The aesthetic effect of plastic breast growth depends on many factors.The choice of implantation pockets and the method of installing the implant is important.The aesthetics of the post -mammal bust is influenced by individual initial data of the patient, including chest shape and mammary glands, skin condition, subcutaneous fat thickness.These and other anatomical features are taken into account when selecting a profile, base width, size and intra -protection shape.An important criterion for a successful business is to achieve a steady result that will thank a woman for many years.
The publication examines the main ways to increase the breast - types of surgical access, types of anatomical pockets for installing implants, advantages and disadvantages of various mastic methods.You will learn how to recover properly after operation, what is possible and what cannot be done during the recovery period.
Indications for breast enlargement with implants
The operation to enlarge the breast with implants is performed according to aesthetic indications.The main indication of increasing mastoplasty is the patient's desire to improve breast aesthetics by increasing its size and modeling the shape.During the operation, shortages due to the deformation of the female complex (stretching of the Areol, the change in the form) and the omission of the glands after the baby's diet or age -related changes can also be eliminated.
The reason for the appeal to the plastic surgeon may be the following problems:
- Worsening of the aesthetics of the thoracic glands after pregnancy and breastfeeding.
- Changing the shape of the bust as a result of the processes (aging).
- Congenital hypoplasia of mammary glands or amast.
- Asymmetry, both innate and acquired nature.
- Tubular breasts.
- Mastoprome with signs of mammary gland scholarships.
- Woman discontent with the shape or size of a bust.
Breast enlargement with implants is also carried out by patients undergoing radical businesses in the mammary glands as part of malignant neoplasm treatment.Reconstruction accumulation of increases allows you to recreate naturally and aesthetically attractive breasts without increasing the risk of developing volume processes.
What individual features are taken into account before operation?
The tactics of surgical correction are determined by the individual characteristics of the patient.Yes, there is always the opportunity to put a large implant, but far from such a step will always lead to the desired result - a natural and harmonious change in appearance.
The following factors are influenced by the choice of the form, profile and size of the intra -protection, as well as the choice of implantation pockets and the implant installation method
- The age of the woman.
- The original shape and size of the mammary glands.
- The height and width of the chest.
- The severity of subcutaneous fat.
- The elasticity of the peripheral tissues of the mammary glands.
- The width of the interrogation interval.
- The presence of rapid (pretension) signs of the bust.
Mammoplasty Augmentation also affects whether a woman plans to give birth in the future to give birth and breastfeed.When choosing access, it is also taken into account the necessity of the plastic of the nipple-prist assembly, which may be required to achieve the best aesthetic effect.
Methods for installing implants
Taking into account the above individual characteristics of anatomy and other factors, a plastic surgeon chooses one of the three ways (types of surgical access) of breast growth:
- Areolar (breast enlargement "via areola").
- Vermatical.
- Axillary.
Below are the features, advantages and disadvantages of each Mammoplasty Augmentation method.
Access to Areolian Access
With a Areolic, or Periarolic, access, the plastic surgeon sets the implants through the incision, which passes along the periphery of the colored area of Areola.The main advantage of such surgical access is the invisible scars.The scar is on the border of light and dark skin and therefore it is quite difficult to notice.
In the Periarelar method to increase the thoracic glands, there are other advantages, in addition to the minimum severity of postoperative scar:
- During operation, the nipple complex can be launched.In some cases, it is difficult to achieve the optimum aesthetics of a bust without correcting the size and shape of the SAK and this advantage of Periarelar access can play a decisive role.
- The Periaryular Region eliminates the risk of damage to (sensitive) nerve fibers, which pass to the SAK in the loading area.Due to this advantage, the breast area allows you to fully maintain the sensitivity of the nipple and the isola.
- At the same time as the increase in the bust, you can correct the initial stage of masting.
Despite the advantages of Periarelar access mentioned above, the technique cannot be recommended for all women.Specifically, this method of installation of implants is not recommended for girls who plan to give birth to children and breastfeed.This is explained by the fact that during the operation there is a risk of damage to the milk conductors, which will affect lactation function.
The Periaryolar Region does not allow for a complete overview of all implant pockets, which requires limitations on the size of the implant.This method is suitable for those patients who want to put a small stent and slightly increase the chest.In a situation where a woman wants to add 2-3 sizes to the breast glands, it is preferable to use a case or axillary access.
Underfollower Access
With submarine access, the installation of the stent is carried out through horizontal incisions, which pass under the thoracic gland into a natural aspect of the skin.Post -operative scars when using this implant installation method are significantly expressed, but are hidden in the fold of the skin.The scars are visible in a position to lie down, and in its place, they are covered by the lower pole of the thoracic gland.
The main advantage of patience is a very good overview of the operating field.For a plastic surgeon, this is the easiest type of mastic, as there is complete access to all implant pockets and it is easy to achieve completely symmetrical implant placement.Thanks to this feature, large endoders can be installed.
Another advantage of the patience methodology to increase the bust is the lack of a risk of damage to the milk conductors.After operation, lactation is maintained, which allows you to suggest this method for patients who are planning in the future pregnancy and breastfeeding of the baby.
The underline method of installation of implants does not lack deficiencies.For many patients of plastic surgeons, the main minus of methodology in a strong and sufficiently extensive scar, which passes into a fold under the chest.The disadvantage is the risk of damage to the nerves that encourage SAK.If the nerve has been disturbed during operation, the nipple sensitivity and Araola will be disturbed.
The use of patient access does not allow the growth mastoplasty at the same time to perform plastic surgery through an incision.In addition, women who have the initial signs of a bust (breast) are often converted to the help of a plastic surgeon.If the Periaryular Region allows you to eliminate age -related manifestations, then when using a subunit, it is impossible to correct the breast at the same time as breast enlargement.
Axillar access
With axillary access, breast increase is carried out through the cuts, which are in the axillary bomb.The main advantage of the methodology is that scars pass away from the mammary glands and do not affect their aesthetic perception.On the other hand, the signs are remarkable and this can become a problem if a woman wears open clothes.For example, scars can be clearly visible during sport, especially in a body position with their hands rising.
However, Axillar is accessed the "gold standard" in Mammoplasty Augmentation.The operation is carried out under the control of the optical equipment (endoscope), which allows a plastic surgeon to access all implant pockets.There is no risk of damage to nerve trunks.There is no risk of the dissection of milk pipelines, which allows us to recommend this method of installation of implants in girls planning pregnancy.There are no limitations in terms of gutter -dignity - the type of armpit access allows you to place implants of any volume, shape and profile.
The disadvantages of the breast increase armpit method are that the plastic surgeon has no way of correcting the consequences of omission of mammary glands or to perform the nipple-zone-lively complex.For this reason, axillary access is mainly used to model the size of the bust when there are no aesthetic problems that require surgical correction at the same time.
Access Surgery Criteria
In clinical practice, plastic surgeons use various criteria for choosing surgery to increase the thoracic glands.One of the main criteria is the woman's time and her further plans for pregnancy.If the patient plans to give birth to children, it is recommended to refuse to access Periarelar.It is preferable to access or underwater access.
If a woman does not plan to give birth, you can use any of the previously examined types of surgical access.In cases where, in order to improve the aesthetics of the bust, at the same time as its growth, it is necessary to perform the plastic of the Arelas, the beard access is preferred.The same method of installation of implants is best adapted to patients with initial masting signs.
Patients who want to increase the bust from different sizes, a plastic surgeon may recommend a method of underline or axial.The optimal choice in this situation is the increase in thoracic glands through the axillary mine, however, the woman's aesthetic desires are taken into account.If it expresses the desire to hide the scar in a natural fold under the chest, underwater access has been selected.
By choosing a pocket for installation of implant
The next aspect of the increase in mastoplasty is linked to the choice of anatomical area in which implants will be installed.
The implantation pocket can be detected:
- Under the mammary gland (mounting subunit).
- Under the thoracic muscle.(Underground position).
- Partly under the gland, partly under the muscle.(Combined version).
Underwater placement.The implant is installed in the anatomical space under the gland.The most superficial pocket is separated from the surface of the body only by the coverage tissues and the mammary glands and due to this characteristics it is not recommended to be used if it is necessary to increase the breast to different sizes.A large lodge protection can be visually determined.In addition, the risk of developing steps deformation - the aesthetic complication increases, in which a type of "step" is formed above the top end of the implant.
With the underlying placement of intra -protection, the risk of developing other complications of aesthetic nature, in particular, of the appearance of the deformation of the universal tissues above the thoracic gland in the form of "wave" or "mountain".With the development of capsule contraction, the deterioration of the aesthetic of the bust is also more intense with the surface placement of the implant.
Another feature of this type of positioning is that the stenting governing and mammary glands are supported only by the bonds of Members - the structures of the connective tissue, the elasticity of which is reduced by age.For this reason, with an underwater installation of implant, the risk of developing masting is increased, especially in women with initials large breasts.
Subsidiary placement.Implant placement under a large thoracic muscle avoids the problems that characterize an underwater position.Less is the risk of capsic contraction and the appearance of skin deformation over the chest in the form of "rowan" and "waves".Lodge protection is constant constant with muscles and does not increase the likelihood of mastic development.
But the implant placement under the muscle.Has the opposite side.
First, in girls actively involved in sports, the risk of rotation or displacement of implants increases.If, to increase the thoracic glands, modern implants were used, the rotation (turn) can lead to breast deformation, which can only be corrected during a repeated function.
Secondly, with the submission, the degree of tissue injury during surgery increases.Because of this, healing goes slower and the rehabilitation period is lengthened to wear compression underwear and follow all restrictions for a longer period.
Combined positioning.The best option is the combined placement, in which the upper part of the endoprofatopia lies beneath the muscle, and the lower pole is under the gland.This arrangement excludes the risk of deformation of steps.Under the risk of turning and shift of the implant, the development of the cessation of the capsule and other aesthetic complications.Treatment is faster, the recovery period decreases.
Types of implants
Breast enlargement is carried out by implants by leading manufacturers worldwide.Silicone medical intradigors with high degree of cohesion and varying degrees of density were made.The silicon is covered with elastomeric shell, which eliminates the likelihood of a gel.The outer capsule is represented by a porous shell, the special texture of which contributes to the incorporation of the implant into live fabrics and its reliable stabilization.Due to the porous membrane, the risk of contraction of fibrous-capsule decreases.
The line of each manufacturer presents several hundreds of implant types that differ in the following characteristics:
- Format: An implant can be anatomical (fall) or round.
- Base Width: Horizontal size of the lower pole of the intra -protection.
- Profile: Lifting height.
- Size: volume.
The choice of implantation is determined by desires, as well as by the patient's original data - individual characteristics of the structure of thoracic and mammary glands.For example, girls with a strong dotted intermittent are best suitable for low anatomical implants with a broad basis.Women who want to shift the touches to the throat are more suitable for round full implants, which visually increase the upper pole of the mammary gland.
Preparing to increase breast with implants
Preparation for plastic surgery for enlarged breasts can be divided into two stages - diagnostic and aesthetic.The purpose of the aesthetic preparation stage is to choose the perfect implant and to decide on the tactics of surgery.Based on the results of modeling and analyzing the computer's original data, the surgeon selects the method of installing the intra -protection and an anatomical pocket for his placement.
The purpose of the diagnostic stage is to minimize functional and anesthesiological risks, as well as to eliminate the contraindications to surgery.Each woman, before increasing the mammary glands, has a comprehensive diagnosis, including an expanded list of organic and laboratory methods.Mammography consulted with a gynecologist and the mammologist has certainly been prescribed.
A few weeks before raising mastoplasty, a woman should stop taking certain medicines, in particular, contraceptive hormonal drugs and anticoagulants.It is necessary to abandon anti -inflammatory and analgesic drugs from the NSAID group as they slow down blood clotting.It is also necessary to stop taking alcohol and abandon smoking, as ethanol and nicotine slow down regenerative processes and negatively affect the rate of recovery after grief.
Rehabilitation after sadness
The early post -operative period is accompanied by typical symptoms for any function - edema, pain and hematomas in the area of the trauma, fever, general adversity.These symptoms are a normal reaction of the body to a response to violation of tissue integrity.The preparations provided by a plastic surgeon -anti -inflammatory, anti -clinical, painkillers will help to deal with the difficulties of this period.To prevent infectious complications, the doctor defines a short course of antibiotics.
The details of the post -sad recovery period are that it is necessary to constantly wear a compression bra.The linen tires are sewn in individual order even before surgery.You have to wear it constantly, you can only remove it for a moment of hygiene processes.As for body hygiene, the first 7-10 days after the increase in the thoracic glands, it should be limited by wet wipes, you cannot shower.
You can sleep after the operation only on your back.From 10-14 days, it is allowed to sleep on the side, but it is still impossible to activate the stomach.You can't play dance or sports.The ban on physical activity, including household, is valid for 4 weeks.Power loads and certain types of cardio -training are contraindicated for 3 months (or until the special analysis of a plastic surgeon).
Throughout the rehabilitation period, you can not sunken in direct sunlight or solar light.You can't go to a sauna or a bathroom, get hot baths at home.Alcohol and smoking are contraindicated.Compression sheets are allowed to be removed from the second month, but during the year you have to wear a bra with widespread straps and a wide belt that supports the chest well.