Breast augmentation surgeries

Breast augmentation surgery (the second name is augmentation mammoplasty) is a variant of plastic surgery on the breast. This type of surgery uses different types of implants (sometimes in combination with the patient's own fatty tissue to enhance the aesthetic result of the surgery). Breast augmentation procedure with implants helps to achieve the most natural result regardless of body weight and build, the amount of own fatty tissues, breast ptosis and many other factors. Today surgical breast augmentation procedure has been perfected and is very popular among women, allowing them to get the figure of their dreams.

TYPES OF IMPLANTS

During the initial appointment at the clinic of plastic surgery for breast augmentation, the doctor will conduct an examination and consultation, and together with the patient will determine the type of implants suitable for a woman. There are several variants of prostheses, first of all they differ in shape.

Round implants.

Implants are anatomically shaped.

To a greater extent, the choice is based on the patient's desire to have a pronounced filling of the upper slope (then choose round implants) or more natural contours - then the doctor recommends anatomically shaped implants.

The main material used in the manufacture of prostheses is silicone. It is very dense, but soft and resilient and harmless to the body. Silicone implants form the natural shape of the breast.

TYPES OF ACCESS

Breast augmentation surgeries are performed in a variety of ways. The choice is largely determined by the type of implant and the surgical technique. Often a mastopexy (breast lift) is performed at the same time as a volume augmentation implant. The exposure is done in different ways:

Anchor lift - incisions are made in the areola area of the nipple, which leaves minimal scars.

keyhole method - the cut is made in the same place, but it will be horizontal.

donut method - the incision is made along the perimeter of the areolae.

crescent method - an incision is made along the upper part of the areola.

It is possible to perform endoscopic surgery in a minimally traumatic way with an incision in the armpit area. There is no impact on the mammary glands, which allows you to fully breastfeed in the future.

Implants can be placed using several methods:

• Periareolar access with an incision made along the lower part of the areola, after which scars are practically invisible;
• axillary access with an incision in the armpit, where the scar from the surgery is almost invisible;
• submammary method with an incision in the area of the fold under the breast, which eliminates trauma to the gland and makes the scar from the operation inconspicuous.

INDICATIONS FOR SURGERY

Among the main indications for breast augmentation (mammoplasty) are the following situations:

• small breasts by nature;
• Reduced size, drooping breasts, their deformation due to sudden weight loss;
• Breast changes after pregnancy and breastfeeding;
• sharp asymmetry of the breasts;
• resection or total removal of breast tissues during surgical interventions in this area.

In addition, one of the indications for breast augmentation is the patient's own desire to increase the size or change the shape of her breasts.

CONTRAINDICATIONS

Surgery is performed only after the examination and plastic surgeon ruled out any possible contraindications to surgery. These include:

• the age of the patient is under 18 years old;
• acute infections, febrile states;
• all chronic pathologies at the stage of their exacerbation or decompensation;
• clotting system abnormalities;
• Breastfeeding period (more than six months should pass after the end of lactation);
• any form of cancer;
• pregnancy period;
• diabetes mellitus and other decompensated metabolic disorders;
• autoimmune pathologies;
• severe cardiovascular disease;
• any benign growths in the breast.

In addition, the doctor may refuse surgery if you are allergic to anesthesia or if other serious pathologies are identified.

SURGICAL PREPARATION

The plastic surgeon at our clinic will prescribe laboratory and instrumental examinations and a number of preparatory procedures before the surgery. This is necessary to reduce the risk of complications and adverse outcomes. If you are planning a plastic breast augmentation, you must have a consultation with the surgeon who conducts an examination, describes options for mammoplasty and discusses the wishes of the patient. Then you must conduct a complete examination - a set of blood tests (general study, biochemistry, coagulogram, electrolytes, blood sugar, the exclusion of HIV, hepatitis and syphilis, the determination of blood group and Rh factor). Breast cancer marker tests are performed separately.

Also, a woman needs to:

• Perform a mammogram to assess the condition of the mammary glands;
• Take an ECG to rule out possible problems during anesthesia;
• Do a pregnancy test, as it is a contraindication to the procedure;
• Perform an ultrasound examination of the mammary glands;
• undergo a fluorography.

PROCESS OF OPERATION

Before the operation, the doctor makes a mark and asks the woman how she feels. Then she is given anesthesia. The place where the incision is made to place the implant is prepared in advance: antiseptic treatment is performed, the operation area is fenced off with sterile sheets. Then the doctor makes an incision and gently lifts the tissue, cauterizes vessels to prevent bleeding. Breast tissue is pushed aside, an incision is made in the pectoral muscle, and the vessels are coagulated. The doctor prepares a bed for the implant by treating it with solutions that stop bleeding and disinfect tissues. After preparation, the doctor inserts the implant, checks the condition of the tissues and assesses the results. The doctor then sews up the tissues that have been cut in layers. The places where stitches are applied to the skin are sealed with special materials to prevent the tissue from being stretched and the scar is hardly noticeable. The patient is fitted with a compression garment and transferred to the intensive care unit and then to the ward.

REABILITATION

On average, rehabilitation takes two months. For the first month, the restrictions will be the strictest, and as the recovery progresses, the volume of prohibitions decreases. During the first day the patient is monitored by a doctor, painkillers, antibiotics and anti-inflammatory drugs are used to reduce discomfort and prevent complications. Five to six hours after surgery you can eat.

On the second day, the patient is dressed, drains are removed, an examination is performed, and you can go home. On the 7th day the patient comes for examination and removal of stitches.

During the first 4 days it is forbidden to shower, the first week you cannot sleep on your stomach, lift your arms and carry objects more than 2 kg, bend over, make sudden movements. For two weeks you should not have sex, for a year you should use contraception to avoid pregnancy.