Beautiful, elastic, toned breasts with an attractive shape - isn't that what every woman dreams of?Plastic breast augmentation is often associated with enormous size and an unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to enlarge the breast by a few sizes - for example, from 1 to 3. Modern implants and surgical technologies make it possible to achieve the most natural appearance of the breasts, avoid complications and give women confidence.
Breast enlargement (augmentation) surgery is called augmentation mammoplasty.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 anomalies.Including improving the appearance of the nipple-areola complex.
Which implants are better to choose?
Implants vary in shape: anatomical and round.The first ones, due to their teardrop shape, create a soft and natural contour of the breast.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 décolletage becomes higher.
Breast implant profile types also vary: from low to very high.The surface of silicone implants can be smooth or textured.
Your doctor will help you choose implants.Having extensive experience in breast augmentation, the surgeon will recommend several manufacturers and also explain to you which implant shape will look best in your case.
During the consultation, you will be able to try implant models - sizers, to imagine what the shape of the future breast shape will be.
Ways to enlarge the mammary glands
A plastic surgeon does breast augmentation in different ways.They can be surgical or non-surgical.The first include:
- Breast augmentation with round or anatomical implants: breast augmentation in various sizes.the result of the operation is saved forever.
- Breast lipofilling: increase by 1-1.5 sizes using injections of pure autologous fat taken from "problem" areas.The effect of lipofilling lasts forever if you avoid serious weight loss.
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 the same as mammoplasty surgery, and the result lasts on average up to 2 years.
The shape of the glands can be corrected using thread lift.The procedure will not increase the size of the breast, but will give it a beautiful shape.
Advantages of mammoplasty:
- Beautiful chest proportions.During the consultation before breast augmentation surgery, the doctor will recommend the most suitable type of implant, its placement method (under the mammary gland or under the muscle), as well as access options (axillary, inframammary, perianal).Implants are always selected individually - the lines of leading manufacturers include hundreds of models that differ in volume, shape and size.
- Modeling the result.Mock-up or try-on (prosthesis models used to select implants) allows you to estimate in advance how well the mammoplasty result will meet your expectations.
- Implant warranty.Clinics provide a guarantee for breast implants. The safety of endoprostheses for breast enlargement has been confirmed by clinical studies: they do not affect the general condition of the body, they are not dangerous in case of damage to the membrane (silicone gel with a dense structure does not penetrate the surrounding tissues), they do not interfere with the preventive examination of the mammary glands and do not limit the possibility of breastfeeding in the future.
- Breast augmentation in various sizes.If breast augmentation using your own adipose tissue (lipofilling) allows you to adjust the volume only within relatively small limits (sizes 1-1.5), then with the help of mammoplasty you can achieve an impressive result in one operation.Having received the desired volume, you can be sure that it will not change over time.
- Safety and confidence in the result.The result of augmentation (breast augmentation) depends on the professionalism of the surgeon, so breast augmentation should be done in a specialized clinic, by highly experienced doctors.
Methods of breast augmentation surgery
The implant can be placed:
- under the gland;
- under the muscle.
Placing implants under the gland shortens the recovery period.Recovery is less painful.But this method is fraught with complications later.For example, damaged breasts may be more noticeable.Contractile fibrosis, if present, may be more pronounced.For girls who have not given birth but are planning to have children, the implants are placed just under the muscle.
Possible accesses:
- submammary (incision under the breast).
- periareolar (incision around the nipple-areolar complex);
- axillary (incision on the side in the armpit area).
Submammary access– the most preferred method in terms of controlled recovery.It is used for breast surgery if the patient then plans to give birth and breastfeed the baby.Even very large implants can easily be installed through this access.Post-operative scars will be hidden in the folds under the breasts.
Peripheral accessgood when lifting and breast augmentation are done at the same time.This type of access allows you to change the shape of the nipple-areola complex.If the halo is small, it will not be possible to install a large implant.Scars with the marginal 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 may be damaged during the operation.
Axillary accessgood for installing small implants.But it is impossible to install anatomical implants like this, only round ones.The scars in this case will be located in the armpit area.
Before and after photos of breast augmentation with implants are at the bottom of the page.
Types of breast augmentation implants
Silicone implants of various volumes (1 size equals 120 ml) and shapes: round or teardrop (anatomical) are used for breast augmentation.
- Breast augmentation surgery with the placement of round implants creates voluminous, lifted breasts with regular rounded contours.In nature, this shape of the mammary glands ("apple") is quite rare, so after breast augmentation, the breast may look less natural than with the placement of anatomical implants.But this type of implant is suitable for correcting mild sagging of the mammary glands without additional lifting.
- Teardrop-shaped implants reproduce the most common shape of the mammary glands: they look like a cone.With them, the chest acquires a fuller lower pole with a smooth descent towards it, characteristic of a natural bust.Sometimes only the use of implants of a different volume allows the correction of the existing asymmetry.
In various cases, your surgeon may recommend implants with a smooth or textured surface.
- Smooth round models are suitable for installation via the axillary (transaxial) approach.
- Anatomically shaped models with a textured surface are often chosen for breast augmentation through an access below the mammary gland (inframammary), which allows you to achieve a beautiful natural result.
Indications for breast augmentation
- unsatisfactory breast size.
- breast asymmetry;
- drop caused by breastfeeding/sudden weight loss;
- excess adipose tissue;
- excess glandular tissue;
- unsatisfactory nipple shape.
Plastic surgery using implants is indicated for reconstructive correction of the breast - after removal of tumors or a complete mastectomy.Thus, the operation is not only cosmetic in nature.It can also be performed for medical reasons.
Contraindications for mammoplasty of the mammary glands
- early age (up to 18);
- period of pregnancy and lactation;
- problems with blood clotting;
- liver diseases;
- cardiovascular and endocrine diseases.
- diabetes mellitus;
- oncology;
- diseases of the respiratory system;
- infectious and viral diseases;
- mental disorders.
If the results of the pre-operative tests are not satisfactory, the operation is postponed for a later time or cancelled.
Two weeks before surgery, you must stop taking blood thinners and hormonal medications.
How is the breast augmentation procedure done?
- The patient talks to the surgeon.Preoperative signs apply.A discussion with the anesthesiologist follows.
- The operation itself is performed under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions under the breast / in the armpits / in the area around the nipple.Through an incision, the implant is placed under the gland or muscle.The position of the implant is discussed in advance during the consultation.
- Drains are then placed and sutures placed.
- After recovery from anesthesia, the patient remains in the hospital for 24 hours after the operation, since patients require 24-hour monitoring.
What tests must be completed before the examination process?
If your doctor plans cosmetic correction with local anesthesia, you will need to undergo several basic tests before the procedure:
- General clinical blood test (complete + platelets)
- Picogram (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 group test (with Rh)
- EKG (electrocardiogram)
- Fluorography
- General urine test
- Examination by a mammologist, including a breast ultrasound or mammogram
- Therapist's conclusion on the possibility of surgery (for patients over 30 years old)
*Your doctor may request additional tests to more accurately predict the outcome and minimize the risk of complications during breast augmentation.
Recovery period
After the operation you remain in the hospital under the supervision of medical staff until the next morning.Sometimes you need to stay in the clinic for two days.Then you go home.In the first few days, swelling, pain, a slight increase in body temperature and feeling "tight" are the norm.Swelling and pain usually subside within 10-14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until then, you must take medicines prescribed by your doctor.In the first days after plastic surgery, you must take antibiotics, which means that alcoholic beverages are prohibited.Pain medication 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 eat foods that cause allergies.The doctor will provide a list of these during the consultation.Allergies are dangerous due to increased swelling and, consequently, pain.
What should you not do during the recovery period?
- overexert yourself physically and emotionally.
- go to the sauna, the pool, the gym.
- sunbathing;
- sleep on your side.
- raise your hands up.
- touch and rub bust.
You must wear compression garments for a month.For the next two months, it is preferable to wear sports bras without a cable.3 months after mastoplasty, you can renew your linen wardrobe.
The doctor will prescribe you an examination plan.It is important to follow it to avoid side effects.
Possible complications
If the doctor's recommendations are not followed, the implant may be displaced and inflammatory processes may develop.For a controlled effect, we leave the drain in place.This reduces the risks of postoperative complications.
In a later period, there is a risk of contractile fibrosis - formation of a dense capsule around the implant.Implant manufacturers indicate the potential rate of capsular contracture risk.We work with implants with the least risk of connective tissue growing around them.
Sometimes the mammary glands do not completely cover the contours of the implant due to their small size.In this case, liposuction can be done to conceal the implant and give the breast a natural appearance.
Due to injury, the implant may break.If there is a tear, it is removed and replaced with a new one.
When should you contact a surgeon?
- the chest becomes hard to the touch.
- the color of the skin in the area of the implant changes.
- a vascular network appears.
- the chest is deformed.
- pain occurs.
Patients often come to us after operations in other clinics with capsule complaints.A repeat mammoplasty is then performed with replacement of the implant and removal of fibrous tissue.
Contractile fibrosis occurs more often when the implant is placed below 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 inexpensive 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.
Breast augmentation price
The price of breast augmentation varies from clinic to clinic.It is created by several factors:
- the skill of the surgeon
- plastic method
- cost of implants
- volume of consumables
- duration of anesthesia
- length of hospital stay