove blood and other fluid contents from the surgical site and a special compression garment is placed to hold the breast in the desired position.
Lipofilling
If a minor correction of the décolleté area is needed, then breast augmentation is possible without implants. This is lipofilling. A certain amount of fat is taken from the developed fatty tissue sites, filtered and injected into the chest area. On the one hand, this method combines 2 surgeries for figure formation simultaneously: liposuction and mammoplasty, so it may be most suitable for some patients. On the other hand, after a while the fat will be absorbed and the procedure will need to be repeated.
It can also be used in conjunction with augmentation mammoplasty if it is necessary to straighten the area of the implant site.
Living with a new breast
After discharge from the clinic (usually the next day) bandages are made, scars are sealed with plaster, and painkillers are applied if necessary. The stitches will be removed after a week.
Patients wear compression underwear for at least one to two months and can only sleep on their backs during this time. Heavy physical activity up to 3 months, thermal procedures, swimming pool are contraindicated.
The final result of the operation can be evaluated only after six months. Modern implants allow you to live a full life without hesitation. The only thing you have to part with is jumping from a height. It is best to plan your pregnancy no earlier than one year after surgery. You also need to control the weight and condition of the skin. Sudden fluctuations in body weight can lead to breast reduction.
Otherwise, you can enjoy a beautiful bust and the attention of the opposite sex. Now your own body is improving without harming your health.
So weigh the pros and cons, consult an experienced specialist and boldly go for your dream.