Beautiful, elastic, toned and attractively shaped breasts: isn't this what every woman dreams of?Plastic breast augmentation is often associated with enormous size and unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to enlarge the breasts by a couple of sizes, for example from 1 to 3. Modern implants and surgical technologies allow you to achieve the most natural look of the breasts, avoid complications and give women self-confidence.
Breast enlargement (augmentation) surgery is called breast augmentation.It is performed under general anesthesia using implants of different 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 nipple-areolar complex.
Which systems are best to choose?
The implants vary in shape: anatomical and round.The former, thanks to their teardrop shape, create soft and natural breast contours.The mammary glands look very natural.Round implants give the breasts a visually larger size and make them appear lifted (push-up).With them, the contour of the upper neckline becomes higher.
The profile types of breast implants also vary: from low to extra high.The surface of silicone implants can be smooth or textured.
Your doctor will help you choose implants.Having extensive experience in mammoplasty, the surgeon will recommend different manufacturers and will also explain which shape of the implant will be best in your case.
During the consultation you can try prosthetic models - sizers, to imagine what the shape of the future breast will be.
Ways to enlarge mammary glands
A plastic surgeon performs breast augmentation in several ways.They can be surgical or non-surgical.The former include:
- breast augmentation with round or anatomical implants: breast augmentation of different sizes;the result of the operation is saved forever;
- breast lipofilling: increase of 1-1.5 sizes through injections of purified autologous fat taken from "problem" areas;The result of lipofilling lasts forever if severe weight loss is avoided.
A cosmetic method for breast enlargement is the injection of absorbable gels (fillers).This method is quite expensive: contour plastic surgery with fillers costs almost as much as mammoplasty, and the effect lasts on average up to 2 years.
The shape of the glands can be corrected using a thread lift.The procedure will not increase the size of the breasts, but will give them a beautiful shape.
Advantages of breast augmentation:
- Beautiful breast proportions.During the consultation before breast augmentation surgery, the doctor will recommend the most suitable type of implant, the installation method (under the mammary gland or under the muscle), as well as the access options (axillary, inframammary, periareolar).The implants are always selected individually: the lines of the main manufacturers include hundreds of models that differ in volume, shape and size.
- Model the result.Modeling or trying on sizers (prosthesis models used to select implants) allows you to evaluate in advance how much the effect of mammoplasty will meet your expectations.
- Guarantee on the systems.Clinics provide a guarantee on implants installed in the breast. The safety of endoprostheses for breast enlargement has been confirmed by clinical studies: they do not affect the general condition of the body, are not dangerous in case of damage to the membrane (silicone gel with a dense structure does not penetrate 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 augmentation of different sizes.If breast augmentation with your own adipose tissue (lipofilling) allows you to adjust the volume only within relatively small limits (1-1.5 dimensions), then with the help of mammoplasty you can achieve an impressive effect in a single operation.After receiving the desired volume, you can be sure that it will not change over time.
- Security and confidence in the result.The result of breast augmentation (breast enlargement) depends on the professionalism of the surgeon, therefore breast augmentation should be carried out in a specialized clinic, by doctors with extensive experience.
Methods of performing breast augmentation surgery
The implant can be positioned:
- under the gland;
- under the muscle.
Installing implants under the gland reduces the rehabilitation period.Recovery is less painful.But this method is fraught with complications later.For example, sagging breasts may be more noticeable.Constrictive fibrosis, if present, may be more pronounced.For girls who have not given birth but intend to have children, the implants are placed only under the muscle.
Possible accesses:
- inframammary (incision under the breast);
- periareolar (incision around the nipple-areolar complex);
- axillary (incision on the side in the armpit area).
Access to the inframammary– the most preferable method from the point of view of controlled recovery.It is used for breast surgery if the patient later plans to give birth and breastfeed the baby.Even very large systems can be easily installed through this access.Postoperative scars will be hidden in the folds under the breast.
Periareolar accessgood when breast lifting and augmentation are performed 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 install a large implant.Scars with the periareolar approach will follow the contour of the areola.Over time they will become almost invisible to the naked eye.This type of access is not recommended for nulliparous girls, as the milk ducts could be damaged during the operation.
Axillary accessexcellent for the installation of small systems.But it is impossible to install anatomical implants of this type, only round ones.The scars in this case will be located in the armpit area.
Photos before and after breast augmentation with implants can be found at the bottom of the page.
Types of breast enlargement implants
For breast enlargement, silicone implants of various volumes are used (1 size is equal to 120 ml) and shapes: round or teardrop (anatomical).
- Mammoplasty surgery with the installation of round implants forms voluminous and raised breasts with regular and rounded contours.In nature, this shape of the mammary glands (“apple”) is quite rare, so after breast augmentation the breast may appear less natural than after the installation of anatomical prostheses.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 mammary glands: in appearance they resemble a cone.With them, the breast acquires a fuller lower pole with a smooth descent towards it, characteristic of a natural bust.Sometimes only the use of implants of different volumes allows the existing asymmetry to be corrected.
In various cases, the surgeon may recommend implants with a smooth or textured surface.
- Smooth round models are suitable for installation through the axillary (transaxillary) approach.
- For breast augmentation, anatomical models with a structured surface are often chosen through an access under the mammary gland (submammary), which allows you to obtain a beautiful natural result.
Indications for breast augmentation
- unsatisfactory breast size;
- breast asymmetry;
- ptosis caused by breastfeeding/sudden weight loss;
- excess adipose tissue;
- excess glandular tissue;
- unsatisfactory nipple shape.
Plastic surgery with implants is indicated for reconstructive correction of the breast - after the removal of tumors or a complete mastectomy.Therefore, the operation is not only of an aesthetic nature.It can also be performed for medical reasons.
Contraindications to mammoplasty of the mammary glands
- early age (up to 18 years);
- pregnancy and breastfeeding period;
- problems with blood clotting;
- liver disease;
- cardiovascular and endocrine diseases;
- diabetes mellitus;
- oncology;
- respiratory system diseases;
- infectious and viral diseases;
- mental disorders.
If the results of the preoperative tests are unsatisfactory, the operation is postponed to a later time or cancelled.
Two weeks before surgery, it is necessary to stop taking anticoagulants and hormonal drugs.
How is the breast augmentation procedure performed?
- The patient talks to the surgeon.Preoperative markings are applied.A conversation with the anesthetist follows.
- The operation itself takes place under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions under the breast/under the armpits/in the area around the nipple.Through an incision, the implant is placed under the gland or muscle.The location of the implant is discussed in advance during the consultation.
- Subsequently, drains are installed and sutures are applied.
- After recovery from anesthesia, the patient remains in the hospital for 24 hours after the operation, as patients require 24-hour monitoring.
What exams must be completed before the testing procedure?
If the doctor is planning a cosmetic correction under local anesthesia, it will be necessary to undergo some basic tests before the operation:
- 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.
- Tests for hepatitis B, hepatitis C, HIV, syphilis
Blood type test (with Rh)
- ECG (electrocardiogram)
- Fluorography
- General urinalysis
- Examination by a mammologist, including breast ultrasound or mammography
- Therapist's conclusion on the possibility of surgery (for patients over 30 years of age)
*Your doctor may order additional tests to more accurately predict the outcome and minimize the risk of complications during breast augmentation.
Rehabilitation period
After the operation you remain in the hospital under the supervision of the medical staff until the following morning.Sometimes it is necessary to stay in the clinic for two days.Then go home.In the first few days swelling, soreness, a slight increase in body temperature and a feeling of "tension" are the norm.Swelling and pain usually go away within 10 to 14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until then you need to take the medications prescribed by your doctor.In the first days after plastic surgery, it is necessary to take antibiotics, which means that alcoholic beverages are prohibited.Painkillers 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 consume foods that cause allergies.Your doctor will provide a list of these during your consultation.Allergies are dangerous due to increased swelling and, as a result, pain.
What should you not do during the recovery period?
- overexerting yourself physically and emotionally;
- go to sauna, swimming pool, gym;
- sunbathe;
- sleep on your side;
- raise your hands;
- touch and rub your torso.
You must wear compression garments for a month.For the next two months it is best to wear non-wired sports bras.3 months after mammoplasty, you can update your underwear wardrobe.
Your doctor will prescribe a test plan for you.It is important to follow it to avoid side effects.
Possible complications
If the doctor's recommendations are not followed, the implant may move and inflammatory processes may develop.For a controlled result, we leave the drainage in place.This reduces the risks of postoperative complications.
In a later period there is the risk of constrictive fibrosis forming, i.e. the formation of a dense capsule around the implant.Implant manufacturers indicate the possible percentage risk of capsular contracture.We work with implants that have the lowest risk of connective tissue growth around them.
Sometimes the mammary glands do not completely cover the contours of the implant due to their small size.In this case, lipofilling can be performed to mask the prosthesis and give the breast a natural appearance.
Due to injury, the implant may rupture.If there is a break, an operation is performed to remove it and replace it with a new one.
When to contact a surgeon?
- the breast becomes hard to the touch;
- the color of the skin in the implant area changes;
- a vascular network appears;
- the breast is deformed;
- pain occurs.
Patients often come to us after surgeries in other clinics complaining of capsular contracture.Subsequently, a repeat mammoplasty is performed with implant replacement and removal of the fibrous tissue.
Constrictive fibrosis occurs most 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 the fact that we are talking about your health: physical and mental.Take your time and make an informed decision.
Price for breast augmentation
The price of breast augmentation varies from clinic to clinic.It is made up of a series of factors:
- competence of the surgeon
- plastic method
- cost of the systems
- volume of consumables
- duration of anesthesia
- length of hospital stay