What is mammoplasty

breast augmentation with surgery

The most seductive, graceful, attractive thing about a woman's figure is her curves. And women themselves consider the ideal body, exactly as they see it, to be a source of their pride and value.

For perhaps the first time in history, a modern woman can afford to have 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 perfect above all else. 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 operations among women in the field of aesthetic medicine. It is aimed at eliminating conditions such as micromastia (insufficient breast volume) or excess volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, conditions after breastfeeding, 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.

Augmentation mammoplasty (enlargement) gives a natural shape and a toned look. 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 their lactation function (the ability to produce milk).

Augmentation mammoplasty is divided according to the type of access to the gland through an incision. Three of them are practiced today:

  • Axillary access - 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 goal, the condition of the tissues, the desired shape, the size of the bust, etc.

Reduction mammoplasty is a reduction in breast size; the plastic surgeon removes excess skin, glandular and fatty tissue and performs a lift. This allows you to restore the elasticity and aesthetic appearance of the bust, correct 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. In 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, thereby correcting the shape and volume of the breast, but often by liftingthe same silicone implants are used as in augmentation mammoplasty.

Breast implants and their forms

Modern breast implants or implants go through a lot of testing and research before they are certified and reach the end user.

They are recognized as 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 (drop-shaped). Their surface can be smooth or microtextured. They are made of certified hypoallergenic medical silicone. There are several leading 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 of the right shape and size during a mandatory consultation that 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
  • tube chest
  • asymmetry of the mammary glands
  • macromastia – very large breasts that cause physical discomfort. This can provoke bad posture, back pain, interfere with exercise and sleep, excessive sweating in the area of the inframammary fold causes moral distress and greatly lowers a woman's self-esteem.
  • micromastia – insufficient volume
  • conditions, defects after mastectomy
  • the patient's personal desire to increase 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 treatment and permission from an oncologist
  • dynamically growing neoplasms before healing
  • diabetes mellitus in the stage of decompensation
  • serious blood disorders related to blood clotting
  • epilepsy
  • diseases in which general anesthesia is contraindicated
  • HIV, hepatitis B and C
  • serious mental disorders, in particular schizophrenia
  • Chronic diseases in the acute stage
  • age up to 18 years
  • severe renal dysfunction
  • lupus erythematosus
  • pregnancy at all stages, breastfeeding. After the end of breastfeeding, at least 6 months must pass to stop the processes in the mammary glands naturally

Also, the operation is not performed during menstruation due to an 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 a history, conducts an examination and talks with the patient. If there are no previously identified contraindications for mammoplasty, then the patient is prescribed medical tests.

A 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 tests 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.

A month before the operation, you should give up alcohol and nicotine - these substances slow down tissue regeneration processes, healing is much worse, many 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 clotting.

Stages of operation

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. Then the actual operation begins, with or without the placement of implants.
  3. If it is a mastopexy or reduction mammoplasty, then during the operation the excess tissue is cut out. If it is breast augmentation, then preselected silicone implants are placed during the operation.
  4. Self-absorbable sutures are placed 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 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
  • wearing compression clothing. This is a mandatory condition - without it, the risk of complications increases significantly
  • You will need to visit the clinic regularly for check-ups during the first 7-10 days. Your doctor will provide you with a schedule of visits. Further visits to clinics depend on the specifics of the rehabilitation

During the rehabilitation period of 1 month, it is not recommended to engage in sports; It is not desirable 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.

A few myths about mammoplasty

  1. Implants affect breastfeeding. There may be little or no milk.
    not true 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 disturbing its physiology, including the ducts.
  2. There are safe folk or pharmaceutical means for breast enlargement and they are effective.
    To date, such non-invasive/folk methods with proven at least some effectiveness do not exist. And there may be health risks, but they are not usually warned about.
  3. After a while, the breasts will retract again and another operation will be necessary.
    Gravity and age-related changes affect breasts with implants and those without. Manufacturers provide a lifetime warranty on the implants themselves, which means that while they are in place, nothing can happen to them. But does this mean that a second operation will not be necessary? – no, it doesn't mean. Breasts will not look the same as they did after surgery forever and after 15-20 years a small adjustment may be necessary. There are many reasons for this: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After the operation, scars remain that do not disappear.
    Not quite. No scar can completely disappear, it exists and remains after every operation, the question is how noticeable it is. The quality of the scar is affected 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 using cosmetic methods (laser, collagen therapy, etc. ) in the same way as for any surface with thin dermis - face, neck, abdomen. And if you follow all the doctor's recommendations during the postoperative period, the tissue will be marked correctly without occupying a significant area. As a last resort, an unsatisfactory scar can always be corrected surgically.
  5. Breasts lose sensitivity after surgery.
    After the manipulation, breast sensitivity is really reduced - this is due to multiple processes, trauma to sensitive branches and postoperative edema. At the end of the rehabilitation period, sensitivity returns in most cases.

Mammoplasty prices 

Mammoplasty prices vary depending on the clinic's rating, the doctor's qualifications and experience, and the type of implants. The price is also affected by the options that are included in the package: hospital stay, compression garment, post-operative support, bandages with consumables.

For example, if only a breast lift is performed without installing implants, the cost of mastopexy starts at 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 more.

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

Conclusion

Today, plastic surgery is successfully gaining momentum in our country and becoming affordable. More and more women, whose breasts have undergone age-related hormonal changes, undergone a mastectomy or initially did not meet the ideal of a housewife, decide and get 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 and breast lift are performed during each of the three types of mammoplasty, thus achieving exactly the result that the patient wants. Modern implants are safe and consist of hypoallergenic silicone, and are also approved by the FDA (Agency of the Department of Health and Human Services). Performed by an experienced, high-quality surgeon, mammoplasty is a way to have the bust of your dreams, the subject of compliments and joy for many years.