When breast augmentation is done, what types are there and how is the procedure?

16 November 2020

Ptosis or breast twisting is an aesthetic problem that worries many women. It increases her self-confidence and sexuality.

If a woman is worried about this, she is embarrassed in front of her husband or boyfriend, it is worth trying a breast augmentation.

This procedure should not be confused with breast augmentation with implants. The lift aims to eliminate ptosis, giving the female breast a natural elasticity.

How is this procedure, what is it called?

A breast augmentation is called a mastopexy.The procedure involves reshaping the mammary glands, giving them a natural elasticity and attractive appearance without the use of implants. The operation is performed with minimal surgical intervention under local or general anesthesia.

The degree of ptosis plays an important role in its selection. There are 4 degrees of disease. Appropriate measurements have been made to make an accurate diagnosis. The degree of sagging is determined by the distance from the breast fold to the nipple.

Help! Ptosis is stage 1, 2, 3 and 4 and is measured by the distance from the fold of the breast to the nipple. Hanging by 1-2 cm is considered non-critical and refers to grade 1.

If the nipple is 8 cm or more below the breast fold, grade 4 ptosis is placed. Here surgeons have to expect a large amount of skin and adipose tissue, and without general anesthesia, this will be impossible.

Readings

The skin on the chest is sensitive to any changes in the body. There is no natural muscle frame to maintain its shape. Therefore, it is difficult to maintain its original shape throughout life. The reasons that lead to the change in its form are:

A sharp increase or decrease in weight.Skin lying on the chest after weight loss loses its elasticity and looks weak.

Large chest size.Breasts over 3 sizes sit under natural weight.

Changes in hormonal background.Lack or excess of hormones contributes to the swelling or "stretching" of the breast.

Operations. For example, when a malignant tumor is removed, the glands become asymmetric. In severe cases, the mammary gland becomes hollow and sharp.

Age.The chest, which has no muscular support, loses its elasticity in front of the rest of the body.

Wrongly fitted bra.If you do not provide the right support, the mammary glands will collapse prematurely.

Breastfeeding.Milk-filled mammary glands can be enlarged 3-5 times. Upon completion of breastfeeding, it returns to its original size, but not to its shape.

Congenital anomalies.Breasts may not develop properly by the time of puberty. The only way out is to correct the shape.

Another problem with breast augmentation is that it is usually accompanied by stretch marks and sagging skin.

Contraindications, restrictions

Mastopexy means surgical intervention on the body. Each operation has its own indications and contraindications. This type of operation is not described in a number of cases:

pregnancy or its planning, as all results from the operation will fade;

less than 12 months after the end of hepatitis B, this is enough for the mammary glands to recover from lactation;

presence of tumors in the chest area;

acute infectious diseases;

diabetes mellitus;

renal failure;

cardiovascular dystonia;

under 18 years of age (parental consent and medical emergencies required);

overweight, which is a consequence of metabolic disorders and can cause postoperative complications.

Before deciding on a mastopexy, the positive and potential negative consequences should be weighed.

Images

Breast augmentation can be done with or without surgery.In the first case, the tissue cutting method is used according to different schemes, the second is the effect on the deeper layers of the skin. It should be noted that non-surgical methods are best used to prevent ptosis or in its initial stage. Operational interventions help fix the problem in more advanced cases.

Endoscopic

Small areas of skin are cut in the lateral region of the breast.Endoscopes and instruments are introduced through them. The tissue is cut from the inside, so the operation after the wounds have healed will be invisible.

This is one of the most expensive types of mastopexy. The success of this procedure depends on the qualifications and experience of the doctor performing the operation. But the result will remain unchanged for 10-15 years. Endoscopic mastopexy can eliminate ptosis of any severity.

Periareolar (circular)

During this operation, the doctor cuts off the excess tissue around the areola.This way, you can not only tighten the mammary glands, but also change the protruding diameter. Traces after surgery and healing become invisible.

Among the downsides, there is a potential impact on breastfeeding. Also, used only with 1 and 2 degree reduction. After surgery, some patients noticed loss of nipple sensitivity.

Vertical

Duringsurgery, the surgeon makes incisions over the breast and along the edges to lift the nipple up.This method requires minimal intervention in the structure of the mammary glands and practically does not cause complications and preserves the natural shape of the breast. It can also help shrink the nipple.

This method is used in the early stages of ptosis. Cannot be used if there are already marks on the chest. Also, it will not help heavily sagging chest.

Anchor (T-shaped)

Indicated for severe ptosis or large breasts that are not pleasant. Duringsurgery, an inverted anchor or T incision is made in the chest.Next, the surgeon cuts off the excess tissue and the bottom is pulled up to the top.

The operation has a pronounced aesthetic effect, it can be repeated until the patient is satisfied with the result. Disadvantages include the application of a large number of cuts. This increases the rehabilitation period and can cause complications.

Laser

This is a relatively new type of breast augmentation. It is widely used in the west, but in our country there are a small number of clinics with the necessary equipment.Laser can be used to lift and enlarge breasts.This does not require the use of a scalpel.

Laser removal is effective in the early stages of ptosis. It will take about 6 treatments to achieve the desired effect. They are performed at intervals of at least 14 days. The procedure does not require the introduction of anesthesia, as it is painless. In some cases, unpleasant sensations may appear.

Mesotreads

If the breast has lost its previous elasticity and is causing internal discomfort to a woman, doctors recommend a procedure for implanting mesothelioma. It leaves no marks on the skin and has no complications.

Being in the mammary glands, the fibersgradually grow with adipose tissue and create a supportive effect.The fibers continue to work for 6-8 months, after which they are completely absorbed and do not require removal.

Non-surgical methods

Women with class 1 breast reduction are advised to use non-surgical methods of breast augmentation. They help restore skin elasticity and restore the mammary glands to their former shape:

Myostimulation - with the help of electrical impulses sent through connected electrodes, skin elasticity is restored and stretch marks are eliminated.

Lipolifting - transplantation of adipose tissue from the abdomen and inner thighs to problem areas of the chest. Guaranteed 100% adipose tissue grafting.

Micro streams with serum - provokes active production of elastin and collagen, accelerates cell renewal, reduces sutures and stretch marks.

Mesotherapy.

The choice of the type of lift is also influenced by the degree of extension of the breast skin, its asymmetry and size. The surgeon will assess the general condition and select the safest and most effective option for each individual case.

Preparing for plastic surgery

Before getting permission from your breast augmentation surgeon,should consult with other specialists: gynecologist, therapist, mammologist and anesthesiologist.You will also need to pass a number of tests:

general and biochemical blood test;

blood test for diabetes mellitus;

general urine analysis;

tests for hepatitis, HIV, syphilis;

EKG;

Breast ultrasound;
mammography
;

fluorography.

For 14 days before surgery and for the same period after, you should not smoke, drink alcohol, take blood pressure medications, including oral contraceptives. You should also give up intense physical activity. Immediately before surgery, no food should be eaten 12 hours before surgery. You can drink tea or water.

How is it done, is it dangerous?

How is the operation done?Mastopexy is safe.It starts with marking the chest. The surgeon marks the incision sites and areas of skin to be removed with a marker. The patient is then given anesthesia. It can be of several types:

intravenous;

inhalimi;

local.

Stages of mastopexy:

the surgeon makes incisions along the marks;
further shapes the final result and cuts off excess skin and adipose tissue;
if necessary, the surgeon reduces the perimeter of the nipples;
After that, sutures and an antibacterial bandage are placed, drains are inserted (you can read more about what sutures are and how long they heal after surgery).

Operating time from 1. 5 to 3 hours.

What happens in the postoperative period?

The patient recovers almost immediately after surgery.Chest pain starts after we recover from anesthesia. The doctor who performed the operation should advise on pain relievers and antibiotics to be taken in the postoperative period.
3 days after mastopexy, the patient is observed in the hospital.If no complications arise, it is discharged. The doctor should evaluate the main result, respectively, whether the sutures have started to tighten and whether there is asymmetry. After a week, the sutures are removed.
Edema is noticed the first week after surgery.Chest looks stone. In the first month, the swelling continues, bruising may appear. After 1-3 months, they disappear completely, you can evaluate the result. During this time, the sutures will heal completely, the edema and hematomas will subside.
Corrective underwear should be worn for the first six months, which will help keep you in shape, use oils that speed up skin regeneration. This will help to pass the rehabilitation period faster.
Also, within 6 months after surgery, you should not visit the spa, sauna,so as not to infect open sutures. It is forbidden to go to the gym and lift weights - this contributes to the divergence of the stitches.

Patients who decide to have mastopexy should also be aware of the possible complications. These include pain in the mammary gland area, bruising and hematoma, swelling at the incision sites, tissue inflammation, and loss of sensation.

Before and after photos

Below in the picture you will see what a big chest looks like before and after lifting.

Cost of the procedure

The cost of the service depends on the type of operation, the qualifications of the surgeon and staff, the status of the clinic. The price also includes a training program, corrective internal purchases, patches, anesthesia.

Mastopexy is an opportunity for every woman to feel her sexuality and attraction again. But before deciding on a serious step, you should study the information about this operation, compare the positive aspects and possible risks, and only then make the final decision.

Mammoplasty is a type of surgery to correct the shape and size of the breast. The specialist changes the contour, the volume of the mammary glands, the shape of the nipples and areolas.