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breast augmentation

Signs before breast augmentation surgery

Beautiful, elastic, firm breasts with an attractive shape - isn't this what every woman dreams of?Plastic breast augmentation is often associated with huge size and unnatural appearance.In reality, very few patients seek such radical changes.The most common is the desire to enlarge the breasts by several sizes - for example, from 1 to 3. Modern surgical and implant technology makes it possible for women to achieve the most natural appearance of the breasts, avoiding complications and giving women confidence.

Breast augmentation surgery (breast augmentation) is called breast augmentation surgery.It is performed under general anesthesia using implants of different shapes and sizes.The advantage of breast augmentation in modern cosmetic surgery is the ability to achieve symmetry and correct any congenital defects.Including improving the appearance of the nipple-areola complex.

Which implant is the best choice?

Implants come in different shapes: anatomical and round.The former has a teardrop shape so it creates a soft and natural breast contour.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 neckline becomes higher.

Breast implant shapes also vary: from low to extremely high.The surface of silicone implants can be smooth or textured.

Your doctor will help you choose an implant.With extensive experience in mammoplasty, your surgeon will recommend several manufacturers and will also explain which implant shape will look best in your case.

During the consultation, you will be able to try on implant samples - a sizer to visualize what your future breasts will look like.

Ways to enlarge the mammary glands

A cosmetic surgeon performs breast augmentation in a variety of ways.They can be surgical or non-surgical.First includes:

  • breast augmentation with circular or surgical implants: breast augmentation in many sizes;The results of the operation are saved forever;
  • Breast fat injection: increase size 1-1.5 by injecting purified autologous fat taken from "problem" areas;The results of liposuction will last forever if you avoid severe weight loss.

One cosmetic method for breast augmentation is the injection of absorbable gel (filler).This method is quite expensive: contour surgery with fillers costs nearly the same as mammoplasty and the effect lasts on average up to 2 years.

The shape of the glands can be adjusted by lifting the thread.This procedure will not increase breast size but will give a beautiful shape.

Advantages of breast augmentation surgery:

  • Nice breast proportions.During the consultation process before breast augmentation surgery, the doctor will recommend the most suitable type of implant, method of implant placement (under the mammary gland or under the muscle), as well as access options (axillary, under the breast, around the areola).Implants are always selected individually - the product lines of leading manufacturers include hundreds of models varying in volume, shape and size.
  • Modeling results.Prototyping or testing a calibrator (a prosthetic model used to select an implant) allows you to evaluate in advance how your mammoplasty will meet your expectations.
  • Implant warranty.Clinics provide guarantees for implants inserted into the breast. The safety of endoscopy for breast augmentation has been confirmed by clinical studies: they do not affect the general condition of the body, are not dangerous in case of damage to the membranes (silicone gel has a dense structure that does not penetrate into surrounding tissues), do not interfere with preventive examination of the mammary glands and do not limit the possibility of breastfeeding in the future.
  • Breast augmentation in many sizes.If breast augmentation with your own fatty tissue (lipofilling) allows you to adjust the volume only within relatively small limits (size 1-1.5), then with the help of mammoplasty you can achieve an impressive effect in just one operation.Having received the desired volume, you can be sure that it will not change over time.
  • Safe and reliable results.The results of breast augmentation (breast enlargement) depend on the surgeon's expertise, so breast augmentation should be performed at a specialized clinic, by experienced doctors. 

Methods of performing breast augmentation surgery

Implants can be placed:

  • subglandular;
  • under the muscle.

Placing the implant under the gland helps shorten recovery time.Recovery is less painful.But this method is fraught with complications later on.For example, sagging breasts may be more noticeable.Spasmodic fibrosis, if present, may be more pronounced.For girls who have not yet given birth but intend to have children, the implant is placed just under the muscle.

Accessibility:

  • under the breast (incision under the breast);
  • periareolar (incision around the nipple-areola complex);
  • armpit (incision next to the armpit area).

Access under the breast- the most appropriate method from the point of view of controlled recovery.It is used for breast surgery if the patient subsequently plans to have children and breastfeed.Even very large implants can be easily installed through this entrance.Post-operative scars will be hidden in the folds under the breasts.

Access around the areolagood when breast augmentation and augmentation are performed at the same time.This type of access allows you to change the shape of the nipple-areola complex.If the areola is small, it will not be possible to place a large implant.Scars using the periareolar method will follow the contour of the areola.Over time, they will become almost invisible to the naked eye.This type of approach is not recommended for girls who have not given birth because the milk ducts may be damaged during surgery.

Way into the armpitGood for small implant installations.But anatomical implants like this cannot be installed, only round ones can be installed.The scar in this case will be in the armpit area.

Before and after images of breast augmentation with implants are at the bottom of the page.

Types of breast augmentation implants

For breast augmentation, silicone implants are used in various volumes (1 size equals 120 ml) and shapes: round or teardrop (anatomical).

  • Breast reconstruction surgery with the placement of round implants will create a perky, firm breast with regular round contours.In nature, this shape of the mammary gland (“apple”) is quite rare, so after breast augmentation, the breast may look less natural than with surgical implants.But this type of implant is suitable for correcting mild gynecomastia without additional augmentation.
  • Teardrop implants replicate the most common shape of the mammary gland: they look like cones.With them, the breasts acquire a fuller lower pole with a smooth curve, characteristic of a natural bust.Sometimes only the use of implants of different volumes can correct the existing asymmetry.

In various cases, your surgeon may recommend smooth or textured implants.

  • Smooth round models are suitable for installation through the axillary method (through the armpit).
  • Anatomically shaped models with a textured surface are often chosen for breast augmentation through a submammary approach, allowing you to achieve beautiful, natural results.

Indications for breast augmentation

  • unsatisfactory breast size;
  • breast asymmetry;
  • ptosis due to breastfeeding/sudden weight loss;
  • excess fatty tissue;
  • excess glandular tissue;
  • Nipple shape is not satisfactory.

Cosmetic surgery using implants is indicated for corrective breast reconstruction - after lumpectomy or total mastectomy.So the activity is not just aesthetic.It can also be done for medical reasons.

Contraindicated for mastectomy

  • early age (up to 18);
  • Pregnancy and lactation period;
  • blood clotting problems;
  • liver disease;
  • cardiovascular and endocrine diseases;
  • diabetes;
  • cancer;
  • diseases of the respiratory system;
  • infectious and viral diseases;
  • mental disorder.

If the results of the preoperative examination are unsatisfactory, the operation will be postponed or canceled.

Two weeks before surgery, you need to stop taking blood thinners and hormone medications.

How is the breast augmentation procedure performed?

  1. Patient talks to surgeon.Preoperative marking is applied.Next is a conversation with the anesthesiologist.
  2. The surgery takes place under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions under the breast/in the armpit/in the area around the nipple.Through an incision, the implant is placed under the gland or muscle.The placement of the implant will be discussed in advance during the consultation.
  3. The drain is then installed and sutured.
  4. After recovering from anesthesia, the patient will stay in the hospital for 24 hours after surgery because the patient needs to be monitored around the clock.

What exams need to be completed before the testing procedure?

If your doctor is planning cosmetic correction using local anesthesia, you will need to undergo some basic tests before the procedure:

  • General clinical blood test (complete + platelets)
  • Coagulation profile (clotting time, bleeding time, INR, prothrombin index, fibrinogen, APTT)
  • Blood biochemical tests: ALT, AST, bilirubin, cholesterol, urea, creatinine
  • Blood sugar (glucose) test
  • Test for hepatitis B, hepatitis C, HIV, syphilis

Blood group test (with Rh)

  • ECG (electrocardiogram)
  • fluorescent
  • General urine test
  • Examination by a breast doctor, including a breast ultrasound or mammogram
  • Conclusion of the treating doctor about the possibility of surgery (for patients over 30 years old)

*Your doctor may order additional testing to more accurately predict results and minimize the risk of complications during breast augmentation.

Rehabilitation period

After surgery, you stay 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.During the first few days, it is normal for swelling, pain, a slight increase in body temperature and a feeling of “tension”.Swelling and pain usually disappear within 10-14 days after surgery.After 2 weeks, the surgeon will remove the sutures.Up to this point, you must take medication as prescribed by your doctor.In the first days after plastic surgery, you need to take antibiotics, which means drinking alcohol is prohibited.Pain relievers recommended by your surgeon will help reduce pain after surgery.

After cosmetic surgery, it is necessary to eliminate the risk of allergies.Therefore, you should not consume foods that cause allergies.The doctor will provide a list of them during the consultation.Allergies are dangerous due to increased swelling and resulting pain.

What should you not do during recovery?

  • excessive physical and mental exertion;
  • go to the sauna, swimming pool, gym;
  • sunbathing;
  • sleeping on side;
  • raise your hand;
  • touch and rub your breasts.

You need to wear compression garments for a month.For the next two months, it is better to wear a sports bra without wires.3 months after breast augmentation surgery, you can update your linen wardrobe.

Your doctor will prescribe an examination plan for you.It is important to follow it to avoid side effects.

Complications may occur

If the doctor's recommendations are not followed, the implant may shift and an inflammatory process may develop.For controlled results, we leave the drainage system in place.This reduces the risk of complications after surgery.

At later stages, there is a risk of the formation of contracture fibrosis - the formation of a dense crust around the implant.Implant manufacturers indicate the percentage risk of capsular contracture occurring.We work with implants that have the least risk of developing connective tissue 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 performed to camouflage the implants and give the breasts a natural look.

Due to trauma, the implant can rupture.If there is a crack, an operation is performed to remove it and replace it with a new one.

When should you contact your surgeon?

  • the breast becomes hard to the touch;
  • skin color in the transplant area changes;
  • vascular network appears;
  • deformed breasts;
  • pain occurs.

Patients often come to us after surgery at other clinics with complaints of capsular contracture.A repeat mammoplasty is then performed with implant replacement and fibrous tissue removal.

Spasmodic fibrosis occurs more frequently when the implant is placed subglandularly.If it is located under the muscle, small signs of fibrosis may be unnoticeable and harmless.

If you want to find an inexpensive breast augmentation, think carefully about the fact that we are talking about your health - physical and mental.Take your time and make an informed decision.

Breast augmentation price

Breast augmentation prices at each clinic are different.It is formed from many factors:

  1. surgeon's competence
  2. plastic method
  3. implant costs
  4. volume of consumable materials
  5. anesthesia time
  6. hospital stay