Increased mammoplasty

Selection of implants before breast augmentation mammoplasty

Enlarged mammoplasty is a type of plastic surgery for breast augmentation and correction of its shape. The operation is performed with the help of special implants, which in almost no way feel inferior to the natural mammary glands.

What is it

Breast augmentation with implants is a plastic surgery, thanks to which it is possible to correct the mammary glands. This technique is applied to women who have breast prolapse, a change in its shape and volume, for example, as a result of childbirth or breastfeeding.

Increased mammoplasty is one of the methods of surgical breast augmentation and correction of its shape.

The operation is prescribed after an extensive examination, carried out in a hospital.

In this case, implants of different shapes, contents and volumes are used, which can be placed under the fascia, gland or large pectoral muscle.

The location of the incisions may also vary. In order to exclude the development of complications after the intervention, it is necessary to strictly adhere to the rules of care.

To make the mammary glands look more natural after surgery, the specialist will give recommendations on choosing the size of the implant.

Types of dentures

All materials are divided into several types.

By charging

They are classified into several types.

Silicone

It consists of a cohesive gel of varying density. The peculiarity of such implants is that, when they are damaged, they do not leak.

Saline

Filling is a physiological solution. Such products are less popular than others, but their price will be slightly lower. In addition, they have a shorter shelf life, and when worn under the skin, bumps and bumps can form.

Placement of selected implants is a key step in increasing mammoplasty.

The rehabilitation process and how painful it will be depends on their correct location and contact with the tissues.

With proper surgeon action, most complications can be easily avoided.

Hydrogel

This is a new generation bioimplant. It has full compatibility with the human body, which almost completely eliminates the risk of their rejection. Hydrogel has many positive properties, and its quality is by no means inferior to silicone dentures. Their advantage is elasticity, safety and non-toxicity.

According to the form

Experts distinguish between round implants and drop-shaped implants. The former are used with a slight change in the mammary glands. Breast augmentation with round implants is suitable for those women who want to acquire a natural breast shape.

According to the type of surface and profile

The surface of the prosthesis can be smooth or rough.

There are also high and low implants.

When choosing a product, the doctor should take into account the patient's age, weight, height, body type, sternum structure, condition of the mammary glands and their size.

Access methods

To insert the implant into the chest cavity, experts use three types of tissue dissection, as a result of which the vacuum space is replaced.

Periareolar

Breast tissue is 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.

The scar after surgery almost completely disappears with time.

Submammary

The incision is made along the fold line below the breast. In terms of scar invisibility, this method is considered the most appropriate because the suture is located where the mammary gland covers the skin of the trunk.

Axillary

Includes incisions in the area near the armpits. The method is sloppy and more complex; the scars will be visible. In addition, in this case, it is difficult to properly place the implants in the pocket between the mammary gland and the muscle.

Denture layout

They can be placed under the fascia muscles, under the mammary gland, or under the pectoralis major muscle. A combined method is often used that combines several locating tactics at once.

Difficulty categories

To determine this indicator, the following values should be taken into account:

  • pointaccess;
  • volumesurgical intervention;
  • anatomicallyfeaturesand the desired size of the prosthesis;
  • in generalconditionclients;
  • the presence of a relativerestrictionsto surgery.

Plastic surgery has three categories of complexity.

The first

Increasing first-degree complexity mammoplasty involves a re areolar approach and endoprosthetics. At the same time, the method is characterized by moderate trauma and minimal amount of surgical intervention.

Others

The patient's condition is satisfactory. Prosthetics with a vertical scar are performed; indicates a moderate level of intervention and trauma.

Third

There are relative limitations that can cause complications. Anchoring is performed during which implants are installed.

Indications

Mammoplasty is performed not only to improve the appearance of the mammary glands, but also to remove deformities and other defects.

The main indications for plastic surgery include:

  • smallsizebreasts;
  • asymmetry;
  • deflectionbreast or areola prolapse, which may be in the background of rapid weight loss;
  • changeshapeas a result of lactation or childbirth;
  • hyperpigmentationduda;
  • incorrectly performedplasticbefore;
  • deformationcongenital innate type.

However, the main factor is still the aesthetic transformation.

Contraindications

Breast correction gel or silicone dentures have their absolute and relative limitations.

The first group includes:

  • diseasesheavy internal organs;
  • Ageup to 18 years;
  • breast periodfeeding;
  • crabs;
  • mentallydeviations and epileptic seizures;
  • violationcoagulabilityblood;
  • infections. . .

Among the relative contraindications are:

  • fibrous knotsinside the breast;
  • bigweight;
  • syphilisand HIV;
  • chronic formhepatitis A;
  • diseasesautoimmunesystems, for example, rheumatism, nephritis, scleroderma;
  • varicose veinsvaricose veins.

In addition, it is not recommended to perform surgery for diabetes mellitus in the compensation phase. Surgery will have to be delayed during menstruation or with an unreasonable increase in body temperature.

Training

An increase in mammoplasty involves preparation.

The important thing is to visit some experts. The surgeon examines the mammary glands, the condition of the skin in this area, determines the size and volume of the breast. In addition, the doctor will talk about the actions in the process of surgery, the consequences and the result.

Consultations with a gynecologist, mammologist, and therapist will reveal the existing limitations of the surgery. The anesthesiologist will help determine the presence of individual intolerance and a tendency to develop an allergic reaction to the medications and materials used.

After that, the patient is given a referral for laboratory research, which may include the following tests:

  • blood and urine;
  • biochemistry;
  • for HIV, syphilis and hepatitis;
  • sugar test;
  • by group and Rh factor;
  • coagulogram.

Instrumental examination includes fluorography, X-ray, electrocardiogram, and ultrasound examination.

In the presence of pathological processes that take place in a chronic form, it will be necessary to make a doctor's conclusion indicating the duration of remission.

If no contraindications to surgery are identified, the woman in the preparation phase must follow a number of other recommendations.

You must stop smoking and drinking alcohol no later than one and a half weeks before the expected date. You cannot expose your body to stressful situations and nervous overload. You will also need to stop taking medications that help reduce blood clotting.

Execution technique

Arrival at the clinic is possible before or directly on the day of the operation. Before that, at night, the doctor may advise the patient to take a sedative, which will help relieve nervous tension and ensure good sleep. In the morning, women's blood pressure and body temperature are measured at the hospital.

The specialist then performs general anesthesia. The surface of the skin in the area of the mammary glands is treated with an antiseptic solution, catheters are placed and the body is connected to a special device that allows you to control the condition of the body during surgery.

Once the anesthetic has acted, the doctor proceeds directly to the manipulation itself. An incision of the desired length is made in the previously selected area. The tissues are gently separated to form a pocket into which the implant will later be inserted. To stop the bleeding, the veins are cauterized.

The surgeon then removes the endoprosthesis and places it in the desired position through the incision. After all manipulations have been performed, a suture and a bandage are applied to the wound. The mammary glands support corrective underwear, which will prevent the implants from moving to the side.

Recovery period

First of all, proper care of the wound surface is needed, which will not only avoid the formation of pustular formations, but will also accelerate the healing process.

As a rule, self-absorbing sutures that do not require removal are applied to the incision. After approximately 7 days, the patient will only need to remove the nodules that will protrude above the surface of the skin.

To prevent scarring, you will need to apply plaster to the suture and wear a corset.

Since the first few days after the operation, the woman will be disturbed by severe pain, the specialist will recommend taking analgesics to remove it. Antibiotics are given to reduce the chance of infection.

To alleviate the swelling for two weeks, you can not take a warm shower and bath, expose the body to any physical activity. In order to prevent capsular contracture, it is necessary to massage the breast, but this can be done at the earliest 2 weeks after implantation.

You must refuse to visit the sauna, bathroom and solarium for 5 days. Tanning in direct sunlight is also prohibited.

Special attention should be paid to diet during the recovery period. Food must be light and easily digestible. The diet should include more fruits and vegetables that contain iron, fortified cocktails.

Complications

All possible side effects are divided into two groups.

Early

This category includes bruising, microhematoma, swelling, and soreness. Such phenomena are not dangerous to human health and disappear on their own within a few days.

Late

This group includes:

  • openingbleeding- vascular damage contributes to the development of complications;
  • seroma- appears, as a rule, a few hours after the intervention, so the patient must be in a stationary state for 1-3 days;
  • losssensitivitynipple complex -areola - often occurs as a result of damage to the tactile nerve;
  • hematomas;
  • suppurationat the site of the suture - the main reason for the occurrence of complications is non-compliance with septic and antiseptic rules;
  • educationkeloidscarring and hypertrophied tissue;
  • interrupt ordeflation(expiration) dentures;
  • dystopiaimplants;
  • capsularfibrous contracture.

Each of these consequences requires urgent medical attention.

Increased mammoplasty is a complex surgical procedure that requires a highly qualified surgeon. Therefore, before you decide to have breast augmentation with the help of implants, you must weigh the advantages and disadvantages and seriously approach the choice of the clinic in which the manipulation will be performed.