The history of breast augmentation (breast augmentation) dates back to the 19th century. As soon as women started removing the corsets, attempts were made to somehow affect the shape and size of the mammary glands.
First liquid paraffin was injected into the tissues and then they tried to enlarge the breast using the most incredible materials: glass balls, ivory, cartilage, wool. The consequences of such experiments had nothing to do with health and beauty. Note that the surgeon who tried to enlarge the breast with the help of the patient's own fat came closer to solving the problem. Later, this idea will be developed. But then the result was not corrected, as the adipose tissue was absorbed quite quickly.
In the second half of the twentieth century, the invention of silicone gave a new impetus to plastic surgery. Liquid silicone gel was injected directly into the breast area. Complications of such operations did not take long to come: inflammation, granulation, neoplasms. Often, women had to agree to complete breast augmentation to save their lives.
In 1961-1964 the forerunners 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 could cause cancer have temporarily delayed their triumphant march. In 2006, the implants were restored.
Stars and plastic
It is no longer acceptable to hide the fact that women resort to the services of plastic surgeons and improve their appearance. Some stars do not even mind creating an additional news feed to remind themselves. Among those who decided on breast augmentation with implants and did not regret it are Kate Hudson, Jennifer Lopez, Christina Aguilera.
Should you be afraid?
Of course, any surgeries in the beginning cause us concern. For those who are afraid of surgery, but want to enlarge their breasts, they offer all kinds of miraculous creams, ointments containing phytoestrogens, hormone therapy, special physical exercises and injectable fillers. It should be understood that such procedures will not give the desired result. In short, creams and ointments simply can not penetrate biological barriers and the concentration of active substances in them is low. Exercise can increase chest muscle, but not the size of the gland, and hyaluronic acid-based fillers only work on the skin and subcutaneous layers and then only at a young age.
If you have really decided that breast augmentation will help you not only look, but also feel much better, just find a clinic and a plastic surgeon you can trust. Believe me, the specialist will not convince you to have an operation unless there is a special need. They will listen to you, examine you, choose the optimal shape and size of your breasts and use computer modeling to show you what your silhouette will look like after the breast augmentation. 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 silhouette and texture of a woman (very small or flat).
- Relaxation and loss of shape after feeding.
- Visible asymmetry.
However, often the indication for mammoplasty is one thing - a woman's desire to increase in 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 breastfeeding.
- There are changes in the gland in the form of mastopathy or a tumor is found.
- There are serious chronic diseases, including blood clotting disorders or endocrine system pathology.
- Inflammatory and infectious processes are active in the body.
Implants and surgical options
In order to make the enlarged breasts look as natural as possible and for patients not to worry if the plastic is felt, various versions of silicone implants and methods of their placement have been developed.
The requirements for modern implants (stent implants) are quite strict. They should be very durable, if possible, anatomically shaped and not cause serious complications (capsule formation, rejection, displacement).
Depending on the characteristics of the shape, the condition of the skin, the individual preferences, the doctor may offer a selection of silicone implants, which differ in:
- Shape: round or teardrop-shaped.
- Sizes: from 150 to 850 ml.
- Filling: special gel or normal (saline) solution.
- Surface type: smooth or textured (less prone to shifting).
Variations in the stent position are also possible:
- Below the mammary gland (submandibular) - with the presence of its own sufficiently voluminous glandular tissue and maintaining the elasticity of the skin, otherwise it will be strongly felt.
- Under the fascia (subperitoneum) - in a pocket of the muscle shell, consisting of connective tissue.
- Below the pectoralis muscle (submuscular) - more traumatic, since the muscle must be partially cut from the sides.
- Combined position - partly below the gland and below the muscle, the most reliable attachment and less noticeable.
In addition to the installation method, the type of access is selected, ie the place where the surgical incision will be made:
- in the fold below the gland the most anatomical and fastest healing, but not always possible.
- around the nipple (nipple) is used in those women who have already breastfed and need correction of the nipple-nipple complex.
- under the arm is not the most convenient option and is quite traumatic.
How is breast augmentation surgery performed with implants (augmentation mammoplasty)
Prior to surgery, the patient should be examined, which includes blood and urine tests, clinical and biochemical tests, coagulation tests, HIV and syphilis, ECG, x-rays and mammograms. Only after that is the operation planned. Two weeks before the operation the blood thinners are canceled, smoking and alcohol are forbidden, as they have a bad effect on the healing of wounds. Prior to the intervention, 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 placement is done and then the final placement. If the filling is saline, the silicone housing is inserted first and then the implant is filled with fluid.
After that, drains are inserted to drain the blood and other fluid contents from the operation area and a special compression garment is worn, securing the breast in the desired position.
Lipofilling
If you need a small correction of the décolleté area, then breast augmentation is possible without the placement of implants. This is lipofilling. A certain amount of fat is taken from parts with developed adipose 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 mastoplasty, so it may be the most suitable for some patients. On the other hand, after a while the fat is absorbed and the process will need to be repeated.
It can also be used in conjunction with augmentation mammoplasty if it is necessary to normalize the area of the implant site.
Living with new breasts
After leaving the clinic (usually on the second day), bandages are applied, the scars are sealed with 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 at this time can only sleep on their backs. Up to 3 months of heavy physical activity, thermal procedures, swimming pool are contraindicated.
The final result of the operation can be evaluated only after six months. Modern implants allow you to live a full life without hesitation. All you have to do is jump from a height. It is best to plan a pregnancy no earlier than one year after surgery. You also need to monitor the weight and condition of the skin. Sudden fluctuations in body weight can lead to sagging breasts.
Otherwise, you can enjoy a beautiful bust and the attention of the opposite sex. Now the improvement of the body itself is done without harming the health.
So weigh the pros and cons, consult an experienced expert and boldly go to your dream.