What is mammoplasty

breast augmentation with surgery

The most charming, graceful and attractive thing about a female figure is her curves. And women themselves see the ideal body, exactly as they see it, as the source of their pride and worth.

Perhaps for the first time in history, a modern woman can afford to get the body she wants. And also thanks to plastic surgery. A woman's bust is the part of the body that women would like to see above all ideal. And mammoplasty or mammoplasty can help them with this.

Mammoplasty is a type of surgery in the field of plastic surgery, the purpose of which is to correct the shape and/or size of the mammary glands. Often, to achieve results, a special endoprosthesis (silicone implant) is placed under the gland or under the pectoral muscle, if this is the patient's desire.

Mammoplasty today is one of the most widespread interventions among women in the field of aesthetic medicine. It aims to eliminate conditions such as micromastia (insufficient volume of the mammary gland) or excess volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, post-lactation conditions, mastectomy, massive weight loss and age-related changes . . Breast augmentation with silicone implants is one of the most common requests from patients to plastic surgeons.

Types of mammoplasty

Mammoplasty is divided into three types depending on the purpose.

Breast augmentation (enlargement) gives a natural shape and toned appearance. In most cases, plastic surgeons achieve results by installing silicone breast implants. With its help, you can add volume to your breasts and give it beautiful shapes while maintaining its lactation function (the ability to produce milk).

Breast augmentation is divided based on the type of access to the gland through an incision. Today three are practiced:

  • Axillary access - from the armpit
  • Areolar: Along the lower or upper edge of the areola
  • Submammary – in the area of the inframammary fold.

The type of access is selected by the surgeon individually for each patient, depending on the purpose, tissue condition, desired shape, bust size and so on.

Reduction mammoplasty is a reduction in the size of the breast; the plastic surgeon removes excess skin, glandular and fatty tissue and performs a facelift. This allows you to restore the elasticity and aesthetic appearance of the breasts, adjust the shape of the nipples and the size of the areolas.

Mastopexy – breast lift. It is often performed in conjunction with breast augmentation or reduction. With the isolated mastopexy, skin tightening is performed, sometimes using maneuvers to move the glandular tissue and fix it in a higher position, as an alternative to an implant, thus correcting the shape and volume of the breast, but often during the facelift itself the Silicone implants are used as in breast augmentation.

Breast implants and their shapes

Modern breast implants or implants undergo numerous tests and studies before they are certified and reach the end user.

They are recognized as absolutely hypoallergenic, biologically compatible with human tissues and safe to use. The risk of rejection is reduced to zero; they do not affect the quality of breastfeeding or the progress of the woman's pregnancy.

Based on their shape, implants are divided into round and anatomical (teardrop). Their surface can be smooth or microstructured. They are made of certified hypoallergenic medical silicone. There are several leading manufacturers worldwide. In a modern clinic, surgeons work with high-quality implants from several renowned companies.

A plastic surgeon will help you select an implant suitable for shape and size during a mandatory consultation, which precedes the actual surgery.

Indications for breast augmentation

The indications for mammoplasty will be:

  • ptosis following age-related changes, breastfeeding, sudden weight loss
  • tubular breast
  • asymmetry of the mammary glands
  • macromastia – very large breasts that cause physical discomfort. This can cause bad posture, back pain, interfere with physical activity and sleep, excessive sweating in the area of the inframammary fold causes moral suffering and significantly lowers the woman's self-esteem
  • micromastia – insufficient volume
  • conditions, defects after mastectomy
  • personal desire of the patient to enlarge or change the shape of the breast/areola/nipple in the absence of contraindications to such surgery

Contraindications to mammoplasty

Contraindications include:

  • oncology before treatment and authorization from the oncologist
  • dynamically growing tumors before treatment
  • diabetes mellitus in decompensation phase
  • serious blood diseases associated with blood clotting
  • epilepsy
  • diseases for which general anesthesia is contraindicated
  • HIV, hepatitis B and C
  • serious mental disorders, especially schizophrenia
  • Chronic diseases in the acute phase
  • age up to 18 years
  • severe renal dysfunction
  • lupus erythematosus
  • pregnancy in all stages, breastfeeding. After the end of breastfeeding, at least 6 months must pass for the processes in the mammary glands to stop naturally

Also, the operation is not performed during menstruation due to the increased risk of bleeding.

Preparation for surgery

The first thing that happens when preparing for mammoplasty is a consultation with a plastic surgeon. He takes the medical history, conducts an examination and talks to the patient. If there are no previously identified contraindications to mammoplasty, the patient is prescribed medical tests.

Everyone will be obligatory for a general and biochemical blood test, an ultrasound of the mammary glands and veins of the lower extremities. In addition, the doctor may prescribe other studies or consultations with specialists. During the consultation, the doctor and the patient choose the type and size of the prosthesis if breast augmentation is planned.

A month before the operation, you should give up alcohol and nicotine: these substances slow down the processes of tissue regeneration, healing is much worse, this is confirmed by numerous international studies. 2 weeks before the date, it is recommended to stop taking hormonal drugs, NSAIDs, aspirin, vitamins and drugs that affect blood clotting.

Operational phases

The breast surgery process looks like this:

  1. The surgeon marks the lines along which the incisions will be made with a special marker
  2. Subsequently, the actual intervention begins, with or without the installation of the systems.
  3. If it is a mastopexy or reduction mammoplasty, the excess tissue is removed during the operation. If it is a breast augmentation, pre-selected silicone implants are installed during the operation.
  4. Self-absorbing sutures are applied and that's all

Recommendations after the procedure

Perhaps the most important recommendation is to follow your doctor's recommendations.

In general it is good to highlight the following:

  • Expect to spend at least one night in hospital. On the first day it is better to rely on the medical specialists who will be nearby
  • wear compression clothing. This is a mandatory condition: without it the risk of complications increases significantly
  • You will have to visit the clinic regularly for tests during the first 7-10 days. Your doctor will provide you with the visit schedule. Further visits to clinics depend on the specifics of rehabilitation

During the 1 month rehabilitation period, it is not recommended to play sports, you can only sleep on your back. It is not advisable to drive a car as seat belts exert a compressive load. You should also avoid visiting solariums, saunas, baths and swimming pools in the immediate postoperative period. Alcohol and smoking are not recommended.

Several myths about breast augmentation

  1. Implants affect breastfeeding. There may be little or no milk.
    It is not true. Modern implants have absolutely no effect on breastfeeding and are safe for both mother and baby. They are installed under the muscle or under the mammary gland without disturbing its physiology, including the ducts.
  2. There are safe folk or pharmaceutical remedies for breast enlargement and they are effective.
    NO. To date there are no non-invasive/popular methods with proven at least some effectiveness. And there may be health risks, but they are usually not warned.
  3. As time passes, the breasts will shrink again and another operation will be necessary.
    Gravity and age-related changes affect breasts with implants the same way as those without. Manufacturers provide a lifetime warranty on the systems themselves, which means that as long as they are installed nothing can happen to them. But does this mean that a second surgery won't be necessary? – no, it doesn't mean. Your breasts will not look the same as they did after surgery forever, and a small correction may be needed after 15-20 years. There are many reasons: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After the operation there will be scars that do not resolve.
    Not exactly. No scar can resolve completely, it exists and remains after every operation, the question is how noticeable it is. The quality of the scar is influenced by many factors, such as genetics, immunity, the course of the postoperative period and whether the surgeon sutured the wound correctly. Scars can be corrected with cosmetic methods (laser, collagen therapy, etc. ) in the same way as any surface with thin dermis: face, neck, abdomen. And if you follow all the doctor's recommendations during the postoperative period, the tissue will heal properly, without occupying a significant area. As a last resort, an unsatisfactory scar can always be corrected surgically.
  5. Your breasts will lose sensation after surgery.
    After manipulation, the sensitivity of the breast is actually reduced: this is due to numerous processes, trauma to sensitive branches and postoperative swelling. At the end of the rehabilitation period, in most cases, sensitivity returns.

Prices for breast augmentation 

Prices for mammoplasty vary depending on the clinic's rating, the doctor's qualifications and experience, and the type of implants. The options included in the package also influence the price: hospital stay, compression garments, post-operative support, dressings with consumables.

For example, if only a breast lift is performed without the installation of implants, the price of mastopexy starts from 250, 000 rubles.

If the breast lift involves the use of prostheses, the price of the operation will start from 270, 000 rubles and above.

On average, a breast lift with implant and postoperative support costs the patient 270, 000 – 350, 000 rubles.

Conclusion

Today, plastic surgery is successfully gaining momentum in our country and becoming accessible. More and more women, whose breasts have undergone age-related hormonal changes, suffered after a mastectomy or initially did not correspond to the ideal of a housewife, decide to get the breasts of their dreams thanks to plastic surgery.

Mammoplasty is a plastic surgery that corrects the shape and size of the breasts. In most cases, during any of the three types of mammoplasty an increase in the size of the breast, areola and breast lift is performed, thus achieving exactly the result desired by the patient. Modern implants are safe and are made of hypoallergenic silicone, and are also approved by the FDA (Agency of the Department of Health and Human Services). Performed by a high-quality, experienced surgeon, mammoplasty is a way to have the bust of your dreams, the subject of compliments and joy for many years.