The history of mammoplasty (breast augmentation) dates back to the 19th century. As soon as women began to remove corsets, there were attempts to somehow influence the shape and size of the mammary glands.
First, liquid paraffin was injected into the tissues, then they tried to enlarge the breasts using the most incredible materials: glass balls, ivory, cartilage, wool. The consequences of such experiments had nothing to do with health and beauty. It should be noted that the surgeon who tried to enlarge the breast with the help of the patient's fat came closest to solving the problem. Later, this idea will be developed. But then the result was not fixed, as the fatty tissue was absorbed rather quickly.
In the second half of the 20th century, the invention of silicone gave a new impetus to plastic surgery. The liquid silicone gel was injected directly into the breast area. The complications of these operations were not long in coming: inflammation, granulation, neoplasms. Often, women have had to agree to complete breast removal to save their lives.
In 1961-1964, the predecessors of modern implants were developed, which were silicone bags filled with a specific gel or saline solution. They began to be placed under the gland or under the muscle. However, reports that their use can cause cancer have temporarily postponed their triumphant march. In 2006 the plants were rehabilitated.
Stars and plastic
Now it is no longer accepted to hide the fact that women resort to the services of plastic surgeons and improve their appearance. Some stars don't even bother creating an additional news feed to remember themselves. Among those who have decided to increase their breasts with implants and have not regretted it are Kate Hudson, Jennifer Lopez, Christina Aguilera.
Should you be afraid?
Of course, any surgery at the beginning worries us. For those who are afraid of surgery, but want to increase breast size, they offer all kinds of miracle creams, ointments containing phytoestrogens, hormone therapy, special physical exercises and injectable preparations (fillers). It must be understood that such procedures will not give the desired result. In short, creams and ointments simply cannot penetrate biological barriers, and the concentration of active substances in them is small; exercise can increase the pectoral muscle, but not the size of the gland, and hyaluronic acid-based fillers act only on the skin and subcutaneous layers, and therefore only at a young age.
If you have really decided that breast augmentation will help you not only look but feel much better, find a clinic and plastic surgeon you can trust. Believe me, the specialist will not convince you to have an operation if there is no need. They will listen to you, examine you, select the optimal shape and size of your breasts, and use computer modeling to show you what your figure will look like after breast surgery. In addition, they will warn of the consequences, contraindications and possible complications so that you can consciously make a final decision.
When breast augmentation is justified
The main reasons for breast augmentation include:
- Inconsistency of the shape and size of the mammary gland with the figure and constitution of a woman (very small or flat).
- Fall and loss of shape after feeding.
- Visible asymmetry.
However, often the indication for mammoplasty is one thing - a woman's desire to increase the size and improve the shape of her breasts.
A specialist may refuse an operation if:
- Less than 1 year has passed since the end of lactation.
- There are changes in the gland in the form of mastopathy or a tumor is found.
- There are severe chronic diseases, including blood clotting disorders or pathologies of the endocrine system.
- Inflammatory and infectious processes are active in the body.
Implant and surgical options
In order for enlarged breasts to look as natural as possible and patients do not care if plastic is noticeable, various versions of silicone implants and methods for their installation have been developed.
The requirements for modern implants (endoprostheses) are quite strict. They should be highly resistant, if possible, have an anatomical shape and not cause serious complications (capsule formation, rejection, displacement).
Depending on the characteristics of the figure, skin condition, individual preferences, the doctor can offer a choice of silicone implants, which differ in:
- Shape: round or drop.
- Sizes: from 150 to 850 ml.
- Filling: special gel or physiological (saline) solution.
- Surface type: smooth or rough (less subject to displacement).
Variations in the position of the endoprosthesis are also possible:
- Under the mammary gland (subglandular) - in the presence of its own sufficiently voluminous tissue of the gland and the preserved elasticity of the skin, otherwise it will be strongly noticeable.
- Under the fascia (subfascial) - in a pocket from the muscular shell, which consists of connective tissue.
- Under the pectoral (submuscular) muscle - more traumatic, since the muscle must be partially cut from the ribs.
- Combined location - partly under the gland and under the muscle, the most reliable and least noticeable fixation.
In addition to the method of installation, the type of access is selected, that is, the place where the surgical incision will be:
- in the fold under the gland the most anatomical and fastest healing, but not always possible;
- around the areola (nipple) is used in those women who have already breastfed and need correction of the areola-nipple complex;
- under the arm is not the most convenient option and is quite traumatic.
How is the breast augmentation surgery with prosthesis (breast augmentation)
Before the surgery, the patient must undergo an examination, which includes blood and urine tests, clinical and biochemical tests, tests for coagulation, HIV and syphilis, ECG, fluorography and mammography. Only after the operation is scheduled. Two weeks before the operation, blood thinners are canceled, smoking and alcohol are prohibited, as they have a negative effect on wound healing. Before surgery, 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, the so-called implant pocket is prepared, the fitting is carried out and then the final installation. If the filling is saline, the silicone sheath is inserted first and then the implant is filled with liquid.
Subsequently, drains are introduced to drain blood and other liquid contents from the operating area and a special compression garment is put on, securing the breasts in the desired position.
lipofilling
If you need a slight correction of the décolleté area, breast augmentation is possible without installing implants. This is lipofilling. A certain amount of fat is taken from places with developed fatty tissue, filtered and injected into the chest area. On the one hand, this method combines 2 surgeries to shape the figure at the same time: liposuction and mammoplasty, so it may be more suitable for some patients. On the other hand, after a while the fat is absorbed and the procedure will have to be repeated.
It can also be used in conjunction with breast augmentation, if the area of the implant location needs to be smoothed.
Living with a new breast
After discharge from the clinic (usually on the second day), dressings are performed, scars are sealed with a plaster and, if necessary, painkillers are given. The stitches are removed after a week.
Patients wear compression underwear for at least one to two months and can only sleep on their back at this time. Up to 3 months of heavy physical activity, spa procedures, swimming pool are contraindicated.
The final result of the operation can only be assessed after six months. Modern plants allow you to live a full life without hesitation. The only thing you need to part with is jumping from a height. It is best to plan a pregnancy no earlier than a year after the operation. It is also necessary to monitor the weight and condition of the skin. Sudden fluctuations in body weight can lead to sagging breasts.
Otherwise, you can enjoy a nice bust and the attention of the opposite sex. Now the improvement of one's body occurs without harm to health.
So weigh the pros and cons, consult an experienced specialist and boldly go to your dream.