Recently, a new branch of medicine has emerged - aesthetic surgery, the goal of which is breast implantation. According to statistics, often the fair sex, dissatisfied with the size of their breasts, use the services of plastic surgeons. Breast augmentation surgery is performed using special implants.
Instructions for it may be:
- The patient's desire to enlarge the size of the breast and give it a more attractive shape.
- Breast reconstruction after radical mastectomy (removal), caused by various diseases.
- Asymmetry of the mammary glands.
- Congenital anomalies and anatomical defects.
- As a result of trauma.
When a woman decides that she needs breast augmentation surgery, she faces 3 main tasks, on which a positive result will largely depend: the choice of clinic, specialist surgeon and type of breast implant.
Expert choice
How to choose the right clinic and plastic surgeon? In large cities, there are many clinics that offer plastic surgery services. There is a fear of meeting with irresponsible specialists, and then for years to pay with their health and damaged nerves. In legal practice, there are several precedents when they are held accountable and forced to pay material and moral damages.
It should be noted that the cost of a good implant and the work of a team of doctors is quite high. You should not buy various promotions and discounts, if the operation is offered at a cost much lower than the market average, then it is better not to risk your health and refuse.
There are several criteria for efficient clinic selection:
- The institution has a permit, a corresponding license, its specialists have undergone specialized training and presented a notarized copy of the approval from the university, the course of specialization.
- The clinic has all the necessary equipment, including devices for resuscitation and intensive care.
- Surgery is performed by a team of surgeons, resuscitators, surgical nurses.
- The cost of services includes postoperative care and supervision.
- The clinic has good patient reviews and is respected in the medical community.
- The doctor talked in detail about the nuances of the operation and the service agreement, including a section on possible complications.
- The clinic checks the patient's health carefully before setting a date for surgery.
So, the clinic and the plastic surgeon who will perform the surgery has been determined. It remains to choose a breast implant.
Choice of implants
Are they? A breast implant is a shell filled with a specific composition.
As a filler used:
- salt;
- gel;
- solution mixture.
Breast implants with saline at the developmental stage of aesthetic surgery are now practically unused. They can not provide a long -term cosmetic effect - over time, folds and tubercles appear on the surface of the breast. The gel content in the implant cannot move so freely, so it is preferred.
The latest generation of implants from leading Western manufacturers are based on special gels that do not move when body position changes. As a result, the breast maintains its attractive shape for many years.
Gel breast implants have:
- Durable silicone fiber outer skin.
- Cohesive gel fillers have a jelly consistency.
- When ruptured, the gel does not leak into the breast tissue, but remains inside.
It is important to choose an anatomical implant that fits the natural shape of the patient’s breast. With a flat chest, it is recommended to install teardrop -shaped implants, with sagging - round. Surgeons and patients must make joint decisions about mammoplasty and implants. In a good clinic, it is recommended to create a 3D model, which makes it possible to assess the results of future operations.
In addition to the shape, the size of the implant is selected. In modern models, one size corresponds to 150 ml of gel filler. If it is planned to increase the size of the breast by two sizes, an implant with a volume of 300 ml is selected.
There are special cases when surgeons inject fillers into the shell during surgery. He makes an individual decision about the amount of gel to be injected based on:
- body proportions,
- chest width,
- current breast size
- skin density.
After the implant is placed in the breast, a capsule of connective tissue forms over time, which penetrates into its pores. Breasts become soft naturally to the touch and do not change shape over time. In some patients, a very dense capsule is created, which makes the mammary glands hard. Over time, this can cause them to lose shape.
Location of implants
What is the position of the implant during surgery? The location of the implant in the breast determines the shape of the mammary gland. How quickly and well they "take root" in the body depends on the right choice.
There are several ways to place implants:
- Above the chest muscles. Patients quickly and easily pass the recovery period, edema decreases in a short time. Contraction of the chest muscles does not cause deformation of the implant. But over time, it can develop into a dense connective capsule, which makes mammography difficult.
- Under the chest muscles. In this case, the implant will not interfere with mammography, not become too large with a dense capsule, but may be deformed due to contraction of the mammary glands.
- The intermediate position between the pectoral muscle fascia and the mammary gland tissue. This allows you to fix the implant safely and avoid negative effects.
Breast implants are performed in a clinic, usually under general anesthesia. The surgeon makes an incision from under the armpit below the fold of the breast, or around the areola. In this case, less noticeable scars remain. The duration of operation, depending on the complexity, is 1-2 hours.
Recovery period after mammoplasty
On the first day after surgery, patients remain under the supervision of doctors and medical staff at the clinic. With normal health, she was allowed to go out after dressing on the second day. On days 5–7 after surgery, a control examination was performed and, if necessary, a bandage was performed, and on days 10–14, sutures were removed. The rest of the recovery period, if there are no complications, is carried out by the patient himself.
He must:
- wear special compression underwear prescribed by a doctor,
- limit the physical load on the shoulder girdle,
- in the process of recovery to engage in a normal way of life,
- protect the chest from injury due to overheating and hypothermia,
- gradually returning to sports.
The overall recovery period, when the edema is completely gone and the results of mammoplasty can be assessed, is 4–6 months.
Risks of Breast Augmentation Surgery
Mammoplasty belongs to the category of complex operations, after which general surgical complications may occur:
- Bleeding. The risk of bleeding increases with poor blood clotting, sometimes unstitched blood vessels or torn sutures can be the cause.
- Infection. The operating field for mammoplasty is wide, infection from the surrounding skin can get into the wound.
- Dense scar formation. Sometimes deforming scars form at the suture site. They are removed by segregation.
In addition to general surgical complications, there are specific features in breast augmentation surgery:
- The implant ruptured. In rare cases, this occurs due to a violation of the patient’s regime during the recovery period or as a result of an implant defect.
- Breast defects with round implants. Occurs if the patient neglects the wearing of compression underwear, or due to the wrong tactics chosen to install the implant.
- Loss of sensation in the nipple and areola. The reason is a violation of the integrity of the nerve endings.
- Edema is caused by impaired lymphatic drainage.
- Formation of a dense capsule membrane, which can change the shape of the breast with anatomical implants.
Alternative breast augmentation
Are there alternatives to breast augmentation surgery? The use of cosmetics - creams, gels, ointments does not give positive results. You cannot enlarge your breasts this way. In addition, the hormones contained in it can cause a state of imbalance that is very difficult to correct.
Lack of volume and asymmetry can be compensated by wearing a special bra. Nevertheless, only breast augmentation surgery can restore a woman’s self -confidence and attractiveness.