What is mammoplasty?

breast augmentation by surgery

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

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 ideal above all. And mammoplasty or mammoplasty can help them with this.

Mammoplasty is a type of surgical intervention 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 wish.

Today, mammoplasty is one of the most common surgeries for women in the field of aesthetic medicine. It aims to eliminate conditions such as micromastia (insufficient volume of the mammary gland) or excessive volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, post-lactation conditions, mastectomy, massive weight loss and changes inage related. . Breast augmentation with silicone implants is one of the most frequent patient requests for plastic surgeons.

Types of mammoplasty

Mammoplasty is divided into three types depending on the purpose.

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

Augmentation mammoplasty is divided according to the type of access to the gland through an incision. Today, three of them are practiced:

  • Axillary approach - from the armpit
  • Areolar - along the lower or upper edge of the areola
  • Inframammary - 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, etc.

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

Mastopexy – breast lift. It is often performed in conjunction with augmentation or reduction mammoplasty. With isolated mastopexy, a tightening of the skin is done, 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 oftenduring take off. Silicone implants are used as in augmentation mammoplasty.

Breast implants and their forms

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

They are known to be absolutely hypoallergenic, biologically compatible with human tissue and safe to use. The risk of rejection is reduced to zero, they do not affect the quality of lactation or the course of a woman's pregnancy.

According to their shape, implants are divided into round and anatomical (point-shaped). Their surface can be smooth or microtextured. They are created from certified hypoallergenic medical silicone. There are several major global manufacturers. In a modern clinic, surgeons work with high-quality implants from various well-known companies.

A plastic surgeon will help you choose an implant that is suitable in shape and size during a mandatory consultation, which precedes the surgical intervention itself.

Indications for mammoplasty

Indications for mammoplasty will be:

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

Contraindications for mammoplasty

Contraindications include:

  • oncology before healing and permission from the oncologist
  • dynamically growing neoplasm before healing
  • diabetes mellitus in the decompensation stage
  • serious blood diseases associated with blood clotting
  • ePilePtic seizuRes
  • diseases for which general anesthesia is contraindicated
  • HIV, hepatitis B and C
  • severe mental disorders, in particular schizophrenia
  • Chronic diseases in the acute phase
  • age up to 18 years
  • serious kidney dysfunction
  • lupus erythematosus
  • pregnancy in all stages, lactation. After the end of breastfeeding, at least 6 months should 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 you prepare for mammoplasty is a consultation with a plastic surgeon. He collects the anamnesis, performs an examination and talks with the patient. If there are no previously identified contraindications for mammoplasty, then the patient is prescribed medical tests.

General and biochemical blood test, ultrasound of the mammary glands and veins of the lower extremities will be mandatory for everyone. 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 implant if breast augmentation is planned.

One month before surgery, you should give up alcohol and nicotine - these substances slow down tissue regeneration processes, healing is much worse, numerous international studies confirm this. 2 weeks before the date, it is recommended to stop taking hormonal drugs, NSAIDs, aspirin, vitamins and drugs that affect blood coagulation.

Phases of operation

The process of breast surgery looks like this:

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

Recommendations after the procedure

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

In general, the following should be noted:

  • Expect to spend at least one night in the hospital. On the first day, it is better to trust yourself to the medical specialists who will be nearby
  • wearing compression garments. This is a mandatory condition - without it, the risk of complications increases significantly
  • You will need to visit the clinic regularly for examinations during the first 7-10 days. Your attending physician will provide you with a schedule of visits. Further visits to clinics depend on the specifics of rehabilitation

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

Some myths about mammoplasty

  1. Implants affect breastfeeding. There may be no milk or there may be little.
    It's not true. Modern implants have absolutely no effect on lactation and are safe for 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, such non-invasive/popular methods with at least some proven effectiveness do not exist. And there may be health risks, but they are not usually warned about.
  3. Over time, the breasts will recede again and another surgery will be required.
    Gravity and age-related changes affect breasts with implants just as much as those without. Manufacturers give a lifetime warranty on the implants themselves, which means that as long as they are installed, nothing can happen to them. But does this mean that a second operation will not be required? - no it doesn't mean. Breasts will not look the same as after surgery forever and after 15-20 years minor correction may be required. There are many reasons for this: weight gain, pregnancy, lactation, capsular contracture, ptosis.
  4. After the operation there will be wounds that do not resolve.
    Not really. No scar can be completely resolved, it exists and remains after every operation, the question is how visible it is. The quality of the scar is influenced by many factors, such as genetics, immunity, the progress of the postoperative period and whether the surgeon has correctly sutured the wound. Marks can be corrected using cosmetic methods (laser, collagen therapy, etc. ) in the same way as on any surface with thin dermis - face, neck, abdomen. And if you follow all the doctor's recommendations during the postoperative period, the tissues will scar properly, without occupying a significant area. As a last resort, an unsatisfactory scar can always be surgically corrected.
  5. Breasts will lose sensitivity after surgery.
    After the manipulation, the sensitivity of the breast really decreases - this is due to the numerous processes, the trauma of the sensitive branches and the swelling after the operation. At the end of the rehabilitation period, in most cases, sensitivity returns.

Prices for mammoplasty 

Prices for mammoplasty vary depending on the clinic's assessment, the doctor's qualifications and experience, and the type of implants. The price is also influenced by the options that are included in the package: hospital stay, compression garments, postoperative support, clothing with consumables.

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

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

On average, a breast lift operation together with an implant and postoperative support costs the patient 270, 000 rubles - 350, 000 rubles.

CONCLUSION

Plastic surgery today is gaining success in our country and is 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, are placing and receiving the breasts of their dreams thanks to plastic surgery.

Mammoplasty is a plastic surgery that corrects the shape and size of the breast. Most often, breast augmentation, areola enlargement, and breast lift are performed during any of the three types of mammoplasty, thus achieving exactly the result the patient wants. Modern implants are safe and consist of hypoallergenic silicone, moreover, they are approved by the FDA (Agency of the Department of Health and Human Services). Performed by an experienced and high-quality surgeon, mammoplasty is a way to have the bust of your dreams, the subject of compliments and joy for many years.