Mammoplasty: caprice or investment in yourself?
- dissatisfaction with the volume and shape of the breast;
- asymmetry of the mammary glands;
- tubular chest;
- breast hypoplasia (small breasts);
- Polland syndrome;
- post-lactation involution of the mammary glands (atrophy of the mammary gland after breastfeeding);
- reconstructive surgery on the mammary glands after resection or mastectomy;
- the need to replace implants for medical or cosmetic reasons.
Contraindications to surgery:
- age up to 18 years
- decompensation of the cardiovascular system;
- decompensation of the respiratory system;
- decompensated liver / kidney;
- bleeding disorder.
Implant installation methods:
With a submammar access, the surgeon makes an incision under the breast. This is the most commonly used access for the installation of breast implants, used in approximately 85% of cases worldwide. This option has a number of significant advantages – the least traumatic and most convenient for installing implants. When performing such access there is practically no contact with the tissue of the gland itself, which further does not limit breastfeeding. Formed scar after wound healing is hardly noticeable.
The other two methods of surgical access (axillary (axillary) and peri-rectolar (areola)) for implant placement do not have cosmetic and aesthetic advantages in comparison with submammary, but technically much more difficult, and most importantly – involve significant risk of complications for the patient during the operation and in the postoperative period.
There are two main options for the location of implants:
- The location of the implant under the breast tissue is the subglandular position. In this case, the implant is placed in the cavity formed under the breast tissue and is in direct contact with the back surface of the gland. The advantage of this placement is less tissue trauma during the formation of a pocket under the implant. This method is suitable for those involved in sports, as the implant is not deformed during exercise. Existing deficiencies – sometimes the implant can be contoured, which gives an artificial breast appearance, a higher probability of capsular contracture development (ripples and waves on the skin), more often ptosis (omission) of the breast occurs in the long-term period, as well as a higher risk of reducing the nipple sensitivity.
- The location of the implant under the pectoralis major muscle is a submuscular position. The advantages of this arrangement of the implant are obvious – the breast has a more natural look, the edges of the implant do not contour and are not palpable, there is a lower probability of omission of the breast, the risk of capsular contracture formation is significantly reduced. But there are also disadvantages – a more traumatic installation and a longer rehabilitation period. The most modern way is the location of the implant in 2 planes, when the upper 2/3 of the implant is placed under the pectoralis major muscle, and the lower edge is under the gland tissue. This type of installation allows you to achieve the best result: the breast acquires the most harmonious, natural look, and the risks of capsular contracture or ptosis of the breast are minimal.
Varieties of breast implants
The shape of the implants can be divided into teardrop (anatomical) and round. Implants differ in shape, volume and size, and their selection is carried out individually for each patient based on the measurement of anthropometric data and taking into account wishes regarding the shape and volume of the desired breast.
Modern implants do not significantly increase the likelihood of malignant diseases of the mammary gland, and their installation does not cause difficulties for the examination of the gland in the future.
Manufacturers of implants give a lifetime warranty on products, and implants do not require a scheduled replacement.
For patients of the clinic LLC “Doctor” we use implants only from leading manufacturers from the USA and Europe.
Necessary examinations before breast augmentation
- General blood and urine test;
- Blood type and Rh factor;
- Blood glucose;
- Liver samples;
- Viral markers for hepatitis B and C;
- Wasserman reaction (RW);
- Fluorography (up to 3 months);
- Electrocardiogram (ECG);
- Breast ultrasound or mammography;
- Examination and conclusion of a gynecologist;
- If necessary, an examination of related specialists (mammologist, endocrinologist, cardiologist).
Features of the treatment steps
At least 10 days before the planned operation, it is necessary to completely eliminate the use of drugs that affect blood clotting (aspirin, anticoagulants, and others).
The operation is performed under general anesthesia. The duration of the operation is about 1.5 hours. The duration of hospital stay is 1-2 days.
In the postoperative period, as a rule, there may be swelling of the breast, which gradually disappears over a period of 2 weeks.
Non-physical work can be started in 5-7 days. It is necessary to limit physical activity for 1.5 months. Be sure to wear compression underwear for at least 2 weeks.
Need to know
- Over time, there is a natural omission of the breast under the influence of gravity, so the result of the operation is estimated at 6-9 months;
- The initial asymmetry of the mammary glands can be reduced to a degree unobtrusive.