What is mammoplasty?

Breast augmentation surgery

The most seductive, graceful, and attractive thing about a woman is her curves. And women themselves see their ideal body, as they see it, as a source of their pride and worth.

Perhaps for the first time in history, a modern woman has enough ability to have the body she desires. And also thanks to cosmetic surgery. A woman's bust is the part of her body that women most want to be idealized. And mammoplasty or mammoplasty can help them with this.

Mammoplasty is a type of surgical intervention in the field of cosmetic surgery, the purpose of which is to adjust the shape and/or size of the mammary gland. Usually, to achieve the result, a special prosthesis (silicone implant) is placed under the gland or under the pectoral muscle, if this is the patient's desire.

Breast augmentation surgery is today one of the most popular surgeries among women in the field of cosmetic medicine. It is aimed at eliminating conditions such as micromastia (insufficient volume of the mammary glands) or excess volume (macromastia), tubular breasts, asymmetry or prolapse of the mammary glands, conditions after childbirthbreastfeeding, mastectomy, significant 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 breast plastic surgery

Mammoplasty is divided into three types depending on the purpose.

Breast augmentation (enlargement) surgery provides a natural shape and firm 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 a beautiful shape while maintaining their lactation function (ability to produce milk).

Breast augmentation surgery is divided according to the type of glandular approach through the incision. There are three of them practiced today:

  • Approach to the armpit - from the armpit
  • Areola - along the lower or upper edge of the areola
  • Inframammary – in the area of the inframammary fold.

The type of access is chosen individually by the surgeon for each patient, depending on the purpose, tissue condition, desired shape, breast size, etc. v.

Breast reduction surgery is the reduction of breast size; The plastic surgeon will remove excess skin, glandular tissue and fat and perform a breast augmentation. This allows you to restore the elasticity and aesthetic appearance of the bust, adjust the shape of the nipples and the size of the areola.

Mastopexy – breast augmentation. It is often performed in conjunction with breast lift or reduction surgery. With breast augmentation surgery alone, a skin tightening procedure is performed, sometimes using manipulations to move the glandular tissue and fix it in a higher position, replacing the implant, thus correcting the breast augmentation. correct the shape and volume of the breast, but often the same is true during breast augmentation. Silicone implants are used as with breast augmentation surgery.

Breast implants and their shape

Modern breast implants or implants have to go through many tests and studies before being certified and reaching the end user.

They are recognized as completely hypoallergenic, biocompatible 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 woman's pregnancy.

According to their shape, implants are divided into round and anatomical (teardrop-shaped). Their surface can be smooth or micro-textured. They are created from certified hypoallergenic medical-grade silicone. There are some of the world's leading manufacturers. In a modern clinic, surgeons work with high-quality implants from various famous companies.

The plastic surgeon will help you choose the right implant in terms of shape and size during the mandatory consultation before surgical intervention.

Indications for breast reconstruction surgery

Indications for mammoplasty would be:

  • drooping eyelids due to age-related changes, breastfeeding, and sudden weight loss
  • tubular breasts
  • asymmetry of the mammary glands
  • macromastia – very large breasts that cause physical discomfort. This can cause poor posture, back pain, interfere with exercise and sleep, excessive sweating in the inframammary fold area causes moral distress and significantly reduces self-esteemof woman.
  • micromastia – insufficient volume
  • status and disability after mastectomy
  • The patient's personal desire to enlarge or change the shape of the breast/areola/nipple in the absence of contraindications to such surgery

Contraindications to mammoplasty

Contraindications include:

  • cancer before being cured and with permission from an oncologist
  • The tumor grows dynamically before being cured
  • Diabetes in the decompensated stage
  • Serious blood disease related to blood clotting
  • epilepsy
  • Diseases that contraindicate general anesthesia
  • HIV, hepatitis B and C
  • severe mental disorders, especially schizophrenia
  • Chronic disease in the acute stage
  • Age up to 18 years
  • severe kidney dysfunction
  • lupus erythematosus
  • pregnancy at all stages, breastfeeding. After the end of breastfeeding, it takes at least 6 months for the processes in the mammary glands to stop naturally.

Additionally, surgery should not be performed during menstruation due to increased risk of bleeding.

Preparing for surgery

The first thing that happens when preparing for breast augmentation surgery is a consultation with a plastic surgeon. He collects a history, conducts an examination, and talks with the patient. If no contraindications have been previously identified for mastectomy, the patient will be prescribed medical tests.

General blood and biochemical tests, 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 consult with specialists. During the consultation, the doctor and patient will choose the type and size of the implant if breast augmentation is planned.

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

Operational phase

The breast surgery process looks like this:

  1. The surgeon marks lines along the incision with a special marker
  2. Then the surgery will begin, with or without implants.
  3. If it is a mastectomy or breast reduction, during the surgery the excess tissue will be removed. If this is a breast augmentation, the pre-selected silicone implant will be installed during surgery.
  4. Autoabsorbable sutures are applied and that's it

Post-procedure recommendations

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

In general, the following should be emphasized:

  • Expect to spend at least one night in the hospital. On the first day, it is better to entrust yourself to medical professionals who will be nearby
  • wear compression garments. This is a mandatory condition - without it, the risk of complications increases significantly
  • You will need to come to the clinic regularly for checkups during the first 7-10 days. Your treating doctor will provide you with a schedule of visits. Subsequent visits to the clinic depend on the specifics of the rehabilitation process

During the 1 month recovery period, you should not participate in sports, you can only sleep on your back. Driving a car is undesirable because seat belts create compressive forces. You should also avoid solariums, saunas, bathtubs and swimming pools in the immediate post-operative period. Alcohol and smoking are not recommended.

Some myths about mastectomy

  1. Implants affect breastfeeding. There may be no or little milk.
    Untrue. Modern implants have absolutely no effect on lactation and are safe for both mother and baby. They are installed under the muscle or under the mammary gland without affecting its physiology, including the ducts.
  2. There are folk or pharmaceutical methods for safe and effective breast enlargement.
    ARE NOT. To date, such folk/non-invasive methods with at least some proven effectiveness do not exist. And there may be health risks, but they often go unreported.
  3. Over time, the breasts will shrink and surgery will be needed again.
    Changes in gravity and aging affect breasts with and without implants. Manufacturers offer a lifetime warranty on the implants, 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 needed? – no, that doesn't make sense. Breasts will not be the same after surgery forever, and after 15-20 years, some correction may be needed. There are many causes leading to this condition: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After surgery, there will be scars that cannot heal.
    Not really. No scar can completely go away, it exists and persists after any surgery, the question is how noticeable it is. The quality of the scar is influenced by many factors, such as genetics, immunity, the post-operative course, and whether the surgeon sutured the wound properly. Scars can be corrected with cosmetic methods (laser, collagen therapy, etc. ) just like on any surface with a thin dermis - face, neck, abdomen. And if you follow all the doctor's recommendations in the postoperative period, the tissue will scar correctly without taking up a significant area. As a last resort, an unsatisfactory scar can always be corrected surgically.
  5. Breasts will lose sensitivity after surgery.
    After manipulation, the sensitivity of the breast actually decreases - this is due to various processes, injuries to sensitive branches and swelling after surgery. At the end of the recovery period, in most cases, sensitivity will return.

Price of breast augmentation surgery 

Mastoplasty prices vary depending on the clinic's assessment, the doctor's qualifications and experience, and the type of implant. The price is also influenced by the options included in the package: hospital stay, compression garments, post-operative support, dressings with consumables.

For example, if only breast augmentation is performed without implants, then the price for breast augmentation surgery starts from 250, 000 rubles.

If breast augmentation involves the use of implants, then the price of the surgery will start from 270, 000 rubles or more.

On average, a breast augmentation surgery with implants and post-operative support costs the patient 270, 000 rubles – 350, 000 rubles.

Conclusion

Today, cosmetic surgery is successfully developing in our country and is becoming more and more accessible. More and more women whose breasts have undergone hormonal changes due to age, have undergone mastectomy or initially do not correspond to the ideal model of a housewife, decide and get the breasts of their dreamswish for cosmetic surgery.

Mammoplasty is a cosmetic surgery aimed at adjusting the shape and size of the breast. Typically, breast enlargement, areola enlargement, and breast augmentation are performed in any of the three types of mammoplasty, thereby achieving the exact results the patient desires. Modern implants are very safe and consist of hypoallergenic silicone, plus they are approved by the FDA (Department of Health and Human Services). Performed by an experienced, high-quality surgeon, a mastectomy is the way to get the bust of your dreams, the subject of praise and joy for years.