Beautiful, elastic, attractively shaped breasts - isn't that what every woman dreams of?Plastic breast augmentation is often associated with an enormous size and an unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to enlarge the breast by several sizes - for example, from 1 to 3.Modern implants and surgical technologies make possible the most natural breast appearance, avoiding complications and giving women confidence.
Breast augmentation (enlargement) surgery is called augmentation mammoplasty.It is performed under general anesthesia using implants of various 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 breast-areolar complex.
Which implants are better to choose?
Implants are of different shapes: anatomical and round.The first ones, due to the teardrop shape, create soft and natural contours of the breast.Breasts look very natural.Round implants give the breast a visually larger size and make it appear lifted (push-up).With them, the contour of the upper throat becomes higher.
Breast implant profile types also vary from low to extra high.The surface of silicone implants can be smooth or textured.
Your doctor can help you choose implants.He has extensive experience in mammoplasty, the surgeon will recommend several manufacturers and also explain which implant shape will look best in your case.
During the consultation, you will be able to try on implant models - sizers, to imagine what shape 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 includes:
- 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 results of lipofilling remain permanent if you avoid drastic weight loss.
The cosmetic method of 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 surgery and the effect lasts up to 2 years on average.
The shape of the glands can be corrected using a thread lifter.The procedure will not increase the breast, but it will give it a beautiful shape.
Advantages of mammoplasty:
- Beautiful breast 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 the access options (axial, subdivision, 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 sizers (models of prostheses used to select implants) allows you to estimate 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 augmentation has been confirmed by clinical studies: they do not affect the general condition of the body, are not dangerous in case of membrane damage (silicone gel with its dense structure does not penetrate into the surrounding tissues), do not interfere with the preventive examination of the mammary glands and do not limit the possibility of breastfeeding in the future.
- Breast enlargement by several sizes.If breast augmentation using your own fatty tissue (lipofilling) allows you to adjust the volume only within a relatively small range (1-1.5 sizes), then with the help of mammoplasty you can achieve an impressive effect in one operation.After getting the desired volume, you can be sure that it will not change over time.
- Security and confidence in the result.The result of enlargement (breast augmentation) depends on the professionalism of the surgeon, so breast augmentation should be performed in a specialized clinic by highly experienced doctors.
Methods of breast augmentation surgery
The implant can be placed:
- under the gland;
- under the muscle.
Placing implants under the gland reduces the rehabilitation period.Recovery is less painful.But this method is fraught with further 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 are planning to have children, implants are placed just under the muscle.
Possible access:
- mammary gland (incision under the breast);
- periareolar (area around the nipple-areolar complex);
- Axillary (incision in the side of the arm).
Underwater access– The most preferred method in terms of controlled recovery.It is used for breast surgery if the patient plans to have a baby and breastfeed.Even very large implants can be easily placed through this access.Post-surgery scars will be hidden in the folds under the breast.
Periareolar accessIt is good when breast lift and augmentation are done at the same time.This type of access allows you to change the shape of the nipple-areolar complex.If the areola is small, it will not be possible to place a large implant.Scars in a periareolar approach follow the contour of the areola.Over time, they become almost invisible to the naked eye.This type of admission is not recommended for nulliparous girls, as the milk ducts may be damaged during the operation.
axillary accessGood for placing small implants.But such anatomical implants cannot be installed, only round ones.Scars in this case will be located in the arm area.
Photos before and after breast augmentation with implants are at the bottom of the page.
Types of breast augmentation implants
For breast augmentation, silicone implants of different sizes (1 size equals 120 ml) and shapes are used: round or teardrop (anatomical).
- Mammoplasty surgery creates voluminous, lifted breasts with regular rounded contours by placing round implants.In nature, this shape of the mammary glands ("apple") is quite rare, so after breast augmentation the breast may look less natural than with 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 the mammary glands: they look like a cone.With them, the breast acquires a fuller lower pole with a smooth landing on it, which is characteristic of a natural bust.Sometimes only the use of implants of different volume allows to correct the existing asymmetry.
In different cases, the surgeon may recommend smooth or textured surface implants.
- Smooth round models are suitable for installation with an axillary (transaxillary) approach.
- Anatomically shaped models with a textured surface are often chosen for breast augmentation with access under the mammary gland (underbreast), which allows you to achieve a beautiful natural result.
Breast augmentation indications
- Unsatisfactory breast size;
- breast asymmetry;
- ptosis due to breastfeeding/sudden weight loss;
- excess adipose tissue;
- excess glandular tissue;
- Unsatisfactory breast shape.
Plastic surgery using implants is indicated for reconstructive breast correction - after removal of tumors or complete mastectomy.Thus, the operation is not only aesthetic in nature.It can also be done for medical reasons.
Contraindications of breast mammoplasty
- early age (under 18);
- 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 the preoperative tests are unsatisfactory, the operation is postponed to a later date or canceled.
You should stop taking blood thinners and hormonal medications two weeks before surgery.
How is the breast augmentation procedure performed?
- The patient is talking to the surgeon.Preoperative signs are used.This will be 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/armpits/nipple area.Through the incision, the implant is placed under the gland or muscle.During the consultation, the position of the implant is discussed beforehand.
- Then drains are placed and sutures are placed.
- After recovery from anesthesia, the patient remains in the hospital for 24 hours after the operation, as patients require round-the-clock monitoring.
What investigations should be done before the test procedure?
If your doctor is planning a cosmetic correction under local anesthesia, you should pass some 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
- Hepatitis B, Hepatitis C, HIV, Syphilis tests
Blood group test (Rh)
- ECG (electrocardiography)
- Fluorography
- General urine test
- Examination by a mammologist, including breast ultrasound or mammography
- The therapist's opinion 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 breast augmentation complications.
Rehabilitation period
After the operation, you stay in the hospital under the supervision of the 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 normal.Swelling and pain usually subside within 10-14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until then, you should take the medicines prescribed by the doctor.In the first days after plastic surgery, you need 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, it is not recommended to eat food that causes allergies.The doctor will provide you with their list during the consultation.Allergy is dangerous due to increased swelling and, as a result, pain.
What not to do during recovery?
- Overload yourself physically and emotionally;
- go to the sauna, swimming pool, gym;
- sunbathing;
- sleep on your side;
- raise your hands up;
- Touch and massage the bust.
You should wear a compression garment for a month.For the next two months, it's best to wear a wireless sports bra.3 months after mammoplasty, you can update your linen wardrobe.
The doctor will prescribe an examination plan.It is important to follow it to avoid side effects.
Possible complications
If the doctor's recommendations are not followed, the implant may be displaced and inflammatory processes may develop.We leave the drainage in place for a controlled result.This reduces the risk of postoperative complications.
In the later period, there is a risk of constrictive fibrosis - the formation of a dense capsule around the implant.Implant manufacturers indicate a possible percentage risk of capsular contracture.We work with implants with minimal risk of connective tissue growth around them.
Sometimes the mammary glands cannot completely cover the contours of the implant due to their small size.In this case, lipofilling can be performed to disguise the implant and give the breast a natural appearance.
The implant may rupture due to trauma.In case of rupture, an operation is performed to remove it and replace it with a new one.
When should you see a surgeon?
- the breast 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 with complaints of capsular contracture after operations in other clinics.Then a repeat mammoplasty is performed with implant replacement and removal of fibrous tissue.
Constrictive fibrosis develops 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 your health - physical and mental.Take your time and make an informed decision.
Price of breast augmentation
The price of breast augmentation varies in different clinics.It is formed from many factors:
- Competence of the surgeon
- plastic method
- Cost of implants
- The volume of consumables
- Duration of anesthesia
- Length of hospital stay