The aesthetic result of the increase in plastic breast depends on many factors.Of great importance is the choice of the system pockets and the system of installation of the system.The aesthetic of the bust after mammoplasty is influenced by the individual initial data of the patient, including the shape of the chest and the mammary glands, the condition of the skin, the thickness of the undercutaneous fat layer.These and other anatomical characteristics are taken into consideration when choosing a profile, basic width, size and shape of the endoprotesis.An important criterion for a successful operation is to obtain a stable result that will delight a woman for many years.
The publication discusses the main ways of increasing breast: types of surgical access, types of anatomical pockets for the installation of systems, advantages and disadvantages of various mammoplastic methods.You will learn how to recover correctly after the operation, what is possible and what cannot be done during the rehabilitation period.
Indications for breast enlargement with the plants
The operation to enlarge the breast with the systems is carried out according to the aesthetic indications.The main indication for the increase mammoplasty is the patient's desire to improve the aesthetics of the breast by increasing its size and modeling the shape.During the operation, the deficiencies due to the deformation of the arelasty complex of the nipple (lengthening of the area, change in form) and omission of the glands after feeding the child or due to age -related changes can also be eliminated.
The reason for the appeal to the plastic surgeon could be the following problems:
- Deterioration of the aesthetics of the thoracic glands after pregnancy and breastfeeding.
- Modification of the shape of the bust following involved processes (aging).
- Congenital hypoplasia of the mammary glands or amastia.
- Asymmetry, both innate and acquired nature.
- Tubular breasts.
- Mastoptosis with signs of hypotrophy of the mammary glands.
- Dissatisfaction of the woman for the shape or size of a bust.
The enlargement of the breast with the plants is also carried out by patients undergoing radical operations on the mammary glands as part of the treatment of malignant neoplasms.Mammoplasty reconstructive increase allows you to recreate natural and aesthetically attractive breast without increasing the risk of developing tumor processes.
What individual characteristics are taken into consideration before the operation?
The tactics of the surgical correction are determined by the individual characteristics of the patient.Yes, there is always the opportunity to put a large system, but far from always being such a step will lead to the desired result: a natural and harmonious change in appearance.
The following factors are influenced by the choice of the shape, profile and size of the endoprothese, as well as the choice of the system pockets and by the system of installation of the system
- The age of the woman.
- The form and initial dimensions of the mammary glands.
- The height and width of the chest.
- The severity of subcutaneous fat.
- The elasticity of the tagged tissues of the mammary glands.
- The width of the interval interval.
- The presence of signs of ptosis (prolapse) of the bust.
The tactic of increased mammoplasty also affects if a woman plans to give birth in the future to give birth and breastfeeding.When choosing access, the need in plastic of the capezzolo-rail complex is also taken into consideration, which may be necessary to obtain the optimal aesthetic result.
Methods for installation of systems
Taking into account the individual characteristics above the anatomy and other factors, a plastic surgeon chooses one of the three ways of surgical access) of the increase in the breast:
- Areolar (breast magnification "through Areola").
- Underwater.
- Axillary.
Below are the characteristics, the pros and cons of each method of Mammoplasty increase in detail.
Areolar access
With an areolar, or pearly, access, the plastic surgeon sets the plants through the engraving, which passes along the outskirts of the pigmented area of the Areola.The main advantage of this surgical access is the invisibility of scars.The scar is located on the edge of the skin of light and dark, and therefore it is quite difficult to notice.
In the perialation method of increasing the thoracic glands, there are other advantages, in addition to the minimum severity of the postoperative scar:
- During the operation, it is possible to carry out the plasticism of the Capezzolo Erele Complex.In some cases, it is difficult to obtain the optimal aesthetic of a bust without correcting the size and shape of the SAK, and this advantage of perialalar access can play a decisive role.
- Perinyular access eliminates the risk of damage to the relative (sensitive) nerve fibers, which move on to the SAK in the area of the load fold.Because of this advantage, the Mammoplasty area allows you to completely maintain the sensitivity of the nipple and the Areola.
- At the same time as the increase in the bust, it is possible to correct the initial phase of mastoptosis.
Despite the advantages of periarato access listed above, the technique cannot be recommended to all women.In particular, this method of installing systems is not recommended for girls who intend to give birth to children and breastfeeding them.This is explained by the fact that during the operation there is a risk of damage to milk ducts, which will influence the lactation function.
Periaeyolar Access does not allow a complete overview of all the pockets of the system, which requires restrictions on the size of the system.This method is suitable for those patients who want to put a small endoprotesis and slightly increase the chest.In a situation in which a woman wants to add 2-3 dimensions to the breast glands, it is preferable to use submammic or axillary access.
Underwater access
With access to the submarine, the installation of endoprotesis is carried out through horizontal engravings, which pass under the thoracic gland in a natural fold of the skin.Postoperative scars when using this method of installation of systems are significantly expressed, but are hidden in the fold of the skin.The scars are visible in the position of lying down and in the standing position, are covered by the lower pole of the thoracic gland.
The main advantage of underwater access is an excellent overview of the operational field.For a plastic surgeon, this is the simplest type of mammoplasty, since there is a complete access to all the system pockets and it is easy to obtain an absolutely symmetrical positioning of the systems.Thanks to this function, it is possible to install large endProposed.
Another advantage of the underwater methodology to increase the torso is the lack of risk of damage to milk ducts.After the operation, the lactation function is preserved, which allows you to recommend this method for patients who plan in future pregnancy and breastfeeding of the child.
The underworld system of installation of systems is not lacking.For many patients of plastic surgeons, the main less than the methodology in a pronounced and sufficiently extended scar, which passes through a fold under the chest.The disadvantage is the risk of damage to the relative nerves that innervate the Sak.If during the operation the nerve is disseminated, the sensitivity of the nipple and the areola will be disturbed.
The use of submammary access does not simultaneously allow mammoplasty to increase plastic surgery through an incision.In addition, women who have the initial signs of a bust (mastoptosis) often turn to the help of a plastic surgeon.If periarere access allows you to eliminate age -related manifestations, so when using access to the submammario, it is impossible to correct mastoptosis simultaneously with the chest enlargement.
Axillary access
With axillary access, the increase in breast is made through the cuts, which are found in the axillary pit.The key advantage of the methodology is that the scars pass by the mammary glands and do not affect their aesthetic perception.On the other hand, the scars are evident and this can become a problem if a woman wears open clothes.For example, the scars can be clearly visible during sport, especially in a position of the body with the raised hands.
However, it is the Axellar access that is considered the "Gold Standard" in the Mammoplasty of increase.The operation is performed under the control of the fiber equipment (endoscope), which allows a plastic surgeon to access all the system pockets.There is no risk of damage to nerve trunks.There is no risk of dissection of milk ducts, which allows us to recommend this method of installation of systems to girls who plan pregnancy.There are no restrictions in terms of endoprotesis: the type of axillary access allows to put the plants of any volume, shape and profile.
The disadvantages of the axillary method of increasing breast are that the plastic surgeon has no way to correct the consequences of the omission of the mammary glands or to perform the plastic of the nipple anteral complex.For this reason, axillary access is mainly used to model the size of the bust, when there are no concomitant aesthetic problems that require surgical correction.
Surgical access selection criteria
In clinical practice, plastic surgeons use several criteria for choosing surgical access to increase thoracic glands.One of the main criteria is the age of the woman and its further plans regarding pregnancy.If the patient plans to give birth to children, it is advisable to refuse access for Airelar.Axillary access or underworld access is preferable.
If a woman does not involve giving birth, one of the types of surgical access previously considered can be used.In situations in which, in order to improve the aesthetic of the bust, at the same time as its increase, it is necessary to perform plastic of the Areola, Periaeyolar access is preferable.The same method of installation of systems is more suitable for patients with initial mastoptosis signs.
Patients who want to increase the bust of different sizes, a plastic surgeon may recommend an underwater or axillar method.The optimal choice in this situation is an increase in the chest glands through the axillary pit, however, the woman's aesthetic desires are also taken into consideration.If it expresses the desire to hide the scar in a natural fold under the chest, access to the submarine is selected.
Choose a pocket for installation of systems
The next aspect of the increase in mammoplasty is associated with the choice of the anatomical region in which the plants will be installed.
The system pocket can be identified:
- under the mammary gland (subgandy positioning);
- under the bib muscle (subhemisculate position);
- Partially under the gland, partially under the muscle (combined version).
Subgandy positioning.The system is installed in the anatomical space under the gland.The most superficial pocket is separated from the body's surface only with roof fabrics and mammary glands and, due to this function, it is not recommended to be used if it is necessary to increase the chest of different sizes.A great endoprotesis can be visually determined.In addition, the risk of developing the deformation of the phases increases: aesthetic complication increases, in which a sort of "step" is formed above the upper edge of the system.
With the subgandy positioning of the endoprothesis, the risk of developing other complications of aesthetic nature, in particular, the aspect of the deformation of the pan -tissue on the thoracic gland in the form of "waves" or "mountain ash".With the development of capsular contracture, the deterioration of the aesthetics of the bust is also more pronounced with the surface positioning of the system.
Another feature of this type of positioning is that the endoprotesis and the mammary glands are supported only by Cuper bonds: the structures of the connective tissue, whose elasticity decreases with age.For this reason, with a subganduct installation of the system, the risk of developing mastoptosis increases, especially in women with initially large breasts.
Submuscular positioning.The positioning of the system under a large thoracic muscle avoids the characteristic problems of a subgandy position.Less the risk of capsular contracture and the aspect of the skin deformation above the chest in the form of "Rowan" and "Waves".Endoprothesis is securely fixed with muscles and does not increase the probability of developing mastoptosis.
But the positioning of the system under the muscle has the opposite side.
First, in girls who are actively involved in sport, the risk of rotation or movement of the systems increases.If, to increase the thoracic glands, trendy systems have been used, the rotation (turned) can lead to the deformation of the breast, which can only be corrected during a repeated operation.
Secondly, with underwater positioning, the degree of tissue injury during surgery increases.For this reason, healing becomes slower and the rehabilitation period is elongated to wear compression underwear and follow all restrictions for a longer time.
Combined positioning.The best option is the combined positioning, in which the upper endoprotesis segment is under the muscle and the lower pole is under the gland.With this provision, the risk of deformation of the step is excluded.Under the risk of turning point and movement of the system, the development of capsular contracture and other aesthetic complications.Healing is faster, the rehabilitation period is reduced.
Types of systems
The widening of the breast is carried out by plants of the main world producers.Endoprotes with medical silicone with a high degree of cohesion were made and various degrees of density were made.The silicon is covered by an elastomeric shell, which eliminates the probability of spreading the gel.The external capsule is represented by a porous shell, whose special plot contributes to the integration of the system into the living tissues and its reliable fixation.Due to the porous membrane, the risk of fibrous capsule contracture is reduced.
The line of each manufacturer has several hundred types of plants that differ in the following characteristics:
- Shape: a system can be anatomical (fall -shaped) or round.
- Basic width: horizontal size of the lower pole of the endoprotesis.
- Profile: height of the endoprotesis.
- Dimension: Volume.
The choice of the plant is determined by desires, as well as by the initial data of the patient: individual characteristics of the chest structure and the mammary glands.For example, girls with an inter -thilet gap pronounced are more suitable for low -profile anatomical systems with a wide base.Women who want to move accents to the neckline are more suitable for full -profile round systems, which visually increase the upper pole of the breast gland.
Preparation for the increase in breast with the plants
The preparation for enlarged plastic surgery can be divided into two phases: diagnostics and aesthetic.The purpose of the aesthetic phase of the preparation is to choose the perfect system and decide the tactics of the surgical intervention.On the basis of the results of the modeling of the computer and the analysis of the patient's initial data, the surgeon selects the method of installation of the endoprotesis and an anatomical pocket for its positioning.
The purpose of the diagnostic phase is to minimize operational and anesthesiological risks, as well as eliminating contraindications for surgery.Before increasing the mammary glands, each woman undergoes a complete diagnosis, including a expanded list of instrumental and laboratory methods.Mammography is certainly prescribed with a consultation of a gynecologist and a Mammist.
A few weeks before increasing mammoplasty, a woman should stop taking some drugs, in particular, contraceptive and anticoagulant hormonal drugs.It is necessary to abandon anti -inflammatory and analgesics anti -inflammatory drugs of the NSAID group, as they slow down the coagulation of the blood.It is also necessary to stop taking alcohol and abandon smoking, since ethanol and nicotine slow down the regenerative processes and negatively influence the rhythm of the recovery after mammoplasty.
Rehabilitation after mammoplasty
The first postoperative period is accompanied by typical symptoms for any operation: swelling, pain and hematomas in the area of operational wound, fever, general malaise.These symptoms are a normal reaction of the body in response to a violation of the integrity of the tissues.The preparations prescribed by a plastic surgeon -antidormici, antim -esplocari, anti -highocational will help to cope with the difficulties of this period.For the prevention of infectious complications, the doctor prescribes a short cycle of antibiotics.
The details of the rehabilitation period after mammoplasty are that it is necessary to constantly wear a compression bra.Elastic linen sewn on a single order even before the intervention.You have to wear it continuously, you can remove it only for a little hygiene procedures.As for body hygiene, in the first 7-10 days after the increase in the chest glands, it should be limited by wet wipes, you cannot shower.
You can sleep after the operation only on the back.For 10-14 days, it is allowed to sleep on the side, but it is still impossible to turn on the stomach.You can't play dancing or sport.The prohibition of physical activity, including the family, is valid for 4 weeks;The power loads and some types of cardio training are contraindicated for 3 months (or up to the special resolution of a plastic surgeon).
Throughout the restoration period, you cannot sunbathe in direct sunlight or solarium.You can't go to the sauna or bathroom, make hot baths at home.Alcohol and smoking are contraindicated.The compression linen can be removed from the second month, but during the year it is necessary to wear a bra with wide straps and a large belt that supports the chest well.