The history of mammoplasty (breast augmentation) dates back to the 19th century. Soon after women started to take off corsets, there were attempts to somehow influence shape and size. of the mammary glands.
First, people inject liquid paraffin into the tissues, then they try to enlarge the breasts with the most unbelievable materials: glass balls, ivory, cartilage, wool. The consequences of such experiments have nothing to do with health and beauty. It should be noted that the surgeon who tried to enlarge the breasts with the help of the patient's own fat came closest to solving the problem. Then this idea will be developed. But the result is not permanent, because the fat tissue is absorbed quite quickly.
During the second half of the 20th century, the invention of silicone gave new impetus to plastic surgery. Liquid silicone gel is injected directly into the breast area. Complications of such surgeries are not long in coming: inflammation, granulation, tumor. Often, women have to agree to have a mastectomy completed to save their lives.
In 1961-1964, the forerunners of modern implants were developed, which were silicone bags filled with specific gels or saline solutions. They begin to be placed under the gland or under the muscle. However, reports that their use can cause cancer, have temporarily postponed their triumphant march. In 2006, the implants were recovered.
Stars and plastic
Now, it is no longer acceptable for women to resort to the services of plastic surgeons and improve their appearance to hide the truth. Some stars don't even mind creating an additional news feed to remind themselves of. Among those who decided to have breast augmentation with implants and have no regrets are Kate Hudson, Jennifer Lopez, Christina Aguilera.
Should you be scared?
Of course, any surgical intervention worries us at first. For those who are afraid of surgery, but want to increase their breast size, they offer all kinds of miracle creams, ointments containing phytoestrogens, hormone therapy, special physical exercises and regimensinjectable products (fillers). It should be understood that such procedures will not give the desired result. In short, creams and ointments simply cannot penetrate biological barriers, and the concentration of active substances in them is small; exercise can increase the pectoral muscles, but not the size of the gland, and hyaluronic acid-based fillers work only on the skin and subcutaneous layers, and then only at a young age.
If you really decide that breast augmentation will help you not only look good but feel much better, just find a clinic and plastic surgeon you can trust. Trust me, a specialist won't convince you to have surgery if there's no special need. They will listen to you, examine you, choose the optimal shape and size of your breasts, and use computer models to tell you what you will look like after breast augmentation surgery. In addition, they will warn about the consequences, contraindications and possible complications so that you can make the final decision.
When breast augmentation is warranted
The main reasons for breast augmentation include:
- The shape and size of the mammary gland is not consistent with the shape and structure of women (very small or flat).
- Sagging and losing shape after feeding.
- Asymmetry is visible.
However, often the indication for a mastectomy is one thing - women who wish to increase the size and improve the shape of their breasts.
A specialist may refuse an operation if:
- Less than 1 year has passed the lactation period.
- There are changes in the gland in the form of mastoid disease or a tumor is found.
- Have a serious chronic medical condition, including a blood clotting disorder or an endocrine system disease.
- Inflammatory and infectious processes are active in the body.
Implants and surgical options
To make the enlarged breasts look as natural as possible and the patient not to worry if the plastic is noticed, many versions and methods of silicone implants have been developed.
The requirements for modern implants (endoprosthes) are quite strict. They should be durable, if possible, have an anatomical shape and not cause serious complications (cyst formation, rejection, displacement).
Depending on your body shape, skin condition, and personal preferences, your doctor can offer you a choice of silicone implants, which vary in:
- Shape: round or teardrop shape.
- Size: from 150 to 850 ml.
- Filling: special gel or physiological solution (saline).
- Surface type: smooth or textured (little displacement).
Alterations in intracellular location may also occur:
- Under the mammary gland (lower gland) - in the presence of sufficiently large glandular tissue and preserved elasticity of the skin, otherwise it would be very noticeable.
- Under the muscle layer (subfascial) - in a sac from the muscle sheath, which includes connective tissue.
- Under the pectoral muscle (under the muscle) - more prone to injury, since this muscle must be partially cut off from the ribs.
- Combined position - subglandular and submuscular, the most reliable and less noticeable fixation site.
In addition to the installation method, the type of approach is chosen, i. e. where the surgical incision will:
- in the submandibular fold most anatomical and faster healing, but not always possible;
- peri-areolar (nipple) is used for women who have breastfed and need correction of the areola-nipple complex;
- under the arm is not the most convenient option and is quite prone to injury.
How is breast augmentation with implants (advanced mammography)
Before surgery, the patient must undergo an examination, which includes blood and urine tests, clinical and biochemical tests, coagulation tests, HIV and syphilis, ECG, fluorography, and mammography. Only then the activity is scheduled. Two weeks before surgery, blood thinners are canceled, smoking and alcohol are prohibited, since they have an adverse effect on wound healing. Before the intervention, regardless of the type of anesthesia, the patient was not allowed to eat or drink for 8 hours.
The operation is performed under general or local anesthesia. First, the so-called implant bag is prepared, the mounting is carried out, and then the final installation. If the filler is saline, the silicone sheath is inserted first and then the implant is filled with liquid.
Then, drains are inserted to drain blood and other fluids from the surgical area and a special compression garment is put on, keeping the breast in the desired position.
Lipofilling
If you need a little correction of the breast skin, breast augmentation can be done without the need for implants. This is lipofilling. A certain amount of fat is taken from places where fatty tissue grows, filtered and injected into the chest area. On the one hand, this method combines 2 surgeries to shape at the same time, liposuction and breast reconstruction, so it may be best for some patients. On the other hand, after a while the fat is absorbed and the procedure will need to be repeated.
It can also be used in conjunction with breast augmentation surgery, if it is necessary to flatten the area of the implant site.
Live with new breasts
After discharge (usually on the second day), a dressing is performed, the scar is bandaged, and pain medication is injected if necessary. The stitches are removed after a week.
Patients wear compression underwear for at least one to two months, at this time can only sleep on their back. Heavy physical activity up to 3 months, thermal procedures, swimming pools are contraindicated.
The final result of the operation can be assessed only after six months. Modern implants allow you to live a full life without hesitation. The only thing you have to part with is jumping from a height. It is better to plan your pregnancy no earlier than a 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 attention from the opposite sex. Now the improvement of one's own body happens without harm to health.
So weigh the pros and cons, consult with an experienced therapist, and boldly go for your dream.