Breast augmentation with breast augmentation surgery is a type of cosmetic surgery to enlarge the breast and correct its shape.The surgery is performed using special implants, which provide a sensation almost no worse than natural mammary glands.
What is it?
Breast augmentation with implants is a cosmetic surgery that allows you to correct the mammary glands.This technique is applied to women whose breasts have sagged, changed shape and volume, for example due to childbirth or breastfeeding.
Breast augmentation with breast augmentation surgery is one of the surgical methods of enhancing the breast and correcting its shape.
Surgery is indicated after a comprehensive examination and is performed at the hospital.
In this case, implants of different shapes, contents and volumes are used, which can be installed under the main muscle of the fascia, gland or chest.
The location of the incision may also vary.To avoid the development of complications after intervention, it is necessary to strictly follow the rules of care.
To make the breasts look more natural after surgery, the specialist will give recommendations on choosing the size of the implant.
Types of prosthetic legs
All materials are divided into several types.
According to content
They are classified into many types.
Silicon
They consist of an adhesive gel of varying density.The peculiarity of such implants is that if damaged, they will not leak.
salt
Filling: saline solution.Such products are less common than others, but their cost will be slightly lower.In addition, they have a shorter shelf life and when worn under the skin, bumps may form.
Installation of selected implants is an important stage of breast augmentation surgery.
Recovery and the level of pain will depend on their exact location and contact with the tissues.
With competent action by the surgeon, most complications can be easily avoided.
Hydrogels
This is a new generation biological implant.It is completely compatible with the human body, helping to almost completely eliminate the risk of rejection.Hydrogel has many positive properties, and its quality is not inferior to silicone prostheses.Their advantages are elasticity, safety and non-toxicity.
According to shape
Experts distinguish between round and teardrop-shaped implants.The first ones are used for minor changes in the mammary glands.Breast augmentation with round implants is suitable for women who want a natural breast shape.
According to surface type and profile
The surface of dentures can be smooth or rough.
There are also high and low implants.
When choosing a product, the doctor must take into account age, weight, height, body condition, sternum structure, condition of the mammary glands and their size.
Access method
To insert the implant into the chest cavity, experts use three methods of tissue dissection, which leads to the replacement of the vacuum space.
around the areola
Breast tissue was dissected at the areola site.The main advantage of this technique is that the doctor has the opportunity not only to correct the shape of the nipple, but also to change its position.
Post-operative scars almost completely disappear over time.
under the breast
An incision is made along the crease under the breast.In terms of discreetness of the scar, this method is considered the most convenient because the seam is located where the mammary gland covers the skin of the torso.
Armpit
Related to incisions in the area near the armpit.This method is more sloppy and complicated;The scars will be in a visible place.In addition, in this case it is difficult to correctly place the implant in the pocket between the mammary gland and the muscle.
Location of the prosthesis
They can be placed under the fascia, under the mammary gland, or under the pectoralis major muscle.A combined method is often used, in which several positional tactics are combined at once.
Difficulty category
To determine this indicator, the following values must be taken into account:
- pointaccess;
- volumesurgical intervention;
- anatomyfeatureand the desired size of the prosthesis;
- sharedstatusclient;
- presence of relativeslimitto activity.
Cosmetic surgery includes three types of complexity.
Firstly
Breast augmentation surgery of the first level of complexity involves periareolar and endoscopic access.At the same time, this method is characterized by moderate trauma and a minimal degree of surgical intervention.
Monday
The patient's condition is satisfactory.Perform restorations with vertical scars;assuming a moderate level of interference and damage.
Tuesday
There are relative limitations that can cause complications.Anchor elevation is performed during implantation.
assign
Mammoplasty is performed not only to improve the appearance of the mammary glands, but also to eliminate deformities and other defects.
The main indications for cosmetic surgery include:
- smallsizechest;
- asymmetry;
- sagbreast or areola prolapse, which can occur due to rapid weight loss;
- changeformsdue to breastfeeding or childbirth;
- hyperpigmentationpacifier;
- done wrongplasticbefore this;
- deformationnaturally plump.
However, the main factor is still the aesthetic transformation.
Contraindicated
Breast correction with gel or silicone prosthesis has absolute and relative limitations.
The first group includes:
- illnessSeverely diseased internal organs;
- ageup to 18 years old;
- childhood periodfeed;
- cancer;
- spiritabnormalities and epilepsy;
- violateblood clotting abilityblood;
- infection.
Relative contraindications include:
- yarn knotinside the mammary gland;
- bigweight;
- Syphilisand HIV;
- chronic formhepatitis;
- illnessautoimmunesystemic, eg, rheumatism, nephritis, scleroderma;
- varicose veinsvaricose veins
In addition, surgery should not be performed for diabetes in the compensated stage.Surgery will have to be postponed during menstruation or if body temperature is unreasonably high.
Prepare
Breast augmentation with breast augmentation surgery involves preparation.
An important point is to visit some experts.The surgeon will examine the mammary glands, the condition of the skin in this area and determine the size and volume of the breast.In addition, the doctor will tell you about the operations during surgery, their consequences and results.
A consultation with a gynecologist, mammologist, and therapist will help determine any limitations to surgery.The anesthesiologist will help determine the presence of individual intolerance and the tendency to develop allergic reactions to the drugs and materials used.
The patient is then referred for laboratory testing, which may include the following:
- blood and urine;
- biochemistry;
- for HIV, syphilis and hepatitis;
- road test;
- each Rh group and factor;
- coagulation map.
Instrumental examination includes performing radiographs, radiographs, electrocardiograms, and ultrasound examinations.
When pathological processes occur in a chronic form, a report from the treating doctor is required, which will indicate the duration of remission.
If no contraindications to surgical intervention have been identified, the woman needs to follow some recommendations at the preparatory stage.
No later than a week and a half before the expected date, you need to stop smoking and drinking alcohol.Do not let your body fall into stressful situations and nervous tension.You will also have to stop taking medications that reduce blood clotting.
Implementation techniques
You can come to the clinic the day before or directly on the day of surgical intervention.Before that, the doctor may advise the patient to take a sedative at night, which will help reduce nervous tension and ensure good sleep.In the morning at the hospital, the woman had her blood pressure and body temperature measured.
Then, the specialist will perform general anesthesia.The skin surface in the mammary gland area is treated with an antiseptic solution, a catheter is inserted, and the body is connected to a special device that allows you to monitor the condition of the body during surgery.
After the anesthetic takes effect, the doctor proceeds directly to the operation.A cut of the required length is made in the pre-selected area.The tissue is carefully separated to create a pocket into which the implant is then placed.To stop the bleeding, the blood vessels are cauterized.
Next, the surgeon removes the prosthesis and inserts it into the desired location through the incision.After completing all operations, the wound will be sutured and bandaged in place.The mammary glands are supported by the fixation glass, which will prevent the implant from moving to the side.
Recovery time
First of all, it is necessary to properly care for the wound surface, which will not only avoid the formation of pustules, but also accelerate the healing process.
As a rule, self-absorbing sutures are applied to the incision and do not need to be removed.After about 7 days, the patient only needs to remove the nodules protruding from the skin surface.
To prevent scarring, you will need to apply a plaster to the seam and wear a corset.
Since in the first few days after surgery, the woman will feel discomfort from pronounced pain, the specialist will advise you to take painkillers to eliminate the pain.Antibiotics are prescribed to reduce the risk of infection.
To reduce swelling, you should not take warm baths or showers or expose your body to any physical activity for two weeks.To prevent capsular contracture, breast massage is necessary, but this can be done no earlier than 2 weeks after implant placement.
For 5 days you need to avoid going to saunas, bathhouses and solariums.Tanning in direct sunlight is also prohibited.
Special attention should be paid to diet during recovery.Food should be light and easy to digest.You need to include more iron-containing fruits, vegetables and fortified cocktails in your diet.
complications
All possible side effects are divided into two groups.
Early
This type includes the formation of bruises, small hematomas, swelling and pain.Such a phenomenon does not pose a danger to human health and disappears on its own within a few days.
Late
This group includes:
- openingbleed– damage to blood vessels contributes to the development of complications;
- serum– as a rule, appears a few hours after the intervention, so the patient must stay in the hospital for 1-3 days;
- losssensitivitynipple-areola complex - often occurs due to damage to tactile nerves;
- hematoma;
- festeringat the suture site - the main cause of complications is non-compliance with septic and antiseptic rules;
- educationkeloid scarscarring and hypertrophic tissue;
- broken ordeflation(expiry) of the prosthesis;
- fantasyimplant;
- capsule formfiber shrinkage.
Each of the above consequences requires immediate medical intervention.
Breast augmentation with breast augmentation surgery is a complex surgery that requires a highly qualified surgeon.Therefore, before making the decision to have breast augmentation with implants, you need to consider the pros and cons and seriously choose the clinic where the operation will be performed.