Breast enlargement with implants

The aesthetic result of the breast plastic amplifier depends on many factors.The choice of implantation pockets and the method of implant installation is of great importance.After mammoplasty, the aesthetics of the bust are affected by the patient's individual initial data, including the shape of the chest and mammary glands, the skin condition, the thickness of the subcutaneous fat layer.These and other anatomical properties are provided when choosing endoprosthesis profile, base width, size and shape.An important criterion for successful surgery is to achieve a stable result that delights a woman for many years.

The publication discusses the main pathways of the mammary gland - types of surgical access, anatomical pockets for implants, the pros and cons of various methods of mammoplasty.You will find out how to recover properly after surgery, what is possible and what can not be done during the rehabilitation period.

Instructions on breast enlargement with implants

Surgery to enlarge the breast is performed in accordance with aesthetic instructions.The main indication of Augmentation mammoplasty is to improve the patient's aesthetics by modeling its size and shape.During surgery, due to deformity of the breast-arbitral complex (stretching of arola, changing shape) and omitting the glands after feeding or age-related changes, it can also be eliminated.

The reason for the referral to a plastic surgeon may be the following problems:

• Deterioration of the aesthetics of the chest glands after pregnancy and breastfeeding.
• Changing bust form as a result of investment (aging) processes.
• Congenital hypoplasia of mammary glands or ammonia.
• Asymmetry, both congenital and acquired by nature.
• Tubular breasts.
• Mastoptosis with signs of hypotrophy of the mammary glands.
• A woman's resentment in the shape or size of a bust.

The breast enlargement with implants is also performed by patients who have undergone radical surgeries on the mammary glands as part of the treatment of malignant neoplasms.Reconstructive amplifier mammoplasty allows you to re -create natural and aesthetically appealing breasts without increasing the risk of developing tumor processes.

What individual characteristics are obtained before surgery?

Surgical adjustment tactics are determined by the individual characteristics of the patient.Yes, there is always the opportunity to install a large implant, but always such a step will lead to the desired result - outwardly natural and harmonious.

The following factors are influenced by the shape, profile and size of endoprosthesis, as well as the choice of implantation pockets and the method of installing implant

• A woman's age.
• Initial shape and size of mammary glands.
• Chest height and width.
• Subcutaneous fat gravity.
• Elasticity of the mammalian gland integration tissues.
• Width of the interrogation interval.
• Presence of bust ptosis (prolapse).

Augmentation mammoplasty tactics also affect whether a woman intends to give birth in the future, for childbirth and breastfeeding.When choosing an access, the need for a nipple-arolar complex is also taken into account, which may be needed to achieve an optimal aesthetic result.

Methods for installing implants

Depending on the above individual characteristics of anatomy and other factors, the plastic surgeon chooses one of the three (types of surgical admission) one:

• Arolar (breast enlargement "through arola").
• Subamaric.
• Acillary.

Below are the characteristics, pros and cons of each method of mammoplasty characteristics.

Acquinous access

With non -follicle, or pererolar assembly, the plastic surgeon puts implants through the wound that passes along the periphery of the pigment zone.The main advantage of such surgical access is the invisible scars.The scar is located on the border of light and dark skin and therefore it is quite difficult to feel.

In the periarchal method of increasing the chest glands, there are other advantages other than the minimum severity of operating scar:

1. During surgery it is possible to carry out the plasticism of the artery-arbitration complex.In some cases, it is difficult to achieve the optimal aesthetics of the bust without correcting the size and shape of the SAK, and this advantage of periarelar access can play a crucial role.
2. Perialarial assembly eliminates the risk of damage to the nerve fibers that passes through the load flow over the sak.Because of this advantage, the mammo -mammo -area area allows you to completely maintain the sensitivity of the breast and arola.
3. With the increase in bust, you can fix the initial stage of mastotosis.

Despite the advantages of access to the perarillar listed above, the technique may not recommend all women.In particular, this method of installing implants is not recommended for girls who are going to give birth to children and breastfeed.This is explained by the fact that during surgery there is a risk of milk duct damage that will affect lactation function.

Periaiariolar access does not provide a complete review of all implant pockets, which restricts the size of the implant.This method is well suited for patients who want to place small endoprosthesis and slightly increase their chest.In a situation where a woman wants to add 2-3 sizes to the breast glands, it is advisable to use subordinate or axillary access.

Submamular access

With submammar access, endoprosthesis is installed through horizontal wounds that pass under the chest gland.Postoperative scars are significantly expressed when using this method of installing implants, but they are hidden in the skin.The scars appear to be lying and standing in a position, they are covered with a lower pole of the chest.

The main advantage of submaring access is a very good review of the operating field.For a plastic surgeon, this is the simplest type of mammoplasty, as there is complete access to all implants pockets and it is easy to place absolutely symmetrical implants.Thanks to this feature, large endoprosthesis can be installed.

Another advantage of submemic methodology in order to increase the bust is the lack of risk of milk duct damage.After surgery, lactation function is maintained, allowing you to recommend this method for patients planning pregnancy and breastfeeding in the future.

The submamant method of installing implants does not lack imperfections.For many patients with plastic surgeons, the main disadvantage of the methodology in a pronounced and sufficiently enlarged scar that passes under the chest.The disadvantage is the risk of damage to the nerves of SAK.If the nerve breaks down during surgery, the sensitivity of the chin and arola will be disturbed.

The use of lower access does not allow simultaneously to be enhanced with mammoplasty, with one wound on plastic surgery.In addition, women who have the initial signs of bust (mastotosis) often go to the help of a plastic surgeon.If the peripheral access allows you to eliminate age -related manifestations, then using submammar access, it is not possible to correct mastoptosis simultaneously with the chest expansion.

Accessilar access

With axillary assumption, breast enhancer is performed through wounds in the axillary fossa.The main advantage of the methodology is that the scars pass through the mammary glands and do not affect their aesthetic perception.On the other hand, the scars are noticeable and this can become a problem if the woman wears open clothing.For example, the scars are clearly visible in the sport, especially in the body, which is raised.

Nevertheless, this is an accessillary access, which is considered a "gold standard" in amplifier mammoplasty.The operation is under the control of fiber -optic equipment (endoscope), which allows a plastic surgeon to access all implant pockets.There is no risk of injury to nerve branches.There is no risk of dissection of milk ducts, which allows us to advise this method of installing pregnancy planning girls implants.There are no restrictions in terms of endoprosthesis - Axillar access type allows you to place any volume, shape and profile implant.

The disadvantage of the breast enhancer is that the plastic surgeon is not able to correct the results of mammary glands or to perform the wrinkle-animal complex.For this reason, axillary access is mainly used for a bust size model when there are no accompanying aesthetic problems that require surgical adjustment.

Surgical access selection criteria

In clinical practice, plastic surgeons use several criteria to choose surgical access to enhance the chest.One of the main criteria is the woman's age and her subsequent plans for pregnancy.If the patient is planning to give birth to children, it is advisable to abandon the periarelar.Access or submaring of Axylar is desirable.

If a woman is not going to give birth, you can use any type of surgical access before discussing.In situations where, in order to improve the aesthetics of the bust, it is necessary to perform arola plastic, it is desirable to have periereariolary access.The same method of installing implants is better suited for patients who have the initial signs of mastotosis.

Patients who want to increase the bust to several sizes, a plastic surgeon may recommend a submamamamor or axillar method.The optimal choice in this situation is the growth of the chest glands through the axillary fossa, with the aesthetic desires of the woman in mind.If it expresses the desire to hide the scar under the natural folds under the chest, the lower is chosen.

Choosing a pocket for installing an implant

The following aspect of increasing mammoplasty is associated with the choice of anatomical region in which implants will be installed.

Implantation pocket can be placed:

• Under the mammalian gland (subtangular placement);
• Under muscular muscles (subcular location);
• Partially under the gland, partially under muscle (combined version).

Subangular placement.The implant is mounted under the anatomical space under the gland.The most superficial pocket is separated from the surface of the body with only cover tissues and mammary glands, and because of this characteristic, it is not recommended to use it if it is necessary to increase the chest to several sizes.Great endoprosthesis can be determined visually.In addition, the risk of developing a step deformation increases - an aesthetic complication in which a kind of "step" at the upper edge of the implant is produced.

With sub -endoprosthesis placement, the risk of developing other aesthetic complications, in particular, the appearance of deformation of the integrative tissue above the chest gland in the form of "waves" or "mountain ash".With the development of a capsular contracture, the deterioration of bust aesthetics is also more pronounced with the superficial placement of the implant.

Another feature of this type of layout is that endoprosthesis and mammary glands support only cuper bonds - connective tissue structures whose elasticity decreases with age.For this reason, with the subtangular installation of the implant, the risk of developing mastotosis is increased, especially in large breast women.

Subuscular placement.Implant placement under the large chest muscle avoids the problems characteristic of the subangular location.The risk of less capsular contracture and the appearance of skin deformation above the chest in the form of "Rowan" and "waves".Endoprosthesis is safely fixed to the muscles and does not increase the likelihood of developing mastotosis.

But the implant under the muscles has the opposite side.

First, in girls who are actively involved in sports, the risk of rotation or movement of the implant increases.If trendy implants have been used to enhance the chest glands, rotation (hand) can cause breast deformity, which can only be corrected during recurrent surgery.

Secondly, with a subjective layout, the degree of tissue damage during surgery increases.Because of this, healing occurs slowly and the rehabilitation period goes on to wear compression underwear and follow all the restrictions longer.

Combined placement.The best option is a combined placement in which the upper endoprosthesis segment is under muscle, and the lower poles are located under the gland.This agreement excludes the risk of step deformation.The risk of turning and moving the implant, the development of a capsular contracture and other aesthetic complications.Healing is faster, the rehabilitation period is reduced.

Types of implants

Breast enlargement is carried out by implants by leading world producers.Medical silicone endoprosthesis were made with high quality and varying degrees of density.Silicone is covered with an elastomeric membrane, which eliminates the likelihood of gel diffusion.The outer capsule is represented by a porous membrane, the special texture of which promotes the integration of the implant into the living tissues and its reliable fixation.Due to the porous membrane, the risk of contracture of the fiber capsule decreases.

Each manufacturer's line represents several hundred types of implants that differ in the following characteristics:

1. Form: The implant can be anatomical (drip) or round.
2. Base width: Horizontal size of the lower poles of endoprosthesis.
3. Profile: Endoprosthesis height.
4. Size: Volume.

The choice of implant is determined by both the desires and the patient's initial data - the individual characteristics of the structure of the chest and mammary glands.For example, the gap of expressed intertillis girls are better suited for low -level anatomical implants that have a wide base.Women who want to focus on the necklace are more suitable for round full production implants, which visually enhances the upper pole of the mammal gland.

Preparation of mammary gland with implants

To enlarge plastic surgery, breast enlargement can be divided into two stages - diagnostic and aesthetic.The purpose of the aesthetic stage of preparation is to choose the perfect implant and the solution of surgical intervention tactics.Based on the results of computer modeling and analysis of the patient's initial data, the surgeon chooses the method of installing endoprosthesis and anatomical pocket for its placement.

The purpose of the diagnostic stage is to reduce operative and anesthesiological risks, as well as to eliminate contraindications to surgery.Each woman, before increasing the mammary glands, undergoes a comprehensive diagnosis, including an enlarged list of instrumental and laboratory methods.The mammography is really prescribed in the consultation of a gynecologist and mammologist.

A few weeks before increasing mammoplasty, a woman should stop taking certain medications, in particular contraceptive hormonal medications and anticoagulants.It is necessary to abandon analgesic and analgesics from the unwanted group as they slow down blood coagulation.It is also necessary to stop alcohol and refuse smoking, as ethanol and nicotine slow down regenerative processes and adversely affect the rate of recovery after mammoplasty.

Rehabilitation after mammoplasty

Early surgery is accompanied by typical symptoms for any surgery - swelling, pain and hematomas in the area of surgical wound, fever, general distress.These symptoms are the normal reaction of the body to respond to tissue integrity.Preparations prescribed by a plastic surgeon -anti -anti -displacement, painkillers will help solve the difficulties of this period.For the prevention of infectious complications, your doctor will prescribe a short course of antibiotics.

The specifics of the rehabilitation period after mammoplasty is that it is necessary to constantly wear a compression bust.Elastic linen is sewn even before surgery.You have to wear it constantly, you can remove it only for some time with hygiene procedures.As for the hygiene of the body, after the first 7-10 days of the chest glands, it should be confined to wet wipes, you will not get a shower.

After surgery you can only sleep on the back.From 10-14 days it is permissible to sleep on the page, but it is still impossible to turn on the stomach.You can't play dance or sports.Prohibition of physical activity, including the family, is valid for 4 weeks;Power loads and some types of cardio training are contraindicated for 3 months (or before a special plastic surgeon resolution).

During the recovery period, you can not have a sun bath in direct sunlight or solarium.You can't go to a sauna or a bath, take hot baths at home.Alcohol and smoking are contraindicated.Compression linen is allowed to remove from the second month, but during the year you have to wear a bra with wide stripes and a wide belt that supports the chest.